PMT/Contractor JSA Form - 1/12/2008

MASTER JOB SAFETY ANALYSIS WORK SHEET

Contractor: Br. CAT International Co. Limited
JSA # 20- New Date
Contract # 6600033991 (SA-4) B.I #

JSA Function Name Badge# Job Title Mobile Phone #

Contractor Field
Taha Ghemrawi 2435265851 Transport Officer 0539195375
Supervisor/Foreman
Contractor Safety Zoilo Rosales Jr. 2451561563 Safety Supervisor 0550570856
PMT Representative (Site
Representative)
Proponent Rep. (Ops)
(optional)
Proponent Rep. (P/L)
(optional)
DESCRIPTION OF TASK: LOADING, UNLOADING & TRANSPORTATION OF HEAVY EQUIPMENT
Work Location: Well head, Flowline, Tie-in
Prepared By: Reviewed By: Reviewed By: Approved By:
(CAT HSE Staff) (CAT HSE Manager) (SAPMT Field Compliance (SAPMT Project Engineer)
Coordinator)

Carlo Orquiza Dionaldo Tapispisan Zakariyah Musabbeh Abdullah Joghiman

Phone # Phone # Phone # Phone #
Mobile # 0506561585 Mobile # 0530704920 Mobile # 0504906604 Mobile # 0543140743
Reference GIs & SAES:
Traffic and Vehicle Safety G.I. 6.030, Mobile Heavy Equipment Operator Testing and Certification G.I. 7.025, Fire Fighting Training Company Personnel G.I. 1783.001, Protective (Safety)
Footwear G.I. 8.005, Inspection, Testing and Maintenance of Fire Protection Equipment GI 1781.001, SA Safety Handbook, Minimum Safety Rules, Contractors Site Safety Program (CSSP),
Construction Safety Administrative Requirements (CSAR)

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PMT/Contractor JSA Form - 1/12/2008
LOADING, UNLOADING & TRANSPORTATION OF HEAVY EQUIPMENT
S/N SEQUENCE OF BASIC STEPS
1 Obtain work permit
2 Positioning the Low Bed Trailer
POTENTIAL HAZARDS HAZARD CONTROLS ACTION BY
1.1 Lack of hazard 1.1.1 The issuer shall approve and issue a permit only after conducting a CAT HSE / SA
awareness joint site inspection with the receiver to identify potential hazards, Issuer
perform necessary gas tests, and write on the work permit the
specific precautions necessary so the work can be performed safely.
1.2 COVID-19 infection and 1.2.1 Temperature screening shall be conducted for all employees before CAT Mngmt. /
transmission leaving the camp and going to sites and before entering the camp HSE / SA Issuer
after the work.
1.2.2 Maintaining a physical distance of at least one (1) meter from other
individuals.
1.2.3 Maintaining one (1) seat apart arrangement while travelling with the
bus.
1.2.4 Hand wash stations and sanitizer dispensers provided at site.
1.2.5 Performing hand hygiene frequently with an alcohol-based hand rub
if available and if your hands are not visibly dirty or with soap and
water if hands are dirty.
1.2.6 Employees were encouraged to avoid touching their eyes, nose, and
mouth.
1.2.7 Practicing respiratory hygiene by coughing or sneezing into a bent
elbow or tissue and then immediately disposing of the tissue.
1.2.8 Use appropriate PPEs like face mask and gloves.
1.2.9 Checklist for COVID-19 Symptoms for each employees were being
taken.
1.2.10 All employees found with related symptoms were immediately,
reported to Site Male Nurse or Camp Clinic for immediate isolation
and further medical management.
2.1 Equipment failure 2.1.1 Equipment shall be inspected periodically by a competent equipment CAT Engineer /
inspector or mechanic. Supervisor /
2.1.2 Pre-use inspections shall be conducted on all equipment. Operators Foreman / Driver
performing these inspections shall ensure the following, at a / Mechanic /
minimum, prior to operating the equipment: HSE Officer /
 No fuel, oil, hydraulic fluid, water, etc., leaks are coming from the WPR
equipment. Spills shall be immediately contained, cleaned up,
and properly disposed.
 Hose and pipe connections are checked and free of wear and
cracks. Defective hoses/pipes shall be replaced or repaired. All
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PMT/Contractor JSA Form - 1/12/2008
2.2 Personnel getting struck
by equipment
2.3 Low bed tipping-over
2.4 Overhead powerlines
lights and warning devices operate properly.
 Wiring inspected and free of damage or improper repairs.
2.2.1 Operators and drivers shall possess a valid Saudi Arabian CAT Engineer /
government (SAG) heavy equipment license. Supervisor /
2.2.2 Equipment shall be installed with back-up alarm to alert the Foreman / Driver
personnel. / Spotter / HSE
2.2.3 Spotter and/or flagman should be assigned with whistle, reflective Officer / WPR
vest, green and red colored flags or reflective go and stop signs to
separate the personnel from equipment.
2.2.4 Spotter and/or flagman should not stay in the blind spot of the
equipment and be always visible to the operator.
2.2.5 Spotter and/or flagman should not walk in line with the path of the
equipment.
2.2.6 Construction equipment shall have both TB PWAS and RVCCCS
installed, tested, and operating at all times.
2.2.7 Personnel and visitors shall be provided by CONTRACTOR with
Tags compatible with the TB PWAS system and shall be required to
wear them at all times.
2.2.8 Personnel shall not rest or sleep (e.g., seek shade) under mechanical
or heavy equipment at any time.
2.3.1 Always park the trailer on a solid level surface that can easily support CAT Engineer /
the load. Supervisor /
Foreman / Driver
/ Spotter / HSE
Officer / WPR
2.4.1 Overhead power lines shall be protected by barriers and/or CAT Engineer /
timber/wire “goal posts” to maintain required clearances. Supervisor /
2.4.2 Access below overhead power lines shall be restricted by barriers Foreman / Driver
where the “goal posts” are located. / Spotter / HSE
2.4.3 Low bed shall not be positioned directly below overhead powerlines. Officer / WPR
2.4.4 When heavy equipment is operating near an energized power line, a
designated signalman shall be assigned to ensure the following
minimum distances are maintained:
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PMT/Contractor JSA Form - 1/12/2008

