Duqm Refinery Project EPC Package One

JSA for Soil/Sand Removal and Foundation Demolition Rev.00

Sub-Contractor Name: Queen Topaz International Trading & Cont. Co.

Contractor Name: TECNICAS REUNIDAS & DAEWOO
L.L.C
Project: Duqm Refinery Project EPC Package One Address: Muscat

Location: Duqm Area In charge: Kapil Dev

Type of JSA: Soil/Sand Removing & concrete Foundation Demolition JSA No.: 1 New: Revise:

Job Description: The JSA covering all the hazard & preventive measures for manual/Equipment concrete foundation & soil/sand/demolished material removing
from work site (Trenches) to TRD approved area. Equipment’s involved in activity will be Hand tools, backhoe loader, Chain Excavator/Breaker, Tipper/Dump truck
and skid loader.

Prepared By Subcontractor:
Name: Syed Hassan Raza Position: HSE Manager Signature: Date:
Reviewed and Approved By Subcontractor:
Name: Kapil Dev Position: Project Manager Signature: Date:
Reviewed and Approved By TRD:
Name: Renato Sousa Position: TRD-HSE Superintendent Signature: Date:

Reviewed and Approved By TRD:

Name: Position: Construction Manager Signature: Date:

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

Incident Likelihood or Probability

Incident Severity
Improbable Remote Occasional Probable Frequent
Productivity or Severity
Environment Property Personnel A B C D E
Downtime Level

Fatality or
Permanent damage total
> 2 weeks Total facility loss 5 L M H H H
beyond project boundary permanent
disability

Permanent damage
Damage to an
within project Permanent
1 week to entire facility or loss
boundary or partial 4 L M H H H
2 weeks of multiple systems in
reportable release disability
a facility
beyond boundary

Reportable release Damage to an entire

facility or multiple
> 1 day to within project
systems in a facility Days away 3 L L M H H
< 1 week boundary with no requiring repair or
permanent damage replacement

Release within project

Damage to a facility
boundary below OSHA
½ day to element or system
reporting quantity with Recordable 2 L L M M H
1 day requiring repair or
clean-up by external or E-1
replacement
source

Release within project

Damage to a facility
boundary below
element or system
< ½ day reporting quantity with First aid 1 L L L M M
requiring negligible or
clean-up by internal
no repair
source

High Operation not permitted; must implement Operation permitted with a time Operation permitted with
Risk Mitigation Medium Low
controls to reduce risk to an acceptable or limited waiver endorsed by implementation of core HSE program
Controls (H) (M) (L)
manageable level. management. elements.

Activity / Task: Soil/Sand & Concrete Foundation Demolition Date: 12.01.2022

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

Work Location: Duqm Refinery Company: Queen Topaz FM/Supervisor: Prabhu

JSA No: 1 Rev.0

Please mark (■) appropriate boxes - (A new JSA is required if the job scope or work conditions changes)
 Confined Space  Safe Work Permit
Permit(s)
1.0 Required:  Hot Work  Others
 Hard Hat Clear Safety Glasses  Dark Safety Glasses  Chemical Goggles  Cutting Goggles
Dust Mask  Face Shield  Welding Hood  Welding Aprons  Welding Leggings
Ear Plugs  Earmuffs  Cartridge Respirator  Escape Respirator  SCBA
Cotton Gloves  Leather Gloves (rigging)  Leather Gloves (welding)  Rubber Gloves
2.0 PPE Required:
Coverall  Disposable Coverall  Full Body Harness  Hi-vis Vest / jacket
 Rubberized Cotton
Safety Shoes
 Cut resistant gloves  Nitrile gloves  Elect Insulated gloves  Arm Sleeves
 Dielectric footwear
 Air supplied respirator  Fire resistant coverall  Rain Suit

 Gas Badge  Multi-Gas Monitor  Gas Detective  Light Meter  Anemometer

Special Tools and  Dosimeter  Thermometer  Ventilation Fans  Air Blower  Fire Extinguisher
3.0 Equipment  Lifeline  Retrieval Line  Padlock, Hasp, Tags  Lighting (low voltage)  Lighting (high lux)
Required:  Air Horn  Whistle  Traffic Flags  Traffic Cones
 Spill Kits

