JOB SAFETY ANALYSIS

Réf: – JSA-…….

Facility / Site: Wellsite Location within Site: Permit No: Permit Type: COLD Date:
ZONE CLASS0
Task Description: Scaffolding Erection

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 modified
Yes No Name / Signature: Nidhal NASRI Company:
to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario- Yes No
BasedRiskAssessmentrequired)
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

FALL PROTECTION Name / Signature: Company:MSBI

FALL RESTRAINT COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:

COTTON Work Team Declaration:

I acknowledge that I have reviewed the attached JSA, I understand my roles
LEATHER 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):            
           
 TASK STEPS
(Number)
1. Permitting work
2. Working in Hazardous area
3. Manual handling
POTENTIAL HAZARDS CONTROLS HAZARD PORT MITIGATION
HAZARDS (How can harm be STATES
(What prevented?)
could go
wrong?)
• Work condition not safe • HSE team to assess continuously the • PTW system
• Procedures and tasks not clear conditions of 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
• Equipment not inspected and for the activity
certified • Define hierarchy and reporting flowcharts
• Define proper PPE to be used for the work
• Check inspection certificates of equipment
for the job
 Presence of toxic and gas in  PTW and TBT before starting work.  Emergency Response
the work area  Refer to TPS ATEX Zoning Plan
 Fire  Use of gas detectors
 Use non Sparking Tools  Ambulance ready to
 sparks arrestor for vehicles intervene in case of
emergency
 Smoking is prohibited
 Cell phone is prohibited Evacuation car on work site
covering POB working in
the area.
 Lifting heavy loads  Employing trained and experienced MSBI Emergency response
 Sharp edges persons Plan
 Pinch point  Proper manual handling techniques to be
 Slips & trips applied.
 Whipping action  Presence of mind at all time
 Weight & dust  Avoid pinch and crush point
 Maintain good house keeping
 Use of proper PPE’s
 Proper tools shall be provided.
 Team work if it looks like two or even
three workers would do the job more
effectively and safer than one, then that is
probably true.

4. Using of Man lift Lack of knowledge
Untrained / unskilled operators
Wrong operating practices
Over loading
Failure of equipment
Uncompacted ground
Falling objects
Fall
 Use adequate body position while lifting
or carrying equipment
 TBT in place
 Insure the presence of mechanical lifting
tools and equipment to avoid manual
handling as much as you can
 Body fitness and medical check before
starting the job
 Workers must undergo the working at MSBI
heights Procedure and working at heights Emergency response Plan
training.
 Only trained operator to operate the
equipment
 Only two personnel allowed on the man
basket.
 Equipment must be inspected monthly
and colour coded
 100% tie-off. Use of full body harness with
2 shock absorbing lanyards.
 Tools and equipment to be secured
against falls i.e. tied down, used with
lanyards / string.
 Follow the manufacturer’s safe operating
procedures & best practices.
 Equipment must be 1 meter away from
the edge of excavation.
 Equipment must be position in firm and
level ground before operating
 Scheduled awareness / refresher trainings
for operators.
 Periodic maintenance / servicing schedule
to be implemented.
 Tool box talks to be carried out prior to
equipment operation.
 Close supervision when use in critical
erection and lifting
 Daily inspections of operators.
 Barricade the working radius.
Verify / confirm stability of ground prior to
set up
5. Scaffolding erection  Personal Injury/fatality due to hit by Workforce must undergo the Working at MSBI
pipe Height Procedure and Scaffolding Procedure Emergency response Plan
 Fall from height Erection and dismantling must be carried •
 Pinch and crush injury out by trained scaffolding personnel
 Property damage Proper tagging or labelling of scaffolds at all
 Falling objects time.
 Pipes falling down from the Scaffold platforms must be inspected and
equipment due to lashing failure, etc. tagged by designated competent inspector.
Proper coordination of scaffolding group
during installation /dismantling to other
group.
Persons with vertigo are strictly prohibited
to work at heights.
Ladders must be inspected and colour
coded
100% tie-off. Use of full body harness with 2
shock absorbing lanyards.
Two planks to be used during initial erection
of every lift.
Use of proper PPE’s.
Tools and equipment to be secured against
falls i.e. tied down, used with lanyards /
string.
Throwing of tools and materials are strictly
prohibited, use rope and pulley to hoist up
and lowered materials during erection and
dismantling.
Provide warning signboards and barricade
the working area.
Follow approved design for special
scaffolds.
Scaffolds intended as working platform for
personnel must not carry extra weight other
than the workmen and minimal weight of
materials and tools.
No erection & dismantling work in harsh
weather (wind at 25 mph wind, sandstorm,
foggy, immediately after rainfall)
6. Housekeeping  Slips trips fall Segregate the wastes as per the waste MSBI
 Environmental impact management procedure Emergency response Plan
7. Working in hot weather  Heat stress  Provide sufficient amount of water  MSBI Emergency
 Dehydration  Regular break Response Plan
 Sunstroke  Provide shadowed area
 Avoid intense work between 12h &13h
8. Venomous threat  Snake bits  Extra precaution while performing  MSBI Emergency
 Scorpion stings activities Response Plan

Name Position Date Signed

Prepared By Farid ZRIDA HSSE site manager
Checked By Area HSSE Supervisor
Approved By