PMT/Contractor JSA Form - 1/12/2008

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JSA FOR CROSSING OF THE SSD FENCE ALONG WITH PATROL ROAD @ GOSP-4
New D / M / Y Contractor: Br. Contracting & Trading Company “CAT”
JSA # 01 Date
Revised 11 / 01 / 2016 Contract No.: 6600033992

JSA Function Name Badge# Job Title Mobile Phone #

CAT Site Sup./ Foreman Naveed Ahmed 8230715 Mechanical Supervisor 0559792978

CAT Const. Engr. Wael Anous 8117541 Construction Engineer 0567926521

CAT Site Safety Supervisor Hafeez Ullah Khan 8753843 Safety Supervisor 0566322669

SAPMT Safety Advisor Vishnu Naidoo 8074442 Safety Advisor 0542924658

SAPMT Representative Mohammad Basheer Ali 721818 Project Engineer 0547744724

DESCRIPTION OF TASK: JSA FOR CROSSING OF THE SSD FENCE ALONG WITH PATROL ROAD @ GOSP-4

Work Location/ (Area then station numbers): GOSP-4

Prepared by/ Signature: (Contractor) Reviewed By/ Signature: (SAPMT) Approved By/ Signature: (Client)

Salam S. Ghreizy _____________________ Vishnu Naidoo __________________ Mohammad Basheer Ali__________________

Project Engr. Signature Safety Advisor Signature Project Engineer Signature

Waqar Ahmed ______________________

HSE Manager Signature ________________ __________________ Field Services Rep. ___________________
SAPMT Superintendent Signature Signature
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Reference GIs & SAES:
Work Permit GI. 2.100, Gas Testing Procedure using 3 in 1 Gas Monitor G.I. 2.709, Traffic and Vehicle Safety G.I. 6.030, Mobile Heavy Equipment Operator Testing and Certification
G.I. 7.025, Crane Lifts: Types and Procedures G.I. 7.028, Inspection, Protective (Safety) Footwear G.I. 8.005, Environmental Conservation Policy Implementation G.I. 2.714,Street and
Road Closure: Excavation, Reinstatement and Traffic Controls as per G.I. 1021.000.

