FORM No DRP001‐

EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005 REV: 000

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.
Revise Date: 0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

Job Safety Analysis report form

Steps Hazards Control Measures to be Enforced Remarks/

1.  Collision of vehicle  Follow traffic management procedure Action
Site Engineer /
Mobilization of  Overturning, run over.  All drivers must be defensive driving trained Foreman /
Personnel and  Mechanical failure  Vehicle should be equipped with IVMS Permit holder
Equipment to  Personnel Ejecting  Driver shall not use mobile phone (calls/texts) or taking food while driving.
site out of the vehicles  Ensure driver competency as required by the project.
 Fuel / oil spill  Ensure a well define equipment / vehicle access route with signs
 Dust  Documented daily inspection of Vehicle
 Untrained &  Ensure vehicle is in a good and road worthy condition.
inexperienced  Vehicle and equipment should be inspected by SAIPEM and should have valid entry gate-pass
crew  All passengers to fasten seat belt during the journey.
 pinch points  Inculcate safe driving behaviour through continuous training, monitoring and corrective actions
 Health issues  Regular maintenance should be done to avoid any spillage or breakdown.
 Emergency at  Ensure the availability of spill kit and tray
work location  Follow SAIPEM dust suppression schedule
 Exposure to  Mobilize only trained and competent manpower
Heat (Working  Assess the competency of crew
in hot  Mobilized experienced and competent workers
environment)  Ensure all workers are medically fit
 Line of fire  Do not operate any equipment or tools without authorization and training
 Inclement  Be aware of pinch points
Weather  Wear heavy duty gloves (or impact resistive)
Condition (high  Do not Use Homemade tools
wind, dust storm,
 Ensure all personnel are medically fit for their activities
rain, lighting etc)
 Categorize and monitor personnel as per medical report.
 Biological Hazards
 Verify employee’s wellbeing through meetings and grievance
(snakes, rodents
etc.).  Supervisor, BG HSSE advisor will take control of situation and report to SAIPEM HSSE within 30
minutes or less.
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.
Revise Date:0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

 Frequent breaks in shaded area to allow workers to adequately recover from work periods in
direct sunlight shall be provided to all workers
 Adequate and clean cool water supplies are readily available in close proximity to the work area
 Initial written notification of incident to SAIPEM HSSE within 12 hrs. or less
 All personnel will be instructed on procedure to take and system of contact (BG/SAIPEM) should
an incident occurs.
 Reporting of incidents shall be informed in daily STARRT Meeting.
 Supervisor/ Site in charge are responsible for leading HSE and compliance by workforce.
 Trained First Aider to be provided.
 Ensure availability of first response vehicle.
 Check for biological hazards during the work. Avoid places prone to biological hazards, if observe any
of this report to supervisor or HSSE never attempt to capture
 Emphasize in tool box talk what to do in case of emergency
 Supervisor shall communicate all the emergency muster point and escape routes to the
workforce through tool box talk
 Emergency drill planned to be conducted in working area
 Emergency preparedness: In case of emergency alarm assemble in the nearest SAIPEM assembly
point.
2.Covid-19 pandemic  Sars-Cov-2 Virus  No work will
Maintain be distance
social permittedasduring
much12:30 to 03:30
as possible at Pm
workduring
site. summer time (Jun to Aug as per MD Site Engineer /
 Wear prescribed (Clinical/virus-bacterial restriction efficacy mask) Foreman /
 Use individual water thermos for drinking water Permit holder
 Avoid close contact with co-workers
 Do not touch materials, structures until unless required
 Wash hand thoroughly in regular interval.
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS SubContractor: BASHAER GULF
DUQM LLC.
Revise Date: 0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

