JSA FOR ACTIVITY JSA Control No.

JFGP1 – JSA – SAY –

JOB SAFETY ANALYSIS
Discipline
□ Civil / Building □ Electrical / Instrument
Activity : Application of Epoxy Grouting & Non- Shrink Grouting □ Mechanical, Steel Structure, piping
Subcontractor Samyoung □ Pre-com. □ Others _______________

Rev. Date 31-Oct-24

Location : Jafurah Gas Processing Facilities -1
Rev. No A
Sub-Contractor Contractor Company
LPD
Const. Mgr. / SI HSE Mgr. Project Mgr. Const. Mgr. / SI HSE. Mgr. Unit Head / Sr. Project Eng'r. OE & CG
(If required)

Signature

Name

Badge No.

EMERGENCY RESPONSE PROCEDURE Contact Numbers; Remark

□ TBM Leader:
In an EMERGENCY, or on the hearing of the “Stop Work Alarm”, every supervisor shall ensure the following: Name:
1. All work is stopped at once. Phone No.: When reporting an emergency give the clear information such as:
2. All equipment is shutdown. □ Permit Receiver :
3. All personnel are evacuated to the pre-determined assembly area. Name: 1. Your exact location.
4. A roll call is taken and every man is accounted for. Phone No.: 2. Nature of emergency.
5. No one is permitted to return until notification has been received from operations □ Permit Issuer : 3. Service required and repeats the message.
or from the company representative that it is safe to do so. Name: 4. Your name & badge number.
EMERGENCY CONTACT NUMBERS Phone No.: Stay on the telephone until you are told to hang-up. If possible, post a lookout to direct the Ambulance, Fire
Samsung - 055-310-6472 □ Area HSE Number : Truck or EMERGENCY Response to the right location.
Saudi Aramco - 013-576-0911 Name:
Phone No.:

Risk Matrix Risk Level Action

5 - Very Likely 5 10 15 20 25
15 -25 High A High Risk required immediate action to control the hazard as detailed in the hierarchy of control. Action taken must be documented on the risk assessment from including date for completion
Probability →

4 - Likely 4 8 12 16 20
3 - Possible 3 6 9 12 15 A Medium Risk required a planned approach to controlling the hazard and applies temporary measure if required. Action taken must be documented on the risk assessment from including date for
8 - 12 Medium completion,.
2 - Unlikely 2 4 6 8 10
1 - Very unlikely 1 2 3 4 5 A risk identify as Low may be considered as acceptable and further reduction may not be necessary. However, if the risk can be resolved quickly and efficiently, control measures should be implemented
1-6 Low and recorded
1 2 3 4 5
Negligible Slight Moderate High Very High
Severity →
Risk Rating Risk Rating
No. Activity Potential Hazard Preventive Measures Responsible Person
P S R P S R

• All personnel prior to site deployment must attend the required Safety Induction.
3 4 12 2 3 6 Permit receiver / Supervisor
• Workers without safety induction training / Wor kers Medically Unfit • Qualified and trained personnel shall be assigned for work.
• All personnel require to provide medical fitness certification and make sure that physically, mentally fit for work.

• Report immediately if found any Covid-19 symptom (fever, cough, throat infection, etc.)
• Face Mask shall be worn by all workers at all time while socializing places except when person is alone.
1 • Water and soap shall be provided at wash stations.
Mobilization of manpower
• Information on how to wash hands properly for reminder shall be displayed by posters.
• Communica ble diseases COVID-19) Breathing without mask, Exposure to High Touch & • Hand sanitizer for the occasions when people can’t wash their hands shall be provided.
High Traffic Areas (Mosque, Canteen, Mess hall, waiting area, TBM area) Traveling to Work, 3 3 9 • Handshakes and hugging shall be prohibited to avoid social touching. 2 3 6
Permit receiver / Supervisor
working together, sharing food, hand shaking/ Hugging. • Buses, coasters, pickups, toilets, offices & Camp Facilities shall be disinfected daily by using CLOREX.
• High Touch areas shall be cleaned and sanitized frequently.
• Workers shall be trained on how to put on and remove personal protective equipment (PPE) that is used for normal work hazards and how to
keep it clean.
• Covid-19 awareness and preventive techniques sessions shall be conducted for all workers to enhance their awareness.
 Risk Rating Risk Rating
No. Activity Potential Hazard Preventive Measures Responsible Person
P S R P S R

