JSA form Instructions:

To create the Job Safety Analysis, it should be used the spreadsheet JSA at this doccument. The head of this sheet identifies the job or activitie to be done, as far as the participants of the analysis and the execution of the job.

This sheet contains 9 columns, which are fulfilled as the description presented bellow:
- 1st column: ITEM
This column contains a number for the identification of the basic step, being fulfilled in sequence to make easier to consult any step you want.
- 2nd column: JOB STEPS
This column contains the steps to be executed to the analyzed job. The steps are defined by the teams participating on it, based on the existent procedures and/or identification and local observing.

Describe by clear and specific language the main steps, always beginning the text with a word representing an action (a verb at the infinitive form). Examples: to remove, to put, to turn on, to open, to close, to tight, to loose, and others.

NOTE: If an important step of the job is omitted, it can result in exposure of the workers to potential risks or accidents.
- 3rd column: RISK SITUATION
This column contains the possible risk situations identified for the job task. In general, these risk situations are related to accidental events that have the potential to damage the integrity of the people involved in carrying out the task. Therefore, these risk situations refer to events such

as:
SAFETY
AIRCRAFT FALL
ANIMAL ATTACK (VENOMOUS, WILD, INSECTS ETC.)
BODY PRESSING
BUMP
COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS
COLLISION / TIPPING OVER
CONTACT / EXPOSURE TO CHEMICALS
CONTACT WITH - MOBILE OR ROTARY PARTS OF STRUCTURES, MACHINES OR EQUIPMENT
CONTACT WITH ENERGIZED SURFACE
CONTACT WITH... (OTHERS)
CUTTING / DRILLING / ABRASIVE CONTACTS
DAM BREAKING OR LEAKING
DROWNING
ELECTRIC OR SHORT CIRCUIT ARC
EXPLOSION
EXPOSURE TO CONFINED SPACE
FALL / SLIDE (DIFFERENT LEVEL)
FALL / SLIDE (SAME LEVEL)
FIRE
GAS LEAKAGE (FLAMMABLE / TOXIC / POLLUTING)
HIT BY BREAKING OF CABLES / HOSES / FLUIDS UNDER PRESSURE
HIT BY FALLING PARTS / STRUCTURES / EQUIPMENT / TOOLS
HIT BY PROJECTION OF MATERIALS (TOOLS, PARTS, FRAGMENTS, SPARKS)
HIT BY... (OTHERS)
IMPLOSION
LOAD / ORE FALL
ORE PILE EROSION OR SLIDE (ORE, STERILE, AMONG OTHER TYPES OF MATERIALS) OR SLOPES
OVERFLOW OF SILOS (INPUTS OR PRODUCTS)
PANE ON AIRCRAFT
PHYSICAL AGGRESSION
RUN OVER - VEHICLES OR AUTOMOTIVE EQUIPMENT
RUN OVER - VEHICLES OR RAILWAY EQUIPMENT
SOTTERRAMENTO / SWALLOWING
STRIKE AGAINST - STRUCTURE AND EQUIPMENT
STRIKE BY ATMOSPHERIC DISCHARGE
STRIKE BY... (OTHERS)
VEHICLE / EQUIPMENT FALL IN WATER OR SEA

HEALTH
DYNAMIC MUSCLE OVERLOAD
EXPOSURE TO ABNORMAL PRESSURES
EXPOSURE TO BIOLOGICAL AGENTS
EXPOSURE TO DUST / PARTICULATE
EXPOSURE TO EXCESSIVE HUMIDITY
EXPOSURE TO HIGH OR REDUCED LUMINOSITY
EXPOSURE TO HIGH TEMPERATURES
EXPOSURE TO LOW TEMPERATURES
EXPOSURE TO METAL SMOKES
EXPOSURE TO NOISE
EXPOSURE TO OTHERS
EXPOSURE TO SOURCES OF IONIZING RADIATION
EXPOSURE TO SOURCES OF NON-IONIZING RADIATION (SOLAR RADIATION, MAGNETIC FIELDS, ETC.)
EXPOSURE TO VAPORS / FOGS / MIST
EXPOSURE TO VIBRATION (WHOLE OR LOCATED BODY)
MENTAL / COGNITIVE OVERLOAD
STATIC MUSCLE OVERLOAD

- 4th column: CAUSES

The generic causes of each risk are to be inputted in this column. These causes involve both intrinsic equipment failures (mechanical failures, instrument failures, leaks and others) as human errors of operation and maintenance. These causes are evaluated separately for each task
step.

- 5th column: Consequence/ Effect

Type Effect Severity
Events that result in the first aid of Own
Health and safety LOW
Employees or Third Parties
Events that result in injuries/illnesses with
absence from work or with medical treatment or
Health and safety MODERATE
restriction to work by Own Employees or Third
Parties

Events resulting in life-changing injury/disease

Health and safety SIGNIFICANT
or 1 fatality of Own Employees or Third Parties

Events that result in multiple fatalities of Own

Health and safety CRITICAL
Employees or Third Parties

Multiple Fatalities in which the cause is related

Health and safety to operational processes that affect the VERY CRITICAL
Community

- 6th column: Control Measures

This cell contains the mitigation measures of risk proposed by the performers.
Write clearly and specifies that promote the elimination or reduction of risk situations identified in the second step.
Establish procedures Insurance to perform the steps of the task safely, avoiding undesirable situations and preventing accidents.
Describe the recommendations clearly and objectively, avoiding generalizations such as: "be alert", "take care". At each step of the task, we must be specific, describing exactly what the performer should do, and what resources should be used. Start writing with an action word (a verb

in the imperative form) "isolate, block and signal the valve," "use semi-facial mask with filter for organic vapors / Dust", "use wrench ¾ inch" "gloves type vaqueta / PVC", "use PVC boot".

7 th to 09 Column: Risk rating

The risk must be rated according to its probability and severity of occurrence considering the controls already implemented. Severity must be made according to the effect (table above) and the probability classification must be made according to the probability table, available in NOR -
0003 - G - Risk Managment Norm.
 PNR 000068 - Job Safety Analysis Associated PRO*: SWP no*: Work Order
n°*:
Task description: Date: ___/___/___

Execution team: (Name/ Area/ ID/ Signature)

INSTALLATION ROOF TRUSS STEEL STRUCTURE FOR SHELTER
Name Area/ Company ID Signature

Task Location: CABIN OFFICE

Issuer Company/ ID

* Not mandatory field

 VERY HIGH AND HIGH RATED RISKS

Job task description: Installation roof truss steel structure for shelter.

VERY HIGH AND HIGH RISKS OF THE TASK

Risk Task Step Risk Situation Causes Control measures

Control 1
HIGH EXAMPLE OF STEP EXAMPLE OF RISK Cause1
Control 2
 PNR 000068 - Job Safety Analysis
Job task description: Installation roof truss steel structure for shelter.

Item Task Step Risk Situation Causes Effects Control measures Probability Severity Risk

Events resulting in life- Conduct daily inspection prior use and

changing injury/disease or 1 record in checklist, rectify (if feasible)
1.1 Mobillize equipment to worksite COLLISION / TIPPING OVER Mechanical Failure VERY REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or or STOP using if present any
Third Parties irregularities, replace the vehicle

Events resulting in life- Trained in RAC 3, authorized with

changing injury/disease or 1 appropriate driving license (Legal),
1.2 Mobillize equipment to worksite COLLISION / TIPPING OVER Over speeding VERY REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or comply to speed limit (40/35/20km/h)
Third Parties and road signage

Events resulting in life-

changing injury/disease or 1 Comply to banksman signals, barricade
1.3 Mobillize equipment to worksite COLLISION / TIPPING OVER People/Machinery Movements VERY REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or system, activate horn (warning device)
Third Parties

Events resulting in life-

changing injury/disease or 1 Secure load/cargo, secure loose items
1.4 Mobillize equipment to worksite HIT BY PROJECTION OF MATERIALS (TOOLS, PARTS, FRAGMENTS, SPARKS) Loose items/unsecured load VERY REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or in proper container/sacks.
Third Parties

Events that result in the first

Ensure housekeeping is done before
2.1 Unloading Materials / Tools at Work Site FALL / SLIDE (SAME LEVEL) Trip hazards: Objects on the floor or uneven surfaces. aid of Own Employees or REMOTE LOW LOW
and after work.
Third Parties

Events that result in the first

Wear cut resistance gloves, add
2.2 Unloading Materials / Tools at Work Site CUTTING / DRILLING / ABRASIVE CONTACTS Objects with protruding and sharp edges/ends aid of Own Employees or REMOTE LOW LOW
padding to sharp pointing objects
Third Parties

Events that result in the first Buddy system and maintain

2.3 Unloading Materials / Tools at Work Site STATIC MUSCLE OVERLOAD poor work method aid of Own Employees or communication (syncronized), clear REMOTE LOW LOW
Third Parties space, use tools

Events that result in

injuries/illnesses with absence
use of support tools/equipment
from work or with medical
2.4 Unloading Materials / Tools at Work Site BODY PRESSING Heavy objects/parts (forklift/crane), radio communication, REMOTE MODERATE LOW
treatment or restriction to
tag line
work by Own Employees or
Third Parties

Events that result in

injuries/illnesses with absence
from work or with medical
2.5 Unloading Materials / Tools at Work Site BODY PRESSING Congested/Restricted Space Clear loading space REMOTE MODERATE LOW
treatment or restriction to
work by Own Employees or
Third Parties

Events resulting in life-

changing injury/disease or 1 Ensure crane operators are trained
3.1 Lift and position trusses using crane HIT BY FALLING PARTS / STRUCTURES / EQUIPMENT / TOOLS Struck by falling truss REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or and certified
Third Parties

Events resulting in life-

changing injury/disease or 1 conduct pre-lift inspections of crane
3.2 Lift and position trusses using crane HIT BY FALLING PARTS / STRUCTURES / EQUIPMENT / TOOLS Struck by falling truss REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or and rigging equipmen
Third Parties
 PNR 000068 - Job Safety Analysis
Job task description: Installation roof truss steel structure for shelter.