Potential
Noise  Air Pollution (dust)  Air Pollution (smoke)  Air Pollution (vapor)
4.0 Environmental  Soil erosion  Spills (to ground) Spills (Water)  Hazards to Flora & Fauna
Hazards

Hazardous Materials
5.0 (attach MSDS)
 Carcinogen  Irritant  Highly Flammable  Toxic  Explosive

Other Potential  Electrical  Pressure (air, water, gas)  Mechanical (crush points)  Ergonomics Temperature (±)
6.0 Hazards  Light / Dark  Ignition Sources  Dust / Vapor  Suffocation  Other Trades

Drink water and take rest breaks in hot weather conditions/Wear warm/suitable clothes in cold weather conditions.
Emergency: TRD HOT LINE: 97864422 and follow the emergency response plan: First aid facilities shall be available.
Covid-19: Respect the protocol wear facemask, maintain social distance, use of sanitizers and soap liquids, avoid touching eyes, mouth or nose before washing hands. Follow with MOH instructions, in case of covid-19 symptoms, report to
your supervisor immediately.
Additional HEAT STRESS: Drink water and take rest breaks, do not work in open area for too long.
7.0 Instructions CONFINED SPACES: if confined space entry is applicable, a separated PTW and JSA are required.
HOT WORK: if you use grinder machine, torch, cutting machine, etc. another JSA is required.
ENVIRONMENT: Respect the environment HSE plan in all aspects.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
Ensure strict compliance to TRD Procedure.
• Health safety and environment &
social system.
• Permit to Work.
• HSE training and competency
program.
 Procedure Non- • Emergency Response Plan  Site Y
1 Site Preparation M L
Compliance • HSE Induction Procedure Supervisor
• PPE Procedure
• Manual and mechanical handling,
Ensure approved JSA is attached with the
permit.
Ensure drawings of the specific job are
attached with the permit.

• Check and obtain relevant permit.

• Permit receiver shall be available
throughout the duration of the
activity.
 PTW non-  Supervisor Y
M • PTW shall be kept and displayed on L
compliance
the working area all the times.
• PTW shall be discussed to all
workers. Workers shall know the
location of the PTW at all time.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• Deploy only HSE Inducted persons.
• Ensure all necessary training are  Constructio
 Deployment of
given to the persons as per job n Manager Y
non-competent H L
requirement.  Site
personnel.
• Workers must be competent as per Supervisor
job requirements.

• Machinery/equipment must have

 Non-certified third party clearance certificate and  Constructio
approved also inspection sticker signed by n Manager Y
H L
machinery/equip TRD inspector.  Site
ment • Daily inspection checklist shall be Supervisor
available in the vehicle.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• Ensure adequate welfare facilities
are established prior to work
starts. Following facilities must be
provided: rest shelter, portable
toilets, water drinking stations,
eye wash, prayers area, washing
area.
• All workers must have clear PCR
 Constructio
 Irregular / non- medical fitness test report. (Covid-
n Manager Y
provision of M 19) L
 Site
welfare facilities; • Rest shelter shall have enough
Supervisor
space for all personnel in the area.
• Drinking water shall be renewed
first thing every morning before
commencing the activities, and
shall be kept cold by using ice and
insulating materials.
• Ensure regular cleaning and
Maintenance of welfare facilities.

• All personnel shall report security

when any dangerous animals are
 Biological found at site (snakes, Scorpions,  Site Y
H L
Hazards dessert foxes, dogs, etc.). Supervisor
• Workplace shall be kept clean and
free from any Waste food.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• TRD inspection of equipment must
be done.
• No use of mobile phone or blue
Mobilization of tooth devices while driving.
equipment/machinery • Maintain a safe distance from
 Site Y
2 at site. (Backhoe  Traffic incident H other traffic. L
Supervisor
loader, Tipper, skid • Daily inspection checklist shall be
loader) available and conducted by driver.
• Driver should follow the safe
driving procedure like adhere the
speed limit (20km/h),