3.Loading,  Failure of lifting  Obtain necessary PTW attached with approved MS and JSA Site Engineer /
unloading and tools & Equipment  TBT to be conducted before the start of work & discuss the JSA for the activity before starting the job. Foreman /
shifting  Failure of lifting  Obtain the critical lifting plan from SAIPEM for more than 20Tonne load lifting Permit holder
equipments,& tools & Equipment  Lifting Equipment, Tools & Shackles shall have valid third-party certificate and monthly colour
Materials,  Struck by coded, crane plot plan availability
Removal and moving  All loads shall be test-lifted, slightly (30mm) off the ground, and all parts of the gin pole, crane, wire
reinstallation of equipment / ropes and tools etc. and levelness of the load shall also be examined. If any abnormality is observed,
valves,flanges, vehicle the equipment shall be immediately lowered to the ground
pipe spools using  Incompetent  Area shall be barricade & sign board to be displayed
crane/ Hiab/ and untrained  Flagman shall be available with the moving equipment during operation.
Telehandler from workers  Operator to complete the daily crane checklist. Visual inspection shall be conducted for all the lifting
trailer  In the Line of Fire tools and tackles by lifting supervisor prior to lifting operation.
 Uneven ground  Trained & certified Crane operator, Riggers, banks man shall be deputed.
 Improper  Workers and drivers shall be familiar with the Site Traffic Management Plan for the Project.
 Communication  Do not walk or work under suspended load.
 Unplanned  Swing area to be barricaded
 release/drop of load  Flag man shall be assigned for controlling unauthorized entrant
 Sudden  Riggers on trailer top must come down once the sling have stretched and ready for lift
Movement of  Stay clear off the line of fire while cutting binding straps always use leather gloves
load.  Close Supervision. All lifting/loading/unloading/moving operations must be under the control of a
 Adverse certified lifting Supervisor, foreman or in-charge.
Weather  Crane must be placed in a level ground and ensure the outriggers are fully extended
conditions  Use proper means of communication between rigging crew (Hand signal, radio, whistle etc)
 Unknown Weight
 Fall from
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.
Revise Date: 0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

 Dropping of  Use softeners for protecting webbing slings on sharp edges of the load
material due to  Ensure all loads secured properly
imbalance or  Proper wedge supports to be provided to avoid falling of materials
improper  Forklift operator to maintain the forks at proper angle to prevent the load falling.
coordination  All materials shall be secured while transporting using appropriate method.
 Wrong posture of  Materials shall not be placed near the edge of excavations. A minimum of 1-meter gap shall
lifting be maintained from the excavation.
 Sharp edges  Tag lines to control load Secure materials properly
 Lifting activity shall be stopped whilst rain/dust/storm/poor visibility occur
 Lifting is allowed only when the wind force is 9.8 m/sec or below
 Check the approximate load and compare to the load chart. Lifting Supervisor, foreman or in-charge
to ensure that load does not exceed 75% of SWL. Lifting radius, boom angle, load center of gravity
shall also be checked by the lifting Supervisor, foreman or in-charge and operator.
 Provide full body harness and 100% tie off when top of high loaded trailer bed, for more than 2-
meter height
 The trailer bed should have purpose-built or access ladder for access and egress.
 Signal Man and the load should be in direct “line of sight “with Operator at all times and should wear
Hi- Viz jacket with flag (light stick at night shift).
 Ensure the riggers, signal men are competent and has valid TPCs
 Carry loads between close to the body
 Do not try to lift the heavy load seek others help. Keep always the back straight and lift the load by legs
 Divide the load between the co-workers
 Assess the weight of the materials and adopt mechanical shifting for heavy materials.
 Maintain proper back posture and body position during manual lifting of materials. Position body
where less effort is exerted and less strain
 Do not twist the body same time while lifting
 Do not exceed load for manual handling more than 20-25 kg
 Cotton dotted hand gloves to be use while handling light materials.
 Heavy duty/ Impact resistance hand gloves to be use while handling materials which have a chance
of pinch points or sharp edges
 Ensure that all lifting personnel are trained and competent to manual lifting technique
 Use softeners for protecting webbing slings on sharp edges of the load
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.
Revise Date: 0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

4. Housekeeping  Housekeeping  Access and walkways shall be kept free from obstructions. Site
 Areas shall be maintained clean Engineer/
 Proper storage area shall be provided to keep all tools& material Permit
 Inspect work area, place material in a safe place to avoid trip. holder
 Ensure debris are removed and disposed
 Access and egress to the site and emergency rout shall remain unobstructed all the time & All
the equipment /material shall be placed properly.

5.Emergen  Lack of Awareness  Comply with project Emergency response plan and provided awareness to all workers Site Engineer /
cy  Emergency  First aid box and fire extinguisher need to be arranged nearby work location Scaffolding FM /
Readiness vehicle  Ambulance/standby vehicle for emergency Permit holder/
availability  Provide assembly point area with signage HSEA
 Dedicated  In case of emergency below listed personnel shall be
assembly point called Saipem HSEM – 97033525
not available Doctor Saipem - 25228064
(Landline) Nurse Saipem -
25228065 (Landline),
 Ambulance - 95893025 / 92139428 (Saipem)
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 009

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.
Revise Date: 0 9 .08.2022
Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