Item Task Step Risk Situation Causes Effects Control measures Probability Severity Risk

Events resulting in life-

changing injury/disease or 1 HIT BY FALLING PARTS / STRUCTURES /
3.3 Lift and position trusses using crane HIT BY FALLING PARTS / STRUCTURES / EQUIPMENT / TOOLS Struck by falling truss SIGNIFICANT #N/A
fatality of Own Employees or EQUIPMENT / TOOLS
Third Parties

Events resulting in life-

changing injury/disease or 1 Rig lifting gears onto designated
3.4 Lift and position trusses using crane CONTACT WITH - MOBILE OR ROTARY PARTS OF STRUCTURES, MACHINES OR EQUIPMENT Load not balanced correctly during lifting REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or rigging point/hook point.
Third Parties

Events resulting in life-

changing injury/disease or 1
3.5 Lift and position trusses using crane COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS Load not balanced correctly during lifting Only trained rigger allowed to rig load. REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or
Third Parties

Events resulting in life-

Inspect and ensure operator extended
changing injury/disease or 1
3.6 Lift and position trusses using crane CONTACT WITH - MOBILE OR ROTARY PARTS OF STRUCTURES, MACHINES OR EQUIPMENT Outrigger not fully extended. all outriggers fully before lifting any REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or
load.
Third Parties

Events resulting in life-

Check load chart for appropriate
changing injury/disease or 1
3.7 Lift and position trusses using crane COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS Load exceeds machinery limit. SWL.Check load chart for appropriate REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or
SWL.
Third Parties

Events resulting in life-

Use anchor bolts and nuts to securely
Secure and erecting wall frame , wall plates and changing injury/disease or 1
4.1 COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS Improper installation fasten trusses to the supporting REMOTE SIGNIFICANT MEDIUM
ledjer plate fatality of Own Employees or
structure
Third Parties

Events resulting in life-

Secure and erecting wall frame , wall plates and changing injury/disease or 1
DYNAMIC MUSCLE OVERLOAD Strains and sprains use correct lifting techniques REMOTE SIGNIFICANT MEDIUM
ledjer plate fatality of Own Employees or
Third Parties

Events resulting in life- wear gloves, goggles and other

Secure and erecting wall frame , wall plates and changing injury/disease or 1 protectiveequipment. ensure all
COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS Injury from flying debris and dust REMOTE SIGNIFICANT MEDIUM
ledjer plate fatality of Own Employees or guards are in place on tools
Third Parties andmachine
 PNR 000068 - Job Safety Analysis
Job task description: Installation roof truss steel structure for shelter.

Item Task Step Risk Situation Causes Effects Control measures Probability Severity Risk

Events resulting in life-

Secure and erecting wall frame , wall plates and changing injury/disease or 1 ensure that erected wallframes are
COLLAPSE: STRUCTURES / EQUIPMENT / BUILDINGS Injury from insecure wallframes REMOTE SIGNIFICANT MEDIUM
ledjer plate fatality of Own Employees or securelybraced
Third Parties

provide fall protection for heights over

Events resulting in life-
1.8m.ensure that work platforms
Secure and erecting wall frame , wall plates and changing injury/disease or 1
3.2 FALL / SLIDE (DIFFERENT LEVEL) Falls from heights of over 1.8 metres comply with all Work Safe REMOTE SIGNIFICANT MEDIUM
ledjer plate fatality of Own Employees or
requirements.wear protective, non-
Third Parties
slip footwear

Events that result in

injuries/illnesses with absence
from work or with medical
4.1 Bolt and nut installation CUTTING / DRILLING / ABRASIVE CONTACTS Lack of proper tool maintenance Lack of proper tool maintenance REMOTE MODERATE LOW
treatment or restriction to
work by Own Employees or
Third Parties

Events that result in

injuries/illnesses with absence
Be aware of pinch points and potential
from work or with medical
4.2 Bolt and nut installation CUTTING / DRILLING / ABRASIVE CONTACTS Hand injuries from improper use of tools hand injuries during installation using REMOTE MODERATE LOW
treatment or restriction to
right PPE.
work by Own Employees or
Third Parties

