PMT/Contrator ISA Form - 1/12/2008 Page | of & ‘JOB SAFETY ANALYSIS WORK SHEET 7 New DimMiy ‘Contractor: Saudi Arabian Saipem Co. Ltd. re JSA# | 2016.15 Troveca | Date 16/ 08 / 2016 Contract No BI. No.: 6800033027/ 10-01215 ol SA Function Name Badger Job Title Mobile Phone # Saipem Const. Manager Moschella Guerino CONST. MANAGER 0503052272 Saipem Safety Manager Lucresio Dageutan HSE MANAGER 0505980632 SAPMT Safety Advisor ‘Acthur Nayga SAPMT SAFETY ADVISOR 0531431173 SAPMT Representative Proponent Rep. (Supr.- Issuer) Proponent Rep. (Issuer) DESCRIPTION OF TASK: Protection of Existing FOC Under The Load of New Foundations Work Location/ (Area then station numbers): SHY-1 Loop4 Scraper Trap KM 220, Valve Station KM 215 & Valve Station KM 151 Prepared by/ Signature: (Contract) Moschella Guerino Construction Manager Lucresio Dagcutan Safety Manager Signatpre } Reviewed by/ Signature: (SAPMT) | arthur Nayga ‘Safety Advisor re spol ‘Approved by/ Signature: (Client) Operation Representative: ‘SignaturePMT/Contrator SA Form - 1/12/2008 Reference Gis & SAES: Pag ‘Approved asphalt road open cut procedure: G.I. 2.100 Work Permit System; Hazard Identification Plan (HIP); Aramco Construction Safety Manual 5” Edition; GI 2.709 Gas Testing Procedures; Gl 7.025 Heavy Equipment Operator Testing and Certification; Gi 7.029, Rigging Hardware Requirements; SAES A-114 Excavation and Backfiling; Gl 6.030 Traffic Control and Vehicle Safety; SA CSM Sec, 2.0, Excavation, Trenching and Shoring; 06-02-2008, Excavation and Shoring Guide; Environmental Management Plan; Approved CSSP. liom | SEQUENGE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION BY T Tit Diver shall have SAG license and attended Saipem defensive driving | training 4.4.2. Driver shall follow the speed limit mention on EW pipeline corridor and 1.1 Over speeding, dust cloud emocn ihe etn road formation in ROW due to. | 1.1.3. Vehicle should be properly maintained and schedule periodic vehicle movement, inspection shall be followed. defective/poorly maintained | 1.1.4 Refrain from using of mobile phones while driving, vehicle ~ resulting into 1.1.5. Driver and passengers shall wear seatbelts once riding in the vehicle, jeter ecciient) 1.4.6 Passenger shall notify Saipem HSE department if he found the driver am |e orto eo Vi js driving unsafely, 80 that appropriate disciplinary action shall be| Saipem/ em) Sant ‘SAPMT 4.1.7 _ Avoid tail gating. Clear and safe distance shall be kept. 1.2.1 Do not start any work preparation until signed work permit is on Rand. 1.22 Conduct joint site inspection between issuer and receiver to discuss 1.2 Failure to obtain approved the potential isk in the work area. ‘work permit lead to worker | 1.2.3 Ensure all workers are brief of the safety precautions stipulated in the injury and property damage. work permit 1.24 Ensure JSA and/or Method of Statement are approved prior to start the activity. 2, _ | Site Preparation & 2.4 Slip, trip & Fall Hazards- | 2.1.1 Workers shall wear appropriate PPE in the work site. Inspection injury 2.1.2 The permit issuer and receiver will conduct a joint site inspection to discuss the hazards and precautions required for conducting the job safely 2.1.3 Obtain work permit as outlined in GI-2.100, Work Permit System SAIPEM/ 2.1.4 A tool box meeting shall be conducted informing also the location of e 2 of 8PMT/Coneactor ISA Form 1/12/2008 Page 3 of & ‘assembly area for emergency & contact numbers to be posted. ‘SAPNT 2.1.8. In case of any emergency all activites shall be stopped according to ‘emergency response plan. 2.1.6 _Non-essential personnel shall be kept out ofthe work area, 2.2 Presence of harmful animal | 2.2.1 — All workers must wear appropriate PPE and insects during site survey | 222 _ Workers should be vigilant at site during the execution ofthe job. 