Janardhan

03.11.2021
 Room
foundtion

foundtion
tank
generfor
ator

foundtion

foundtion

foundtion
HF0
59-M
059D
2

foundtion

foundtion
foundtion
HF0
59-M
059D
2

Room

water
tank
HF0
59-J
K
059D

HF0593
1

HF059 tank for

water
HF0
59-M
059D
1

CLIENT:
HF0

PetroChina International Iraq FZE Iraq Branch

59-N
059

CONTRACTOR:
Power Petroleum International Co.,Limited
China Petroleum Engineering Co.,Ltd

PROJECT TITLE:

Provision of EPCC for Power Supply to

Well Pads (2020-2021)
DRAWING TITLE:

OHTL PLAN LAYOUT DRAWING

STAGE DRAWING NO. SHT. REV.

Appendix A:

JHA No: 146

JOB HAZARD ANALYSIS
Date: 04-11-2021
PetroChina (Halfaya)
Next Review Date /
Non-Routine Job/Task Routine Job/Task 03-12-2021
Valid till:

Reference: HFY-CON/F&C1048-
Location: HF-0593 1071/02/PRID5141 #
Performing Agency: Power petroleum international
(WO /Project #)

Job/Task Description

Formwork for POS columns in HF0593

Section / Section /
No. Name Position Signature No Name Position Signature
Contractor Contractor

1 Saleh
HSE
PPI 4
Mohammed Site.eng.
PPI
Supervisor Jassim
2 Ali Kareem HSE Supervisor PPI 5 QCI PPI
Mustafa A. Hammod
PPI PPI
3 Hayder R. Kareem QCE 6 Hayder Kamil Site.eng

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 1
 Residual risk
Description of level
Step Hazard/risk controls already Inherent risk level (Acceptable / Additional hazard / risk Action
job/task step Hazards and threats / causes (Acceptable /
No. in place not Acceptable) controls recommended by
(what and where) not
Acceptable)
1- Warning tape
instullation around
the mainholels
Isolated work 2- Warning sign in work
1- Slips inside mainhols
1 area place Acceptable PPI Acceptable
3- Safety meeting for
labors working there
about how important
the isolations

Acceptable PPI
Personal injury
2 Housekeeping Slip / Trip Environmental Proper stacking of Acceptable
pollution materials and
equipment
Proper disposal of
waste
Clean the working area
after finishing the work

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 2
 Residual risk
Description of level
Step Hazard/risk controls already Inherent risk level (Acceptable / Additional hazard / risk Action
job/task step Hazards and threats / causes (Acceptable /
No. in place not Acceptable) controls recommended by
(what and where) not
Acceptable)
1. Eye protection
shall be used
whenever work is
done using cold
chisels, drills, and
other tools where
there is a risk of
flying particles or
pieces of the tool
breaking off. Also
Formwork and when any air
3 Formwork 1- Physical Injuries injury acceptable
reinforcement installation operated tool is in
use.
2. Open blade PPI
knives,
screwdrivers and
other sharp tools
are to be carried
out and used so as
not to cause any
injury to users or
others.
Operatives are to be acceptable
PPI
instructed in the
correct method of use,
organize the
Improper handling of inspection and
acceptable professional l
hand tools maintenance
technical training
requirements at
induction if not part of
craft training

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 3
 Residual risk
Description of level
Step Hazard/risk controls already Inherent risk level (Acceptable / Additional hazard / risk Action
job/task step Hazards and threats / causes (Acceptable /
No. in place not Acceptable) controls recommended by
(what and where) not
Acceptable)
1. All tools provided
must be assessed to
ensure that they are
fit for purpose; the fit
for the environment in
which they are to be
used and they are in
good condition. organize the
Defective Hand Tools 2. Visual checks acceptable professional l
must be completed technical training
by operatives on acceptable
tools prior to their
PPI
use. 3.Tools are
required to be
suitable for the
purpose for which
they will be used
1. Inform all the staff
about sensitive of
equipment inside
Well Pads
Working inside 2. Keep safety distance
4 or closed the H2s risk from any equipment
pads inside the pads
3. Inform the
supervisor about Acceptable PPI acceptable
any Doubt case

