PMT/Contractor JSA Form - 1/12/2008

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JOB SAFETY ANALYSIS WORK SHEET

New D / M / Y Contractor: Br. C.A.T. International Co. Limited.
JSA # MGS-005 Date
✘ Revised 09 / Dec / 2015 Contract #/JO#:660003283/10-01282-0002

JSA Function Name Badge# Job Title Mobile Phone #

CAT Site Supv./ Frmn. Baha Al Bana Mechanical Engineer 050 1805 750

CAT Project Engineer Omar Turkmani Construction Manager 055 8080 192

CAT HSE Coordinator Zahid Mahmood Bhatti Safety Manager 050 4638 022

SAPMT Safety Advisor Warren G. Khel SAPMT Safety Advisor 055 9223 086

SAPMT Representative Antonio Vigilanti SAPMT Lead Engineer 054 3651 141

Proponent Rep. (Issuer)

Proponent Rep. (OPS)

DESCRIPTION OF TASK: Thrust Boring for 56” EWG-2 pipeline, MGS Project
Work Location/ (Area then station numbers): KM- 782.519, 734.131, 713.100, 689.361, 658.152, 649.088, 626.107.
Prepared by/ Signature: (Contractor) Reviewed By/ Signature: (SAPMT) Reviewed By/ Signature: (Client)

Construction Manager ______________ Safety Advisor ____________ ________________

Omar Turkmani Signature Warren G. Khel Signature Operation Safety Advisor

Approved By/ Signature: (Client)

Safety Manager ______________ Lead Engineer. ____________
Zahid Mahmood Signature Antonio Vigilanti Signature ___________________
Operation P/L Foreman
Reference GIs & SAES:
PMT/Contractor JSA Form - 1/12/2008
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Work Permit System (G.I. 2.100), Gas testing procedure (G.I. 2.709), Isolation Lock Out and Use of Hold Tags (G.I 6.012), Crane Lifts, Types and Procedure (G.I. 7.028), Rigging
Hardware Requirements (G.I. 7.029), Reporting of Contractor on-job Injuries/Occupational Illnesses (G.I. 6.007), Saudi Aramco Construction Safety Manual (SACSM). Safety Spectacles
(G.I. 8.002), Protective Safety Footwear (G.I. 8.005), Street and Road Closure, Excavation Reinstatement and Traffic Controls (GI 1021.000), Inspection, Testing and Maintenance of
Fire Protection Equipment (G.I.1781.001). Control of remote area travel and search/rescue procedures (G.I. 6.025), Traffic and vehicle safety (G.I. 6.030). Radiography G.I 0150.005,
0150.006,

Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Violation of work permit system  Comply with SA G.I. 2.100 (work permit system) , Issuer and receiver both
would have in their possession the valid work permit card certification and
correct type of work permit will be issue and received.
 Faulty gas testing device or gas  Only inspected and calibrated 3 in 1 or 4 in 1 scientific industrial gas tester
testing not performed will be used to conduct gas testing where required. Gas testing will be done
prior to issue work permit and indicate result on work permit.

 Incorrect filling of work permit  Job description and work equipment to be used will be clearly stated on the
work permit. All tick boxes will be correctly marked.

 Not meeting the requirements  Special precautions like, standby man barricading or safety signage will be
stated on work permit.
1. Issuer
Work Permit  Working to adjacent pipelines or &
 Issuer and Receiver shall conduct joint site inspection to identify all
Receiver
any existing facility. adjacent live cables, piping, equipment or system and to protect properly
against any accidental damage.

 Faulty or damaged work  Ensure all work equipment is in good working condition prior to issue work
equipment permit and commencement of activity.

 Damage or improper hand tools  Ensure all work hand tools are color coded free from any damage and in
good working condition.

 Unsuitable or uninspected  Ensure proper type of firefighting equipment is available, inspected and
firefighting equipment color coded.

