Job Safety Analysis Sheet

Job Safety Analysis Sheet JOB DESCRIPTION: Cold Work Facility:

JSA Ref. No. JSA / KOC

Permit No. Date: PERSONAL PROTECTIVE EQUIPMENT & TOOLS: Safety Shoes, Coverall, Safety Goggles, Hand Gloves SEQUENCE OF BASIC JOB STEPS

Work Area / Equipment:

POTENTIAL HAZARDS

PRECAUTIONS 

Use of tools suitable to hazardous area classification.



Keep the fire extinguishers & fire hoses in ready condition



Refer HSEMS Procedures - Doc. No. SA.KOC.004 “Permit to Work” and Chapter -15 “Power & Hand Tool” of KOC F & S Regulations.

Unauthorized Work



Take a Cold Work Permit and other associated permits from Asset Owner.

Defective Tools



Ensure the hand tools are free from defect.



Ensure proper wind up & housekeeping at worksite.



The accessories.

Fire & Explosion Non – compliance of KOC F & S Regulations and HSE MS Procedures Planning

Yes / No

Cold Work

Windup & Housekeeping

Scattered Material

Additional Hazards (Other than indicated above)

JSA Done By

Name: KOC / ID. No. Controlling Team: Signature:

Designation: Company: Contract No.(If Applicable): Date: