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Task / Job Description: Installation of Fabrication Yard Validity Period: Permit / Work Order No.:
Type of JSA
New
Revised
Purpose of JSA
Routine Work
Turnaround
Projects
Other:
Name
Position
Company
Signature
Date
HSE Officer QC
27/7/11 27/7/11
Workers : I acknowledge receiving these instruction, understand and will fully comply with the JSA (Toolbox after approval of this JSA) Company Name Signature I/C No. Date Company Name Signature
I/C No.
Date
Work Supervisor :
Name :. Signature : .
Date :
Page 1 of 5
RISK RATING
Likelihood: High Probable, likely to occur. Medium Possible could occur. Low Remote, unlikely to occur.
Potential Hazard
Risk Rating L
Traffic Coalition
Ensure all worker attend general Toolbox talk Observed traffic rules at all time.
2.0 Lifting Operation 2.1 Mobilize crane to work area 2.2 Positioning Mobile crane 2.3 Selection of lifting gear Pedestrians Traffic coalition Soft ground Under rated lifting gear Lifting gear fitness Person Equipment Person Equipment Person Equipment L L L L L L Mobile crane to be guide by Banks man wearing Orange vest Use steel plate when ground is soft Use padding base plate for out rigger. Outrigger shall be fully extended Trained rigger to confirm sling and tackle capacity, color coded and in good condition prior start work Worker Supervisor Crane operator Safety Supervisor Rigger
Page 2 of 5
Potential Hazard
Who or What might be harmed (Person/Equip/ Env) Who or What might be harmed (Person/Equip/ Env) Person Equipment
Controls
Potential Hazard
Controls
Ensure tagging is secured prior lift started. Ensure area barricaded. No person to be allowed under suspended load at all time Rigger to control load from swinging with tag line
3.0 Bolt tightening 3.1 Work with hand tools Pinch point Falling object Person L Ensure hand tools inspected prior start work. Use right tools for the job Hand tools to be secure with lanyard Worker Supervisor
Person Equipment
L L
Wear full body harness with double lanyard & 100% tie-off at all time to a secured anchorage point
Worker Supervisor
Page 3 of 5
Potential Hazard
Risk Rating L L
Controls
Wear leather glove Secured cladding immediately whilst at height with tapper screw to its position.
power tools
Person Equipment
L L L
Ensure power tool inspected and color coded Avoid work in wet conditions Use only industrial approves cord and socket. Do not remove safety guard Wear double eye protection. Face shield and safety glasses
Workers Supervisor
Person Equipment
L L L
Contain welding spatter with fire blanket. Remove combustible materials from welding area. Wear approve welding face shield. Ensure fire extinguisher available with watchman.
Workers Supervisor
6.0 Installation of electrical cable and utility 6.1 Cable pulling Hand injuries Back injury Person L Wear hand glove Share load with co-worker Train worker correct technique on manual handling Supervisor Worker HSE
Page 4 of 5
Potential Hazard
Risk Rating L
Controls
Action Party
Housekeeping
Remove all barrier tape and signages Ensure waste remove from site by respective contractor Supervisor
Page 5 of 5