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Job Safety Analysis Sheet

Job Description: GOR Test JSA Ref. No. 01/Test

Facility: Work Area / Equipment: Work Permit No:

Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat, Safety Shoes,
Safety Goggles, Hand Gloves ,Chemical gloves, Ear plugs, Safety harness,H2S Monitor, H2S Escape Unit/ SCBA set

SEQUENCE OF BASIC JOB POTENTIAL YES/


PRECAUTIONS
STEPS HAZARDS NO
a) Performing job by 1- Performing the job only by authorized operator
unauthorized operator
2- Conduct pre-job briefing with all involved personnel in the job
b) Equipment
selection , Equipment 3- Ensure all the equipment, fittings, hoses, to be of the correct pressure rating
1.Job Preparation and pressure rating &
planning equipment condition 4- Use right tool for the right job

5- Make sure all personnel are trained involved in the job

6- Valid equipment certifications

7- Valid fire extinguisher and breathing apparatus certification

8- Minimum HSE Trainings

9- All Crew must be wear personnel H2S monitor

1- Equipment should be parked in suitable distance from wellhead area


a) Hitting the fence

2. Equipment spotting b) Hitting/ Crushing/ 2- use the ground guide while backing the vehicle

injury to people 3- Spot the unit in upwind direction as possible

4- Position all the safety equipment , Fire extinguisher, SCBA set after equipment is spotted

a) Lifting and twisting 1- Pre job safety meeting to be conducted prior to rig up
injury from handling
2- Follow the safety working procedures and techniques
loads
3. Rig up / rig down testing b) Trapped hands and 3- Observe correct manual handling techniques
equipment
fingers 4- Proper use of PPE

c) Stepping handling 5 - Avoid the pinch points

d) Hammering 6- Use brass hammer

a) Equipment failure 1- Safety briefing & proper use of PPE

b) Pressure 2- Valid pressure equipment certificates

C) Personnel injury 3- Beware of pressure rating, Never exceed W.P

4- Use suitable gasket to avoid the flange leak


4. Pressure testing
5- Never try to tight the leak joint under pressure

6- Inform to all crew prior to pressure testing

7- Smoking is not allowed at site

8- Provide barriers and warning signs to be used

a) Pressure 1- Safety briefing before open the well

b) Failure in equipment 1- Safety briefing before open the well


2- Emergency phone
c) Fire numbers posted in all
vehicles
5- Start the operation & flow d) H2S 3- Equipment grounding
the well
e) Leakage in the line &
4- Spill kit available
spill
f) Slips / Trips

g) Electrostatic

1- Ensure use of PPE


a) Cold/Sand storm /
6- Working in open area Heat stroke . 2- Ensure availability of drinking water if required follow the work cycle
Dehydration

1- Effective supervision
a) Trapped gas & oil in
2- Purge & flush piping prior rig down
lines & separator
7- After completion of job
3- Drain the line & separator to G.C and close WH and G.C line & the depressurize the unit to atmosphere tank ( For
rigless operation )

4- Keep the site clean & tidy

Additional Hazards ( Other


than indicated above )

Name:
Designation:
ID. No.
JSA Done By Signature:
Company:

Contract No.(If Applicable):

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