OPERATIONS MANAGEMENT SYSTEM OMS No. SHEM02.

02
Rev. #( 1 ) Date Jan-22
SAFER - Health and Safety Risk Assessment Attachment 5.1: JSA Format
Next review Date Dec-25

JOB SAFETY ANALYSIS (to be filled out by Operations/Maintenance Staff or Group Leader together with JSA Team Members)
Area: PKN Job Description: . Chemical Cleaning of 11TK30 (TANK) JSA number : TIS-PK-N-03 Requester name: TAMIMI INDUSTRIAL SERVICES
Mention Applicable Procedures: SMP - OS - 005,SMP-PS-01, SHEM 8.10,SHEM-08.09, SHEM-08.07,SHEM-
Job Location: 11TK30
08.08
Team Leader: Dept: Olefin IV Use additional sheets if necessary.
Attachments: Yes / No If Yes state number of pages:
Name & ID: Date:

No. Job Steps Potential Hazards Risk Level Steps to Reduce Hazard Remaining Risk Level

Obtain a work permit before the start of the job. Tool

box meeting with working crews shall be done by job
C3,L4 / MINOR supervisor. C3,L5 INSIGNIFICANT

Supervisor or WP Receiver shall be discussing the work to

Incompetencey of Crew be done including the steps of the job happens & their
C3,L4 / MINOR C3,L5 INSIGNIFICANT
mitigation plan JSA & with the crew

Competency check for the crane/forklift operator, rigger,

flagman, and other personnel involved (Personnel must
C3,L4 / MINOR be certified ) TUV certificate for each operator. C3,L5 INSIGNIFICANT

Improper planning C3,L4 / MINOR Maintain access way a free from the obstructions. C3,L5 INSIGNIFICANT
Ensure proper housekeeping during and after the job
Bad housekeeping C3,L4 / MINOR completion. C3,L5 INSIGNIFICANT

Employee selection in work assignments should be

matched to the job in terms of knowledge and physical
C3,L4 / MINOR abilities. C3,L5 INSIGNIFICANT

Improper supervision
Proper Supervision from the Immediate Supervisor
C3,L4 / MINOR communicate and know the procedures to be done. C3,L5 INSIGNIFICANT

Ensure to maintain a comfortable body posture, do not

Face and Hand injuries C3,L4 / MINOR bend your body for a long period of time to prevent back C3,L5 INSIGNIFICANT
pain.
Site Preparation, Loading & unloading
1
Materials
Ensure the lifting of materials has been planned before
C3,L4 / MINOR work execution with roles and responsibilities being C3,L5 INSIGNIFICANT
coordinated.

All existing hazards like loose soil, electrical & other

Equipment failure energized lines are to be identified before the start of
C3,L4 / MINOR each job. C3,L5 INSIGNIFICANT

Ensure all equipment to be used at the site is inspected &

C3,L4 / MINOR approved by a competent person for its use. Take the C3,L5 INSIGNIFICANT
client’s approval as applicable.

Physical injury C3,L4 / MINOR All required PPE must use and wear properly. C3,L5 INSIGNIFICANT
Ensure all the tools/hoses and cleaning machines are
properly tested and inspected by the third-party
C3,L4 / MINOR inspector and provide all the certificates and TUV stickers. C3,L5 INSIGNIFICANT

damaged tools and materials

Ensure all the tools/hoses and cleaning machines are
inspected by the client and provide plant stickers or color
C3,L4 / MINOR codes. C3,L5 INSIGNIFICANT

Ensure to provide guard rail system on top of around the

C3,L4 / MINOR tank and manhole to prevent fall of personnel.

Tripping and falling C3,L5 INSIGNIFICANT

Ensure to use full body safety harness during working at
C3,L4 / MINOR height.

C3,L4 / MINOR Never move open edges without guardrails C3,L5 INSIGNIFICANT
Always maintain 3-point contact on the fix ladder and
C3,L4 / MINOR scaffold ladder C3,L5 INSIGNIFICANT

Fall Hazard Verify scaffolding inspection tag. Access one at a time.

