Professional Documents
Culture Documents
Job Safety Analysis FOR Electrical Conduit Installation
Job Safety Analysis FOR Electrical Conduit Installation
Rev. Page
A 1/6
Doc. Unit n°
Project Package Originator Discipline Serial n°
Type Serial n°
Signature:
Document Class: X
SADDAM SHAHRUN
A 20-Jul-2016 IFR – Issued for Review FOO YUNG WEE
TAMIMI NIZAM
DATE
WRITTEN BY CHECKED BY APPROVED BY
REV. STATUS – REVISION MEMO
DD-MMM-YY (name & signature) (name & signature) (name & signature)
Sections changed in last revision are identified by a vertical line in the right margin.
"In accordance with Article 41 Conditions of Contract, the ownership in this document shall vest in OWNER. No part of this document may be reproduced, stored
in a retrieval system or transmitted in any form or by any means (electronic, mechanical, photocopying, recording or otherwise) without the permission of the
OWNER.
CONFIDENTIAL – Not to disclose without authorization”
Electronic Filename: RAPID-P0014-0007-HSE-PRC-0001-1007_A.docx
INSTRUCTIONS FOR COMPLETING THIS FORM
Section I. Enter general information about the site and job task.
Section II. Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit,
certification, and risk assessment requirements.
Section III. Identify any human/organizational factors that could impact the ability to perform the work safely.
Section IV. :-
1. Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to
leave an extra row between steps in case you need them later. Add additional rows to the table as needed, or if completing the JSA on paper,
print additional copies of the sheet to accommodate all job steps.
2. Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to
trigger your thinking about different types of hazards and energy sources.
3. List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure
examples and hierarchy provided to trigger your thinking about different types of controls and their effectiveness at reducing risk. Controls
toward the top of the table tend to be more effective at minimizing the severity and/or likelihood of an event than the controls toward the bottom
of the table. If this job involves a Life Critical Operation, continue to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified,
then proceed to step 9.
4. Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could
result from this job step. Use the severity table provided. Write the severity number in column D (Severity).
5. Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this
job step. Use the likelihood table provided. Write the likelihood number in column E (Likelihood).
6. Multiply the severity number by the likelihood number and enter the product in column F (Risk).
7. Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
i. Very low and low risk ratings of 1-7. This level is generally considered acceptable provided that all control measures are applied.
ii. Medium risk ratings of 8-15. Additional control measures should be considered to determine whether it is practical to further reduce the
risk. If additional control measures will be implemented, write them in the Control Measures column on the same line or a new line
below. Rescore the Severity, Likelihood, and Risk taking into consideration this additional corrective action.
iii. High and Very high risk ratings of 16-80. Additional control measures must be considered to determine whether it is practical to further
reduce the risk. If additional control measures will be implemented, write them in the Control Measures column on the same line or a
new line below. Rescore the Severity, Likelihood, and Risk taking into consideration this additional corrective action.
8. Repeat steps 2-7 for each of the job steps identified.
Section V. Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The
Site/Construction Manager must review and approve any line items that have a High or Very High risk rating before the job may proceed. Additional
space is provided for crew members to sign the JSA if desired
Critical 8 injury or illness Lasting (up to one year) impacts to air, Losses of equipment/property that cannot be Likely 4 1 x 10-3 1 in 1,000
resulting in surface/ground water, or soil; or readily replaced; or
permanent total Offsite area/community affected; or Losses exceeding $100,000; or
or partial Events that are reportable to regulatory Significant unplanned impact on project
disability authorities; or budget and schedule
Some adverse publicity/media coverage
Major 4 injury or illness Temporary (up to one month) impacts to air, Loss of equipment that can be readily Possible 3 1 x 10-4 1 in 10,000
resulting in surface/ground water, or soil; or replaced; or
temporary Significant area of the project site affected; or Losses exceeding $10,000; or
disability or loss Breach of regulatory requirement or limit; or Significant unplanned impact on project
of function Potential for adverse publicity/media coverage budget
Moderate 2 injury or illness Short-term (up to one day) impact to air, Damage to equipment/property that can be Unlikely 2 1 x 10-5 1 in 10,0000
requiring medical surface/ground water, or soil; or repaired within a reasonable
treatment Very small area within the project site affected; timeframe; or
and Losses exceeding $1,000; or
No potential for adverse publicity/media Minor impact on project budget
coverage
Minor 1 injury or illness No direct impact to air, surface/ground water, or No impact on equipment functionality; Very 1 1 x 10-6 1 in 1,000,000
requiring first-aid soil; or Minor, cosmetic damage; or
Unlikely
treatment only Effects restricted within buildings or Repair costs easily covered by normal
containment structures; and project operating budget
No potential for adverse publicity/media
coverage
Page 3 of 6
SECTION I - GENERAL INFORMATION
EMERGENCY CONTACT NAME EMERGENCY CONTACT PHONE NUMBER
Primary Secondary Primary Secondary
Contact: Farid Azali Contact: Gary Hiew Contact: 013-6495965 Contact: 019-2198263
Project No. Task Order/Contract No.: Date:
New or Revised 21 June 2016
JSA / RA Title: Building: Area: Specific Location(s):
Electrical Conduit Installation MCB 601- 602 & LBB 801-804 LOT 17, LOT 56 & LOT 16A Main Control Building & Laboratory Buildings
Work Scope/Description: Plant Tools & Equipment Required:
1. Mobilized and demobilized equipment and materials 1. Cutter
2. Loading unloading equipment and materials 2. Clamping tools
3. Drilling hole on concrete surface 3. Concrete Hammer Drill
4. Cutting/bending of conduit pipe 4. Spanner
5. Conduit Installation 5. Conduit Pipe Bender
6. Housekeeping 6. Clip
SECTION III - ARE ANY OF THESE HUMAN/ORGANIZATION FACTORS APPLICABLE TO THE JOB?
Human Nature Organizational Factors Work Environment Individual Capabilities
Assumptions (inaccurate Emphasis on schedule Changes/departures from “Hazardous” attitude for critical
mental picture) routine task
Lack of support for stop-work
Complacency/overconfidence authority Confusing displays or controls Illness/fatigue
Personality conflicts Distractions/interruptions Imprecise communication habits
Distraction
Hidden system response
Habit patterns Poor communication with Indistinct problem-solving skills
peers/supervisor Lack of alternative indication
Inaccurate risk perception Lack of knowledge (mental model)
Unclear goals, roles, and Unexpected equipment
Limited short-term memory Lack of proficiency/inexperience
responsibilities conditions
Mental shortcuts (biases) Workarounds/OOS instruments New technique not used before
Task Demands
Mindset (“turned” to see) Unfamiliarity with task – first time
High workload (memory
Stress (limits attention) requirements)
Interpretation requirement
Irrecoverable acts
Lack of or unclear standards
RAPID- P0014-OUI-HSE-PRC-0001-1007
Job Safety Analysis
REVIEWED BY CREW
Note: Insert additional rows or print additional sheets as necessary to accommodate all job steps.