Daqing Petroleum Iraq Branch HSE-MS record No.

22

JOB SAFETY ANALYSIS 工作安全分析

Rig: Well: Date:

Associated Permit No.:
工作许可号
Loacation/Area: Date Of Elaboration:
位置/区域

Work/Job/Project (Contract No. ) Crew:

合同号：
Brief Descriptión (Work/Operation) Estimated Time Hours
工作描述： 预计时间： 小时

N0. Activities Risk * Reason Of The Risk Prevention And Control Actions
序号 活动 风险 风险产生原因 预防和控制措施
1 ONE PERSON GIVE SIGNALS , WEAR
WORKING IN HEIGHTS. PINCHPOINTS
DROPING SAFETY BELT. DON’T GET UNDER
RIG UP CEMENT LINES AND CEMENT HEAD AND OVERHEAD LOADS
SUSPENDED LOADS.
2 CEMENT LINES COMING APART
STAY CLEAR OF CEMENT LINES. NOTIFY
TRIPPING UNDER PRESSURE AND INJURING
FLUSH AND PRESSURE TEST LINES CEMENTERS OF ANY LEAKS
PERSONELL
3 CEMENT LINES COMING APART
STAY CLEAR OF CEMENT LINES. NOTIFY
TRIPPING UNDER PRESSURE AND INJURING
CEMENT CASING CEMENTERS OF ANY LEAKS
PERSONELL
4 ONE PERSON GIVE SIGNALS , WEAR
WORKING IN HEIGHTS. PINCHPOINTS
DROPING SAFETY BELT. DON’T GET UNDER
RIG DOWN CEMENTERS AND OVERHEAD LOADS
SUSPENDED LOADS.
5 CLEAN UP MESS TRIPPING SLIP HAZZARD CLEAN UP MESS
 Daqing Petroleum Iraq Branch HSE-MS record No. 22

Executor Personnel 执行人员

Name I.D. N0. Signature Client Contr. Name I.D. N0. Signature Client Contr.
姓名 卡号 签字 甲方 乙方 姓名 卡号 签字 甲方 乙方

Elaborated By: Drilling Supervisor. Rig Manager:

Name: Name: Name:

Signature:_________________ Signature: ____________ Signature: ____________

Observations: Personnel Understood And Assumed Risk Associated With The Work To Be Done.