2.5 H2S 2.5.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
2.5.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver
2.5.3 Self-contained breathing apparatus shall be available. / Spotter / HSE
2.5.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
2.6 Fire from combustible 2.6.1 LEL shall be monitored using a calibrated gas detector (e.g. MX4). CAT Engineer /
gases 2.6.2 Fire extinguisher shall be available. Supervisor /
2.6.3 Flame resistant clothing shall be worn by all workers. Foreman / Driver
2.6.4 Equipment shall not be started unless safe to do so. / Spotter / HSE
2.6.5 Equipment shall be positioned upwind from H2S source if possible. Officer / WPR
3 Opening of ramp 3.1 Ramp malfunction 3.1.1 Always inspect the ramps to ensure they function properly. CAT Engineer /
Supervisor /
Foreman / Driver /
HSE Officer /
WPR
3.2 Manual handling 3.2.1 Ramps must be provided with spring loaded jacks in order for a CAT Engineer /
single person to easily and safely open ramps. Supervisor /
3.2.2 The assignment shall consider personal physical limitations that vary Foreman / Driver /
among individuals. Care shall be taken so as to not exceed these HSE Officer /
WPR
limitations.
3.3 Personnel getting struck 3.3.1 Workers shall not be allowed to stand near or directly behind the CAT Engineer /
by the ramp ramps. Supervisor /
Foreman / Driver /
HSE Officer /
WPR
3.4 H2S 3.4.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
3.4.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver /
3.4.3 Self-contained breathing apparatus shall be available. HSE Officer /
WPR
3.4.4 Wind direction shall be monitored. Low bed shall be positioned
upwind from the H2S source.
4 Loading of equipment such as: 4.1 Equipment failure 4.1.1 Equipment shall be inspected periodically by a competent equipment CAT Engineer /
inspector or mechanic. Supervisor /

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PMT/Contractor JSA Form - 1/12/2008