SAFETY MEASURES AGAINST COVID-19 – ALL WORK AREAS

JOB RESPONSIB
HAZARDS RISK REQUIRED HAZARD CONTROL
STEP LE
Cost Impact
Non-Compliance Impact on the project progress
with National &  Strict adherence to the decisions and guidelines of the Supreme Committee
International Failure to define the  Temperature checks at the security gate for everyone who wants to enter
requirement appropriate COVID-19 site clinics.
Project  Doctor
preventive measures  Separate entrance for clinic visitors with respiratory symptoms.
Medical  Male Nurse
 Full PPE for medical personnel.
Team Improper care of suspected cases.  Supervisor
Ineffective  Strict adherence to MOH protocol regarding processing a suspected case.
Readiness /  HSE
Protection Emergency  Full ambulance disinfection after transporting a suspected case to
Management Positive case transmits the infection the dedicated hospital.
Come into close  Continuous monitoring of health conditions for all medical staff
Exposed to potentially
contact with a potential
infective respiratory
COVID-19 infected
droplets
Have contact with Exposed to potentially  Strict adherence to the decisions and guidelines of the Supreme Committee
a potential infective respiratory  Strict adherence to social distancing in the project buses and vehicles.
COVID-19 droplets.
Potential spread of droplets if  Temperature check before boarding a project bus / other vehicle; then
General  Male Nurse
positive case coughing or sneezing. second temperature screening on arrival at the security gate / on arrival to
Travel and  Supervisor
without wearing site.
Commuting Contact with  HSE
Potential infection if touching  To ensure the above, only 1/3 of total occupancy in the buses are allowed.
Travels contaminated objects
eyes, nose or mouth.  For light vehicles: only 2 persons are allowed to travel in the same
and surfaces. vehicles, including driver.
 Everyone on the bus or inside light vehicle must wear protective masks.
 FORM No DRP001‐
EPC PACKAGE 3 ‐ OFFSITE FACILITIES OFF‐PRO‐Z‐000‐120‐002

JSA No: 005

FORM Project: Offsite Facilities
JOB SAFETY ANALYSIS Sub Contractor: BASHAER GULF
DUQM LLC.

Revise Date: 0 9 .08.2022

Activity: LOADING & UNLOADING OF EQUIPMENT & MATERIALS

Come into close  Strict adherence to social distancing in the office space; on site as much
Exposed to potentially
with a potential as possible without compromising safety and work requirements.
infective respiratory
COVID-19 infected  Temperature checks at the security gate: people with reading above 37C
droplets
case. are not allowed to enter the office/ site and immediately referred to the
Exposed to potentially site clinic.
Work at Have contact infective respiratory  Male Nurse
with a potential  Wearing protective mask is always must.
the Office droplets.  Supervisor
COVID-19  Sub-contractors are prohibited from entering the project office;
and on Potential spread of droplets if  HSE
positive case only exceptional cases allowed with observing all precautions.
Site coughing or sneezing.
without wearing  Pantry cannot be used by people directly, without help of the office boy.
the mask  Office cleaning and disinfection shall be done every day.
Contact with  Use video conferencing facilities for conducting meetings where
Potential infection if touching possible. Otherwise social distancing to be followed.
contaminated objects
eyes, nose or mouth.
and surfaces.  Meeting rooms after use has to be cleaned and disinfected.

Exposure from others  Strict adherence to social distancing in the site and camp canteen / Mess
due to: hall.
1) Have come into  Shifts are maintained among personnel to ensure no crowd in the site
Exposure to Exposed to potentially
close contact (within canteen  Male Nurse
large number infective respiratory
1.5 meters for 15 / Mess hall.
of persons in droplets  Supervisor
minutes or more) with  Food parcels are arranged in the camp canteen to avoid contact with
Canteens  HSE
a confirmed case of other contractors during meals.
/Mess Hall etc
COVID-19.  Site canteen is cleaned and disinfected in between shifts.
Contact with  Meals are to be served by catering personnel in gloves; people are
Potential infection if touching
contaminated objects not allowed to serve themselves.
eyes, nose or mouth.
and surfaces.
 Hand washing and sanitizing means are to be provided.
  Management ·· Change in site · Activity should be suspended. Site Supervisor
of change condition · Re-assessment shall be carried out for site conditions. Site Engineer
· Deviation while · MS-JSA shall be reviewed in case of any deviation appeared in site/materials Site HSE
execution of activity condition shall be updated and submit for approval. HSEM
 Deviation from  method  
mentioned  in Method
Statement and JSA
·Deviation in materials
being in used
·Environmental impacts

