Drilling

JOB
SAFETY
ANALYSIS

APPENDIX OF DRILLING JSA

1. CLEANING ENGINE ROOM COMPONENT
2. INSTALLING [REMOVING SHEAVES AND CABLES IN DERRICK
3. EMOVING HEAVY EQUIPMENT LIKE GENERATORS, MOTORS
4. RACKING DRILL COLLARS
5. ADJUSTING DRAW WORK BRAKE
6. SCAFFOLDING - RIG DOWN
7. SCAFFOLDING - RIG UP
8. HANGING AND CONNECTING LIGHTS
9. CHANGING BRUSHES IN TRACTION MOTORS
10. GENERATOR DISCONNECTING AND CONNECTING POWER SOURCE
11. TRANSFERRING FUEL FROM BARGE
12. POWERING UP RIG
13. RIGGING UP POWER OUTLETS
14. NIPPLE UP BOP
15. REFUELLING MACHINERY WITH PORTABLE CONTAINERS
16. LOADING/UNLOADING BASKETS
17. GENERAL LIFTING

19. TRANSFERRING PRESSURIZED BOTTLES WITH CRANE

20.. DISCONNECTING PRESSURIZED BOTTLES
21. CONNECTING PRESSURIZED BOTTLES
22. STRIPPING OVER WIRELINE WITH TOPDRIVE

24. SHIM OUT TORQUE TUBE

25. MAKING CONNECTION WITH TOPDRIVE UNIT

27. CONNECTIONS AND DRILLING WITH TOP DRIVE

29. CHANGING SWIVEL PACKING ON TOP DRIVE

30. CHANGING SERVICE LOOP
31. CRANING HIS KELLY HOSE
32. CHANGE SOLENOID ON TOPDRIVE
33. CHANGE BLOWER MOTOR
34. ADJUSTING TORQUE TUBE
35. PICKING UP PIPE
36. TRIPPING PIPE - PRE JOB
37. LAYING DOWN PIPE
38. DRIVING PIPE
39. RIG UP RIG DOWN STROKE COUNTERS
40. LOADING AND UNLOADING EQUIPMENT - TUBELARS / BASKETS

41. CHANGING SEAT AND VALVES

42. CHANGING MODULE
43. SLING CABLE INSPECTION AND MAINTENANCE
43. SPINNER HAWKS USE AND MAINTENANCE
44. GREASING THE CRANE
45. CHANGING SHEAVE ON CRANE BOOM
46. CHANGING CABLE ON CRANE
47. IR HOIST OPERATION
48. GENERAL CLEANING
49. ORIENTATION OF ARRIVING PERSONNEL
50. CHANGE OUT AIR LINES
51. RUNNING CASING
52. CHANGING OUT AND SPOOLING DRIL LINE
53.. CHANGING VALVE IN CHOKE MANIFOLD
54. INSTALLING AND REMOVING PIPE RUBBERS
55. MAKING A CONNECTION WHILE DRILLING

56. WORKING IN DERRICK

57. SLIP AND CUT DRIL LINE
58. CHANGE GRIPPER
59. USING SPINNING CHAIN
60. RAISING DERRICK
61. REMOVAL AND INSTALLATION OF BRIDAL LINE
62. RIGGING DOWN AND PREPARING TO LOWER DERRICK
63. ROUTING HOSES/ROPES AND CABLES
64. PULLING ROTARY BUSHINGS
65. RIG UP/RIG DOWN ELEVATOR LINK (ITEM #1-THE BAILS
66. HANGING RETRACTABLE LIFE LINES
67. CHANGING OUT AIR LINES
68. CLEANING EQUIPMENT
69. FAN BELTS CHANGING AND TIGHTENING
70. INSTALLING BUG BLOWER
71. HELIPORT NETTING
72. INSTALLING HEAVY EQUIPMENT - GENERATORS, MOTORS ETC.
73. INSTALLING LINES AND DRAINS
74. LADDER SAFETY
75. OPERATING PORTABLE POWER TOOLS
76. PAINTING PROCEDURES
77. POLLUTION GATE RAISING AND LOWERING
78. PRESSURE WASHING /STEAM CLEANING
79. REMOVING AND REINSTALLING GUARDS
80. CHANGING OIL AND FILTER
81. CHANGING COUPLES ON MOTOR
82. ORIENTATION OF ARRIVING PERSONNEL
 Job Safety Analysis Sheet
JSA Ref. No. 1 Job: CLEANING ENGINE ROOM COMPARTMENT
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , RUBBER GLOVES ,Back Belt , Face Shield ,
Goggles , APRONS

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting

a. Discussion of procedures
2. Inspection of equipment
Lay hoses out properly Trips a. Hoses
Use of personal protective irritation b. Cleaning chemicals
equipment
c. Scrub brushes / buckets
Use of personal protective irritation / absorption d. Personal protective
equipment equipment
Refer to JSA on confined Loss of life 3. Employ confined space
space entry procedure /permit

Layout of walkways Trips 4. Lay out water hose

Proper personal protective Irritation/ eye bums 5. Mix chemical (degreaser)
equipment
Proper footing - use proper Slip/trip hazards — strains 6. Remove all hazards from
lifting technique engine room
Proper footing — use of Slips/fall — irritation 7. Wash/scrub engine
personal protective compartment
equipment

Proper footing — avoid Slippery areas — falls 8. Rinse engine compartment

electrical outlets
Proper lifting techniques — Strains — slips/falls 9. Replace equipment
proper footing
Return everything to its Slips/fall — irritation 10. Clean work area / dispose of
place / clean ………. and chemical
equipment and personal
protective equipment

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 2 Job: INSTALLING / REMOVING SHEAVES AN CABLES IN DERRICK
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,RETRACTABLE LIFE LINES ,Back Belt , Safety
Harness , LAD-SAFE SYSTEM

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good Personal injury b. Prepare & inspect alt tools
condition and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
Used properly rated Personal injury 2. Choose proper mounting
equipment equipment for derrick
Always use shackles with Regular pin could back out a. Shackles with nut and
safety clips when installing safety clip
overhead
Use properly rated Cable or pad eye breaks b. Hang off cable or pad eye
equipment
Use Lad-Saf system on Falls — loss of life 3. Climb derrick to the area that
ladder — use double sheave is to be located
lanyards or retractable
lifeline when moving air In
derrick
Keep rig floor area clear Struck by 4. Install hang off cable onto
while working overhead derrick frame work and tighten
all clamps
Maker certain that sheave Struck by — personal 5. Raise sheave / cable with air
and cable are proper injury hoist and attach to hang off
secured before, cable? pad eye with shackle
disconnecting air hoist
Attach safety cable through Sheave I cable falling 6. Attach properly rated safety
sheave / cable cable with clamps
Use double lanyards or Falls — loss of life 7. Gather tools an climb down out
retractable lifelines when of derrick
moving around in derrick —
use Lad-Sal system derrick
ladder
Always check derrick — Struck by 8. Return tools and equipment to
don’t leave loose tools proper location
………..equipment on
beams
Note : Personnel should remain connected at all times when working at heights.
Small tolls and items carried Into derrick should be tied off to avoid falling Larger
equipment can be hoisted.
Area below workers should be roped off the keep People out of the area until work is
 completed.

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

Job: REMOVING HEAVY EQUIPMENT — RE: GENERATORS, MOTORS,
JSA Ref. No. 3 ETC.
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,FIRE
EXTINGUISHER, LOCK OUT/ TAG OUT
Yes /
PRECAUTIONS POTENTIAL HAZARDS SEQUENCE OF
No
BASIC JOB STEPS
1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures

Equipment in good Personal injury b. Prepare and inspect all

condition tools and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
2. Disconnect procedures
Double check work with Shock a. Lockout / tagout
meter / other equipment
b. Disconnecting
Right tool for the job Struck by / against i. Bolts

Hot work permit — Burns — fire — explosion ii. Welds — cutting

proper procedure
Thorough inspection of Struck by c. Wires and cables
all equipment
Have a clear exit path Pinch points d. Other equipment — check
exit route
3. Equipment needed to move
Inspection of crane, wire Struck by — pinch points a. Crane
rope, shackles
Inspection of air hoist, Struck by — pinch points b. Air aoist
wire rope, shackles
Inspection of equipment Struck by — pinch points c. Come-a-long
— right size for the job
Proper placement of Struck by — pinch points d. Shackles — pulleys
pulleys and inspection -
keep all personnel clear
4. Coordinate
Teamwork — signal man Struck by — pinch points a. Cranes, air hoist, operator
Teamwork Struck by — pinch points b. Keep all personnel clear of
cables and chains
 Team work – Struck by — pinch points 5. Move equipment through exit
communication door
Team work – tag lines Struck by — pinch points 6. Connect to crane to move to
deck or barge / boat
Good housekeeping Slips, trips, falls 7. Rig down all shackles, pulleys
and equipment
Good housekeeping Slips, trips, falls 8. Clean area – return tools to
storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No . 4 Job: RACKING DRILL COLLARS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , RETRACTABLE LIFE LINES ,Back Belt ,
Safety Harness , Goggles , Barricades , LANYARD

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

Equipment in good Pinch points — Struck by Position cross bar between

condition — Follow monkey board and diving board
procedures

Ensure cross bar is in place Pinch points — Struck by Correctly position air winch
— Follow procedures — Personal injury — Loss pulley to pull back drill collar
of life

Equipment in good Pinch points — Struck by When drill collar in position, place
condition — Follow — Personal injury - Loss of air winch line around drill collar.
procedures life Attach rope from opposite side

Equipment in good Pinch points — Struck by Pull drill collar toward monkey
condition — Follow — Personal injury — Loss board with [winch. Adjust
procedures of life opposite side rope as required

Follow procedures Pinch points - Struck by — Ensure drill collar is secure then
Personal injury — Loss of unlatch elevators
life

Equipment in good Pinch points - Struck by — Continue to use winch to pull drill
condition — Follow Personal injury — Loss of collar into place while adjusting
procedures life opposite side rope as required
Follow procedures Pinch points - Struck by — Before removing air winch line
Personal injury — Loss of and rope, secure drill collar in
life racking fingers

Follow procedures Pinch points — Struck by Close drill collar racking finger
— Personal injury gate

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 5 Job: ADJUSTING DRAWWORK BRAKE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves , FALL PROTECTION , Back Belt ,
Safety Harness
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1. Pre-job meeting

Effective communication Misunderstanding a. Discussion of procedures

procedures (Review JSA)

Equipment in good Personal Injury b. Prepare and inspect all

condition tools and equipment
Right tools for the job

Pinch points i. Wrenches

Struck by ii. Hammer

Review Mallard fall Personal injury c. Proper personal protective
protection program Loss of life equipment
See equipment required
below
Fall protection Falls 2. Hang block in derrick (if
applicable)
Review “Hanging Block JSA” a. Inspection of hoisting wire
Review “Hoisting Personnel rope and bridle (If not
JSA” applicable — proceed to
next step)
Right tools for the job .— Pinch points 3. Remove guard(s) from draw
effective communication works
4. inspect brake linkages
Right tool for the job Pinch points 5. Loosen jam nut — top and
bottom
Adjust evenly Equipment damage 6. Engage clutch and pick up on
 block, adjusting turnbuckles ¼
turn on each side, keeping
equalizer bar even.
Keep hold of handle at all Struck by 7. Driller check brake handle
times position for proper braking
angle
Review steps 8 and 9 Review steps 8 and 9 8. Adjust until proper braking is
attained — repeat steps 7 and
8
Right tools Pinch points 9. Re-tighten jam nuts — top and
bottom
Pinch points — Struck by 10. Replace draw work guard(s) (if
applicable)
Communication — Falls 11. Unhang block
teamwork
Review JSA on Hanging
Block
Good housekeeping, proper Slips, trips, falls, back 12. Clean work area
lifting injuries
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 6 Job: SCAFFOLDING — RIG DOWN
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

Pre-job meeting

Discussion of procedures

Hand tools to person on Remove too / equipment from

lower level or lower with scaffold
rope Struck by

Good housekeeping Store in proper place

Make sure no one is below Struck by Untie scaffold board and

remove
 Make sure no one is below Struck by Untie cross braces / bars and
remove

Stack / store neatly — good Trips, falls Properly store all scaffolding
housekeeping and braces

Good housekeeping Slips, trips, falls Properly store all make certain
all equipment has been put
away and area is free of
hazards

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 7 Job: SCAFFOLDING – RIG UP
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , LANYARD , Back Belt , Safety Harness

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-Job meeting

a. Discussion of procedures
Equipment in good Falls
condition 2. Prepare tools and equipment
Inspect locking pins — Falls a. Scaffold end supports
secure all sections together
with W roper using locking
pins
Falls b. Cross braces
Falls c. Cross bars
Don’t use broken or Falls d. Scaffold boards
damaged scaffold boards
Falls e. ¼" rope
Falls f. Safety harness
Inspect latches and due Falls g. Lifeline / lanyard
date on lifelines
Use work vest Possible drowning if Over h. Work vest
water
Good housekeeping Slips, trips, falls 3. Ensure a safe work area
Tie all sections together Fails 4. Connect and secure scaffolding
with ¼” rope
5. Climb scaffolding
Always tie off overhead — Falls a. Secure lifeline or lanyard
10 Not tie off lanyard to
lower scaffolding frame
Have tools handed to Struck by 6. Retrieve tools needed
person on scaffold or pull
with rope

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 8 Job: HANGING / CONNECTING LIGHTS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , ear plugs ,Back Belt , Safety Harness

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting

Effective communication Misunderstanding a. Discussion of procedures

procedures

Equipment in good Personal injury b. Prepare and inspect all tools

condition and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
Have a helper — use fall Strain — fall
protection 2. Ensure there is a helper for
proper completion of this job
Have the light lifted up to Strain - fall 3. Hang light and install, safety
you — bring it up by rope cable
with helper assisting
Proper lifting techniques Strain 4. Mount on beam and secure
Proper use of personal Fall 5. Run wire along beam and strap
protective equipment
Lockout / tagout — Safety Shock — burn 6. Designate power source (if not
Policy Manual section B-6 — using a plug in type receptacle)
Use test meter to insure no — lockout / tagout source
power is comma into box
Ensure lockout / tagout Possible shock 7. Connect wiring and seal
(explosion proof if required)
Proceed carefully Shock 8. Unlock and turn power back on
— check with meter
Good housekeeping Slips, trip, falls 9. Clean work area — return tools
to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 9 Job: CHANGING BRUSHES IN TRACTION MOTORS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , ear plugs ,Back Belt , , Barricades , Lock
Out / Tag out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pie-job meeting

Effective communication Misunderstanding a. Discussion of procedures

procedures

Equipment in good Personal injury b. Prepare and inspect all tools

condition and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
Use lockout I tagout Electrocution
procedures — Safety Policy 2. Ensure all power is shut off at
Manual section B-6 SCR room - lockout / tagout
Follow all guidelines for Electrocution 3. Ensure motor is locked out!
electrical safety — see tagged out or wiring is
Safety Policy Manual disconnected from motor
Wear gloves — use proper Finger injury struck by 4. Remove cover and places aside
tools
Wear long sleeves when Laceration 5. Change brushes — once
inserting arms inside installed use sealant for
traction motor — use moisture barrier and re-install
proper tools cover
Ensure all tools are Equipment damage — 6. Remove all tools — be sure
accounted for — no tools personal injury they are all accounted for
left Inside motor
Check wiring for proper Electrocution 7. Remove lockout I tagout or
connections before turning reconnect wires to motor
power on at SCR
8. Remove lockout / tagout at SCR
bay
Good housekeeping Slips, trips, falls 9. Clean area —return tools to
proper storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