 Crane 4.1.2 Pre-use inspections shall be conducted on all equipment. Operators Foreman /
 Backhoe performing these inspections shall ensure the following, at a Operator /
 Rock breaker minimum, prior to operating the equipment: Mechanic / HSE
 Loader  No fuel, oil, hydraulic fluid, water, etc., leaks are coming from the Officer / WPR
 Backhoe-loader equipment. Spills shall be immediately contained, cleaned up,
 Sideboom and properly disposed.
 Hose and pipe connections are checked and free of wear and
 Bulldozer
cracks. Defective hoses/pipes shall be replaced or repaired. All
lights and warning devices operate properly.
 Wiring inspected and free of damage or improper repairs.
4.2 Personnel getting struck 4.2.1 Operators and drivers shall possess a valid Saudi Arabian CAT Engineer /
by equipment government (SAG) heavy equipment license and SA certification as Supervisor /
required for operation of the specific type of heavy equipment. Foreman /
4.2.2 Equipment shall be installed with back-up alarm to alert the Operator /
personnel. Spotter / HSE
4.2.3 Spotter and/or flagman should be assigned with whistle, reflective Officer / WPR
vest, green and red colored flags or reflective go and stop signs to
separate the personnel from equipment.
4.2.4 Spotter and/or flagman should not stay in the blind spot of the
equipment and be always visible to the operator.
4.2.5 Spotter and/or flagman should not walk in line with the path of the
equipment.
4.2.6 Construction equipment shall have both TB PWAS and RVCCCS
installed, tested, and operating at all times.
4.2.7 Personnel and visitors shall be provided by CONTRACTOR with
Tags compatible with the TB PWAS system and shall be required to
wear them at all times.
4.2.8 Personnel shall not rest or sleep (e.g., seek shade) under mechanical
or heavy equipment at any time.
4.2.9 Loading & unloading area shall be barricaded and isolated to prevent
the entry of unauthorized personnel.
4.3 Falling of equipment 4.3.1 Always park the trailer on a solid level surface that can easily support CAT Engineer /
the load. Supervisor /
4.3.2 Operators shall move the equipment slowly while being loaded to or Foreman /
unloaded from the low bed. Operator /
4.3.3 Spotter shall be assigned to guide the operators during loading or Spotter / HSE
unloading. Officer / WPR

4.4 Overhead powerlines 4.4.1 Overhead power lines shall be protected by barriers and/or CAT Engineer /
timber/wire “goal posts” to maintain required clearances. Supervisor /
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PMT/Contractor JSA Form - 1/12/2008

4.4.2 Access below overhead power lines shall be restricted by barriers Foreman / Driver
where the “goal posts” are located. / Spotter / HSE
4.4.3 Equipment shall not be loaded directly below overhead powerlines. Officer / WPR
4.4.4 When heavy equipment is operating near an energized power line, a
designated signalman shall be assigned to ensure the following
minimum distances are maintained:

4.5 H2S 4.5.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
4.5.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver
4.5.3 Self-contained breathing apparatus shall be available. / Spotter / HSE
4.5.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
4.6 Fire from combustible 4.6.1 LEL shall be monitored using a calibrated gas detector (e.g. MX4). CAT Engineer /
gases 4.6.2 Fire extinguisher shall be available. Supervisor /
4.6.3 Flame resistant clothing shall be worn by all workers. Foreman / Driver
4.6.4 Equipment shall not be started unless safe to do so. / Spotter / HSE
4.6.5 Equipment shall be positioned upwind from H2S source if possible. Officer / WPR
5 Raising / closing of ramp 5.1 Personnel getting struck 5.1.1 Workers shall not be allowed to stand near or directly behind the CAT Engineer /
by the ramp ramps. Supervisor /
5.1.2 Ramps shall be raised or closed using heavy equipment. Foreman / Driver
/ HSE Officer /
WPR

5.2 Ramp malfunction 5.2.1 Always inspect the ramps to ensure they function properly. CAT Engineer /
Supervisor /
Foreman / Driver
/ HSE Officer /
WPR

5.3 H2S 5.3.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
5.3.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver

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PMT/Contractor JSA Form - 1/12/2008