• Ensure all workers are trained to use “Hand

& Power tools” properly and stamped the training passports.
• Defective and homemade tools shall not be used, only approved tools (without defects or modification) shall be used.
• Make sure power tools are protected by guard, handle and dead man switch.
• All power cables shall be inspected for damages prior to use at worksite.
Mobilization of equipment, • Rotating parts shall be equipped with adequate safety guards
2 •Defective and un inspected tools and Equipments 4 2 8 2 2 4 Permit receiver / Supervisor
machines and, tools • Temporary power supply generator must be inspected and color coded by monthly basis by the competent person
• Ensure all rotating parts properly guarded
• Mobile concrete mixer must be inspected and color coded by competent person
• Generator checklist updated by daily basis
• Ensure Good cable management
• Generator Drip tray must be placed

• Defective and homemade tools shall not be used, only approved tools (without defects or modification) shall be used
• Ensure all workers are trained to use “Hand
& Power tools” properly and stamped the training passports.
• Ensure all hand and power tools inspected and color coded by competent electrical person
• Electricity • All power cables shall be inspected for damages prior to use at worksite
• Defective and un inspected tools 3 4 12 • Power supply panels shall be provided with GFCI. 2 1 2
• Poor Cable management • Electrical cords, Outlets, etc. shall be regularly inspected it shall be free from any defects, worn insulation Permit receiver / Supervisor
• Temporary power supply generator must be inspected and color coded by monthly basis by the competent person
• Ensure drip tray must be placed in the generator
• Generator checklist updated by daily basis
Concrete Chipping Works Using • Ensure Good cable management
3 Jack hammer, power tools and
Hand tools

• TBT must be given prior to work

• All assigned works wearing dust mask must
• Mandatory PPE such as Face mask, face shield googles and dust mask must be worn
• In competent person • Area must be barricade and provide adequate signages
• Dust 3 4 12 • Wear suitable clothing for the job that is not loose and do not wear rings, watches, bracelets or any other object that might get trapped by the 2 1 2 Permit receiver / Supervisor
• Rotating Parts moving parts of the machine
• Ensure deployed personal are competent to work. • Personnel working with
ornear jackhammers, and concrete breakers shall wear proper safety shoes with metatarsal guards.
• Make sure power tools are protected by guard, handle and dead man switch.

• Defective and homemade tools shall not be used, only approved tools (without defects or modification) shall be used
• Ensure all workers are trained to use “Hand
& Power tools” properly and stamped the training passports.
• Ensure all tools inspected and color coded by competent electrical person
• Electricity
• All power cables shall be inspected for damages prior to use at worksite
• Defective and un inspected tools\ 2 3 6 1 2 2
• Power supply panels shall be provided with GFCI.
• Poor Cable management
• Temporary power supply generator must be inspected and color coded by monthly basis by the competent person
• Ensure drip tray must be placed in the generator
Formworks Using Hand and Power • Generator checklist updated by daily basis
Tools • Ensure Good cable management
4 Permit receiver / Supervisor
(Installation and Removal)

• TBT must be given prior to work

• All assigned works wearing dust mask must
• Mandatory PPE such as Face mask, face shield googles and dust mask must be worn
• In competent person • Area must be barricade and provide adequate signages
• Dust 2 3 6 • Wear suitable clothing for the job that is not loose and do not wear rings, watches, bracelets or any other object that might get trapped by the 1 2 2
• Rotating Parts moving parts of the machine
• Ensure deployed personal are competent to work
• Make sure power tools are protected by guard, handle and dead man switch.

