JOB SAFETY ANALYSIS
JOB DESCRIPTION: DATE: 10-Nov-2018
Offloading, loading and filling foam
bladder tank
JOB LOCATION : Safco
No BASIC STEP POTENTIAL HAZARDS
1 Preliminary steps for the job 1.1 No valid permit to
work
1.2 Miscommunication
1.3 Personal Injury due
to lack of safety
awareness training
1.4 Obstructions
1.5 Poor Supervision
1.6 Lack of PPE
2 Manual handling 2.1 Employees may suffer
with manual handling
injuries if required to
lift and move items —
sprains, strains,
muscular injuries
etc.
JSA/RD/KFIP/01
JSA number: JSA/RD/SF/01
 NEW  REVISED
WP No: N/A
AREA: N/A
MITIGATION PLAN RESPONSIBILITY
1.1.1 Permit issuer & Permit receiver should conduct
effective joint site inspection before & after
job.
1.1.2 Permit shall be obtained prior to commence
the task.
1.1.3 Method statement & JSA shall be available on
site prior to start the work.
1.1.4 Obtain permit to work and co-ordinate with all
the concerned parties regarding the activity to
be conducted.
1.2.1 Task shall be clearly communicated among
whole site team prior starting any activity REDA
1.3.1 Tool box shall be carried out prior to start job.
1.3.2 Conduct Safety Task Assessment to discuss job
and control measures.
1.6.1 Area shall be clear from any type of obstruction.
1.5.1 Construction department will assign competent &
trained supervisor to supervise each activity to
ensure all procedures are carried out correctly.
1.6.1 Wear proper PPE prior to start the job.
2.1.1 Ensure correct safety equipment is being used
when lifting and moving equipment.
2.1.2 Ensure correct manual handling procedures are
REDA
abided by.
2.1.3 Take frequent breaks & job rotation.
2.1.4 Follow manual lifting techniques.
 2.2 Crush injuries of 2.2.1 Divide the load among workers.
hands and feet from 2.2.2 If equipment is still too heavy to lift then use
lifting and dropping mechanical aids.
heavy items
3 Use of hand tools (Wrench, 3.1 Pinch points 3.1.1 Assure gloves are worn, do not get hands in
adjustable, spanners) areas where they can be caught between
objects.

3.2.1 Thoroughly inspect hand tools prior to use.

3.2 Damaged tools 3.2.2 Do not use poor condition, damage or crack tools.
3.2.3 Use only color coded inspected tools. REDA

3.3 Wrong tool for work 3.4.1 Ensure hand tools to be used are properly rated
for the job.

3.4 Dirty oily tools 3.4.1 Ensure tools are clean and oil/grease free prior to
use.

Existing foundation breaking 4.1 Potential strain 4.1.1 Use proper ergonomics while operating.
using power tools (Jack hammer,
grinder, hand tools) 4.2 Noise 4.2.1 Wear hearing protection.

4.3 Flying particles 4.3.1 Wear safety glass & face shield.

4.4 Dust 4.4.1 Wear dust mask and disposable coverall.

4.5 Vibration 4.5.1 Use hand gloves, handle must be have

insulation to reduce the vibration dose.
4.5.2 Job rotation.

4.6.1 Wear proper PPE. REDA

4.6 Personnel injury 4.6.2 Keep a safe distance from jackhammer bit
while operation.
4.6.3 Locate the cable carefully to avoid trip
hazards.
4.6.4 Provide hard barricade and warning signs.
4.6.5 Keep waste concrete at designated location,
decided by client. As well as area must be
hard barricade

JSA/RD/KFIP/01
4 Scaffolding Erection, Modification & 4.1 Personal injuries 4.3.1 Obtain valid work permit before start of scaffold
Dismantling erection, modification & dismantle.
4.3.2 All scaffolders must be certified and they must have valid
certification card.
4.3.3 Scaffolders must be trained.
4.3.4 Scaffolders will use full body harness along with other
mandatory PPEs. Full body harness must be 100% tie off
with anchor point.
4.3.5 Always keep minimum two planks while erection &
dismantle scaffold to reduce the falling hazard.
4.3.6 Always keep hands away from pinch points.
4.3.7 Area must be secured with barricade & sign boards.
4.3.8 Unauthorized persons shall not be allowed to enter in
area.

