JSA Communication Tower Painting Foundation Repairs at WR - 501 WR - 617) - 6-20-21

Title of the Form Form No. Rev. No. Reference Document No.
Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003
Job Safety Analysis Worksheet Job to be Performed: JSA No.: PR/ICT/COS Date:06/20/202 New / Revised (Rev.
To paint the Communication towers at WR-617 and WR- /JSA/2021-001 1 No....)
501 located in the Admin and Community areas
respectively.
Executing Organization Representative Proponent Section: Proponent Supervisor (name & title):
COS Saeed Ahmed, Supervisor Communication
(name & title) Hani A Ghamdi, Housing Inspector
Executing Organization Work Location: Communication Towers located in the Proponent Department: Reviewed and Approved By (Proponent
(Section/Dept.): Community WR-617 and WR-501 in the Admin and Community ICT Section: Khalid Jahdali
Services Section/CBSSD areas respectively.
Name of the Contractor (company) Performing the Job: Tamimi/Tanfeez Work Order No.
(if applicable):
In addition to mandatory PPE additional PPE/Controls anticipated; check all that apply:
SCBA Chemical PPE Face Shield MHB/SDS
Respiratory Mask Electrical PPE Eye Protection PPE Others;
Fall Protection Ear Plugs/Muffs Eye Wash
Heat Resistance PPE Floating Device Coveralls
Sequence of Job Steps Risk/Hazard Initial Risk Mitigation Hazard Control Measures (existing and Residual Action By
to be Performed (Refer Hazard Checklist) Rating additional) to reduce the risk to moderate or low. Risk Rating
(Low, (Low,
Moderate, Moderate,
High, Critical) High,
Critical)
1. Site survey and  Confusing the work spot Moderate  Consult the proponent Moderate Operation
identify all work  Failure of work planning Supervisor / PRC
Sensitivity: This content has been classified as Petro Rabigh: PRC Only
spot and provide  Communications and  Make sure all the identified work spots are correct. Permit Issuer &
identification Control Receiver / PRC
mark before  Incorrect tool for the job  Follow scope of work, methodology statement and the Safety advisor /
mobilization / De-  Inappropriate and contents of this JSA. Contractor Safety
mobilization damaged PPE Officer
 Execute the job in a safe manner and establish the job
 Inappropriate materials
sequence
 Lack of work experience
could make mistake or  A joint site inspection by Issuer & Receiver is to be
accident / incident conducted while issuing Work Permit to identify hazards
 Non- qualified work
permit or expired work  Be aware of conflicting work scopes in area prior to
certificate commencing work task.
 Damage to Plant and
Equipment  During the toolbox talk, the Work Permit Receiver shall
highlight the key hazards and associated controls
identified in the JSA.
 Keep the worksite clean and tidy and free of trip hazards
(housekeeping).
 Type of work permit identified from JSA shall be issued

and available at worksite
 Inspect hand tools before used. Homemade hand tools

shall not be used
 Equipment must be inspected and tagged with a valid

PRC approved third party Inspection Sticker prior to use.
 Provide good and appropriate PPE.
 Safety helmet, glass, shoes, ear plug, face mask with

chemical cartridge, dust mask, face shield, working
gloves, FRC coverall and others are required
 Assign qualified and experienced supervisor and foreman

with Competent and qualified workers to be assigned.
 Work Permit Receiver shall be Petro Rabigh certified with

valid Work Permit certificate.
 Any damage to plant or equipment must be reported to

Site Supervisor
 Emergency
Responses  Unaware of the  Arrange tools and equipment after use and maintain
Procedure procedure. housekeeping.
Lack of communication.
 Emergency Reporting Instruction:
 Complex Area – 911
 Mobile – 012-425-0911
 Tetra – 119
 Always! Repeat below big five (5)”, Then ask:
“SCC DID YOU COPY?
 Step 1:
 Problem (P) Leak, Fire ETC.
 Product (s) (P) Electrical, H2S, Gasoline
ETC.
 Grid Location (G)
 Wind Direction (W)
 Injuries Involved (I)
Hold the line, SCC will take the following details:

