Sample & Simple JSA - Job Safety Analysis
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Job Safety Analysis Sheet
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JOB DESCRIPTION: Gas
Cutting
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JSA No.
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Facility:
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Work Area / Equipment:
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Permit No.
Date:
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PERSONAL PROTECTIVE EQUIPMENT &
TOOLS: Hard
Hat, Safety Shoes, Face Shield, Safety Goggles, Hand Gloves (Cotton & Leather), Coverall, Multi Gas Detector.
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SEQUENCE
OF BASIC JOB STEPS
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POTENTIAL
HAZARDS
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Yes / No
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PRECAUTIONS
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Planning
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Presence of Flammable
/ Toxic Vapor or Liquid
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Ø
Ensure
the pipeline / equipment to be gas cut is isolated, depressurized, drained,
flushed, and purged as required for safe execution of the job.
Ø
Ensure
the worksite is free from flammable / toxic vapor or liquid.
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Fire & Explosion
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Ø
The
entry of non – certified tools / equipment / Mobile Plant are to be
authorized under appropriate Work Permit.
Ø
Keep
the fire extinguishers & fire hoses in ready condition.
Ø
Keep
trained fire watch as standby.
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Non – compliance of
KOC F & S Regulations and HSE MS Procedures
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Ø
Refer
HSEMS Procedures - Doc. No. SA.KOC.021 ‘Welding & Cutting’; and Doc. No.
SA.KOC.004 “Permit to Work” as well as Chapter -16 “Welding” of KOC F & S
Regulations.
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Unintended Shutdown
of Facility / Equipment
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Ø
Asses
& Identify the safety override (UV / IR Detector) required for the work.
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Unauthorized
Work
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Ø
Take
a Hot Work Permit and other associated permits from Asset Owner.
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Cutting
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Defective Tools
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Ø
Ensure
the cutting torch, hoses & gas cylinders are free from defect.
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Heat Radiation
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Ø
Wear
the required PPE (Long Sleeve Coverall, apron, safety Goggle etc)
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Exposure to Hazardous
Fumes
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Ø
Ensure
proper ventilation at the worksite.
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Burns
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Ø
Wear
long sleeved coverall & apron.
Ø
Use
leather hand gloves.
Ø
Keep
First Aid Kit at site.
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Falling
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Ø
Enclose
the work location through tarpaulin.
Ø
Ensure
no one is working below the location of gas cut.
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Oxy-acetylene
Cylinders
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Ø
Keep
Oxy-acetylene Cylinders safely at least 5 meters away from the work location.
Ø
Never
use domestic LPG cylinder for cooking.
Ø
Close
the isolation valve at cylinders when not in use.
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Windup &
Housekeeping
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Scattered Material
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Ø
Ensure
proper wind up & housekeeping at worksite.
Ø
The
accessories (torch, hoses & cylinders) not being used must be
disconnected and stored separately.
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Additional Hazards
(Other than
indicated above)
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JSA Done By
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Name:
Designation:
Company:
Contract No.(If Applicable):
Signature:
Date:
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