• Defective and homemade tools shall not be used, only approved tools (without defects or modification) shall be used
• Ensure all workers are trained to use “Hand
& Power tools” properly and stamped the training passports.
• Ensure all machine, hand and power tools inspected and color coded by competent electrical person
• All power cables shall be inspected for damages prior to use at worksite
• Fire extinguisher must be placed near electric concrete mixer
• Power supply panels shall be provided with GFCI.
Electricity • Ensure that any extension cords to be used are in good condition and that the wire gauge and equipment amperage are compatible with the
• Defective and un inspected tools\ length of the cord.
3 3 9 • Temporary power supply generator must be inspected and color coded by monthly basis by the competent person 2 3 6
• Damaged cable/Poor Cable management Permit receiver / Supervisor
• Fire • Ensure drip tray must be placed in the generator
• Generator checklist updated by daily basis
• Ensure Good cable management
• Ensure that the REV/OFF/FOR power switch is in the OFF position before plugging in the mixer machine

• TBT must be given prior to work

• All assigned works wearing dust mask must
• Mandatory PPE must be worn (Disposable coverall, Face mask, Chemical Glove, gum Boots, etc.)
• Area must be barricade and provide adequate signages
• In competent person • Wear suitable clothing for the job that is not loose and do not wear rings, watches, bracelets or any other object that might get trapped by the
• Dust moving parts of the machine
Concrete Mixing 3 3 9 2 3 6 Permit receiver / Supervisor
• Un authorized entry • Ensure deployed personal are competent to work
& Application of Grouting • Rotating Parts • Make sure power tools are protected by guard, handle and dead man switch.
5
• Ensure handles are clean and free of oil or grease before use
Using Electric Powered Mobile
Concrete Mixer, Power Drill and
Power tools
 Concrete Mixing Risk Rating Risk Rating
& Application of Grouting
5
No. Activity
Using Electric Powered Mobile
Potential Hazard Preventive Measures Responsible Person
Concrete Mixer, Power Drill and P S R P S R
Power tools
• Worker should be properly trained for the use and handling of chemicals
• Read MSDS properly prior to use and always keep in working area
• Use chemical gloves and safety glass.
• Avoid contact with eyes, skin and clothing.
• Wash thoroughly after handling.
• Do not eat or drink while handling the chemical
• Store the chemical in a cool, dry, well ventilated area.
• Dispose the chemical waste properly as specified skip bin.
• Chemicals • Proper ventilation shall be provided
3 4 12 • Do not store cement directly in sunlight 2 2 4 Permit receiver / Supervisor
• Inhalation of chemicals/Fu mes
• Skin irritation • Practice good hygiene always
• Immediately wipe away spilled material before it hardens
• In case of eye contact, Immediately flush with plenty of water.
• In case of difficulty to inhalation move the victim to fresh air and call the physician
• Eye wash station must be available near the concrete area

• Ear plug/Muff shall be worn if above noise level 85Db.

• Noise • Ensure all working areas are under proper illumination
3 4 12 • Proper ventilation shall be provided 2 2 4 Permit receiver / Supervisor
• Poor Ventilation/Lig thing

• All workers must have “Heat stress” training to aware of heat stress.
• Provide, where feasible, cool, shaded work areas (could be a tree shaded area) and air- conditioned rest areas.
• Provide cool drinking water near workers and remind them to drink a cup about every 15 to 20 minutes or more frequently to stay hydrated. Do
not wait until thirsty.
• Provision to have salt tablet available at the rest shelter or at the work area.
• Avoid soft drinks, sugary, caffeinated or alcoholic drinks.
• Heat stress
• Schedule strenuous jobs to cooler times of the day.
• illnesses that can result from over- exposure to heat.
• Rotating the workers in and out hot areas as possible.
• Heat stroke
• Caution workers to avoid direct sunlight assign additional workers or slow down the pace of work.
• Heat rashes
3 3 9 • Train workers to recognize the signs and symptoms of heat stress and start a buddy system. 2 2 4 Permit receiver / Supervisor
• Heat cramps
• Investigate any heat–related incidents reported by workers.
• Fainting and
• Where appropriate, develop an emergency response plan should be in place in the event of a heat related illness.
• Heat exhaustion •
• Ensure workers trained in First Aid are available and on-site.
Ref: CSM I-13
• Ensure wear light summer, loose-fitting clothing made of breathable fabric to allow free movement of cool, dry air over the skin’s surface thus
maximizing heat removal by both evaporation and convection.
• Ensure wear light-colored clothing, preferably long-sleeve shirt and pants, and cover the head to prevent exposure to direct sunlight.
• Immediately inform any heat stress symptoms.
• Heat stress awareness campaign shall be conducted by HSE management.
• Reduce the temperature and humidity through air cooling by providing air conditioning or mist fan at mess hall/ rest shelters.

