PMT/Contractor JSA Form - 1/12/2008

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JOB SAFETY ANALYSIS WORK SHEET

New D / M / Y Contractor: Br. C.A.T. International Co. Limited.
JSA # MGS-005 Date
✘ Revised 26 / JAN / 2016 Contract #/JO#: 660003283/10-01282-0002

JSA Function Name Badge# Job Title Mobile Phone #

CAT Site Supv./ Frmn. Noshad Alam Supervisor (E & I) 055 9965 621

CAT Project Engineer Omar Turkmani Construction Manager 055 8080 192

CAT Site Safety Supervisor Zahid Mahmood Bhatti Safety Manager 050 4638 022

SAPMT Safety Advisor Warren G. Khel SAPMT Safety Advisor 055 9223 086

SAPMT Representative Antonio Vigilanti SAPMT Lead Engineer 054 3651 141

Proponent Rep. (Issuer)

Proponent Rep. (Oprtn.)

DESCRIPTION OF TASK: Hand Excavation, exposing existing utilities (cables, pipelines, structures etc.).
Work Location/ (Area then station numbers): MGS 56˝ EWG-2 Pipeline KM-606, 616, 626, 636, 646, 656, 666, 676, 686, 696, 706,
716, 726, 736, 746, 756, 766, 776, 786, 796, 706, 716, 726, 736, 746, 756, 766, 786, 796, 806, 816, 826, 836, 846, 856, 866.
Prepared by/ Signature: (Contractor) Reviewed By/ Signature: (SAPMT) Reviewed By/ Signature: (Client)

Construction Manager ______________ Safety Advisor ____________ ________________

Omar Turkmani Signature Warren G. Khel Signature Operation Safety Advisor

Approved By/ Signature: (Client)

Safety Manager ______________ Lead Engineer. ____________
Zahid Mahmood Signature Antonio Vigilanti Signature ___________________
Operation P/L Foreman
PMT/Contractor JSA Form - 1/12/2008
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Reference GIs & SAES:
Work Permit System (G.I. 2.100), Gas testing procedure (G.I. 2.709), Reporting of Contractor on-job Injuries/Occupational Illnesses (G.I. 6.007), Saudi Aramco Construction Safety
Manual (SACSM). Safety Spectacles (G.I. 8.002), Protective Safety Footwear (G.I. 8.005), Street and Road Closure, Excavation Reinstatement and Traffic Controls (GI 1021.000),
Inspection, Testing and Maintenance of Fire Protection Equipment (G.I.1781.001). Control of remote area travel and search/rescue procedures (G.I. 6.025), Traffic and vehicle safety
(G.I. 6.030).

Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Working to adjacent pipelines or any  Issuer and Receiver shall conduct joint site inspection to identify all adjacent
live cables, piping, equipment or system and to protect properly against any
existing facility.
accidental damage.
CAT/
 Damage or improper hand tools  Ensure all work hand tools are color coded free from any damage and in Operation
good working condition. SAPMT
(follow-up)
 Unsuitable or uninspected fire  Ensure proper type of firefighting equipment is available, inspected and color
1. Work Site Preparation coded.
fighting equipment

 Violation of work permit system  Comply with SA G.I. 2.100 (work permit system) , Issuer and receiver both
would have in their possession the valid work permit card certification and
correct type of work permit will be issue and received.

 Faulty gas testing device or gas  Conduct gas testing when required prior to issue work permit and indicate
testing not performed result on work permit. Issuer &
Receiver
2. Work Permit  Incorrect filling of work permit  Job description and work equipment to be used will be clearly stated on the
work permit. All tick boxes will be correctly marked.

 Not meeting the requirements  Special precautions like, standby man barricading or safety signage will be
stated on work permit.
 Struck by vehicles  Secure the area by installing barricades, sign boards, blinking lights. Warning
signs must be kept at suitable distance to warn the approaching vehicle to CAT/
Secure the area against traffic
work area. Operation
(while working beneath the
3. SAPMT
right of way)
 Vehicle falling into excavation  Prepare Berm at both sides of excavation to stop vehicles, accidently (follow-up)
approaching to the excavation.
PMT/Contractor JSA Form - 1/12/2008
Item SEQUENCE/ BASIC
STEPS
Cutting of Asphalt
4.
(where ever required)
Manual excavation
exposing existing utilities
5.
(cables and pipelines crossings
and structures etc.)
Manual work inside the trench
(1.2 m, confined space)
6.
POTENTIAL HAZARDS
 Damage to shallow buried utilities
 Unskilled workforce
 Damage or faulty equipment
 Damage to underground utilities
(cables, pipes etc.)
 Electric shock
 Damage hand tools
 Minor or serious personnel injuries
 Falling of equipment & people into
trench
 Asphyxiation, Presence of toxic and
flammable gases
 Improper access & egress
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HAZARD CONTROLS ACTION
BY
 Metal detector to be utilized prior to use any cutting operation.
 Experienced workers will operate the asphalt cutter. Wear job required CAT/
personal protective equipment including ear plugs/muffs. Operation
SAPMT
 Ensure asphalt cutter is inspected, safety guards are in place and cutting 1 (follow-up)
disk is proper size and type.
 Ensure SA excavation checklist been approved prior to start the job.
Excavation area will be identified and marked prior to start excavation. Only
hand excavation will be carried out to expose underground utilities. Existing
utilities will be supported and protected properly against any accidental
damage. Conduct safety toolbox talk with work crew to explain job hazards
and safety precautions mentioned in JSA.
CAT/
 Do not touch existing live cables. Report immediately if, found any damage
Operation
cables. Activity will be monitored by competent foreman/supervisor.
SAPMT
2 (follow-up)
 Only Inspected and color coded hand tools shall be used.
 Job required necessary personal protective equipment shall be worn while
working.
 Do not operate heavy equipment close to the edge of excavation. Excavated
area will be barricaded properly and safety sign boards will be placed to
warn the people. Beacon lamps will be installed for night time.
CAT/
 Comply with SA G.I. 2.100 (work permit), G.I. 2.709 (gas testing), obtain Operation
confined space entry permit prior to enter and work inside the excavation. SAPMT
Conduct gas test to ensure the required oxygen percentage and to know the (follow-up)
toxic and flammable gases and their percentage. Stop the work and
evacuate from excavation, if feel any change in work environment. Deploy
standby man, excavation deeper than 1.2 meter with entry/exit log sheet.
 Provide access ladder extend at least 1 meter above the edge of excavation
and secure properly.
 Proper sloping, benching or shoring will be provided to prevent excavation
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Excavation collapse collapse.

