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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
Contractor Name: TECNICAS REUNIDAS & DAEWOO
Sub-Contractor Name: Al Hajiry Trading LLC
Project: Duqm Refinery Project EPC Package 01
Address: Wadi Kabir, Muscat
Location: Duqm
Area In charge: Rennin Babu
Type of JSA: confined space
JSA No: AHT-JSA-10-18-01
New:
Revise:
Job Description: Work activity involves confined space for construction purpose.
Prepared By Subcontractor: Name: Jose Kurian
Position: HSE Manager
Signature:
Date:
Reviewed and Approved By Subcontractor: Name: Shaji NT
Position: Project Manager
Signature:
Date:
Reviewed and Approved By TRD: Name: Romao Silva cordeiro
Position: TRD-HSE Superintendent
Signature:
Date:
Reviewed and Approved By TRD: Name:
Position: Construction Manager
Signature:
Date:
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0 Incident Likelihood or Probability
Incident Severity Productivity or Downtime > 2 weeks
Environment Permanent damage beyond project boundary
Property Total facility loss
Improbable
Remote
Occasional
Probable
Frequent
Personnel
Severity Level
A
B
C
D
E
Fatality or total permanent disability
5
L
M
H
H
H
1 week to 2 weeks
Permanent damage within project boundary or reportable release beyond boundary
Damage to an entire facility or loss of multiple systems in a facility
Permanent partial disability
4
L
M
H
H
H
> 1 day to < 1 week
Reportable release within project boundary with no permanent damage
Damage to an entire facility or multiple systems in a facility requiring repair or replacement
Days away
3
L
L
M
H
H
½ day to 1 day
Release within project boundary below reporting quantity with clean-up by external source
Damage to a facility element or system requiring repair or replacement
OSHA Recordable or E-1
2
L
L
M
M
H
< ½ day
Release within project boundary below reporting quantity with clean-up by internal source
Damage to a facility element or system requiring negligible or no repair
First aid
1
L
L
L
M
M
Risk Mitigation Controls
Activity / Task:
High (H)
Operation not permitted; must implement controls to reduce risk to an acceptable or manageable level.
Confined space
Medium (M)
Operation permitted with a time limited waiver endorsed by management.
Low (L)
Date:
Operation permitted with implementation of core HSE program elements.
20/10/2018
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0 Work Location:
Duqm Refinery
JSA No:
AHT-JSA-10-18-01
Company:
A HAJIRY
FM/Supervisor: Rev.00
Please mark (■) appropriate boxes - (A new JSA is required if the job scope or work conditions changes) 1.0
2.0
Permit(s) Required:
PPE Required:
Special Tools and Equipment Required:
Safe Work Permit
Hot Work
Others
Hard Hat Dust Mask Ear Plugs Cotton Gloves Coverall Cut resistant gloves
Clear Safety Glasses
3.0
Confined Space
Air supplied respirator
Gas Badge Dosimeter
Face Shield
Earmuffs Leather Gloves (rigging) Disposable Coverall Nitrile gloves
Multi-Gas Monitor Thermometer
Lifeline Air Horn
Retrieval Line Whistle
Dark Safety Glasses Welding Hood Cartridge Respirator Leather Gloves (welding)
Full Body Harness Elect Insulated gloves
Fire resistant coverall
Gas Detective
Ventilation Fans Padlock, Hasp, Tags Traffic Flags
Chemical Goggles Welding Aprons Escape Respirator
Rubber Gloves
Hi-visible Vest / jacket Arm Sleeves Rain Suit Light Meter Air Blower
Lighting (low voltage) Traffic Cones
Cutting Goggles Welding Leggings
SCBA
Rubberized Cotton Safety Shoes Dielectric footwear
Anemometer
Fire Extinguisher Lighting (high lux) Spill Kits
4.0
Potential Environmental Hazards
Noise Soil erosion
Air Pollution (dust) Spills (to ground)
Air Pollution (smoke) Spills (Water)
Air Pollution (vapor) Hazards to Flora & Fauna
5.0
Hazardous Materials (attach MSDS)
Carcinogen
Irritant
Highly Flammable
Toxic
Explosive
6.0
Other Potential Hazards
Electrical
Mechanical (crush points) Dust / Vapor
Ergonomics
Temperature (±) Other Trades
7.0
Additional Instructions
Light / Dark
Pressure (air, water, gas) Ignition Sources
Suffocation
Drink water and take rest breaks in hot weather conditions/Wear warm/suitable clothes in cold weather conditions. No work during low visibility
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
SN
JOB STEPS
POTENTIAL HAZARDS
RISK RATING
PREVENTIVE AND CONTROL MEASURES
Permit-required Confined Space Entry:
1
Entry into a confined space that has one or more of the following 4 characteristics: 1. Contains or has a potential to contain a hazardous atmosphere; 2. Contains a material that has the potential for engulfing an entrant. 3. Has an internal configuration such that an entrant could be trapped. 4. Contains any other recognized serious safety or health hazard.
