Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 1 of 6
JOB SAFETY ANALYSIS (to be filled out by Operations/Maintenance Staff or Group Leader together with JSA Team Members)
Plant/Area: SHARQ Job Description: Anti termite chemical treatment
Job Location: All perimeter fence of SHARQ JSA No:
Leader Name: Dept.: E&PM
Team Leader: EHSS Engineer
JSA is led by the Execution department for the designated Role selected based on activity Risk Type
activity ( SAFETY – HEALTH – ENVIRONMENT):
Leader Manager will Acknowledge that conducted JSA work For multiple impacts, separate JSA can be developed per
follows SHEM 02.02 process each type
I have taken the people involved in this job through this JSA I have reviewed and agreed with all steps of this JSA
Name & ID: Dept.: E&PM Name & ID: Dept.:
Sign: Date: Sign: Date:
Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 2 of 6
No Job Steps Potential Hazards Risk Steps to Reduce Hazard Remaining Risk
. Level Level
1 Permit to work Nonconformance of Work Permit Receiver shall write
preparation. SHEM-08.10 activities on the permit subject (SHEM-
procedure. 08.10 Work Permits System).
Incorrect SHARQ Permit shall approve permit
information on the receivers as per SHEM-08.10 Work
work permit Permits System.
MINOR Permit Receiver must have a SHARQ INSIGNIFICANT
authorization card and web access.
Work Permit shall be displayed on the
work location, and WPR must be
available throughout the activity.
A SHARQ permit must be obtained
before carrying out each activity.
Road closer (Partially/fully) permission
shall be obtained from SHARQ for any
activities needed for road close.
2 Pre-task briefing Language barrier TBT (Toolbox Talk) is specific to the activity,
Lack of Knowledge/ and JSA shall be communicated to all
Understanding the task. persons involved.
Contractors should use pictorial and same
language personnel. INSIGNIFICANT
Ensure the crew involved in the activity are
MINOR thoroughly briefed about the potential
hazards and dangers.
A safe work system will be implemented to
reduce the possibility of incidents caused by
a lack of communication.
LMRA shall be conducted prior to the start
of the activity.
Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 3 of 6
Anti - Termite Application Eye and skin irritation (Eyesight Pre job meeting should be conducted.
3
Hazardous Chemicals damage SDS shall be available at site.
Warning signs to be posted.
Dizziness
Ensure that all workers at the workplace are wearing INSIGNIFICANT
proper PPE such as chemical resistant gloves, coverall
and safety boots.
MINOR Ensure close and effective supervision.
Sufficient amount of soap and water should be
provided.
Ensure that chemicals must be used under the
control of trained pest control operators. The
construction team will identify the
damage fence post and secure
4 Extra care shall be used when working
during sandstorms or rain.
Low Work shall be stopped when the Supervisor
assesses the situation to be dangerous for
the life or health of workers. INSIGNIFICANT
Adverse weather Poor Visibility/Weather Any lifting activity shall be stopped when
Conditions Condition the wind speed is more than 9 m/s or 32
km/h.
Shelters shall be installed for the workers to
protect them from heavy rain, sandstorms,
and hot climates. Use proper PPE in adverse
weather conditions.
Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 4 of 6
Rest shelters shall be provided with enough
space for all personnel in the area, shade
and fans
Low Humidity and temperature shall be
monitored and displayed at Site with flags
according to the level. Workers shall always
work in pairs when required.
Work on scaffolds and elevated areas shall
be stopped when temperature is red flag
50° C or more. The Heat Stress Program INSIGNIFICANT
Heat Stress shall be implemented & SHEM 12.06 & local
government regulations must be adhered to
at job site.
Protective clothing providing cooling shall
be considered for extremely hot cases.
Workers shall be informed and trained in
the effects of heat on the body and the
preventive and control measures to avoid it
Drinking water shall be renewed first thing
every morning before commencing the
activities and shall be kept cold by using ice
and insulating materials.
Proper PPE according to the weather
conditions shall be used (e.g. rubber boots
and dust mask or respirator).
INSIGNIFICANT
Low Proper PPE according to the weather
Expos Dusty/ Slippery/
conditions shall be used (e.g. rubber boots
wet areas
and dust mask or respirator).
Don’t use wet surfaces, they must be
isolated, and proper signage must be
posted to avoid any slip trips and falls.
5 Housekeeping Messy Workplaces, Un- Low Areas shall be maintained clean and free
safe Conditions from any obstruction INSIGNIFICANT
Proper storage area shall be provided to
keep all tools and materials stored in it.
Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 5 of 6
Low All workers engaged in tasks must be
provided with always required personal
protective equipment.
INSIGNIFICANT
Slips, trips, and falls Hand protection (cotton gloves) is a must
while handling sharp objects.
Keep hands & fingers away from
trapping/pinch points.
6 Low Emergency contact numbers shall be clearly
posted in the working area.
Workers not familiar Proper emergency communication
INSIGNIFICANT
with the plant emer- equipment (radio) shall be provided by
gency the affiliate.
All access ways shall always be kept free
Emergencies from any obstruction.
Low
Emergency contact numbers shall be clearly
posted in the working area.
Road Obstruction Proper emergency communication shall be INSIGNIFICANT
discussed with employees in daily TBT.
All accessways shall always be free from
any obstruction.
JOB SAFETY ANALYSIS Acknowledgment and Approval
Plant/Area: SHARQ Leader Manager Acknowledgment
JSA No Name ID Sign
Classication: Internal Use
OPERATIONS MANAGEMENT SYSTEM SHEM-08.08
Rev. No. V 4.0
SHEM-SP-02.02B 20-Sept.-2019
Formal JSA Format Page 6 of 6
Leader Name: Dept.:
JSA Team Remaining Risk Level Minor
Sr. Name ID Dept. Sign Authority approval shall be based on remaining risk level
Md Salahuddin construction Area Supervisor
MD Tarique EHSS Name ID Sign
Ahmed byas construction Area Sr. Manager (High remaining risk)
Danish Chaudhry EHSS Name ID Sign
Area Director (Significant or major remaining risk)
Name Sign
Site President (Significant or major remaining risk)
Name Sign