• Trained flagman in place with

 Collisions with orange vests and flags.
heavy • Flagman to be in suitable place
equipment, where he can be seen by all  Site Y
H L
vehicles and operators/drivers and they can Supervisor
personnel on see his directions with flags.
site/road • Equipment must have reverse
alarms and flashing.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• Pre-task briefing shall be provided
prior start the work.
• Ensure proper communication with
other contractors/ employees of
 Lack of the task prior to the job.
communication / • Interface meeting shall be
Simultaneous  Site
miss conducted and priorities the task
3 Operations M L Supervisor Y
communication • Cordon off the work area & sign
(SIMOPS)
(Poor boards placed.
Supervision) • Ensure proper training for the
employees involved in the task.
• Ensure competent personnel are
deployed and proper supervision
shall be done.

• Trained Flagmen will be utilized as

 Man Vs required for roadway traffic.
Use of machinery
Machine / • Appropriate warning signs will be
4 examples: (backhoe  Site Y
vehicle / H posted. L
loader, tipper, skid Supervisor
equipment • Only competent driver/operator
loader)
interface shall drive/operate
vehicle/equipment’s

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• Ensure Equipment Maintenance
 Environmental
shall be done at designated place.
pollution due to
• Ensure dip trays are used while
oil/fuel leakage  Site Y
H refueling. L
from Supervisor
• Ensure no leakage from
equipment/vehic
equipment/vehicle.
le
• Do not overfill fuel.

• Full supervision during activity on

site.
• Improve alert/awareness of mobile
equipment Warning signs, lights,
 Man machine  Site Y
alarms, etc. L
interface H Supervisor
• Competent Flagman shall be
available with the equipment.
Soil/Sand removal • Segregate the pedestrian area from
from site with equipment working area.
Mechanical
5
Equipment: Backhoe
loader, skid loader,  Ensure Equipment Maintenance
Tipper shall be done at designated place.
 oil/fuel leakage  Ensure dip trays are used while
from refueling.  Site Y
H L
equipment/vehic  Ensure no leakage from Supervisor
le equipment/vehicle.
 Do not overfill fuel.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG

 All machine/equipment must have

all necessary documents in
possession and inspection shall be
performed by TRD and inspection  Site
 Mechanical Y
H sticker shall be pasted prior to L Supervisor
failure
mobilization of equipment on work.  Driver
 Daily inspection checklist shall be
available in the equipment’s.
 A fire extinguisher shall be placed.

 Flagman shall be available with the

equipment to control the
 Personnel injury equipment and any unauthorized
and/or property entry to the work spot.
damage due to  Warning sign will be placed and the
 Site Y
hit by Backhoe H barricading will be provided. L
Supervisor
loader, skid  Vehicle should be fitted with
loader, reverse alarm and it should be
Tipper/dumper. audible.
 Close supervision and monitoring.

Demolition of
 Ensure the appropriate PPE use ear
concrete foundation
plugs to protect ears from noise &
with machinery  Site y
6  Noise & Vibration H vibration. L
(Excavator/breaker, Supervisor
 Ensure that the hearing protectors
backhoe loader, skid
are properly used and maintained.
loader)

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
 Competent flagman presence with
well-maintained distance from
machinery.
 Projection of  Barricade working area.  Site Y
H L
particles.  Full supervision during activity on Supervisor
site.
 Keep a safe distance in workers and
machine.

 Operator must be competent.

 No unauthorized person in working
area.
 Competent flagman presence.
 Man machine  Site Y
H  Full supervision during activity on L
interface Supervisor
site.
 Improve alert/awareness of mobile
equipment Warning signs, lights,
alarms, etc.

 Competent supervisor must be

available during activity.
 Supervisor must be aware of
 Poor Supervision hazards in the workplace and
 Site Y
and lake of H understands safety risks to play a L
Supervisor
training. critical role in creating a safe work
environment.
 Safety policies of TRD must be
followed.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• All personnel at Site shall wear high
visibility vest or coverall with
Loading & Unloading reflective sticker at all times when
of working at Site.
Soil/sand/demolished  Man-machine/ • Deploy competent Flagman. Ensure
 Site Y
7 material with equipment/ H trained flagman shall assign with L
Supervisor
machinery ( Backhoe vehicle interface. equipment/vehicle while entering
loader, Skid loader, in construction zone and while
Tipper/Dump truck) reversing.
• Pedestrians area must be separated
from equipment’s working area.