Job: GENERATORS — DISCONNECTING AND CONNECTING POWER
JSA Ref. No. 10 SOURCE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves , ear plugs ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pie-job meeting

Effective communication Misunderstanding a. Discussion of procedure

procedures
 Equipment in good Personal injury b. Prepare and inspect all
condition tools and equipment

See equipment required Personal injury c. Proper personal protective

below equipment

2. Lockout / tagout at SCR panel

the specific generator to be
worked on
Proper lockout / tagout Shock — burn — fatality a. Tagout starter for
procedure — see Safe generator
Policy Manual section B-6
Follow procedure Bums b. Allow engine / generator to
cool down
Use test meter to ensure no Shock — burn c. Test connections to ensure
voltage in lines “no power”.
Lockout / tagout — good Shock — burn 3. Disconnecting — disconnect
supervision lead, line from generator
Lockout / tagout — good Shock — burn 4. Connecting connect lead line
supervision to generator
Good housekeeping Equipment damage — 5. Account for all tools
struck by

Ensure all electrical Shock —fire — struck by 6. Test equipment — install

connections are of good guards
integrity — no open splices
— ensure no flammables in
area

Good housekeeping Slips, trips, falls 7. Clean area – return tools to

storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 11 Job: TRANSFERRING FUEL FROM BARGE
Permit No:
WORK Area: Facility:
Date:

RSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

PRECAUTIONS Yes / POTENTIAL HAZARDS SEQUENCE OF

 No BASIC JOB STEPS

1. Pre-Job meeting

a. Discussion of procedures

2. Inspection of equipment

a. Hose and connection

b. Pumps

c. Fuel oil procedure (review)

Tie hose and hose Spill — struck by
connections — wear Strains eye Injury 3. Transferring hoses tong,
personal protective connect and secure hose and
equipment at all times connection

Measure tank with accuracy Spills 4. Sound tank and record

— tape and reco………. measurement
same
Good posture — do not Strains 5. Open valve(s) - line up
bend over at waist according to take on
procedures - double check
connection
Constant surveillance of Spills 6. Start pumps and fuel transfer
hose, connections a…….
tank
Properly monitor and Spills 7. Stop pumps
measure tanks
a. All fuel is pumped
b. Tanks full
Carefully disconnect high Spills 8. Disconnect hoses
side to back flow to barge—
cap same, then disconnect
barge side and cap
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 12 Job: POWERING UP RIG
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , emergency lighting ,Back Belt , Lock Out /
Tag out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good Personal injury b. Prepare and inspect all tools
condition and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
Emergency lighting — flash Slips, trips, falls 2. Line up cold start generator and
lights pressure up air system

Extended time to pressure Leaks 3. Isolate air system to main

tanks — close off a valves
coming off bulk tanks.
except to engine
Lockout breaker at 8CR or Shocks — unable to start. 4. Shut off breakers (lockout)
generator panel engine — loaded up
Have emergency lighting — Loaded up - slips, trips, 5. Start engine
clear walkways falls

6. Bring engine up to speed —

warm up
Make sure all panels are Shock - slips, trips, falls 7. Unlock and turn on power to
closed and all unnecessary SCR bay or generator panel
breakers are off
Open up lines of air Over heat air compressor 8. Open up air valves at air
receiver one at time let receiver to rest of rig one at a
pressure build up time
Ensure rubber matting is in Possible shock 9. Turn on breakers at SCR bay or
place — hands dry generator panel
proceed with caution
Good housekeeping Slips, trips, falls 10. Clean area — return tools to
storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 13 Job: RIGGING UP POWER OUTLETS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness , Lock Out / Tag
out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

Pre-job meeting

Effective communication Misunderstanding Discussion of procedures

procedures

Equipment in good Personal Injury Prepare and Inspect all tools and
condition equipment

See equipment required Personal injury Proper personal protective

below equipment

Keep wiring off deck and Slips, trips, falls Designate area for plug in /
out of walkways installation

Use proper tools — do not Scrapes— punctures Run wiring in trays and secure
use a knife

Lockout / tagout — section Shock

B-6 of the Safety Connect wiring to plug in
Policy Manual
Lockout / tagout— section Shock Lockout / tagout source of power
B-6 of the Safety for tie in
Policy Manual
Shock Test source with meter
Lockout / tagout — section Shock Only when source is dead tie in
B-6 of the Safety using proper connections
Policy Manual
Proceed carefully Slips, trips, falls Unlock source — power on and
check new power outlet with
meter
Good housekeeping Clean area — return tools to
storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 14 Job: Nipple Up BOP
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves , Safety Harness , retractable life lines

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

Conduct pre job safety meeting and Miscommunication, Pre job safety
prepl…job by preparing proper tools and misunderstanding of meeting and
equipment thereby control hurrying to procedures planning the job
accomplish the
•Use proper safety procedure while using Pinch points, slip trip and
in……. wrench, use tail rope to hold fall, high noise, struck by Opening the bolts of
hammer wren check the condition of the object, over exertion, BOP stump, using
equipment, use plugs, use fall arrestors awkward positions; BOP impact wrench or
when going on top BOP. Make sure proper could fall over as a result hammer wrench
supervision is available . Use the proper of various secondary
tools for the job. Do not rem….. the BOP causes
winches by any chance while remc….. the
stump bolts. If needed to remove the BC
winches make sure the stump bolts are
tight back.
Stay clear and watch the positions of Loss of life, personal Lifting BOP from the
other people, observe spooling of wire on injury, standing under stump and moving
BOP bric….. crane. Only one man suspended load, over the well head
signaling. Make sure the levers are clearly equipment damage,
marked for the operator to identify clearly Improper signaling. Lifting
which winch he is operating. Competent wrong winch, Lifting the
operator to operate BOP winches. Make winch before removing
sure the BOP is free before lifting. Ope…… the stump bolts,
should be very vigilant while operating the incompetence in
winches. Make sure the operator will not operating the BOP
oper….. the winches when men working winches
on top of BOP. Use finesse while operating
the GOP winch controls.
Keep your hands where It will not get Pinch points — Struck by Position BOP on top
trapped. Slowly set bop on well head. — Personal injury — Loss of the well head
Only one man give signals to bop winch of life
operator
Check the integrity of the cellar platform, Equipment damage (Well Set the SOP on well
Follow procedures while using hammer head and ring gasket) head and tighten
wrench, secure all the tools before while setting BOP trip and bolts
working at height. fall on the cellar
platform . falling objects
as other crew members
working on top.
 Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. REFUELING MACHINERY FROM PORTABLE
Job:
15 CONTAINERS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves , Rubber gloves ,Back Belt ,
Goggles , Fire Extinguisher, absorbent pads

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good Personal injury b. Prepare and inspect all tools
condition and equipment

Use only closed top Spills c. Use approve closed top

containers containers

Good lifting techniques Back strains d. Lifting techniques

Back belt — eye / face Back strains — spills — e. Personal protective
protection — see list below eye irritation equipment

Have oils rags available — Spills 2. Fill portable container with

use closed top container diesel from day - tank always
use two people

Have oils rags available use Spills — leaks a. Close / secure outlet alter
closed top container filling container

Proper lifting techniques — Bask strains — Slips, trips, 3. Transfer fuel (carry to unit)
good housekeeping, falls

Shut off ignition sources Fire hazard 4. Shut off unit to be filled

Have oil rags and fire Spills / fire hazard — 5. Pour fuel into unit to be filled
extinguisher on had check overfilling
level In tank often

Same as 2—5 above Same as 2 — 5, above 6. Repeat steps 2—5 until tank is
full
Replace fuel tank lid Fire hazard 7. Close fuel tank lid on unit after
filling

Check for spills and clean Slips, trip, falls 8. Clean up area — return tools to
up area — good storage
housekeeping
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

LOADING / UNLOAD ING BASKETS AND
Job:
JSA Ref. No. 16 BOXES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of
procedures procedures
Equipment in good condition Personal injury b. Prepare and inspect
all tools and equipment
See equipment required Personal injury c.Proper personal protective
below equipment

If box or basket has a lid, Head, neck, back injury 2. Open box if it has a lid
remove it or make certain it
is held or has a proper
latching system to keep the
lid from falling
Use good lifting practices — Back strains — slips, 3. Visualize the lift
think trips, falls
Get help if needed Back strains — slips, 4. Check the weight of the load
trips, falls
a. Check weight
distribution
Note: For heavy items,
someone should climb
in the box and safely lift
the item to someone
outside the box
Ensure clear pathway or Slips, trips, falls 5. Make certain the path of travel
choose a different route is clear
Use your legs against side of Back strains 6. Raise the load to your chest
box for leverage
Knees and torso facing the Back strains 7. Avoid twisting
same direction
Take the straightest and Back strains 8. Carry the load to its destination
clearest path
Bend your knees — not your Back strains - slips, trips, 9. Set load down properly
back falls
Good housekeeping Slips, trips, falls 10.Clean area – return tools to
storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

GENERAL LIFTING / CARRYING
Job:
JSA Ref. No. 17 EQUIPMENT
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt
Yes /
SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
BASIC JOB STEPS
No

Misunderstanding Pre-Job meeting

procedure

Effective communication Personal injury Discussion of procedures

Equipment in good condition Personal injury Prepare and inspect all tools and
equipment

See equipment required Back strains — slips, Proper personal protective

below trips, falls equipment

Use proper lifting technique Back strains — slips, Visualize the lift
- think trips, falls
Get help if needed Back strains — slips,
trips, falls check the weight of the load
Make sure distribution is Back strains — slips, Check weight distribution
even and stable trips, falls
Move debris and Back strains — slips, Make certain the path of travel is
obstructions or choose a trips, falls clear
different route
Tighten stomach muscles Back strains — slips,
Tuck your pelvis
trips, falls
Back strains — slips,
Don’t bend at the waist Bend your knees
trips, falls
Get object close to your Back strains — slips,
Hug the load
body trips, falls
Back strains — slips,
Return to standing position Straighten your legs
trips, falls
Knees and torso facing the Back strains — slips,
Avoid twisting
same direction trips, falls
Take the straightest and Back strains — slips,
Carry the load to its destination
clearest path trips, falls
Bend your knees — not your Back strains — slips, Set load down properly on
back trips, falls surface
Good housekeeping slips, trips, falls Leave area clean - return tools to
storage

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
Job: TRANSFERRING PRESSURIZED BOTTLES WITH CRANE .(Oxygen
19 Acetylene, Nitrogen,
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Back Belt
Yes /
PRECAUTIONS POTENTIAL HAZARDS SEQUENCE OF
No BASIC JOB STEPS

1. Pie-Job meeting
a. Discussion of procedures
2. Inspection of equipment

Close value, secure caps Loss of life — high a. Bottle / caps

over valves before lifting pressure

Inspect condition of crane, Struck By — caught b. Crane

cables and pd….. between

Chose and inspect proper Slings slipping / breaking c. Slings

sling
Use proper size, attach pin Pins backing out d. Shackles
through eyes,…… around
sling
Stay alert – properly secure Struck by - caught e. Basket / bottle Rack
bottles between objects
No knots in free end of tag Tag lines caught f. Tag lines
line between
Knowledge of hand signals Struck by — pinch Points 3. Communication with hand
signalman – stay in sight of signals for crane operator /
crane operator signalman
Good communication of job Struck by — pinch Points 4. Discuss the mechanics of
requirements hooking / unhooking
Knowledge of equipment Loss of life — rig damage a. Always know the weight of
check angle indicator / load your lilt and the limits of
chart your equipment (crane and
slings)
Good signal man Struck by b. Position the block DIRECTLY
over the Load
Teamwork Struck by c. Hook up the load evenly for
balance
Have tag line ready Loss of life — struck by d. Connect tag lines
— pinch points
Knowledge of crane – Struck by e. Ease in to lift- balance load
requirements of job — no hang up - lift above
head (as necessary)
Knowledge of equipment – Rig damage — caught 5. Swing bad smoothly
stay clear or load between

Job Safety Analysis Sheet

Job: DISCONNECTING PRESSURIZED BOTTLES (Oxygen, Acetylene,
JSA Ref. No. 20 Nitrogen etc.)
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Back Belt , Fire Extinguisher

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pie-Job meeting
a. Discussion of procedures
2. Inspection of equipment
Make sure bottle is secure Loss of life - high a. Bottle / valve cap
before removing cap pressure.
Check pressure on gauges Damage to equipment – b. Valve
fire / explosion
Check condition of lines for Fire, explosion - leaks c. Lines
kinks, holes etc.
Use proper size wrench Damage to equipment d. Wrench
Close valve on bottle before Fire / explosion high 3. Close calve on bottle
beginning operations pressure
Bleed pressure off of High pressure 4. Release pressure
regulator before
disconnecting
Check gauge for zero High pressure 5. Check pressure on gauges
pressure
Use wrench to break threads High pressure - damage 6. Break loose fittings / remove
loose, then hand to remove to equipment regulator
in order to avoid damage to
threads
Safety cap should be Loss of life - high 7. Attach safety cap over valve
installed over valve on bottle pressure
after regulator is removed
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

Job: CONNECTING PRESSURIZED BOTTLES (Oxygen, Acetylene,
JSA Ref. No. 21 Nitrogen, etc.)
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, ,Back Belt , Fire Extinguisher
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1. Pre-Job meeting
a. Discussion of procedures
2. Inspection of equipment
Have bottle secured before Loss of life — high a. Bottle I valve cap
removing cap pressure.
Check threads, gauges for Damage to equipment – b. Valve
proper condition fire / explosion
Check condition of lines for Fire, explosion — leaks c. Lines
kinks, holes etc.
Use proper size wrench Damage to equipment d. Wrench
Have bottle secured before Loss of life — fire / 3. Secure bottle
removing cap explosion
Check threads for proper Damage to equipment 4. Attach regulator to valve on
alignment — hand tighten Loss of life — high bottle and tighten
valve, then tighten with pressure
wrench for …………. Turn
only
Make sure regulator is Fire / explosion due to 5. Test regulator for proper
closed. Open valve ………… leaks operation
bottle and then close valve.
Monitor pressure and gauge
for 15 minutes. If pressure
remains, stable gauge is OK
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

