JOB SAFETY ANALYSIS – WORKSHEET
SABIC
JOB DESCRIPTION: Installation of
Electronic Access Control & Physical
Security Devices
JOB SAFETY ANALYSIS
JOB LOCATION (Plant): Main Entrance Gate # 1 - HADEED
No BASIC STEP POTENTIAL HAZARDS
 Entry without permit
 Lack of toolbox talk
 Lack of sufficient
01 Workplace preparation signages and
barricades
 Slip, trip & fall
 Improper access
02 Entry in confined space
 Unauthorized entry
(Manholes)
 Poor preparation
 Hazards associated
with lifting/lowering
manhole cover e.g.
dropping manhole
cover on feet
 Lack of
communication
 Flammable/toxic
vapors
 Oxygen deficiency
 Personnel falling
while entry/exit
SFM-08.10-SHEM-009 Rev. 3
DATE: 19-12-2018 JSA number: RD/SMS/JSA-01
 NEW  REVISED
WP No:
AREA: Main Entrance Gate # 1 - HADEED
MITIGATION PLAN RESPONSIBILITY
 Obtain valid permit work before entering in
workplace.
 Conduct toolbox talk, explain work related hazards Site Engineer
to crew.
 Area must be hard barricaded and provide Supervisor
sufficient warning & caution signages related to
workplace hazards. Safety Officer
 Area should be cleared for job.
 Provide clear access to the worksite.
Permit Issuer
 Obtain confined space entry permit.
 Provide hard barricades around manhole. Permit Receiver
 Sufficient and suitable signs should be provided
for awareness. Supervisor
 Use suitable tools/equipment for lifting cover. Safety Officer
 Get help with second person to lift cover.
 Keep hands & feet away from dropping point. CSE Attendant
 Plan the work involving personnel responsible for Entrants
preparation of confined space.
 Ensure the confined space is free from
flammable/toxic atmosphere.
 Ensure the gas test is conducted before entry and
gas test results are satisfactory.
 Oxygen level should not be less than 19.5 % &
other all readings must be 0%.
 Use existing fixed ladder and follow three point
contact system.
 Do not carry any object while entry or exit of
confined space.
  Ensure that surface water is completely removed
 Surface water
and confined space surface is dry.
 Only competent persons are allowed to work
 Untrained personnel
0inside confined space.
 No contact with  Place a standby person at manhole to maintain
entrants contact with entrants and record entry/exit.
 Dark or Insufficient  Provide sufficient & suitable lighting to ensure
lighting good visibility.
 Lack of PPE  Wear proper PPE.
03 Removing of surface water with  Obtain valid permit. Permit Issuer
portable suction pump  Drain surface water in designated drain line,
 Unauthorized work
advised by area supervisor and accordance to Lab Permit Receiver
report.
 Portable dewatering pump must be suitable for Supervisor
task.
 Ensure the pump is in good condition and should Safety Officer
not be damaged or cracked.
 Plug should be three pronged type and ensure
 Electric shock
plug & cable is free from any damage.
 Ensure correct rating power supply.
 Remove the power supply before touching pump.
 Wear personal protective equipment. Hand gloves
and other PPE & clothing must be dry.
 Do not use in flammable atmosphere.
 Fire
 Keep a fire extinguisher in area.
 Hoses must be carefully positioned so that they do
not present a trip hazard and will not subject to
damaged by the tool or passing vehicles etc.
 Keep in safe place and provide barricades around
 Trip hazards
pump and post signages “DEWATERING IN
PROGRESS”.
 Do not locate pump or hoses on pedestrian or
traffic routes.
 Water spillage  Ensure pump is located on level surface.
 Ensure the hoses (using for dewatering purpose)
are free from any damage, kink, cracked.
 Ensure whiplash or suitable clamps on coupling
and fittings.
 Drain surface water in designated drain line,
advised by area supervisor and accordance to Lab
report.
 In case of water spill, stop operation and clean
water immediately.

