ADNOC

Company: ADYARD ABUDHABI LLC IPMT-ADY-WI-JSA-14

JOB SAFETY ANALYSIS
REV. 00
WELL HOOKUP ON UMM AL ANBAR Date:10th September,
Site: UMM AL ANBAR (WEST ISLAND) Facility: Laydown Activity: - Maintenance works
2019
Description of the work: - Maintenance work of Crane, forklift, Diesel welding machine, pickup , Generators & Electrical works ( Cable pulling, laying,
Glanding, termination & Shifting of DB & Equipment manually.)
AREA OF THE PLANT: - SIMOPS DATE: - 10th September, 2019
Name & Position: Date & Signature:
Area Authority (Operations) Maher Mohamed El Ghoul
Operations Supervisor
Name & Position: Date & Signature:
HSE Engineer (Operations) Jassim al Marzooqi
Supervisor-Fire & Safety
Name & Position: Date & Signature:
Performing Authority (Projects) Mohammed Al Zaabi
ADNOC offshore Const. Engineer
Name & Position: Date & Signature:
Performer (ADYARD/Contractor) Jayesh Chandrabose
ADYARD construction Supervisor
Name & Position: Date & Signature
Performer(ADYARD/Contractor) Benny Joseph
ADYARD Project Engineer
Name & Position: Date & Signature:
HSE Advisor (ADYARD/Contractor) Madhava Prasad ( ADYARD HSE Advisor )/
Siva Shankar(ADYARD HSE Officer)

IPMT-ADY-WI-JSA-14 Rev-0
 ADNOC JOB SAFETY ANALYSIS – REVIEW FORM Jan 2019, Rev 01
Facility / Site: Location within Site:       Permit No:       Permit Type:       Date:      

Task Description (include Equipment Numbers as Practical: - Maintenance work of Crane, Forklift, Diesel welding machine, Pickup , Generators .

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
or Safe Work Practices been reviewed? Yes N/A Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.
Attach or List Procedures:      
JSA REVIEWER (SUPERVISOR OR DESIGNATE) SIGNATURE:
RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No NAME (PRINT):       Company:      
modified to perform this work? (MOC required)
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (If yes, contact Yes No
Risk Screener)
IF YES TO EITHER QUESTION ABOVE, ATTACH THE The Work Team has assessed the worksite conditions and confirms:
MOC OR RISK ASSESSMENT BEFORE PROCEEDING  The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK  The Team has the appropriate resources (people and equipment) to do the job safely.
(Summarize PPE from the THA and/or Hazard Management Form)
 Others that could be affected by the work have been informed.
HARD HAT SAFETY GLASSES  Energy isolation (if applicable) has been VERIFIED and DEMONSTRATED.
FACE SHIELD TASK LEADER SIGNATURE:
SAFETY SHOES / BOOTS
GOGGLES
HEARING PROTECTION: GLOVES: NAME (PRINT):       Company:      
SINGLE COTTON
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
DOUBLE LEATHER (Sign on to the Permit Declaration if this JSA is associated with a Permit Pack)
IMPACT PROTECTION Work Team Declaration:
RESPIRATOR TYPE I acknowledge that I have reviewed the attached JSA, I understand my roles
OTHER (specify):
(specify) Filter mask And responsibilities and I will comply with the instructions for this task.
CHEMICAL (specify):
SCBA Name (print): Name (print):
DUST MASK
           

FALL PROTECTION CHEMICAL SUIT            

FALL RESTRAINT APRON            

           

IPMT-ADY-WI-JSA-14-Rev-00 Page 2 of 12
 LIFE VEST FOUL WEATHER GEAR (specify):
           
WORK VEST      

           
FLAME RESISTANT
CLOTHING            

ADNOC JOB SAFETY ANALYSIS – TASK HAZARD ASSESSMENT FORM Jan 2019, Rev-01
This table of Hazards and Controls can assist the work group to manage hazards for the proposed work. The table does not include all possible hazards. It is expected
That the required PPE for the activity and work conditions will be used. Determine the Hazards that are present for the task and identify the Controls to be implemented.
Simultaneous
Pressurized Poor Lighting
Personnel Confined Space Operations Weather Ignition Sources
Equipment or visibility
(SIMOPS)

