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JOB TITLE / AIM: HDPE Liner welding using fusion welding C block
JSA DATE:04/02/2007 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER:AbdulRehman SCRIBE:Abdullah Khan
PARTICIPANTS
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
1.Mobilization of Tools & Equipment
2. Manual preparation of HDPE liner and equipment set-up
Digitally signed
3. HDPE liner fusion welding by Abdullah Khan

4. Demobilization Abdullah DN: cn=Abdullah


Khan,
o=Descon,
ou=HSE, c=PK

Alternatives Considered: N/A


Signature
Not Verified Khan Date:
2007.02.04
12:27:08 Z

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE,S : First aid kit must be present at the area and the Hse personnel is the first response in case of
emergency

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.

File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of equipment Unauthorised equipment/tools brought out to Before mobilizing any equipment/tools make sure
site that the E &P Personnel got inspected the
equipment. Checklist are in equipment
Unskilled and uninducted personnel starting Ensure that all personnel prior to start the have
the job been inducted and oriented about the hazard in the
job site.
Open trench All open trench should be barricaded off when not
attended
Workers starting the job unfit to work All personnel not fit to work shall not be allowed
to work at the project site. Ensure excavation
certificate to BHP are in place
Workers starting the job without permit JSA must be in place prior to work. Ensure all the
persons take part in the tool box meeting
discussion. Persons signed at the back of JSA
Ensure gas testing are in place whenever doing
fusion welding at transition zone area
Hand Injury Ensure proper hauling of materials/get help if
required/Wear leather gloves.
2 Manual preparation of HDPE Liner Exposure of workers to various hazard like Ensure workers are complying with the min. PPE
and equipment set-up hand injury, dust, eye injury req..Safety shoes, helmet, safety glass, dust mask,
Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available
each area where workers are doing the job. First
aid kit available at site.
Snake bite Workers will inform and be aware about the
presence at the area. No killing of snakes
Unskilled and uninducted personnel starting Ensure that toolbox meeting was regularly
the job conducted and people are aware of the job and the
hazard enclosed in the job they are performing.
JSA was discussed and all workers are signed at
the back of JSA
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Back injury Ensure workers/operators properly inducted
about the proper positioning
Ensure workers are complying with the min. PPE
req..Safety shoes, helmet, safety glass, dust mask
Excavated area Area with excavation/holes to be barricaded.
Tripping hazards Ensure that workers accessing the right walkway
and watch your steps.
Personnel & equipment interface Other worker not involve in the job must not
come closer to the area\
Ensure workers are accessing the right pathway
and equipment must maintain the speed limit
Ensure banks person are available at the area
Equipment Failure Ensure that equipment was check in daily basis
and checklist available at the equipment

3. HDPE liner fusion welding Fire Ensure available fire extinguisher in the area.
Ensure gas testing conducted whenever working
in transition zone area
Ensure no flammable materials present in the area
Ensure workers know how to extinguish the fire
Skin burn Ensure that workers are wearing leather gloves
and aware about the hazard.
Improper disposal of debris Ensure HDPE liner debris properly contained and
collected.

Equipment Failure Ensure that equipment was check in daily basis


and checklist available at the equipment
Ensure that workers accessing the right walkway
Tripping hazards
and watch your steps.
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)

Pinch point hazard Ensure no workers shall wear loose clothing/scarf

Unstable staging of HDPE liner Ensure proper choking and staging of pipe during
welding. Make sure the materials are in stable
condition

Back injury Ensure workers/operators properly inducted


about the proper positioning
Ensure workers are complying with the min. PPE
req..Safety shoes, helmet, safety glass, dust mask,

Heat Stress/Exhaustion Ensure potable water/sufficient shelter is


available each area where workers are doing the
job. First aid kit available at site.

Same as item one


4. Demobilization Same as item one