Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

DATE:
JOB SAFETY ANALYSIS & (WORK METHOD STATEMENT) JSA No:

PRINCIPAL CONTRACTOR: CPP CONTRACTOR NAME: ARD AL-MARAHEB COMPANY

PROJECT: EPC FOR NEW NASSIRIYA DEPOT PROJECT

LOCATION: 001- ADMINISTRATION BUILDING

THIS JSA IS TO BE REVIEWED ON:

JOB DESCRIPTION: FORMWORK (CUTTING AND FIXING ACTIVITIES)

PLANNED HIGH RISK CONSTRUCTION ACTIVITY:

Work at Heights Work on Roof Entering Excavation Using a Confined Space
Using a Hazardous Substance Work Over Water Bodily Injury
EMERGENCY ACTION:
In the event of injury is a member of the work team First Aid Qualified? YES NO If yes, their Name?
Point where an injured person may receive treatment: MINOR INJURY: at the workplace SERIOUS INJURY:
JSA STATEMENT DEVELOPED BY: REVIEWED BY THE FOLLOWING PERSONNEL: Mei Hong
Certificate
No Name Signature Position No Name Signature Position Date.
No.
1 1
2 2
3 3
4 4
5 5
6 6
Approved by: Position: JSA Review Date:

IF IT’S NOT SAFE – DON’T DO IT THAT WAY!

1
 Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

P.P.E REQUIREMENTS EQUIPMENT, EQUIPMENT & TOOLS FOR TAGGING & SIGNS PERMITS &
JOB INSTRUCTION
Use Use Use
Use
MSDSs
Safety Harness Hearing Protection Ladder Fire Blanket Men Working Above (Manufacturers
Safety Data Sheet)
Static Line BA Hand Tools Excavator Barrier Mesh Instruction Manuals

Steel Capped Boots Airline Shovel Winch Flagging Procedures

Welding Extension
Hard Hat Dust mask Personal Locks Work Instructions
Machine Leads
Confined Space Personal Danger
Face Mask Compactor Power Source Hot Work Permit
Harness Tags
Clear Safety
Gloves – PVC Drill Crane Out of Service Tags Isolation Permit
Glasses
Gloves – Hyflex
Monologues Grinder MEWP Information Tags Excavation Permit
(Nitrile)
Gloves – Leather Confined Space
Face Shield Scaffold Fans
Riggers Permit
Fire Vacuum
Sunscreen
Extinguisher Cleaner

2
 Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

HAZARD PROMPT – “check ”. Identify the job hazards and assess the RISK personnel may be exposed to before safeguards are implemented:
N/A N/A N/A N/A N/A N/A N/A
Low Low Low Low Low Low Low
Electrical Vehicles Pressure Weather Radiation Heat Biological
Med Med Med Med Med Med Med
High High High High High High High
N/A N/A N/A N/A N/A N/A N/A
Dehydration
Low Low Low Low Rotating Low Low Low
Chemical Height Access Bacteria Hot Entrapment
Med Med Med Med Equipment Med Med Med
Work/Sun
High High High High High High High
N/A N/A N/A N/A N/A N/A N/A
Low Low Low Low Moving Low Hot / Cold Low Low
Tools Depth Vibration Dust Lighting
Med Med Med Med Equipment Med Objects Med Med
High High High High High High High
N/A N/A N/A N/A N/A N/A N/A
Low Low Low Low Lifting Low Overhead Low Manual Low
Gases Weight Noise Slip / Trip
Med Med Med Med Equipment Med Hazards Med Handling Med
High High High High High High High

3
 Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

RISK SCORE CALCULATOR

Use The Risk Score Calculator To Determine The Level Of Risk Of Each Hazard
What would the What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
SEVERITY
Can the hazard be Eliminated or
Of an occurrence be? Almost Certain Very Likely Likely Unlikely Very Unlikely
removed from the workplace?
Can the product or process be
Disaster
High 25 High 20 High 15 Medium 10 Medium 5 substituted for a less hazardous
Multiple Fatalities
alternative?
Very Serious Can the hazard be engineered away
High 20 High 16 High 12 Medium 8 Low 4
Major Illness or Injury, disability with guards or barriers?
Serious
Can Administration Controls be
Serious but non-permanent injury or ill
High 15 High 12 Medium 9 Medium 6 Low 3 adopted?
health
i.e., procedures, job rotation etc.
Workdays lost
Substantial
Medical attention needed. Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment
No work restrictions. & Clothing be worn to safeguard
Minor against hazards?
Medium 5 Medium 4 Low 3 Low 2 Low 1
Minor cuts & bruises or sickness

4
 Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

Work Method Statement

For
New risk
Hazard / Risk Control of Hazard Exposures
Job Step score
Exposure Risk
No. After Action By
What are the hazards of each job Score What hazard controls will be used?
What you do, NOT how you do it controls
step? Who will check the effectiveness of the controls?
applied
What checks will be undertaken? E.g. (Inspection
& ongoing monitoring)
1. Physical injuries due to tripping, HSE Sup.
slipping, or heavy lifting. 1. Housekeeping and training workers on how to
1 Wood Transportation 2. Fatigue and muscle strain due to 2 safely handle wood and used tools. 1 Team
continuous work. 2. Organizing the transportation process to reduce Leader
periods of fatigue and stress on workers.
1. Exposed to injury by (sharp edges, or HSE Sup.
wood fragments, or bit by table saw.
1. Providing a special saw with high safety. Team
2 Cutting wood 2. Spread of sawdust fragments and 4 2
2. Providing goggles or a face mask for protection
their dangers to the saw operator's Leader
and PPE.
eyes.
HSE Sup.
1. Workers fall or slip. 1. Providing a safety belt when working at heights.
3 Installation formwork 2. He was injured due to the use of 3 2. Use safe equipment and tools, and use protective 1
Team
sharp tools. clothing and safe shoes during the installation process.
Leader
IF IT’S NOT SAFE – DON’T DO IT THAT WAY!

5
 Engineering, Procurement and Construction

(EPC) for New Nassiriya Depot Project

DATE:
JOB SAFETY ANALYSIS & (WORK METHOD STATEMENT) JSA No:
ARD AL-MARAHEB

SIGN ON SHEET
Date Name Signature Date Name Signature

IF IT’S NOT SAFE – DON’T DO IT THAT WAY!