Job Safety Analysis

PHA Ref:
GWP#

Section A: To be filled during planning phase

Work Location: Low temperature separator skid
Task Description:
Vessel entry for visual inspection and taking photograph of new
economizer. (V-351)

Facility Name: JBGP

Date: 08/05/2014
Emergency Contact(Name/Phone Number)

Required PPE: SCBA, basic PPE, full body harness

Chevron (PIC):
Ch-06, 017XXXXXXX
Contractor (PIC): N/A
Required Tools: Hammer, Plyars, Camera, Flash light

Required Equipment: Ejector

Required Procedures: N/A

Scope of Work (Document high level work plan in sequential order):

1.
2.
3.
4.
5.

Remove blind flange & open manway cover

Setup exhaust fan and operate it for air ventilation
Entry into V-351 for internal inspection
Taking Photograph
Close manway door and housekeeping

Department Supervisor Initial: ..WAHID...

Section B: To be filled at site by work team

General Hazards:
Slips, trips, falls
Pinch Points
Low lighting
Dropped Object
Falling from Heights
Moving parts/rotating equipment
Critical protection bypass
Confined space
Pressurized System

Hot/cold surfaces
Adverse weather
Biological Hazards
Noise
Vibration
Heavy Vehicle Movement
Fire/Explosion
Hazardous atmosphere/substances
Simultaneous Operations (SIMOPS)

Arc/Chemical Exposurer
Radiation
Ignition sources
Spill/Release
Heat Stress
Working Alone
Environmental Impact
Overhead Hazards
Other:

see above notes)

Controls/Mitigations

(Area Controller/ Site Sup /

WTL)

Hazard Information (Please

Responsible for Control

Verification

Document Task Steps in

Sequential Order

Person Responsible for

Control Implementation
(any team member)

Notes: Complete the following hazard information for each task step:
i). Document potential hazard(s), ii) how could a team member be seriously injured or killed conducting this step? iii) Could the
hazards associated with this step lead to spill/release? How? , iv) List potential dropped object associated with this step?

1a. Arrange tools and

Equipment

Slip, trip & fall

Insect may bite or come in
contact

Eyes on path
Make noise at hiding area

Janu Mia

Saleheen

1b. Opening flange and man

way cover

Fall from height

Drop blinds, flange
Pinch point

Janu Mia

Saleheen

2a. Setup Exhaust fan

Pinch point
Exhaust fan may fall during
assemble
Person may fall

Ensure 100% tie off. Do not

overreach. Maintain 3 points
contact while climbing.
Hold blinds and flange firmly,
Wear hand gloves, eyes on task
Ensure drop object checklist.
Use hand gloves, eyes on task
Hold firmly, drop object and Ensure
WAH checklist

Saleheen

Wahid

2b. Run Exhaust fan using

pneumatic air

Pressure from air hose

Static charge

Use whip check

Ensure proper grounding

Saleheen

Wahid

Version: Pilot_V3 (10th May 2014)

Check (tick
box) all
Critical
Steps that must
be executed
exactly as
planned &
SWA must
be applied
for any
deviation.

Job Safety Analysis

3. Enter into vessel

O2 deficiencies
Falling inside vessel

4. Taking photograph

Ignition source
Camera, flash light may fall
inside vessel
Slip, trip & fall
Flange may fall
Pinch point between joints
Slip, trip & fall

5a. Close flange joints and doors

5b. House keeping

Gas test, use SCBA

Use life line, rescue plan
Eyes on path
Perform gas test
Secure camera and flash light while
using inside vessel
Eyes on path
Hold firmly, Eyes on task
Use hand gloves.
Eyes on path

PHA Ref:
GWP#

Saleheen

Wahid

Saleehin

Rafique

Janu Mia

Saleheen

Janu Mia

Saleheen

Discuss and document the below items:

Potential scenarios and conditions which will trigger Stop Work Authority.
If blinds, doors doesnt remove and secure properly.

If plant air pressure fall down

If proper grounding not used.

If CSE requirement doesnot meet.

Human factors which could potentially impact the safe completion of the task.
(e.g. Performance modes, state of mind, fatigue, error traps, mental slip etc.)
Physical and mental fitness for vessel entry

State of mind
Fatigue

Training and competency

Work Team Members Acknowledgement & JSA Approval
I acknowledge that I understand the contents of this JSA : (Name & Signature)
Rubel

Saleheen
Rana
Taher
Kashem
Wahid
Rafique

JSA Approval Work Team Leader (Name & signature):

Saleheen

Transfer to Work Team Leader (Name & signature):

Rifat (If needed)

Work Completion & Lessons Learned Discussion

Discuss and document the following. Notify Department Supervisor if any opportunity identified.
What Went Well:

Improvement Opportunity (e.g. use of additional procedures,

task steps missing, hazards missing, approvals missing, etc.):

Every steps for CSE followed carefully with trained person and
executed the job safely. Rescue team presence

Considering overhead hazard inside vessel and working at height,

ensure chinstrap with hard hat.

Version: Pilot_V3 (10th May 2014)