5.3.3 Self-contained breathing apparatus shall be available. / Spotter / HSE

5.3.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
6 Lashing of equipment 6.1 Unexpected movement 6.1.1 Blades, buckets, scraper bowls, and other hydraulic components CAT Engineer /
of the equipment shall be lowered. Supervisor /
loaded 6.1.2 Engines shall be stopped, the parking brake applied, and wheels Foreman / Driver
chocked. / HSE Officer /
WPR
6.2 Chain failure 6.2.1 Chains must be inspected and in good condition. CAT Engineer /
Supervisor /
Foreman / Driver
/ HSE Officer /
WPR
6.3 Personnel getting 6.3.1 Work areas shall be kept clear of material and debris. CAT Engineer /
tripped 6.3.2 Lashing equipment shall be arranged properly. Supervisor /
Foreman / Driver
/ HSE Officer /
WPR
6.4 H2S 6.4.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
6.4.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver
6.4.3 Self-contained breathing apparatus shall be available. / Spotter / HSE
6.4.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
7 Transportation of heavy 7.1 Protruding parts of the 7.1.1 Overhang shall be correctly flagged and within limits. CAT Engineer /
equipment equipment 7.1.2 Warning light shall be fitted if required. Supervisor /
7.1.3 Warning placards, such as “Wide Load”, shall be properly affixed Foreman / Driver
when a wide (or large) load is being transported. / HSE Officer /
WPR
7.2 Falling of equipment 7.2.1 The weight of the equipment shall conform within the capacity of the CAT Engineer /
trailer truck. Supervisor /
7.2.2 Equipment shall be secured and lashed properly. Foreman / Driver
7.2.3 Chains must be inspected and in good condition. / HSE Officer /
7.2.4 Equipment wheel shall be choked. WPR
7.3 Traffic 7.3.1 The driver shall: CAT Engineer /
 Abide by all SAG traffic regulations and SA traffic requirements Supervisor /
at all times in all locations. Foreman / Driver
 Wear seat belts at all times and ensure that all passengers wear / HSE Officer /
their seat belts as well. WPR
 Not exceed the posted speed limit at any time.

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PMT/Contractor JSA Form - 1/12/2008
7.4 Off-road driving
8 Unlashing of equipment 8.1 Unexpected movement
of the equipment loaded
8.2 Chain failure
8.3 Personnel getting
tripped
 Not use a cell phone, eat or drink while driving.
 Properly transport materials and ensure loads do not exceed the
vehicle manufacturer’s design load capacity.
 Secure loose materials in the driving compartment or truck
cargo area. Hard hats and other loose materials shall not be
placed on the rear window shelf.
 Ensure unauthorized persons are not transported in vehicles.
 Not transport more passengers than the number of seat belts
provided in the vehicle.
 Only park in designated parking areas.
 Reduce vehicle speed under hazardous weather or road
conditions.
 Not leave the vehicle unattended while the engine is running.
 Always set the parking or emergency brake when the vehicle is
parked.
7.4.1 Off-road vehicle operators shall inform their immediate supervisors of CAT Engineer /
their destination, route and expected time of return. Supervisor /
7.4.2 Personnel lost or stranded in the desert shall stay with the vehicle. Foreman / Driver /
7.4.3 Off-road vehicles shall be in good condition and, as a minimum, HSE Officer /
WPR
equipped with the following:
 Compass and/or global positioning system (GPS) unit and
appropriate maps.
 Adequate spare fuel and oil.
 Communication equipment.
 Tools and equipment for emergency use (shovel, sand
boards/mats, rope, sling, shackles, etc.)
 Sufficient food and drinking water to last until rescue occurs, if
stranded.
 Sufficient materials to create shade.
8.1.1 Blades, buckets, scraper bowls, and other hydraulic components shall be CAT Engineer /
lowered. Supervisor /
8.1.2 Engines shall be stopped, the parking brake applied, and wheels chocked. Foreman / Driver /
HSE Officer / WPR
8.2.1 Chains must be inspected and in good condition. CAT Engineer /
Supervisor /
Foreman / Driver /
HSE Officer / WPR
8.3.1 Work areas shall be kept clear of material and debris. CAT Engineer /
8.3.2 Lashing equipment shall be arranged properly. Supervisor /
Foreman / Driver
/ HSE Officer /
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PMT/Contractor JSA Form - 1/12/2008

WPR
8.4 H2S 8.4.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
8.4.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver
8.4.3 Self-contained breathing apparatus shall be available. / Spotter / HSE
8.4.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
9 Opening of ramp 9.1 Ramp malfunction 9.1.1 Always inspect the ramps to ensure they function properly. CAT Engineer /
Supervisor /
Foreman / Driver
/ HSE Officer /
WPR