4.2 Falling of tools/objects 4.2.1 Scaffolders must use belt for spanner & other tools
holding.
4.2.2 Use canvas basket with manila rope for transfer material.
4.2.3 Do not throw any object from height to ground & from
ground to height.
4.2.4 Maintain the material at height while erection &
dismantle.
4.2.5 Take extreme care of nearby objects, devices & other REDA
plant equipment during erection and dismantle.

4.3.1 Scaffold must be erected on stable & level ground.

4.3 Collapse of scaffolding 4.3.2 All components must be in place & well tight.
4.3.3 Ensure scaffold is not touching process & electrical
equipment.
4.3.4 Erected scaffolding shall be inspected by certified
supervisor and re-inspected weekly basis or after any
modification and adverse weather affect.
4.3.5 Scaffolding inspector should inspect complete assembly
to see that is complies with all safety codes, nut and
bolts are tight, working platforms are fully planked,
guardrails are in place, and safe access is provided.
4.3.6 All scaffold erection, modification, dismantle activities
shall be under the supervision of certified scaffold
supervisor.

JSA/RD/KFIP/01
5 Use of scaffolding for work at height
5.2 Collapse of scaffold
JSA/RD/KFIP/01
5.1 Personal injury 5.1.1 Scaffold must be inspected & tagged by approved
Scaffold Supervisor.
5.1.2 Always check inspection tag before use of scaffold,
ensure that inspection is valid.
5.1.3 Ensure that all components are in placed & well tight.
Maintain three point contact system while using ladder.
Do not carry any object while using ladder.
5.1.4 Wear inspected, color coded & good conditioned full
body harness.
5.1.5 Full body harness’s snap hooks must be tied with anchor
point all the times.
5.1.6 Do not climb on toe board & guard rails.
5.1.7 Stay only within platform. Do not climb on structure or
any other object.
5.1.8 Access must be without obstructions.
5.1.9 Ensuring that information, instruction, training and
supervision of all personnel is provided to enable them
to safely perform their work at height.
5.1.10 Peoples must use chip strap while work at height.
5.1.11 Employees must be trained for work at height. REDA
5.1.12 Scaffold platform must be clear from obstruction, do not
keep unnecessary tools/material on platform & all
tools/material must be well arranged in a side.
5.1.13 Use canvas basket & manila rope for transfer tools &
light material. Use pulley system.
5.1.14 Do not throw any tools/material from ground to height
and from height to ground.
5.1.15 Erection, dismantling & modification is only allowed to
certified scaffolders under the supervision of certified
supervisor.
5.1.16 Unauthorized persons are strictly prohibited to modify
any component of scaffold.
5.2.1 Scaffold must be erected on firm level ground.
5.2.2 Before every use, ensure that scaffold is in stable
condition & all components are in place.
5.2.3 Scaffold must be re-inspect weekly & after modification,
hit by any moving equipment or heavy winds.
6 Cutting & Grinding of pipes
6.2 Fire
JSA/RD/KFIP/01
6.1 Personal injury 6.1.1 Obtain work permit before start of activity.
6.1.2 Approved Method statement & JSA to be followed.
6.1.3 Wear suitable PPEs—Safety helmet, safety glass, face
shield, ear plugs/muffs, leather gloves and safety shoes.
6.1.4 Ensure only competent/trained pipe fitters/fabricators
will carry out task.
6.1.5 Make sure the guards are fitted to all moving parts.
6.1.6 Ensure that grinder is inspected by SAFCO & inspection
sticker is posted.
6.1.7 Check the grinder body, cord & plug (three prong type) is
free from any damage.
6.1.8 Dead man switch must be in working condition.
6.1.9 Inspect the disc prior to start activity.
6.1.10 Make sure the disc is compatible with the grinding
machine.
6.1.11 Check the RPM of disc & grinder.
6.1.12 Ensure that your hand is not on switch while plugging in.
Always disconnect the power before any adjustment or
replacing disc. REDA
6.1.13 Avoid loose clothing.
6.1.14 Tie back long hair or wear appropriate hair protection to
prevent hair from getting caught in moving parts of
equipment.
6.1.15 Work area must be barricaded.
6.2.1 Obtain valid hot work permit, ensure that gas test results
are satisfactory to start hot work activity. LEL must be
0%.
6.2.2 Remove all flammable/combustible material from area.
6.2.3 Secure area with fire blanket.
6.2.4 Garbage and trash shall not be allowed to accumulate in
hot work area, as it may ignite by the sparks.
6.2.5 Keep suitable fire extinguishers in area.
6.2.6 An approved & trained fire watch man must be present
in area during hot work activities & 30 minutes
afterwards.
7 Welding 7.1 Personal injury 7.1.1 Obtain work permit before start of activity.
7.1.2 Approved Method statement & JSA to be followed.
7.1.3 Welding machine must be inspected by third party &
SAFCO. Inspection stickers must be posted on welding
machine.
7.1.4 All welding cables & other welding accessories must be
inspected by SAFCO & free from damage.
7.1.5 Only SAFCO approved welders shall perform welding
activity.
7.1.6 Do not touch the welding area during welding &
immediately after welding.
7.1.7 Wear welding gloves.
7.1.8 Welder must wear apron.
7.1.9 Fire resistant clothing is mandatory for welding job.
7.1.10 Proper PPE shall be worn at all times. Use apron, welding
hood & welding gloves along with mandatory PPE while
welding.
7.1.11 Work area to be barricaded.
REDA

7.2.1 Obtain hot work permit for welding job.

7.2 Fire & explosion 7.2.2 Gas test results should be satisfactory for hot work. LEL
must be 0%.
7.2.3 Remove all flammable/combustible material from area.
7.2.4 Secure the area with fire blanket.
7.2.5 Keep suitable fire extinguishers in area.
7.2.6 A trained & SAFCO approved fire watch man shall
monitor the welding job all the time & minimum 30
minutes after wards.
7.2.7 Garbage and trash shall not be allowed to accumulate in
hot work area, as it may ignite by the sparks.

7.3.1 Good ventilation shall be maintained during welding as it

7.3 Fumes & gases
removes airborne gases from work area. Use respirators
if your ventilation strategies don’t reduce your exposure
enough.

JSA/RD/KFIP/01
8 Transportation of Fire Fighting 8.1 Foam containers 8.3.1 All foam drums shall be secured with belts.
Foam inside Port premises not secured by 8.3.2 Belts shall be free from any damage and well
belts tightened.

8.2 Leak/Damage 8.2.1 All containers shall be free from any damage or
container entry into leaks. REDA
Port Premises 8.2.2 Container lids shall be securely tight.

8.3 Container may fall 8.3.1 Driver shall follow safety & security rules &
due to vehicle over regulation of Port.
speed 8.3.2 Follow Port speed limit for heavy vehicles.

JSA/RD/KFIP/01
9 Loading/Unloading of foam 9.1 Manually 9.1.1 Manually loading/unloading is not allowed.
containers from trailer by using loading/unloading of 9.1.2 Use forklift to load/unload from trailer.
boom truck foam containers 9.1.3 All containers shall rest on wooden pallets.

9.2 Hydraulic system 9.2.1 Mobile equipment and machinery shall have third
failure party certification and inspected on daily basis.

9.3 Moving equipment 9.5.1 Operator must have valid KSA license and REDA
appropriate third party certificate for that
equipment.
9.5.2 Flagman to be specific with vehicle at all time
when moving on site.
9.5.3 The equipment shall be inspected and
approved with sticker prior to use by client
competent person.

9.4.1 Use inspected lifting gears by client competent

9.4 Rigging failure
person.
9.4.2 Weight shall be within the limit of safe working
load.
9.4.3 No one is allowed to sit,stand,work under the
suspended load.
9.4.4 Use required PPE like helmet, safety glasses,
working gloves, safety shoes, over all &
reflective vest.
9.4.5 Only certified rigger will be allowed to give
signals while lifting the material.
9.4.6 Operator shall have valid driving license and
third party certification.
9.4.7 Only trained and certified riggers are authorized
to rig the load within safe work load limit not
more than 75% of SWL. Also lifting plan shall be
submitted to client for their approval and
verification.

9.5 Inclement
weather. (High 9.5.1 Stop work operation when there is strong wind
wind speed) 32 km/h, sand storm or rain.

JSA/RD/KFIP/01
10 Storage of Foam 10.1 Poor ventilation 10.1.1 Store in an area that is dry & well ventilated.

10.2 Storage in non 10.2.1 Store foam in original & tightly closed containers.
approved 10.2.2 Availability of SDS for new foam at site REDA
containers

10.3 Unauthorized 10.3.1Store foam in designated area.

entry into 10.3.2Barricade the area and post sign boards.
storage area

7 Use of foam concentrate 11.1 Fire 11.1.1 Do not use where flammable vapors may be
transfer pump present.
11.1.2 Fire extinguisher should be present in area.
11.1.3 Fire watch man shall monitor the activity
REDA
continuously.

