x000D - Job Safety Analysis Local Delivery

ANALYSIS_x000D_Job
Safety Analysis Local Delivery
1 (36)
Job Safety Analysis Local Delivery

Johann Sookdeo
Field Supervisor
Name of the person doing the JSA
Position
11/2/2015
Digicel
Date
Customer
Aspirona
Mason Hall - 716
Supplier Name
Site Name (with ID)

Rural area
Link Upgrade
Urban area
Activity performed
Geographic location of the site and the nearest hospital:
Scheme or site map of execution of work
Address / Location
Plymouth Town Centre
Phone:
Date: 2014-12-23
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved:
TAM/O/N/M/A
Juarez] No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
2 (36)
Verification (Mark with an "X")

Yes
No
N/A
Yes
Good physical and mental condition to perform assigned

activities:
It has insurance policies (medical expenses, car):
Good condition of the structure for work at heights:
First aid kit on site:
All persons on site include personal protective

equipment:
Staff working at height are trained:
Team Full protection for the work activity:
Staff working at heights is certified:
Protective Equipment in good condition for the work

activity:
Procedure "Safe Work at Height":
No
N/A
Complete hand tools and energy:
Personnel performing electrical work is certified:
Hand tools and power in good condition:
Personnel performing electrical work is qualified:
Procedure "Safe work with electricity":
Performing safety briefing 5 minutes:
"The risks qualified as UNACCEPTABLE and NO ACTION THERE MITIGATING, should be channeled immediately to the Project Manager (IM Er
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
3 (36)
Photos: Personal Protective Equipment, Emergency Plan, aid kit and fire extinguisher on site
Emergency MOP:1:Notify appropriate response personnel. 2:Shut down operations and evacuate the
designated assembly area(s): 4.Assess the need for site evacuation, and evacuate the site as warranted: 5.
as required by shareholders.
Selection of hazards, risks and recommended actions (Mark with an "X")

Yes
Driving (transfer to the site)
Probability
No
High
Risks:
Medium
x
x
Vehicular collision
Insecurity (robbery, kidnapping, threats)
Low
Consequence
Multiple lesions
Fatality
Other (specify):
Permanent or total disability

Permanent partial disability
First aid
Affectation of service
Impact on the brand Ericsson or Client
x
x
x
x
x
x
Other (specify):
Yes
Site Access
Probability
No
High
Risks:
Insecurity (robbery, kidnapping, threats)
Aggression of neighborhood
Animal aggression
Undergrowth
Poor lighting conditions
Medium
x
x
x
x
Low
Fatality
x
x
x
Consequence
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
Other (specify):
4 (36)
First aid
x
x
x
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
5 (36)
Photos: Risks to access the site
Yes
Work at Height
Probability
No
High
Risks:
Fall more than 2 meters
Amputation
Fractures
Damage to back
Medium
x
x
x
x
Low
Consequence
Fatality
Electrical overhead lines

Sprain
Knocking
Adverse weather (rain, strong wind, etc.)
Insolation (heat stroke)
x
x
x
x
First aid
x
x
x
x
x
x
Other (specify):
Hypothermia (low temperatures)

Animal aggression
Panic (working at heights)
Fall of equipment and / or tools
x
x

Other (specify):
Work in excess of 2 meters, alone, heights are prohibited; should have a vigia or companion
Photos: Risks work at heights
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
6 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job

Probability
Yes
Works with electricity
No
7 (36)
High
Risks:
Medium
Electrocution
Low
Consequence
Amputation
Burns
Fatality
Fire
Cardiac arrest
First aid
Explosion
Other (specify):

Other (specify):
Works with high voltage are prohibited, works with energy must have a lookout or companion (except lo
"Low voltage (" LV ")" usually refers to the voltage exceeds low voltage levels, but without exceeding 1000 V AC or 1500 V DC betwe
between conductors or ground.
Photos: Risks works with electricity
Probability
Yes
Hot work
No
High
Risks:
Medium
Burns
Fire
Low
Consequence
Explosion
Fatality
Exothermic mold in poor condition
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
8 (36)
Electrocution
First aid
Other (specify):
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job

Probability
Yes
Manual handling
9 (36)
No
High
Risks:
Medium
Damage to back
Low
Consequence
Multiple injuries
Entrapping
Fatality
Luxations
Contusions
First aid
Other (specify):
Other (specify):
Photos: Risks hot work and / or manual handling
Handling chemicals / hazardous waste
Probability
Yes
No
High
Risks:
Medium
Intoxication
Spills, leaks of chemicals
Low
Consequence
Explosion
Fatality
Water Pollution
Soil contamination
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
10 (36)
Air Pollution
First aid
Affectation of flora
Allocation of wildlife
Fire

Other (specify):
Burns
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
11 (36)
Photos: Risks works with chemical handling / hazardous waste
Probability
Yes
Working on "confined spaces"
No
High
Risks:
Medium
Damage to back
Low
Consequence
Multiple injuries
Entrapping
Fatality
Luxations
Contusions
First aid
Fall more than 2 meters
Fall of equipment and / or tools
Explosion
Other (specify):
Fire
Other (specify):
Photos: Risks work in confined spaces
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
12 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
13 (36)
Photos: Other risks identified
Executing the analysis and determination of controls:
Name and position
Signature
Name an
Name and signature of the members of the crew:

Johann Sookdeo
Name
Oral Barnett
Name
Sibron Barnett
Name
Keston Emmanuel
Name
Randolph Maman
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
14 (36)
Name
Name
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
15 (36)
Analysis Local Delivery

Trinidad
Area
LTE Upgrade
Project
Link Upgrade
Activity performed
n of the site and the nearest hospital:
ite map of execution of work
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
Yes
Emergency plan and emergency numbers:
Equipment for rescue activity:
Rescue Plan:
Extinguisher on site and car:
No
N/A
Procedure "Safe Hot Work":

Procedure "Safe work with heavy loads":
16 (36)
Procedure "Safe work with chemicals / hazardous waste"
Procedure "Safe work in confined spaces":
uld be channeled immediately to the Project Manager (IM Ericsson) with a copy to contact OHS Ericsson".
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
17 (36)
response personnel. 2:Shut down operations and evacuate the immediate work area:3.Account for personnel at the
need for site evacuation, and evacuate the site as warranted: 5.Conduct Incident Notification,Reporting and Investigation
as required by shareholders.
Recommended actions to prevent the risk in "Driving

(transfer to the site)"
Training on "Safe driving"
Using Seatbelt
Have tools for automobile
Having spare tire
Having equip signaling
x
x
x
x
x
Other (specify):
Recommended actions to prevent risk "Site Access"
Security recommendations followed

Have insect repellent
x
x
Using lighting equipment

Security personnel to access the site
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
18 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
19 (36)
Recommended actions to prevent the risk in "Working at

Height"
Training on "working at height"
Using Fall Protection Equipment
Simulate lifeline (horizontal / vertical)
Using sunscreen
x
x
x
x
Escalators in good condition

Having tool bag
Signaling / delimit workspace

Safety distances vs. electrical arc
Hydration (drinking water)
Use of equipment to handle loads at height
Clothing for low temperatures
x
x
Other (specify):
ghts are prohibited; should have a vigia or companion
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
20 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
21 (36)
Recommended actions to prevent the risk in "Working with

electricity"
Training on "Electrical risk"
Dielectric PPE use
Use of insulated tools
Lockout / Tagout
Use voltmeter to check electricity
Other (specify):
h energy must have a lookout or companion (except low voltage)

but without exceeding 1000 V AC or 1500 V DC between conductors, or 600 V AC or 900 V DC
conductors or ground.
Recommended actions to prevent risk "Hot work"

Training on "Fire Prevention"
Use of personal protective equipment
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
22 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
23 (36)
Recommended actions to prevent the risk in "Manual

handling"
Training on "Manual Handling"
Maintenance to heavy machinery
Other (specify):
Recommended actions to prevent risk on "Management of

chemical / hazardous waste"
Training on "Fire Prevention"
Training on "Waste Management"
Using waste management kit
Using spill kit
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
24 (36)
Having MSDS / Safety Data Sheets

Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
25 (36)
Recommended actions to prevent risk "Confined Works"

Training on "working at height"
Having tool bag
Delimit workspace
Having vigia or companion
Having a explosimeter
Other (specify):
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
26 (36)
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
27 (36)
Reviewed by:
Name and position
Signature
Signature
Signature
Signature
Signature
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
28 (36)
Signature
Signature
Date: 2014-12-23
TAM/O/N/M/A
Sheet:
JSA RLAM [Acela
(English)
Public
ANALYSIS_x000D_Job
29 (36)
Personal Protective Equipment Inspection

to working at heights
Company:
Project:
Aspirona
LTE Upgrade
Inspected by: Johann Sookdeo

Date: 11/2/2015
The personal protective equipment check up must be daily before use it
Element
Condition / Failure to be reviewed
Fulfillment
Safety harness
Harness code
Date of manufacture
Harness straps
YES
NO
NO
NO
Abrasion especially in areas of contact with accessories

Overstretching
Damage contact with heat, corrosive substances or solvents
Carabiners
YES
They are in perfect condition (rusted , broken , heat damage)

Wear on pins or insurance
Broken springs , worn or out of place
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Deformation or physical harm

Spoilage or physical harm
Buckles
Breakage or deformation
Deformed beards
Unadjusted
Cracks, especially at the intersection of the straight portion and curved
They are in perfect condition (rusted , broken , heat damage)
D - Rings
Sewing
Deformation or physical harm

The side D rings are deformed or presents corrosion
The side D rings have cracks or crazing
The dorsal D -ring presents deformation or corrosion
The dorsal D-ring has cracks or crazing
The front D ring has deformation or corrosion
The front D ring has cracks or crazing
Broken sewing , cut or worn
Damage or weakness seams due to contact with heat , corrosive or mildew
Sling "Y" with shock absorber
Lifeline straps
Absorber
NO
YES
Is in good condition (breakage , cutting, tearing, etc.)
Sling code
Date of manufacture
YES
NO
NO
NO
NO
NO
NO
Cuts
Abrasion or frayed
Overstretching
Deterioration by rotting, mold or ultraviolet exposure
Check overload indications
YES
Protector of the shock absorber in good condition

The impact absorber is activated and / or is outside of its home position.
NO
NO
Carabiners / hooks Carabiners / hooks with deformations, cracks or corrosion.

