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JOB HAZARD ANALYSIS FORM
THA NUMBER NO: DOD-MST-PI-O17 Revision: D
[Type of Job being analyzed: Mobilization, Demobilization, Erection, Dismantling & Modification of Scaffolds
Department/Section originating JHA PHA Menbers: CM, HSE
JOB Performers: Scaffolding Superintendent. Foreman, Scaffolders, Helpers
Normal approvals Name ‘Signature DATE J@ENERAL JOB REQUIREMENTS
THA By: [@ K Thomas — 111206 COMMON PPE
| Karl M Wilck ae ce ile)
[Additional Approvals (Determined by JOB Supervisor in Yorrelation with CTJV EHSS Manager) [GENERAL JOB REQUIREMENTS
Name Signature Date 1 CTIVEHSS Inducted workforce
2 Dodsal HSE Inducted
3° Deily TET
4 Adequate supervision
Dciplne Superintendent (CT3V) 5 Third Porty certified, color coded lifting
(8455 Representative (CT2¥) x >. equipments and lifting tools & tackles.
ccrnrmnrenm [AHN DocToe | LL /Qox——fg-io7] iment e”
er 7 Third Party certefied,competent operators,
(ther (Ut Beton) riggers
PPE
NOMEX Coveralls, Safety shoes, Helmets
heres. SHES sgn when egured for hazardous Safety Goggles , Appropriate Hand gloves
Work deta a egured by CTV PTW.
[APPROVAL REQUIRED FOR HAZARDOUS WORK DETAILED IN THE CTJV WORK PERMIT PROCEDURE,
CHANGING CONDITIONS & EMERGENCY PROCEDU Stop Work, Switch Off Equipment, Supervisor Directs Personnel to Nearest and Safest
‘Muster point Considering Wind direction. Supervisor accounts for all Workers.
‘Missing persons are reported to CTJV EHSS Dept. When all clear is given check with CTV EHSS before resuming to work.
EMERGENCY TELEPHONE NO: Ras Gas - 473 8999
Note: Tf any of the tasks involves biological, physical or chemical hazards, then CTJV Industrial Hygienist must also approve the work
Use additional sheets as necessary
Details on safety (PPE, Hazards etc) and environmental requirements can be found in CTJV and Ras Gas Safety and Environmental procedure.
Page 1of 8JOB HAZARD ANALYSIS FORM
QO
POTENTIAL HAZARDS
[ACTIVITY STEPS
HAZARDS CONTROL
RESPONSIBLE PARTY
10 [Transportation oF
Scaffolding Materials
ot site
TifPersonal Body Injury
lend damoge of Scaffolding
‘Materials & property
‘SEQUENCE OF BASIC |
|
|
|
Trapechon shall be dave forall sings. iftng fool By ed
Party, Proper it plan, check the radius, oad. rane
|rnepection shall be done by CTIV -EHSS dept.
crore. Safe Operating Procedure shall be felled &
color coding shall be dove os per CTV's specs
Allifts tobe controled by qualified ngger
Site Supervisor
andl the ied ocd by 19 ine only
Walking below suspended loo shal be
lpohibited. Area under lft Yo be barricaded
‘Site Supervisor/ Rigging
| supervisor
143 | Treired Barksman / Signalman shal be provided to awe | Site Supeniso
signal to the crane operator and trailer driver |
lwith awhistle or red & green flags, He shall be suitably
lusiformed with bright colored dress.
14 [Pinch ports the oad shall be identified Site Siperviaor
115 [Use of ladder while engage ~ Site Supervisor
lor disengage the hooks. Use appropriate
PPE. TAT to be imparted | Sofety Supervisor
118" [AI Scaffolding Materials loaded inthe Trailer shall be Fabrication yard Supervisor
securely fasten s0 that no lateral movement or fll |
|during transportation, before the trucks left for site |
~~ |TRT [Survey of the Yotal route shall be done prior to ary “Transport Co ordinator
‘rarsportation for free access.
