JOB SAFETY ANALYSISDATE: / / 2011JSA No.

PROJECT: Ras Az Zawr Aluminium SmelterCONTRACTOR NAME:

LOCATION:EPCM OfficesADDRESS:

PHONE:

JOB DESCRIPTION:

DEVELOPED BY:REVIEWED BY:

NoNameSignaturePositionCertificate No.NoNameSignaturePositionDate.

11

22

33

44

55

APPROVAL BY:

Name:Signature:PositionDate

Name:Signature:PositionDate

BECHTEL REVIEW BY:

Name:Signature:PositionDate

Name:Signature:PositionDate

REVIEW: (NOTE: Work SHALL NOT proceed until the JSA is signed and dated by the HSE Manager or nominee)

Name:Signature:Position:Date:

P.P.E REQUIREMENTSCheck FORMCHECKBOX PLANT, EQUIPMENT & TOOLS FOR JOBCheck FORMCHECKBOX TAGGING & SIGNSCheck FORMCHECKBOX PERMITS/INSTRUCTIONCheck FORMCHECKBOX

Safety Harness FORMCHECKBOX

Air Purifying Respirator FORMCHECKBOX

Ladder FORMCHECKBOX

Excavator FORMCHECKBOX

Persons Working Above FORMCHECKBOX

MSDSs FORMCHECKBOX

Static Line FORMCHECKBOX

Confined Space Harness FORMCHECKBOX

Hand Tools FORMCHECKBOX

Winch FORMCHECKBOX

Barrier Mesh FORMCHECKBOX

Instruction Manual FORMCHECKBOX

Tinted Safety Glasses FORMCHECKBOX

Gloves - PVC FORMCHECKBOX

Shovel FORMCHECKBOX

Extension Leads FORMCHECKBOX

Flagging FORMCHECKBOX

HV Access FORMCHECKBOX

Clear Safety Glasses FORMCHECKBOX

Gloves Hyflex (Nitrile) FORMCHECKBOX

Welding Machine FORMCHECKBOX

Backhoe FORMCHECKBOX

Personal Locks FORMCHECKBOX

Floor/Roof Opening FORMCHECKBOX

Goggles FORMCHECKBOX

Gloves -Leather Riggers FORMCHECKBOX

Compactor FORMCHECKBOX

Power Source FORMCHECKBOX

Personal Danger Tags FORMCHECKBOX

Hot Work FORMCHECKBOX

Face Shield FORMCHECKBOX

Airline FORMCHECKBOX

Drill FORMCHECKBOX

Crane FORMCHECKBOX

Out of Service Tags FORMCHECKBOX

Isolation FORMCHECKBOX

Sun Screen FORMCHECKBOX

High Vis Vest FORMCHECKBOX

Grinder FORMCHECKBOX

EWP FORMCHECKBOX

Information signs FORMCHECKBOX

Excavation FORMCHECKBOX

Hearing Protection FORMCHECKBOX

FORMCHECKBOX

Fire Extinguisher FORMCHECKBOX

Fans FORMCHECKBOX

FORMCHECKBOX

Confined Space FORMCHECKBOX

Hard Hat FORMCHECKBOX

FORMCHECKBOX

Fire Blanket FORMCHECKBOX

Scissor Lift FORMCHECKBOX

FORMCHECKBOX

Suspended Personnel Platform FORMCHECKBOX

Skills/Competencies/AuthorisationsCheck FORMCHECKBOX

Articulating Boom Lift FORMCHECKBOX

Crane Type and Capacity:Dozer FORMCHECKBOX

Grader FORMCHECKBOX

Asbestos Removalist FORMCHECKBOX

Scissor Lift FORMCHECKBOX

FORMCHECKBOX

Excavator FORMCHECKBOX

Scraper FORMCHECKBOX

Heavy Rigid Vehicle FORMCHECKBOX

Concrete Placing Boom FORMCHECKBOX

Forklift Type and Capacity: FORMCHECKBOX

Front End Loader FORMCHECKBOX

Rigger FORMCHECKBOX

Articulated Vehicle FORMCHECKBOX

Personnel Hoist FORMCHECKBOX

FORMCHECKBOX

Backhoe FORMCHECKBOX

Scaffolder FORMCHECKBOX

Boat FORMCHECKBOX

RISK SCORE CALCULATOR Use The Risk Score Calculator To Determine The Level Of Risk Of Each Hazard

What is the LIKELIHOOD of an occurrence?What would the CONSEQUENCE of an occurrence be?Hierarchy of Controls

Minor First aid treatmentMediumMedical treatmentSeriousLost time incidentMajorFatality or permanent impairmentCatastrophicMultiple fatalities or permanent impairmentCan the hazard be Eliminated or removed from the work place?

Almost CertainModerateHighCriticalCriticalCriticalCan the product or process be Substituted for a less hazardous alternative?

LikelyModerateHighHighCriticalCriticalCan the hazard be Engineered away with guards or barriers?

PossibleLowModerateHighCriticalCriticalCan Administration Controls be adopted

ie procedures, job rotation etc

UnlikelyLowLowModerateHighHighCan Personal Protective Equipment & Clothing be worn to safe guard against hazards?

Rare

LowLowLowModerateHigh

STEP

NO.JOB STEP DESCRIPTION

List the steps required to perform the task in the sequence they are carried outPOTENTIAL HAZARD

List the potential hazards that could cause injury/damage when the task step is performedRisk

Rank BEFOREHAZARD CONTROL METHODList the control measures required to eliminate or minimise the risk of injuryRisk

Rank AFTERRESPONSIBLE

PERSON