JOB SAFETY
ANALYSIS
WORKSHEET Safety Valve Certification
Asep Sudrajat /
Name : 1 Nata Sign
Marnasip
3 Sign
Sign :
4 Sign
B. Job Ca
2. Couplant Material Is
Bad Housekeeping
Loosing tools and equi
7 Housekeeping and Post Job Meeting
Mis-communication wi
equipment (about prog
LOCATION JOB NO. ISSUED DATE NO DOC.
10/HSE-
Cikarang Listrindo Yard TBA 16 02 2017
JSA/II/17
Signature :
Name : M. Maskur
Signature :
Name : Andi Setyo B
Signature :
ECTION / DEPARTMENT Name :
10/HSE-
JSA/II/17
Signature :
Signature :
Signature :
Barricade
Scaffolding ( if Required )