Positioning Lanyard
Sling code
Date of manufacture
YES
NO
Fall arrestor code
Date of manufacture
YES
NO
Sling code
Date of manufacture
YES
NO
Date of manufacture
Delivery date
YES
NO
Cuts
Sling straps
Abrasion or frayed
Overstretching
Deterioration by rotting, mold or ultraviolet exposure
Carabiners / hooks Carabiners / hooks with deformations, cracks or corrosion.

Fall arrestor (trolley for lifeline)
Insurance worn
Excessive wear and tear section
Fall arrestor (trolley
Deterioration or physical harm
for lifeline)
Arrestor is missing bolts / pins.
The system is locked and / or does not work.
Anchorage connector
The connector has tears, crushing or deformation on straps and / or metal elements
(Tie-off / Track plus) There presence of paint and / or outside of core components of the anchor structure
The joins and / or seams have loose threads.
Others
Helmet
Gloves
Goggles
Safety boots
Helmet without a visor (dielectric E class)

Support chinstrap is broken or damaged
Chinstrap in good condition, without presenting loose threads
Gloves suitable for climbing, in good condition and good fit
Goggles in good condition
Safety boots with toe cap, dielectric and in good condition
DOES WORK AT HEIGHT EQUIPMENT HAS THE ANSI Z 359.1 CERTIFICATION?
After this evaluation is considered personal protective equipment:

Name and signature of crew leader at work:
SIGNATURE
OPERATIONAL
Name and signature of person using protective equipment:
SIGNATURE
Prepared: TAM/O/N/M/A Acela Juarez_x000D_Approved: TAM/O/N/M/A [Acela Juarez]

Date: 2014-12-23
Sheet: Inspection PPE (English)
Public
No: OPER/RLAM-14:004435 Uen_x000D_Rev: A
Digicel Trinidad - Method of Procedure
Activity
Arrive onsite and gain access to the site
Place call to the NOC upon entering
Team assess site for any issues & hazards
Team reports issues & hazards to NOC
Team organizes tools, materials, & safety equipment
Team conducts safety meeting, ways to mitigate issues and hazards, and warmup
FS take backups of system
Crew begins climb
Crew assess tower for ability to preinstall equipment or perform swap
Crew perform installation when ready
FS configures RAU
Alignment of Antenna perormed
Traffic restored and confirmed with NOC
All areas of installation are completed
Site is cleared
Place call to the NOC upon leaving
Notes:
Team may arrive early and begin assembling material on the ground
Alloted time for install is 3 hours granted no major issues are encountered
Name
Safety
Helmet
Chin
Strap Vest
Steeltoe
Boots
Caution
Tape
Safety Head
Cone
light
Harness
Date:

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ANALYSIS_x000D_Job

Safety Analysis Local Delivery

Job Safety Analysis Local Delivery

Name of the person doing the JSA

Mason Hall - 716

Site Name (with ID)

Scheme or site map of execution of work

Plymouth Town Centre

Safety Analysis Local Delivery

Verification (Mark with an "X")

Good physical and mental condition to perform assigned

It has insurance policies (medical expenses, car):

Good condition of the structure for work at heights:

First aid kit on site:

All persons on site include personal protective

Staff working at height are trained:

Team Full protection for the work activity:

Staff working at heights is certified:

Protective Equipment in good condition for the work

Procedure "Safe Work at Height":

Complete hand tools and energy:

Personnel performing electrical work is certified:

Hand tools and power in good condition:

Personnel performing electrical work is qualified:

Procedure "Safe work with electricity":

Performing safety briefing 5 minutes:

Safety Analysis Local Delivery

Selection of hazards, risks and recommended actions (Mark with an "X")

Driving (transfer to the site)

Permanent or total disability

Safety Analysis Local Delivery

Safety Analysis Local Delivery

Photos: Risks to access the site

Electrical overhead lines

Permanent partial disability

Hypothermia (low temperatures)

Poor lighting conditions

Safety Analysis Local Delivery

Safety Analysis Local Delivery

Works with electricity

Permanent or total disability

Permanent partial disability

Poor lighting conditions

Impact on the brand Ericsson or Client

Exothermic mold in poor condition

Permanent or total disability

Safety Analysis Local Delivery

Poor lighting conditions

Permanent partial disability

Safety Analysis Local Delivery

Permanent or total disability

Permanent partial disability

Poor lighting conditions

Photos: Risks hot work and / or manual handling

Handling chemicals / hazardous waste

Permanent or total disability

Permanent partial disability

Safety Analysis Local Delivery

Impact on the brand Ericsson or Client