JOB SAFETY ANALYSIS

Ref: – JSA –13

Facility / Site: Nawara site Location within Site: All sites Permit No: ………………………… Permit Type: Cold Date: ……………………..

Task Description: Diesel Truck Transport and refueling

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
Yes N/A
or Safe Work Practices been reviewed? Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.

JSA REVIEWER (Supervisor or Designate):

RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No Name / Signature: Company:
modified to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
 The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK
 The Team has the appropriate resources (people and equipment) to do the job safely.
HARD HAT SAFETY GLASSES  Others that could be affected by the work have been informed.
FACE SHIELD TASK LEADER:
SAFETY SHOES / BOOTS
GOGGLES

Name / Signature: Company:

FALL PROTECTION
FALL RESTRAINT
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:
COTTON Work Team Declaration:
LEATHER I acknowledge that I have reviewed the attached JSA, I understand my roles
and responsibilities, and I will comply with the instructions for this task.
IMPACT PROTECTION
Name (print): Name (print):
Dust mask OTHER (specify):
Work clothes

OTHER PPE (specify): chemical gloves

 TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD MITIGATION
(Number) (What could go wrong?) (How can harm be prevented?) STATUS
1. Permitting work  Work condition not safe  HSE team to assess continuously the conditions of  PTW system
 Procedures and tasks not clear work in the assigned area  Tool Box Talk
 Lack of supervisory  One person to issue work permits  Certificates
 Miscommunication  Toolbox talks inspection
 Not correct PPE worn  Competency of personnel and supervisory for the
 Equipment not inspected and certified activity
 Define hierarchy and reporting flowcharts
 Define proper PPE to be used for the work
 Check inspection certificates of equipment for the
job
2. Diesel Transportation  Journey Management procedure to be applied.  PPE
 Tractor and Trailer checklist to be performed on  PTW system
daily basis.  Tool box Talk
 Diesel transport and storage pictograms to be  Inspection
pinned up. certificates
 Warning light to be installed.  Fire extinguisher
 Trapping of personnel/ vehicles  Inspection of the itinerary road before diesel
 Equipment (Trailer tank) failure transportation.  First aid kit
 Noise / Vibration  Itinerary To be strictly followed.
 Equipment crush to personal and facilities  Qualified driver / valid permit
 Personal injury/ Fatality  Tool box talk to be conducted with Driver before
 Personal injury, Damage to the vehicles departure.
 Tank fall  Night Transportation is prohibited.
 Leak Gasoil on land  Speed limit tractor 10 km/ h
 Accident  Ensure a continual communication with the
supervisor on duty
 EMERGENCY contact list to be posted on the
tractor.
 SMOKING IS PRHIBITED while Diesel
Transportation.
 Diesel MSDS to be available and well explained by
the supervisor on duty
3. Fuelling engines at site  Static electricity  Earthling to be met before starting pumping
 Personal injury  Engine OFF  PPE
 Facilities damages  Ensure workers understand the hazards and  PTW system
 Engines damages controls by doing a pre-job tool-box talk.  Tool box Talk
 Leak oil, gasoil  Area to be barricaded.  Inspection
 Fire  Only Manual pump will be used. certificates
 Personal injury/ Fatality  Electric Pump is not allowed.  Fire extinguisher
 Damage to the facilities Allergies, damage to  Park within 2m of pump.  First aid kit
environment  Operator/End User must shut the engine of the
 Vehicle/Plant & Equipment prior to refuelling
 Ensure that there are No Naked Flames in the area.
 Refuelling must take place in a well-ventilated
area.
 Avoid spilling fuel by protecting the ground with
Fire retardant impermeable blanket & clean up any
fuel run off.
 Fire  Ensure suitable fire extinguishers and First Aid Kit is
available in close proximity to the re-fuelling
activity.
 Full inspection of equipment before to be used.
 Suitable PPE available. (Plastic Gloves, Eyes
protection...etc)
 Smoking is prohibited while fuelling engines.
 Diesel MSDS to be available and well explained by
the supervisor on duty
4. Housekeeping  Greasing materials remaining on place  Collect all remaining greasing material from work  PPE
causing slip trip and fall place  Trash bins
 Harm to environment caused by spill  Put back tools and equipment in the store and
 Empty cans left at work place workshop
 Used batteries left at work place  Put the used spares and parts into correct trash bin
 Spare parts and tools left at workplace or junk area
 Trash, boxes remain at work place  Clean work place and segregate waste
5. Working in desert  Biological hazards such as reptiles  Use of PPE •MSBI Emergency
 Close supervision response plan (medical
 Poison from the scorpions & snakes
 Long sleeve coverall treatment + ambulance)
 Personnel missing or lost in the desert
 Safety boots
 Personnel Protests  Communication
 Terrorist Attack  GSM
 Sat phone
 Security accompanying
 Provide sat phone, security spot and radio for
personnel working at uncovered area by phone.
 Assess the situation as quick as possible and
announcing the state of the emergency
(Emergency or Alert).
 At any security threats call first the ERT leader
mentioned in back of access badge and emergency
contact list.
 In case of any Terrorism threats call first the ERT

 leader or the IMT Leader and the COMPANY Field

 Security Liaison Officer mentioned in back of
access badge and emergency contact list
 Delegate someone to make sure that the area is
evacuated.
Name Position Date Signed
Prepared By
Checked By
Approved By