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 4
 Residual risk
Description of level
Step Hazard/risk controls already Inherent risk level (Acceptable / Additional hazard / risk Action
job/task step Hazards and threats / causes (Acceptable /
No. in place not Acceptable) controls recommended by
(what and where) not
Acceptable)
1.Finger injury
1.Electrical
2.Hearing
2.Noise
damage
Cleaning, 3.Rotating
5 3.Eye damage
grinding equipment
4.. Sharp/harmful 4.Skin irritation
5. Respiratory Acceptable PPI acceptable
contact
tract infection
 Obtain a valid work permit
before starting any work
 Conduct Toolbox Talk to all
personnel involved in the
 Unauthorized work work
 Invalid permit  All worker shall be
Work start-up &  Personal injury
6  Lack of competency competent for the job PPI
Obtaining PTW Property damage
Lack of / poor  Establish proper
communication channels acceptable
communication
 Locate all
underground/above
ground facilities
referring to the
drawings

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 5
 Residual risk
Description of level
Step Hazard/risk controls already Inherent risk level (Acceptable / Additional hazard / risk Action
job/task step Hazards and threats / causes (Acceptable /
No. in place not Acceptable) controls recommended by
(what and where) not
Acceptable)
1- Gas coming into Full of the PPE
contact with ignition 2.Gas testing and record
source- Fire 2Incorrectly stored
1. Leaking of welding Explosion severe gas cylinders
gas injury burns, Injury. being knocked
Back firing- Gas over and damaged and organize the
GAS 2. . Leaking
7 Cylinder getting the leaking gas coming professional l PPI
TESTING of Christmas tree
into contact with an technical training
3. Burning back fired
slag & sparks possibility of ignition source. acceptable
cylinder getting 2.Use protective shelters to
fired or prevent sparks
exploded

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 6

Description of
Step Hazard/risk controls already
job/task step Hazards and threats / causes
No. in place
(what and where)
1.Unconscious 2-Nausea
4.headaches. Fatigue.
1- Lack of COVID-19
precaution control
procedure .
2-Lack of / poor
communication
8 COVID-19
3-spread of this virus .
4-poor hygiene .
5-lack of awareness .
Residual risk
level
Inherent risk level (Acceptable / Additional hazard / risk Action
(Acceptable /
not Acceptable) controls recommended by
not
Acceptable)
1- Wear proper PPE. acceptable
2- Wearing masks over
their noses and mouths to
prevent them from
spreading the virus.
3- Conduct TBT
before work.
4- provide proper
access. 5-All worker
3.Sore throat and shall be competent for
job.
5.Racing heartbeat. 5- Establish proper
shortnees of communication
breath. 6.achy channels
joints. 6- practicing social
persistent loss of distancing.
sense of smell. PPI
7- Screening the all
damage to the heart visitors on construction
,lungs sites.
,kidney ,and brain . 8- Keep safe distance to
other contractors and
locals all time.
7.Fever 9- Practicing the COVID-
19 precaution and
control procedure.
10-
11- Temperture daily
reporting system
implemented.
12- Always clean the
hand often.
13-

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 7
 Review – Performing Agency Approval – PetroChina Authorities

Area Authority Section Head / Deputy Manager

Discipline Engineer Contract Focal Department / PMC (If any) ☐ Approved - all non-routine jobs/tasks ☐ Approved – all routine jobs/tasks
☐ Confirmed - all routine jobs / tasks
Name Ali Kareem Name Janardhan Name Name

