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JSA Attachment
JSA Attachment
11
Rev. No. 02
Job Safety Analysis (JSA)
Page 1 of 6
Work Description:
To Do the Alignment of L.C.V. Flanges using Chain Block and Hydra tight. Date: New Revised
Hydra tight of Inlet Piping, Outlet Piping and Valves. Revised Date:
Install Drain Legs on Valves Work order no:
Area:
BU: Job Location:
Risk Risk Level
Potential Level after Control
No Basic Steps Control Measures SPA
Hazards Measures
Area Inspection & Tools
1
Preparation
1.1 Pinch point M 1.1.1. Never keep finger in line of fire. L
Required and/or Standard PPE Goggles Hearing Protection Rescue Equipment Hi-Visibility Vest Gloves__________
Recommended P.P.E
Level___ PPE Face Shield Fall Protection High Voltage PPE Disposable Coveralls Respirator_______
Emergency contact name & Number
Prepared by: JSA Team Members Approved by:
Required and/or Standard PPE Goggles Hearing Protection Rescue Equipment Hi-Visibility Vest Gloves__________
Recommended P.P.E
Level___ PPE Face Shield Fall Protection High Voltage PPE Disposable Coveralls Respirator_______
Emergency contact name & Number
Prepared by: JSA Team Members Approved by:
Required and/or Standard PPE Goggles Hearing Protection Rescue Equipment Hi-Visibility Vest Gloves__________
Recommended P.P.E
Level___ PPE Face Shield Fall Protection High Voltage PPE Disposable Coveralls Respirator_______
Emergency contact name & Number
Prepared by: JSA Team Members Approved by:
Required and/or Standard PPE Goggles Hearing Protection Rescue Equipment Hi-Visibility Vest Gloves__________
Recommended P.P.E
Level___ PPE Face Shield Fall Protection High Voltage PPE Disposable Coveralls Respirator_______
Emergency contact name & Number
Prepared by: JSA Team Members Approved by: