HPCL - VISAKH REFINERY Doc No: PSM/FR/9.

9B
PROCESS SAFETY MANAGEMENT SYSTEM Ref Doc : PSM/PR/9
Rev. : 1
WORK PERMIT SYSTEM
Date of this Rev : January, 2013
FORMATS Page 1 of 1
JOB HAZARD ANALYSIS

DIVISION/ DEPT NAME Maintenance / Onsite

PROJECT/ WORK REQUISITION Misc. civil jobs for shuttering & concreting for box-up
TITLE concreting .
PROJECT/ REQUISITION NO
JOB DESCRIPTION Misc. civil jobs for shuttering & concreting

TYPE OF
ACTIVITY ACTIVITY CONTROL/ MITIGATION
IDENTIFIED HAZARDS PERMIT
NO. DESCRIPTION MEASURES
REQUIRED
Agency is advised to use
Improper material handling may cause
A1 Material handling necessary PPEs like Safety shoes, Cold permit
damage to body parts.
Hard hat and hand gloves.
Cutting of sheets using saw may cause Agency is advised to use
A2 Shuttering cut injury and grimes generated may fall necessary PPEs like Safety Cold permit
in to workers eyes glasses and hand gloves.
Agency is advised to use
Spillage during mixing and placing may
A3 Concreting/ Plastering necessary PPEs like Safety Cold permit
affect the skin
glasses and hand gloves.
Sign
Prepared By Name
Designation Executing Engineer
Sign
Approved By Name
Designation Executing Manager