CV3038 Stair Tower Bracing JSEA REV.A

CVO PROJECTS - JOB SAFETY AND ENVIRONMENTAL ANALYSIS (JSEA) WORKSHEET
CVO Project Contracting Partner:

Notes JSEA Approval
 Please read the document carefully and sign on to confirm that Risk Ranking After Control put in place
you have understood the instructions set out in this JSEA. (Residual Risk Levels) will require approval in accordance with the following levels:
 If a change to the scope or conditions is identified or you cannot
comply with the JSEA then stop work and see your supervisor.  Low - Supervisor
 JSEA must be modified, re-approved and signed by work team if  Moderate - Department Superintendent / NML Supervisor
job changes.  High - Manager
 Review requirements for completing High Risk Task (HRT)  Extreme - General Manager
Operator Critical Control Checklist (OCCC)
 Note : This JSEA is to be retained for 12 months
JOB TASK LOCATION: Surface T0 CV3037 Developed by (Personnel): _______________________________________________

JOB TASK DESCRIPTION: Upgrade Primary Pulley
__________________________________________________________ _______________________________________________________________________
DATE DEVELOPED: ________________________________________ Approved by Contractor Supervisor: _______________________________________
DURATION: 7 DAYS Signature: _______________________________ Date: _________________________
☐ Contractor Supervisor confirms they have cross Reviewed by HSE (Contractor or CVO Project as required): _____________________
referenced the CRAW and have captured the hazards and Signature ________________________________ Date: _________________________
controls from the CRAW into the JSEA
Reviewed / Approved by: (CVO Projects) ____________________________________
☐ Major Hazards & Critical Controls to be Checked /
Confirmed in Place and Highlighted on JSEA Signature: ______________________________ Date: ________________________
CADIA VALLEY OPERATIONS (CVO) EMERGENCY PROCEDURE LOCATION OF CLOSEST EMERGENCY FACILITIES
Channel 1 Radio Call – Emergency, Emergency, Emergency
Location of Primary Emergency Facility: __________________________
Internal Telephone - 555 External Telephone - 6392 2555
When answered state: Available:  Emergency Assembly Area;  First Aid Kit;  Eye Wash Station
Your Name, Location, Type of Emergency, Number of people
involved & known hazards.
Do not hang up until instructed to do so. Follow instructions given.
1
CONTRACTOR SUPERVISOR - JSEA REVIEW

Name (Print) Signature Date Comment Name (Print) Signature Date Comment
2
3
HAZARD ID – have you thought about: Include any identified Hazards into the JSEA and implement controls to
eliminate or mitigate.
CVO PROJECTS - JOB SAFETY AND ENVIRONMENTAL
 Slips / Trips / Falls ANALYSIS
 Access(JSEA)
/ Egress WORKSHEET
 Hazardous Substances  Electricity
 Ground Conditions  Weather / Climatic
CVO MAJOR HAZARDS  Working at Height ExplosionID/ Fire
 HAZARD – have you thought about: Include any identified Hazards into the
 Poor Housekeeping Manual
 JSEA andHandling
implement controls to eliminate or mitigate.
Identification of CVO Project Major Hazards is  Nearby Equipment  Defective Plant / Tooling
required – mark the box of any hazard listed  Fragile Surfaces ☐ Slips / Trips / Falls
Temperature ☐ Access / Egress
below that you may be exposed to during this  Nearby Personnel ☐ Hazardous Substances
Radiation ☐ Electricity
task.  Inexperience Personnel ☐ Ground Conditions
Vibration ☐ Weather / Climatic
Include any identified CVO Major Hazards into  Uncontrolled Release ☐ Working at Height
Noise ☐ Explosion / Fire
the JSEA and implement Critical Controls to  Observation / Communication ☐ Poor Housekeeping
Inadequate PPE ☐ Manual Handling
eliminate or mitigate.  Signage ☐ Nearby Equipment
Tagging ☐ Defective Plant / Tooling
# ☒ Major Hazard Summary  Isolations  ☐Pinch Points
Fragile Surfaces ☐ Temperature
 Damaging Energies ☐ Interactions
Nearby Personnel ☐ Radiation
1 ☐ Air Blast
☐ Inexperience Personnel ☐ Vibration
2 ☐ Confined Spaces
☐ Uncontrolled Release  Noise
3 ☐ Contact with Electricity ☐ Observation / Communication ☐ Inadequate PPE
4 ☐ Diesel Particulate Matter ☐ Signage ☐ Tagging
5 ☐ Drowning ☐ Isolations ☐ Pinch Points
6 ☒ Entanglement and Crushing  Damaging Energies  Interactions
7 ☐ Exposure to Hazardous Substances
8 ☒ Fall from Height
9 ☒ Falling Objects
Application of the
10 ☒ Lifting Operations
11 ☒ Silica Hierarchy of Controls
12 ☐ Slops Failure should be applied
13 ☐ Subsidence from most effective to
14 ☐ Surface Fire least effective
15 ☐ Surface Inrush e.g. from Elimination
16 ☐ Thermal Stress
down to PPE
17 ☒ Uncontrolled Release of Energy
18 ☐ Underground Fire
19 ☐ Underground Hazardous Atmosphere
20 ☐ Underground Inrush
21 ☐ Underground Rockfall
22 ☐ Unplanned Initiation of Explosives
23 ☐ Vehicle Collision or Rollover
24 ☒ Vehicle Impact on Person
4
5
TASK STEPS POTENTIAL HAZARDS IDENTIFIED HAZARD CONTROL MEASURES
List the steps required to perform the Against each step list the potential hazard Inherent Residual
For each hazard identified list the control measure to
task in the sequence they are carried that could cause injury when the task is Risk Risk
eliminate or minimise the risk of injury
out performed Ranking Ranking
Applicable Major Hazard controls required