Events that result in

injuries/illnesses with absence
from work or with medical Inspect bolts and nuts for defects or
4.3 Bolt and nut installation CUTTING / DRILLING / ABRASIVE CONTACTS Hand injuries from improper use of tools REMOTE MODERATE LOW
treatment or restriction to damage before use.
work by Own Employees or
Third Parties

Events that result in

injuries/illnesses with absence
from work or with medical check and tag power tools and cables
4.4 Bolt and nut installation ELECTRIC OR SHORT CIRCUIT ARC Exposed cable REMOTE MODERATE LOW
treatment or restriction to regularly
work by Own Employees or
Third Parties

Events that result in the first

4.5 Bolt and nut installation FALL / SLIDE (SAME LEVEL) Tripping hazards aid of Own Employees or Clear work area of debris REMOTE LOW MEDIUM
Third Parties

Events resulting in life-

changing injury/disease or 1 Disconnecting tools from the power
4.6 Bolt and nut installation ELECTRIC OR SHORT CIRCUIT ARC tools are not properly disconnected from the power source REMOTE SIGNIFICANT MEDIUM
fatality of Own Employees or source before making adjustments or
Third Parties carrying out servicing
 PNR 000068 - Job Safety Analysis
Job task description: Installation roof truss steel structure for shelter.

Item Task Step Risk Situation Causes Effects Control measures Probability Severity Risk

Events that result in

injuries/illnesses with absence
from work or with medical Ensure proper ventilation to minimize
5.1 Additional welding tack weld at the roof truss FIRE Ignition of flammable materials POSSIBLE MODERATE MEDIUM
treatment or restriction to welding fumes
work by Own Employees or
Third Parties

Events that result in

injuries/illnesses with absence
from work or with medical Ensure only trained workers to use
5.2 Additional welding tack weld at the roof truss FIRE Spark from welding process POSSIBLE MODERATE MEDIUM
treatment or restriction to welding machine
work by Own Employees or
Third Parties

Events that result in

Brief workers on hazard before start
injuries/illnesses with absence
working.
from work or with medical
5.3 Additional welding tack weld at the roof truss FIRE Spark from arc flash Cover with fire balcket. POSSIBLE MODERATE LOW
treatment or restriction to
Available of fire watchman and fire
work by Own Employees or
extinguisher nearby.
Third Parties

Events that result in

injuries/illnesses with absence Ensure no materials that easily burn
from work or with medical are present in the vicinity
5.4 Additional welding tack weld at the roof truss FIRE Uncontrolled flames POSSIBLE MODERATE MEDIUM
treatment or restriction to Inspect welding equipment for defects
work by Own Employees or and malfunctions before use
Third Parties

Events that result in

injuries/illnesses with absence Workers wear appropriate PPE
from work or with medical
5.5 Additional welding tack weld at the roof truss CONTACT WITH ENERGIZED SURFACE Heat from welding process
treatment or restriction to consistently during welding POSSIBLE MODERATE MEDIUM
work by Own Employees or
Third Parties

Events that result in

Brief workers on hazard before start
injuries/illnesses with absence
working.
from work or with medical
5.6 Additional welding tack weld at the roof truss CONTACT WITH ENERGIZED SURFACE Exposed wire cables Conduct the inspection before use the POSSIBLE MODERATE MEDIUM
treatment or restriction to
equipment, inspect welding
work by Own Employees or
equipment
Third Parties

Events that result in

injuries/illnesses with absence
from work or with medical Ensure that workers wear appropriate
5.7 Additional welding tack weld at the roof truss EXPOSURE TO HIGH TEMPERATURES Heat from welding process REMOTE MODERATE MEDIUM
treatment or restriction to PPE consistently during welding
work by Own Employees or
Third Parties
 PNR 000068 - Job Safety Analysis
Job task description: Installation roof truss steel structure for shelter.

Item Task Step Risk Situation Causes Effects Control measures Probability Severity Risk

Events that result in the first

6.1 Housekeeping DYNAMIC MUSCLE OVERLOAD Long working hours aid of Own Employees or Take a good rest & exchange workers REMOTE LOW MEDIUM
Third Parties

Events that result in the first

Wearing safety google and others
6.2 Housekeeping EXPOSURE TO DUST / PARTICULATE Flying particle aid of Own Employees or REMOTE LOW MEDIUM
mandatory PPE
Third Parties

#N/A
 VERY REMOTE REMOTE POSSIBLE LIKELY VERY LIKELY
1 2 3 4 5
VERY CRITICAL 1 HIGH HIGH VERY HIGH VERY HIGH VERY HIGH
CRITICAL 2 HIGH HIGH HIGH VERY HIGH VERY HIGH
SIGNIFICANT 3 MEDIUM MEDIUM HIGH HIGH VERY HIGH
MODERATE 4 LOW LOW MEDIUM MEDIUM MEDIUM
LOW 5 LOW LOW LOW LOW MEDIUM