3. | Manual Excavation 0 | 3.4. Potentials damages to UG | 37-1 1dentiy all lilies, ines and not appropriate parties before exposed FOC cable _| existing facilites, beginning any digging or clean-up work. and other UG 3.12. Donot start any work preparation until signed work permit is on hand. utitiesrfactties 31.3 Allworkers shall wear proper PPE and experienced enough todo the jo. 3.1.4 Ensure using the right tools forthe job. Tools are inspected prior to use. SAIPEM 3.1.8 Unauthorized personnel are not allowed at the work area. 3.116 _First-aid kit and trained fst-alder shall be avaliable at work site 32. Cavesn (collapse ofside | 32.1 Any excavation more than 1.2m (4f) consider as a confinec space wall) ‘and should have approved confined space permit and gas test from the concer department 32.2 Unauthorized personnel are not alowed to enter the work location 323 Work supervisorfforeman to ensure no defective tools shall be used in the activity. Utmost supervision must be speatheaded by the experienced supervisoriforeman. 3.2.4 Provide shoring/sloping/benching what is applicable according to the sol type condition. 3.2.8 Excavated materials shall be placed at least 2f from the edge of the excavation 3.26 Provide safe access and egress ladder for the workers. 327 Frequent visual inspection of soilrock condition must be monitored by _ ‘2 competent person. — 33.1 Provide adequate sheller to workers in the work location 33. Heat stress 332 Encourage workers to drink lots of water. 333 If practicable, implement working hour shifting to minimize exposure to hot climate 341 Make sure all workers are wearing dust mask. Water pouring in the 3.4 Dust exposure work area shall be performed to control dust.PMT/ContactorJSA Form - 1/12/2008 Page 4 of 8 ; 4.1.4 Any excavation more than 1.2m (Af) consider as a confined space “ Mechanical Excavation and should have approved confined space permit and gas test from and Compaction the concern department. 4.12. Unauthorized personnel are not allowed to enter the work locaton, 413 Provide shoringislopingbenching when is applicable according to the 4.1 Cave-in (collapse of side ‘soil type condition. wal) 4.14 Ensure that no heavy equipment working near the work area to| saipEM prevent cave-in due to vibration 4.18 Excavated materials shall be placed at least 2 from the edge of the excavation 4.1.6 Frequent visual inspection of soilrock condition must be mentored by ‘a competent person, 421 Detaled Toot Box Talk caried out by Supervisor with al personnel involved lke the sequence of work prior to start the activity 42.2 Handling and shifting of machine/equipment shall caried out with caution under the control of an experienced supervisor. 42 Sruccbyandcaghtl~ | 42.3 Hanaing and nebizhg of machrefequpren shal be equipment accordance with the material manual procedure and specification 424 The activity shal be supervised by the experienced supervisor. 42.5. Only trained and certiied personnel ae alowed to perform the job. 426 The work area should have installed barricades, proper natiication and information such as warning and directional signs 43.1. Keep the equipment ona safe working distance. 432 Provide competent signal man to provide signal to the equipment 43 Accidental fall of equipment operator 4.3.3. Boulders and excavated materials can be placed as a support of the equipment's position stability. 