 Job required necessary personal protective equipment shall be worn while

 Minor or serious personnel injuries working.

 Incompetent heavy equipment  Comply with SA G.I. 7.025 (Heavy Equipment Operator Testing and
operator Certification). Heavy Equipment operator shall be competent and have a
valid Saudi Aramco Certificate stamped for the equipment he is operating.

 Vehicle collision  Only experienced heavy duty drivers and in possession of a valid Saudi
Arabia Government driver’s license will be allowed to drive the dump truck
for the haulage of demolished/excavated material. Follow speed limit.

 Workers struck by equipment  Unauthorized personnel shall not be allowed to enter in equipment working
7. Haulage of area. Spotters shall be provided to control the vehicle movement and to CAT/
excavated/backfill material STOP the unauthorized entrants. Safety & working sign boards will be Operation
installed. SAPMT
(where required)
 Hitting to existing facility (follow-up)
 Safe clearance shall always be maintained while working near the existing
facility.
 Vehicle falling into excavation
 Always operate the work equipment at a safe distance from the edge of
excavation. All open excavation will be protected with barricades and sign
boards shall be installed. While equipment reversing or mobilization to other
location, deploy and get the spotter assistance to avoid from blind spots.

 Dust problem  Respiratory protection equipment (disposable dust mask, 3mm N95) shall be
provided and used avoid to inhale dust.

 Workers struck by equipment  Unauthorized personnel shall not be allowed to enter in equipment working
area. All workers, working in equipment operation area will wear the CAT/
8. Backfilling of excavated Operation
florescent vests. Spotters shall be deputed to control the vehicle movement
trenches and to STOP the unauthorized entrants. Safety & working sign boards will be SAPMT
installed. (follow-up)

 Noise hazard  Where noise level is above 85db, workers shall wear ear plugs or muffs for
hearing protection.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Multiple Injuries  Maintain good housekeeping all the time especially before and after the
work.
CAT/
 Tripping hazard  Keep walking and working area clear to avoid tripping hazard. Stock and Operation
9. Housekeeping store the materials properly at safe place. Remove all redundant material as SAPMT
soon as possible. (follow-up)

 Slipping hazard
 Use black trash bags to throw left over of food stuff.
 Serious incident, Personnel serious  Call at Saudi Aramco emergency number 110 and report emergency such as;
injuries, fatality or property damage
 Tell two times, “this is an emergency “ “this is an emergency” CAT/
10. Emergency Reporting  Tell your name and SA ID number Operation
 Tell the location and type of emergency SAPMT
 Tell how many personnel are injured (follow-up)
 Tell what kind of emergency help is required (ambulance or fire
truck)
 Fire or explosion, major spillage,  In case of emergency follow the following steps
release of toxic gas  Stop all activities
 Shutdown work equipment CAT/
 Evacuate to the safe assembly area Operation
Evacuation
 A role call is taken to ensure all workers are present SAPMT
 No one is permitted to return to work until notification received (follow-up)
11. from SA that it is safe to do so.
PMT/Contractor JSA Form - 1/12/2008
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# Recommendations/Notes Assigned to Remarks

1 All site personnel are required to wear PPE/ such as safety helmet, safety glasses, gloves, and safety shoes. CAT

2 Conduct Tool Box Safety Meeting prior to work activity. CAT

3 Explain to key personnel the purpose of the JSA and enforce the implementation of content. CAT

4 Use the JSA to identify hazards and list the precautions on the work permit. CAT

5 Garbage’s shall be disposed properly on a daily basis. CAT

If an injury or near miss occurs, the JSA shall be reviewed immediately to determine whether changes are
6 CAT & SAPMT
needed in the job procedures.