Jsa Form
Jsa Form
Jsa Form
Company Date Supervisor Work Area Work Description Civil Electrical Equipment Installation Excavations Chemicals Instrumentation Crafts Involved Basic Job Steps Task to be carried out Pipe Tie-In General Work Permit Special Work permit Confined Space Entry Hole/Fire Watch Risk S.R. Recommended Safe Job Procedure MSDS Lock-out Tag Emergency Response Plan
*Cause fire incident *Cutting cause hand injury *Spools fall down due to improper rigging practice. * Crane trip over due to overloading or improper position of crane.
*spools slips from trailer *property damage due to car accident *trailer hits pipe rack
*Spools fall down due to improper rigging practice. * Crane trip over due to overloading or improper position of crane. *fire case due to unloading in restricted area.
*Correct using Firefighting equipment. *Proper PPE require for activity *Qualified rigger and operator shall be assigned for lifting activity. * Load chart and pre-lifting checklist shall be followed. Crane position shall be on firm ground with fully extend outrigger. *All spools shall be secured by competent person. *Traffic route shall be planned. *Flagman shall be provided with vehicle. *Goal post shall be equipped with pipe rack elevation . *Qualified rigger and operator shall be assigned for lifting activity. * Load chart and pre-lifting checklist shall be followed. Crane position shall be on firm ground with fully extend outrigger.\ *IR work permit shall be followed. Toolbox meeting shall be
IBN RUSHD ARABIAN INDUSTRIAL FIBERS COMPANY IR II U&O DBN PROJECT JOB SAFETY ANALYSIS (JSA)
Required Personal Protective Equipment Hard Hat Safety Glasses Fall Protection Gloves
Erection scaffolding
*Scaffolding collapsed and fall down. *Worker fall down *Tools and material fall down *Scaffolding tubes touch living line causes electrical shock
NDT & UT
Severity Rating (S.R.)
conducted prior starting activity. *Competent person shall erect scaffolding platform. *100% tie up policy shall be followed. *Tools and material shall be secured while working at height. *Safe distance shall be kept between living line and scaffolding. *Existing pipe shall be properly flushed and inspected before starting any activity. *Cool cutting will be carried out. *Fire protection such as fire blanket, fire hydrant and fire extinguisher shall be available on the spot. *Proper tight tie or support X-ray unit at position, good insulation condition of x ray power cables, sockets plug. *Assign watch man to make sure person not entering to barricade area. *Cap shall be fitted properly according to specification. *Proper disposal hydro test water.
Hydro Test
*Cap remove on high pressure condition cause person injury *Trip and electrical shock due to hydro test water overflow.
IBN RUSHD ARABIAN INDUSTRIAL FIBERS COMPANY IR II U&O DBN PROJECT JOB SAFETY ANALYSIS (JSA)
2 3 4 5 First Aid/Property Damage Recordable Accident/Property Damage Lost time Accident/Major Property Damage Catastrophic Accident
WE CAN GO BACK AND DO THE WORK AGAIN, BUT WE CANNOT UNDO ANY DAMAGE AND OR INJURY