Sign Sign Sign

Sign

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 8
 Hazard Prompt – “Check  ”
Identify the job/task hazards and assess the risks of personnel may be exposed to before safeguards are implemented
☐ Electrical ☐ Chemical ✓ Tools ☐ Gases
☐ Vehicles ☐ Height ☐ Depth ☐ Weight
☐ Pressure ✓ Access ☐ Vibration ✓ Noise
☐ Weather /Working environment ☐ Bacteria ☐ Dust ✓ Slip / Trip
☐ Radiation ☐ Rotating Equipment ☐ Moving Equipment ☐ Lifting Equipment
☐ Heat ☐ Dehydration/ Hot Work / Sun ☐ Hot / Cold Objects ☐ Overhead Hazards
☐ Biological ☐ Entrapment ✓ Lighting ✓ Manual Handling
☐ Conflicting Activities Others: _____________________
Personal Protective Equipment for Job/Task
Minimum PPE Requirements: 1)_________goggles_______, 2_______Helmet_________, 3)_____boots____________, 4)_____gloves___________
☐ Safety Harness ☐ Face Shield ☐ Airline ☐ Gloves – Hyflex (Nitrile)
✓ Face Mask ☐ Sun Screen ☐ Dusk Mask ☐ Gloves – Leather Riggers
☐ Clear Safety Glasses ☐ Hearing Protection ☐ Confined Space Harness Others: __________________
☐ Monogoggles ☐ Breathing Apparatus ✓ Gloves - PVC
Plant, Equipment & Tools for Job/Task
☐ Ladder ☐ Drill ☐ Excavator ☐ MEWP (Mobile Elevating Work Platform)
✓ Hand Tools ☐ Grinder ☐ Winch ☐ Fans
☐ Shovel ☐ Scaffold ☐ Extension Leads ☐ Vacuum Cleaner
☐ Welding Machine ✓ Fire Extinguisher ☐ Power Source ☐ Spill kits / Housekeeping
☐ Compactor ☐ Fire Blanket ☐ Crane Others: __________________
Tagging & Signs
☐ Men Working Above ☐ Flagging ☐ Personal Danger Tags ☐ Information Tags
☐ Barrier Mesh ☐ Personal Locks ☐ Out of Service Tags Others: __________________
Instructions, Permits, Certificates
✓ Method Statement ✓ P & IDs ☐ Cold Work Permit ☐ Isolation Certificate (Electrical) ☐ Radiography Certificate
☐ Procedures ☐ MSDSs ✓ Hot Work Permit ☐ Confined Space Certificate ☐ Demolition of Security Defense
☐ Work Instructions ☐ SIMOPS ☐ Gas test Certificate ☐ Road Closure Certificate ☐ Excavation Certificate

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 9
 ☐ Isolation Certificate
☐ Emergency procedure ✓ Toolbox talk ☐ Excavation Certificate ☐ LIFTING CERTIFICATE
(Physical)

Hierarchy of Controls / Additional Notes

Hierarchy of Controls
Controls
Elimination / Substitution of Hazard or hazardous
process
Isolation / separation of hazards from receptors
Engineering controls / safeguards for prevention
and mitigation
Administrative & Procedural Controls
Personal Protective Equipment
Examples
Manual Handling Electrical
Use of other source of energy in place of electrical / use
Use of mechanical device instead of manual
of low voltage equipment
handling / Reduction in size or weight of the item
Use of specific rated enclosures, identify specific
Reduce the distance & time of exposure to
location
manual handling
Work place design, guarding / securing, local
Use of correct fuses, grounding, proper spacing
exhaust ventilation, lighting etc.,
Shift / rotation job, fitness, Method statement, Access control, Barriers, Signage, SOPs, Training,
Training, Permit to Work Competency, Permit to Work
Helmet, Electrical Shoe, Face shield, Apron, electrical
Helmet, Shoes, goggles, protective clothing etc.,
gloves etc.,