5. | instaation of 5.1 Manual handling injuries, | 8.1.1. Ifthe operation involves a significant risk of injury, cary outa manual reinforcement (stee! handing assessment. fang). Shutterng 5.1.2 Experienced supervisor shal supervise and manage safe and proper (fonmworks) for duct handing activites, |x 3 Provide safe access and earess ladder for the workers SAIPEM ‘4 Wear appropriate PPE. | 52 Sips, ps and 1 Non-qualifed personnel shal not Stay at the work area 2 Maintain good housekeeping In the work area, 3 Provide noticeable baricades in the work areaPMTiContractr JSA Form - 1/12/2008 Page 5 of 8 5.3 Trapping pinch paint ‘BE1 Allworkers shall wear appropriate PPE, 5.3.2 Exposed vertical bars that are sited inthe work area shall be bent, covered and protected. Otherwise f unused, isolate the materials in a safe location 5.3.3 Supervisor shal do the fll supervision during the activity 5.3.4 _Allworkers shall be watchful in their movement during the activity 5.4.1 Any excavation more than 1.2m (4f) consider as a confined space ‘and should have approved confined space permit and gas test from the concem department. 5.4.2 Unauthorized personnel are not allowed to enter the work location 5.4.3 Provide shoring/sloping/benching what is applicable according to the 5.4 Cave-in (collapse of side ‘soil type condition. wall) 5.44 Excavated materials shall be placed at least 2f from the edge of the excavation, 5.4.5 Frequent visual inspection of soil/rock condition must be monitored by 2 competent person 5.46 Adequate barricades and signage shall be installed along the work area, 5.5.7 Supervisor to ensure the using ofthe right fools forthe job. Tools are inspected prio to use. 155 Use of hand tools and power | 5.5.2 Work supervsorfforeman to ensure no defective tools shall be used in tools the activity, Utmost supervision must be spearheaded by the experienced supervisorfforeman 55.3 Workers shall wear appropriate PPE | Concrete pouring 6.1 Skin and eye ination 6.1.1 Workers shall wear appropriate PPE. Workers working closely with the conerete pour should wear gloves, a long-sleeved shirt and long pants. If you must stand in resh concrete while working i, wear —— rubber boots high enough to prevent concrete from pouring in em, | Concrete 6.12 Provision of First Aid kt and emergency responder. pore 6.1.3 _ Provision of potable eye wash station during the activity coe 62 Sips, tips and fal 62.1 Non-qualified personnel shal not stay atthe work area, 622 Maintain good housekeeping in he work area. 6.23 Provide fall preventionfall protection while working at heights 6.2.4 Provide safe access and egress ladder to the workers. 3 Crate pump hazards e.g. | 6.3.1 Utmost supervision must be performed by the experienced stability, whip deck platform supervisor. | 6.32 _Stabilty ofthe equipment shal be inspected prior to start the activity, 6.3.3 Unauthorized personnel are not allowed to enter at the work area 6.3.4 Equipment should be positioned inthe level and stable ground. 6.3.5 _Aliworkers shall wear appropriate PPE. 6.35 _Provide noticeable barricades and signage to prevent access fromPMT/Contractor ISA Form - 1/12/2008 Page 6 of & T Unauthorized personnel 64 Caughtin/struck by moving | 64.1 The acivity shall be supervised by the experienced supervisor. | equipment. 6.4.2 Only trained and certified personnel are allowed to perform the job. 6.4.3 Provision of spotterfiag man must be appointed to avoid unauthorized access of workers, 6.44 The work area should have installed barricades, proper notification and information such as warning and directional signs. 6.4.5 _All workers should wear prescribed PPE. 7. | Removal oF Shattering | 7.4 Faure of ling equipment. | 7-1-1 Taglines shall be used to control the load (formworks) 7.1.2 _Allmaterials willbe fed into the work area using certified iting equipment and tackle. 7.4.3 Visual inspection of lifting tackles must in place prior to start any Iiing activities. SAIPEM 7.44 Allworkers shall wear appropriate PPE. 7.4.5 _ The activity shall be supervised by experienced supervisor. 7.2 Manual handling injuries. Ifthe operation involves a significant risk of injury, carry out a manual handling assessment. Experienced supervisor shall supervise and manage safe and proper | handling activities. 