ConocoPhillips Indonesia Ramba

JOB SAFETY ANALYSIS 001-09-2003

HSEMS ELEMENT 2 HSE RISK ASSESSMENT & MANAGEMENT

Job Description: {Fill in the Job Description} CLEANING UP TANK

Area/Unit: {Fill in the area/unit

Tempino Tank Farm Tank No: 4

Tag No/Equipment Description:

DATE ISSUED
:
LAST REVIEWED DATE:

W/O No :

References: {Fill in the reference document that related to this JSA, e.g. HSE Standard Manual}
PPE Required to do this Job: Safety glasses
Goggles/faceshield
Earplug/Earmuff

Dust/weldingmask Coveralls
Cartridge-filter mask Chemical clothing
SCBA/SABA
Leather/chemical gloves

Jan 21, 2004 until finish

Page 1 of 3

Safety harness/lifelines
Life vest
Leather/chemical boots

Hard hats
Welding helmet
Others ________________________

IF YOU DONT MEET THE REQUIREMENTS AS STATED IN THIS JSA DO NOT PROCEED WITH PERFORMING THE JOB

JOB STEP

Machine/Equipment/Tool
involved in each step

Potential Hazard/Loss

Control Statement

1. Safety meeting

Check all procedure about the job

Not understand about job so

personal Injury.

All personal must be understood about the

job and procedure.

2. Preparing equipment

Fire extinguisher
Safety sign, Traffic cone, Tank
truck, Back hoe, pump, square
tank, pipe wrench, etc.

Personal injury
Equipment malfunction /
damage

Be careful
Make sure all equipment good condition
and ready to use

3. Drainage tank

Tank truck, Square tank, gas

detector

Equipment malfunction /
damage.
Personal injury
Availability of H2 S

4. Install Blower

Compressor engine
Blower, hose

Hose leaking
Personal injury

5. Cleaned UP

Water Pump
Hose
Nozzle spray

Hose leaking
Nozzle spray loose

Use PPE
Use equipment/pipe wrench ,type/size
properly
Set tank on pig launcher and pig receiver
and than install flexible hose on inlet and
outlet tank
Monitor pressure and gas w/ gas detector
Make sure all valve on blower hose
opened position
Be careful
Use PPE
Use equipment/pipe wrench right type/size
Be careful
Page 1 of 3

6. Oil recover

Tank truck

Hose of tank truck leaking

Electro static
Explosive and fire

7. House keeping

All equipment and tools

Personal injury

Be careful

Make sure tank truck ready to use

Install grounding cable when suck oil spill
Spray poem oil to neutralizer oil spill
No smoke and make flame.

Prepared by:

Zulkifli. M / Pipeline Foreman__________________________________

Date: __________________________

Reviewed and Approved by:

Zulkifli Sulaiman / Pipeline Supervisor______________________________

Date: __________________________

This sheet is to record that Personnel noted below have been made aware of the nature of the task to be carried out; any potential hazards associated with the completion of
this task and any additional work activities which could impact on safe completion of this task. It can be used as an aid by work leader.
Lembaran ini untuk menyimpan data bahwa Personil yang bertandatangan di bawah ini telah mengetahui dan pahan mengenai tugas yang akan dilakukan; setiap potensi
bahaya yang berkaitan dengan tugas ini serta aktifitas kerja lain yang dapat berpengaruh terhadap selesainya tugas ini dengan selamat. Lembaran ini juga dapat digunakan
sebagai petunjuk bagi pimpinan tugas.

Are you satisfied that/Apakah anda telah memenuhi persyaratan berikut ini :
You are trained and competent to carry out the task?/Anda telah dilatih/training dan mampu untuk melakukan tugas dengan baik dan benar ?
You have seen, briefed and understood all Work Permits and Job Safety Analysis requirements?/ Anda telah melihat laporan, telah dijelaskan dan telah mengerti seluruh
persyaratan yang disebutkan dalam Ijin Kerja dan Job Safety Analysis ?
You have all the necessary and specified personnel protective equipment?/ Anda telah memiliki semua PPE yang disyaratkan untuk pekerjaan ini ?
You understand your responsibilities for both the work activity and safe working practices?/ Anda telah mengerti tanggung jawab anda terhadap aktifitas kerja dan cara
kerja yang aman?
You have the correct tools and equipment for the job?/ Anda telah memiliki perkakas, peralatan dan perlengkapan yang benar untuk bekerja ?
You have considered conflicting activities?/ Anda telah mengerti pekerjaan lain yang berkaitan dengan pekerjaan anda dan yang akan mempengaruhi kelancaran
pekerjaan anda ?
You know how to access and exit the work site safely, the nearest emergency telephone or fire alarm point is?/ Anda telah mengetahui rute masuk dan keluar dari area
kerja anda yang aman, telpon darurat atau fire alarm yang terdekat ?
You are aware what action to take in an emergency?/ Apakah telah anda paham tindakan yang harus anda dilakukan pada saat keadaan darurat?
You have received MSDS advice on any materials or substances you may come in contact with?/ Anda telah mengetahui persyaratan yang ditentukan dalam MSDS dari
material atau zat-zat kimia yang akan anda tangani ?
You have considered the work environment?/ Anda telah mempertimbangkan kondisi lingkungan kerja ?
You understand how you will control waste?/ Anda telah mengetahui cara mengontrol limbah buangan dari pekerjaan anda ?

WORK LEADER AND WORK TEAM TO CONFIRM JSA REVIEW HAS BEEN HELD, DISCUSSED AND UNDERSTOOD
Work Team Member

Signature

Date