Item ACTIVITY POTENTIAL HAZARD HAZARD CONTROL ACTION BY

1.1.1 Ensure that all personnel involved in the activity are skilled & trained.
1 1. Work Site preparation such as 1.1 Traffic circulation hazards, 1.1.2 Vehicles must be inspected & well maintained. CAT
mobilization of people, Unskilled personnel, 1.1.3 Drivers must avoid over speeding.
equipment & material 1.1.4 Follow SA defined speed limits 30 KM/H on patrol road beside the plant area.
1.1.5 All drivers/operators must have SAG driving license as well as SA certificate.
1.1.6 Park the vehicle in designated parking area.
1.1.7 Conduct Tool box meeting with the working crew & discuss JSA/HIP & other
work related procedures prior to commence any working.
1.1.8 Assign a flagman or spotter to control the movement of vehicles.
1.1.9 Do not bring defective tools & materials for working.
1.2.1 Assigned stand by men or Flag Men wearing reflective vest to assists and
Control traffic flow in the area.
1.2 Struck-by/Against (vehicle 1.2.2 Provide barrier controls on both sides of the road and enclosed working area.
accident),vehicle roll over, 1.2.3 Beware of U/G utilities in the working area.
damage to U/G facilities 1.2.4 Ensure that there is no any heavy equipment in min. 3m (10ft) live area.
1.2.5 Check the as built drawings prior to commence working.
1.2.6 Provide parking area for the vehicle/equipment used in the activity.
1.2.7 Provide sufficient lightings and install reflectorized directional signage at night.
1.3.1 Use pre-excavation checklist before starting of any excavation work.
2. Trench Excavation Using hand 1.3.2 Obtained as built drawing from the SA Field Operation to ensure that no CAT
Tools (manual Excavation) 1.3 Damage to U/G facilities Underground facilities within the area, If UG facilities are available, only hand
such as, power cables, tools or manual excavation allowed using.
utilities, pipeline etc. 1.3.3 Use only hand tools while excavating the trench in live area.
1.3.4 Do not use mechanical excavator in the area of 3m (10ft) from live area.
1.3.5 Do the marking as per as built drawing for excavating the trench.
1.3.6 If there exposed any U/G facility, stop the work & inform to SA services.
1.3.7 Do not excavate out of the marked area.
1.3.8 Ensure close supervision of the job.
3.1 Personnel injury, ill health 3.1.1 Conduct Toolbox talk & JSA briefing with all personnel involved.
effects due to dust & flying 3.1.2 Ensure that working crew is skilled & familiar with the scope of work. CAT
particles, heat stress/fatigue 3.1.3 Inspected & good condition hand tools must be used.
3.1.4 Keep a reasonable distance while working with hand tools to avoid hitting
person
3.1.5 Provide fresh water, rest shelter for workers comfort (do not work continues).
3.1.6 Use appropriate PPEs (Hardhat, dust mask, goggle etc.)
3.1.7 Keep unauthorized personnel away from activity.
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3.2.1 Ensure that soil is dumped away from the edges of trench (2ft) (0.6m).
3.2 Personnel /equipment fall in 3.2.2 Keep the heavy equipment at the safe distance of 1.8 m from edge of excavation
(Collapse of soil, inadequate area.
access/egress) 3.2.3 Ensure that adequate access & egress is provided to excavated trench.
3.2.4 Maintain the slope if there is C type soil to avoid collapse.
3.2.5 Place hard barriers & safety signs to keep the vehicle/personnel away.
3.2.6 Put spotlights to high light the excavated area at night.
3.2.7 Do not leave the excavation unattended/open at the end of the shift.
3.2.8 Restrict movement of heavy vehicles near the excavated trench.
3.2.9 Proper supervision by a competent person all the time.
3.2.10 Ensure that daily pre-excavation checklist compiled prior to commence work.
3.3.1 Obtain the work permit; do not start any work without permit.
3.3 Toxic Gases, Fumes, H2S 3.3.2 Ensure that gas test is performed in the area.
release 3.3.3 Have a stand by Man to Log people entry & exiting the trench.
3.3.4 Gas monitor/detector should be on site during working hours.
3.3.5 Stop the work in case of any signs of toxic gases during excavation.
3.3.6 Ensure that ERP & stand by vehicle is in placed at site.
3.3.7 In case of gas release or any emergency leave the area & move toward assembly
point.
3.4.1 Ensure that only hand digging is allowed.
3.4 Fire, ignition, explosion 3.4.2 Do not enter any equipment having ignition source in the hydrocarbon area.
3.4.3 Follow the instructions written on the permit strictly.
3.4.4 Remove all of combustible, flammable materials from the area.
3.4.5 Do not use the tools that may cause the ignition in live hydrocarbon area.
3.4.6 Trained fire watch must be available all the time during activity.
3.4.7 Inspected & pressurized Fire extinguishers must be placed in the area.
4.1.1 Obtain the relevant approval before cutting the road.
4. Construction of temporary 4.1 Struck-by, traffic accident 4.1.2 Enclosed the area with hard barricading 1m (3ft) from the edges of trench. CAT
detour to cross the patrol road /Against (moving 4.1.3 Restrict unauthorized personnel inside the activity area.
beside the fence. equipment/vehicles) 4.1.4 Working personnel must comply with appropriate PPE.
4.1.5 Do not use mechanical excavator in 3m (10ft) area of live lines.
4.1.6 Depute a spotter/flagman to monitor the heavy equipment operations.
4.1.7 Ensure proper light arrangement for night hours.
4.1.8 Put the spotlights, deep excavation signs along with hard barriers.
4.1.9 There should be dedicated spotter/flagman to monitor the traffic.
4.2.1 Conduct pre-inspection of shoring materials to ensure that it is strong enough
4.2 Injury to personnel (Collapse to hold loose materials.
of soil/cave-in) 4.2.2 Provide adequate braces for shoring to prevent collapse of sidewall of
excavated soil.
4.2.3 Dump the soil min. (2ft) away from the edges of trench.
4.2.4 Keep heavy equipment min. 1.8m (6ft) away from excavated trench.
4.2.5 Only qualified and competent personnel shall perform the work.
4.2.6 Appropriate tools and PPE shall be used to ensure safety of the working
personnel.
4.2.7 Ensure that ALL tools and equipment being used are properly inspected,
correct and in good condition.
4.2.8 Do not allow any person to stay inside an excavation when heavy equipment is
in operation nearby excavation are
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4.3 Hand & finger injury 4.3.1 Take care while handling the material manually.
(Crushing/pinch points) 4.3.2 Do not lift the heavy loads manually; get help from other sources.
4.3.3 Enforce the worker to use PPEs.
4.3.4 Utilized only personnel with proper training on the job.
5.1.1 Obtain relevant permit prior to start any work.
5. Lowering of pipe using Side 5.1 Struck-by/against, personnel 5.1.2 Ensure that approved critical lift plan is provided prior to start lowering. CAT
booms/ crane (as required) injury (movement of pipe & 5.1.3 Operator must have valid SAG license & SA certification.
side boom), high wind 5.1.4 All lifting equipment & rigging accessories must be certified & inspected.
speed, inclement weather 5.1.5 For any of critical lifting there should be SA certified rigger-I.
conditions. 5.1.6 All rigging operations must be carried out as per SA required GIs standards.
5.1.7 Ensure that equipment & Sling wire use for lowering are in good working
condition.
5.1.8 Ensure that all obstructions are remove or away around the area.
5.1.9 Operator shall complete the pre-inspection checklist and ensure to maintain a
safe operating equipment.
5.1.10 Use the tag line at both ends of pipe to control its movement.
5.1.11 Stop the lowering/lifting activity in case of high wind speed or inclement
weather conditions.
5.1.12 Assigned competent person giving signals to the operators during the activity.
5.1.13 Working Crew shall have complete PPE during lowering operation.
6.1.1 Ensure that no other personnel working within the parameter of sand bedding
6. Sand bedding & Backfilling of 6.1 Struck-by/Against (moving of & backfilling activity, except for the authorized spotter wearing vest. CAT
trench using JCB, Backhoe and equipment) 6.1.2 Spotter must maintain safe distance away of working equipment to prevent
Wheel Loader Struck-by injury.
6.2.1 Only clean sand is allowed to use for sand bedding until full size of pipes are
6.2 Damaged to U/G facilities Wrapped.
(unidentified underground 6.2.2 Do not backfill materials with mixed rocks and other debris to prevent
facilities) Damaged on underground facilities.
6.2.3 Ensure that heavy equipment use for backfilling must keep in safe distance of
1.8m away from edge of excavation.
7.1 Ill-health effects i.e. dust, 7.1.1 Working personnel in asphalt pavement should have proper skills training on
flying particles etc. handling job.
7.1.2 Appropriate PPE must be use such as Dust mask, safety goggles etc. CAT
7.1.3 Ensure proper dust suppression by spraying water.
7.1.4 Provide proper precaution on site such as barricade, signs & lightings.
8.1.1 Use proper PPE when working and removing unnecessary materials in the
7. Clearing and Housekeeping 8.1 Injury to personnel, slip, trip area. CAT
& fall (unsafe handling) 8.1.2 Do not work manually, if possible use proper equipment for hauling of
barricades and signboards.
8.1.3 Remove all tools, equipment, debris and other materials in the area.
8.1.4 Ensure that the work site is returned to its original good condition.
8.2 Ill-health effects i.e. hand 8.2.1 Ensure that working crew are using appropriate PPE during housekeeping
laceration, absorption of dust, 8.2.2 All materials are properly disposed of to prevent environmental hazards and
fumes & vapors ill-health effects to human beings and other existing in habitant in the area.
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# Recommendations/Notes Assigned to Mobile Phone #

1 All site personnel are required to wear PPE/ such as safety helmet, safety glasses, gloves, and safety shoes. CAT/ Operation & SAPMT Mohammad / 0546233413

2 Conduct Tool Box Safety Meeting prior to every work activity. CAT Supervisor & Foremen Naveed Ahmed/0559792978

3 Explain to key personnel the purpose of the JSA and enforce the implementation of content. CAT Safety Supervisor Hafeez / 0540747050

4 Use the JSA to identify hazards and list the precautions on the work permit. CAT WPR/ Operation Pervaiz / 0599863235

5 Garbage’s shall be disposed properly on a daily basis. CAT Supervisor & Foremen Naveed Ahmed/0559792978

If an injury or near miss occurs, the JSA shall be reviewed immediately to determine whether changes are
6 CAT Safety Supervisor Hafeez / 0540747050
needed in the job procedures.

In case of an emergency, ALL affected personnel shall follow the Project Emergency Response Plan /
7. CAT Project Engineer Salam/ 0567031999
Procedure.

EMERGENCY RESPONSE PROCEDURE EMERGENCY CONTACT NUMBERS:

When reporting an emergency give the clear
1. Saudi Aramco Telephone information’s such as:
110
In an EMERGENCY, or on hearing the “Stop Work Alarm”, every
supervisor shall ensure the following: 1. Your exact location.
2. Outside Phone or Mobile Phone
2. Nature of emergency.
1. ALL work stopped at once.
(03)578-0110
3. Service required; and repeat the message.
2. ALL Equipment is shut down.
3. Br. CAT Emergency Contact:
4. Your name & badge number.
3. ALL personnel evacuated to the pre-determined
assembly area.
0567031999/0502029189
Stay on the telephone until you are told to hang-up. If
4. A roll call is taken and every man is accounted for. possible, post a lookout to direct the ambulance, fire
and
truck or helicopter to the right location.
5. No one is permitted to return to work until notification
has been received from operations or from the company (013) 578-3440 & 578-4335
representative that it is safe to do so.