7.23 Provide safe access and egress ladder for the workers, 7.2.4 Wear appropriate PPE 73 Sis, tips and fal. 73.1 Non-qualiied personnel shall not stay at the work area 732 Maintain good housekeeping in the work area. 7.3.3 Provide noticeable barricades in the work area A Trapping I pinch point 44 Allworkers shall wear appropriate PPE. 7.4.2. Exposed vertical bars that are sited in the work area shall be bent, covered and protected. Otherwise if unused, isolate the materials in a safe location. 7.4.3. Supervisor shall do the full supervision during the activity. 7.44 All workers shall be watchful in their movement during the actvity & | Backtiling 8.1 Dust exposure ‘81.1 Allworkers shall wear appropriate respiratory protection 8.1.2 Dust control through water pouring shall be performed to suppress SAIPEM dust in the work area. BZ Workers struck by the B21 The aclvily shall be supervised by the experienced supervisor. machine or moving 82.2 Only trained and certified personnel are allowed to perform the job, equipment. 8.2.3 Provide flag man both side of the road to control the traffic 8.2.4 The work area should have installed barricades, proper ntificationPMT/Contractor JSA Form - 1/12/2008 Page 7 of & ‘and information such as warning and directional signs. ] 3 | Marker Post instalation 9.1 Trapping /pinch point 3.1.1 All workers shall wear appropriate PPE. 9.12 Supervisor shall do the full supervision during the activity SAIPEM 9.13 _Allworkers shall be watchful in their movement during the activ. 92 Sips, tps and fl ‘92.1 Non-qualified personnel shal not stay atthe work area 92.2 Maintain good housekeeping in the work area 92.3 Provide noticeable baricades in the work area, {9.3 Manual handling injuries. | 9.3.1 Experienced supervisor shall supervise and manage safe and proper handling activites. 9.3.2 Wear appropriate PPE. 70 10.1.1 Waste materials used for testing shall be dsposed in the designated 10.1 Environmental area as per approved project environmental plan. SAIPEM contamination 10.1.2. Clear work area and dispose left-over materials in accordance with the approved project environmental management plan Close out / Clean Up 702.1 Unnecessary materais shall be removed from the area 10.2 Slip, ips and contact | 10.2.2 Maintain good housekeeping / cleanliness upon leaving the work with sharp/pointed area materials 10.2.3 Firstaid kt and trained firstaider shall be available at worksite and | provided with appropriate PPE.PMTIContractor JSA Form - 1/12/2008 Page 8 of Recommendations/NOts Assigned to Designation Phone # = Wen Tongan regency speak slowly, calmly, Stnly, ima Gear waice : ‘and give information in the following sequence: EE WA (012-472-0110) 2.Dial 110 fom the nearesttslephone or rom your mobile (012.472.0110), | Moschella Guerina Sr a 0503062272 2. State ther is an emergene or dsaster a our location and tellyour locaton, | Lures. Dagan SAPEM HSE Manager | 0505060652 4. Tell You Name___and your Badge # fh Nayoa SAPMT Safety Adviser | 0591491179 5, Tell about emergency or easter ke you sae a fre, car aeldent, malo injury, ttc at the oowng cation 6: inform tat here are (ramber of peopl requiring medi fsletance/atleniton 7 Repeat the above information and answer questions. Do nat hangup unt he dispatcher repeat the above or asks fr mor nfrmatn, * RRecommendations/Notes Assigned to Mobile Phone # |_| Pre — task meating will be conducted by site supervisor, use the JSA to identify the hazards & list the precautions in the work permit Saipem/ Permit Receiver, Operation & SAPMT 2 Explain to the involved workers the purpose of his JSA and enforce Implementation of control Saipem Line Supervisor & Safety 3 | Fan injury or near miss occurs, the JSA shall be reviewed immediately to determine whether ‘changes are needed in the job procedures. ‘Saipem Safety