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~ a 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 8 JOB 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 8 equa 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 8 a 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 8 oN 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. 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