STRIPPING OVER WIRELINE WITH TOP
Job:
JSA Ref. No. 22 DRIVE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Work Vests, Safety Harness ,Face
Shield , Goggles , Barricades , Fire Extinguisher, Lock Out / Tag out
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
Position sheave close to v- Trip hazard — caught 1. Position chain on lower sheave
door between for the least amount of
interference with tailing pipe
Have wireline hanger sub Inability to have rapid 2. Make sure wireline hanger sub
and collet positi… and ready closure of drill string and colletare on floor and
because of wireline ready (in case the top drive
must be made up fOr well
circumstances)
Pick up pipe slowly— pass Tripping — struck by— 3. Latch onto a stand of pipe and
pipe to another hand across caught between pick up slowly to cross over,
chain the lower sheave chain
Good communication Pinch points 4. Lower the stand into the
between the derrickri.. and mousehole far enough for the
wireilne operator Derrickrnan to stab the, latch
tool’in the stand
Place hands on latch tool Struck by - pInch points 5. Pick the stand up high enough
only — do not put hand on to get the latch tool out and
head in tool joint latch onto wireline
Stand clear while wireline is Struck by 6. Pick up on wfreline to clear
picking up t33-bar from rotary and
remove the tee-bar
7. Lower stand into well —
stripping over wiréline
One hand to set baseplate Pinch points — caught 8. Place baseplate on lip of tool
(there is only one handle) between joint and set wireline head on
baseplate
Unlatch tool and pick up off Pinch points 9. Unlatch wireilne head and
the wireline head by hand send thehead on the wireilne
back to the Derrickman
Stay alert — be aware of Slips, trips, falls — struck 10. Pick up thà ‘next stand and
your surroundings by falling objects continue going into the hole -
carefully
Have everyone ready to stab Blowout — unable to 11. Monitor well closely to have
wireline …….. collet to be close well as quickly as maximum reaction, time for
ready for top drive we should well conditions

Good housekeeping Slips, trips, falls 12. Clean up area — return tools
and equipment
Update JSA upon job Hazards encountered 13. Review JSA on completion of
completion unexpectedly Job to include changes from
original write-up
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

STRIPPING OVER WIRELINE WITH TOP
Job:
JSA Ref. No. 23 DRIVE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
14. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good Personal injury b. Prepare and inspect all tools
condition and equipment

See equipment required Personal injury c. Proper personal protective

below equipment
Tie air hoist under a 15. Securely tie onto lubricator and
union or clamp Struck by falling object raise lubricator from well until
high enough to work on wireline
underneath lubricator
Tighten bolts evenly on Struck by — caught 16. Install wireline tee-bar on wireline
tee-bar between and slack off wireline to set tee-
 bar in rotary
Wireline supervisor verify Electrical shock 17. Pull slack from wireline truck and
lockout / tagout verify that power to line locked
and tagged out
Taping prevents cable Laceration 18. Use black tape to wrap a section
from fraying of wireilne and cut wireline with a
hydraulic cutter
19. Have wireline supervisor supervise
the installation of the wireilne
head and latch tool
Use crane to tail out Struck by caught 20. Slack off arid Jay out lubricator
lubricator between
tie air hoist on before Pinch points — struck by 21. Slack oft block and remove top
unlatching wireiina sheave from elevators
Use shackles with safety Struck by falling objects 22. Shackle the top sheave to the eye
keepers of the air hoist – shackle a snub
line to the sheave to hang the
sheave in the derrick – hang a
weight on the end of the sling on
the air hoist – put safety keepers
on all shackles
Remove personnel from Struck by falling objects 23. Clear everyone from the floor area
floor area and send sheave up in the derrick
on the air hoist – have derrickman
in full safety harness, secured to
drrick, to install the wireline
sheave to main beam in derrick
and install all safety keepers
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 24 Job: SHIM OUT TORQUE TUBE – MODEL 6027 E
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1. Pre-job meeting.
Effective communication Misunderstanding a. Discussion of procedures
procedures

Equipment in good condition Personal injury b. Prepare and inspect all toots
and equipment
See equipment required Personal injury c. Proper personal protective
below equipment
Review proper JSA Personal injury 2. Refer to hanging /JSA adjusting
torque tube
Installed by can rig 3. On lower structure reaction
 beam of a-frame, torque
Right tools — right clamps Pinch points — downtime 4. Approximately 15 feet above
rig floor loosen clamps on
torque reaction beam for
adjustment (do not loosen
torque reaction beam from
derrick)
Effective communication Pinch points 5. Attach air hoist to torque tube

Follow procedures — inspect Pinch points – stuck by 6. Pull torque tube away from
air hoist clamps

Proper procedures Pinch points 7.Install shims

8.Release air host
Refer to pipe handling JSA Pinch points 9.Check for proper alignment
with pipe
Review steps 6 through 9 Review steps 6 through 9 10. If not aligned, repeat steps 6
through 9
Proper procedure .— right Pinch points 11. Tighten clamps .
toots
Good housekeeping Slips, trips, falls 12. Clean area
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 25 Job: Making A Connection With A Top Drive Unit
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES : Hard Hat ,safety
Shoes , Safety Glass, Cotton Gloves ,Back Belt Safety Harness
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
Effective communication Equipment damaged 1. Stab in top drive into drill
between derrick and driller. string for making connection.
Slack off block slowly.
Place hands on appropriate Struck against, caught 2. Latching a back up tong onto
safety handle two men between, trip drill string. (If necessary, see
handle tong. Make sure all separate JSA for Puffing on a
tube,handling equipment is Drill Pipe Tong)
In good condition.
Ensure “make. up” torque is Equipment 3. Screw in top drive to make up
set for the SIZE drill pipe damaged/struck connection
used. When rotating the top by/caught between
driv maintain the block
assembly weight on the
weight indicator. Stay alert,
do not stand behind the tong
when “make up” torque is
applied.
Stand clear Struck by/release of 4. Open appropriate valves for
pressure circulation

Release all torque from the Struck by, slip/trip 5. Unlatch and remove the
drill string before unlatching hazards, caught between backup tong
the backup tong.

Using proper manual lifting Overexertion, slip/trip 6. Pick up the drill string and
techniques and teamwork. hazards, struck by remove slips

Bring, pump on-line slowly to Struck by/release of 7. Start pump to circulate, rotate
ensure circulation pressure pipe slowly until returns are
received — resume drilling
Good housekeeping Slip/trip hazards/dropped 8. Clean up area, return tools and
objects. equipment to designated area

Job Safety Analysis Sheet

JSA Ref. No. 25 Job: Making A Connection With A Top Drive Unit
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness
Yes / POTENTIAL SEQUENCE OF
PRECAUTIONS
No HAZARDS BASIC JOB STEPS
9. Pre-job meeting
Effective communication Misunderstanding a. Discussion of
procedures procedures (JSA)
Ensure equipment is In good Personal injury . b. Prepare and
condition. Perform any repairs needed inspect all tools
to maintain it and equipment
See PPE required below. Personal injury c. Proper personal
protective
equipment
Slow down the RPM and SPM before Equipment 10. Stop rotating pipe.
 shut off and ensure zero psi on the damaged, trap Shut down mud
pressure ……before closing the valve. pressure, pump, check for
unexpected flow. If no flow, close
pressure release appropriate valve
and proceed to Step
#3. If a flow exists,
perform proper well
shut-In procedure.
Using proper manual lifting Overexertion, 11. Set slips
techniques — position hands correctly caught between,
(palms up). Warning Do not set slips equipment
when the drill string is moving damaged
inspect equipment to make sure Equipment 12. Break out top drive .
equipment in good condition. Perform damaged. Trapped
arty service needed. Stay away from pressure
rotary table.
(See JSA for 13. Handle drill pipe
handling Drill Pipe screen
Screen)
Turn the top drive slowly (connection Struck by / caught 14. “Dope” top drive
mode). between /exposure connection with pipe
to chemical dope
Ensure crown/floor protection device Struck by/caught 15. Raise top drive to
is set and working properly. Do not between monkeyboard height
extend the top drive too far out. /equipment
damaged
Proper fall protection device in use, Fall hazard, caught 16. Derrickman lay a
using tallrope to control the stand of between / struck stand of drill pipe
drill pipe while laying Into the by into drill
elevator.
Use a tail rope to control the stand of Struck by, slip/trip 17. Pick up a stand of
drill pipe from swinging. Do not hazards, caught drill pipe from
position personnel between drill pipe between, caught racking board and
and drill string that is suspended in In. stab into drill string.
the rotary table. Use prop hand
placement. Keep hands away from pin
and box threads.
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

CONNECTIONS AND DRILLING WITH TOP
Job:
JSA Ref. No. 27 DRIVE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1. Pre-job meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good condition Personal injury b. Prepare and inspect all
tools and equipment
teamwork — effective Struck by - pinch points i. Floor hand: all tubular
communication —good handling equipment —
condition draw works, snub line,
tong dies
Visual inspection Struck by — rig damage ii. Derrickman: all
— fatality equipment above floor
— top drive, derrick,
monkey board
Check daily — ensure Rig damage — fatality iii. Driller: crown-o-matic,
equipment used proper camera at monkey
monitor board, draw works, top
drive, drilling gauges
See equipment required Personal injuries c. Proper personal protective
below equipment
2. Connection
Ensure safe working Caught between - pinch a. Drill down stand,
environment points extending elevators out to
fully drill joint down
Stay alert Struck by b. Turn off RPM on top drive
and mud pumps.
c. Set on slips
Good technique —2 persons Pinch points - strains d. Driller: close safety valve,
handling slips stay alert — Slip hazard - pinch turn mode valve to
keep hands clear - make sure points connection, close gripper,
handling equipment is in put top drive in reverse
good condition and back out and release
gripper — raise block for
next stand
Teamwork — stay alert Struck by - pinch points e. Extend elevators to latch
stand, retract and stab
pipe
Stay alert – keep hands clear Pinch points – caught f. Put backup tongs on pipe,
between stab top drive and make
up stand — torque to
compliance then release
and unlatch tongs

Job Safety Analysis Sheet

CONNECTIONS AND DRILLING WITH
Job:
JSA Ref. No. 27
TOP DRIVE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness
Yes /
SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
BASIC JOB STEPS
No

Good lifting technique Strains g. Raise pipe, remove slips

Team work – stay alert Pinch points – struck by h. Open safety valve, bring
strokes up on pumps end
watch pressure on
gauges

Good housekeeping Slip hazard i. Put top drive in forward

and bring up RPM to drill

Good house keeping Slip, trips, falls 3. Clean work area — return
tools and equipment
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 29 Job: Changing Swivel Packing On Top Drive
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness ,Face Shield , Goggles , Lock Out / Tag out
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1. Pre-job meeting
Effective communication — Misunderstanding a. Discussion of procedures
review rig Operating Manual procedures

Equipment In good condition Personal Injury b. Prepare and inspect all

tools and equipment
See equipment required below Personal Injury c. Proper personal protective
equipment
Double check lockout / tagout Falls — personal Injury 2. Position top drive as low as
of equipment — fatality possible lockout / tagout top
Do not stand under load or drive and mud pumps close
under work upper and lower top drive
valves
Inspect personal protective Falls — Personal injury— 3. Lift person up to swivel
equipment fatality packing in boatswain’s chair
safety equipment with air hoist hook anti-fall
device to chair
Inspect personal protective Struck by — falls — 4. Break and back off upper and
equipment personal injury fatality lower packing nuts — left
safety equipment handed threads
Make sure tied onto Struck by — falls — 5. Remove swivel packing
equipment properly personal injury fatality assembly — lower to rig floor
with second air hoist
Make sure tied onto Struck by — falls — 6. Pick up quick change swivel
equipment properly personal injury — fatality package assembly Inspect
and grease if needed — lift to
top drive with air hoist
Make sure tied onto Struck by — falls — 7. Install swivel packing
equipment properly personal injury — fatality assembly — make up packing
nuts .
Caution: do not over
tighten and damage
assembly .
Ensure personnel slays clear Struck by — personal 8. Open upper top drive valve —
of high pressure lines — injury remove lockout / tagout on
inform hands of lockout I mu pumps and top drive —
tagout removal — effective test swivel packing —
communication. readjust packing if needed

Keep work area clean — Slips, trips, falls — struck 9. Pick up and clean up all tools
ensure tools at good working by — return to proper storage
condition
Inspect equipment Personal injury — fatality 10. Repack and inspect old
swivel packing assembly for
next change
good housekeeping Slips, trips, falls 11. Clean work area
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

 Job: CHANGING SERVICE LOOP —MODEL 6027E. 275
JSA Ref. No. 30 TON
Permit No:
WORK Area: Facility:
Date:
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:
Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness , LANYARD, BARRICADES, LOCK OUT/TAG OUT

Yes
SEQUENCE OF
PRECAUTIONS / POTENTIAL HAZARDS
BASIC JOB STEPS
No

1. Pre-iob meeting
Effective communication Misunderstanding a. Discussion of procedures
procedures
Equipment in good condition Personal injury b. Prepare and inspect all
tools and equipment
See equipment required Personal injury c. Proper personal protective
below equipment
Lockout / tagout SCR cabinet Shock — loss of life 2. Turn off power — lockout /
tagout
Lower top drive as far as 3. Disconnect service loop
possible
Follow procedure — inspect Pinch points — falls a. Connect air hoist to service
air hoist, sha etc. loop of top drive
Rig tools – clear area below – Pinch points – falls b. Disconnect service loop
fall protection equipment with proper tools
Communication – trained air c. Pull cable to side — pick up
hoist operation clear area Pinch points — struck by on air hoist to unpin service
below loop from top drive

Good communication Struck by d. Lay service loop out v-door

Good communication Falls 4. Raise electrician to upper J-
box. on torque tube
Review section 3A, B, C and D Review section 3A, B, C 5. Repeat steps 3A, B, C, and D
and D
Teamwork — follow Pinch points - Struck by 6. Lay entire service loop out the
procedure — effective v-door — rolled up and tied
communication
Procedure — communication Pinch points 7. Attach air hoist to new service
loop that pins to upper J-box
Communication — clear and Struck by 8. Raise new service loop to
barricade area upper J-box and pin
Right tools — check lockout / Pinch paints a. Reinstall cable to upper J-box
tagout
Effective communication b. Electrician undoes air hoist
 Job Safety Analysis Sheet
CHANGING SERVICE LOOP —MODEL 6027E. 275
Job:
JSA Ref. No. 30
TON
Permit No:
WORK Area: Facility:
Date:
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Work Vests, Safety
Harness ,Face Shield , Goggles , Barricades , Fire Extinguisher, Lock Out / Tag
out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
Effective communication Falls
9. Electrician and air hoist is
lowered

Follow procedures Pinch points 10. Attach air hoist to top drive
end of service loop

Right tools — check lockout / Pinch points – shock 11. Raise service loop to top
tagout drive and pin

Connect right wire to Shock – downtime 12. Reinstall wires

terminals

Clear area Shock 13. Remove lockout I tag out

Clear area Shock 14. Energize system

15. Test all electrical functions.

Good housekeeping Slips, trips, falls 16. Clean area

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 31 Job: CHANGING OUT KELLY HOSE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1)Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and Inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Make up T.I.W. valve and Stuck pipe 1) Make up pump in sub, T.LW.
sub to circulation work pipe valve and high pressure lines
Make up T.I.W. valve and Stuck pipe 2) Start circulating at reduced
sub to circulation work pipe pump rate while I Driller
continues to work pipe
Thorough inspection of air Fall – serious injury 4) Inspect fall protection and
hoist, shackle safety harness air hoist
Watch hand placement Pinch points 5) Tie onto hose in derrick,
when loosening u Attach Falling tools loosen union, same on top
safety line to tools — do not drive
walk or stand under work
area
Team work — watch each Struck by 6) Lay down old hose
other
More than one person Back strains 7) Pick up new hose
pulling on hose

Test hose to specified Damage to new hose 8) Makeup and tighten

pressure
Test hose to specified Damage to new hose 9) Driller— test new hose
pressure under pressure

Good housekeeping Slips, trips, falls 10) Clean work area

Good housekeeping Slips, trips, falls 14) Clean area store tools

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

CHANGE SOLENOID ON TOP DRIVE –
Job:
JSA Ref. No. 32
6027E
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,
Barricades , LANYARD
Yes / POTENTIAL SEQUENCE OF
PRECAUTIONS
No HAZARDS BASIC JOB STEPS
1)Pre-job meeting
Effective communication — review Misunderstanding A) Discussion of procedures
rig Open Manual procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required below Personal injury C) Proper personal protective
equipment
Follow lockout / tagout procedures Shock — loss of 2) Perform lockout / tagout
life
As law as possible Falls 3) Lower top drive (as low as
possible)
Fall protection, Teamwork, proper Falls 4) Two persons required:
equipment Falls A) Derrick man
Fall protection, teamwork, proper B)Electrician
equipment
Use proper tool for the job — clear Pinch Points 1) Remove bolts on guard and
area below secure with rope secure guard to top drive (tie
off guard)
Right tool for the job — clear work Pinch Point – 6) Remove electrical cap on
are below Struck by solenoid
Check lockout / (tag out procedure Shock - Pinch 7) Remove Wires, locking ring
— use the proper tools for job Points from push button end of
solenoid
Use proper tools for job completion Pinch Point 8) Unscrew nut at arid of
solenoid and remove same
Use proper tools for job completion 9) Install new solenoid
Use proper tools for job completion Pinch Point A) Replace nut
Use proper tools for job completion Pinch Point B) Locking ring
Use proper tools for job completion Shock - Pinch C) Wires
Use proper tools for job completion Points D) Electrical cap
Pinch Point E) Guard
Pinch Point –
Struck by
Communication Falls 10) Lower derrickman and
electrician
Effective communication — Shock 11) Remove lockout/ tagout
teamwork
12) Energize system
13) Test system
Good housekeeping Slips, trips, falls 14) Clean area store tools
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 job Safety Analysis Sheet
Job: CHANGE BLOWER MOTOR #6027e-275 TON JSA Ref. No.33
Permit No:
Facility: WORK Area:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Safety Harness ,Barricades
, Lock Out / Tag out, SALA BLOCKS
Ye
SEQUENCE OF
s/
BASIC JOB STEPS POTENTIAL HAZARDS PRECAUTIONS
No
1) Pre-job meeting
A) Discussion of procedures Misunderstanding Effective communication
procedures
B) Prepare and inspect all Personal injury Equipment in good condition
tools and equipment
C) Proper personal Personal injury See equipment required below
protective equipment
2) Perform lockout / tag out Shock— loss of life Procedures — SCR house
3 Two persons required Falls — loss of life Communication — competent air hoist
A) Derrick man tied off Falls — loss of life operator
while standing on top Communication — competent air hoist
drive
operator
B) Electrical — riding belt
4) Derrick man ties on to Pinch points — Use the proper tools for the job —
the blower motor with struck by clear area below
shackle in lifting eye
5) A) Derrick man unbolts fan Pinch points Use of proper tools for the job
cover Shock — pinch Proper tools— check lockout / tag out
B) Electrician disconnects points
wire from blower motor
6) Unbolt motor and remove Pinch points — Use of proper tools for the job — clear
fan from the shaft struck by area
7) Lower motor to the floor struck by Communication — teamwork
8) Pick up new motor Pinch points Follow proper procedure — effective
communication
9) Install the following on top Use proper tool for the job — clear
drive: Pinch points — area below –
A)Bolt motor to frame struck by follow procedure and use the proper
B)Reconnect fan Pinch points
tools
C)Connect housing Pinch points
D)Connect wires Pinch points follow procedure and use the proper
tools
check lockout / tagout
10) Lower electrician — Falls — shock Communication — teamwork
remove lockout / tagout
11) Energize equipment Shock — loss of life Clear area — teamwork
12) Test blower and check Shock Proceed according to Operations
for proper rotation Manual
13) Lower derrick man to Falls Effective communication
the floor
14) Clean area store tools Slips, trips, falls Good housekeeping
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
ADJUSTING TORQUE TUBE — MODEL 6027-E 75
Job:
JSA Ref. No. 34 TON
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness ,BARRICADES
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) pre-job meeting

Effective communication — Misunderstanding A) Discussion of procedures

review rig operating manual procedures

Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment

See equipment required Personal injury C) Proper personal protective

below equipment

Can Rig hangs same Can rig responsibility 2) Hang spear in derrick

Teamwork — Pinch points — struck by 2) Pick up torque tube with

communication block
A) Hook into tube

Use of crane preferable Struck by 4) Raise block. Anchor lower

and backside of torque tube
Struck by by:

A) Crane

B) Air hoist

Good communication — Struck by— loss of life 5) Raise block slowly until
follow procedure torque tube reaches spear
Pinch points — struck by
Riding belt and lanyard — A) Derrick man guides spear
Sala block if possible into tube

Shackles — clear area below Pinch points 6) Torque tube locks into spear
— use barricades
A) Derrick man attaches one
cable to each side of torque
tube

Pressurized lines — clear struck by 7)Hook up hydraulic line and

area turn hydraulic power unit on

Communication clear area of Pinch points 8) Off Driller side push I pull
the valve handle at lower end
unauthorized for tensioning cables on
torque tube
personnel

Review manual for top drive Pinch points 9) Hook up tensioning cables
procedure

Pinch points 10) Move valve to auto position

and tension up torque tube.
If torque tube needs more
tension

A) Unpin bottom of cylinder

Pinch points
B) Extend cylinder
Pinch points
C) Re-pin net hole
Pinch points

Review step 10 Review step 10 11) Repeat step 10 until

desired tension is acquired

Good housekeeping Slips, trips, falls 12) Clean area

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 35 Job: PICKING UP PIPE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury b) Prepare and inspect all tools
and
Good inspection of Struck by - pinch points equipment
equipment — repair / Struck by 1) Tongs
replace as necessary Struck by 2) Snubbing line
Falls 3) Pick up slings
Secure completely Pinch points 4) Stabbing board
Right size — greased Pinch points 5) Elevators
Adjusted correctly 6) Pipe stop — V-door

See equipment required Personal injury C) Proper personal protective

below equipment
2) Rig up stabbing board
Secured Falls A) Secure both ends
Good equipment— rope at Falls B) Adjust safety belt
proper length
Team work Struck. by - pinch points 3) Pick up bottom hole
assembly — run in hole —
set slips
Stay alert Pinch points 4) Tie pick up cable to block

5) Put bundle of pipe in V-door

Adjust stop correctly Pipe could fall A) Make sure pipe stop is
secured
Use pry bar Pinch points B) Straighten pipe

Wear gloves Puncture C) Remove box end protector

Teamwork Pinch points 6) Tie pick up cable to joint of
pipe
Stay alert — keep feet clear Struck by A) Put rabbit in joint
of pipe
 7) Pick up joint — unscrew
bottom protector
Knowledge of the job Struck by A) Remove rabbit

8) Dope pipe and stab joint

Belt adjusted — stay alert Falls - pinch points A) Derrickman unties pipe pick
up sling
Knowledge of the job pinch points B) Derrickman latches
elevator on pipe
Equipment in good Struck by - pinch points C) Tong operator screws up
condition.— snub lines joint on pipe and torques
connection
Good technique Strains - pinch points 9) Run joint in hole — set slips

Always stay alert Repetition of job tasks 1) Repeat steps 7 through 10

Good housekeeping Slips, trips, falls 1) Clean area — return tools to

storage

Additional Hazards

Name: Designation:
): JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 36 Job: TRIPPING PIPE — PRE JOB
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness
Yes /
PRECAUTIONS POTENTIAL HAZARDS SEQUENCE OF
No
BASIC JOB STEPS
3) Pre-job meeting

Effective communication Misunderstanding A) Discussion of procedures

Good communication — procedures 1) Trip objective
teamwork Morale / lack of 2) Hole condition / trip tank
reasoning
One man designated to 3) Crew position
Kicks — blowout —
observe return / trip formation damage
tank
Knowledge of duties Accidents due to poor
communication
Equipment In good condition Personal Injury A) Prepare and inspect all tools
Replace / repair faulty Accident with faulty and equipment
equipment equipment 1) Crewman inspects/prepares
Good housekeeping $iips, trips, falls rig floor
Proper size - open/close Blowout kicks V Falls — a) Inspect all tubular handling
position Careful inspection I loss of, life V Falls - lOSS equipment
replacement if necessary of life V b) Ensure safe working area
Careful inspection / Loss of life rig damage c) Check safety valves
replacement if necessary 2) Derrickman inspects/prepare
Check to ensure proper derrick
working condition a) Inspect climbing equipment
b) Inspect derrick safety
harness/ropes
c) Inspect crown-o-matic with
driller
See equipment required Personal injury C) Proper personal protective
below equipment
2) Tripping pipe — pulling out
of hole please refer to
tripping pipe — pre-job
steps
A,B,C
Be aware – stay alert – Pinch point – smashed A) Breaking out kelly
watch pinch points mud fingers – eye injury
pump off – no pressure
4) Tripping pipe — pulling
out of hole (cont’d)
Two man operation — stay Finger injuries — pinch B) Latching elevator
alert points
Three man operation — Lower back injury C) Pulling slips
bending at knee—use your
legs — keep back straight
Use medium speed Loss of life — rig D) Raising block
(Dynamic brake) damage.
Set slips — be aware of Back strains — pinch E) Setting slips
pinch points — bend knees points
Place tongs on pipe Pinch points between F) Break tool joint — lead tongs
separately tongs and when latching on top back on bottom
Inspect cable and Struck by G) Driller engages cathead to
connections — tong dies to break connection
prevent slippage
Do not allow tongs to swing Pinch points — struck by H) Remove make up tongs
Stay clear of turning rotary - Slips, trips, falls - pinch I) Driller engages rotary to
keep snub line tight points — struck by break out connection
Always handle and push Struck by - pinch points J) Block is raised and then
pipe with the palm of the — slips, trips, falls lowered - is racked
hand — keep feet clear —
keep mud squeezed from
pipe rack
Wraps pipe with rope —jack Pinch points — struck by K) Derrick man unlatches and
rope to pull pipe into fingers racks pipe
Check for flow / swabbing Loss of life — rig L) Proper fill up of hole every
damage. five strands — three (3)
heavyweight one (1) drill
collar
Stay alert — pay attention Too routine — not M) Repeat steps B through L
throughout the trip paying attention
5) tripping pipe: tripping in the hole
check steps I A, B,
Safety first – eliminate all Going too fast – N) Raise block — stop at
hazards – check crown-o- overlooking – crown out monkey board
matic – use safe speed –loss of life
3) Tripping pipe: tripping in the
hole (cont’d)
Keep mind on job at hand Falls — caught between B)Derrick man latches pipe
Keep feet clear — don’t Struck by — confusions C) Tailing pipe
wrap finger around pipe
Keep pipe from swinging -. Do not put finger under D) Stabbing pipe
keep hands clear pipe - struck by
Know the tool you are using Caught between E) Make up tool joint — spinner
— be aware of your co- wrench
workers
Good condition of equipment Struck by F) Torquing pipe
— tong snub line Clean Caught 1) Make up tongs on top
working area — be aware of between(wormhole) 2) Lead tongs on bottom
co-workers and their Caught between
position (wormhole)
Good lifting techniques — Back strains — pinch G) Pulling slips
hand positioning points
Hydromatic brake — control Loss of life— rig damage H) Lowering pipe
speed
Good lifting techniques — Back strains — pinch I) Set slips
hand position points
Good hand positioning — Pinch point – caught J) Unlatching elevators
teamwork between
Pay attention at all times Lackadaisical attitude K) Repeat steps A through J

Good housekeeping Slips, trips, fall Clean area — return tools to

storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No.
Job: LAYING DOWN PIPE
37
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury A) Prepare and inspect all
tools and equipment
Pinch points I) Inspect tubular handling
equipment
Careful inspection Struck by
II) Inspect air hoist cable
See equipment required Personal injury C) Proper personal protective
below equipment
2) Procedure
Good weight for slug Skin irritation A) Pump slug

Stay alert — teamwork Pint points — caught B) Break out kelly — lead tong
between on top backup tongs on
bottom.
Stay alert — teamwork Pinch points — caught C) Rack kelly in shuck and
between secure

Know the Job Pinch points D) Install wiping rubber over

drill pipe
Team work Pinch points E) Latch elevators above
rubber
Pinch points F) Pull pipe about 6 feet

Coordination between air G) Pull bushing from rotary

hoist operator and crewman
 Pinch points H) Slack off drill pipe and
reinstall bushing above wire
rubber
I) Pull pipe until first joint

Good Technique Back strains J)Set slips

Teamwork Pinch Points – caught K) Break connection — lead

between tong on top, back up on
bottom
Slips, trips, falls 2) Procedure (cont’d)
Stay alert Pinch points L) Rotate out / spinner tong

Team work Pinch points — caught M) Set joint in mouse hole

between
Know the job Struck by N) Unlatch elevators
Half hitch properly tied Struck by 0) Tie air hoist chain to Joint
(half hitch only)
Smooth operation Strains P) Pick up on air hoist
Good technique Pinch points Q) Punch joint out of v-door
and slack off on air hoist
Stay alert Pinch points — caught R) Latch elevators on drill
between — strains — string
struck by
Some tasks repetitive or Slips, trips, falls 3) Repeat steps I through R
boring — stay alert
Good housekeeping 4) Clean area — return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No.
38 Job: DRIVING PIPE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Work Vests, Fire
Extinguisher ,BOSUN CHAIR
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting

Effective communication Misunderstanding A) Discussion of procedures

procedures 2) Loading / unloading
Use tag line — organization equipment
— where does equipment Caught between —
need to be? moving more equipment 2) Rig up procedures
than necessary
Care Inspection of 3) Driving pipe / pick up
equipment Ear plugs Loss of life — falls pipe
— stay alert /be aware
Gas detectors — fire watch Noise levels— flying 4) Welding procedures
debris

Loss of life - fire

Equipment in good condition Personal injury —
— careful inspection equipment failure B) Prepare and inspect all tools
and equipment

See equipment required Personal injury C) Proper personal protective

below equipment

2) Equipment handling

Replace / repair defective Equipment failure — B) Inspect crane / sling / tag line
equipment caught between — pinch — communicate crane
Effective communication points — Loss of life signals

Handle equipment only once Danger in handling B) Unloading equipment

— hoses, ropes, cable, equipment more than
choke pipe necessary — pinch points
— struck by

3) Rig up procedure
Communication — flagman Caught between.— pinch B) Drive hammer
— crane operation air hoist points — rig damage 1) Setting hammer on rig floor
may be used to keep back injury — crushing
hammer still bosum chair to injury 2) Pick up hammer with block
rig up hammer falls
3) Rig up hammer

Route all cables / hoses out Slips, trips, falls B) Welding - cutting equipment
of walkways — proper
positioning of equipment