11.2 Electric shock 11.2.1 Make sure the cord & plug is in good condition
and free from damage.
11.2.2 Plug should be three pronged type.
11.2.3 Do not touch with wet hands.

11.3 Suction & 11.4.1 Before using ensure that suction & discharge
discharge hose hoses are clean.
are not cleaned 11.4.2 Do inspection & internally test of pump
properly before bring to work site.

11.4 Hand and body injury 11.4.1 Moving parts of pump shall be secured by
due to entanglement guards.
between moving parts 11.4.2 Do not remove guards.

JSA/RD/KFIP/01
8 Draining of old foam from tank 12.1 Untrained persons 12.1.1 Only trained persons shall perform this task.

12.2 Damage hoses 12.2.1 All hoses shall be free from any damage.
12.2.2 Hoses shall be well tight & secured from both
ends (Foam tank to disposal container)

12.3 Drain valve is 12.8.1 Make sure drain valve is working properly
not working and free from leakage.
properly/ by-
passing

12.4 Poor/Dama 12.4.1 Disposal containers shall be in good condition

ge and free from any damage.
containers 12.4.2 Containers shall be secured with lids after filling
old foam.

12.5.1 Immediately flush eyes for at least 15 minutes, REDA

12.5 Contact with eyes including under lids.
12.5.2 Seek immediate medical attention.

12.6.1 In case of skin contact, immediately wash with

12.6 Contact with skin plenty of soap and water for at least 5
minutes. Seek medical attention if irritation or
redness occurs. Remove contaminated clothing
and shoes.
12.6.2 Clean contaminated clothing and shoes before
re- use.

12.7 Ingestion; 12.7.1 Seek immediate medical attention.

Swallowing large
amounts may be
harmful. May cause
gastrointestinal
irritation with
nausea, vomiting,
and diarrhea.

12.8 Inhalation ; May 12.8.1 Take victim to the fresh air & seek immediate
cause irritation of medical attention.
the respiratory
tract with burning
pain in the nose
and throat,
coughing,

JSA/RD/KFIP/01
 12.9 Unauthorized entry 12.9.1 Barricade the area and post sign boards for
prevent unauthorized entry & awareness.
9 Filling of new foam from 13.1 Untrained persons 13.1.1 Only trained & experienced persons shall perform
containers to foam tank this job.

13.2 Damage hoses 13.2.1 All hoses shall be free from any damage/cut.
13.2.2 Hoses shall be well tight & secured from both ends
(From containers to pump to tank).

13.3 Poor/Damage 13.7.1 Ensure the tanks is in good condition.

storage tank 13.7.2 Drain valve should be working properly.
13.7.3 Drain valve and other outlet hoses shall be free
from any leakage.

13.4 Contact with eyes 13.4.1 Immediately flush eyes for at least 15 minutes,
including under lids.
13.4.2 Seek immediate medical attention.

13.5 Contact with skin 13.5.1 In case of skin contact, immediately wash with
plenty of soap and water for at least 5
REDA
minutes. Seek medical attention if irritation or
redness occurs. Remove contaminated clothing
and shoes.
13.5.2 Clean contaminated clothing and shoes before re-
use.

13.6 Ingestion; 13.6.1 Seek immediate medical attention.

Swallowing large
amounts may be
harmful. May cause
gastrointestinal
irritation with
nausea, vomiting,
and diarrhea.

13.7 Inhalation ; May cause 13.7.1 Take victim to the fresh air & seek immediate
irritation of the medical attention.
respiratory tract with 13.7.2 Safety Data Sheet (SDS) to be available at
burning pain in the site
nose and throat,
coughing, wheezing,
shortness of breath
and Pulmonary edema.

JSA/RD/KFIP/01
 13.8 Spillage of Foam 13.8.1 Safety Data Sheet (SDS) to be available at site
13.8.2 Only trained, authorized persons allowed in deal
with foam, keep it fully stocked and easily
accessible.
13.8.3 Spill control materials to be kept in designated
place as per SDS.
13.8.4 Ensure proper (PPE) provide facemasks, gloves,
protective clothing

13.9 Unauthorized entry 13.9.1 Barricade the area and post sign boards for
prevent unauthorized entry & awareness.
14 Disposing of old foam 14.1 Dispose in 14.1.1 Dispose in accordance with local, state, and
REDA
undesignate federal regulations.
d area
REQUIRED AND/OR RECOMMENDED P.P.E.:_
Safety helmet, safety glass/goggles, hand gloves, ear pug/muff, mask/respirators, long sleeve shirts and Safety shoes.

