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Job Safety Analysis Worksheet

Contractor: Connelly & Associates, Inc. Date: Job number:

Team Name: Job Name:

Team Leader: JSA team members: Name Initials Name Initials

Description of work: Air Rotary Drilling

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 Who is responsible?
SCOPE OF WORK POTENTIAL HAZARD PREVENTATIVE / CORRECTIVE ACTION Write the name of the person responsible (supervisor or above) to
implement the control measure identified.
TASKS

MOBILIZATION TO DRIVING ACCIDENTS ALL VEHICLES TO COMPLY WITH CONNELLY DRILLER / HELPER
SITE DRIVING SAFETY STANDARDS

VEHICLE TO BE FIT FOR PURPOSE AND WELL DRILLER / HELPER

MAINTAINED.

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 LOADS TO BE SECURE AND NOT TO EXCEED DRILLER / HELPER
VEHICLE SPECIFICATIONS OR LEGAL LIMTS.

DRIVER TO BE LICENCED, TRAINED AND MEDICALLY DRILLER / HELPER

FIT

DRIVER TO BE RESTED AND ALERT DRILLER / HELPER

MOBILE PHONE OR TWO-WAY RADIO TURNED OFF DRILLER / HELPER

WHILE DRIVING

PLAN YOUR ROUTE AHEAD OF TIME - reference RM DRILLER / HELPER

Journey Assessment

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 DRIVER NOT BE UNDER THE INFLUENCE OF DRILLER /HELPER
ALCOHOL, DRUGS OR MEDICATION THAT IMPAIRS
ABILITY TO DRIVE VEHICLE.

SET UP WORK SITE AUTO / PUBLIC TRAFFIC

NOTIFY ATTENDANT OR SITE MANAGER / OWNER
OF WORK ACTIVITIES AND LOCATION. MANAGER/DRILLER

WORK LOCATION TO BE BARRICADED OFF; VEHICLE MANAGER/DRILLER

AND PEDISTRIAN TRAFFIC MANAGEMENT PLAN AS
REQUIRED

SET UP WORK SITE AUTO / PUBLIC TRAFFIC (Cont’d) HIGH VISIBLE CLOTHING, STEEL TOE BOOTS, SHIRT DRILLER / HELPER
(Cont’d) SLEEVES/PANTS/ HARD HAT / SAFETY GLASSES TO
BE WORN AT ALL TIMES WHILE IN OPERATIONAL
AREAS

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 INSPECT AREA AROUND VEHICLE PRIOR TO DRILLER / HELPER
PUTTING VEHICLE IN MOTION AND USE SPOTTER

UNEVEN OR UNSTABLE GROUND VISUALLY EXAMINE SITE PRIOR TO ENTRY. DRILLER

PLACE BLOCKS UNDER OUTRIGGERS TO SPREAD
LOAD.

ELECTRICAL SPOTTER TO BE EMPLOYED WHEN DRILLER/HOMEOWNER

WORKING WITHIN 3 – 6.4 M (10 TO 20 FEET) OF THE
LINES; POWER COMPANY PERMIT ALSO REQUIRED

UNDERGROUND SERVICES UNDERGROUND SERVICES TO BE LOCATED PRIOR MANAGER/SERVICE LOCATOR / DRILLER

TO BREAKING GROUND BY QUALIFIED SERVICE
LOCATOR

AIR ROTARY IGNITION SOURCES / FIRE & EXPLOSION ENSURE AIR COMPRESSOR PROPERLY OPERATING DRILLER/HELPER
DRILLING AND MAINTAINED.

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 APPLY WATER AS NECESSARY TO ADDRESS DUST DRILLER
CONTROL ISSUES

AREA TO BE DEEMED FREE OF EXPOLSIVE DRILLER/HELPER

CONDITIONS PRIOR TO WORK

ENSURE AREA IS WETTED AT ALL TIMES, DRILLER

INCLUDING BIT

AIR HOSES ALL AIR LINES ARE SECURE AND WHIP CHECKS ARE DRILLER/HELPER
IN PLACE

INSPECT ALL HAND TOOLS PRIOR TO USE. IF DRILLER

FAULTY OR INAPPROPRIATE, DO NOT USE UNTIL
REPAIRED OR REPLACED

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 MOVING / ROTATING EQUIPMENT ALL APPROPRIATE GUARDING TO BE INPLACE DRILLER
PRIOR TO USE

SET-UP ADEQUATE EXCLUSION ZONE – ONLY DRILLER

TRAINED, INDUCTED AND AUTHORIZED PERSONNEL
WITHIN THIS AREA

MOVING / ROTATING EQUIPMENT (Cont’d) STAY CLEAR OF ROTATING EQUIPMENT – NO DRILLER

HANDS, FEET OR ANY BODY PART TO BE NEAR
ROTATING EQUIPMENT.

USE LONG HANDLED SHOVEL TO CLEAR SOIL AND

DEBRIS AWAY FROM HOLE DRILLER

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 WEAR APPROPRIATE PPE INCLUDING LEATHER DRILLER
GLOVES, STEEL CAPPED BOOTS, HARD HAT, AND
SAFETY GLASSES. FULL LENGTH OVERALLS OR
LONG SLEEVE SHIRT AND LONG PANTS - NO LOOSE
CLOTHING, FIRE RETARDENT CLOTHING (FRC)
WHEN APPROPRIATE.

HEARING DAMAGE FROM HIGH NOISE USE HEARING PROTECTION (EAR MUFFS OR EAR DRILLER
LEVELS PLUGS) IF NOISE > 85 Db

VAPOURS AND AIRBORNE PARTCULATES MONITOR AIR CONCENTRATIONS USING PHOTO- CONSULTANT
IONIZATION DETECTOR, LEL METER etc

STOP WORK IF HAZARDOUS CONDITIONS DRILLER / CONSULTANT

IDENTIFIED (EXPLOSIVE ATMOSHPERE, O2
DEFICIENT OR ENRICHED ATMOSPHERE) –
REASSESS AND TAKE THE NECESSARY
PRECAUTIONS.