9.2 Manual handling 9.2.1 Ramps must be provided with spring loaded jacks in order for a CAT Engineer /
single person to easily and safely open ramps. Supervisor /
9.2.2 The assignment shall consider personal physical limitations that vary Foreman / Driver
among individuals. Care shall be taken so as to not exceed these / HSE Officer /
limitations. WPR
9.3 Personnel getting struck 9.3.1 Workers shall not be allowed to stand near or directly behind the CAT Engineer /
by the ramp ramps. Supervisor /
Foreman / Driver
/ HSE Officer /
WPR
9.4 H2S 9.4.1 Gas test shall be conducted and monitored using a calibrated gas CAT Engineer /
detector (e.g. MX4). Supervisor /
9.4.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver
9.4.3 Self-contained breathing apparatus shall be available. / Spotter / HSE
9.4.4 Wind direction shall be monitored. Low bed shall be positioned Officer / WPR
upwind from the H2S source.
9.4.5
10 Unloading of equipment such as: 10.1 Equipment failure 10.1.1 Equipment shall be inspected periodically by a competent equipment CAT Engineer /
inspector or mechanic. Supervisor /
 Crane 10.1.2 Pre-use inspections shall be conducted on all equipment. Operators Foreman /
 Backhoe performing these inspections shall ensure the following, at a Operator /
 Rock breaker minimum, prior to operating the equipment: Mechanic / HSE
 Loader  No fuel, oil, hydraulic fluid, water, etc., leaks are coming from the Officer / WPR
 Backhoe-loader equipment. Spills shall be immediately contained, cleaned up,
 Sideboom and properly disposed.
 Hose and pipe connections are checked and free of wear and
 Bulldozer
cracks. Defective hoses/pipes shall be replaced or repaired. All

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PMT/Contractor JSA Form - 1/12/2008

lights and warning devices operate properly.

 Wiring inspected and free of damage or improper repairs.
10.2 Personnel getting 10.2.1 Operators and drivers shall possess a valid Saudi Arabian CAT Engineer /
struck by equipment government (SAG) heavy equipment license and SA certification as Supervisor /
required for operation of the specific type of heavy equipment. Foreman /
10.2.2 Equipment shall be installed with back-up alarm to alert the Operator /
personnel. Spotter / HSE
10.2.3 Spotter and/or flagman should be assigned with whistle, reflective Officer / WPR
vest, green and red colored flags or reflective go and stop signs to
separate the personnel from equipment.
10.2.4 Spotter and/or flagman should not stay in the blind spot of the
equipment and be always visible to the operator.
10.2.5 Spotter and/or flagman should not walk in line with the path of the
equipment.
10.2.6 Construction equipment shall have both TB PWAS and RVCCCS
installed, tested, and operating at all times.
10.2.7 Personnel and visitors shall be provided by CONTRACTOR with
Tags compatible with the TB PWAS system and shall be required to
wear them at all times.
10.2.8 Personnel shall not rest or sleep (e.g., seek shade) under mechanical
or heavy equipment at any time.
10.2.9 Loading & unloading area shall be barricaded and isolated to prevent
the entry of unauthorized personnel.
10.3 Fall of equipment 10.3.1 Always park the trailer on a solid level surface that can easily support CAT Engineer /
the load. Supervisor /
10.3.2 Operators shall move the equipment slowly while being loaded to or Foreman /
unloaded from the low bed. Operator /
10.3.3 Spotter shall be assigned to guide the operators during loading or Spotter / HSE
unloading. Officer / WPR

10.4 Overhead 10.4.1 Overhead power lines shall be protected by barriers and/or CAT Engineer /
powerlines timber/wire “goal posts” to maintain required clearances. Supervisor /
10.4.2 Access below overhead power lines shall be restricted by barriers Foreman / Driver
where the “goal posts” are located. / Spotter / HSE
10.4.3 Equipment shall not be unloaded directly below overhead powerlines. Officer / WPR
10.4.4 When heavy equipment is operating near an energized power line, a
designated signalman shall be assigned to ensure the following
minimum distances are maintained:

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PMT/Contractor JSA Form - 1/12/2008

10.5 H2S 10.5.1 Gas test shall be conducted and monitored using a calibrated gas detector CAT Engineer /
(e.g. MX4). Supervisor /
10.5.2 Personal H2S detector (e.g. T40) shall be provided for the workers. Foreman / Driver /
10.5.3 Self-contained breathing apparatus shall be available. Spotter / HSE
10.5.4 Wind direction shall be monitored. Low bed shall be positioned upwind from Officer / WPR
the H2S source.
10.6 Fire from 10.6.1 LEL shall be monitored using a calibrated gas detector (e.g. MX4). CAT Engineer /
combustible gases 10.6.2 Fire extinguisher shall be available. Supervisor /
10.6.3 Flame resistant clothing shall be worn by all workers. Foreman / Driver /
10.6.4 Equipment shall not be started unless safe to do so. Spotter / HSE
10.6.5 Equipment shall be positioned upwind from H2S source if possible. Officer / WPR

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