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Prepared By: Approval

TOOLBOX JHA
Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Nov 2012

Hazard / Risk Identification Hazard / Risk Management


Does the operation involve:
Bad Weather
PRIOR TO STARTING A TASK, ALL TEAM MEMBERS MUST
BE ABLE TO ANSWER YES TO THE FOLLOWING
TOOLBOX JHA
Ballistics Significant Hazards Identified?
Bulk Fuels / Fuel Transfer Hazard Controls Identified? BEFORE STARTING THE JOB: Take 5
Bulk Liquids Responsible Persons for Controls Identified?
Chemicals Pre-Requisite Controls in Place?
Before starting a task, I will always take time to complete a TAKE 5
Cold / Hot Equipment Lines of Communication Clear and Agreed?
Assessment, I will:
Communication Problem Chain of Command Clear?
1. STOP - Engage brain before you act.
Confined Space Understand Operation?
2. LOOK - Identify any hazards.
Dropped Objects Understand Role in Operation?
3. ASSESS - What damage could those hazards cause?
Electrical Equipment Changes must be Communicated to All?
4. MANAGE - Implement controls, tell others.
Energy Isolation / Lock Out Tag Out Comfortable with STOPPING the Job?
5. SAFELY - Complete the task.
Equipment at Height Using the correct tools for the job?
Explosives Using the correct PPE? If I am unable to complete any of the above, I MUST NOT proceed and
Hydrogen Sulphide will immediately speak with my supervisor for further instructions.
Lifting Equipment TEAM MEMBERS
Before starting a task, I will always remember that I am the last person
Lithium Batteries 1 7 that can prevent an unsafe act; I will always take time to identify what
Manual Handling 2 8 can hurt me and MUST not continue until I am sure that it can be done
Mast Unit / Crane Ops 3 9 safely.
Moving Objects 4 10
Noise 5 11 TOOLBOX OR JHA: TOOL BOX MEETING ✔ JHA ✔

Poor Light / Restricted Space 6 12 WORKSITE: Rig 812


Potential Environmental Spill / Release LOCATION:
Pressure and PCE NOTES / COMMENTS: WFT LEADER:
Radiation Visually inspect slings and shackles every lift. They must SUPERVISOR:
Restricted Line of Sight have the correct SWL and color code. Do not use a OPERATION: Remove the V-door
Rig Up / Rig Down Equipment damaged sling or shackle.
DATE:
Rotating Equipment TIME:
Simultaneous Ops. WIND DIRECTION:
Slip / Trip / Fall Potential MUSTER POINT(S):
Vehicles
Working at Height EMERGENCY CONTACT NUMBERS (24 HRS)
WEATHERFORD
What mechanism of injuries exist? CLIENT
Caught In Ignition DRILLING
Caught Between Inhalation
Caught On Overexertion Reviewed by (initial): Action Required:
Cuts / Lacerations Slip / Trip / Fall TAKE 5 PROMPT REMINDER WFT Leader Is a revision to the procedure
Explosion Struck Against REMEMBER TO REVIEW CARD: Supervisor required?
Exposure to Heat / Cold Struck By If conditions change Location YES NO
Fall from Height At regular intervals PROCEED WITH OPERATION? YES NO
© 2012 Weatherford All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA
Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Nov 2012

TOOLBOX JHA
USE THIS SECTION TO HIGHLIGHT AND SUMMARIZE THE SIGNIFICANT HAZARDS IDENTIFIED AND THE SUBSEQUENT CONTROLS REQUIRED

Procedure Reference: Rig 812-a-007-SOP Permit To Work Number: Risk Assessment Reference: SOP Number: RD

Job to be Assessed: REMOVE THE V-door, Rig 812-a-007-JHA Rev: 0

TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE


The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
1. Hold pre-task safety meeting with all men involved in the Missed step or unknown Review all the steps,
task and review the JHA. hazard may cause injury, hazards & controls so all
damage or pollution. men understand the task.
2. Disconnect the cement lines at the bottom of the catwalk Hit by the hammer or flying All men stand back from
pieces of metal the path of the hammer.
Do not use damaged
3. Disconnect the cement lines at the split of the catwalk Same as step 2. Pinch points Same as step 2 Keep all
hammer
in all steps hands, feet & body in safe
positions always
4. Disconnect the air hose from the top of the V-door to the Air pressure Close the supply valve,
sub. LOTO. Bleed the air off with
the catwalk winch
5. Disconnect the air lines at the split of the catwalk and at Hit by the hammer or flying All men stand back from
the base of the V-door pieces of metal the path of the hammer.
Do not use damaged
6. Unpin the catwalk Hit by flying pins Get all men out of the line of
hammer
fire before you hit the pin
7. Pull the back side out with the forklift Hit by the forklift or the load Stand in a safe place to give
signals
8. Spot crane Hit by crane or the Stand in a safe place to give
outriggers and pads signals
Damage to equipment
DEBRIEF SHIFT HANDOVER
Based on team debrief, can this task be improved? Yes No
Explain:

Name: Name: Name: Name: Name:


Signature: Signature: Signature: Signature: Signature:
Name: Name: Name: Name: Name:
Signature: Signature: Signature: Signature: Signature:

* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2012 Weatherford All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA
Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Nov 2012

TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO
9. Sling up crane to V-door with shackles on the pad Falling Use the Genie, wear a full
eyes. Attach a tag line at each side of the V-door body harness anchored
safely, stay in the basket
Dropped objects or tools can No men below the workers,
hit a man clear and secure the area
below the workers.
10. Lift with the crane and pull the catwalk back with the Hit or struck by Do not stand in the line of fire.
forklift so the V-door is clear.
11. Remove the catwalk Hit by moving equipment Clear the path of the
equipment. Stand in a safe
place.
12. Lift V-door Suspended load Clear the area. No men
can be working under or
near the load, use the tag
13. Remove the pins Falling from more than 6 feet Wear
lines a full body harness
and secure the lanyard to a
safe anchor point, 100%
Dropped pins or hammer Clear the area in front of the
sub
14. Remove the V-door. Suspended load can drop Use tag lines to control the
load. Clear the path of the
load of all men.
Falling Secure the handrail
across the V-door
opening

* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2012 Weatherford All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA
Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Nov 2012

TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO

* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2012 Weatherford All Rights Reserved Proprietary and Confidential.
Prepared By: Approval
TOOLBOX JHA
Technical Advisory Committee OEP Approval Board
Document Number Document Classification Document Level Revision NO. Issue Date:
GL-WFT-HSE-L4-02.01 Controlled L5 000 29 Nov 2012

TOOLBOX JHA
TASK HAZARD* CONTROLS RESPONSIBILITIES IN PLACE
The Steps involved in the Operation Identifying the Hazard Preventing the Hazard Who is taking Action? YES NO

* Any or all applicable hazards relating to health, safety, the environment and/or service quality should be noted and assessed.
© 2012 Weatherford All Rights Reserved Proprietary and Confidential.

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