Notes:
Location / Agency / Discipline /Serial Number All non-routine jobs / contractors – Valid for specific task
JHA No# (CPF1 / PCH / Mech / XXX) Validity of JHA All routine jobs – Maximum validity should be 1 year or review on any
(CPF1 / CPECC / Mech / XXX) near miss / Incident occurrence.
Jobs/tasks those were identified as repeated nature to execute in
Non-routine jobs/ Jobs that requires a work permit as defined in the
Routine jobs/tasks operational areas on specific equipment by specific discipline without
tasks Procedure on Permit to Work System
change in the nature of working environment.
WO – Work Order number
Reference:
Location Eg., CPF1, Export pump area PM – Preventive Maintenance number (from SAP)
(WO /Project #)
Project – Project ID number

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 10
 Team Leader should provide the brief description of the job / task being
Details of performing agency planned to carryout
Performing Job/Task
Eg., PCH- Mechanical or CPECC-Mechanical
Agency Description:
No different jobs / tasks should be clubbed even the execution team
might be same
Team leader will select the team members based on disciplines involving
Job supervisor responsible for the defined job/task in the task execution, area concerned, competency, skills with the
Team Leader Team Members
execution consultation of Area Authority. Team should be limited to maximum of 6
members.
Job / task should be breakdown into basic steps based on
Description of Hazard and
task execution methodology & associated priorities & risks. Refer to Hazard prompt table (pg.3 of this JHA template)
job/task step Threat/Cause
(Maximum of 10 steps)
Potential Define the maximum potential loss /affect to the Health &
consequences on safety of the personnel involved, surroundings people, Hazard / risk
List out the existing controls that can limit the occurrence of loss /
Health, Safety, environmental emissions, damage to the assets etc., from controls already in
damage.
Environment and the identified hazard. It should consider no controls are in place
Asset place.
Acceptability of risk level will be subjected to the JHA team’
discretion based on the assessment of competency & skill
levels of the task execution personnel.
Inherent risk
JHA team may also consider the guidance from Risk Additional hazard / JHA team should identify the independent control measures as many as
levels
Assessment Matrix (consult with PCH HSE Manager) on risk controls possible even by incremental cost / investment for organizing necessary
(Acceptable / Not
identification of acceptable risk levels. recommended resources like people, equipment, time etc., to achieve the risk levels till
acceptable
acceptable levels.
For simplicity, all ‘Low’ category risks can be considered as
'acceptable' and other categories can be considered as 'not
acceptable'.
Team should determine that all residual risk levels are in acceptable
Team should identify the responsible action party for Residual Risk levels when the identified controls were in place at the time of task
establishing the identified controls, and ensure the level execution.
Action by
adequacy and efficiency of the functioning of controls on (Acceptable / Not However, Area Authority decision will be the final for confirming that the
right time. acceptable residual risk levels are acceptable, and will ensure to perform the task
with all identified controls measures in place.

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 11
 Upon completion of the JHA, concerned discipline engineer
should review and confirm that the identified controls
Area Authority shall be responsible to approve all non-routine jobs /tasks
measures will be adequate for safe execution of the task.
and contractors’ JHAs by confirming the adequacy of control measures.
Discipline engineer can also suggest additional controls if
Review Approvals
any required.
(performing (PetroChina Area Authority shall be responsible to verity & confirm the adequacy of
agency) authority) control measures for all routine jobs / tasks, and Section Head / Deputy
PetroChina Contract Holder Department / PMC should be
Manager in charge of that particular operational area shall be
responsible to review the contractors’ JHAs and confirm
responsible to approve all the routine jobs/tasks.
that the identified controls will be adequate to perform the
task by contract workers in a safe manner.

THIS DOCUMENT IS UNCONTROLLED IF PRINTED OUT

HSE Document No. 3.8.5, Revision 2.0 (Trial Version) Form - 01 Page 12
TBT Form
Location: HF-0593 Date:2021-11-03
1-Snake/insect bite
2-Dust
3-Trip/slip
4- Hot weather

PTW Reviewed yes JHA Reviewed yes

Work Leader Name and signature: HSE Supervisor Ali Kareem
NO Name Job position Signature
1 Haider Kamel Civil Engineer

2 Kazem Ali Worker

3 Khudair Abbas Worker
4 Salih M. Worker
5
6
7
8
9
10
11
12
13