SFM-08.10-SHEM-009 Rev. 3
  Do not use pump in flammable atmosphere.
 Make sure the gas test is conducted for pump use
 Unsuitable
and all gas test readings are satisfactory.
environment
 Keep pump at a safe distance away from edge of
manhole.
 Manual unrolling of cable shall be performed in
slow manner.
 Falling of cable drum
 Keep cable drum in safe location, might not be
subject to hit by vehicles or other equipment.
 Personnel should be suitably instructed in cable
pulling techniques including appropriate manual
 Manual handling handling techniques.
Supervisor
 Assign sufficient personnel for manual unrolling of
Cable pulling cable.
04 Safety Officer
 Always maintain the cable in well order.
 Avoid trailing cables.
Working Crew
 Only open required quantity of cable from cable
 Slip & trip drum.
 Always keep the walkways clear from tools
material & cable.
 Barricade the area with caution and warning signs.
 Proper hand protection and caution during the
 Hand injury
cable pulling.
05 Support installation with the use  Do not use where flammable vapors may be Permit Receiver
of power drill present.
 Conduct gas test and make sure gas test results Supervisor
should be satisfactory for hot work.
 Lower explosive limit (LEL) should be 0% for hot Safety Officer
work and all the permit requirements should be
 Fire
fulfilled as per SHEM 08.10. Working Crew
 Inspected fire extinguisher should be present in
area.
 Fire watch man shall monitor the activity
continuously.
 Area shall be ventilated.
 Maintain the cable management in well order to
avoid from tripping hazard.
 Tripping hazards
 Always pass cable from a safe side. Avoid passing
while cables lying on
from walkways, roads etc.
the ground
 Ensure cables are not effecting by vehicle
movement.
 Personal injury  Use appropriate PPE for the task.
 Assign a trained operator who familiar with drill
machine operation.
 Do not put hands near to moving bit.