Alert personnel when Caught between — pinch 4) Driving pipe

moving pipe — tag lines will points
be used

Use rope across v-door when Struck by A) Setting drive pipe in v-door
tailing pipe

Never look at welder’s ark Flash burn B) Pick up drive pipe

Ear protection — watch your Noise level - Slips, trips, C) Welding procedure
step — communication — falls — hammer
timing of hammer pick up malfunction

D) Hammering

Correct use of sala block Falls 5) Welding drive pipe to rotary

pan

Protective equipment Burns A) Rig up scaffold boards

Look away — use welder’s Flash burns B) Cut excess pipe

hood

Keeps hands free- wear fall Mashed fingers— falls C) Weld drain valve and fill up
protection line

Good communication Crushes — caught D) Install adapter flange and

between dressed sleeve

Good housekeeping Slips, trips; falls 6) Rig down hammer

 7) Clean Area — return tools
to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 39 Job: RIG UP / RIG DOWN STROKE COUNTERS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,
Lock Out / Tag out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures

Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
HSE Manual Shock 2) Lockout / tagout mud pump

HSE Manual — use meter to Shock 3) Lockout / tagout energy

confirm absence of power source to stroke counters
Use safety harness when Slips, trips, falls 4) Run proper wiring in trays or
over 6’ and ensure wiring is remove when rigging down
neatly run
Proper tools — cotton gloves Caught between — 5) Mount or remove stroke
lacerations counter

Proper tools — cotton gloves Caught between — 6) Tie in wiring to sending unit
lacerations or disconnect
Lockout / Tagout - proper Shock 7) Connect wiring at rig floor
tools — cotton gloves unit or disconnect

Proceed carefully — check Shock 8) Unlock and turn power on

wiring — check unit for proper
operation

Proceed carefully — check Shock 9) Unlock and turn power back

wiring on to mud pumps

Good housekeeping Slips, trips, falls 10) Clean area — return tools
to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. Job: LOADING / UNLOADING EQUIPMENT - TUBULARS (PIPE) /
No.40 BASKETS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Work Vests, SET
COMMUNICATION
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Good team effort — good Pinch points — struck by A) Objective / sequence of
communication events
2) crew positioning
Knowledge of job and Loss of life — rig damage A) Crane operator
equipment
Stay alert — good signals Struck by B) Crewman — rig
Stay alert know your exit Struck by — tall —pinch C) Crewman — boat
points
3) Choose and inspect lifting
equipment
Careful inspection at all Loss of life — rig damage A) Crane
equipment — know capacity
of hoisting equipment and
load weight
Don’t turn your back on load Struck by — fall B) Hooks
Use properly rated and Struck by — fall — burns C) Slings — spreader bar —
inspected slings in hand pallet bar
Use tag lines –wear work Struck by — fall D) Shackles — straps
vest on barges
Knowledge of hand signals, Loss of life- struck by- 4) Communication with hand
only one person signals pinch points signals for crane operator /
crane operator to eliminate signalman
confusion —good
communication
Insure all personnel are
ready before signaling
Good communication of job Struck by — pinch points 5) Discuss the mechanics of
requirements hooking / unhooking team
effects
Knowledge of equipment Rig damage — loss of life A) Always know the weight of
Check angle indicator / load your lift and limits of your
chart equipment (crane and sling)

Good signalman Struck by B) Position the block DIRECTLY

over the load
Teamwork — ensure proper Struck by C) Hook up the load evenly for
attachment points balance
Know where to tie on to Rig damage — loss of life 5) Discuss the mechanics of
loads -- know the weight of — struck by - Pinch hooking/ unhooking team
load points effect (cont’d)

Have tag line ready Loss of life — struck by— D) Connect tag lines
pinch points
Knowledge of crane — E) Ease into lift — balance
requirements of job Don’t load — no hang up — Lift
walk under suspended loads above head height (as
necessary)
Knowledge of equipment Rig damage F) Swing load smoothly

Knowledge of equipment Rig damage — struck by G) Slack off smoothly — stop

completely before unhooking
Team effort Struck by — pinch points6) Team work — before starting
job
Eliminate any excess Slips, trips, falls A) Always have an escape
equipment route
Eliminate any excess Slips, trips, falls B) Eliminate hazards
equipment
Eliminate any excess Slips, trips, falls C) General housekeeping
equipment
Handle lift only once — Loss of life — pinch 7) Discuss the order of lifts and
eliminate exposure hazard points placement *only handle
the equipment once
Have a good signalman — Loss of life rig damage 8) Blind lifts.
don’t assume anything
Knowledge of job — have Struck by — pinch, points 9) Pipe – always hook up
chock boards ready evenly and chock each row
Don’t put hands or feet on
pipe

Use proper slings (4 way if Struck by falling 10) Baskets – always load
needed) equipment basket evenly
Pick up tools, store slings Slips, trips, falls 11)Clean up area
out of walkway
Store properly after use Slips, trips, falls lost tools 12) Return tools to proper
location

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
41 Job: CHANGING SEAT AND VALVES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Lock Out / Tag
out , EAR PLUG
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all
tools and equipment
See equipment required Personal injury C) Proper personal protective
below equipment

Lockout / tagout — HSE Pinch points - pump 2) Notify driller and lockout
Manual startup before job pump — isolate pump — close
completion all valves
Use rope to hold bar in place Hand Injury 3) Hammer cap loose
while hammering
Clean housing before Slips, trips, falls — mud 4) Wash fluid out of hosing
proceeding on tools

Secure jack— tie off to keep Hand injury — struck by 5) Install jack and remove seat
from falling when seat come — check seat for damage
loose
Proper tools — good Pinch points 6) Hammer new seat in place
communication — secure
hammer with rope
Use rope to secure bar while Pinch points — struck by 7) Install cap and tighten
tightening
Effective communication Miscommunication 8) Notify driller when job is
complete
Proceed carefully 9)Unlock pump

Good housekeeping Slips 10) Clean area — return tools

to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
42 Job: CHANGING MODULE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Barricades , Lock
Out / Tag out
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment

Lockout / Tagout — HSE Caught between 2) Lockout / tag out pump —

Manual notify driller
Good Housekeeping Slips, trips, falls 3) Wash down area
throughout job
Use rope on hammer wrench Struck by — eye injury 4) Hammer nut loose on
— safety glasses module
Ensure hoist in good Pinch points — struck by 5) Rig up hoist and secure to
condition module

Good communication Pinch points — struck by 6) Remove nut and pry module
off pump
Good communication Pinch points — struck by 7) Set module out of way and
secure

Proceed carefully Not following procedures 8) Inspect gasket area

Proceed carefully Not following procedures 9) Clean out pump — install

gaskets

Good communication Pinch points — struck by 10) Hoist new module into
place

Use rope on hammer wrench Hand and eye injury 11) Install nut and hammer
— safety glasses tight

Good housekeeping Slips, trips, falls 12) Clean area — return tools
to storage

Effective communication 13) Notify driller and unlock

pump

Use proper sockets with Smashing injury — Using Air Wrench To Back
keepers — Use ACR clips Hose blow off Nuts Off
on all air lines
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. SLING / CABLE INSPECTION AND
Job:
43 MAINTENANCE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Back Belt ,Work Vests,
Yes /
PRECAUTIONS POTENTIAL HAZARDS SEQUENCE OF
No
BASIC JOB STEPS
1) Pre-job meeting
Effective communication Not understanding A) Discussion of procedures.
procedure
Equipment in good condition Personal injury B) Prepare / inspect tools and
equipment
2) cable inspection
Remove from service if Burrs — broken strands A)Visually inspect all cables
defective — personal injury before each use
 Consult the Parker HSE
Manual- Sling Safety

Personal injury —
equipment damage
All slings / cables should Personal injury — B) Monthly inspection (all
have brass I.D.tag Tags equipment damage slings / cables) check for
numbered to correspond I.D. tag
with the original certificate Consult the Parker
for that sling / cable HSE Manual- Sling
Safety
Record on monthly
inspection

Lubricate monthly with Personal injury — 3) Slings and cables should be

factory recommended equipment damage lubricated monthly or as
lubricant needed to guard against
rust and corrosion
Keep slings clear of Slips, trips, falls 4) Slings should be rolled and
walkways and off the deck stored or hung up-out of
walkway

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
44 Job: SPINNER HAWKS USE AND MAINTENANCE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Lock Out / Tag
out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures

Equipment in good condition Personal injury B) Prepare and inspect all tools
and

equipment

See equipment required Personal injury C) Proper personal protective

below equipment

Pre-tour lockout / tagout Laceration — struck by — 2) Inspection of spinner hawk

caught between

Close and thorough Equipment failure A) Chain, rollers for work

inspection

Pipe damage 1) Adjusted for current pipe size

Check for breaks in the Struck by B) Back up/snub line

thimbles

Close inspection Struck by C) Shackles, springs

Close inspection Struck by D) Hanging cable

Safety cable properly Struck by E) Safety cable from hanging line

secured by both ends to body of spinner hawk

Equipment in good condition Struck by F) Hydraulic hose / safety pin

with safety clips

Equipment in good condition Equipment damage G) Levers

— tightly fitted

3) Servicing spinner hawk

4 to 5 shots of grease in the Equipment damage A) Grease all alemites

alemites
Check for slack and wear — Equipment damage B) Roller, chain
change when needed
4) Operation of spinner hawk

Review steps 1 through 3 of Equipment failure – Inspection/serving will always

this JSA Struck by – pinch points proceed the operation of the
spinnerhawk

Good team work and timely 4) Operation of spinner hawk

communication (contd)

Proper technique and good Pinch Points B) After pipe is broken — pull out
timing of hole and ensure the tongs
(2) are clearly removed

Squeeze operating handle Equipment damage 1) The spinner hawk is then put
slowly on the pipe

Squeeze handle slowly Struck by C) Operate the right lever to

 close Jaws around pipe.

Operate carefully — slowly Struck by D) Operate the left lever to spin

the pipe

Ensure tie back line is Equipment damage E) Operate right lever to open
adequate the jaws

Struck by F) Hang Spinner hawk out of the

way

G) After pipe is stabbed — go in

the hole

Repeat steps B (1) through F Repeat steps B (1) H) Repeat Steps 4.B (1) through F
through F

Good housekeeping Equipment damage 5) Clean equipment when trip is

finished — to include greasing

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 45 Job: GREASING THE CRANE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Not understanding A) Discussion of procedures
procedures
Discuss equipment to be Wrong equipment for the B) Tools and equipment required
used job

Discuss safety equipment to Falls, slips — personal C) Safety equipment required

be used injury

Safety harness worn when Falls — personal injury 1) Safety harness

working above 6 feet
Don’t stand under crane Personal injury 2) Lower boom over pipe rack
boom
Safety harness worn when Falls — personal injury— 3) Attach safety harness
working above 6 feet loss of life
Personal protective Grease in eyes 4) Clean grease fillings
equipment safety glasses

Watch finger placement Pinched finger on grease 5) Install grease gun on fitting
gun and fill to proper level
Always clean up excess Dropped grease on pipe 6) Clean excess grease from
grease from fitting rack could cause slips, fittings
trips or falls

Same as above Same as above 7) Repeat steps 3 through 6 until

completed
Clean any grease off deck Slips, trips, falls 8) Clean deck and area under
boom
Return tools to proper Slips, trips, falls— loss of 9) Return tools to proper
location tools location

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 46 Job: CHANGING SHEAVE ON CRANE BOOM
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness ,Face Shield
Ye
POTENTIAL SEQUENCE OF
PRECAUTIONS s/
HAZARDS BASIC JOB STEPS
No
1) Pre-job meeting
Effective communication Not A) Discussion of procedures
understanding
procedures
Equipment in good condition Equipment B) Prepare inspect tools and
failure equipment
2) Use proper personal protective
equipment
Wear safety harness when working Falls A) Safety harness
over six feet
Use face Shield when knocking pin Struck by objects B) Face shield
out of sleeve
Wear proper personal protective Personal injury C) Hard hat, steel toed boots, safety
equipment glasses, gloves
Use caution lowering boom — Personal injury 3) Lower boom
proper hand and body placement

Proper hand placement Finger injuries 4) Pull end cap off of pin housing
Proper hand placement and Finger injuries 5) Take bridal cable off of pin
personal protective equipment housing
Proper foot placement— caution Hand, foot eye 6) Knock pin out of sheave
when swinging hammer injuries— strains
Proper foot placement— caution Hand, foot eye 7) Install new sheave
when swinging hammer injuries— strains
Proper hand placement and Finger injuries 8) Re install bridal cable
personal protective equipment
Proper hand placement Finger injuries 9) Re install bridal cable

Check for grease and oil and duck Slips, trips, falls 10) Clean up area

Return tools to proper place Slips, trips, falls – 11) Return tools to proper place
equipment loss
Keep personnel clear during test Personal injury — 12)Test crane by lifting load
equipment
damage
Store slings properly Slips, trips, falls 13) Remove load and return crane
boom to Cradle
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 47 Job: CHANGING CABLE ON CRANE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting

Effective communication Misunderstanding A) Discussion of procedure

procedures

Equipment in good condition Personal injury B) Prepare and Inspect all tools
and

equipment
See equipment required Personal injury
below C) Proper personal protective
equipment
Don’t stand under boom Struck by 2) Lower crane boom to pipe
rack
Keep hands / feet clear of Pinch points — caught 3) Lay ball / block on deck
ball or block between
Make sure there is no Cable kicking back 4) Cut off dead end of cable at
tension on cable top of boom
Watch for kinking or twisting Cable kicking back 5) Unspool old cable off hoist
of cable into spool on rack or roll up
onto pallet
Keep clear while moving Pinch points — caught 6) Put new spool of cable on
spool between rack
Watch hand placement — Pinch points — kinks or 7) Reeve (pass through) new
avoid twisting cable Remove twist in cable Make cable through sheave system
rope from the same side of certain the replacement Note: cut off all welded ends of
spool as it will be operated wire rope is the proper rope before installing in a wedge
on the drum — top to top or size and type for your socket or into wedge In drum
bottom to bottom socket wedge and
sheaves
Use proper lockout / tagout Pinch points — caught in 8) Shut off power and check for
procedure machinery stored pressure

Watch hand placement Pinch points 9) Attach new cable to wedge in

drum and tighten bolts / nuts
Stand clear, remove locks / caught in machinery 10)Restore power to crane
tags, restore power
Spool rope under tension to Kinks — loose cable 11) Spool rope on the crane
properly seat rope on the drum
drum
Secure cable before cutting Cable jumping or kicking 12) Leave slack at end of boom
back and cut off at appropriate
length
Watch for burrs in cable and Burrs —cuts or scrapes 13) Remove old wedge from
check the wedge socket on ball / block along
and socket for rough places with cable clamps and remove
— remove before reuse old cable
Proper hand placement Pinch points — burrs 14) Insert new cable in wedge
and socket
Follow API guidelines Line slipping — load 15) Properly install cable clamps
dropping
Load test cable before Line slipping — load 16) Apply gradually increasing
returning crane to full dropping load to ensure that the wedge
service Is properly seated Note:
Be sure to slack off to barge ensure, live end of rope is on
with block to ensure proper straight side on socket and
wraps are remaining on dead end is on the tapered
drum to prevent loads on side of socket Ensure ware
wedge. rope clips (cable clamps) are
applied with the saddle
portion on the live rope
segment and the u bolt on the
dead end segment
Return tools when job is Trips, falls — lost tools 17) Return tool to proper
completed location
Check area for grease, oil Slips, trips, falls 18) Clean up work area
and debris — clean as
needed