 Step 2:
 Name
 Badge Number
 Identify nearest MCP, escape routes, and

firefighting equipment’s and Assemble Point for
headcount.
 Fire station shall be informed whenever there is
any maintenance activity for the WR- Lightning
towers/poles.
2. Site Preparations  Failure of work planning Moderate  Follow scope of work, and the contents of this JSA. Low Operation
Supervisor /
a) Work  Communications and  Execute the job in a safe manner. Permit Issuer &
execution Control Receiver / PRC
 Establish the job sequence.
Safety advisor /
 Be aware of conflicting work scopes in area prior to Contractor Safety
commencing work task. Officer
 During the toolbox talk the WP Receiver shall highlight

the key hazards and associated controls identified in the
JSA.
 Type of work permit identified from JSA shall be issued

and available at worksite.
 Inform all personnel in the vicinity of the planned work.

b) Tools & All non-essential personnel shall vacate the area of the
work.
equipment  Incorrect tool for the job
 Temporary equipment must be inspected and tagged
with a valid PRC approved third party Inspection Sticker
prior to use.
 Temporary power supplies must be routed to prevent

tripping hazards
 Inappropriate and
c) PPE damaged PPE  Ensure a complete inspection of tools and equipment is

performed prior to start of work.
 Use insulated tools for electrical work All tools and

equipment are to be operated according to
d) Materials  Inappropriate materials manufacturer’s instructions and to be examined before
use and defective equipment/tools replaced or repaired
immediately.
 Provide good and appropriate PPE.

e) Arrangement  Lack of work experience
of workforce could make mistake or  Safety helmet, glass, shoes, ear plug, face mask with
accident / incident chemical cartridge, dust mask, face shield, working
c) Work permit gloves, FRC coverall and others are required.
receiver
 Non- qualified work  Materials should hold out with the strength rate
permit or expired work accordingly.
certificate.
 Prevent from damage.
 Check the manufacturer’s rating specification safety data

sheet for all materials before placing on it.
 Damage to Plant and
Equipment  Assign qualified and experienced supervisor and foreman.
 Contractor Safety officer and supervisor to be present at

site at all times.
 Work permit receiver shall be Petro Rabigh certified.
 Validity of certificate is updated.
 Any damage to plant or equipment must be reported to

the proponent immediately.
 Precaution to be taken when working near to electrical

equipment. (LOTO requirements (PR_IS_SFD_GI-011-
Lock Out Tag Out must be implemented prior to start the
activity)
 Precaution to be taken when working near to instrument

tubing.
 Pipework or equipment should not be used for access.
 The medical fitness certificates (VERTIGO) must be

available prior to start the work
 All safety equipment with certificates must be available at

site
 All power tools shall be inspected by the PRC approved

third party
 Wind speed instrument must be available at site
 No work will be done from 12 to 3:00 pm
 Coordinate with marine department (425-4507) to obtain

Wind speed after every three hours during the work
 No work is allowed if the wind speed is more than 23 kph

work shall be stopped
3. Measuring the  Work at height Moderate  Work Permit issuer and receiver shall inspect fall Operation
thickness of the  Recording of wrong protection equipment, including full-body harnesses, Supervisor / PRC
Tower readings lanyards and D-rings prior to each use every day before Permit Issuer &
 Unaware of the and work. Receiver / PRC
procedure and method Safety advisor /
of recording the  AIMD personnel will show the procedure of recording the Contractor Safety
readings reading and how to use the Vernier calipers tool. Officer
 Inappropriate and
damaged PPE  Use of proper PPE shall be monitored and checked every
 Non-qualified worker day before the start of the work.
 All riggers climbing the tower and carrying the task shall
be well aware and experienced workmen.
4. Work execution Moderate  Proper planning and look ahead by Supervisor. Prior to Low PRC Operation
step-wise commencing work, he should plan for: Shift Supervisor,
 Stay upwind. PRC Permit
 Issuer,
a) Foundation  Unauthorized operator. Coordination with / obtaining approval from
repair Company/Petro Rabigh Proponent. Contractor Permit
b) Removal of  Rigger not certified. Receiver,
 Check if all the team commencing work is fit to work
faulty tower professionally and physically. Contractor Site
lights Supervisor,
 Area without sign board  In case of any climatic change of high temperature, sand
c) Installation of & Barricade. Contractor Site
storm, thunder storm, rain, fog, etc.; the team should
new lights and Safety
immediately stop the work and inform the proponent and
cables  Sharp edges. Work Permit Issuer for the same.
d) Removal of
paint
 High wind or high
e) Re-painting of
temperature or sand  Contractor Safety officer shall be on site at all times.
tower
storm or thunder storm.
 Operating radius known and clear of personnel and fully
barricaded.
 360-degree visibility for
operator.  Avoid sharp bends in slings; protect slings from sharp
edges and abrasions while working at height during
removal of lights, cables, installations & painting; all the
 Improper Tag-out-Lock- safety protocols associated to fall, trip and PPE shall be
out procedures. used among other factors unsafe climatic conditions.
 Heavy Equipment to be grounded to suitable earth point

