JOB SAFETY ANALYSIS / RISK ASSESSMENT Petrofac

JSA Title: Shoring Works JSA No.: JSA-2019-014 Date: 22/11/201

13.08.15
9
Work Location: Ain Tsila Project Compan BKS
CSSI Superviso Mouloud Abdelli
y: r:
Please tick () appropriate boxes
1 Permit(s) Cold Hot  Confined Space  Energy Isolation  NDT  Night Work  Excavation Certificate
. Required: Entry
Hard Hat Clear Safety Glasses Dark Safety Glasses Chemical Goggles Cutting Goggles
Dust Mask Face Shield Welding Screen Welding Aprons Welding Leggings
2 PPE Required: Ear Plugs Earmuffs Cartridge Respirator Escape Respirator SCBA
.
0
Cotton Gloves Leather Gloves (rigging) Leather Gloves (welding) Rubber Gloves Rubberized Cotton
Coverall Disposable Coverall Full Body Harness Hi-viz Vest / jacket Safety Shoes
Gas Badge Multi-Gas Monitor Gas Detector Light Meter Anemometer
3
Special Tools Dosimeter Thermometer Ventilation Fans Air Blowers Fire Extinguisher
and Equipment Lifeline Retrieval Line Padlock, Hasp, Tags Lighting (low voltage) Lighting (high lux)
. Required:
0 Air Horn Whistle  Topographical Survey Traffic Flags  Spill Kits
Barricade
Potential
4 Environmental
Noise Air Pollution (dust) Air Pollution (smoke) Air Pollution (vapor)
. Hazards Soil erosion Spills (to ground) Spills (water) Hazards to Flora & Fauna
0 Hazardous
5
Materials Carcinogen Irritant Highly Flammable Toxic Corrosive
. (attach SDS)
6
Other Electrical Pressure (air, water, gas) Mechanical (crush points) Ergonomics Temperature (±)
Potential Light / Dark Ignition Sources Dust / Vapor Suffocation Other Trades
. Hazards
0
Additional
7 Housekeeping shall be done on every end of shift.
Instructions
. INCREASING
CONSEQUENC
SE 1 2 3 LIKELIHOOD 4 5
ES
V Never heard Heard of Incident has Happens several Happens several
E People Ass Environment Reputation
of in EPC in EPC occurred in times times
RI ets
1 Slight health effect / Slight Damage Slight Effect Slight Impact Industry
1 Industry
2 Petrofac3Projects / year in 4PUL / year in a5location
2 injury
Minor health effect / Minor Damage Minor Effect Minor Impact 2 4 Low 6 8 10
injury Risk
3 Major health effect / Localized Damage Localized Localized 3 6 9 Medium Risk 1 15
injury
Permanent Total Effect Impact 2
4 Major Damage Major Effect Major Impact 4 8 12 (ALARP) 16High Risk 20
disability
or 1 Fatality
5 Multiple Fatalities Extensive Damage Massive Massive 5 1 1 2 25
Effect Impact 0 5 0
Document No. JSA-2019-014
 JSA Title: Shoring Works JSA No.: JSA-2019-013 Rev.: 00

Residual Risk
Likelihood
Severity

Severity
Likelihood

Risk Rating
St Activi Hazar Risk / Control Measures
ep ty ds Consequences
 Conclusions and Recommendations:
Ensure that all personnel involved in the work scope are aware of the dangers and its precautionary safety controls during the toolbox tool briefing.
Report all incidents / accidents to your supervisor
IF IN DOUBT-, STOP THE JOB AND REQUEST FOR CLARIFICATION FROM YOUR SUPERVISOR.
No work shall commence until PTW & associated documents are signed and displayed at the worksite.
S.PTW and risk assessment shall be thoroughly discussed and understood by all personnel in their local language.
Appropriate PPE shall be worn at all times.
Workforce shall be aware of the Project Emergency Response Plan

CSSI construction CSSI HSE PIUL Construction PIUL HSE

Name: Name: Name: Name:

Signature: Signature: Signature: Signature:

Document No. JSA-2019-014