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 48 Job: AIR HOIST OPERATION
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,AIR PLUGS
Ye
SEQUENCE OF
PRECAUTIONS s/ POTENTIAL HAZARDS
BASIC JOB STEPS
No
1) Pre-job meeting
A) Discussion of procedures
Equipment in good condition B) Prepare all tools and
equipment
Repair I replace before use if Scrapes, cuts, cable 1) inspect
needed separating, broken cables/clamps/eyelets 2)
Know the capacity of your air hooks, lifting eye Check oil level and air pressure
hoist cracks or not tight
Ensure cable meets
manufacturers specification
Guard and guides in place Cable breakage or C) Line guard and guide in
jumping place

Hard hat, glasses, steel toed Personal injury, D) Personal protective

boots, gloves scrapes, cuts equipment
Insure load is securely fastened Falling loads, personal 2) Properly attach load to air
injury, loss of life hoist line Note: avoid using
chains or lifting when
possible
Insure load is securely fastened Falling loads, personal A) Double wrap if needed
injury, loss of life
Insure load is securely fastened Pin could back out if B) Secure shackle pin through
secured across cable line eyelet
Good communication Falls loads — personal 3) Inform personnel in area
injury— loss of life
Do not allow anyone between Sheave could come A) Ensure no one is around air
load and sheave or to step over loose — cable could hoist line if a sheave is being
cable while under load part used nearby
Periodic inspection of sheaves Sheave failure — falling 4) Periodical inspection of
and anchor points sheave sheaves in derrick
Insure load is securely fastened Falls loads — personal 5) Raise and lower loads slowly
Never leave load hanging injury - loss of life
Pay attention at all times Struck by loads — 6) Use Flagger if need to direct
personal injury — loss load
of life
Always secure line when not in Could strike or trip 7) Secure line when not in use
use someone
Good housekeeping Slips, trips, falls 8) Clean up area
Return tools to proper storage Slips, trips, falls— 9) Return tools and equipment
area equipment loss
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 49 Job: GENERAL CLEANING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves , RUBBER GLOVES ,
Goggles , Barricades
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare arid inspect all
condition tools and equipment

See equipment required Personal injury C) Proper personal protective

below equipment

Always wear proper Burns — rashes —eye 2) Read all warning labels on
personal protective injury — inhalation of cleaning agents to be used
equipment chemicals — consult MSDS

Wear proper personal Burns — eye irritation 3) Clear area of personnel

protective equipment have while cleaning
non-essential personnel
clear the area

Block off area Burns — eye irritation 4) Install barricades as

needed
Follow manufacturers Burns — eye irritation - 5) Disposal of cleansers
recommendation for inhalation
disposal
Always store chemicals in Slips, trips, fall - 6) Clean up area — return
original container —good accidental misuse of tools to storage
housekeeping. chemicals

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
JSA R
Perm
Date

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JSA Re
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Permit
Date:

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 Job Safety Analysis Sheet
JSA Ref. No. 54 Job: INSTALLING AND REMOVING PIPE RUBBERS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , ,Face Shield ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :

Effective communication Misunderstanding A) Discussion of procedures

procedures
Equipment in good condition Personal injury B) Prepare and inspect all
tools and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Wait until pipe has Equipment damage - 2. Wait until pipe is completely
completely stopped to set personal injury stopped
slips
Use hole covers Falling items 3. Cover hole, place sack
around pipe at base
Wear cotton gloves Finger laceration 4. Put rubber on drill pipe —
insert pin

Wear face shield Smashed fingers — 5. Hammer pin in

flying metal
Proper lifting techniques Strain 6. Trip in hole
Same a numbers 2 through Same a numbers 2 7. Reverse procedure to
6 through 6 remove rubbers
Cover hole Equipment damage — 8. Use proper tools and insure
flying particles — items hole is covered
falling In hole
Cover hole Equipment damage 9. Always remove tools from
flying particles – items area before uncovering hole
falling in hole
Good housekeeping Slips, trips, falls. 10.Clean up area — return tools
and equipment

Additional Hazards

Designation: Name:
JSA Done By
Date: Signature:

Job Safety Analysis Sheet

JSA Ref. No. 55 Job: MAKING A CONNECTION WHILE DRILLING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , rubber gloves
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures .
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment
See equipment required Personal injury C) Proper personal
below protective equipment

Team communication, Struck by — pinch points 2) Floor hand — Inspect the

keep good dies in tongs — eye injury following

Check all shackles and Accidents associated A) All tubular handling

cables for wear with faulty equipment equipment — drawworks —
snub line — tong dies
3) Derrickman — inspect the
following:

Monitor pumps regularly, Hole problems I ‘ sign of A) Mud pumps – pit levels
constant monitoring of pit a kick — mud problems
level
Visual inspections, ensure Hole problems I ‘ sign of B) Mud agitators —
proper alignment of a kick — mud problems centrifugals—
centrifugal — personal hopper caustic barrel
protective equipment
requirements
Note: Before transferring any
drilling mud — notify the
Driller
Check daily — with the Rig damage— loss of life 4) Driller inspect the following:
block. — blow out

Ensure equipment is used Hole problems — rig A) Crown-o-matiç — pit alarms

properly, ensure proper damage ( set) — Drilling
working order- monitor gauge_(all) — draw work
Note: Ensue all personnel
 and equipment stay clear
of turning rotary

5 ) Shaker hand – Inspect the

following
Equipment properly Mud loss — sighs of A) Shakers — Formation
working, correct screen possible well problems changes — Mud weight and
size — check mud weight — Hole problems viscosity
and viscosity every 15
minutes
Note: Notify Driller
Immediately of any mud
property changes

3) Connection

Ensure a safe working Slips, trips, falls A) Rotary is stopped and the
environment Kelly is raised and
washed
Note: . A joint of drill pipe
should already be in the
mouse hole
Good technique —2 people Pinch points-Strains B) Slips are set
handling slips
Close with proper wrench Slip hazard C) Close Kelly valve

Stay alert, keep hands Pinch points — Caught D) Place lead tongs on top,
clear — Make sure all between place back up tongs on
tubular handling bottom — break
equipment is in good connection
condition
Stay alert Pinch points E) Spin pipe

Pinch points F) Place lead tongs on joint in

Need two people the mouse hole

Two person job — Team Pinch points — Strains G) Push Kelly onto rat hole
work joint
Stay alert! Pinch points H) Spin Kelly to make up
connection
Team work — Coordination Pinch points — Caught I) Place make-up tongs on
between 2 floor hand between kelly

Team work with Driller — Caught between — J) Torque joint — open kelly
stay alert! Struck by valve
Set good pace — Do not Pinch points - slips
rush K) Remove tongs and place
lead tong on drill pipe in
rotary
4) Connection (cont’d)

Team Work Pinch points L) Raise Kelly and pipe, stab

drill pipe in rotary
M) Spin up connection

Stay alert Struck by - Caught N) Place make –up tongs on

 between pipe torque connection

Good lifting technique Strains O) Raise pipe and remove

slips
P) Resume drilling

Good housekeeping Slips, trips, falls 5) Clean Up Area – return Tools

And Equipment
Additional Hazards

Designation: Name:
JSA Done By
Contract No.(If applicable Signature:

Job Safety Analysis Sheet

JSA Ref. No. 56 Job: WORKING IN DERRICK
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,
Goggles , lanyards ,barricades, retractable life line
Ye
POTENTIAL SEQUENCE OF
PRECAUTIONS s/
HAZARDS BASIC JOB STEPS
No
1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures .
procedures
Equipment in good condition Personal injury B) Prepare and inspect all
tools and equipment
See equipment required below Personal injury C) Proper personal protective
equipment
Install barricades— inform Falls- loss of life 2) Rope off area below worker
personnel of workers overhead
Remain connected to anti-fall Falls- loss of life 3) Connect to anti-fall device
device throughout
Use derrick harness when climbing Falls- loss of life A) Apply full body safety
ladder harness

Connect to Lad-Sal system to climb Falls- loss of life B) Lad-Saf derrick ladder
ladder system

Can be used on rig with offset Falls- loss of life C) Retractable lifeline
derrick along with a derrick assist
Use once you reach working height Falls- loss of life D) Double lanyards
Tie off with cord or rope to keep Struck by 4 ) Tie off hand tools./ items
from falling carried aloft
Proper footing — keep self and Slips, falls – struck 5 ) Perform job to be done
tools tied off at all times by
Check all beams for items that Struck by 6 ) Remove all tools from derrick
could fall below
Remain connected to anti-fall Falls- loss of life 7 ) Connect to anti-fall device
device
Remain connected to anti-fall Falls- loss of life 8 ) Climb back down ladder
device
Put tools back in their proper place Trips ,falls 9 ) Store tools and equipment
Remove barricades — inform 10 ) Remove barricades
personnel that overhead work is
completed

Additional Hazards

Name: Designation:

JSA Done By

Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 57 Job: SLIP AND CUT DRILL LINE
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness ,Face Shield , Lock Out / Tag out ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures .
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment

See equipment required Personal injury C) Proper personal protective

below equipment
2) Inspection of equipment
Careful inspection — Rig damage - loss of life A. Hang off line for block
repair/ replace Struck by B. Shackles and air hoist
Careful inspection Struck by C. Sledge hammer, Cameron
Right tools — rope for Struck by Wrench
Cameron wrench D. Hydraulic cutter
Careful inspection
Proper lifting – Use air Pulled back muscles — 3) Install TIW valve on drill pipe
hoist well blowout and
 remove front guards on draw
works
Use flagger, safety Falls — caught between 4) Derrick man is brought up to
harness while on top of struck by falling objects top of block with air hoist,
block – secure tools while block is hung off while
working overhead crewmen are removing
weight sensors off dead man
Watch for pinch points Caught between — 5. After block is hung off anchor
pinch points bolts are removed; drill line
wraps are taken off.
Note: with block hanging,
bottom of hook should be one
foot above rig floor. Should
have six wraps of drill line on
drum.
Watch for pinch points Caught between 6. Spool up amount of drill line
on drum that is needed to cut
Watch for backlash from Struck by - Caught 7) Unspool six wraps plus what
drill line when cutting – between is needed for drill line clamp
use hydraulic cutters Drill line and make cut on drill line.
While cutting drill line, put
wraps back on deadman
anchor.
Watch for pinch points Caught between 8) While putting drill line back
on drum, tighten bolts on
deadman anchor
Watch for pinch points Caught between - pinch 9) Spool drill line back on drum
points and install weight sensors
back on deadman
Team work — use crane Caught between stuck 10) Roll old dull line find dispose
and flagger by of
property
Periodically check line for Loss of life— stuck by 11) Mark drill line next to clamp
slippage

Stay alert Caught in - pinch points 12) Replace weight sensor,

drawworks guard, etc
Use flagger—safety Falls — caught between 13) Raise derrickmañ to remove
harness hang off cable - from block
Use flagger — good Falls — caught between 14) Lower derrickmari to rig floor
communication
Clear personnel from rig Loss of life — rig 15) Latch onto pipe and lift drill
floor first damage string with slips set
Stay clear of rig floor Loss of life — struck by 16) Test and retest before pulling
with slips
Reset and trip crown — o Los of life — rig damage 17) Run block up and reset
— matic for proper setting crown-o-matic

Record cut in record book Los of life — rig damage 18) Record cut Loss of life —
to keep actual ton miles ring damage
on drill line
Good housekeeping Slips, t rips, falls 19 Clean area, return all tools
and

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

Job:CHANGE GRIPPER (NOTE: Change 3 1/2 to4 ½ or
JSA Ref. No. 58 visa versa
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Ha
,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , , Lock Out / Tag out ,
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all
tools and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Follow proper procedure for Hole damage — 2) Close blind rams — install ho
closing rams downtime cover(if pipe Is in hole,
place cover around slips
Follow company procedure Falls — Shock — loss of 3) Lower top drive to floor and
for lockout / ragout life perform lockout /tag out
Clear area Pinch points 4) Extend back-up wrench to
proper length
Use the proper tool for the Pinch points 5) Remove rubber guide from
job back- up wrench
 Follow proper procedure Pinch points 6) Remove pin from front of bac
-up — pin will come out from
the op
Use the proper tools — Pinch points – struck by 7) Remove front side gripper
watch foot placement
Clean area — one person job Pinch points 8) Close gripper — knock pin ou
— pin will come out from the
top
Use the proper tools Pinch points 9) Remove backside gripper

Follow procedure Pinch points 10) Install new backside grippe

– pin same
Clear area Pinch points 1) Re-open gripper
Use the proper tools Pinch points 2) Install front side gripper and
pin
Use the proper tools 3) Install new rubber guide - b
first then front and screw dow
tight
Review JSA for picking up Struck by 4) Pick up new side pipe and tes
drill pipe gripper
Good housekeeping Slips ,trips, falls 5) Clean work area store tools

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 59 Job: USING SPINNING CHAIN
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures .
procedures
Equipment in good condition Personal injury B) Prepare and inspect all
tools and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
New hire watch experienced Standing in wrong place D) Crew experience
crew do job

Watch for pinch points on Pinch points — caught 2) I3reak out tong is latched
tongs and elevators between around pipe (already sitting
on slips in rotary)
Keep floor clear of trip Slips, trips,, falls, 3) Most experienced crewman wraps
hazards — wrap chain neatly spinning chain on tool joint above
break out tong
Note: chain is wrapped counter
clockwise leaving
approximately 4 feet of
chain .with tail for Crewman to
hold

Use tail rope for stands -- Struck by 4) Driller runs block up to

double up while tailing pipe derrickman ‘— pipe is
latched, driller picks up and
pipe is tailed by the two (2)
Crewmen
Keep hands above tool joints Pinch points 5) Pipe threads are doped and
and away from threads joint is stabbed into string

Effective communication — Tangled up in chain — 6) With both crewmen standing

avoid jerking chain personal injury clear of spinning chain,
crewman flags driller that he is
ready
7) Driller pulls lightly on cathead
and chain is thrown into
position
Inform sillier to stop when 8) Crewman holds pressure on
joint is made up – remove chain tail while driller spins
excess chain connection up — after
connection is made up,
crewman is allowed to pull off
excess ‘chain from pipe and
releases chain
Check snub lines —. keep Struck by 9) Make up tong is installed on
fingers away from jaws on top
tongs

Pinch points — caught 10) Driller pulls on cathead and

between - struck by tightens connection to final
torque
Stand on side of tongs — if Back Strain 11) Each crewman on tongs
tong slips there is less unlatches the other
chance of being hit crewman’s tong and secures
tongs to derrick legs
Proper lifting techniques Back strain — pinch 12) Driller now picks up on
points string slips and stand is
lowered into well
Use proper lifting techniques Personal injury 13) When block reaches floor,
to set slips remove hands slips are re-set
from slips handles after
setting