Vehicle Interactions - Identified as a CADIA The use of a spotter when in and around congested areas
Major Hazard Vehicle Interactions follow all site rules when driving on the surface and
underground
Applicable Major Hazard controls required
Heavy mobile equipment interactions -
The use of a spotter
Identified as a CADIA Major Hazard
Trained competent drivers who have been VOC’d
Clear layout plan
Mobilisation and demobilisation of
Poor area set up Continuous housekeeping
work fronts and job set up
Rubbish removal and storage
Loads and lifting -Identified as a CADIA Applicable Major Hazard controls required
Major Hazard Competent and VOC’d rigger and crane operator.
Clear communication and spotters to be in place before lift
commences.
Rehydrate
Fatigue Long Shifts Frequent rest breaks
Fit for Work
Notify other teams & area owners of the Noise / Traffic / area access / Ensure adequate communication to team leaders and to
works unfamiliar site Hazards work groups adjacent
Conduct a Prework briefing with area owners about
Maxitools planned work scope and required zones
Barricade off work area Moving machinery with possibility of Create exclusion area with clear information tags
collisions or impact resulting in personnel Check ground for water and debris.
injury or equipment damage. Be aware of other plant operating in the area
Slips, trips (boom/scissor/fork/etc.).
Clear all unrequired personnel from work area.
Have a spotter in place at all times.
6
Unsafe equipment Complete checklist/logbook when completing the pre-op

checks
Complete pre-start and after start Damaged equipment Report faults/problems that can’t be rectified before work
checks on Crane and EWP starts
No records of checks been done Complete a check sheet or logbook for harnesses and
Damaged harnesses and / or lanyards lanyards ensure equipment is in good order and tagger
yellow
Collision from Vehicle Interaction The use of a spotter when in and around congested areas
Follow all site rules when driving on the surface
Set Up crane Barricading
Crane roll over from Incorrect Position Prestart briefing of work scope and lifting requirements.
Positive communication with competent operator.
Site walk through prior to works to assess ground
conditions.
Collision from Vehicle Interaction The use of a spotter when in and around congested areas
Follow all site rules when driving on the surface
Barricading
EWP rollover from Incorrect Position Prestart briefing of work scope.
Set up EWP Positive communication with competent operator.
Site walk through prior to works to assess ground
conditions.
Drop objects and tools from Working at Only trained and competent persons to work on task. Inspect
heights harnesses and tooling is in good order.
360-degree Exclusion zone barricading to be set up with
Mark out bracing end holes and drill. Dropping materials / tools Ensure no tags.
information one is working below the work area
Cuts from swarf barricades/signage
Use tool lanyard if must be erected around the work area.
required
Incorrect hole alignment Use cut 5 gloves for task
Ensure tradesmen have a clear understanding of task and
drawings
Ensure tools are in good order and batteries are charged
7
Caught between surfaces, crush injuries to Keep hands off bracing using tag line to stabiles channel
hand/fingers. 2 people to manipulate brace into position
Lift bracing in position and Channels to fall from incorrect rigging Have Positive communication of lifting plan and travel path
Bolts ends with work crew.
Swinging of channel could cause damage to Set up Clear exclusion/drop zones.
structure, EWP, and crane Inspect all rigging gear and insure it is tagged and in good
order.
Drill remaining holes and rattle up High-speed moving parts, potential Conduct a visual inspection of the leads and tool prior to
bolts. laceration and entanglement risks each use. If any defects are identified, do not use the tool
and hand it to the site manager for repair.
(REPEAT THE SAME PROCESS
FOR ALL 4 BRACES) Ensure all guards are fitted to the power, DO NOT use if
guards are missing.
Ensure all clothing is tucked in to avoid entanglement with
any moving parts
Always wear eye protection and hearing protection when
Noise using all power tools. If necessary, gloves should be worn to
protect the hands from flying particles and hot materials.
Flying particles, cuts Ensure other site workers are not at risk from flying
particles, if necessary, position screens to contain flying
particles.
Ensure all flammable materials are removed from the
Vibrations immediate work area and if necessary, ensure a fire
extinguisher is available.
Share workload
8
Pack up work area & notify area Debris, rubbish left on site Remove all barricading, rubbish, from site and put in
owners Area owners unaware of site conditions appropriate bins.
Removing all tooling back to Maxitool compound
Crane and ewp to demob
Communicate and debrief with area owns we have left work
area
JSEA SIGN ON REGISTER INFORMATION