SFM-08.10-SHEM-009 Rev. 3

Devices installation and cable
06 termination with the use of
hand tools
07 Troubleshooting, Testing, Pre-
commissioning &
Commissioning activities
SFM-08.10-SHEM-009 Rev. 3
 Do not use power drill very near to body.
 Avoid loose clothing & long hairs.
 Do not remove guards.
 Make sure the drill body, cord & plug is in good
condition and free from damage.
 Plug should be three pronged type.
 Do not touch with wet hands.
 Use PPEs for the task. (i.e..Safety helmet, face
shield, hand gloves & safety shoes)
 Electric shock
 Assign trained employees who familiar with drill
machine operation.
 Inspect the machines, ensure the suitability and to
be color coded by competent person.
 Inspect all electrical cables, industrial sockets and
connectors are clear from damage.
 Dust  Use dust mask for respiratory protection.
 Use proper PPE according to job.
 Personnel injury
 Use tools with care.
 Use suitable and insulated tools for termination.
 Unsuitable hand tools
 Use only inspected hand tools. Electrical Engineer
 Cable termination shall be performed by trained
electricians under the supervision of competent electrical Electrical Supervisor
supervisor / engineer.
Permit Receiver
 Devices shall be installed in strong position.
 Improper installation
 Secure devices with suitable number of specific clamps, Safety Officer
of devices & cable
termination
bolts, screws.
Working Crew
 Supervisor shall make sure strength of devices after
installation.
 Fix devices at safe location according to approved
drawings.
 Obtain work permit before perform any Permit Issuer
 Unauthorized troubleshooting, testing, pre-commissioning &
troubleshooting, commissioning. Permit Receiver
testing, pre-  All require testing documentation must be
Electrical Engineer
commissioning & completed as per the procedures.
commissioning.  HADEED Electrical Authorization required to do Electrical Supervisor
testing & commissioning.
 Only competent technicians & engineers who are Safety Officer
 Incompetent trained in the operation shall perform
personnel troubleshooting, testing, pre commissioning & Working Crew
commissioning.
 Electric Shock  Use only insulated and inspected tools.
 Wear mandatory PPE along with electric shock
 proof gloves.
 Do not touch electrical cables/devices with
bare/wet hands.
 Use suitable tools.
 Poor/damage
 Use tested and calibrated equipment approved by
condition
client.
tools/equipment
 All tools/equipment must be inspected.
 Use PPEs according to job requirement.
 Improper PPEs
 Wear electrical resistant gloves.
 Material Safety Data Sheet should be available
 Lack of information with paint.
about chemical  Before use, read instruction given on MSDS &
must follow.
 Toxic paint fumes  Use suitable respirator.
 Wear proper PPE & full sleeves.
 Contact with  Immediately wash skin/eyes with cold running
skin/eyes water for 15 minutes if skin/eyes comes in contact
with paint.
 Do not store/keep paint cans without suitable lid;
ensure that lid is well tight.
Permit Receiver
 Do not keep paint cans on walkways or other
 Paint spillage can pedestrians/vehicle movement area.
Supervisor
cause slip hazard  Immediately clean paint with suitable spill kit, if
08 Painting
spillage happens.
Painter
 Discard spillage waste in hazardous container
trash bin.
Safety Officer
 Do not keep paint cans under direct sunlight &
 Fire may happen
near to any other heat & ignition sources.
due to keep under
 Paint storage container must be kept in shadow
direct sunlight or
area & away from heat & ignition sources.
near to heat &
 Paint container must be labeled and have fire
ignition sources
extinguishers.
 Paint must be stored in metallic suitable cans.
 Do not store/keep paint cans without suitable lid;
 Unsuitable storage ensure that lid is well tight.
cans  Do not store paint in plastic gallons.
 Do not keep paint cans on walkways or other
pedestrians/vehicle movement area.
09 Do housekeeping after  Injuries from sharp Permit Issuer
 Ensure correct cut resistant gloves are used while
completion of job or before objects while
housekeeping.
leaving the site housekeeping Permit Receiver
 Exposure to dust  Proper dust mask to be used.
hazard Supervisor

SFM-08.10-SHEM-009 Rev. 3
 Safety Officer

REQUIRED AND/OR RECOMMENDED P.P.E.:

Safety helmet, Safety glass, Hand gloves, Dust Mask, Ear defenders, Long sleeves, Safety shoes
______________________________________________________________________________________________________
All recommendations suggested in JSA have been implemented at site:(Maintenance Supervisor)
Prepared by: JSA Team Leader Acknowledged by: Manager/Shift Supervisor
Name:Muhammad Umar Signature:________ Badge #:C417388 Name:______________ Signature:__________ Badge#: __________
JSA Team Members Reviewed and acknowledged by Operation Sr. Manager In case of Major /
Name ID # Department Signature Date Significant Risk (Critical Activity).

Name:______________ Signature:__________ Badge#: __________

Comment: …………………………………………………………………………………………………
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………..
Approved by Maintenance Manager / Supervisor …………………………………………………………………………………………………………………..
Name:_____________________ Signature:__________ Badge #:________ …………………………………………………………………………………………………………………..

Approved by Maintenance Sr. Manager in case of Major / Significant

Risk (Critical Activity).