Slips, trips, falls 14) Block is then run back up to

derrickman
Stay alert 15) Repeat steps 3 to 15

Good housekeeping 16) Clean area

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

JSA Ref. N
Permit No
Date:

PERSONAL
Hard Hat
lanyards

PRE
Effective co

Equipment

See equipm
below
Remove all
debris

Personnel s
safe place a
— wear per
equipment

Careful insp
equipment
communica

Thorough in
— commun
discrepancy
replace as n

Careful ope
drawworks
Careful coo
communica
Effective co
between dr
derrickman

Stay alert —
any problem

Effective co
stay alert

No loitering
living quart
possible
 Fall protect
for the job
Fall protect
secured use
tools and th
secured

Derrickman
off saddle, t
latch

Pay attentio
job

Fall protect
used

Go

Additional H

:Name:

:Signature:

Job Safety Analysis Sheet

JSA Ref. No. 61 Job: REMOVAL AND INSTALLATION OF BRIDAL LINES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , , Safety
Harness ,Face Shield , Goggles

Yes
SEQUENCE OF
/
PRECAUTIONS POTENTIAL HAZARDS
BASIC JOB STEPS
No
Check weather conditions — Personal injury
day job — experienced crew 1) Proper timing of job
2) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
Equipment in good condition procedures 1) Communicate with all
Do not stand under cable Personal injury hands as to why job is to
Tie off tools Falling cable — falling be performed
objects 2) Discuss any old or new
ideas to improve job
performance
See equipment required 3) Discuss any and all
below hazards
B) Prepare and inspect all
tools and equipment
C) Proper personal
protective equipment
Ensure all equipment is Equipment damage 3) Engines and drawworks
working properly Personal injury checks— block raised to top
level with bridal line
A) Crown-o-matic should be
checked and all clutches on
drawworlcs checked for
proper release
Fall protection in place, cable Pinch points — fall
4) Derrickman, With fall
secured until bridal line is cable — slips
protection properly secured
attached to block
places bridal onto block
Wear personal protective Slips —personal injury 5) Air hoist is connected to
equipment — pinch points bridal line below where
bridal is pinned (air hoist
routed through derrick for V
Direct pull)
Wear face shield — tie off all Flying debris - eye 6) Pin removed from derrick —
tools clear work area injury — damage from make sure no one is under
falling pin area where working

Fall protection — proper tools Pinch points — Struck - 7) Bridal end is lowered and
for the job falls worked through sheaves,
then lowered to rig f1oor
8) Repeat step 5, 6 and 7 or
opposite side
Teamwork — don’t work Back strains — falling 9) Driller slowly lowers block —
under loads — keep area cable — slips crewman rolls up old bridal
clear of obstacles line as block is lowered —
bridal line removed from rig
floor
Watch fingers — keep grease Pinch points — slips 10) Inspect all bridal line
from spilling trips, falls sheaves — grease up and
repair if necessary
Be aware of potential Pinch points – struck by 11) Yoke removed from old
damage — stay alert bridal line, inspected
cleaned and lubricated
Pay attention -- use power struck by - Pinch points 12) Install yoke. on long side of
equipment 2 piece new bridal line —
install on block
Be alert — proper keepers Pinch points
13) Connect bridal together —
used
install proper keepers

Keep lines even — teamwork Falling or shifting cable 14) Driller slowly raises
block — crewman keeps
bridal lines even as line is
raised — crewman inspects
bridal line as it is raised
15) When bridal line is in proper
Back strains — line
Use power equipment- don’t position, ends are raised and
damage — pinch points
get pinned — don’t force line worked through sheaves in
- struck by
derrick — air hoist is to be
used
Good communication — Pinch points — falls — 16) Air hoist is repositioned and
watch your hands struck by attached to bridal line end —
bridal pulled into place and
pins installed — Proper
keepers put in place
Teamwork — be aware of Strains - pinch points — 17) Repeat steps 15 and 16 for
where you are struck by opposite side
Tie off all tools — account for 18) Install keepers on ‘all
all tools Falling tools — personal sheaves — Insure all tools
injury — rig damage are removed from derrick

Pinch points — rig

Bridal properly tied — no 19) Bridal line tied back in place
damage
cable damage and block lowered to floor

Good housekeeping 20) Clean area — return tools

Slips, trips, falls
and equipment

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No . RIGGING DOWN AND PREPARING TO LOWER
Job:
62 DERRICK
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass , Back Belt , Safety Harness ,
lanyards, retractable life lines

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment

See equipment required Personal injury C) Proper personal

below protective
equipment
Air hoist should be Used Pinch points — struck by 2) Removing bails and
to assist — inspect the elevator from the block
air hoist prior to use
The opening of the hook Strains by derrickman — A) The hook should be opened
makes it easier for the struck by and a rag put between the
derrickman to hook up the hook and lock (after Kelly is
bull line laid out)
Use mouse hole to break Pinch points — caught 3) Pick up Kelly and remove
connection, remove the between cross-overs and bushing
cross over and bushing
out of work area
Inspection of chain / cable Struck by— pinch points 4) Set Kelly back in shuck —
that secures Kelly to — caught between remove Kelly hose and Kelly
shuck — effective spinner lines, secure same
communication — secure Kelly, to shuck
and lay out Kelly and shuck
with block in the V-door
Use tag lines — know Suspended loads — 5) Set Kelly on Pipe rack with
exactly where Kelly is to pinch points crane
be stored before moving
Note: No one should be working on floor while Derrick man
Fall protection properly Falls – pinch points 6) Derrick man’s duties
secured
Note: Block with rag in
hook make this an easier
task
A) Connect block to bull lines
6) Derrickman’s duties:
(cont’d)
Remove any debris — be Struck by — falls B) Check derrick for any loose
aware of any person ‘who debris — re: Tools / pins I
may be working under you shackles etc.
— use fall
protection
Secure with at least three Struck by C) Secure / remove stabbing
(3) ropes or remove board
completely
Fall protection secured — Struck by — falls
D) Secure monkey board and
secure monkey board arid
fingers
finger With at least o (2)
ropes
Remove anything that may Struck by — falls. E) Check again for debris and
fall when derrick is lowered check the rig lights, secure
— always use fall safety cables, check sheave
protection and drill line
Fall protection equipment; Falls — struck by F) Pass air hoist line through
— secure / remove any derrick above monkey board
debris (after rig floor is secured)
7) Floor hand duties:
Struck by — pinch A) Lay down any tubular —
Fall protection — right tool
points falls handling tongs
for the job

Use air hoist — good Struck by — pinch B) Layout mouse hole

communication points falls
Remove bolt — right tool Rig damage C) Secure/remove stabbing
for the job board
Ladder safety — fall
Rig damage D) Remove standpipe union
protection — clean work
or section and secure
area
Fall protection properly Rig damage -fall E) Remove drill line guide
used
Air hoists used — goad Rig damage — fall F) Remove any handrail
communication sections
Good lifting techniques Rig damage — back G) Clear any objects from
strain path of derrick leg
Good communication
Rig damage — pinch H) Remove bottom section of
between air hoist operator
points derrick ladder
and crew rrlan
7) Floor hand, duties: (cont’d)
Remove properly Cable damage I) Untie ladder climbing safety
device and secure
Move crane Rig damage — loss of J) Make sure crane
life
Review all procedures — Rig damage — loss of 8) Make sure that bull line is in
double check life sheaves — double check air
hoist cable (refer
Double check living Loss of life 9) Ensure all personnel are out
quarters and physically of the living quarters and are
check that the boats are on the keyway end of rig-
away crew boats are away from
the galley end
Safety chains on pins — Pinch points – struck by 10) Remove pins from derrick
right tool for knocking pins leg
— secure keeper Note: All pins will have
a safety chain properly
secured — also secure
keepers
Double check!! Rig damage — loss of 11) Make sure the draw gear
life and the hydraulic brake is
in (check bull line in
sheaves)
Good communication — Rig damage 12) Hold tension on derrick
team work with air hoist while slacking
off of brake
Team work Rig damage Rig damage 13) Lay down derrick and let sit
— loss of life gently headache rack -
chain off break
Wear personal protective Slip, trip, fall 14) Give all clear signal — all
equipment non-working personnel will
return to the living quarters
Good housekeeping Slip, trip, falls 15) Clean up area — return
tools and equipment

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 63 Job: ROUTING HOSES /ROPES/CABLES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment

See equipment required Personal injury C) Proper personal

below protective
equipment
Good planning — proper Slip trip, falls 2) Decide on best route for line
layout
Always layout a non- Slip trip, falls A) Keep to handrails
powered line
Slip trip, falls B) Go under ways
Slip trip, falls C) Go over walkways
Slip trip, falls D) Tie to sides of walkways
V
Properly secure line Slip, trip, falls 3) Secure line at least every
20 feet
4) Use safety clips if
Safety clips Slip, trip, falls
applicable
Good housekeeping
6) Remove line and store
Slip, trip, falls
properly when finished

Good housekeeping Slip, trip, falls 7) Clean area – return tools to

storage
 Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
Job: PULLING ROTARY BUSHINGS
64
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment
See equipment required Personal injury C) Proper personal
below protective
equipment
Review maintenance Equipment failure — 2) Inspect air hoist, cable,
procedure for same struck by chain and bushing puller
Knowledge of procedure — Hole damage 3) Unlock bushings
hole cover
Correct procedure — Struck by — pinch points 4) Tie onto bushing pulley with
teamwork air hoist
Communication Struck by 5) Hook bushing puller into
bushing.

Knowledge of procedure Pinch points — struck by 6) Untie bushing puller

Good housekeeping Slip, trip, falls 7) Clean area and return tools
to storage

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. RIG UP/RIG DOWN ELEVATOR LINK (ITEM#1 – THE
Job:
No.65 BAILS)
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment
See equipment required Personal injury C) Proper personal
below protective
equipment
2) Lower block to comfortable
equipment
Use two raps, use tag Pinch points — slipping 3) Attach air hoist to bail
lines — good hand signals struck by
Use tag lines to hold back Watch for swinging load 4) Pick up on air hoist
load

Watch hand placemen Pinch points 5) Open latches on both ‘sides

of block

Keeps hands clear of Pinch points — dropping 6) Lift bail with hoist and
latches and loop in bail bail — struck by maneuver larger loop in bail
while positioning — stay into latch
alert
Keep hands clear — do Pinch points — dropping 7) Slack off air hoist s . slowly
not stand underneath stay bail — struck by falling until bail rests in latch easily
alert use designated objects
flagman
Watch hand placement Pinch points — caught 8) Close latch and tighten bolt
between
Follow steps 8 through 2 Personal injury 9) To remove, reverse
above procedure
Note: It is important to notice which way the block Is turned and which bail goes on which
.side of the block. The slightly curved end of the bail should curve to the inside, not outside
Stand clear while lowering Struck by bails 10) Lower block with bails to
block and bails comfortable position lower
block with bails to
comfortable position
Watch hand placement Pinch points I1) Attach hoist to back handle
on elevator
Hold on to elevator to Struck by elevators 12) Raise elevators with latches
avoid swinging load open

13) Elevators will be hanging

with one latch slightly lower
than the other
Watch hand placement Pinch points A) Install lower latch on bail
Watch hand placement Pinch points loop first
B) Slack off slowly on air hoist
and place the other latch
Onto other bail loop
Watch hand placement Pinch points 14) Slack off hoist slowly while
applying inward pressure on
the long stem of bails
Watch hand placement Pinch points 15) Close latches and tighten
bolts
Watch hand placement Pinch points 16) Remove air hoist cable
17) To remove elevators and
bails, reverse above
process
Good housekeeping Slips, trips, falls 18) Clean up area — return tools
and equipment
Note: It is important to notice how the cow cock is positioned. The elevator should face the
.same way as the cow cock

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No. 66 Job: HANGING RETRACTABLE LIFELINES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety
Harness

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
Effective communication
1) Pre-job meeting :
Equipment in good Misunderstanding A) Discussion of procedures
condition procedures
See equipment required Personal injury B) Prepare and inspect all
below tools and equipment
Personal injury C) Proper personal
protective
equipment
Bleed off pressure 2) Close air valve

Remove slowly Struck by — eye injury 3) Bleed off pressure from lines

Proper procedure — wear Struck against 4) Remove safety clip

gloves
Proceed carefully Pinch points —-soft 5) Disconnect both ends of air
tissue injury line
Pinch points 6) install new line

Open slowly 7) Attach safety clips on both

 ends
Good housekeeping Struck by —Eye injury 8) Open air valve

Good housekeeping Slips, trips, falls 9) Discard old air line

Slips, trips, falls 10) Clean area — return took

to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 67 Job: CHANGING OUT AIR LINES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good Personal injury B) Prepare and inspect all
condition tools and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
2) Locate the position to hang
retractable lifeline — pad eye
See JSA on ladders and/or Falls 3) Scaffold up or used ladders
scaffolds
Double Lanyards Falls 4) Climb scaffolds or ladders by
using 100% tie off
capabilities
Fall protection.— good Strains -fall 5) Tie off securely — then pull
technique up retractable lifeline inside a
5 gallon bucket — slot is cut
Clear area below Pinch point – Struck by 6) Shackle lifeline through
 bucket to pad eye
7) Attach pull line to life line
Follow correct procedure Falls 8) Climb down by using 100%
tie off capability

Good housekeeping Slips, trips, falls 9) Clean area - return tools to

storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 68 Job: CLEANING EQUIPMENT
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,
Barricades ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
See equipment required Personal injury B) Prepare and inspect all
below tools and equipment
Equipment in good Personal injury C) Proper personal protective
condition equipment
Read instruction manual Burn - laceration 1) Pressure washer (if available)
Use properly Slips, trips, falls 2) Bucket and soap
Keep out of walkways Slips, trips, falls 3) Water hoses
4) Scrub brushes
Layout hose, keep out of Slips, trips, falls –eye 2) Lay out water hose and
walkways — use safety injury – struck by connect to supply line and
clip on each end pressure washer (if available)
Add soap to water — Eye irritation 3) Prepare soap and water in
 check MSDS sheet for bucket
chemical hazards
Rubber boots — slicker Slips, trips, falls – skin 4) VVet entire unit to be
suit if necessary irritation cleaned

Use personal protective Skin or eye irritation 5) Scrub with brushes, soap,
equipment as necessary and water
Rubber boots Slips, trips, falls 6) Rinse thoroughly with washer
/ hose
Good technique — watch Slips, trips, falls - strain 8) S squeegee or mop floor
footing thoroughly
Good housekeeping Slips, trips, falls 8 ) Clean area — return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.69 Job: FAN BELTS – CHANGING AND TIGHTENING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Lock Out / Tag
out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Follow procedure Soft tissue damage 2) Stop and cool engine
Lockout I tag out procedures Soft tissue damage 3) Lockout / tag out
— Safety Policy Manual
section B- 6
Right tool — proper Pinch points — struck 4) Remove fan guard
procedure against
Right tool — proper Pinch points 5) Tight fan belt (or)
procedure

Right tool — proper Pinch points — struck 6) R remove fan belt

procedure against

Right tool — proper Pinch points— struck 7) Install new fan belt
procedure — against

