JOB SAFETY ANALYSIS

Location Mabee Independence Battery/Tarth Date 2/8/2021 New Revised Jsa No.

Task Supervisor David Glawson

Team Members Mike, Jr, Eli, Miguel Analysis By Mike Swann

Approved By David Glawson

Pre-Job Assessment (Check all that apply in both sections)

Potential Hazards :

* CHEMICAL EXPOSURE * NOISE * ARC/ FLASH * PRESSURE * FALLS * FIRE/ EXPLOSION * CHIPS/ SLIVERS

* HAZARDOUS ATMOSPHERE * WORKING/ WALKING SURFACES OPEN HOLE * LIFTING * MACHINERY * SPILL * PINCH POINTS

* CONFINED SPACE * ENVIRONMENT/ WEATHER * IGNITION SOURCES * OVERHEAD * HEAT STRESS * SLIP/ TRIPS * HOT SURFACES

* SIMULTANEOUS OPERATION OTHER :

Hazard Controls and Emergency / Contingency Plans :

* PHYSICAL BARRIERS LOCK-OUT/ TAG- OUT * EMERGENCY EVACUATION PROCEDURES * SIMULTANEOUS OPERATIONS OPEN HOLE POLICY

* SPECIAL SAFETY EQUIPMENT * REQUIRED WORK PERMITS * EYEWASH/ SAFETY SHOWER LOCATION HOLT BOLTING POLICY SPILL CONTROL/ CONTINGENCY PLAN

* IGNITION SOURCE CONTROLS * FIRE FIGHTING MATERIAL SAFETY DATA SHEETS (MSDS) FALL PROTECTION

SEQUENCE OF BASIC JOB STEPS POTENTIAL INCIDENTS AND/OR HAZARDS AT EACH STEP RECOMMENDATIONS TO ELIMINATE HAZARDS

OPEN WELLS SPILLS WALK THROUGH THE BATTERY

FLOW IT BACK TO BATTERY LEAKS ASK FOR HELP

TAKE READING POPOFF IS OVER PRESSURE VESSELS TELL PUMPER IF ANY PROBLEMS IN THE BATTERY

TEST GAS Leaks, fire, vapors Use proper Equipment

TEST OIL Leaks, spills, pressure Keep an eye on production equipment

TEST WATER AT UP STREAM SAND TRAP Keep an eye on production equipment

DUMP SAND TRAP Leaks, spills Use proper tools

Safety Equipment Required to do this Job. (check all applicables) :

* HARD HATS * SAFETY GLASSES GOGGLES * FIRE ESTIGUISHER * FORKLIFT

* SAFETY SHOES * SAFETY HARNESS WORK VESTS WORK PERMIT REQUIRED CRANE

* COTTON / LEATHER GLOVES

FACE SHEILD BARRICADES LOCK-OUT/ TAG-OUT

Is there a "Weak Link" in the process sequence today? If so, what is it and what actions are necessary ?

MACHINERY MATERIAL MANPOWER METHODS WEATHER OTHER

TEAM MEMBERS SIGNATURES AND DATE BELOW

Mike Swann
Pablo Inocencio Jr
Eleazar Ramos
Miguel M.
 JOB SAFETY ANALYSIS
Location Date New Revised Jsa No.

Task Supervisor David Glawson

Team Members Analysis By Mike Swann

Approved By David Glawson

Pre-Job Assessment (Check all that apply in both sections)

Potential Hazards :

CHEMICAL EXPOSURE NOISE ARC/ FLASH PRESSURE FALLS FIRE/ EXPLOSION CHIPS/ SLIVERS

HAZARDOUS ATMOSPHERE WORKING/ WALKING SURFACES OPEN HOLE LIFTING MACHINERY SPILL PINCH POINTS

CONFINED SPACE ENVIRONMENT/ WEATHER IGNITION SOURCES OVERHEAD HEAT STRESS SLIP/ TRIPS HOT SURFACES

SIMULTANEOUS OPERATION OTHER :

Hazard Controls and Emergency / Contingency Plans :

PHYSICAL BARRIERS LOCK-OUT/ TAG- OUT EMERGENCY EVACUATION PROCEDURES SIMULTANEOUS OPERATIONS OPEN HOLE POLICY

SPECIAL SAFETY EQUIPMENT REQUIRED WORK PERMITS EYEWASH/ SAFETY SHOWER LOCATION HOLT BOLTING POLICY SPILL CONTROL/ CONTINGENCY PLAN

IGNITION SOURCE CONTROLS FIRE FIGHTING MATERIAL SAFETY DATA SHEETS (MSDS) FALL PROTECTION

SEQUENCE OF BASIC JOB STEPS POTENTIAL INCIDENTS AND/OR HAZARDS AT EACH STEP RECOMMENDATIONS TO ELIMINATE HAZARDS

Safety Equipment Required to do this Job. (check all applicables) :

HARD HATS SAFETY GLASSES GOGGLES FIRE ESTIGUISHER FORKLIFT

SAFETY SHOES SAFETY HARNESS WORK VESTS WORK PERMIT REQUIRED CRANE

FACE SHEILD BARRICADES LOCK-OUT/ TAG-OUT

COTTON / LEATHER GLOVES

Is there a "Weak Link" in the process sequence today? If so, what is it and what actions are necessary ?
MACHINERY MATERIAL MANPOWER METHODS WEATHER OTHER
TEAM MEMBERS SIGNATURES AND DATE BELOW