Job Safety Analysis (Jsa) Work Sheet: Doc No
Job Safety Analysis (Jsa) Work Sheet: Doc No
Job Safety Analysis (Jsa) Work Sheet: Doc No
Doc no
Rev: 0
Slight injury or
Slight damage, Participant (Parties involve in
1
health effects
No disruption to Slight effect Slight impact Low Low Low Low Low JSA) Site engineer, supervisor JSA -
operation Approved by
and safety officer
Minor injury or Minor damage Limited
2 Minor effect Low Low Medium Medium Medium
health effects (=QR 250,000) impact All the mitigation measures
identified in JSA are in place
Major injury or Local damage Localized National
3 Low Medium Medium Medium High before starting the activities
health effects (=QR1 300,000) effect effect
Single fatality
Minor damage Regional
4 or permanent Major effect Low Medium Medium High High
(=QR 25,000,000) effect
total disability
Multiple Extensive Massive International
5 Medium Medium High High High
fatalities (=QR 25,000,000) effect impact
Probability Factor
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JOB SAFETY ANALYSIS (JSA) WORK SHEET
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Severity Severity
Sl.
Activity (Job Steps) Potential Hazard Before Required Control/Mitigation Measures & Checks After Action party
No.
Mitigation Mitigation
1 Tool box Meeting And People Not Understanding What Medium C Make Sure Everyone Is Involved With The JSA/JHA Low C Site radiation
JHA Discussion The Plan Or Hazards Are; People Discussion And Understands; Encourage Everyone To supervisor &
Afraid To Ask Questions Ask Questions And Participate. Don't Make Anyone Feel radiation
Presence of H2S gas and Toxic For Speaking Up Or Questioning
workers
gas In Work Areas. Try To Identify These Types Of things In Your Work Areas
Presence of chemical or flammable Before Starting the work; Clear Carefully Work Areas By
items gas testing and daily site inspection
2 Work Permit Unauthorized commencement of Medium C Authorized work permit holders shall ensure obtaining and Low C Site radiation
works maintaining valid work permits. supervisor &
May result in exposing people The supervisor responsible for this activity has to check radiation
and/or potential to harm or danger. the PPE of his staff to ensure that all required items are workers
available and properly used.
Inform all people regarding permit conditions before work
starts.
Supervisors must conduct daily toolbox talk about nature
of work and associated potential hazards and their
essential precautionary measures.
4 HSE check list &Prior to Lack of safety awareness Medium All personnel shall be H2S trained Low C Site radiation
commencing C Obtain work permits supervisor &
mobilization to site Comply with all general job requirements mentioned on radiation
PTW workers
TBT on possible emergency and response procedure.
All safety requirements stated on the work permit must
be fulfilled
5 Radiography Radiation exposure Medium C Complete PTW Requirement Low B Site radiation
Over dose Controlled area classification supervisor &
Property loss radiation
Prior to visual inspection of the area, the safety
Ionizing radiation workers
barriers shall be erected on all access ways, to
Vomiting prevent people from entering the restricted area
Nausea during the inspection. This
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5 Housekeeping Slips trips and falls due to poor Medium C Remove tools equipment and rubbish from worksite and Low C Site radiation
Clean up worksite housekeeping maintain a clean work environment. supervisor &
Arrange housekeeping on daily and every shift bases radiation
Supervisor shall conduct tool box meeting in this regards workers
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