SUPPLEMENT V - JOB SAFETY ANALYSIS (JSA) WORKSHEET

Date: 16-04-2024 W.O No: 3001095066

Department Name: U&FSD Project Renovation of Bldg. # 3060 B at Light Industrial
Park (LIP), Dhahran.
Location Bldg. # 3060 B at Light Industrial Park (LIP), Dhahran.
Job Title/Description: Tile Work
Name(s) of Individuals Performing JSA
s/n Name Designation Badge No.
1.
2.
3.
4.
5.

Critical Steps Hazards(s) Controls/ Recommended Actions

 Obtain a Hot Work Permit from the Area Supervisor before starting the job and
Unauthorized work closing the Work Permit once task is done. See SA-G.I. 2.100.
 Get the permit validated for the specific day.
Invalid permit
 Conduct Tool-box talk and make sure to communicate all the contents of this JSA
1. Work start-up and obtaining (Job safety Analysis) to all workers involved in the activities.
Failures of communication
Work Permit about the identified hazards  The work permit receiver shall conduct the pre-job safety meeting and to be
explained about the identified hazards and preventive measure from the work permit.
by the work permit issuer and
receiver.  Responsible person must conduct inspection, monitor the work activities, and have to
Improper knowledge of work ensure safety standards and procedures are strictly adhered to according to SA-CSM-
is lead to incident/accident. I-11 Hand Tools and Power Tools under Section 11.5 Portable Power Tools-
General Requirements, SA-G.I. No.: 6.012 Isolation, Lockout and Use of Hold
Tags. and SA-CSM-I 5.4 Electrical Lockout and Tagout (Lock, Tag, Clear, Try)
2. Clearing of Access and Unsecured debris  Clear pathways from obstruction.
Egress
Unattended tools/materials  Implement good housekeeping.
 Tripping/Slipping
 Wear safety gloves to avoid sharp edges and pinch points
Pinch points and Sharp Edges
 Use only approved Hand tools and Power tools.
Hand laceration  Only UL listed tools and electrical extension cords are allowed in the site• Inspect
Defective tools the tools before starting the work by foreman or by individually
3.Preparation of Tools and Materials
Electrocution  If damage, deformed or excessive wear is present on tools, tag immediately and
withdraw from service for repair or disposal.
Fire ignition
 Proper use of appropriate Aramco personal protective equipment such as Hand
protection i.e., hand gloves or and safety helmet with chain strap, safety glass
4. Cutting of tiles Exposure of workers to  Ensure workers are complying with the min. PPE req..Safety shoes, helmet, safety
glass, dust mask and Ear Plugs Shall be worn.,
various hazard like hand
injury, dust, eye injury, Ear
Injury

Hand injury/ . First aid kit available at site.

Hand gloves and welding gloves should be worn
Eye injury Ensure workers are wearing both the eye goggles & face shield/welding mask

Ensure that no flammable/combustible materials are on the area.


Unskilled and uninducted  Ensure that toolbox meeting was regularly conducted and people are aware of the job
and the hazard enclosed in the job they are performing
personnel starting the job

 Ensure workers are not wearing hi-vest and loose dress/scarf while performing the.
job
Tripping hazards  Ensure proper staging of welding materials have proper barrication if necessary &
that workers are accessing the right walkway.
Personnel interface Other worker not involve in the job must not come closer to the area
 Equipment Failure Ensure that equipment was check in daily basis and checklist available at the
equipment and tools and colour coded
 Ensure proper access and egress for all vehicles
Pinch point hazard  Ensure that no baby grinders shall used with positive lock. Ensure it was colour
coded and inspected prior to use

Back injury  Ensure proper handling and positioning while hauling a materials

5. Cement plastering on floor EYE / Skin Irritation  Ensure that the MSDS is available and workers shall know the hazard of that
and Tile fixing chemical.
 Ensure that eye wash shall be available at all time for washing purposes.

 Clear pathways from obstruction.

Unsecured tools and materials
 Implement good housekeeping.

6. Closing of works  Ensure to Sign off on work permit

Failure to close the work permit
 Make visible the work permit while doing join inspection
and Work permit  Ensure work permit sign off the work permit system.
 Keep the copy of work permit on files & records.
Instructions
1. Use as many lines as needed to list the critical steps. Be specific.
2. There may be more than one hazard per step. List each hazard.
3. Identify the proper control for addressing each hazard. The preferred priorities are engineering, administrative (procedures) and then PPE.
4. Identify any recommended actions required, e.g., develop a new procedure or perform an industrial hygiene assessment. Assign a responsible party for
any required actions.
5. List each type of PPE needed for the task. Be specific.
6. Identify key steps as “STOP WORK TRIGGERS” (in the “Controls” column) if there are any conditions, job changes or distractions that will
prompt personnel to stop all work activities associated with the job until further assessment is conducted or additional controls are implemented.
7. Criteria for Stopping the work if any body see the condition such as if Fire Alarm rings in the building, changes in bad weather condition, if there is
any change in SOW or Plan, in emergency situation, Equipment improperly use, Lack of knowledge, understanding or information, near miss
incident or unsafe condition at site work.

JSA Prepared By: Altaf Hasssain Signature:

Safety Officer-AlMoallam
JSA Reviewed By: Tawfeeq Alam Signature:
Project Engineer-AlMoallam
JSA Approved By: Sara A Mousa Signature:
Project Engineer-Aramco