Name:_____________________ Signature:__________ Badge #:________

SFM-08.10-SHEM-009 Rev. 3
 INSTRUCTIONS FOR COMPLETING THE JOB SAFETY ANALYSIS FORM
Job Safety Analysis (JSA) is an important incident prevention tool that works by
finding hazards and eliminating or minimizing them before the job is preformed,
and before they have a chance to become accidents. Use JSA for job clarification
and hazard awareness, as a guide in new employees training, for periodic contacts
and for retraining of senior employees, as a refresher on jobs which run
infrequently, as an incident investigation tool, and for informing an employees of
specific job hazards and protective measures.
Set priorities for doing JSA’s: jobs that have a history or many accidents, jobs that
have produced disabling injuries, jobs with high potential for disabling injury of
death, and new jobs with no accident history.
SEQUENCE OF BASIC JOB STEPS POTENTIAL HAZARDS
Select a job to be analyzed. Before filling out this from, consider the following:
The purpose of the job-What has to be done? Who has to do it?. The activities involved:
How is it done? When is it done? Where is it done?
In summary, to complete this form you should consider the purpose of the job, the activities
it involves, and the hazards its presents. If you are not familiar with a particular job or
operation, interview an employee who is. In addition, observing an employee performing
the job, or “walking through” the operation step may give additional insight into potential
hazards. You may also videotape the job and analyze it. Here’s how to do each of the three
parts of Job Safety Analysis
RESPONSIBLE
RECOMMENDED ACTION OR PROCEDURE
PERSON

Examining a specific job by breaking it
down into a series of steps of tasks, will
enable you to discover potential hazards
employees may encounter.
Each job operation will consists of a set of
steps or tasks.
For example:
The job might be to move a box from
conveyor in the receiving area to a shelf in
the storage area. To determine where a
steps begins or ends, look for a change of
activity, change in direction or movement.
Picking up the box from the conveyor and
placing it on a hand truck is one step. The
next step might be to push the loaded
hand truck to the storage area (a change
in activity). Moving the boxes from the
truck and placing them on the shelf is
another step. The final step might be
returning the hand truck to the receiving
area.
Be sure to list all the steps needed to
perform the job. Some steps may not be
performed each time; an example could be
checking the casters on the hand truck.
However, if the step is generally part of the
job it should be listed.
SFM-08.10-SHEM-009 Rev. 3
A hazard is a potential danger. The purpose of
the Job Safety Analysis is to identify all hazards,
both those produced by the environment or
conditions and those connected with the job
procedure.
To identify hazards, ask yourself these questions
about each step:
1. Is the danger of the employee striking
against, being struck by, or otherwise
making injurious contact with an object?
2. Can the employee be caught in, by or
between objects?
3. Is there potential for slipping, tripping, or
falling?
4. Could the employee suffers strains from
pushing, pulling, lifting, bending, or twisting?
5. Is the environment hazardous to safety
and/or health (toxic gas, vapor, mist, fumes,
dust, heat, or radiation)?.
Close observations and knowledge of the job is
important. Examine each step carefully to find
and identify hazards; the actions, conditions and
possibilities that could lead to an accident.
Compiling an accurate and complete list of
potential hazards will allow you to develop the
Using the first two columns as a guide, decide Who is responsible? Write
what actions or procedures are necessary to the person (receiver)
eliminate or minimize the hazards that could lead responsible
to an accident, injury, or occupational illness. (Supervisor/Work Permit
Issuer receiver/contractor)
Begin by trying: to implement the control
1. Engineer the hazard out: 2. provide guards, measures identified.
safety devices, etc.; 3. provide personal
protective equipment; 4. provide job instruction
training; 5. maintain good housekeeping; 6.
insure good ergonomics (positioning the person in
relation to the machine or other elements in such
a way as to improve safely).
List the recommended safe operating procedures.
Begin with an action word. Say exactly what
needs to be done to correct the hazard, such as,
“lift using your leg muscles”. Avoid general
statements such as “be careful”.
List the required or recommended personal
protective equipment necessary to perform each
step of the job.
Give a recommended action or procedure for each
hazard.
Serious hazards should be corrected immediately.
The JSA should then be changed to reflect the
new conditions.
 recommended safe job procedures needed to
prevent accidents.
SFM-08.10-SHEM-009 Rev. 3
Finally, review your input on all three columns for
accuracy and completeness. Determine if the
recommended actions or procedures have been
put in place. Re-evaluate the job safety analysis
as necessary.