JOB SAFETY ANALYSIS – CIVIL WORKS

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).

PROJECT: PROVISION OF CIVIL WORKS

TITLE: CIVIL WORKS AT ERAWIN NC-200 FIELD (PIPE No: 001 Rev: 01
STORAGE YARD)
DATE: DATE:
DEVELOPED BY: HSE MANAGER APPROVED BY: SIGN:
29/30/2020 29/30/2020

Mandatory PPE to be
PPE worn as
→ required
→

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS

 HSE team to assess continuously the

 Work condition not safe conditions of work in the assigned area
 Procedures and tasks  One person to issue work permits PTW system Activity supervisor
Permitting not clear  Toolbox talks / Foreman
work  Lack of supervisory High  Competency of personnel and supervisory for Tool box Low
 Miscommunication the activity Talk
 Not correct PPE worn  Define hierarchy and reporting flowcharts PTW system
 Equipment not Inspection coordinator
 Define proper PPE to be used for the work
inspected and certified certificates
 Check inspection certificates of equipment for
the job

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS

 Wear correct PPE PPE

Checking  Punch point / hand injuries  Smart grip / 3 points of contact when climbing onto Activity supervisor
equipment  Falling from machines Medium machines Ladder Low
 Diesel / oil spill  Use proper ladders / steps HSE Officer
 Use containment cans/ plastic covers to prevent Plastic covers
spills

 Slip, trip and fall due to ground  Wear correct PPE

condition  Mind your steps PPE
 Presence of venomous animals as  Watch for snakes and scorpions and animal holes
Survey and snakes and scorpions  Do not touch to any strange object on the ground, First aid kit
setting mark  Presence of war leftovers (mines, Medium mark the place and report it Low Activity supervisor
pegs bombs, weapons)  Engage a perch to check the soil before stepping Perch
 Falling into holes, graves, caves  Have an approved plan of all power lines and
 Buried electrical power lines pipelines built in the area Subterranean plan
 Buried oil/gas pipelines

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS

 Equipment structure damaged by  Have competent banksman at workplace

heavy machines  Ground personnel to wear high visibility jackets
 Personnel crushed by excavated  Machines operators watch for ground workers PPE Activity supervisor
Use of materials High  Put a dust mask Low
heavy  Ground personnel hit by heavy  Put ear defenders Subterranean plan HSE Officer
machines machines  Do not exceed machines capacity
 Exposure to dusty environment  Respect approved plan of buried power lines and
 High noise area pipelines
 Swing of machines and roll-over  Fire extinguisher in place
 Damage to buried power lines and/or  Preventive maintenance
pipelines  Goal post in place and banksman presence is
 Risk of fire due to the engine failure mandatory
 Risk of collision with overhead
powerline

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS

 Person fall in the trench  Install stakes and warning tape around trenches
 Dust goes in respiratory system  Ground personnel to wear high visibility jackets
 Mishandled or poorly placed material  Remove debris and excavated soil near excavation
 Excavated material or other objects site PPE
falling on workers  Wear respiratory mask if working downwind Activity supervisor
 Personnel hit by excavator, grader or High  Place excavated material at safe distance from the First aid kit Low
wheel loader trench HSE Officer
 Mobile equipment incident due to  Never walk under and beside excavator loader, Warning tape
Excavation unstable adjacent structures wheel loader or front end loader and backhoe
works High visibility jackets
 Workers go down in trenches while  Be aware of nearby vehicles and mobile equipment
trenching causing soil to vibrate
 Back injury when working with shovel  Keep heavy equipment away from trench edges
under bad posture  Do not go down in the trench while excavating the
 Personnel trip / falling hazards due to trench
excavated material  Wear correct safety boots and mind steps / do not
 Personnel get bite by snakes or rush
scorpions  Watch for venomous animals and wear safety
 Collision with underground utilities boots and leather gloves
 Underground maps and utilities representative
present on site
 Manual digging when required

 Finger / hand injuries  Wear leather gloves PPE Activity supervisor

Constructio  Sharp edges on metal structures or High  Put dust mask to protect respiratory system Low
n works stones causing wounds on body  Store and move material safely not to fall on First aid kit HSE Officer
 Working in dusty environment personnel or waste

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS

 Object / material / tools fall on  Have correct back posture, good spinal alignment
personnel when working with shovel, pickaxe and rake
 Personnel back injuries due to manual  Team carrying loads over 25 Kg
lifting or bad posture when working with
hand tools
• Person fall in the trench • Install stakes and warning tape around
• Dust goes in respiratory system trench
• Mishandled or poorly placed • Inspect trenches at the start of each shift.
material • Remove debris and excavated soil near
• Excavated material or other excavation site
objects falling on workers • Wear respiratory mask if working downwind
• Personnel hit by screening • Place excavated material at safe distance
machine, excavator or wheel loader from the trench PPE
• Mobile equipment incident due to • Never walk under and beside excavator
unstable adjacent structures loader, wheel loader or screening machines First aid kit Low Activity supervisor
Asphalting • Workers go down in the trench High • Be aware of nearby vehicles and mobile
and while back filling equipment causing soil to vibrate Subterranean plan HSE Supervisor
Compacting • Back injury when working with • Keep heavy equipment away from trench
shovel under bad posture edges Awareness
• Personnel trip / falling hazards • Do not go down in the trench while excavator
due to excavated material or screening machine is back filling trench
• Automotive vehicle accident • Use proper ladder and have buddy system /
watchman when worker maintaining filling material
inside the trench
• Wear correct safety boots and mind steps /
do not rush
• Park light vehicles away from activity

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

POST SUPERVISORY
Activity POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
RISK REQUIREMENTS
 Chemical contact with skin (Skin  Wear chemical gloves / plastic gloves long sleeves
Irritation)  Wear face shield or safety goggles
 Chemical contacts with eyes  Rinse eyes immediately with fresh water
 Chemical pouring on the coverall or  Wear plastic coveralls / Tyvex coveralls
clothes  Avoid spill of chemicals, proceed carefully PPE
 Chemical spill on the ground  Collect empty cans and bring back to plant area Activity supervisor
Use of  Throwing empty chemical cans in the High Eye wash Low
 Keep fire away from chemicals, never smoke
chemicals desert HSE Officer
 Fire extinguisher in place
(Cement)  Fire catching on chemicals MSDS
 Follows instruction as per MSDS (Material safety
 Allergy to skins data Sheet) First Aid Kit
 Dermatitis  Seek guidance for the manufacturer document
 Abrasion  Reduce exposure to chemical
 Breathing chemical spray  Avoid manual handling over 25 kg
 Manual handling

 Equipment and tools remain on site  Put back equipment to proper place Plastic bags Activity supervisor
House  Slip trip and fall Medium  Clear all work place from trash Low
keeping  Trash left in the work place  Segregate trash Trash bins HSE Officer

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JOB SAFETY ANALYSIS – CIVIL WORKS

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).

Participants / Work Crew JSA Reviewed By: Name: Date:

Name (Print Clearly): Signature: Date: Review Comments:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Responsible Supervisors / Foreman
1.
2.

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