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 WEAR APPROPRIATE PPE INCLUDING SAFETY DRILLER / HELPER
GLASSES, LEATHER WORK GLOVES, DUST MASKS
OR RESPIRATORS, SHIRTS WITH SLEEVES AND
PANTS.

SLIP, TRIP & FALL KEEP WORK AREA CLEAN AND ORGANIZED – DRILLER / HELPER
INCLUING THE REMOVAL OF EXCESS CUTTINGS.

SLIP, TRIP & FALL (Cont’d) STAY AWARE OF FOOTING AND DO NOT RUN
ALL ON SITE PERSONNEL

HEAT / COLD STRESS TAKE REGULAR BREAKS ON HOT DAYS OR IF

FEELING FAINT OR OVEREXERTED ALL ON SITE PERSONNEL

CONSUME ADEQUATE FOOD / BEVERAGES

(WATER / SPORTS DRINK) ALL ON SITE PERSONNEL

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 IF POSSIBLE, ADJUST WORK SCHEDULE TO AVOID ALL ON SITE PERSONNEL
TEMPERATURE EXTREMES

BIOLOGICAL HAZARDS: INSECTS, SNAKES, CAREFULLY INSPECT WORK AREA DURING SITE DRILLER / HELPER
WILDLIFE, VEGETATION INSPECTION TO IDENTIFY HAZARDS

USE INSECT REPELLANT ALL ON SITE PERSONNEL

SURVEY SITE FOR PRESENCE OF BIOLOGICAL ALL ON SITE PERSONNEL

HAZARDS AND MAINTAIN SAFE DISTANCE

DRILLER / CONSULATANT
WEAR APPROPRIATE PPE INCLUDING LEATHER
GLOVES, LONG SLEEVES AND PANTS AND SNAKE
CHAPS AS REQUIRED

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 WORKING AT HEIGHTS NO WORK TO BE CONDUCTED ON RIG AT HEIGHTS DRILLER / HELPER
GREATER THAN 2M (6 FEET) WITHOUT FALL
RESTRAINT / ARREST SAFETY EQUIPMENT.

WIND BLOWN DUST MINIMIZE DUST FROM DRILLING BY USE OF COVERS DRILLER
/ SHIELDS OR WATER WHEN POSSIBLE. WEAR
PROTECTIVE GLASSES OR GOGGLES AS
REQUIRED.

LEAKAGE OF FUEL OIL AND HYDRAULIC HAVE READY ACCESS TO SPILL ABSORBENT DRILLER / HELPER
FLUID MATERIALS TO SOAK UP ANY SPILLED
HYDRCARBONS

LIFTING HEAVY EQUIPMENT DO NOT LIFT OR MOVE HEAVY EQUIPMENT DRILLER / HELPER
WITHOUT ASSISTANCE

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 USE PROPER BENDING / LIFTING TECHNIQUES BY DRILLER / HELPER
LIFTING WITH ARMS AND LEGS AND NOT WITH
BACK. KEEP BACK STRAIGHT WHILE LIFTING

ALL WORK TO CEASE WHEN FUEL DELIVERING DRILLER / HELPER

TANKER IS ON SITE. WORK CAN ONLY COMMENCE
15 MINUTES AFTER TANKER HAS LEFT SITE AND
SITE IS AGAIN FREE OF EXPOLSIVE CONDITIONS

MUSCLE STRAIN INJURY USE CORRECT MANUAL LIFTING METHODS. DRILLER / HELPER
WEAR CORRECT PPE.

HANDLING CONTAMINATED MATERIALS / WEAR APPROPRIATE PPE INCLUDING NITRILE DRILLER / HELPER
SOILS / GROUNDWATER GLOVES, SAFETY GLASSES AND NECK TO TOE
CLOTHING.

VAPOURS (Cont’d) WORK UPWIND OF SAMPLING AREA IF POSSIBLE DRILLER / HELPER

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 ENTANGLEMENT WITH ROTATING DRILLING STAND CLEAR OF ROTATING EQUIPMENT. DRILLER / HELPER
RODS AND ASSOCIATED EQUIPMENT NO LOOSE CLOTHING TO BE WORN.
DRILLER TO MANAGE WORKERS SPEED, FOCUS
AND EFFORT AROUND DRILL RIG

GEOTHERMAL SLIP/TRIP/FALL STAND CLEAR OF LOOP REEL AND WELL DURING ALL ON SITE PERSONNEL
INSTALL INSTALL OF GEOLOOP. NO STANDING BETWEEN
LOOP REEL AND WELL

PINCH POINT DURING RETRACTION OF HYDRAULIC GROUT REEL ALL ON SITE PERSONNEL
KEEP HANDS CLEAR OF REEL.

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 DUST INHALATION EQUIPMENT TO BE OPERATED PROPERLY WHILE ALL ON SITE PERONNEL
GROUTING TO ENSURE DUST REMAINS
CONTROLLED.

ANY CHEMICAL USE INJURY OR ADVERSE EFFECTS FROM ALL CHEMICALS TO BE PROPERLY STORED & ALL ON SITE PERSONNEL
CHEMICAL EXPOSURE LABELLED

CURRENT MSDS TO BE AVAILABLE FOR EACH ALL ON SITE PERSONNEL

CHEMICAL ON-SITE

EMPLOYEES TRAINED ON CHEMICAL HANDLING ALL ON SITE PERSONNEL

APPROPRIATE PPE FOR HANDLING CHEMICALS ALL ON SITE PERSONNEL

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