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T o be completed on site; in consultation and signed off by CR team prior to commencement of work or when the work environment changes.
1. ACTIVITY OR
TASK
JSEA prepared by:
JSEA approved by:
Procedure/Std. Work
Inst.
HYDRO JETTING
Project:
Name
Client:
Positio
n:
Name:
Permit Numbers
Date:
HAZARD IDENTIFICATION - tick all that apply, write additional hazards identified
Hazard
Y N
Hazard
Y N
Hazard
Y N
Hazard
Workplace hazards
Environmental hazards
Confined space
Engulfment
Suspended loads
Line of fire
Difficult entry/exit
Radiation
Falling objects
Pressurised fluids
Lighting
General waste
O2
deficiency/excess
Poisonous
fume/gas
Electrical hazards LV / HV
Multiple electrical
feeds
Remote area
Hazardous waste
Traffic management
Temperature extremes
Explosive gas
Working at heights
Trip hazards
Machinery - mobile
plant
Weather extremes
Ladders
Slippery surfaces
Moving parts
Reduced visibility
Habitat disruption
Manual handling
Unauthorised persons
Communication - personal
Sharp materials
Dangerous Goods
Transport
Communication - means-of
Vacuum
Flammable
materials
Combustible
materials
Hazardous
substances
Elevated work
platforms
Potential for difficult
rescue
Y N
People controls
Safety Watch
person
Equipment
controls
Lock-out and tag
system
Barriers
Group isolation
Environmental controls
Permits attached
Ventilation
Excavation
Lighting
Working at
Risk matrix
Use risk matrix to assign a risk rating to each step of the JSEA on the following pages. Refer to Risk
Management Procedure HSEQ.PRO.Risk Mgt
heights
Warning signs
Fire extinguishers
Scaffolding for
access
Ground protection
Electrical
Confined spaces
Extreme
V. high
High
Moderate
Low
30
24
18
12
25
20
15
10
20
16
12
15
12
10
Risk
Levels
LIKELIHOOD
4
3
2
SEVERITY
Hot work
NAME OF
TASK:
Step
No:
Logical
sequence
HYDRO JETTING
Mobilization
Risk
Rating
refer to
the risk
matrix or
HSEQ.PR
O.Risk
Mgt
Manual handling
Risk
Rating
refer to
the risk
matrix or
HSEQ.P
RO.Risk
Mgt
Low
Job set up
Low
LOW
Blasting
4
Medium
Low
High
Low
Water blasting
High
LOW
6a
Water blasting
Noise or vibration
Medium
Access/ Egress
Location of hydro jet Unit
Completion of job
Rubbish
Medium
Low