Professional Documents
Culture Documents
DATE: 2023
Job Safety Analysis JSA No:
& (Work Method Statement)
PRINCIPAL CONTRACTOR: CPP CONTRACTOR NAME: CPP
PROJECT: EPC for New Nasiriya Depot Project
LOCATION: FIBRICATION WORKSHOP
1
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
2
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
EMERGENCY ACTION:
In the event of injury is a member of the work team First Aid Qualified? R YES NO If yes, their Name? ALI MUDHAFER
Point where an injured person may receive treatment: MINOR INJURY: at the work place SERIOUS INJURY:
JSA STATEMENT DEVELOPED BY: REVIEWED BY THE FOLLOWING PERSONNEL: Mei Hong
3
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
Certifica
No Name Signature Position No Name Signature Position Date.
te No.
1 ALI MUDHAFER HSE 1
2 SUN MANAGER 2
3 3
4
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
P.P.E REQUIREMENTS EQUIPMENT & TOOLS FOR JOB TAGGING & SIGNS PERMITS &
INSTRUCTION
Use Use Use Use
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Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
6
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
7
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
Gloves – Hyflex
Monologues
(Nitrile)
Grinder MEWP Information Tags R Excavation Permit
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Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
9
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
HAZARD PROMPT – “check ”. Identify the job hazards and assess the RISK personnel may be exposed to before safeguards are implemented:
10
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
11
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
12
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
13
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
14
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
15
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
19
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
20
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
21
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
22
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
SIGN ON SHEET
Name Signature Date Name Signature
ALI MUDHAFER 23
Sun 23
23
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
24
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
25
Engineering, Procurement and Construction
(EPC) for New Nassiriya Depot Project
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