• Ensure all materials need to be

secured while
transporting/carrying.
• Pedestrians’ area must be
 Falling of separated from equipment  Site Y
H L
materials movement area. Supervisor
• Tipper/dumber must not be
overloaded and all the operators
must follow SWL (Safe work load) of
equipment.

• Properly cover the soil/sand with

tarpaulin to prevent any soil on the
road.
 Site Y
 Covering H • Driver to switch off the engine. L
Supervisor
• Before driving after loading
soil/sand on Tipper/dumper ensure
nobody on the top of the truck.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
• Driver must have valid Oman
driving license.
• Driver should follow the safe driving
 Site Y
 Over Speeding H procedure like adhere the speed L
Supervisor
limit (20km/h), wearing seat belt
and avoid using mobile phone while
driving.

 Make proper coordination with

coworker while manual handling.
 Avoid manual handling where
Manual Handling of
possible and use machines in the  Site Y
8 materials, hand tools • Back Injuries, H L
first instance. Supervisor
and civil tools strains or sprain.  Use body system.
 A person should not lift more than
20 Kg weight manually.

 Do not use defective tools.

 Use only standard approved tools,
do not use handmade tools.
 Use only inspected tools with color
 Site Y
• Defective tools. H coding. L
Supervisor
 Visual inspection must be done
before using each tool.
 Do not use any tool which is not
color coded or inspected.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG

 Use right tool for the job

• Wrong Tool for accordingly.  Site Y
H L
the job.  Hand gloves shall be dry and free Supervisor
from Slippery items.

 Proper housekeeping required.

 Sign boards availability according
 Site Y
• Slip/ trip/ fall H the activity. L
Supervisor
 Remove all obstructions from
walkways and working area.

 Any lifting activity shall be stopped when

the wind speed is more than 9 m/s or 32
km/h.
 Work shall be stopped when Supervisor
• Poor visibility & assesses the situation to be dangerous for  Site Y
H L
wind the life or health of workers. Supervisor
 Extra care shall be used when working
during sand storm or mild rains.
Supervisor shall carefully monitor the
visibility of the area and act accordingly.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
 Monitor humidity and temperature;
display the flags according to the level
• Extremely heat –  Drinking water will be provided in the site  Site Y
H L
heat stress always Supervisor
 All workers will be advised to take short
break if feel fatigue

 Proper PPE according to the weather

conditions shall be used
 Dust insulated Rest shed should be
 Site Y
• Dusty / wet areas H provided L
Supervisor
 Work shall be stopped when Supervisor
assesses the situation to be dangerous for
the life or health of workers.

 Access and walkways shall be kept free

from obstructions.
• Slips, trips and  Areas shall be maintained clean and free  Site Y
9 Housekeeping M L
falls from any obstruction. Supervisor
 Proper storage area shall be provided to
keep all tools and materials stored in it.

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 Duqm Refinery Project EPC Package One
JSA for Soil/Sand Removal and Foundation Demolition Rev.00

RISK Acceptable
S RESIDUAL
JOB STEPS POTENTIAL HAZARDS RATI PREVENTIVE AND CONTROL MEASURES RESPONSIBLE (Y/N)
N RISK
NG
 All nails in wood and timber shall be
removed.
 All unused wood and timber must be
properly storage and de-nailed in a
properly separated and barricaded area,
with adequate signs for identification.  Site Y
• Punctures M L
 All workers shall wear the minimum Supervisor
personal protective equipment required
for the project for the specific activity
being carried out.
 Adequate number of trash bins shall be
provided

 Housekeeping shall be held on a daily

basis at the end of the shift. Proper time
shall be allocated for this purpose.
 Site
 Unsafe conditions due to poor
• Untidy and Supervisor Y
M housekeeping shall be immediately L
messy work place  Foreman
eliminated from the workplace.
 All construction waste and unwanted
materials shall be removed from Site on a
daily basis.

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