 Struck by vehicles  Comply with SA G.I. 6.030 (traffic and vehicle safety), secure the area by
installing barricades, sign boards, blinking lights. Warning signs must be
2. kept at suitable distance to warn the approaching vehicle to work area. CAT/ Operation
Secure the area against traffic  Vehicle falling into excavation  Prepare Berm at both sides of excavation to stop vehicles, accidently SAPMT
approaching to the excavation. (follow-up)
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Untrained & uncertified equipment  Comply with SA G.I. 7.025 (Heavy Equipment Operator Testing and
operator Certification). Heavy Equipment operator shall be competent and have
a valid Saudi Aramco Certificate for the particular equipment.
Unauthorized personnel will not be allowed to sit at or operate the
equipment. Work equipment shall be operated at a safe distance from
the existing facility.

 Uninspected & Uncertified work  Only good conditioned & inspected equipment will be used. Provide the
equipment fire extinguisher with the equipment. Daily equipment inspection check
list will be completed prior to start the work.

 Encounter or damage to  Ensure SA excavation checklist been approved prior to start the job.
underground utilities Underground utilities will be identified and marked prior to
commencement of work. Existing utilities will be supported and
protected properly against any accidental damage.

 Excavation collapse/cave-in  Excavation will be carried out either in slope or in benching to protect
side walls against collapse or cave-in.
CAT/ Operation
3. Excavation for thrust boring  Work around heavy equipment  Spotters will be deputed by wearing florescent vest to warn the SAPMT
and reception pits using operator and STOP the unauthorized entrants in equipment working (follow-up)
excavator machine. zone. Spotter will also stay at safe distance from working equipment
and will make eye contact with equipment operator. Reverse alarm
should be operational and audible up to 30 meter distance.

 Work equipment falling into  Always operate the work equipment at a safe distance from the edge of
excavation excavation. All open excavation will be protected with barricades and
safety signboards shall be installed. While equipment reversing or
mobilization to other location, get the spotter assistance to avoid from
blind spots.

 Private vehicle falling into excavation  Excavation surrounding area will be fully secured though berm,
concrete barrier will be installed where heavy traffic suspected.
Warning signs, safety signs and road safety signs will be fixed. Dummy
flagman will be installed on both side of traffic direction. Sufficient
warning lights will be provided for night safety.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Uninspected or uncertified lifting  Comply with SA G.I. 7.028 & 7.029, (Crane Lifts, Types and Procedure
equipment and lifting tackles lifting) & (Rigging Hardware Requirements), equipment must be certified by
Saudi Aramco with valid inspection sticker. All lifting tackles must be
certified.

 Uncertified & incompetent crane  Crane operator and rigger must be experienced and certified from Saudi
operator and rigger Aramco having a specific and valid certificate. Crane operator will complete
the crane daily inspection /pre-operation checklist. The lifting area will be
barricaded with warning tap and sign boards will be placed to stop
Crane lifting operation for unauthorized entrants.
loading, unloading of
 Lose or uneven ground/ Partly  Ensure the ground surface is not loose or uneven while crane setup.
equipment and setting up
extended outriggers Outriggers are fully extended and crane platform is levelled. CAT, Thrust
complete system for thrust boring third
boring  Load falling while lifting might  Prepare critical lifting plan while lifting near or over energized plant, piping party,
4.
damage to existing facility or system. Ensure lifting belts and shackles are fixed properly and secured Operation &
before lifting. Use proper lifting techniques. No one will be allowed to stay SAPMT
or walk under the suspended or lifted load. Deploy flagman and place safety (follow-up)
sign board “LIFTING IN PROGRESS”.

 Load or equipment struck by workers  Prior to start lifting operation remove unnecessary & unauthorized
or other equipment personnel and remove other work equipment from working area to the safe
place. Tang line will be used to control the movement of lifted load.

