JOB SAFETY ANALYSIS FORM

Appendix 4

Section 1: JSA
Date of Issue: 26 Jun 2015

Department:

Installation and Dismantling of Webdeck suspended

platform
Mechanical Department

Section:

Web deck

Approved By: Jayesh J Pillai

Equipment Service:

Live / Shut down

Additional PPE Required:

Nil

Tools Required:

Approved WEB Rigging tools

Job:

A. Initial installation of rope access

working system and pre-rigged
Rescue system

JSA No: DMNDT-JSA-047

Quality Check Post Approval By:

Revision No: (0)
Expiry Date (3 yrs): 25 Jun 2018

1.

1. Falling from Height rescue required when personnel

is suspended/hanging out from decking.

2.

Anchor point & equipment failure

3.

Dropped objects

B. Work positioning / access to the

work locations
C. Handling of tools / materials at
height
D. Installation of the web deck
E. Inspection
F. De-rigging of the WEB Deck
System

Analysis By: Mohd. Shazni

Rev.2, 25-Mar -2015

Any hard copy printed is uncontrolled

1.1. Only IRATA certified personnel are used to execute the scope of work. All
personnel are to comply with both IRATA guidelines and company
procedures.
1.2. The supervisor is to ensure all working systems and rescue systems are safe
and fit for use. This will require pre-use checks on all equipment and rechecking after breaks.
1.3. Good communication and supervision are to be maintained at all times.
1.4. Buddy to buddy check is carried out throughout the task.
1.5. Maintain a minimum two points of contact with two independent life lines
to the structure. (follow DMNDT procedure)
1.6. All team members are to be briefed of their roles & responsibilities of the
rescue plan & rescue methods. Functional checks to be performed on prerigged rescue systems daily.
1.7. Self-retracting safety knife forms a part of the emergency response
equipment
2.1. Certified equipment is to be used at all times.
2.2. Check all the rope access equipment before starting work and after breaks
2.3. Only use anchor points that have an approved Professional Engineer
endorsement prior to anchoring the ropes.
2.4. Use appropriate anchor and rope protection to avoid any sharp edges, hot
surfaces or any other potential hazards. This may mean packing sharp edges,
using rope protectors, re-anchoring the ropes or deviating the rope away
from the hazard, the exact method to be used will be at the supervisors
discretion.
3.1 All tools and materials to be on lanyards or secured properly
3.2 Small items are to be carried in bags, which are secured using a lanyard tied
with the harness.
3.3 Exclusion zones to be cordoned off with red and white barrier tape and
appropriate warning signs are displayed.
3.4 A grounds man must be present at all times to ensure third parties do not
enter the area
3.5 No equipment heavier than 5kg to be carried by personnel, items heavier
than 5kg to be on independent hauling and / or lowering system. This will
normally consist of a secure method of attaching the equipment to the rope,
the haul / lower rope and a locking device (e.g. Petzl Stop) anchored securely

Date of Issue: 26 Jun 2015

Department:

Installation and Dismantling of Webdeck suspended

platform
Mechanical Department

Section:

Web deck

Approved By: Jayesh J Pillai

Equipment Service:

Live / Shut down

Additional PPE Required:

Nil

Tools Required:

Approved WEB Rigging tools

Job:

JSA No: DMNDT-JSA-047

Analysis By: Mohd. Shazni

Quality Check Post Approval By:
Revision No: (0)
Expiry Date (3 yrs): 25 Jun 2018

3.6
4.

Manual Handling of the equipment heavy loads, sharp

edges, pinch points.

4.1
4.2
4.3
4.4
4.5
4.6

5.

WEB Deck equipment failure (equipment used not in good

condition/overloading) leading to materials falling from
height & damaging plant equipment & injury to personnel at
grade level

5.1

to the I Beam structure. In certain circumstances, by changing the top locking

device for a pulley and passing the rope back down, the hauling / lowering can
be done from ground, the specific system used will be at the supervisors
discretion.
For larger items (WEB decking) two separate haul systems will have to be
used.
Maintain proper positioning and/or posture during material handlings
Do not lift more than 23 kg per person.
Keep hands away from pinch points. Care should be taken especially with
beam clamps for pinch points.
Use leather gloves.
Always ask for assistance if necessary.
For heavy loads use mechanical means, like pallet jack, Fork lifts etc. if
possible
All Web Systems equipment to be inspected prior to installation.