 Fall from height.
 Do not stand or walk under suspended loads Area.
 All personals shall adhere to the use of PPE, body harness

 Using Substandard or while climbing or working near the tower to avoid in fall
Non-inspect Tools. or trips.
 Tetra Radio Communication/Mobile Communication shall

 Improper be used at all times to inform the proponent & Work
Communication Permit issuer of all the major updates or any incidents or
safety issues.
 Personal injury  Ensure that no personnel are in the danger zone below
the overhead operations when work is in progress.
 Personnel fall hazard,
 Equipment to be visually inspected by PRC Work Permit
issuer before and after the completion of work.
 Unsafe anchorage,
Inappropriate fall  Develop and use special checklist for the activity.
protection systems,
 Be prepared for potential emergency.
 Personal fall arrest systems shall comply with ANSI Z359.1

(or equivalent
 Lack of awareness, Body
 Working at Height shall comply with all the PRC safety
strain, discomfort,
rules and policies.
Dropping object.
 Work Permit issuer and receiver shall inspect fall
 Vertigo problem of any protection equipment, including full-body harnesses,
worker climbing the
tower. lanyards and D-rings prior to each use every day before
and work.
 Unreliable pulleys and
strings.  Wherever required approved fall to be used and ensure
100% tie up.
 Malfunction of Pulleys
 Tool used at height should have latches or any other
or hooks clamped to the
means of securing devises.
tower.
 Ensure no loose items are laying on the work areas.
 Ensure all materials/tools are secured.
 A standby man shall also be present when personnel are

working overhead and there is a possibility of materials
falling.
 Competent person with Medical fitness shall attend job

and shall provide medical fitness report if required.
 All the steps included in the scope of work shall be

discussed with the proponent to analyze the possibility of
any risk or threat to life and property.
 All the hooks shall be checked before the pulleys are

installed for the ascending and descending of paint, tools
and buckets.
 The string ropes shall be checker for integrity and