122 |Escorting dhl be dane while Yransporting ‘Transport Co ordinator
‘Scaffolding Materials by the public road
Page 2 of 8equa OF Basie] TOTENTIAL WAzARDS T TAEARDS CONTROL RESPONSIBLE PART
ACTIVITY STEPS
Tiraraporiation oF 23 [Competent Gexperienced drivers having vald Qatar “raneport Go oranater
| Scaffolding Materials
|License shall be allowed te drive the trailers
lot site (Continued )
|
|
—
| |T2a [Trailer axel ood ond turing radius shall be checked] Transport Coordinator
| | | |pnar to transportation
20 | Stocking of Seaolaing | 2 ]Prsoral Body Tnury [211 | SeafVoldng Mater shall be sacked ower Se Saperssor”
[materi rate ord dane of Sea folding |ooden os and shall be rest on proper ie ofthe member
Meters property Hor its stabiny while stores
22 [Inspection sabe dove for al slings rg Tools by 3rd | Ste Superaor
Party, Proper lift plan, check the radius, load . Crane
[Inspection shall be done by CTIV - EHSS dept.
(Crane Safe Operating Procedure shall be followed &
All lifts to be controlled by qualified rigger
213 |Handle The Wfted load by tagline erly Site Supervisor
Wiking below suspended loed hell be
|
|
|
| | [color coding shall be done os per CTIV's specs.
|
| Prohibited. Area under lif be boride
214 |Trained Banksman 7 Signalman shall be provided to give | Sie Supervisor
[signal to the crane operator and trailer driver
lwith a whistle or red & green flags, He shall be suitably
| luniformed with bright colored dress,
| 218 [Pinch points the load shall be identified Rigging Supervisor
| | ZI6 [Competent rigging supervisor shall be engaged for Rigging Supervisor
| | [the job.
| 1 | fo |
| i | 217 |Borcicading of the area of storage of Scaffolding | Rigging Supervisor
| Materials
i | | [218 |Use appropriate PPE TBT to be imparted for ——~=~S~S~*S ‘Sie Supervisor
i |
method of manual handling
Page 3 of 8a
Safety harness shall be used and anchor it with
fiem support.
‘SEQUENCE OF BASIE] TOTENTIAL HAZARDS TEARDS CONTROL ‘RESPONSIBLE ARTY
ACTIVITY STEPS |
30 [Handling of Seat folding TilUriate meando cecess SIT [Access for personnel fo carry oul work on Scaffolding to | Site Supervisor
materials | lonto Seaf folding be planned, Safe means of access to be provided at all times
1 ‘times in order to prevent risks of falls from height
Fz |Marul end Mechanical 321 [Suitable and Sufficient cranage Yo be provided im order ‘Site Supervisor
| Hanaling alleviote menual handling of Seaffolding ard associated
i components, where possible.
|
| [3.2.2 [Lifting of Seaffalding Yo be contralled by experienced Site Supervisor
slingers, eonsideretion of high wind conditions and
‘associated risks to be recogonized. As per lifting method
_ Statement “
14.0 (Handling of Scaffolding i] Enjuries due to sips, trips. '@E1 [Good standards house Keeping will be maintained in order to | Site Supervisor
mmateriels and fixing lard falls prevent sips, trips and falls
| 121.2 [Personal to wear suitable gloves 7 footwear when handling fe Supervisor
| Scaffolding materials
fot | effoangerecon 51 [Body part Injury due te pinch point | B11 |Workers vo be aware of pinch pants ~ Site Supervisor
| 52 [Fall of load due Yo rggirg falre | 521 | ald certificate for craves, ifting ‘Site Supervisor
| lequpment Inspected by CTJV , color coded
|
| 35 [Falat Watenale BE Erected SeafVolaing members sal be propery Wed Scala Sapte
i xed and supported as per Scaffolding Procedure
| 354 [Personnel hit by the Scaffolding” | 54i All auspended lod shal be handled by Tagine Scaffald Supervisor.
| Materials
| | 55 Personal Fal from height 5B i [100% Fall provection poly shall be Taliowed “ite Soper
‘Scaffold supervisor
Page tof 8‘SEQUENCE OF BASIC
‘ACTIVITY STEPS
POTENTIAL HAZARDS
HAZARDS CONTROL
‘RESPONSIBLE PARTY
] 552 [Safety harness shall have @ lanyards with shock Safety Superwser
| ‘absorber and double action, self locking hooks.