Working Near Always keep the “Body position” in a safe zone in relation to the work that
Line of Fire are performing or the work someone around you is performing.
Hazards presented by gravity / Suspended Load Do not stand or work under suspended loads.
Tag lines must be used for lifting activity.
Use barriers & signage to warn personnel of line of fire hazards.
DO NOT allow unauthorized personnel to enter into the risk area
Never place your body under or between powered equipment unless it is
de-energized, tested, and locked-out.
Ensure you have established communication protocols and understanding
Man, machine interface of the right of way rules for the movement of large equipment.
Establish and obey barriers and exclusion zones.
Keep away in the line of travel of a moving vehicle or equipment.
Flagman / Signal man should be appointed with a moving equipment.
Experienced employee can share knowledge with new worker. Construction Manager
Employee can make a safety suggestion to the supervisor. HSE Manager
All crew look at and suggest a safest way to do the task. Site Engineer
Create a feedback-rich environment where employees can freely voice
Lifting/Rigging
their concerns and where the management conducts consistent
Behavior Engineer/ Supervisor
awareness programs.
Be quick to act on unsafe behavioral reports, align teams to rapidly spread Supervisor
precautionary measures before it escalates into an incident. Foreman
Behaviour-based checklist to be used for directly observing on-field Equipment Operator
behavioural patterns.  HSE Adviser
All drivers must have defensive driving licence.
All operators must have the third-party certificate for the particular
operation.
Unsafe Driving / Contact with stationary hazards Drivers’ forum to be conducted periodically.
Speed limit and causation sign board should be placed.
When worksite changes affect travel paths, make sure to update the travel-
way markings and in the SIMOPS
Proper communication should be maintained with the operator and rigger.
Critical lifting procedure should be followed.
Locate the Blind Spots and place mirror.
Blind Spot
Backup alarm should be fixed with all vehicles and equipment.
Whenever possible, create separate paths for pedestrians and equipment,
and clearly mark these travel ways. 
Stored Energy Confirm that hazardous energy sources have been isolated, locked, and
tagged
Identify all energy sources
All employees must have the Commissioning training for entering the
commission area.
Always consider the likely direction of unplanned energy release.
Do not exceed operating powers/ pressures/ speed etc.
Ensure that all couplings/ fastenings are correctly connected
 Remain constantly vigilant of the potential’s pathway of any unplanned
energy release and position yourself accordingly.
Take action to secure loose objects and report potential dropped objects.
Dropped Object Keep away from below scaffold or elevated work platform.
Sign board and barricading to be placed in the work area.
Use appropriate PPE for the activity.
Wear appropriate, well-fitting gloves for your task.
Do not use any loose clothes or jewellery
Never reach into a moving machine.
Properly maintain and always use safeguards and guarding provided with
your equipment; they act as a barrier between the moving parts and your
Crushing Hazards
body.
Do not reach around, under or through a guard and always report missing
or broken barriers without any information.
Turn equipment off and use lock-out/tag-out procedures before adjusting,
clearing a jam, repairing, or servicing a machine.
Look for possible pinch points before you start a task
Organize the work area to provide unobstructed and easy access to the
vehicles and equipment.
Unwanted and unused materials should be removed from the work
Poor housekeeping location.
Housekeeping to be maintained before and after the activity
Maintain good housekeeping to reduce the risk of contact with energized
cables, hoses etc
Specific training to be conducted for the work crew.
TBT to be conducted before starting the activity and clearly explain about
the specific work, work related hazards, control measures and the
Human factors emergency procedure.
Understand the machines/ equipment and operations in the work area.
At all times individuals need to continually monitor their surroundings and
position themselves to avoid being in the line of fire.
Plan your actions and determine the necessary steps to work safely.
Being aware of the hazard, associated risks, and prepared to stop work if
conditions or actions are unsafe.
Follow the safe system of work properly.
Report all near misses.
Inadequate procedures / poor planning Involve in the SIMOPS meeting and share about the activity with other
sub-contractors.
Use correct tools for the job.
Special permit and authorization required to work in the commissioning
area, live lines and pressurized lines.
Ensure that work is planned! Do not deviate from agreed methods
Ensure only authorized personnel are allowed.
Unauthorized entry Ensure area shall be barricaded properly & signage.
Ensure no vehicle entry inside the working area.

 JSA Prepared by  CHECKED BY  HSE Leader check

 Name:  Name: 
 Date:  Date: 

 Signature: 
 Signature: