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307 HEALTH, SAFETY & ENVIRONMENT HANDBOOK 2008
ATTACHMENT 2:
INSTRUCTIONS FOR COMPLETION AND USE
OF SJA FORMS
Top section to be completed by the person responsible for the SJA in
preparation for the SJA meeting.
SJA title Brief descriptive work title
SJA no. Serial number for the SJA based on the
following system: SJA-U-04-01 where U
stands for Ula and 04-01 is the first analysis
in 2004
Dept./discipline Name of the performing department/discipline
SJA officer Name of the person responsible for the SJA
Description of work Brief and precise description of the work
Installation Name of the platform on which the work
will be carried out
Area/module/deck Name of the area, module or deck on which
the area is to be carried out
No. equipment/line The number of the equipment or pipeline on
which work is to be carried out
Prerequisites State any job prerequisites
WP/ WO no. Reference to the work permit/work order number
Number of appendices State the number of appendices
In addition, the SJA ofcer should do a preliminary break down of the
work into sub-tasks, see the mid-section of the form.
Mid section to be completed during the SJA meeting
No Subtasks serial number
Subtask A brief description of each subtask, step by step
Break down the job into logical steps
Give a brief and precise description of
what needs to be done at each step (not how)
Describe the subtasks in normal
consecutive order
For each step, start with an action word
such as Open, Remove, Move
Avoid too detailed/extensive descriptions
of each step
Elements of risk/cause List all elements of risk and causes of
possible undesired incidents that may occur
Possible consequence List possible consequences of each risk/cause
Measures List measures to be taken for each
consequence where this is considered
necessary
Responsible person State the person responsible for each of the
measures
Signature The signature of the person responsible for
carrying out the measure
308 HEALTH, SAFETY & ENVIRONMENT HANDBOOK 2008
Lower section to be completed at the end of the SJA meeting
Checklist studied
(yes/no) State whether the SJA checklist
has been used (yes or no)
Is the total risk level
acceptable (yes/no) Indicate the teams conclusion
(yes or no)
Conclusion/comments Briefly describe the conclusion
of the analysis made
SJA responsible SJAresponsibles signature on behalf
of the SJA team
Responsible for the job
performance Supervisor/performing
technicians approval signature
Area/operating authority Area authoritys approval signature
Other position (not in use)
Lower, right part To be filled in by SJA responsible
after the work is completed
Experience summary Short description of the work
after the job according to the SJA and incidents/
situations during the work.
309 HEALTH, SAFETY & ENVIRONMENT HANDBOOK 2008
ATTACHMENT 3:
CHEKCLIST FOR SJA
Taken care off? No Checklist for SJA No:
SJA Title:
Yes No Not
Applic.
Comments
A Documentation and experience
1 Is this a familiar work operation for the crew?
2 Is there an adequate procedure/instruction/work package?
3 Is the group aware of experiences/ incidents from similar activities/SJA?
B Competence
1 Do we have the necessary personnel and skills for the job?
2 Are there other parties that should participate in the SJA meeting?
C Communication and coordination
1 Is this a job where several units/crews must be coordinated?
2 Is good communications and suitable means of communication in place?
3 Are there potential conflicts with simultaneous activities (system/area/
installation)?
4 Has it been made clear who is in charge for the work?
5 Has sufficient time been allowed for the planning of the activities?
6 Has the team considered handling of alarm/emergency situations and
informed emergency functions about possible measures/actions?
D Key physical safety systems
1 Are barriers, to reduce the likelihood of unwanted release/leakage
maintained intact (safety valve, pipe, vessel, control system etc.)?
2 Are barriers, to reduce the likelihood of the ignition of a HC leakage
maintained intact (detection, overpressure protection, isolation of ignition
sources etc.)?
3 Are barriers to isolate leakage sources/lead hydrocarbons to safe location
maintained intact (process/emergency shutdown system, blowdown system,
x-mastree, drains etc.)?
4 Are barriers to extinguish or limit extent/spread of fire/explosion maintained
intact (detection/ alarm, fire pump, extinguishing system/equipment etc.)?
5 Are barriers to provide safe evacuation of personnel maintained intact
(emergency power/lightning, alarm/PA, escape-ways, lifeboats etc.)?
6 Are barriers that provide stability to floating installations maintained intact
(bulkheads/doors, open tanks, ballast pumps etc.)?
E Equipment worked on/involved in the job
1 Is the necessary isolation from energy provided (rotation, pressure, electrical
voltage etc.)?
2 May high temperature represent a danger?
3 Is there sufficient machinery protection/shields?
F Equipment for the execution of the job
1 Is lifting equipment, special tools, equipment/material for the job available,
familiar to the users, checked and found in order?
2 Do the involved personnel have proper and adequate protective equipment?
3 Is there danger of uncontrolled movement/rotation of equipment/tools?
G The area
1 Is it necessary to make a worksite inspection to verify access, knowledge
about the working area working conditions etc.?
2 Has work at heights/at several levels above each other/falling objects been
considered?
3 Has flammable gas/liquid/material in the area been considered?
4 Has possible exposure to noise, vibration, poisonous gas/liquid, smoke, dust,
vapour, chemicals, solvents or radioactive substances been considered?
H The workplace
1 Is the workplace clean and tidy?
2 Has the need for tags/signs/barriers been considered?
3 Has the need for transportation to/from the workplace been considered?
4 Has the need for additional guards/watches been considered?
5 Has weather, wind, waves, visibility and light been considered?
6 Has access/escape been considered?
7 Has difficult working positions, potential for work related diseases been
considered?
I Additional local questions
310 HEALTH, SAFETY & ENVIRONMENT HANDBOOK 2008
ATTACHMENT 4:
SJA PARTICIPANT LIST
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311 HEALTH, SAFETY & ENVIRONMENT HANDBOOK 2008
ATTACHMENT 5: RISK MATRIX
Assessment of hazards probability and consequence
In some cases it may be appropriate for the SJA group to use
a risk matrix in the assessment of a hazard, i.e. assessing
the probability of an undesirable incident occurring, and its
consequences. A risk evaluation of this kind may help clarify
the need and priority of measures to reduce the risk or its
consequences.
The evaluation method is a rough qualitative approach, and high-
risk hazards may well be subjected to a more detailed evaluation
later on.
Using the risk matrix
A risk matrix is used to assess/estimate risk by plotting the
probability of an undesirable incident along one axis and the
degree of consequences along the other axis. This must be done
for each subtask, cf. the SJA form. If the combination of probability
and consequence (cf. the matrix) reaches Medium or High,
measures will be needed.
Degree of consequence/severity
High Fatal, serious injury, >1 Day Away From Work Case,
considerable damage to equipment or supplies,
considerable pollution or loss of production
Medium Day Away From Work Case or minor injury, minor
damage to equipment or supplies, minor pollution or
loss of production
Low No injuries, minor/slight damage to equipment or
supplies, minor/slight pollution.
Probability:
High Probably, may happen several times
Medium Possible, may happen now and then
Low Not very realistic/likely, but conceivable
Probability
Low Medium High
L L M
L M H
M H H
Consequence
Low
Medium
High