Appendix 9.
1
JSA Template
Facility : Cakerawala Production Platform (CKP)
JOB SAFETY ASSESSMENT Location: TOP DECK / BELOW
Department/Section: Construction
Potential dropped objects High Voltage Oxygen Deficiency Ignition Source
Manual handling injury High Noise Portable electrical equipment Poor lighting or visibility
Lifting equipment failure Potential spills Concurrent operations Flammable Atmosphere
Tight or Confined space Pinch Point–Hand Injury Pressurised equipment-burst Green hat (new) personnel
Moving objects impact Dangerous equipment Weather Other
Work at height - Falls Slips / trips / falls Hazardous substance - toxic Hot/Cold Surface
Task Description:Installation and bonding of FRP piping JSA Team Composition: Forman / Fitter and bonder Date : 8/06/14
Rev No. : 1
Hazards & Effects Current Safety Measures Additional Safety Measures Action Party
Job Step Job Step What can go wrong Prevent, Detect, Control, Mitigate and Respond. Prevent, Detect, Control, Mitigate and Respond.
No. Steps which complete the whole job (Possibly several outcomes)
1 Raise work permit for the job Conflict with other activities Work permit coordination Ensure other supervisor are aware of our activities
Falling from height Ensure scaffolding are inspected with approve valid tag
Materials/ tools falling from height Maintain good housekeeping
Ensure tools and materials are secure
Grinding disc breaks Ensure grinding disc are install correctly and rpm are compatible
Wear face shield when grinding
2 Removal of existing redundant piping Ensure grinder are in good condition First aid and medic
Grinding dust hazards Ensure area barricaded and awareness signage install
Wear respirator or dust mask
Hand and finger injury Wear appropiate hand gloves
Ensure grinding hose and hose connection are in good condition
Eye injury Wear face shied when grinding and safety glass
Falling from height Ensure scaffolding are inspected with approve valid tag
Materials/ tools falling from height Maintain good housekeeping
Ensure tools and materials are secure
Grinding disc breaks Ensure grinding disc are install correctly and rpm are compatible
Wear face shield when grinding
3 Installation / fit-up of FRP piping Ensure grinder are in good condition First aid and medic
Grinding dust hazards Ensure area barricaded and awareness signage install
Wear respirator or dust mask
Hand and finger injury Wear appropiate hand gloves
Eye injury Wear face shied when grinding and safety glass
Conjested area (body injury) Remove all obstructing object
Trip.slip and fall Always maintain good housekeeping
Ensure passageway is free from blockage
Resin/Chemical hazards Ensure personnel are brief on the hazard involve chemical
MSDS are in place
Rubber/latex glove must be use when dealing with chemical
Respirator to be use and ensure ventilation are enough
Barricade area and install sign board
Back and eye injury Wear appropiate hand gloves First aid and medic
4 Bonding of FRP piping
Wear face shied when grinding and safety glass
Always knows where the nearest location of ege wash
Use proper lift technics
Grinding dust hazards Ensure area barricaded and awareness signage install
Wear respirator or dust mask
Inform personnel working nearby of dust hazards
Appendix 9.1
JSA Template
Facility : Cakerawala Production Platform (CKP)
JOB SAFETY ASSESSMENT Location: TOP DECK / BELOW
Department/Section: Construction
Potential dropped objects High Voltage Oxygen Deficiency Ignition Source
Manual handling injury High Noise Portable electrical equipment Poor lighting or visibility
Lifting equipment failure Potential spills Concurrent operations Flammable Atmosphere
Tight or Confined space Pinch Point–Hand Injury Pressurised equipment-burst Green hat (new) personnel First aid
and medic
4 Moving
Bonding
objectsofimpact
FRP piping Dangerous equipment Weather Other
Work at height - Falls Slips / trips / falls Hazardous substance - toxic Hot/Cold Surface
Task Description:Installation and bonding of FRP piping JSA Team Composition: Forman / Fitter and bonder Date : 8/06/14
Rev No. : 1
Hazards & Effects Current Safety Measures Additional Safety Measures Action Party
Job Step Job Step What can go wrong Prevent, Detect, Control, Mitigate and Respond. Prevent, Detect, Control, Mitigate and Respond.