Perform isolation – LO/TO,
blinding, or defeat
Depressurize, drain, purge,
and vent
Relieve trapped pressure
Avoid auto-refrigeration
when depressurizing
Anticipate residual
pressure or fluids
Secure temporary hoses
Provide alternate lighting
Wait or defer until visibility
improves
supervise
No work over water that
could require rescue
(including sea state)
languages
Provide induction or training
for new workers
Mentor, coach, or
Verify competencies, skills,
and experience
Address applicable
limitations
(fatigue, exhaustion, and
restricted duty)
Manage multiple
Discuss confined space
entry safe work practice
Conduct atmospheric testing
Monitor access or entry
Protect surfaces from
inadvertent contact
Do not locate mobile engines
near confined space
Provide observer
Develop rescue plan
Follow SIMOPS matrix
MOC required for
deviation from SIMOPS
restrictions
Interface between groups
Use barriers and signs to
segregate activities
Have permit counter
signed by leader of affected
groups
Implement controls for Remove, isolate, or contain
slippery surfaces combustible materials
High winds – goggles Provide firefighting
equipment
Heat – hydration,
breaks Construct a fire-safe habitat
Cold – PPE, heaters Provide a fire watch during
and after hot work
Lightening – tool
selection, defer work Conduct continuous gas
testing
Bond or earth for static
electricity or cathodic
protection

Hazardous Equipment Falling or Lifting

Potential Spills High Noise Work at Heights
Substance Hot or Cold Dropped Objects Equipment

Drain or purge equipment
Follow MSDS controls
Implement health hazards
controls (Lead, Asbestos,
H2S, Iron Sulphide,
Sulfur Dioxide, NORM)
Test or analyze material
Drain equipment Heat or cool equipment Wear correct hearing PPE Use signs and barriers to Confirm lifting Discuss working at heights
before work starts restrict entry or access equipment condition and safe work practice
Provide spill containment Manage exposure times
under work at elevation certification
equipment Install barriers Verify fall restraint and arrest
Shutdown equipment Use lifting equipment to Obtain approval for lifts equipment certification
Have spill clean-up Provide warning signs
Use "quiet" tools raise tools to or from the over processing
materials and equipment on Apply abseiling safe work
Implement cold work platform equipment
hand Sound barriers or curtains practice
temperature and brittle Secure tools (tie-off) Have a documented
Restrain and isolate hoses failure controls Provide or use suitable and approved lift plan
when not in use communication techniques
Wear thermal gloves

Portable Electrical Moving Objects Equipment Vibrating Slips, Trips,

Radiation Hazard Manual Handling
Equipment or Equipment and Tools Equipment and Falls

Inspect equipment for Use barriers and signs to Confirm machinery guard Assess manual handling task Inspect equipment and Manage exposure Identify and shield uneven
condition and test date restrict access integrity tools times surface or projections
Limit load size
currency

IPMT-ADY-WI-JSA-14-Rev-00 Page 3 of 12
 Implement continuous gas
testing be affected
Protect electrical leads
from impact or damage
Notify personnel who may Provide protective barriers
Observer to monitor
Implement NORM controls proximity of people and
equipment
Conduct RAD testing
Shut down or lockout
equipment
Do not work in the line of
fire
Manage posture
Confirm stability of load and
work platform
Get assistance or mechanical
aid to avoid pinch points
No use of modified tools Assess effect of Secure or cover cables,
vibration on equipment cords, and tubing
Use protective guards
Use low vibration Clean up liquids
Use correct tools and
equipment
equipment for task Barricade or rope-off
Apply noise controls openings and holes
Protect or remove sharp
edges
Apply hand safety
principles

High Energy or Waste Clean Up Other Energy Mobile Emergency

Excavations Other Hazards
High Voltage and Disposal Sources Equipment Response

Restrict access to Have an excavation plan or Apply environmental Spring compression or Assess equipment Implement abrasive Keep egress route open
authorized personnel only safe work practice management practices expansion control condition blasting controls (for
Keep shower and eye wash
equipment and practices)
Discharge equipment and Locate underground pipes Follow site waste Implement electromagnetic Implement controls on stations accessible
make electrically dead or cables by hand digging management procedures (radio) controls users or access Prepare a dive plan
Have a rescue plan in place
Observe safe work De-energize underground Clean up equipment and Manage pressure or vacuum Limit and monitor proximity Manage potential
Keep emergency alarm, fire
distances for live cables services materials at site to live equipment or cables blocked or plugged
Manage heat generating equipment, and shutdown
equipment
Use flash burn PPE suit Implement confined space Optimize task to minimize processes Manage overhead hazards locations unobstructed
entry controls waste production MOC required for
Use insulated gloves, Use seismic activity safe Adhere to road and site
temporary connections
tools, and mats work practice rules or modifications

IPMT-ADY-WI-JSA-14-Rev-00 Page 4 of 12
 ADNOC JOB SAFETY ANALYSIS – HAZARD MANAGEMENT FORM Jan 2019,Rev-01
Task Description (same as page 1): Maintenance work of Crane, forklift, Diesel welding machine, pickup , Generators &
Electrical works ( Cable pulling, laying, glanding, termination & Shifting of DB & equipments manually.)
Note: If the scope of work or the conditions change significantly, STOP THE JOB. Revise the JSA to address the hazards before proceeding.
Complete Task Steps / Potential Hazards / Hazard Controls PRIOR to the JSA Reviewer. Complete Assigned Person AT THE WORK SITE (after JSA Reviewer has signed)
TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS ASSIGNED PERSON
(Include Number) (What could go wrong?) (How can harm be prevented?) Name Complete
1) Positioning the crane/  Potential for man machine interface  Use of designated traffic routes where available.
forklift/ pickup/ DG/ welding during vehicle maneuvering  Comply with site speed limits.
machine  Vehicles fitted with audible reversing alarm and visible flashing
beacon.
 Use of Banksman is mandatory when carrying out reversing
 Driver/operator must comply with island road safety rule, not to use
mobile phone while operating/driving equipment.

 Struck by a moving vehicle  Use wheel choke and apply hand break before start work.
 Remove key from vehicle and kept with mechanic during
Maintenance work
 Barriers and warning signs around work area.

Preparation of tools  Damaged/Defective tools  Pre- use inspection of tools

 Do not use homemade tools
 Periodic inspection to be conduct by maintenance coordinator.

 Electric shock  Remove the battery terminal from battery to prevent any mechanical            
hazard or electrical shock/mechanical motion
Battery Isolation

 Hot oil may splash on face or body  Use proper PPE and safety goggles /hand gloves
Draining of sump oil by opening
causing severe burns  Use proper sized container and use drip tray and have enough spill
the drain valve
 Spillage of Oil kit ready to clean up

IPMT-ADY-WI-JSA-14-Rev-00 Page 5 of 12
Draining of oil filter housing in
a suitable container. Once fully
drained, take off the cover by
removing all bolts from one
side of the housing
 Hot oil may splash on face or body  Use proper PPE and safety goggles /hand gloves
causing severe burns  Use proper sized container and use drip tray and have enough
 Oil Spillage spill kit ready to clean up

Remove all oil filters and  Spill of Oil  Waste Segregation

replace with new filters. Close  Contamination on ground  Hazardous waste disposal as per Waste disposal plan
the cover and the drain valve  Slip hazard  Provide dip tray

Start draining fuel from fuel  Splashes on body as well as on other  Ensure that particular engine is closed
filter housing in suitable running engines may cause fire and  Ensure the main fuel supply valves closed before vent line is opened
container burns

Remove one side plate of fuel
filter housing. Remove all
filters and replace with new
filters after cleaning the
housing
 Spillage  Have spill kit ready
 Slip and fall  Use proper PPE & rubber gloves
 Skin burns and irritation

Remove the latches of the air  Pinch points  Be aware of pinch points
filter covers and take out old  Dust  Use dust mask
filters. Replace with new  Compressed air  Prior inspection using compressor
filters. Put back the latches /
covers
Remove the breathing hose by  Hot areas creating fire hazard  Use adequate PPE
loosening the clamps. Remove  Burn injuries
the bolts of the clamp plate
and take the breather out.
Replace with spare ones. Put
back the hose clamps and
plates
Remove oil centrifuge filters by  Same as above  Use adequate PPE
opening the clamps. Take
filters out. Clean the housing
and replace with new ones.
Close the cover and make up
the bolts.

IPMT-ADY-WI-JSA-14-Rev-00 Page 6 of 12
Close the sump valve and start
filling oil. Grease all grease
fittings.
Open main fuel valve
Start the engine. Check for
leaks before sending work.
Clean up the area
Vehicle/ Equipment Inspections
Manual lifting (Movement of
components, oil, materials,
tools)
IPMT-ADY-WI-JSA-14-Rev-00
 Spillage
 Defective grease nipples
 Spillage if vent plug is open
 Splash on other engines
 Leaks
 Spillage
 
 Tripping (uneven ground)
 Moving vehicles Slippery surfaces
 Sharp objects or equipment
 Pinching
 Noise
 Tripping (poor housekeeping)
 Tripping (uneven ground)
 Manual lifting (body strain)
 Slippery surfaces
Page 7 of 12
 Use proper fittings at the end of the hoses
 Change defective nipples
 Ensure all vent plugs are plugged before opening fuel valve
 Be careful to avoid any splashes

 Repair leaks
 Follow waste management procedure
Segregate the waste and dispose as per procedure

 Safety glasses - Hearing protection –
 Ensure bus is in the park position and wheel(s) are chocked.
 Wear safety gloves when inspecting near hot surfaces or sharp
edges.
 Try to break down the load into smaller parts
 Check the pathway and clear any obstacles
 Check if any doors need to be opened
 Test the weight of the load by lifting one corner
 If the load is too heavy, or obstructs your view, ask somebody
for assistance
Performing the lift:
 Stand with feet shoulder width apart and in a staggered
stance
 Move in close to the load
 Bend your knees, keep head upright and maintain the spine’s
natural curves
 Secure your grip e. Use a smooth controlled motion to lift the
load
 Avoid twisting / turning when lifting
Setting the load down:
 Get as close as possible to the area you will place the load
 If possible, place heavy loads at elbow height to avoid
straining the back

Use of portable jack  Slippery surface
 Awkward position
 Sharp objects or equipment
 Moving vehicles
 Falling debris
 Hydraulic leak
 Tripping (poor housekeeping)
 Manual lifting (body strain)
Handling Batteries  Batteries
 Corrosive materials
 Explosion
IPMT-ADY-WI-JSA-14-Rev-00
 Bend with your knees, keep your head upright and maintain
the spine’s natural curves
 Keep the load close; try not to extend your arms out away
from the body
 Once the load is where you want it, ensure the load is secured
and release your grip slowly.
 If you’re not confident that you are able to lift the load
without sustaining an injury, please do not lift the load. Seek out
your supervisor and/or ask for assistance. Prevention is the best
policy
 Use only jacks that are maintained in good operating condition
and 3rd party certified.
 Place the jack securely on a dry, level, clean surface at right
angles to the load.
 Position the jack at the jack point recommended by the vehicle
manufacturer
 Shift the vehicle with automatic transmission to park or to low
gear, if it has a standard transmission, and apply the parking break
 Use chocks in front and back of the wheel that is on the
diagonal from the wheel that will be raised (e.g., if jacking up the
right, front wheel, use the chocks on the left, rear wheel).
 Do not overload a jack beyond its capacity. All lifts must be
vertical
 Do not position yourself where you could be pinned between
the operating handle and the wall if the vehicle or jack moves
accidentally
 No alone work,always arrange to have someone check on you
at pre-arranged, regular intervals.
 Place safety stands under the vehicle to support the vehicle if
an employee must work under the vehicle
 Ensure that the safety stands are in good condition and
positioned properly and that the correct support pins are used in
adjustable axle stands
 Do not get under a vehicle that is supported by a jack only
-always use suitable safety stands
 Always wear appropriate Personal Protective Equipment
including Safety Glasses when working under a vehicle.
 Personal Protective Equipment: - Safety glasses - Gloves
 Keep tools and other metallic objects (including jewellery)
away from the tops of batteries.
 Inspect for defective cables, loose connections, corrosion,
cracked cases or covers, loose hold-downs and deformed or loose
terminal posts.
 Tighten cable clamp nuts with the proper size wrench. Avoid
subjecting battery terminals to excessive twisting forces.
Page 8 of 12

Use of compressed air  Compressors (air, gas)
 Hoses whipping under pressure
 Noise
 Rotating equipment
Use Hand and Power Tools  Hand tools
 Tripping(poor housekeeping)
 Tripping (uneven ground)
 Slippery surfaces
 Sharp objects or equipment
 Noise
 Power tools
 Flying objects
IPMT-ADY-WI-JSA-14-Rev-00
 Use a cable puller to remove a cable clamp from the battery
terminal.
 Remove corrosion on the terminal posts, hold-down tray and
hold-down parts.
 Use a tapered brush to clean dirt from the battery terminals
and the cable clamps.
 Use a battery carrier to lift a battery, or place hands at
opposite corners.
 Do not lean over a battery.
 Keep sparks, flames, burning cigarettes, and other ignition
sources away at all times.
 Do not break "live" circuits at the terminals of batteries.
 When connecting or disconnecting jumper cables, use extreme
care in handling the clamps. Do not allow cables to touch each other,
nor to touch the frame or body of either vehicle. This will prevent
sparks that can cause an explosion.
 Do not leave batteries laying around the floor. Store batteries
off the floor on wooden pallets.
 If splashed with battery acid, flush the area with gently flowing
luke warm water for 30 minutes; do not interrupt flushing.
 Personal Protective Equipment: - Safety glasses - Hearing
protection
 Ensure no slip/trip hazards are present in workspaces and
walkway
 Locate the compressor in a suitable location for safe
operation.
 Lock the wheels on the base of the compressor to prevent
movement.
 Check that all fittings and connections are in good condition
prior to starting.
 Check all fittings are securely connected prior to being
pressurized.
 Faulty equipment must not be used. Immediately report
suspect machinery.
 Locate and ensure you are familiar with the operation of the
ON/OFF starter switch.
 Hearing protection (when using power tools) –
 All tools, regardless of ownership, shall be of an approved
type and maintained in good condition. A supervisor has the authority
and responsibility to condemn unsafe tools.
 All power tools must be double insulated or grounded, as well
as have all manufacturer guards in place.
 Unsafe tools will be tagged out to prevent use.
 Tools shall not be left strewn about on the floor where others
could trip on them.
Page 9 of 12

 Slippery surfaces
Portable Ladders  Awkward position
Working at height  Falling from height
Impact Wrench / Air Chisel  Compressors (air, gas)
 Rotating equipment
IPMT-ADY-WI-JSA-14-Rev-00 Page 10 of 12
 Wooden handles that are loose, cracked or splintered shall be
replaced. The handle shall not be taped, wired or otherwise
temporarily repaired.
 Tools should never be thrown from place to place or person
to person.
 Power tools should be turned off, unplugged and put away
when not in use.
 Ladders shall be capable of supporting their maximum
intended weight without failure.
 Ladders must be inspected prior to each use to ensure parts
are not bent, rungs are secure, nuts, bolts and spreaders are tight,
rubber feet are in place and ladder is free from wet/slippery
substances. –
 Only 1 person permitted on the ladder at a time.
 Ladder rungs, cleats and steps shall be parallel, level and
uniformly spaced when the ladder is in position for use.
 Ladders shall be placed on a firm footing and secured in such
a manner that it cannot be dislodged accidentally from its position.
 Never use a wet ladder.
 Every portable ladder that provides access from one level to
another shall extend at least 3 rungs above the higher level.
 Objects or loads should not be carried while ascending or
descending the ladder; use a tool belt.
 No employee shall work from any of the top 3 rungs of any
single extension portable ladder or from either the top 2 steps of any
portable step ladder.
 'A' frame ladders shall only be used in a completely open
position with the side spreaders in a locked position.
 Never straddle the top steps of an A frame ladder while
working.
 Always face towards the ladder while climbing and take one
step at a time.
 Always maintain 3 points of contact.
 Ladders should never be moved, shifted or extended while
occupied.
 Never use a ladder for anything other than what it was
intended for.
 Never use a ladder in strong winds or a storm.
 Never reach for objects while on a ladder.
 Defective ladders must be removed from service
immediately.
 Use safe harness when working more than 1.8 meter and
follow 100% tie off.
 Never wear loose clothing or accessories.
 Use clean dry air to power the impact wrench (about 90psi).

Work involving air conditioning
systems
Cable pulling, laying, glanding
& termination
Manual Handling /Shifting of
DB & equipment manually.
IPMT-ADY-WI-JSA-14-Rev-00
 Hand tools  Only use impact wrench sockets that are designed for the tool.
 Pinching  Exposure to vibrations may cause tingling, numbing or painful
 Noise sensations in the hands, fingers or arms.
 Vibration  Do not over torque bolts or nuts.
 Never carry an impact wrench by the air hose.
 Always disconnect the air supply before installing or adjusting
impact wrench sockets or before performing tool maintenance.
 All the hoses connection to be secured with whip arrestor
 FROSTBITE - caused by skin or eye  follow the instructions of the airthe refrigerant supplier
contact with the refrigerant liquid or  identify the refrigerant in the system correctly before
gas carrying out any work
 ASPHYXIATION - if the heavier-  use approved equipment when maintaining or servicing the
than-air gas escapes in sufficient system
quantities into a vehicle inspection pit  ensure that everyone using the equipment or working on the
or similar confined space where system has been properly trained and is adequately supervised
someone is working  store containers of refrigerant chemicals in a safe place away
 HARMFUL GASES - resulting from from
thermal decomposition of the  wear appropriate eye protection, gloves and other protective
refrigerant in contact with a naked equipment when handling the refrigerant or working on refrigerant
flame or exposure to high liquid or gas
temperatures, for example the highly  train staff in the emergency actions to be taken in the case of
toxic gas phosgene from R12. spillage of liquid or gas
 make adequate arrangements for the safe recovery and
disposal of old or waste refrigerant, including any contained in scrap
receptacles or equipment
 check that all the refrigerant has been recovered before
removing the air conditioning system from a vehicle to be scrapped
or recycled.
 Fall from height  Ladder to be secured before climbing on it.
 Trip  Full body harness & 100 % tie off to be ensured while working
 Electrocution on scaffolding platforms.
 Substandard tools  Cables to be routed properly to avoid trip hazards.
 Defective tools  Equipment to be turned off before doing maintenance activity
on equipments.
 Only tools which is fit for the purpose to be used.
 Tools to be used should be inspected before its use.
 Incompetent Personnel  TBT to be taken before doing manual handling activities.
 Pinch point  Proper manual handling technique should be used for shifting.
 Sharp edges  Proper supervision to be ensured.
 Incorrect manual handling  Proper PPE to be worn.
 Work inside SIMOPS fence.  Only 20kg should be lifted by an individual.
 Access / egress to be kept clear all the time.
 Housekeeping to be maintained.
 Use mechanical devices wherever applicable.
Page 11 of 12
 Lessons Learned / Improvements/ LMRA actions: In section below describe difficulties encountered while performing this task; or any activities, steps, or safeguards
(including PPE) that could be improved if this task is performed again in the future.

IPMT-ADY-WI-JSA-14-Rev-00 Page 12 of 12