C3,L4 / MINOR Provide adequate illumination. C3,L5 INSIGNIFICANT
Ensure adequate housekeeping on-site before and after
C3,L4 / MINOR the job. C3,L5 INSIGNIFICANT

C3,L4 / MINOR Remove unnecessary materials on the site. C3,L5 INSIGNIFICANT

Ensure people are trained in manual lifting techniques.
C3,L4 / MINOR C3,L5 INSIGNIFICANT
2 Prepare and Installation of blinds, equipment,
hoses, and fittings
back Injury C3,L4 / MINOR Wear heavy-duty hand gloves with proper grip. C3,L5 INSIGNIFICANT
Don’t lift or lower loads that cannot be handled safely.
C3,L4 / MINOR C3,L5 INSIGNIFICANT

physical Injury Required PPE must be worn at all times (safety harness,
C3,L4 / MINOR Goggles) C3,L5 INSIGNIFICANT

C3,L4 / MINOR Remove the unwanted materials C3,L5 INSIGNIFICANT

Ensure existing effective supervision to monitor and
Tripping Hazard C3,L4 / MINOR remind the hazards C3,L5 INSIGNIFICANT

C3,L4 / MINOR Housekeeping at the work area. C3,L5 INSIGNIFICANT

 C3,L4 / MINOR Personnel must have the necessary training, skills, and C3,L5 INSIGNIFICANT
C3,L4 / MINOR experience in the
Communicate thejob.
SDS to the involved workers. C3,L5 INSIGNIFICANT
Proper Supervision from Immediate Supervisor and
Untrained worker C3,L4 / MINOR standby operator during starting the pump. C3,L5 INSIGNIFICANT
3 Leak Test (body injury)
Equipment Failure Ensure not to over pressurized the hose and piping than
its operating design pressure (Confirm the limitation
C3,L4 / MINOR from EDC Operation) C3,L5 INSIGNIFICANT

C3,L4 / MINOR  Use adequate PPE ear plug /ear muff C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Only a competent person shall handle the activity. C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Use the required PPE C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Follow the manual handling techniques. C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Proper supervision during the execution of the job. C3,L5 INSIGNIFICANT
 Ensure a safe distance of the heat source away from the
C3,L4 / MINOR personnel involved. C3,L5 INSIGNIFICANT

C3,L4 / MINOR  Double-check the integrity of the equipment C3,L5 INSIGNIFICANT

C3,L4 / MINOR  Monitoring the pressure and Temperature C3,L5 INSIGNIFICANT
C3,L4 / MINOR   Provision of containment such as drip trays C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Communicate the MSDS of Sodium Hydroxide C3,L5 INSIGNIFICANT
Hearing Damage Chemical  Precautionary measures must be in place in handling
splash burns C3,L4 / MINOR chemical substances. C3,L5 INSIGNIFICANT
4 Hot Alkaline Degreasing hose leaks and
damage chemical spills C3,L4 / MINOR  STOP the pump C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Isolate the valve C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Replace the damage hose/pipe C3,L5 INSIGNIFICANT
C3,L4 / MINOR Isolate the area through barricades C3,L5 INSIGNIFICANT
 Ensure to install chemical splash guard at all flange joint
C3,L4 / MINOR C3,L5 INSIGNIFICANT
 Supervisor must always be present on-site to monitor the
C3,L4 / MINOR job execution. C3,L5 INSIGNIFICANT
 Wear Proper PPE (Chemical suit, chemical gloves,
C3,L4 / MINOR goggles, Cartridge Respirator Mask) C3,L5 INSIGNIFICANT

 Ensure to no to over pressurized the hose and piping

C3,L4 / MINOR than its operating design pressure (Confirm the limitation C3,L5 INSIGNIFICANT
from EDC Operation)

 Ensure water drainage and removal system to keep

C3,L4 / MINOR water levels to a minimum C3,L5 INSIGNIFICANT
5 Water Flushing Spills
C3,L4 / MINOR Provision of drip tray if necessary C3,L5 INSIGNIFICANT
 Communicate and know the procedures to be done.
C3,L4 / MINOR C3,L5 INSIGNIFICANT
 Ensure the safe distance of the involved personnel from
6 Passivation Process Over Pressure C3,L4 / MINOR the heat source. C3,L5 INSIGNIFICANT
 Communicate the MSDS of the Rodine, Citric acid,
C3,L4 / MINOR ammonia solution, sodium nitrite C3,L5 INSIGNIFICANT

C3,L4 / MINOR Provide Drip Tray C3,L5 INSIGNIFICANT

Control the air pressure in the high vent point while
C3,L4 / MINOR draining C3,L5 INSIGNIFICANT

7 Draining  Drain valve must be opened condition to the waste skip.

Damage to Environment C3,L4 / MINOR C3,L5 INSIGNIFICANT

 Monitor the waste storage skip level to prevent overflow.

C3,L4 / MINOR C3,L5 INSIGNIFICANT
Wear Proper PPE (hand gloves and safety goggles) C3,L5 INSIGNIFICANT
8 Inspection Hand & Eye Injury Slips C3,L4 / MINOR  Proper housekeeping to be done before and after the
cleaning activity. C3,L5 INSIGNIFICANT

Communicate the MSDS of the chemicals to all involved

9 Waste Water Neutralization Damage to Environment C3,L4 / MINOR personnel C3,L5 INSIGNIFICANT

 Hazardous chemical details must be specified correctly in

C3,L4 / MINOR the waste manifest C3,L5 INSIGNIFICANT

 Liquid waste must be disposed of at the designated

10 Waste disposible outside Damage to Environment C3,L4 / MINOR location as approved by the RC and environmental C3,L5 INSIGNIFICANT
engineer.
 Communicate the MSDS to involved personnel in waste
C3,L4 / MINOR disposal. C3,L5 INSIGNIFICANT

Slip Trips and Fall C3,L4 / MINOR  Egress/ingress free of obstruction C3,L5 INSIGNIFICANT
11 Housekeeping C3,L4 / MINOR  Cords/hoses and materials properly arranged. C3,L5 INSIGNIFICANT
C3,L4 / MINOR  Good Housekeeping must be maintained. C3,L5 INSIGNIFICANT
Section A :JSA Preparation /review Section B: JSA Approval
1- Team Leader (PK maintenance / execution Supervisor): I have led the JSA team during the
preparation phase and I have agreed to the highlighted risks, mitigation actions and listed steps of 5-Approved by Maintenance \Technical Manager
this JSA
NAME & ID : DEPT: NAME & ID : DEPT:
SIGN : DATE SIGN : DATE

2-Contractor/Operator/Subject Matter Expert (as applicable): I have reviewed and agreed with all
steps of this JSA 6-Acknowledged by Area Operation \ Owner Manager
NAME & ID : WAHID AZIZ DEPT: TAMIMI NAME & ID : DEPT:
SIGN : DATE SIGN : DATE
NAME & ID : DEPT:
7-Approved by Department Sr. Manager: (Only required if any of the remaining risks is higher than Insignificant )
SIGN : DATE
NAME & ID : DEPT: NAME & ID : DEPT:
SIGN : DATE SIGN : DATE

3-Operation Supervisor: I have reviewed and agreed with all steps of this JSA 8- Acknowledged by Director (Only required if any of the remaining risks is either Significant or Major).
NAME & ID : DEPT: NAME & ID : DEPT:
SIGN : DATE SIGN : DATE

4-EHSS representative: I have reviewed and agreed with all steps of this JSA 9- Approved by President: (Only required if any of the remaining risks is either Significant or Major).
NAME & ID : DEPT: NAME & ID : DEPT:
SIGN : DATE SIGN : DATE