Date: 20-01-2019

Page 1 of 4 FORMAL TASK RISK ASSESSMENT / JSA FORM

Plant / Department Engineering & Project Management

Activity / Task Installation of Fire Protection, Gas Detection & Shut-off (AF-1021023)

1. Workplace preparation

2. Entry in Confined Space (Manholes)

Job Steps (Sub-Task)
3. Cable Pulling

4. Do housekeeping after completion of job or before leaving the site

Job Step Initial Risk Residual Risk Responsibility
SN Hazard Control Measures
Probability Severity Risk Probability Severity Risk Responsible Person
1.1 Entry without permit UNLIKELY MODERATE MINOR 1.1.1 Obtain valid permit work before VERY MODERATE INSIGNIFICAN
entering in workplace. UNLIKELY T PERMIT ISSUER & PERMIT RECEIVER
L4 C3 3 C3
L5 4
1
1.2 Lack of toolbox talk UNLIKELY MODERATE MINOR 1.1.2 Conduct toolbox talk, explain work VERY LOW INSIGNIFICAN
related hazards to crew. UNLIKELY T PERMIT ISSUER, PERMIT RECEIVER, SAFETY
L4 C3 3 C4
OFFICER, WORKING CREW
L5 4

1.3 Lack of sufficient signages and POSSIBLE LOW MINOR 1.1.3 Area must be hard barricaded and VERY LOW INSIGNIFICAN
barricades provide sufficient warning & UNLIKELY T
L3 C4 3 C4 PERMIT ISSUER, PERMIT RECEIVER, SAFETY
caution signages related to
L5 4 OFFICER
workplace hazards.

1.4 Slip, trip & fall UNLIKELY MODERATE MINOR 1.1.4 Area should be cleared for job. VERY MODERATE INSIGNIFICAN
UNLIKELY T PERMIT RECEIVER, SUPERVISOR, SAFETY
L4 C3 3 C3
OFFICER
L5 4

1.5 Improper access UNLIKELY MODERATE MINOR 1.1.5 Provide clear access to the VERY LOW INSIGNIFICAN
worksite. UNLIKELY T PERMIT RECEIVER, SUPERVISOR, SAFETY
L4 C3 3 C4
OFFICER
L5 4

2 2.1 Unauthorized entry UNLIKELY MODERATE MINOR 2.1.1 Obtain confined space entry VERY MODERATE INSIGNIFICAN
permit. UNLIKELY T PERMIT RECEIVER, SUPERVISOR, SAFETY
L4 C3 3 C3 OFFICER
L5 4

2.2 Poor preparation UNLIKELY MODERATE MINOR 2.2.1 Provide hard barricades around VERY MODERATE INSIGNIFICAN
manhole. UNLIKELY T PERMIT RECEIVER, SAFETY OFFICER,
L4 C3 3 C3 SUPERVISOR
2.2.2 Sufficient and suitable signs should
L5 4
be provided for awareness.
2.3 Hazards associated with UNLIKELY MODERATE MINOR 2.3.1 Use suitable tools/equipment for VERY MODERATE INSIGNIFICAN
lifting/lowering manhole cover lifting cover. UNLIKELY T
L4 C3 3 C3 PERMIT RECEIVER, SUPERVISOR, SAFETY
e.g. dropping manhole cover on 2.3.2 Get help with second person to lift
L5 4 OFFICER, WORKING CREW
feet cover.
2.3.3 Keep hands & feet away from
dropping point.
2.4 Lack of communication UNLIKELY MODERATE MINOR 2.4.1 Plan the work involving personnel VERY MODERATE INSIGNIFICAN PERMIT RECEIVER, SUPERVISOR, SAFETY
responsible for preparation of UNLIKELY T OFFICER, STANDBY MAN, ENTRANTS
L4 C3 3 C3
confined space.
L5 4
2.4.2 Place a standby person at manhole
to maintain contact with entrants
and record entry/exit.
 2.5 Flammable/toxic vapors UNLIKELY MODERATE MINOR 2.5.1 Ensure the confined space is free VERY LOW INSIGNIFICAN
from flammable/toxic atmosphere. UNLIKELY T PERMIT ISSUER, PERMIT RECEIVER, GAS
L4 C3 3 C4 TESTER, SAFETY OFFICER
L5 4

2.6 Oxygen deficiency UNLIKELY MODERATE MINOR 2.6.1 Ensure the gas test is conducted VERY
before entry and gas test results UNLIKELY
L4 C3 3 are satisfactory. PERMIT ISSUER, PERMIT RECEIVER, GAS
2.6.2 Oxygen level should not be less L5 TESTER, SAFETY OFFICER
than 19.5 % & other all readings
must be 0%.
2.7 Personnel falling while entry/exit POSSIBLE LOW MINOR 2.7.1 Use existing fixed ladder and follow VERY
three point contact system. UNLIKELY SUPERVISOR, SAFETY OFFICER, WORKING
L3 C4 3 2.7.2 Do not carry any object while entry CREW
or exit of confined space. L5

2.8 Surface water POSSIBLE LOW MINOR 2.8.1 Ensure that surface water is VERY
completely removed and confined UNLIKELY SUPERVISOR, SAFETY OFFICER, WORKING
L3 C4 3 space surface is dry. CREW
L5

2.9 Untrained personnel UNLIKELY MODERATE MINOR 2.9.1 Only competent persons are VERY
allowed to work 0inside confined UNLIKELY PROJECT ENGINEER, SUPERVISOR
L4 C3 3 space.
L5

2.10 Dark or Insufficient lighting POSSIBLE LOW MINOR 2.10.1 Provide sufficient & suitable lighting VERY
to ensure good visibility. UNLIKELY PERMIT RECEIVER, SUPERVISOR, SAFETY
L3 C4 3 OFFICER
L5

2.11 Lack of PPE UNLIKELY MODERATE MINOR 2.11.1 Wear proper PPE. VERY
UNLIKELY SUPERVISOR, SAFETY OFFICER, WORKING
L4 C3 3 CREW
L5

3 3.1 Unauthorized work UNLIKELY MODERATE MINOR 3.1.1 Obtain valid permit. VERY MODERATE INSIGNIFICAN
3.1.2 Drain surface water in designated UNLIKELY T PERMIT RECEIVER, SUPERVISOR, SAFETY
L4 C3 3 drain line, advised by area C3
OFFICER, WORKING CREW
supervisor and accordance to Lab L5 4
report.
3.2 Electric shock UNLIKELY MODERATE MINOR 3.2.1 Portable dewatering pump must be VERY
suitable for task. UNLIKELY
L4 C3 3 3.2.2 Ensure the pump is in good
condition and should not be L5
damaged or cracked.
3.2.3 Plug should be three pronged type
and ensure plug & cable is free SUPERVISOR, SAFETY OFFICER, WORKING
from any damage. CREW
3.2.4 Ensure correct rating power supply.
3.2.5 Remove the power supply before
touching pump.
3.2.6 Wear personal protective
equipment. Hand gloves and other
PPE & clothing must be dry.
3.3 Fire UNLIKELY MODERATE MINOR 3.3.1 Do not use in flammable VERY
atmosphere. UNLIKELY PERMIT RECEIVER, SUPERVISOR, SAFETY
L4 C3 3 3.3.2 Keep a fire extinguisher in area. OFFICER, FIRE WATCHMAN
3.3.3 A trained fire watchman shall L5
monitor the hot work.
3.4 Trip hazards POSSIBLE LOW MINOR 3.4.1 Hoses must be carefully positioned VERY LOW INSIGNIFICAN PERMIT RECEIVER, SUPERVISOR, SAFETY
so that they do not present a trip UNLIKELY T OFFICER, WORKING CREW
L3 C4 3 hazard and will not subject to C4
damaged by the tool or passing L5 4
vehicles etc.
3.4.2 Keep in safe place and provide
barricades around pump and post
 signages “DEWATERING IN
PROGRESS”
3.4.3 Do not locate pump or hoses on
pedestrian or traffic routes.
3.5 Water spillage POSSIBLE LOW MINOR 3.5.1 Ensure pump is located on level VERY
surface. UNLIKELY
L3 C4 3 3.5.2 Ensure the hoses (using for
dewatering purpose) are free from L5
any damage, kink, cracked.
3.5.3 Ensure whiplash or suitable clamps
on coupling and fittings. PERMIT RECEIVER, SUPERVISOR, SAFETY
3.5.4 Drain surface water in designated OFFICER
drain line, advised by area
supervisor and accordance to Lab
report.
3.5.5 In case of water spill, stop
operation and clean water
immediately.
3.6 Unsuitable environment UNLIKELY MODERATE MINOR 3.6.1 Do not use pump in flammable VERY
atmosphere. UNLIKELY
L4 C3 3 3.6.2 Make sure the gas test is PERMIT RECEIVER, SUPERVISOR, SAFETY
conducted for pump use and all gas L5
OFFICER
test readings are satisfactory.
3.6.3 Keep pump at a safe distance away
from edge of manhole.
4.1 Falling of cable drum UNLIKELY MODERATE MINOR 4.1.1 Manual unrolling of cable shall be VERY
performed in slow manner. UNLIKELY
L4 C3 3 4.1.2 Keep cable drum in safe location,
might not be subject to hit by L5
vehicles or other equipment.
4 4.2 Manual handling UNLIKELY MODERATE MINOR 4.2.1 Personnel should be suitably VERY
instructed in cable pulling UNLIKELY
L4 C3 3 techniques including appropriate
manual handling techniques. L5
4.2.2 Assign sufficient personnel for
manual unrolling of cable.
4.3 Slip & trip POSSIBLE LOW MINOR 4.3.1 Always maintain the cable in well
order.
L3 C4 3 4.3.2 Avoid trailing cables.
4.3.3 Only open required quantity of
cable from cable drum.
4.3.4 Always keep the walkways clear
from tools material & cable.
4.3.5 Barricade the area with caution and
warning signs.
4.4 Hand injury POSSIBLE LOW MINOR 4.4.1 Proper hand protection and caution
during the cable pulling.
L3 C4 3

5.1 Injuries from sharp objects while POSSIBLE LOW MINOR 5.1.1 Ensure correct cut resistant gloves
housekeeping are used while housekeeping.
L3 C4 3

5.2 Exposure to dust hazard POSSIBLE LOW MINOR 5.2.1 Proper dust mask to be used

L3 C4 3

Team Members
SN NAME POSITION DEAPARTMENT SIGNATURE DATE

1 Area Owner Manager

2 Maintenance/Technical Manger
 3 EHSS Department rep’
Contractor supervisor as minimum (if the job is to be done through the
4
Contractor).
Technical Supervisor /Engineer (Inspection/Control
5
System/Rotating/..Etc.) if needed
6 Others (As needed, to be decided by the Leader).
Approved By
SN OWNER MANAGER (INSIGNIFICANT RESIDUAL RISK) DEPARTMENT SIGNATURE DATE

01
SN AREA OWNER SR.MANAGER (MINOR RESIDUAL RISK) DEPARTMENT SIGNATURE DATE
01

Note: If Residual Risk is, Significant and above SAFER Approval Required. Appendix SHEM-08.10W