 Caught in between  Always stay and maintain a safe distance from moving & swinging
equipment. Watch out your hands or feet while load placing. Use tag line
instead of pulling or pushing load by hand.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Incompetent technicians  Only trained and expert technicians will perform the job under competent
and full time supervision.

 Encounter existing utilities  Prior to start, make sure area has been checked and found clear for possible
underground utilities.

 Personal injuries while manual  Follow proper manual handling techniques and use job required personal CAT, Thrust
handling protective equipment. boring third
party,
5. Start thrust boring process
Operation &
 Electric shock  Make sure all electrical equipment grounded properly, connections are SAPMT
secured. Remove damaged power cables from service. Provide GFCI with all (follow-up)
power extensions.

 Cave-in  Provide shoring towards the thrust boring wall face to stop cave-in because
of vibration.

 High noise  Wear ear plugs or muffs while working in high noise zone.
 Presence or accumulation of toxic  Comply with SA G.I. 2.709, (Gas Testing Procedure). Gas testing must be
gases. done prior to issue work permit to start the job.
CAT, Thrust
 No standby man  Confined space entry permit will be obtained prior to enter into confined boring third
Work into confined space space. Deploy standby man with entry/exit log sheet. party,
6.
(deep pit) Operation &
 Improper access  Provide proper access for safe entry/exit while work or an emergency. SAPMT
(follow-up)
 Fire  Provide ABC type fire extinguisher near the work area.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Uncertified welders  Only certified and competent welders will perform the activity under
competent and continuous supervision.
 Uninspected welding equipment and  Welding equipment must be inspected and in good working condition.
tools Power and grounding cables must be free from cuts or damage. Welding
equipment shall be properly grounded.
 Electric shock  All extension cords must be free from damage and provided with GFCI.

 Eye injuries while grinding  Must use double eye protection with safety glasses and face shield. Secure
the area to prevent flying sparks.

 Welding fumes and arc flash  Use disposable N95, 3M respirator for respiratory protection. Wear welding
CAT,
helmet with proper filter lens (shade number) for eye protection against arc
Operation &
7. flash and radiation.
SAPMT
(follow-up)
Welding of pipes to extend  Flying sparks and spatters  Wear welding helmet, welding gloves, welding shoes, fire proof clothing.
pipe length while thrust boring Cover the work location with fire blanket to control the flying sparks and
spatters. Remove possible combustible/flammables from working area.
 Fire or explosion  Remove combustible/flammable materials from work location. Perform gas
testing. Cover the work location with fire blanket. Provide dry chemical fire
extinguisher on job location. Always maintain good housekeeping in working
area.
 Slipping & Tripping  Don’t place cable and wires in walking areas. Where possible hanged them.
Keep the tools in safe place. Ensure good housekeeping through the
activity.

 Uncertified or untrained RT  Comply with SA G.I. 150.003, only certified and experienced technicians
technicians having valid certificate will perform the activity.

 Uncertified radiography equipment  Inspected, calibrated and certified equipment will be used to carry out the
CAT, third
RT. Equipment will be checked prior to start the job to ensure its safe
party company
working condition. Use of pocket dose meter, film badge by technicians.
doing
Radiography,
Radiography for welded joints  Electric shock due to damage power  Proper inspection of power cables, cable connector and power plugs to
8.
cables ensure safe condition and avoid electrocution hazard. GFCI will be used with
Operation &
power extension cables.
SAPMT
(follow-up)
 Unauthorized entry/expose to  Radiation survey mater will be used to know the range of radioactive rays
radiation and will be barricaded to STOP unauthorized entrants. Place safety/warning
sign boards “X-RAY IN PROGRESS” or RADIOGRAPHY IN PROGRESS” and
deploy standby man.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Unfit or incompetent abrasive blaster  Abrasive blaster must be trained & experience and medically fit to perform
the job. Abrasive blaster should be certified from SA with valid certificate.

