JOB SAFETY ANALYSIS – Topographic Survey

STEP 1: Likelihood of Occurrence STEP 2: Severity of Result STEP 3: A B C D E

1. Expected To Occur (once per week) A. Fatality 1 H H H H M
2. Common (once per month) B. Permanent Disability 2 H H H M M STEP 4: Hazard Risk Assessment
3. Sometimes (once per year) C. Lost Time Injury (LTI) 3 H H M M L H = High Risk (INTOLERABLE, significant and urgent actions required).

4. Rarely (once in < 20 years) D. Medical Treatment / Damage 4 M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
H M M L L
5. Highly Unlikely (once in > 20 years) E. First Aid Injury 5 M M L L L L = Low Risk (Negligible / Tolerable, monitor and manage risk).

PROJECT: PROVISION OF CIVIL WORKS

TITLE: Topographic Survey AT ERAWIN NC-200 FIELD (PIPE No: 001 Rev: 01
STORAGE YARD)
DATE: DATE:
DEVELOPED BY: HSE MANAGER APPROVED BY: SIGN:
29/30/2020 29/30/2020

Mandatory PPE to be
PPE worn as
→ required
→

Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES POST RISK SUPERVISORY REQUIREMENTS

 HSE team to assess continuously the

 Work condition not safe conditions of work in the assigned
 Procedures and tasks area PTW system Activity supervisor
not clear  One person to issue work permits / Foreman
 Lack of supervisory  Toolbox talks Tool box
Permitting  Miscommunication High  Competency of personnel and Talk Low
work  Not correct PPE worn supervisory for the activity PTW system
 Equipment not  Define hierarchy and reporting Inspection coordinator
inspected and certified flowcharts certificates
 Define proper PPE to be used for the
work
 Check inspection certificates of
equipment for the job

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JOB SAFETY ANALYSIS – Topographic Survey
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result STEP 3: A B C D E
1. Expected To Occur (once per week) A. Fatality 1 H H H H M
2. Common (once per month) B. Permanent Disability 2 H H H M M STEP 4: Hazard Risk Assessment
3. Sometimes (once per year) C. Lost Time Injury (LTI) 3 H H M M L H = High Risk (INTOLERABLE, significant and urgent actions required).

4. Rarely (once in < 20 years) D. Medical Treatment / Damage 4 M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
H M M L L
5. Highly Unlikely (once in > 20 years) E. First Aid Injury 5 M M L L L L = Low Risk (Negligible / Tolerable, monitor and manage risk).

Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES POST RISK SUPERVISORY REQUIREMENTS

 Uncontrolled driving due to road  Drive carefully, never exceed 30 Km/h

condition  Avoid ground workers, allow workers Desert
 Collision with other machines High passage defensive Low Activity supervisor
Installation of  Pick-up drifts and fall in the  Be seen, use lights and horn if needed driving
Post Markers trench  Park pick-up far from area
 Ground worker hit by pick-up  Have a radio in the pick-up Radios
 Lost communication networks  Have enough extra water prior to every job
 Personnel lost in the desert
 Personnel exposed to
dehydration / death

 Be seen, wear high visibility jackets when

 Person hit by machine getting out of the pick-up
movement  Watch your steps, do not walk beside the
Pipe rerouting  Tripping / falling in the trench trenches Ladder
survey,  Slipping falling when pointing Medium  Use proper ladder when getting in and out of Low Activity supervisor
Measurement the bar on the top side of the the trench PPE
taking bar  Do not walk on the pipe
 Person injured by the  Dry the pipe from moisture if needed to stand High visibility
measurement bar on a particular position jackets
 Person get bite by snakes /  Visually check walk ways and trenches for
scorpions presence of venomous animals
 Working in dusty environment  Wear correct PPE plus dust mask
 Persons lost in the desert  Buddy system : always monitor in-trench
personnel

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JOB SAFETY ANALYSIS – Topographic Survey
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result STEP 3: A B C D E
1. Expected To Occur (once per week) A. Fatality 1 H H H H M
2. Common (once per month) B. Permanent Disability 2 H H H M M STEP 4: Hazard Risk Assessment
3. Sometimes (once per year) C. Lost Time Injury (LTI) 3 H H M M L H = High Risk (INTOLERABLE, significant and urgent actions required).

4. Rarely (once in < 20 years) D. Medical Treatment / Damage 4 M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
H M M L L
5. Highly Unlikely (once in > 20 years) E. First Aid Injury 5 M M L L L L = Low Risk (Negligible / Tolerable, monitor and manage risk).

Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES POST RISK SUPERVISORY REQUIREMENTS

 Equipment and tools remain on  Put back equipment to proper place Plastic bags Activity supervisor
House site Medium  Clear all work place from trash Low
keeping  Slip trip and fall  Segregate trash Trash bins HSE Officer
 Trash left in the work place

Participants / Work Crew JSA Reviewed By: Name: Date:

Name (Print Clearly): Signature: Date: Review Comments:
1.
2.
3.
4.
5.
Responsible Supervisors / Foreman
1.
2.

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