Right tool — proper Pinch points 8) Reinstall guard

procedure

Good housekeeping Slip, trip, falls 9) Clean area and return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.70 Job: INSTALLING BUG BLOWER
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
2) Locate correct position /
location for bug blower
Good communication –follow Pinch points— struck by 3) Connect air hoist or crane with
procedure a shackle to the bug blower
Team work Pinch points 4) Place and secure bug blower
into position
Run with properly secure Electric shock
5) Properly run electric wire and
and test before plugging in
secure as needed

Electric shock 6) Plug electric wire in

Inspect connection

Good housekeeping Slip, trip, falls 7) Clean area — return n tools to

storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 71 Job: HELIPORT NETTING – RAISING AND LOWERING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves , , Safety Harness , lanyard

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
2) Raising heliport netting
Secure fall protection Falls A) Don safety harness and
equipment lanyard —
secure if possible
Secure fall protection Falls B) Reach out and tie rope onto
equipment the netting in two places
Good technique — three C) Three persons must assist in
persons gloves pulling up the netting

Repetition - concentration Slip, trip, falls D) Remove rope and repeat steps.
B and Until job is complete
3) Lower heliport netting
Good technique — follow Strains A) Tie rope in two places
procedure
Good technique — three Strains – rope burns B) Two persons lower netting into
persons place

Good technique — gloves Falls C) Don safety harness and

lanyard —
secure
Secure fall equipment Falls D) Reach out and untie rope

Secure fall equipment E) Repeat steps A through D until

job is complete
Good housekeeping Slip, trip, falls F) Clean area — return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

Job: INSTALLING. HEAVY EQUIPMENT — RE: GENERATORS,
JSA Ref. No. 72
MOTORS, ETC.
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Fire Extinguisher,
Lock Out / Tag out
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
–inspect systematically and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Clear path — communicate Slip, trip, falls 2) Clear path to area of
placement
Have all equipment needed Pinch points-struck by 3) Organize equipment for
in proper location for placement in room —
smoother job shackles, pulleys, come-a-
 longs
Good communication — tag Pinch points-struck by 4) Place equipment as closely as
lines possible with crane
Use proper procedure to Pinch points-struck by 5) Attach pulleys, air hoist, come-
move equipment— Use right a-long as needed to pull
equipment for move — and move equipment
inspection
6) Coordinate the move
Team work — effective Pinch points A) Crane, air hoist, come-a-
communication long
Communication struck by B) Keep all personnel clear
Team work — Pinch points C) Align into proper position
communication
7) Secure equipment
Right tool for the job Pinch points –struck A) Bolts
against
Hot work permit Burns – fire - explosion B) Weld
8) Power the equipment
Lockout / tagout before Shock –eye injury A) Electric
connection
Check to ensure no power — Eye-injury – struck by B) Pneumatic
connect then I energize
Properly secure out of Slip, trips, falls 9) Secure all line properly
walkways
Good housekeeping Slip, trips, falls 10) Rig down shackles, pulleys,
etc.
Good housekeeping Slip, trips, falls 11) Clean area – return tools to
storage
Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 73 Job: INSTALLING LINES DRAINS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Barricades

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
–inspect systematically and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Proper layout and route of Slips, trips, falls 2) Layout the route for the line /
pipe drain 3

Measure twice — cut once Laceration 3) Measure and cut the first /
next section of PVC pipe
Use the right tool for the job laceration A) Cut with PVC cutter

Use the right tool for the job Laceration B) Hacksaw

4) Hang / secure section of pipe.

Personal protective Falls A) Fall protection

equipment for fall
‘protection
Secure properly Falls B) Scaffolding

Hot work permit Burns — fire — C) Hangers / welded

explosion
Insulate pipe Equipment damage D) Insulate if necessary

Repeat steps 3 and 4 Repeat steps 3 and 4 5) Repeat steps 3 and 4 until job
is complete
Good housekeeping Slips, trips, falls 6) Clean area- return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.74 Job: LADDER SAFETY
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Safety Harness ,

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting :
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
–inspect systematically and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Follow the rules list in the Falls 2) Paint ladder — a shape ladder
sequence of job steps
Follow procedure Falls A) Someone has to hold the
bottom while ladder is
being climbed
Follow procedure Falls 3) Extension ladder

Follow procedure Falls A) 3 to 1 rule — every 3’ that

the ladder goes up, the
bottom of the ladder comes
out 1’
Follow procedure Falls B) Bottom of ladder must be
tied back toward the wall
Follow procedure Falls C) Top will be tied once the
climb is made
Follow procedure Falls D) Tie yourself off

Follow procedure Falls 4) Clean area — return tools to

storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.
75 Job: OPERATING PORTABLE POWER TOOLS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Lock Out / Tag out
Yes /
PRECAUTIONS POTENTIAL HAZARDS SEQUENCE OF
No
BASIC JOB STEPS

1) Pre-job meeting :

Effective communication Misunderstanding A) Discussion of procedures

 procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
–inspect systematically and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Follow JSA for hoses, ropes Slips, trips, falls 2) Layout power cord (see hoses,
and cables ropes, cables, JSA)
Stay alert Pinch points 3) Connect power cord to
equipment
Proper procedure Shock — eye injury 4) Connect power cord to power
source
Goggles — face ‘shield - Eye injury — soft tissue 5) Use correct personal
properly used damage protective equipment

Personal protective Eye and face injury 6) Disconnect from power source
equipment

Bleed off pressure if soft tissue damage 7) Disconnect power tool from
applicable cord
Disconnect from power Shock 8) Roll up cord - store
source
Personal protective soft tissue damage 9) Clean power tool and store
equipment — gloves
Good housekeeping Slips, trips1 falls 10) Clean area and return tools
to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 76 Job: PAINTING PROCEDURES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , RESPIRATOR
Ye
SEQUENCE OF
PRECAUTIONS s/ POTENTIAL HAZARDS
BASIC JOB STEPS
No
1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
 procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools and
equipment
Wear Personal protective Irritation— inhalation 1) Paint / primer
equipment when handling Irritation— inhalation 2) Brushes / rollers
paint / primer Irritation— inhalation 3) Paint thinner
See equipment required Personal injury c) Proper personal protective
below Skin Irritation equipment
Wear gloves at all time Inhalation 1) Rubber gloves
when handling paint 2) Respirator / mask
Wear Personal protective
equipment properly
Do the job right the first Inadequate surface 2) After area has been chipped and
time preparation rust extender applied — the area
should be primed then painted
3) Paint / primer

Wear Personal protective Inhalation — irritation A) Mix thoroughly — paint designated

equipment area
Effective communication Slips, trips, fall B) Rope, off I mark area that has
been painted

Wear rubber gloves — use Inhalation — irritation C) Clean up brushes / roller with paint
respirator’ thinner

Use open paint first — keep Exposure to hazardous D) If you have unused paint left in the
lid securely on open cans in / flammable materials bucket- Reseal tightly and store in
the paint locker paint locker – Use the open bucket
first the next time you paint
Good housekeeping — never Slips, trips, falls
leave an open container in 4) Clean area — return tools to
the paint locker storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

ob Safety Analysis Sheet

JSA Ref.
No.77
Job: POLLUTION GATE — RAISING AND LOWERING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,Work Vests,
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
 1) Pre-job meeting

Effective communication Misunderstanding A) Discussion of procedures

procedures

Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment

See equipment required Personal injury C) Proper personal protective

below equipment

Work vest required 2) Raising pollution gate

Inspect pulley system Struck by A) Pollution gate should have a

regularly two pulley system rigged
up
Follow procedure – good Pinch points B) Attach air hoist chain to end
technique of pulley system

Knowledge of equipment Struck by C) Operate air hoist to pick up

gate

Properly secure Struck by D) Secure Gate

3) Lowering pollution gate

Refer to 1A,B,and C Refer to 1A,B,and C A) Refer to 1A,B,and C

Team work — Struck by B) Unsecure gate

communication

Proper Procedure Struck by C) Operate air hoist and lower

into position

D) Take air hoist off pulley

system

4) Clean area — return tools to

storage

Additional Hazards
Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No. 78 Job: PRESSURE WASHING / STEAM CLEANING
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , ,Face Shield ,
Goggles , Barricades , SUIT PANTS

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures

Equipment in good condition Personal injury B) Prepare and Inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment

Supervisors should train Burns — cuts — personal 2) Employee should be trained in

employees on the proper injury the proper use of equipment
use of equipment before use

Wear proper personal Burns — cuts — personal 3) Wear, required safety

protective equipment at all Injury equipment
times

All normal equipment Burns — cuts — personal A) Hard hat, steel toed boots,
required Injury Safety Glasses

Pants should be worn Burns — cuts — personal B) Slicker suit pants

outside of boots injury

Wear gloves to, protect Burns — cuts — personal C) Gloves

hands Injury

Eye and face protection D) Face shield with glasses or

goggles
Check hose connections - High pressure 4) Check connections on hoses
insert safety clips and turn on water

No other work should be Burns — cuts — personal 5) Install barricades if needed

conducted in immediate Injury
area

Check for leaks or bad Burns — cuts — personal 6) Start pressure washer —
connections Injury steam cleaner

Avoid working off of ladders Slips, falls 7) Assure good footing

Keep a close watch for Burns — cuts - Slips, falls 8) Begin pressure washing-
personnel entering area steam cleaning

Never point nozzle In the Burns — cuts — personal 9) Keep nozzle directed at work
direction of other workers Injury area to be cleaned
Never wash boots with a Burns — cuts — personal 10) Use safe work practices
pressure washer Injury when using pressure washers
— steam cleaners
Never tie down triggers on Burns — cuts — personal 11) Turn off unit when job is
pressure washer Injury complete

Bleed off pressure after High pressure 12) Shut off water supply
supply is shut off

Clear walkways of trip Trips, slips, falls 13) Disconnect hoses / lines —
hazards store properly

Clear walkways of trip Trips, slips, falls 14) Store pressure washer / tools
hazards

Clear walkways of trip Trips, falls 15) Check area to make certain
hazards It is free of hazards

Always return equipment to

its proper place 16) Return personal protective
Missing equipment equipment to proper place

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref. No.79 Job: REMOVING AND REINSTALLING GUARDS
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , Lock Out / Tag
out

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures
Equipment in good condition Personal injury B) Prepare and inspect all tools
and equipment
See equipment required Personal injury C) Proper personal protective
below equipment
Right tool for the job — Pinch points —struck 2) Unbolt guard
Lockout / tag out procedures against
— Safety Policy Manual
section B-6
Air hoist — crane Strains — pinch points 3) Remove guard

Tag line — good Pinch points —struck A) Air hoist — crane

communication against

Proper procedure See JSA for job at hand 4) Complete task

Tag line — good Pinch points —struck 5) Reinstall guard

communication against

Right tool for the job Pinch points —struck 6) Rebolt guard
against
Good housekeeping Slips, trips, falls 7) Clean area — return tools to
storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
JSA Ref.
No.80
Job: CHANGING OIL AND FILTER
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt , , Lock Out / Tag
out
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
Effective communication 1) Pre-job meeting

Equipment in good Misunderstanding A) Discussion of procedures

condition procedures

See equipment required Personal injury B) Prepare and inspect all

below tools and
equipment
Proper cooling — follow Personal injury C) Proper personal protective
lockout/ tagout procedure equipment
— Safety Policy Manual
section B-6
Right tool for the job Burn 2) Let engine cool while
preparing tools and
equipment

Right tool for the job — Pinch points — struck 3) Locate drain plug and
filter wrench against remove or use suction to
drain oil completely
Right tool for the job Pinch points — struck 4) Remove filter
against
Use oil filter wrench Pinch points — struck 5) Replace drain plug
against

Good technique and Pinch points — struck 6) Install new oil filter
procedure against

Follow Company policy for Strains — slips, trips, falls 7) Fill crankcase
disposal Make sure you
have a burn safety kit that
is properly filled
Good housekeeping Pollution - burn 8) Proper disposal of old filter
and burnt motor Oil
Slips, trips, falls 9) Clean area and return tools
to storage
 Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:

Job Safety Analysis Sheet

JSA Ref. No.81 Job: CHANGE OUT AIR LINES
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard
Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt ,
Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS
1) Pre-job meeting
Effective communication Misunderstanding A) Discussion of procedures
procedures

Equipment in good Personal Injury B) Prepare and inspect all

condition tools and
equipment

See equipment required Personal Injury C) Proper personal protective

below equipment
2) Close air valve
Bleed off pressure Struck by — eye injury 3) Bleed off pressure from
lines
Remove slowly Struck against 4) Remove safety clip

Proper procedure — wear Pinch points — soft tissue 5) Disconnect both ends of air
gloves injury line

Proceed carefully Pinch points 6) Install new line

7) Attach safety clips on both
ends
Open slowly Struck by - eye injury 8) Open air valve

Good housekeeping Slips, trips, falls 9) Discard old air line

Good housekeeping Slips, trips, falls 10) Clean area — return tools
to storage

Additional Hazards

Name: Designation:
JSA Done By
Signature: Date:
 Job Safety Analysis Sheet
ORIENTATION OF ARRIVING
Job:
JSA Ref. No.82
PERSONNEL
Permit No:
WORK Area: Facility:
Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:

Hard Hat ,safety Shoes , Safety Glass, Cotton Gloves ,Back Belt

Yes / SEQUENCE OF
PRECAUTIONS POTENTIAL HAZARDS
No BASIC JOB STEPS

1) Pre-Job meeting

A) Discussion of Procedures
Preparation for orientation 2) Inspection of materials

A) Sign in sheet

B) Station bill

C) Policy Manual

D) JSA form
3) Welcome to “Parker
Rig_____”
Ensure sign in policies Missing personnel in case A) Please sign in
of emergency

4) Station bill
Good orientation— Loss of Life A) Fire
known /understood
1) Alarms — report / muster
Good orientation— Loss of Life B) Abandon rig
known /understood
1) Alarms — report / muster
Good orientation— Drowning C) Life jackets
known /understood
1) Locations:

a) Bedrooms

b) Location of life jacket

 box
Good orientation— Loss of life — rig damage D) Specific duties for fire
known /understood /abandon rig
5) Rig policies

Fire A) Smoking / no smoking

bedrooms.

Good orientation— B) Meal times / smoking

known /understood policies
5) Rig policies (cont’d)

Good orientation — Personal Injury C) Personal protective

known / understood equipment Parker/third party

Good orientation — Eliminate hazards D) JSA / pre-job meetings

known / understood

Knowledge and use of Loss of life — fire, E) Hot work / confined space
permit system combustion permit System
Follow procedures Absorption / tissue injury F) Lockout / tagout — MSDS

Use of harness and lanyard Loss of life G) Falls

H) Incident reporting
procedure
6) Third party equipment
Lay out properly Slips, trips, falls A) Hoses, ropes, cables
Handle equipment only Hazards of equipment B) Placement of equipment
once handling

Compliance with codes Explosion C) Electrical compliance

Test — label emergency Explosion, fire D) Emergency shutdowns —

shutdowns labels and warnings
E) Housekeeping
7) Pollution
A) Prevention
Environmental damage B) Reporting and clean up

C) Waste material — proper

disposal
Conclusion — question and
answer

Additional Hazards
Name: Designation:

Signature: Date: JSA Done By