Job Safety analysis (JSA) Form

Rev: 00
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Halul
UNITED International
Trading & Cont. W.L.L

Job being analysed: Pretrenching work at Halul Island.

JSA members:
Department / Section doing JSA: Health & Safety Department Job Performers:
Normal approval : Positions Name Staff no Signature Date General Job Requirements /
Common PPE
JSA by: Waturuocha C. Bruno
Job Supervisor: Soji Babu Coveralls, safety helmets ( no older
than One (1) year from the date of
EXTRA ORDNARY APPROVAL (ONLY IN VERY SPECIAL CASES BY A JOB SUPERVISOR) issue), safety glasses ( dark &Clear),
Discipline Superintendent safety shoe (sole must not be
Safety Representative Waturuocha C. Bruno smooth), safety gloves,
barricade/sign the area, pre start
Any Other Approving Authority safety tool box talk
Emergency Situation / Evacuation Gas Leak / Fire In case of emergency situation all the works must be stopped, equipment’s to be switched off
and all personnel’s must report to the nearest muster point considering wind direction
Note: 1) If any of the tasks involved biological, physical or chemical hazards, then industrial hygienist must also sign this Form against
‘’Any other Approving Authority’’ above.
2) If steps in a job are more than the space provided above, use a photocopy to continue on the next page.
3) Detail on the safety (PPE,E Hazard etc) and environmental requirements cab be found in safety & environment procedure
Available from the internal / documents & standard.

UITC-HSE-JSA-00001 Job Safety Analysis 1

 Job Safety analysis (JSA) Form
Rev: 00
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Halul
UNITED International
Trading & Cont. W.L.L

JOB SAFETY ANALYSIS WORKSHEET

Activity: Pretrenching work at Halul Island JSA NO.:

Reference: UITC-HSE-JSA-00001 Date : 03/ 01/ 2015

Step Description of Task Step Hazard-Potential incident Who or What might Control Measures / Recovery Action / Responsible Party
No. be harmed Measures
1 Mobilization workers & Physical injury, damage of Workers, material  Toolbox talk must be conducted Site engineer, Safety officer,
equipment to site materials & equipment damage prior to commencement of any foreman, workers
activity ,
 Daily inspection of personnel &
equipment (boom truck, dump
truck, wheel loader),
 Ensure adequate Training and
supervision,
 All equipment to have permit
from QP Job officer
2 Installation of silt screen using Man Over Board, damage of Workers, materials  Ensure permit to work is Vessel master, safety officer, site
small vessel. materials, Manual Handling, obtained, supervisor
equipment damage  Toolbox talk must be conducted
prior to commencement of any
activity,
 Ensure all workers use
appropriate PPE (Life jacket &
PFD’s),

UITC-HSE-JSA-00001 Job Safety Analysis 2

 Job Safety analysis (JSA) Form
Rev: 00
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Halul
UNITED International
Trading & Cont. W.L.L

 Ensure only competent vessel

3 Cleaning of excavated trench
Cave-in, Physical injury, Man
Over Board
crew are on board(.e.g. trained
in HUET, swimming/diving),
 Adequate care and supervision
of boat operation to be
ensured,
 Boat must not be operated
beyond its capacity
 Boat shall not be used during
low tides.
 At any time during sea/water
activities, 3 swimmers are
required to be in the water in a
case of any emergency (when
the boat is not used)
Workers, Material/  Toolbox talk must be conducted Site engineer, Safety officer,
Equipment damage prior to commencement of any banksman, workers
activity,
 Ensure that a certified swimmer
is positioned to guide the
octopus excavator and operator
while trench cleaning,
 Ensure that survey points are
followed to avoid equipment
falling into trench ,
 Ensure competent & certified
excavator operator,
 No personnel shall stand within

UITC-HSE-JSA-00001 Job Safety Analysis 3


UNITED International
Trading & Cont. W.L.L
4 General work at Halul island.
5. Operation of excavator in the sea
UITC-HSE-JSA-00001
Job Safety analysis (JSA) Form
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Exposure to Toxic Gas (H2S) workers
 Breakdown of
excavator in the sea.
 Leakages/Pollution
Job Safety Analysis
Rev: 00
Halul
the excavator boom radius at
full extension.
 VHF radios shall be used for
ease of communication.
 Ensure certified equipments,
 Ensure operator follows
scheduled plan (as per method
statement)
 Provide individual toxic clip for Safety Officer, Site supervisor
monitoring of H2S,
 Ensure all workers are
competent and have H2S
Training & Certification,
 Ensure provision of respiratory/
breathing apparatus,
 Ensure continuous supervision.
 Equipment  Ensure secondary excavator is
 Marine life used as mitigation plan in case
of excavator breakdown. Site Engineer/Supervisor, HSE
 Standby maintenance Officer/Project coordinator
technician with necessary
adequate spare parts shall be
made available at site prior to
start of excavation works.
 Ensure boat is constantly
positioned alongside excavator
(octopus) to assist in case of
emergency.
4

UNITED International
Trading & Cont. W.L.L
6. Lowering and removal of boat
into/from the water
UITC-HSE-JSA-00001
Job Safety analysis (JSA) Form
Rev: 00
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Halul
 Ensure that excavator is
operated by only experienced
and qualified operators.
 Ensure that excavator is
thoroughly inspected prior to
any activity (ies)
 Ensure that spill kit is in place at
time of mobilization of
equipment for control of
pollution by any leakage
 Improper lifting  Equipment  Octopus excavator also Site supervisor/HSE officer.
method might lead to  Personnel designed for lifting shall be used
damage of boat. for lifting the boat and SWL and
 Strike against WLL must be maintained.
personnel during  Web slings and shackles shall be
lifting and control fitted unto the pad eyes on the
boat.
 All lifting accessories and
operators shall be third party
certified and with STi stamp
 While lifting the boat, tagline
must be fitted to ensure guided
lifting.
 Lifting shall not be carried out
during unfavourable weather
conditions.
 Where Octopus excavator may
not be used for lifting of boat,
Job Safety Analysis 5

UNITED International
Trading & Cont. W.L.L
7 Access/Egress to/from the sea
(octopus excavator)
Revised By: Reviewed by:
C.B.W
UITC-HSE-JSA-00001 Job Safety Analysis
Job Safety analysis (JSA) Form
Rev: 00
EPIC for Power Supply Project through Submarine Cables from Ras Laffan to Date:03/01/2015
Halul
boat trolley shall be fitted unto
the pick-up van while adequate
personnel shall push the boat
unto the trolley during lowering
and removal from the water.
 Difficulty in access  Equipment  LS cable to provide access for Site Supervisor/HSE officer
to/from the water due  personnel UITC which shall not disrupt the
to the position of the FOC line during access/egress
TJB2 to/from the sea.
 Only the competent operator
shall operate the Octopus
excavator at all times
 Flagmen must be in-place
during all manoeuvring
 In a case ramp is created, tip
(shoreline) between the water
and elevated ramp to be always
maintained regularly (i.e. in any
case of erosion of ramp by high
waters) to allow easy access
to/from the water and also to
reduce turbidity.
Approved by: Approved by: LS Cable & System Approved by: Qatar Petroleum (QP)
A.M.L M.J
6