Job Safety Analysis Worksheet
JSA No. 023-SO-20-EBS-001 Short Descriptive Title of Task:
JSA : Free Water Separator Installation
Existing procedures, guidelines or other procedures that PTW required and No.:
apply: NO
Work Location: PTF – S1 Area Authority:
1. Sequence of Basic Task Steps 2. Potential Hazards
Preparation Job  Communication gap
 slipping
Checking the site  Person injury
 falling
 Collision
Equipment Mobilization
 unsecured load
 Hit
 Slips, falling from height.
Installing the Lifting equipment / lifting crane  Incompetent Rigger.
 Damaged lifting
equipment/ Gears.
■ New Analysis Review Subject Matter Expert Review:
Revised (New/Change):
Reviewed
Date:
Special Training PPE (example: respirator, gloves, special footwear, harness, etc.) and
Certificates required: special ER facilities, equipment and supplies needed.
Gloves、helmets、safety goggles, respirator
Oilfield manager Simultaneous work underway:
Approval:
3. Recommended Action or Procedure 4. person in charge
1. JSA and PTW approved by OM and SE manager.
2. Pre-start up inspection according to isolation certificate and
inspection list.
3. Tool box meeting and familiar with JSA &PTW. YOSC
4. Firefighting system should be in good condition and available.
5. Explosion proof luminate should be in good condition and
available.
1． Wear PPE.
YOSC
2． Ensure Tool Box Talk.
1． Wear PPE.
2． Ensure Tool Box Talk.
3． The driver should be competent, and having all documents (Local YOSC
Driving license, operator license etc.)
4． Maintain road speed limit when using access roads.
1. Area should be barricaded and signs should be in place.
2. Proper equipment Lifting gears should be inspected by a TPI
company and certify.
3. Clearing the area from any nearby structures, persons or equipment
that may affect the installation of the lifting equipment. YOSC
4. Ground condition shall be verified by a competent person prior to
position the crane (peering capacity).
5. Certify and experienced rigger.
6. Visual inspection before the use of the lifting equipment / gears/crane
1

 Lifting equipment failure.
 Serious injury
 Damaged load or nearby
structures
 Load Dislodgement.
 Serious injury
Lifting Operation
 Uncontrolled movement
of the load.
 Communication
breakdown and
language
misunderstanding
 Unplanned lifting
operation
 Person injury
Housekeeping
 Fire hazard
All the staffs working on the site ensure to be familiar with the details above, and follow the instruction.
SIGNATURE:
1. Always use basic PPE at all time.
2. The use of color coding and certified lifting equipment / Gears.
3. Visual inspection to the lifting equipment / Gears and a proper YOSC
Checklist to be used.
4. Certified, Competent and well experienced team.
1. Working area is restricted & barricaded well.
2. Competent, certified, and experienced Rigger should be in place to
choose the correct lifting gears/crane.
YOSC
3. only involve team members should be in the lifting area.
4. No personnel shall be under the suspended load.
1. The use of the Tagline to control the load.
2.Taking suitable measures to the weather condition (wind speed,
visibility, thunders and storms).
3. Operator shall refrain from unexpected maneuvers.
4.Lifting operator shall be certified.
4. Stopping the lifting operation if the wind speed exceeds 10 M / S
5. Using more than 2 Taglines depending on the shape and dimensions
of the load.
6. Lifting equipment operator shall be familiar with the lifting operation.
7. During blind corners more than one signalman or Radios shall be
used. YOSC
8.Lifting equipment operator shall be informed about the load weight
prior to start the lifting activity.
9. Stopping the lifting operation if there is any type of
miscommunication. with the.
10. A more detailed and sketches for the non-routine lifting operations.
11. Lifting supervisor shall divide the lifting team by their roles.
12. the unloading designated area will be in the lifting plan and will be
discussed with the lifting team members.
13. Reviewing the lifting plan with the staff involving in the lifting
operation (TBT).
1. Make sure no materials, tools and equipment were left on site.
YOSC
2. Site cleaning in time.