Hazardous atmosphere (i.e.: oxygen deficiency, flammable, explosive, toxic) or physical hazard (i.e.: electrical, mechanical, pressure, moving parts, engulfment, internal configuration) that cannot be eliminated by a means that does not require active intervention to maintain.
H
The Alhajiry Construction Safety Entry Supervisor must review and approve the entry documentation prepared by the subcontractor (i.e.: entry permit, plans to isolate the space, purging procedures, monitoring equipment, equipment calibration records, communications methods, training records, coordination procedures, and authorizations) and concur on their adequacy. For all permit entries into a PCRS, Alhajiry Construction shall provide for emergency rescue capabilities and personnel as required by OSHA.
If there are multiple employees who will simultaneously enter the PRCS, or if subcontractor and Alhajiry personnel will be working in or near the PRCS, a meeting will be convened to discuss the work that will be performed in and around the PRCS. Entry operations will be coordinated such that employees of one subcontractor do not endanger Alhajiry employees or the employees of any other subcontractor.
RESIDUAL RISK
RESPONSIBLE
L
Site Manager Construction Manager Foreman/supervisor HSE Supervisor First aider
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
SN
JOB STEPS
POTENTIAL HAZARDS
RISK RATING
PREVENTIVE AND CONTROL MEASURES
Reclassification Entry:
2
Entry into a confined space where there is no actual or potential hazardous atmosphere and all physical hazards can be eliminated from outside of the space prior to entry.
Physical hazard (i.e.: electrical, mechanical, pressure, moving parts, engulfment, internal configuration) that can be eliminated by a means that does not require active intervention to maintain.
H
Follow all provisions of Alhajiry’s Confined Space Program. Analyze and eliminate all physical hazards and confirm as acceptable. Reclassify the space as non-permit confined space Proceed with work per the general safe work practices for the space, if any (review the confined space inventory).
RESIDUAL RISK
RESPONSIBLE
L
Site Manager Construction Manager Foreman/supervisor HSE Supervisor First aider
Alhajiry Construction Safety Entry Supervisor continually evaluates conditions to assure that the terms of the entry remain valid.
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
SN
JOB STEPS
POTENTIAL HAZARDS
RISK RATING
PREVENTIVE AND CONTROL MEASURES
Alternate Entry:
3
Entry into a confined space where the only hazard is actual or potential hazardous atmosphere and continuous forced air ventilation is sufficient to safely maintain the space for entry.
Actual or potential hazardous atmosphere (i.e.: oxygen deficiency, flammable, explosive, toxic) that can be eliminated through continuous forced ventilation.
H
Follow all provisions of the under Alhajiry's Confined Space Program. Analyze and eliminate through continuous forced ventilation all atmospheric hazards and confirmed through air monitoring as acceptable. Reclassify the space as alternate entry permit-required confined space. Proceed with work per the general safe work practices for the space, if any (review the confined space inventory).
RESIDUAL RISK
RESPONSIBLE
L
Site Manager Construction Manager Foreman/supervisor HSE supervisor First aider
Alhajiry Construction Safety Entry Supervisor continually evaluates conditions to assure that the terms of the entry remain valid. This includes periodic air quality testing to support the determination that continuous forced air ventilation protects workers in the space.
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
SN
JOB STEPS
POTENTIAL HAZARDS
RISK RATING
PREVENTIVE AND CONTROL MEASURES
Entry into Non-permit Confined Spaces:
4
Entry into a confined space that does not contain or, with respect to atmospheric hazards, has the potential to contain any hazard capable of causing death or serious physical harm.
NIL
H
RESIDUAL RISK
RESPONSIBLE
Verify that confined space is a nonpermit confined space with Alhajiry Competent Person.
Determine if the work may introduce a hazard into that space. If the work may introduce a hazard, then the space may need to be reclassified as PRCS. Contact the Ajhajiry (Safety Manager) to discuss further. If the work will not introduce a hazard, proceed per the general safe work practices for the space, if any (review inventory).
L
Site Manager Construction Manager Foreman/supervisor HSE Supervisor First aider
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Duqm Refinery Project EPC Package One JSA for confined space Rev.0
Task Supervisor Issued
HSSE Representative Checked
CONTRACTOR HSSE Manager Approved
Signature: Name: Emp. No:
Specific prevention and protection measures: All Hazards and mitigation measures reported in the JSA shall be discussed with the working crew by Supervisor/ Foreman and attendance sheet to be signed before starting the work activity. Later, on daily basis, TBT shall be done prior to the activity and signed by all participants.
Pos. #
Attendant Name & Surname
Trade
Signature
1 2 3 4 5 6 7 8 9 10
Supervisor Name & Signature:
______________________________
Date:
________________________
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