JOB SAFETY ANALYSIS – TBL-JSA

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

STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

PROJECT:
TITLE: Pipeline Bending No: 0 0 6 Rev: 000
TATAOUINE BRANCH LINE

DEVELOPED BY: Project Team DATE: 08/11/2018 APPROVED BY: HSE Manager SIGN: DATE:

Mandatory PPE to be
PPE worn as
→ required
→

Activit POST SUPERVISORY

STEPS POTENTIAL HAZARD RISK RISK CONTROL MEASURE RESOURCES
y RISK REQUIREMENTS
 Contractor mobilization to Site/ logistics/ plot plan
Construction equipment and personnel to site, Falling
objects Collision to structures, Equipment  HSE team to assess continuously the conditions of work
 Control (Organization) and Communications in the assigned area
 PTW
- Improper communication  One person to issue work permits  Activity
system
- Improper control of the activity, Lack of understanding of  Toolbox talks supervisor /
procedures  Tool box
01 Permitting work C3  Competency of personnel and supervisory for the B1 Foreman
Talk
 Work condition not safe activity  HSE
 Inspection
 Procedures and tasks not clear  Define hierarchy and reporting flowcharts Supervisor
certificates
 Lack of supervisory  Define proper PPE to be used for the work
 Miscommunication  Check inspection certificates of equipment for the job
 Not correct PPE worn
 Equipment not inspected and certified
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

 TBT prior job commencement, Ensure an adequate

coordination between all workers, foreman and
supervisors.
 Manual handling technic to be explained
 Manual handling  Access route to be assessed.
 Slips trips and fall  Keep hands away from nipping points.
Site preparatory  PTW system  Activity
 Unstable ground condition  Stop if unsafe.
works (Clear and  Tool box supervisor /
 Underground facilities  Safe egress in Emergency, JHA, Manual handling
02 free access for C5 Talk B1 Foreman
 Simultaneous operations, Crushing injuries, Pinch injuries, training, Hand and power tool training, Load handling-
equipment and Inspection  HSE
Posture strain, Repetitive strain, Vibration, Han tools, team lifting, Mechanical devices
personnel) certificates Supervisor
Power tools, Load handling  First aid kits / Doctor, medic & ambulance on site.
 Bad weather  Emergency response Plan/Procedure
 PPE includes standard footwear, gloves, hardhats and
dust mask.
 Consider the possibility of stopping the job at bad
weather condition: heavy rain/strong winds.

 Wear correct PPE  Activity

 Phones
supervisor /
 Punch point / hand injuries  Smart grip / 3 points of contact when climbing onto  Rear view
03 Checking equipment C5 B2 Foreman
 Falling from machines machines mirrors
 HSE
 Diesel / oil spill  Use proper ladders / steps  Horn
Supervisor
 Use containment cans/ plastic covers to prevent spills
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

 Person fall in the trench

 Punch point / hand injuries when slinging the pipe with
 Keep away from trench
lifting slings  Activity
Pipe lifting spotting  Wear correct leather gloves
 Person hit by excavator arm supervisor /
into bending  Wear head protection  PPE
04  Person hit by suspended pipe C5 B2 Foreman
machine  Good communication with excavator operator  First aid kit
 Person stuck by / crushed between pipe and bending  HSE
 Never go in between machine and pipe when suspended
machine Supervisor
 Avoid punch points, keep hands away from machine
 Trapped hands / punch points when spotting the pipe in
bending machine pipe position

 Activity
 Pipe coating damaged by debris on the machine  Clean pipe body before operation supervisor /
 PPE
05 Bending the pipe  Pipe damaged by over-bending C5  Follow bending procedure, proceed with steps B2 Foreman
 First aid kit
 High noise area  Wear ear protection or ear muffs  HSE
Supervisor

 Put back equipment to proper place  Activity

 Equipment and tools remain on site
 Clear all work place from trash  PPE supervisor /
 Slip trip and fall
06 House keeping C5  Segregate trash  Plastic bags B2 Foreman
 Trash left in the work place
 Wear correct safety boots, watch for venomous animals  Trash bins  HSE
 Person get bite by snake or scorpions
before walking Supervisor
 JOB SAFETY ANALYSIS – TBL-JSA
STEP 1: Likelihood of Occurrence STEP 2: Severity of Result A B C D E
STEP 3:

1. Never heard of in O&G industry A. First Aid Injury 1 A1 A2 A3 A4 A5 STEP 4: Hazard Risk Assessment
2. Heard of in O&G industry B. Medical Treatment / Damage 2 B1 B2 B3 B4 B5
H = High Risk (INTOLERABLE, significant and urgent actions required).
3. Incident has occurred in our company C. Lost Time Injury (LTI) 3 C1 C2 C3 C4 C5
M = Medium Risk (ALARP, reduce to As Low As Reasonably Practicable).
4. Happens several times per year in our
L = Low Risk (Negligible / Tolerable, monitor and manage risk).
company D. Permanent Disability 4 D1 D2 D3 D4 D5
5. happens several times per year in a
location E. Fatality 5 E1 E2 E3 E4 E5

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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