No. Steps which complete the whole job (Possibly several outcomes)
Always knows where the nearest location of ege wash
Air hose dislodge from connector Ensure anti whip are in-place
Close out work permit Permit violation Sign off permit and log book Check all permit are return to control room
5
Ensure permit are return to control room
Prepared by (JSA Team Member): Reviewed by (JSA Team Lead): Reviewed by (CH Safety Officer): Approved by:
Name: MOHD RIDZUAN Name : KAHIRO Name : HAIRUDIN Name : FAIRUS
Position: Contractor Personnel Position: Supervisor Position: CH Safety Officer Position: C S R
Date: 8/06/14 Date: 8/06/14 Date: 8/06/14 Date: 8/06/14
Appendix 9.1
JSA Template
Facility : Cakerawala Production Platform (CKP)
JOB SAFETY ASSESSMENT Location: Upper Deck
Department/Section: Construction
Potential dropped objects High Voltage Oxygen Deficiency Ignition Source
Manual handling injury High Noise Portable electrical equipment Poor lighting or visibility
Lifting equipment failure Potential spills Concurrent operations Flammable Atmosphere
Tight or Confined space Pinch Point–Hand Injury Pressurised equipment-burst Green hat (new) personnel
Moving objects impact Dangerous equipment Weather Other
Work at height - Falls Slips / trips / falls Hazardous substance - toxic Hot/Cold Surface
Task Description: To Perform Photo Taking JSA Team Composition: Date : 31/01/2013
Rev No. : A
Hazards & Effects Current Safety Measures Additional Safety Measures Action Party
Job Step Job Step What can go wrong Prevent, Detect, Control, Mitigate and Respond. Prevent, Detect, Control, Mitigate and Respond.
No. Steps which complete the whole job (Possibly several outcomes)
1 Preparation for PTW Wrong work permit apply Ensure proper and correct work permit are applied before start Clear instruction and briefing done with double confirmation
Work descriptions not clearly clarify work Review the work prior commenced
Work conflict with other activity Work description on the work permit should be clear Reschedule and backup plan
(Hazard un-identified Inform others during meeting and discuss with supervisor
Wrong job scope & assessment
Other potential hazard occurred)
2 To perform Picture taking Sharp Object and Pinch Point (Hand and finger injury) Wear glove First Aid
Identify and alert sharp and pinch point Medic
Remove any protruding hazard
Congested Area (Body injury) Access ways always keep clear from obstruction Frist Aid
Be careful with work environment condition Medic
Slip trip and fall (Eye and Body Injury) Remove walkway obstruction First Aid
Clear area from trip hazard Medic
Prepared by: Reviewed by: Reviewed by:
Name: King Hao Kai Name: Name:
Position: Project Engineer Position: Position:
Date:30.01.2013 Date: Date:
JSA DISCUSSION / TOOL BOX TALK
ATTENDANCE RECORD
Activity: Installation and Bonding of FRP Piping PTW No: Date:
All persons to print & sign to confirm they were present during the JSA discussion / tool box talks and fully
understand the tasks, hazards & safety measures to be taken. Any person joining the task after the toolbox
talk has been performed, must be given the same information by the JSA Team Leader or Job Supervisor.
Name Company Position Signature
Mohd Firdaus B. Jaafar Dialog PACSB Qc Inspector
Mohd Noh B. Kemis Dialog PACSB FRP Specialist
Choy Then Fook Dialog PACSB FRP Specialist
Choy Chee Yun. Dialog PACSB FRP Specialist
Checked and Approved by: Yip Kok Sum
(Job Supervisor Name, Sign & Date)
ATTENDANCE RECORD
Activity / Project: Installation of FRP Piping at CKP.
Date : Venue:
Name Company Department Signature
Yip Kok Sum Dialog PACSB FRP Specialist
Mohd Firdaus B. Jaafar Dialog PACSB FRP Specialist
Mohd Noh B. Kemis Dialog PACSB FRP Specialist
Choy Then Fook Dialog PACSB FRP Specialist
Choy Chee Yun. Dialog PACSB FRP Specialist
