jsa form

IBN RUSHD ARABIAN INDUSTRIAL FIBERS COMPANY

IR – II U&O DBN PROJECTJOB SAFETY ANALYSIS (JSA)

Company Task to be carried out

Pipe Tie-In

General Work Permit MSDS

Date Special Work permit Lock-out Tag

Supervisor Confined Space Entry Emergency Response Plan

Work Area Hole/Fire Watch

Work Description Crafts Involved Basic Job Steps Risk S.R. Recommended Safe Job Procedure

Civil Preparation of spools in

workshop

*Cause fire incident

*Cutting cause hand injury

*Correct using Firefighting

equipment.

*Proper PPE require for activity

Electrical

Equipment Installation

Excavations Loading fabricated spools

using crane to trailer

*Spools fall down due to improper

rigging practice.

* Crane trip over due to overloading

or improper position of crane.

*Qualified rigger and operator

shall be assigned for lifting

activity.

* Load chart and pre-lifting

checklist shall be followed. Crane

position shall be on firm ground

with fully extend outrigger.

Chemicals

Instrumentation

Insulation Transportation of

fabricated spools to work

area

*spools slips from trailer

*property damage due to car

accident

*trailer hits pipe rack

*All spools shall be secured by

competent person.

*Traffic route shall be planned.

*Flagman shall be provided with

vehicle.

*Goal post shall be equipped with

pipe rack elevation .

Lifts

Piping

Rigging Unloading fabricated

spools using crane to

jobsite

*Spools fall down due to improper

rigging practice.

* Crane trip over due to overloading

or improper position of crane.

*fire case due to unloading in

*Qualified rigger and operator

shall be assigned for lifting

activity.

* Load chart and pre-lifting

checklist shall be followed. Crane

Scaffolding

Welding



restricted area. position shall be on firm ground

with fully extend outrigger.\

*IR work permit shall be followed.

Toolbox meeting shall be

conducted prior starting activity.

Required Personal Protective Equipment Erection scaffolding *Scaffolding collapsed and fall

down.

*Worker fall down

*Tools and material fall down

*Scaffolding tubes touch living line

causes electrical shock

*Competent person shall erect

scaffolding platform.

*100% tie up policy shall be

followed.

*Tools and material shall be

secured while working at height.

*Safe distance shall be kept

between living line and

scaffolding.

Hard Hat Fall Protection

Safety Glasses Gloves

Ear Protection Safety Shoes Cutting, grinding and

wielding

*Fire case

*Human burned

*Existing pipe shall be properly

flushed and inspected before

starting any activity.

*Cool cutting will be carried out.

*Fire protection such as fire

blanket, fire hydrant and fire

extinguisher shall be available on

the spot.

Sniffer Air Packs

NDT & UT *Radiation injury and environment

pollution

*Proper tight tie or support X-ray

unit at position, good insulation

condition of x ray power cables,

sockets plug.

*Assign watch man to make sure

Severity Rating (S.R.)



person not entering to barricade

area.

Hydro Test *Cap remove on high pressure

condition cause person injury

*Trip and electrical shock due to

hydro test water overflow.

*Cap shall be fitted properly

according to specification.

*Proper disposal hydro test water.

1 First Aid/Property Damage-Not Probable

WE CAN GO BACK AND DO THE WORK AGAIN, BUT WE CANNOT UNDO ANY DAMAGE AND OR INJURY

2 First Aid/Property Damage

3 Recordable Accident/Property Damage

4 Lost time Accident/Major Property Damage

5 Catastrophic Accident

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