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Form No.

JI 2027-FORM-HSE-002

Job Safety Analysis Petrofac


JSA No:
Activity: Geotechnical Survey JI 2027-JSA-002 Rev B
Project No:
Project: NEW GATHERING CENTRE, GC-29 IN NORTH KUWAIT
EF-1901
Site/Facility: Work Area: KOC Permit No & Date:

In Case of Emergency, contact KOC @ 160


Hard Hat, Safety Shoes, Safety Goggles/ Glasses, Hand Gloves, Overall, Dust Mask, Total Station &
PPE & Tools:
GPS, Hand Tools & Measuring tapes

SEQUENCE OF RISK
RESIDUAL CHECKED
POTENTIAL HAZARDS MITIGATION MEASURES RISK
JOB STEPS RATING
RATING Yes No

Non-compliance of KOC HSEMS 4 (D)  Obtain required Permit to Work in compliance 2 (B)
procedures HIGH with KOC SA.004 (Permit to Work Procedure).
LOW
 Obtain EOD clearance from Company
Presence of EOD 4 (D)  It is not permitted to visit or carry out any 2 (B)
HIGH work in an area not declared free from LOW
explosive/ EOD devices.
Pre - work
 Ensure all personnel have undergone Project
HSE Induction and EOD training.
Poor task planning 3 (C)  Conduct Tool Box talk. 2 (B)
MEDIUM  Obtain markup drawings and clearly identify LOW
day’s scope of work & designated access
routes.
3 (C) 2 (B)
 Use the correct equipment, mention in the
Improper Equipment MEDIUM LOW
PTW to obtain clearance for the equipment
Trips and falls  Ensure proper housekeeping at work location
3 (C)  Ensure to wear appropriate PPE as required 2 (B)
High noise while drilling MEDIUM LOW
 Do not wear loose cloths while staying close to
machine
Caught in auger

Release of accumulated Toxic / 3 (C)


 Carry out Gas test and monitor accordingly 2 (B)
Flammable gases MEDIUM
Geotechnical LOW
Survey
3 (C) 2 (B)
Exposure to contaminated material  Ensure to wear appropriate PPE
MEDIUM LOW
3 (C)  Make sloping, benching or shoring as per 2 (B)
Trench collapse during trial pit
MEDIUM ground conditions LOW
Poor handling of equipment 3 (C) 2 (B)
 Ensure proper manual handling practice
accessories MEDIUM LOW
3 (C)  Closely watch the surroundings while 2 (B)
Extreme weather condition
MEDIUM performing the activity. Stop work if necessary LOW

Additional
Hazards

JI 2027-JSA-002 Rev B Page 1 of 2


Form No. JI 2027-FORM-HSE-002
Worksite Supervisor
Reviewed by: Permit Applicant Approved by: Permit Issuer
Subcontractor / Contractor

Name: Name: Name:

Company: Company: Petrofac International Ltd Company: TECHNIP

Designation: Designation: Designation:

Signature:
Signature: Signature:

Date: Date: Date:

JI 2027-JSA-002 Rev B Page 2 of 2