5.2 Inspect equipment using Visual, Tactile (feel) and Function check method
right before use of any equipment.
5.3 Ensure only certified equipment is to be used.
5.4 Ensure all WLL of the lever hoist is lower than the WLL (Working Load Limit)
of the wire clamp to ensure NO OVERLOADING.
5.5 Ensure the Wire clamp and cable are aligned properly as per DMNDT
procedure.

6.

WEB Deck system installed incorrectly leading to materials

falling from height & damaging plant equipment & injury to
personnel at grade level.

6.1 The Web system must be installed in accordance with the installation
drawings and as per WRS 3024 OPM WEB operating Procedures Manual by
trained personnel.
6.2 The completed Web system must be fully inspected prior to handover to the
client.

7.

Damage to the installed Web system leading to injury /

plant damage.

8.

Unsafe access and egress to and from the platform.

7.1 Any damage found (Visual inspection and/or in consultation with Supervisor)
by persons on the system must be reported to DMNDT office/On-site
supervisor immediately.
7.2 Inspections must be carried out after any damage, modification, severe winds
and at a period of not more than seven days by a trained Web Systems
inspector
8.1 When scaffolds are used to access and egress, it must be properly certified
and tagged prior use.

9.

Trip Hazards

9.1 Housekeeping is to be maintained throughout the entire task. All access ways
to be kept clear for ease of movement (all wire to be kept neatly & not

Date of Issue: 26 Jun 2015

Department:

Installation and Dismantling of Webdeck suspended

platform
Mechanical Department

Section:

Web deck

Approved By: Jayesh J Pillai

Equipment Service:

Live / Shut down

Additional PPE Required:

Nil

Tools Required:

Approved WEB Rigging tools

Job:

Analysis By: Mohd. Shazni

JSA No: DMNDT-JSA-047

Quality Check Post Approval By:

Revision No: (0)
Expiry Date (3 yrs): 25 Jun 2018
dangling down from decking

10. Heat Stress / Exhaustion

11. Adverse Weather

12. Gas Leak

10.1. Drinking water to be made available to team..

10.2. Rotation of worker to be practiced so as to ensure that the team is not over
worked. This rotation will be controlled by the supervisor.
11.1. Work to stop in heavy rain, lightning or high winds.
11.2. Follow the site guidelines to decide if work can continue in light rain.
12.0 Use only certified and approved gas monitors.
12.1 An adequate number of gas monitors are to be used subjected to number of
people and work site locations.
12.2 If gas leak is detected, evacuate the site immediately. Follow Exxon mobil
evacuation plan as explained during the tool box talk by the Supervisor.

Section 2: Field Considerations at time of task

ASK yourself- What could go wrong? What is the worst thing that could happen if something goes wrong?

Type of area hazards to consider through SPSA Assess, Analysis and Act

Site hazard not limited to; Conflicting activities, line of fire, hot/cold surface, slip/trip fall hazards, containment for any potential spill/leak/remnant, tool conditions/ correct tools, pinch
points/obstruction, lighting/visibility, access/escape route, store energy/ in equipment/line etc.
Identified Site Hazards
Additional Site Hazards

Safety Precaution Taken

Section 3: Tool Box Talk conducted by:

I have explained the JSA and identified site hazards to the execution personnel and personnel involved for task/activities and evaluated/confirmed that they well understand as communicated.
Name: ______________________________

Sign: ____________________________

Designation: _________________________

Company: ________________________

Date: _________________

REMINDER: UPDATE/REVISE YOUR JSA AS JOB SCOPE OR HAZARDS CHANGE

I have read and understand the contents in this JSA form and agree to all safety precautions and procedures to complete this job safely.
All personnel MUST sign before starting work.
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