• Protective clothing shall be properly selected to suit the temperature for work.
• Multiple layers of clothing, inner layer to ‘wick’ moisture away from body to keep it dry.
• Do not work in dap or wet area.
• Always follow buddy system in cold weather specially during fog or poor visibility.
• Ensure vehicle driver must reduce the speed during poor visibility to prevent such accident of collision.
• Waterproof outer layer for wet conditions.
• Wool knit cap or a liner under a hard hat can be used to avoid the direct exposure to cold.
• Appropriate boots (e.g. felt-lined, rubber- bottomed, leather-topped boots with removable felt insoles for heavy work; waterproof boots if standing
• Coldstress
in water or slush).
· 3 3 9 2 2 4 Permit receiver / Supervisor
• Appropriate socks (e.g. one pair thick bulky socks or two pairs – inner lining and outer thicker socks). Where possible, have extra socks available.
• illnesses that can result from over- exposure to cold.
• Rotating the workers in and out cold areas as possible to give them warming.
• Freezing Injury
• Caution workers to avoid direct heavy cold wind, assign additional workers or slow down the pace of work when it is extreme cold.
• Frostbite
• Train workers to recognize the signs and symptoms of cold stress.
• Tingling and numbness
• Eye and face protection, such as glasses/goggles, scarfs (from wind, blowing snow, glare, UV, etc.). In extremely cold conditions, eye protection
• Hypothermia
must be separated from the nose and mouth to prevent exhaled moisture from fogging and frosting eye shields or glasses.
6 General requirement • Provision to have warm drinking water or keep water bottles in warm storage area to avoid direct exposure of cold.
• Provision to have a properly covered rest shelter to protect the workers of the intensity of cold wind.
• During winter rain the work should be immediately suspended and workforce shall proceed to rest shelters, designated buses or mess halls etc.

• Housekeeping
• Mopping: wet/dry washing floors with machine
• Slips, trips, falls • Always conduct good housekeeping prior to start work, at the intervals and at the end of each of shift.
• Exposure to biohazardous waste • Always wear steel toe shoes and appropriate gloves.
• Exposure to infections/ illnesses • Do not kill the animals intentionally unless it harms.
• Ref: GI • Immediately notify supervisor if noticed the animals.
430.001 & CSM Sec. 7.11.1 • Use of wet floor warning signs while moping.
• Safe use of electrical equipment - don’t plug in with wet hands.
3 2 6 • Use safest chemicals that will still disinfect/clean. 2 1 2 Permit receiver / Supervisor
• Report any unsafe exposure or reactions chemicals.
• Personal Protective Equipment (PPE) - gloves and masks shall be worn while cleaning/housekeeping.
• Collection, storage and disposal of waste material in accordance with GI 430.001.
• Adequate trash collecting skip shall be provided at work site.
• Site supervisor shall ensure that trash and debris is properly collected and disposed on daily basis into designated area.

• Required training such as:

1. Chemical Handling
Training 3 3 9 2. Hand and Power tools 2 1 2 Permit receiver / Supervisor
• Shall be provided and attended by every worker involved in such activity prior to commence work and shall be recorded on training passport.

• Waste material shall be stored in designated areas in skips.

• Waste material classified as hazardous will be removed by a contractor classed as a competent for the task as per project procedures on
environmental control and housekeeping.
• Chemical spills if any must be cleaned / removed and disposed at approved designated area.
Environmental 3 3 9 • Toilet, shelter and mess hall clean everyday with sanitizing fluid. 2 2 4 Site Management
• Provision to have hand sanitizer fluid at all work locations, including toiletry, shelter, mess hall, camp residential/recreational compound.
• Dust control must be done by spraying the water on ground where dust generating.
• Always keep work area neat and clean.
• Educate & aware the workers towards environmental aspects