reliability.
 The pulley installations shall be done in prior to the start

of work and complete test shall be done before use.
5. Isolation of  Personal injury, if poles Moderate  Separate hot work permit for maintenance activities Low PRC Operation
Lighting Pole are not properly isolated  Apply proper LOTO procedure for substation. Shift Supervisor,
power source or deenergized (LOTO)  Selection of power panel shall be verified in concurrence PRC Permit
from substation. with electrical. Issuer,
 Unintentional operation  Certified competent technicians only utilized for LOTO.
 Issue appropriate work permits as following; Contractor Permit
 Follow the cable management to avoid contact to any Receiver,
electrically conductive materials Contractor Site
 Ensure the isolation of electrical power prior to removal Supervisor,
of cable termination
Contractor Site
 Ensure check the continuity of power cables of both ends
Safety
to confirm it same cable, when prior commencing work
 No one allowed to works alone on live equipment
 “Stop work when job site become unsafe”
 Barricade the work area to restrict unauthorized people
 Ensure all power lines from the substation to the lighting
are isolated, locked and tagged (LOTO)
 Also, ensure that nobody is on the pole basket during
testing of light bulbs then power is energized
 When work is complete and accepted, remove LOTO and
update Logbook. Work Permit Issuer lock shall be
removed at last.
 Any person working within an energized area shall ensure
that the energy sources are positively isolated.
6. Physical  Potential injury to Moderate  Arrange appropriate Work Permit. Low Operation
Disconnection/Re technicians.  Task specific special PPE shall be used as per work permit. Supervisor /
moval/Re- (insulated tools) Permit Issuer &
connection of  Wrongly isolate system  More than 480 Volts then initiate Isolation Request Form Receiver / PRC
Electrical Power & Electrocution. to ESO to install ESO LOTO. WP issuer and WP Receiver Safety advisor /
Cable & Manual shall install his LOTO and record Logbook. WP Issuer lock Contractor Safety
handling during  Unsafe Pulling / shall be installed first and remove at last. Officer
removal of cable, bending / twisting and  Conduct tool box meeting prior to commence work
support frame and manual handling.  Use Appropriate PPE (Safety helmet, safety shoe, safety
Panel etc. glass, FRC/Arc rated cloths, etc.) as per job required
 Malfunction of Pulleys Follow GI2.721 Electrical arc flash hazard mitigation
or hooks clamped to  Obtain necessary work permit prior to isolation or work
the tower. on live cables
 Unreliable pulleys and  Isolation of energy sources shall be as per GI 6.012
strings. PR_IS_SFD_GI-011 Lock Out Tag Out (LOTO)
 Install lock & tag as per procedure and placed key in a
group lockout box
 Refer CSM 5.4.10C (Copies of CSM/HIP, etc. shall be kept
on work area)
 Ensure the isolation of electrical power prior to removal
of cable termination
 Ensure that existing cables &termination are not
disturbed
 Residual energy in any system shall be removed before
work begins
 Absence of voltage must be verified
 Ensure all electrical cables in good condition.
 Use certified/appropriate tools.
 Isolate required equipment from Local Panel and insulate
each cable and tag it (LOTO)
 Good manual handling technique to be practiced at all
times to prevent back injury.
 Provide Job rotation / adequate rest to workers.
 Eliminate bad posters to avoid ergonomic issues.
 Ensure the sufficient number of manpower to perform
the task.
 Cable rollers shall be used during cable lying.

 Ensure competent workforce.
 Ensure the workforce trained for manual handling.
 Always follow safe manual handling techniques.
 Reduce the amount of twisting, stooping and reaching.
 Avoid lifting from floor level or above shoulder height,
especially heavy loads.
 Adjust storage areas to minimize the need to carry out
such movements.
 Minimize carrying distances.
 Assess the weight to be carried and whether the worker
can move the load safely or needs any help – maybe the
load can be broken down to smaller, lighter components.
 Buddy system for manual handling.
 Ensure the use of Mechanical aid for the heavy loads.
and buckets.

reliability.

7. Jack Hammer &  Damage of underground Moderate  Use spray of water and wetting agents to suppress levels Low Operation
Drill Machine for and above ground of airborne dust. Supervisor /
Foundation repair services.  Before starting the job check underground and Permit Issuer &
 Backhoe hit by other aboveground services and scan the area for detecting the Receiver / PRC
road users. live electrical cable. Safety advisor /
 Arm muscular stress due  Make alternate route for other road users and working Contractor Safety
to vibration. area must be hard barricade and signage must be placed. Officer
 Hearing loss (Noise).  De-energize power equipment prior to changing bits or
 Dust. disk
 Flying object.  Provide safety devices (GFCI) to protect.
 Foot Injury.  The circuit from overloading.
 Incompetent jack  Jackhammer user must take rest frequently and use hand
hammer operator. gloves to minimize the muscular stress.
 Defective jackhammer.  Jackhammer user must use PPE all the time and
 Traffic accident equipment must certify through third party vendor.
 Speed reduction, Warning signs & demarcation of travel
path.
 Revolving hazard light on both ends.
 Normal hazards Low  Take required precautions while pouring of concrete. Low PRC Permit
associated with pouring  Shuttering must strong enough to hold the concrete Issuer,
concrete, i.e. heavy poring. Contractor Permit
equipment, skin  Concrete vehicle should be 0.6 meter away from the deep Receiver,
8. Concrete irritation, splashing excavation.
Foundation Repair Contractor Site
concrete, slips, trips,  Ensure face shield, disposable coverall and Gumboots for
Task. falls, etc. Supervisor,
the Assigned for Concrete Activities.
Contractor Site
Safety
9. Paint Application  Back or shoulder injury Moderate  Use correct manual handling techniques Low
when lifting PRC Permit
 Use team lifting when required
 Possible injury if lever Issuer,
slips while  Read material safety data sheets & manufactures
Contractor Permit
 Opening paint tins recommendations prior to opening cans.
Receiver,
 Inhale fumes  Read MSDS data sheets ensure adequate ventilation
 Skin damage or requirements are in place. Contractor Site
contamination  Correct training in use of P.P.E equipment to be provided Supervisor,
 Eye damage from  Correct training in the use of portable ladders & working Contractor Site
splashing paint. from heights. Safety
 Falls of ladders  Ensure work area is clear
 Trips over materials  Use P.P.E equipment such as protective clothing such as
when brushing overalls or long sleeves.
or rolling on paint  Ensure when working under others, safety head
 Hit by falling materials protection is worn.
Falls from lower roofs  Ensure warning signs are erected or the area is
 Hit by on-site plant & barricaded off
equipment  Ensure safety guardrails are erected.
 Sunburn  Use P.P.E equipment such as flora vest.
 Malfunction of Pulleys  Set up only in safe clear areas.
or hooks clamped to the
tower.  Use P.P.E equipment such as sun cream, hats &
protective clothing
 Unreliable pulleys and
strings.  All the hooks shall be checked before the pulleys are
and buckets.

reliability.

 No hot work shall be conducted during painting
10. Paint Spill – Clean  Slips trips, falls Moderate  Contain spilt paint by spreading absorbent material from Low PRC Operation
up  Exposure to chemicals spill kit Shift Supervisor,
 Fumes, vapor, Fire  Use of correct PPE masks, gloves, glasses and the like. PRC Permit
 Damage to property  Block the drains if spillage is likely to enter them Issuer,
 Environmental impact.  Drains have to be blocked if petrol, oil or chemical is spilt
 Malfunction of Pulleys and is in danger of entering drain. Use containment socks Contractor Permit
or hooks clamped to the & absorbent material to soak up the spill. Receiver,
tower.  If spilt on the road; use traffic controls (Spread material Contractor Site
 Unreliable pulleys and on to roadway) and making sure slippery road signs are in Supervisor,
strings. place, use barricades & signage if spill occurs in work area Contractor Site
to isolate the spill. Safety
 Call appropriate authorities, if the incident requires
escalation.
 Barricades, signs, fire extinguisher, PPE, Spill Kit
available, block drains alert authorities
 Consult MSDS
 Sweep or shovel up absorbent material into drums or
bags
 Pick up tools and equipment before leaving effected area
 Use correct waste management control
 Dispose of via a registered waste disposal depot,
implement a chain of custody for waste disposal.
 If solvent is applied to remove staining, this must also be
soaked up and returned for disposal
and buckets.

reliability.

11. Paint Storage  Fire Hazard Low  Keep ignition sources away from work area, Low Permit Issuer &
 Spillage  Fire extinguisher must be available at job site Receiver / PRC
 Miscommunication  Paints and thinners to be stored in a cool, dry and safe Safety advisor /
place, away from other combustible material and source Contractor
of heat spark, flames or ignition. Safety Stand by
 Sufficient quantity of fire extinguishers to be provided man.
near the paint storage area

 Ensure paint or thinner containers tightly closed to
prevent spillage
 Paint containers and storage area to be clearly marked
and signage’s to be placed.
 MSDS to be kept near the storage area
 Storage area to be inaccessible to unauthorized people
12. Heat Stress, Heat  Heat Stress hazards in Low  Provide adequate drinking water and Isotonic drinks Low Operation
Cramps, Heat the workplace:  Provide disposable cups that shall be replenished Supervisor /
Stroke & Heat a) Increase the risk of accordingly. Permit Issuer &
Rash injuries in workers  Provide rest shelters at the site with suitable capacity to Receiver / PRC
as it may result in accommodate all personnel. Safety advisor /
sweaty palms,  Ensure enough plenty of “Drinking Water” stored and Contractor
fogged-up safety available at sites. Safety Stand by
glasses, and man.
dizziness
13. Housekeeping and  Failure to proper  Ensure tools and equipment used for the task have been Low Operation
closing housekeeping Low moved and stored properly. Supervisor /
out permits  Obstructions  Ensure area is clean and safe. Permit Issuer &
 Slipping, tripping  Ensure the unnecessary tools; materials and equipment Receiver / PRC
 & falling are properly stored at the designated safe keeping place. Safety advisor /
 Avoid taking shortcuts, Contractor
 Struck by loose /  Dispose waste daily. Safety Stand by
unstable objects.  Do proper housekeeping in the working area man.
 Regular disposal of waste, sheet material and scrap
materials must carry out
 Trash bin for waste, used paper cups, scrap and debris
must be provided.
 Make it sure that tools and equipment have already
shifted
 before closing the permits

 Do site inspection jointly before closing the permits
 Make it sure that entry log sheet has been signed by all
the entrants

 All unused materials must be removed from site on a
daily basis and disposed of only in an approved dumping
area
Job to be Performed:
New Revised Revalidated

JSA Team Members:
Name Department Sign
Proponent Supervisor
IMPORTANT:
Executing Organization Representative
SFD-FSSS Representative
Contractor Supervisor
Contractor Safety
Others (Specify)
 This JSA must be available at the place where the activity is being performed and all personnel involved must be informed of the hazards associated with the activities and
the control measures to eliminate or minimize the hazards.
 This JSA must be revised if the scope of work changes or if any other major contingency occurs. (Refer Section 4.3.12)
 In case, the team assess the residual risks cannot be brought down to Moderate or below, the risk evaluation and control shall be done by referring Corporate HSE Risk
Management Manual.
 Proponent Organization and Executing Organization must sign JSA while revalidation. (Refer Section 4.3.13)
 In case the plant emergency alarm is sounded, all work must be stopped, all permits will become automatically cancelled and Emergency Response Plan to be followed.
 Ensure the availability of Work Permit receiver during the activity, continuously.
Petro Rabigh Risk Matrix Hazard Effect / Consequence

1 2 3 4 5
Loss Type
Insignificant Minor Moderate Major Catastrophic
Single fatality to
Reversible injury to worker
Reversible injury one or more and/or Multiple fatalities to
Short term
requiring worker resulting severe worker and/or impact
Safety inconvenience
medical in loss time irreversible on third party
i.e. First Aid
treatment injury/restricted damage to
duty one or more
person
Health Reversible health Reversible of Severe, reversible Permanent Total Health impact on third
effects of little concern that health effects of Disability to party. Can include
concern, would concern that one or more effects of carcinogens,
requiring first typically would typically person. Can mutagens, teratogens
aid treatment result in result in a lost include and reproductive
at most. Can medical time incident. progressive toxicants (known and
include minor treatment. Acute / short-term chronic suspected), and life-
irritations of Can include effects associated conditions threatening respiratory
eyes, throat, temperature with extreme and/or acute sensitization)
nose and or effects; travel temperature / short-term
skin, or minor effects; effects; or high-risk
unaccustome stress; and muscular-skeletal effects.
d muscular sunburn. effects; vibration
effects; nervous
discomfort.
system effects.
Impact that is
unconfined
Near-source Near-source
Near-source confined and Impact that is unconfined
confined and confined and
and medium- requiring over large public area
Natural Environment promptly short-term
term recovery long-term and requiring long-
reversible reversible
impact. recovery, term recovery, leaving
impact. impact.
leaving major residual damage.
residual
damage.
Financial Impact
Note: This includes financial loss or increased cost or Ranging from
Ranging from
saving opportunity loss due to production loss, Less than Ranging from US$50MM Greater than US$150MM
US$2MM to
business interruption, and cost of US$2MM US$10MM to to
US$10MM
repair/replacement of assets. US$50MM US$150MM
1 2 3 4 5
Insignificant Minor Moderate Major Catastrophic
Likelihood Qualitative Quantitative Risk Rating
A similar outcome
has occurred
A more than once Greater than 1X10-2
per year at Moderate High Critical Critical Critical
(Almost Certain) (1 in 100 years)
specific plant /
site within Petro
Rabigh.
A similar outcome
has occurred Between 1x10-3 (1
B more than once in 1000 years)
per year but at and 1x10-2 (1 in Moderate High Critical Critical
(Likely) Moderate
different plants / 100 years)
sites of Petro
Rabigh.
A similar outcome
has occurred inBetween 1X10-4 (1
C Petro Rabigh or in 10,000 years) Low Moderate Moderate High Critical
(Possible) more than once and 1x10-3 (1 in
per year in the 1000 years)
industry.
A similar outcomeBetween 1x10-5 (1

has occurred in in 100,000
D
(Unlikely) the industry, but years) and 1x10- Low Low Moderate Moderate High
not in Petro 4 (1 in 10,000
Rabigh. years)
A similar outcomeLess than 1x10-5 (1

E has never in 100,000 Low Low Low Moderate High
(Rare) occurred in the years)
industry

JSA Communication Tower Painting Foundation Repairs at WR - 501 WR - 617) - 6-20-21

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Title of the Form Form No. Rev. No. Reference Document No.

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Type of work permit identified from JSA shall be issued

 Inspect hand tools before used. Homemade hand tools

 Equipment must be inspected and tagged with a valid

 Provide good and appropriate PPE.

 Safety helmet, glass, shoes, ear plug, face mask with

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

gloves, FRC coverall and others are required

 Assign qualified and experienced supervisor and foreman

 Work Permit Receiver shall be Petro Rabigh certified with

 Any damage to plant or equipment must be reported to

Hold the line, SCC will take the following details:

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Identify nearest MCP, escape routes, and

 During the toolbox talk the WP Receiver shall highlight

 Type of work permit identified from JSA shall be issued

 Inform all personnel in the vicinity of the planned work.

 Temporary power supplies must be routed to prevent

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

c) PPE damaged PPE  Ensure a complete inspection of tools and equipment is

 Use insulated tools for electrical work All tools and

 Provide good and appropriate PPE.

 Check the manufacturer’s rating specification safety data

 Contractor Safety officer and supervisor to be present at

 Work permit receiver shall be Petro Rabigh certified.

 Validity of certificate is updated.

 Any damage to plant or equipment must be reported to

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Precaution to be taken when working near to electrical

 Precaution to be taken when working near to instrument

 Pipework or equipment should not be used for access.

 The medical fitness certificates (VERTIGO) must be

 All safety equipment with certificates must be available at

 All power tools shall be inspected by the PRC approved

 Wind speed instrument must be available at site

 No work will be done from 12 to 3:00 pm

 Coordinate with marine department (425-4507) to obtain

 No work is allowed if the wind speed is more than 23 kph

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Heavy Equipment to be grounded to suitable earth point

 All personals shall adhere to the use of PPE, body harness

 Tetra Radio Communication/Mobile Communication shall

 Personal fall arrest systems shall comply with ANSI Z359.1

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Ensure all materials/tools are secured.

 A standby man shall also be present when personnel are

 Competent person with Medical fitness shall attend job

 All the steps included in the scope of work shall be

 All the hooks shall be checked before the pulleys are

 The string ropes shall be checker for integrity and

 The pulley installations shall be done in prior to the start

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 Cable rollers shall be used during cable lying.

 The string ropes shall be checker for integrity and

 The pulley installations shall be done in prior to the start

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

Job Safety Analysis (JSA) Work Sheet PR/IS/SFD/F-001 04 PR/IS/SFD/P-003

 The string ropes shall be checker for integrity and