 Uninspected air-compressor  Air-compressor must be inspected by third party to ensure the breathing air
quality. Compressor should be installed with isolation valve, emergency
shut-off and air-release valve. All gauges should be functional. Use ear
plugs for hearing protection. Ground the compressor machine properly.

 Damage abrasive blasting gun and  Abrasive blasting gun must be fitted with dead-man lever/switch to be shut-
air hoses off the air in case of emergency. All air-hoses must be in good condition and
free from kinks, cracks or cuts. Secure all connections with proper fittings
and whiplash arrestor.

 Dust hazard  Properly cover the work area to control the dust. All workers working in
surrounding area will wear respirators (N-95) for respiratory protection.

Abrasive blasting and coating  High Noise  Hearing protection equipment e.g. ear plugs or ear muffs will be used by all CAT,
for welded joints workers working in vicinity. Operation &
9. SAPMT
(follow-up)
 High vibration  Avoid continuous abrasive blasting activity; take frequent rest intervals to
avoid physical fatigue or stress, nerves diseases & high blood pressure.
 Hazardous substances  Only trained workers will deals with hazardous substance to carry out the
spray painting activity. Respiratory protection cartridge type mask will be
used while dealing with hazardous substances. Impervious rubber gloves,
disposable chemical suit and safety shoes will be used.

 Fire due to painting mist or improper  Painting area will be covered properly to control the painting mist to spread
storage of paint all over the working area. All paint canes and tins will be stored properly
and stock will be kept limited on jobsite. Do not keep paint tins lid open. No
any hot work will be carried out near the spray painting locations. Keep
ready sufficient DCP type fire extinguisher to deal any fire incident.

 Faulty spray gun or damage hose  All equipment must be inspected on daily basis prior to use. Wear cartridge
type respirators with full face & eye protection. Wear impervious disposable
chemical suit, rubber gloves and impervious safety shoes. Paint delivery
hoses must be free from cut, kinks or any damage. All equipment will be
grounded properly.
PMT/Contractor JSA Form - 1/12/2008
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Item SEQUENCE/ BASIC POTENTIAL HAZARDS HAZARD CONTROLS ACTION

STEPS BY

 Multiple injuries  Maintain good housekeeping all the time especially before and after the work. CAT, third
party,
10. Housekeeping  Tripping & slipping hazard.  Remove all redundant material as soon as possible. Operation &
SAPMT
(follow-up)
 Serious incident, Personnel serious  Call at Saudi Aramco emergency number 110 or send someone at nearest
injuries, fatality or property damage plant security gate and report emergency such as; CAT, Thrust
 Tell two times, “this is an emergency “ “this is an emergency” boring third
Emergency Reporting  Tell your name and SA ID number party,
11.
 Tell the location and type of emergency Operation &
 Tell how many personnel are injured SAPMT
 Tell what kind of emergency help is required (ambulance or fire (follow-up)
truck)
 Fire or explosion, release of toxic gas  In case of emergency follow the following steps
 Stop all activities CAT, Thrust
 Shutdown work equipment boring third
 Evacuate to the safe assembly area party,
12. Evacuation
 A role call is taken to ensure all workers are present Operation &
 No one is permitted to return to work until notification received SAPMT
from SA that it is safe to do so. (follow-up)

# Recommendations/Notes Assigned to Mobile Phone #

1 All site personnel are required to wear PPE/ such as safety helmet, safety glasses, gloves, and safety shoes. CAT, third parties

2 Conduct Tool Box Safety Meeting prior to work activity. CAT, third parties

3 Explain to key personnel the purpose of the JSA and enforce the implementation of content. CAT, third parties

4 Use the JSA to identify hazards and list the precautions on the work permit. CAT, third parties

5 Garbage’s shall be disposed properly on a daily basis. CAT, third parties

If an injury or near miss occurs, the JSA shall be reviewed immediately to determine whether changes are
6 CAT & SAPMT
needed in the job procedures.