The purpose of this sign on register is to provide an auditable trail of compliance that the workers (and other persons) whose names and signatures appear below have
conducted a Job Safety Environmental Analysis (JSEA) on the above stated Task and have -
a) Participated in the development of the above JSEA (with a minimum of 2 workers conducting JSEA) or have undertaken points d, f and g;
b) Identified each step of the Task/Job to be undertaken, identified all hazards associated with each step and have eliminated or implemented means of controlling
identified hazards to an “As Low As Reasonably Practical” risk, using Hierarchy of Control measures and in accordance with site rules/regulations/procedures.
c) Have had the JSEA listed above approved by all nominated persons;
d) Reviewed this JSEA and agree that the Task/Job is safe to undertake;
e) Developed this JSEA with reference to Major Hazards in addition to localised hazards
f) Received all necessary information and instruction relating to the JSEA listed above;
g) Read and understood the requirements of the JSEA listed above.
Personnel whose names and signatures appear below on this register will:
1) Ensure compliance at all times with the requirements, steps and controls documented in the JSEA stated above;
2) Act in accordance with the directives and information contained in the JSEA stated above.
3) Cease work, control and record any step/hazard that has changed in the Task/Job being undertaken that has not been identified in the original JSEA completion
NOTE – This JSEA is to be signed daily by members of the working party
9
JSEA SIGN ON REGISTER

Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date
JSEA REVIEW – CHANGE MANAGEMENT

10
Has the work area, details of the task, tools or equipment changed since the JSEA was developed? JSEA’s need to be revised any time something changes or
something new is added to the task. Look around and identify new or changed risks and hazards that are present in the work area and update this section to identify
added controls required to mitigate the risk. Review requirements for completing High Risk Task (HRT) Operator Critical Control Checklist (OCCC).
What Task Steps listed previously What additional Hazards have been What Controls are required? Initial (sign)
require further/specific analysis? identified?
11
CVO PROJECT SUPERVISOR - JSEA REVIEW – CHANGE MANAGEMENT
12
Name (Print) Signature Date Comment Name (Print) Signature Date Comment
13

CV3038 Stair Tower Bracing JSEA REV.A

Uploaded by

Copyright:

Available Formats

CV3038 Stair Tower Bracing JSEA REV.A

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

CV3038 Stair Tower Bracing JSEA REV.A

Uploaded by

Copyright:

Available Formats

CVO PROJECTS - JOB SAFETY AND ENVIRONMENTAL ANALYSIS (JSEA) WORKSHEET

CVO Project Contracting Partner:

JOB TASK LOCATION: Surface T0 CV3037 Developed by (Personnel): _______________________________________________

DATE DEVELOPED: __ Approved by Contractor Supervisor: _

DURATION: 7 DAYS Signature: _______ Date: _

CONTRACTOR SUPERVISOR - JSEA REVIEW

Applicable Major Hazard controls required

TASK STEPS POTENTIAL HAZARDS IDENTIFIED HAZARD CONTROL MEASURES

Unsafe equipment Complete checklist/logbook when completing the pre-op

TASK STEPS POTENTIAL HAZARDS IDENTIFIED HAZARD CONTROL MEASURES

TASK STEPS POTENTIAL HAZARDS IDENTIFIED HAZARD CONTROL MEASURES

JSEA SIGN ON REGISTER INFORMATION

JSEA SIGN ON REGISTER

JSEA REVIEW – CHANGE MANAGEMENT

CVO PROJECT SUPERVISOR - JSEA REVIEW – CHANGE MANAGEMENT

You might also like