All recommendations suggested in JSA have been implemented at site:

Prepared by:

Name: MD SHADAB ALAM Signature: Badge #: 2311822627

JSA ReviewersName
& Approvals ID # Department Date
Signature

JSA/RD/KFIP/01
 INSTRUCTIONS FOR COMPLETING THE JOB SAFETY ANALYSIS FORM
Job Safety Analysis (JSA) is an important incident prevention tool that works by finding hazards Select a job to be analyzed. Before filling out this from, consider the following:
and eliminating or minimizing them before the job is preformed, and before they have a chance to The purpose of the job-What has to be done? Who has to do it?. The activities involved: How is it done?
become accidents. Use JSA for job clarification and hazard awareness, as a guide in new When is it done? Where is it done?
employees training, for periodic contacts and for retraining of senior employees, as a refresher on In summary, to complete this form you should consider the purpose of the job, the activities it involves, and
jobs which run infrequently, as an incident investigation tool, and for informing an employees of the hazards its presents. If you are not familiar with a particular job or operation, interview an employee
specific job hazards and protective measures. who is. In addition, observing an employee performing the job, or “walking through” the operation step may
Set priorities for doing JSA’s: jobs that have a history or many accidents, jobs that have produced give additional insight into potential hazards. You may also videotape the job and analyze it. Here’s how to
disabling injuries, jobs with high potential for disabling injury of death, and new jobs with no do each of the three parts of Job Safety Analysis
accident history.
RESPONSIBLE
SEQUENCE OF BASIC JOB STEPS POTENTIAL HAZARDS RECOMMENDED ACTION OR PROCEDURE
PERSON
Examining a specific job by breaking it down A hazard is a potential danger. The purpose of Using the first two columns as a guide, decide what Who is responsible? Write
into a series of steps of tasks, will enable the Job Safety Analysis is to identify all hazards, actions or procedures are necessary to eliminate or the person (receiver)
you to discover potential hazards employees both those produced by the environment or minimize the hazards that could lead to an responsible
may encounter. conditions and those connected with the job accident, injury, or occupational illness. (Supervisor/Work Permit
procedure. Issuerreceiver/contractor) to
Each job operation will consists of a set of Begin by trying: implement the control
steps or tasks. To identify hazards, ask yourself these questions 1. Engineer the hazard out: 2. provide guards, measures identified.
about each step: safety devices, etc.; 3. provide personal protective
For example: equipment;4. provide job instruction training; 5.
1. Is the danger of the employee striking against, maintain good housekeeping; 6. insure good
The job might be to move a box from being struck by, or otherwise making injurious ergonomics (positioning the person in relation to
conveyor in the receiving area to a shelf in contact with an object? the machine or other elements in such a way as to
the storage area. To determine where a
improve safely).
steps begins or ends, look for a change of 2. Can the employee be caught in, by or between
activity, change in direction or movement. objects? List the recommended safe operating procedures.
Begin with an action word. Say exactly what needs
Picking up the box from the conveyor and 3. Is there potential for slipping, tripping, or
to be done to correct the hazard, such as, “lift
placing it on a hand truck is one step. The falling?
using your leg muscles”. Avoid general statements
next step might be to push the loaded hand
truck to the storage area (a change in 4. Could the employee suffers strains from such as “be careful”.
activity). Moving the boxes from the truck pushing, pulling, lifting, bending, or twisting?
List the required or recommended personal
and placing them on the shelf is another
5. Is the environment hazardous to safety and/or protective equipment necessary to perform each
step. The final step might be returning the
health (toxic gas, vapor, mist, fumes, dust, step of the job.
hand truck to the receiving area.
heat, or radiation)?.
Give a recommended action or procedure for each
Be sure to list all the steps needed to Close observations and knowledge of the job is
hazard.
perform the job. Some steps may not be important. Examine each step carefully to find
Serious hazards should be corrected immediately.
performed each time; an example could be and identify hazards; the actions, conditions and
The JSA should then be changed to reflect the new
checking the casters on the hand truck. possibilities that could lead to an accident.
conditions.
However, if the step is generally part of the Compiling an accurate and complete list of
Finally, review your input on all three columns for
job it should be listed. potential hazards will allow you to develop the
accuracy and completeness. Determine if the
recommended safe job procedures needed to
recommended actions or procedures have been put
prevent accidents.
in place. Re-evaluate the job safety analysis as
necessary.

JSA/RD/KFIP/01