JSA-017 Lifting With Forklift

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JOB SAFETY ANALYSIS –PPL-JSA-017

STEP 1: Likelihood of Occurrence STEP 2: Severity of Result STEP 3 : A B C D E


1. Expected To Occur (once per week) A. Fatality 1 H H H H M
2. Common (once per month) B. Permanent Disability 2 H H H M M STEP 4: Hazard Risk Assessment
3. Sometimes (once per year) C. Lost Time Injury (LTI) 3 H H M M L H = High Risk (INTOLERABLE, significant and urgent actions required).
4. Rarely (once in < 20 years) D. Medical Treatment / Damage 4 H M M L L M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
5. Highly Unlikely (once in > 20 years) E. First Aid Injury 5 M M L L L L = Low Risk (Negligible / Tolerable, monitor and manage risk).

TITLE: L i f t i n g w i t h f o r k l i f t PROJECT: NAWRA PPL CEP/WAB No: Rev:

DEVELOPED BY: HSE Team DATE: 01-02-2018 APPROVED BY: DATE:

Mandatory PPE to be
PPE worn as required


POST SUPERVISORY
JOB TYPE POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES RISK REQUIREMENTS
1-Work conditions not safe 1-HSSE team to assess continuously the conditions of work in
2-Simultaneous operations the assigned location/area
3-Procedure and tasks not 2-One person to issue work permits based on a centralized
clear originating system PTW system Activity supervisor
Permitting work 4-Lack of supervisory High 3-Tool box talk Low / Foreman
5-Miscommunication 4-Every person performing work has a competent supervisor in Tool box talk
6-Not correct PPE worn charge for the activity PTW system
7-Equipment not inspected 5-Define hierarchy and reporting flowchart to all personnel Inspection coordinator
and certified 6-Define the proper PPE to be worn for every specific task certificates
7-Supervisors to check inspection certificates of equipment
before the job

1-Defective Forklift 1-Forklift must be checked by competent personnel before use


Check, inspect 2-Defective rigging 2-Lifting equipment must be certified, inspected by competent Trainings Activity supervisor
forklift and load equipment, not certified Medium person, color coded and documented Low
3-Unconditioned load shape 3-Check load before approach Certifications Forklift operator
for lifting

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JOB SAFETY ANALYSIS –PPL-JSA-017
1-Equipment damage, 1-Define lifting safety procedures and method assessment
possible personnel injury must be strictly implemented. Activity supervisor
Define lifting 2-All work that may affect Medium 2-The Forklift operator shall monitor and complete load lift as Lifting plan Low
procedure or may be affect by the described in the lifting plan. Forklift operator
lifting

1-Uneven/unstable soil
condition, underground
Positioning of facilities 1-Ensure soil, deck and forklift route is stable and compacted
Forklift Struck against asset out Medium Out riggers pads Low Forklift operator
rigger may be damage 2-Use solid and sufficient size out rigger pads
2-Equipment damage
Possible personnel injury

1-Load swinging may hit 1-Ensure safe clearance between load and nearby facilities.
facilities, personnel injury, Tag lines to be used, swing area should be barricaded and
Lifting and and fatality. warning signs to be displayed Tag lines Forklift operator
moving load 2-Load fall due to defective High 2-Only one man (Rigger) should control the operation Low
rigging gear/improper Forklift lifts the load from ground slowly without jerking until First aid kit Banksman
rigging/over load/Tip the desired height reached.
Forklift Nobody allowed under the lift.

1-Damage to equipment, 1-Only trained riggers to handle load. First aid kit
Place load in personnel injury Medium 2-Keep hands away from nipping points Low Forklift operator
position 2-Pinch points, hand PPE
injuries

1-Lifting equipment 1-Put back lifting equipment to proper place and boxes
remaining on deck/ground 2-Clear all work place from used tag lines, rags PPE Activity supervisor
House keeping 2-Slip trip and fall due to Medium 3-Remove and segregate trash after work Low
left tag lines Waste segregation Forklift operator
3-Trash left in work place trash bins

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Participants / Work Crew JSA Reviewed By: Name: Date:
Name (Print Clearly): Signature: Date: Review Comments:
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Responsible Supervisors / Foreman
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