Job Safety Analysis
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
Personnel Attending JSA or Performing Task
Name Signature Discipline Company
P.P.E. Reuirements !indicate by marking "#$ or "N$% Note& T'is list is for selection of PPE abo(e t'e minimum reuirements specified by TPC
%oggles & ' (a"e Shield & ' So)t *ask P1 or P2 & ' !espirator-1+, or 1+2 or )ull )a"e & ' Airline+-ood & ' S.BA & '
Sa)et#
-arness
& '
$isposa/le "hemi"al suits & ' PV. Splash Suit+-ood & ' .hemi"al Apron & ' .hemi"al !esistant %lo0es & ' .hemi"al Boots & '
1ar *u))s & ' 2V Prote"tion .ream & '
)eig't Safety Reuirements An"hor Strap & ' !es"ue Plan-Suspended Person & ' S"a))old 1re"tion & ' 3ork Vest & &
(ull Bod# -arness & ' !etra"ta/le 4an#ard & ' 5nertia !eel & ' Stati" line & ' *an Basket & ' 13P & ' %ondola & '
Confined Space Entry
Reuirements
Vent+Purge & ' %as Test+4og & ' Personal *onitor & ' !es"ue plan & '
-arness )or top
entr#
& '
Documentation
.lient
PT3
& ' PT3 & ' 5solation-4o"kout+Tag out & ' 5solation 4ist & ' 3ork Pro"edure & ' P65$ & '
Prepared By: Name:
Date:
Position:
Signature:
Reviewed By Name: Date:
/ /
Signature
Approved By Name:
Date: / /
Signature
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
ID
KEYS STE I! T"SK
Ca#c $%&#c tie'n
(a)n( co*n+ ,ie-c
."/"0DS IDE!TI1IED Ca#c
mo'i n+u2 (ie3m se4 xa52 ra
C6!T067 ME"S80ES 0E98I0ED Ca#c $ie-n :(a#:
;(a<c :(u=c ,a) ;ie3m soa#t mo'i n+u2 (ie3m
0is; ratin+
class
1>2>3>4 .e-
so' ru5i ro
PES!N
ESP!NSIBLE
N"#$%i &h'u
tra(&h
nhie)m
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
ID
KEYS STE I! T"SK
Ca#c $%&#c tie'n
(a)n( co*n+ ,ie-c
."/"0DS IDE!TI1IED Ca#c
mo'i n+u2 (ie3m se4 xa52 ra
C6!T067 ME"S80ES 0E98I0ED Ca#c $ie-n :(a#:
;(a<c :(u=c ,a) ;ie3m soa#t mo'i n+u2 (ie3m
0is; ratin+
class
1>2>3>4 .e-
so' ru5i ro
PES!N
ESP!NSIBLE
N"#$%i &h'u
tra(&h
nhie)m
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
ID
KEYS STE I! T"SK
Ca#c $%&#c tie'n
(a)n( co*n+ ,ie-c
."/"0DS IDE!TI1IED Ca#c
mo'i n+u2 (ie3m se4 xa52 ra
C6!T067 ME"S80ES 0E98I0ED Ca#c $ie-n :(a#:
;(a<c :(u=c ,a) ;ie3m soa#t mo'i n+u2 (ie3m
0is; ratin+
class
1>2>3>4 .e-
so' ru5i ro
PES!N
ESP!NSIBLE
N"#$%i &h'u
tra(&h
nhie)m
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
ID
KEYS STE I! T"SK
Ca#c $%&#c tie'n
(a)n( co*n+ ,ie-c
."/"0DS IDE!TI1IED Ca#c
mo'i n+u2 (ie3m se4 xa52 ra
C6!T067 ME"S80ES 0E98I0ED Ca#c $ie-n :(a#:
;(a<c :(u=c ,a) ;ie3m soa#t mo'i n+u2 (ie3m
0is; ratin+
class
1>2>3>4 .e-
so' ru5i ro
PES!N
ESP!NSIBLE
N"#$%i &h'u
tra(&h
nhie)m
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e
Job Safety Analysis
THINK
Before you
CHECK
Before you
PROCEED
Task Being Assessed
Site Vung Ang thermal power plant 1200mw JSA No. P-00
!e"orded B# $ate Time Sheet No.
Consequence: Class1 Extreme: Death or Permanent Disability. Class 2 Major: Serious Bodily Injury. Class3 Moderate: Casualty Treatment.
Class4 Minor: First Aid No LTI
ID
KEYS STE I! T"SK
Ca#c $%&#c tie'n
(a)n( co*n+ ,ie-c
."/"0DS IDE!TI1IED Ca#c
mo'i n+u2 (ie3m se4 xa52 ra
C6!T067 ME"S80ES 0E98I0ED Ca#c $ie-n :(a#:
;(a<c :(u=c ,a) ;ie3m soa#t mo'i n+u2 (ie3m
0is; ratin+
class
1>2>3>4 .e-
so' ru5i ro
PES!N
ESP!NSIBLE
N"#$%i &h'u
tra(&h
nhie)m
*+,DE-.RDS/)A0ARD ,DENT,1,CAT,.N
Sa)e A""ess+1gress (all (rom 72m $ropped 8/9e"ts 4oose 8/9e"ts Slip+Trip.rush+.aught Between (all 80er/oard
!otation+Spin !esidual Tor:ue 1ntanglement4i)t+.arr#+Push+Pull Sharp 1dges Pollution PT3 !e:uired
.hemi"als PP1 -eat+(ire+1;plosion-eat Stress 80er-Pressure Va"uum .hange .ontrol
80erload Bend+$istort (ail+(ra"ture+Break.ollision 4oss o) Position .ommuni"ations .on)ined Spa"e