| —
-
16.0 Working ot height 6.1)Risks due to mshondling of ‘611 [Experienced and treined Scafolders willbe used with site Supervisor
(O sefeting edenate spervionpronded
| | (612 [Fool box falls willbe conducted emphasizing the hazards of | Site Supervisor
i | perv
| i] handling Seafolding
| ‘13 | Seafolder will sateble gloves 7 Footwear and eye protection | Sife Superior
52 Poi Tajury eased by ‘GET [Personnel involved in work at height willbe fit (mentally and] Site Supervisor
| [erent scaly) doe
| | [52 [Personnel willbe propery Trained For hele risks Site Supervisor
| 100% fall protection)
j ——
| {23 [Fall protection devces suchas harness and double award | Site Supervisor
| snl be worn (100% fll protection will be enforced) and
| | saath te
[| 27 ey cpr TBC aT ——|
| Supervisor prior to work
Page 5 of 8“SEQUENCE OF BASTC
ACTIVITY STEPS
POTENTIAL HAZARDS
HAZARDS CONTROL
RESPONSTBLE PARTY
70 [efting Eaurpment
{6.3|Struck by falling object 631 |A standby man will be present when personnel are working [Site Supenvsor
| loverhead. |
| 6.3.2 |Personrel will ensure that all materials, tools and equipment ‘Site Supervisor
are kept secure a all tines while working at heights
| 633 | Suitable barriers will be erected below and around the ‘Safety Supervisor
lnorking ereas inorder to prevent access to danger areas by
lunathorized persons, Warning signs wl be used ard
ipersonrel controlled by close supervision
8.34 | Seaffolders wil ensure that all access platforms and work | Scaffolding Supervisor
stations are constructed inline with recogrized and
opproved standards
835 | Scaffolds to be erected by competent scaf folders ard ‘Seat Falding Supervisor
lopproved to be sate for use by scofftogs.
836 | Work willbe properly supervised at all mes Site Supervisor
6.3.7 | Approved personel protective equipment (PPE) will be worn ‘Safety Supervisor
otal times
Fi Fare of such equpment TAT [Ail equpment of singing and Ufting operations all be Taivtanance superar
resulting in injury and / or inspected and declared safe forall intended use
[Property damage,
TIE |Lifing gear shal be color coded after being inspected
by rigging section
Rigging Supervisor
Page 6 of 8‘SEQUENCE OF Basic
ACTIVITY STEPS
HAZARDS CONTROL
‘RESPONSIBLE PARTY
713
[Equpment shall be Serviced, maintained and inspected a3 per
set maintainance and inspection progeam laid down by CT.JV
‘Maintenance supervisor
aa
(Only competent persons will operate or use lifting equipment
Rigging Supervisor
715
‘Approved personnel protection equipment (PPE) shall be worn
lat all times
‘Safety Supervisor
7i8
[Access to equipment or areas of risk by unauthorized persons
shall be restricted by barrier guards, warning signs,
Iphysical and / or visual barricades and controlled by
supervisor.
“Site Supervisor.
77
Ail lifting tackle safety information shall be available on site
| Serial Number and inspection certificates) are attached
[to the register.
Rigging Supervisor
78
IRigging operations shall only be performed by competent
quelified riggers.
Rigging Supervisor
ao
[Emergency Rescue Procedure
‘Accident or Treident in
confined space requiring
lemergercy rescue
In case of Plant Alarm or Gas Detector Alarm the following
Procedure should be followed:
= Immediately STOP all work activities |
= Drivers shall stop their vehicles, switch off engine, leave |
the key in the ignition the proceed to the nearest muster point
- Turn off all equipment and make it safe.
- Proceed to the nearest Muster Point
= Report to the concerned supervisor
= Wait ot the Muster Point for further instructions
+ Supervisors shall toke headcount of own compary personnel
= Supervisors should inform CTV EHSS dept. of numbers
when accounted for, or inform them if anyore missing
Site Supervisor
Page 7 of 8oN
oO
SERENE OF Bas POTENTIAL HAZARDS:
ACTIVITY STEPS
HAZARDS CONTROL
RESPONSIBLE PARTY
Bapphyscl accidents ond
| Iiske of being trapped
| faring the Seatolding works
1621 [incase of accident follow the Following procedure.
~ Immediately STOP work
Cali CTIV emergency at 4738999
~ Help should be given just to keep injuries alive,
‘two access points to be provided at work location.
Safely Siperwsor
Page 8 of 8