Classification: Internal Use #

OPERATIONS MANAGEMENT SYSTEM OMS No. SHEM02.02

Rev. #( 1 ) Date Jan-22
SAFER - Health and Safety Risk Assessment Attachment 5.1: JSA Format
Next review Date Dec-25

JOB SAFETY ANALYSIS (to be filled out by Operations/Maintenance Staff or Group Leader together with JSA Team Members)
Job Description: Entry into confined space of 11TK30 for Abrasive JSA number : Requester name:
blasting, Painting and inspection. FSN-OLF-IV-2023-MMD-01
Area: OLF IV

Job Location: 11TK30 Mention Applicable Procedures: SHEM 08.10,SHEM 08.8,SHEM 08.09,SHEM 08.03,SMP-AB-01, SMP-OS-
005&OMS,CGPE-046.
Team Leader: Dept: Use additional sheets if necessary.
Attachments: Yes / No If Yes state number of pages:
Name & ID: Date:
Remaining Risk Level
No. Job Steps Potential Hazards Risk Level Steps to Reduce Hazard

1 Personnel Entry in 1.1 Atmospheric Hazard C3,L4 / MINOR 1.1.1 Verify decontamination /de pressurization/blinding and C3,L5 INSIGNIFICANT
Confined Space from top obtain LOTO/Equipment isolation certificate and refer SOP.
Side & Bottom side
manway using by
scaffolding access. 1.1.2 Oxygen level should be 20.8%, LEL 0%.

1.1.3 Comply with ventilation rate as per SHEM and Provide

Air movers as per ventilation plan.
 scaffolding access.

Classification: Internal Use #

1.1.4 Ensure the ventilation hose is connected by experienced

personnel and verified by execution Supervisor. Execution
supervisor shall in form PK-N area maintenance supervisor or
responsible contractor providing ventilation setup incase not
having adequate ventilation.

1.1.6 Ventilation hoses shall be connected properly and air

movers secured properly.

1.1.5 Ensure air remover is working well and grounding is

provided at all times
1.1.6 Exhaust of running equipment shall not enter confined
space and consider wind direction while placing the machine.

1.1.7 Entrants must carry caliberated oxygen gas

monitor 4:1 ratio & Breathing apparatus shall be standby.

1.1.8 Assure proper frequency of gas test every 2hrs or as per

WP.

1.2 Unauthorized Entry C3,L4 / MINOR 1.2.1 Ensure that authorized standby man available with C3,L5 INSIGNIFICANT
additional log sheet.

1.2.2 Only authorized & qualified persons shall be allowed to

enter confined space with valid work permit. Entrant shall
entry exit from same manway unless in emergency situation
(notify and log in/ log out accordingly).

1.2.3 Approved rescue plan shall be available as per entry

permit and the entrants shall not exceed as mentioned in the
plan.

1.2.4 Standby man shall ensure that the entrance of confined

area barricaded & placed warning signage’s, during breaks
and after completion of job.
Classification: Internal Use #

1.3 Improper communication with 1.3.1 Ensure all entrants out of confined space if required C3,L5 INSIGNIFICANT
the entrants fueling of compressor supplying ventilation.

1.3.2 Evacuate the space in case of any abnormal smell or any

change in the condition. Inform standby man & operations
immediately.

1.3.3 Standby man shall be ensure that all requirments are

fulfilled written in the rescue plan and work permit before
entering the people inside the confined space

1.3.4 Stand by man shall establish eye to eye contact with

entrants.
1.3.5 Standby man must have emergency air horn (non-
flammable) and intrinsically safe flash light.

1.3.6 Effective supervision is required to monitor the activity

at all times.

1.4 Slipping hazard C3,L4 / MINOR 1.4.1 Provide proper access way near the entrance of C3,L5 INSIGNIFICANT
confined space and do not stock material, use the strap
method to hold the required cables away from entrance.

1.5 Poor Illumination C3,L4 / MINOR 1.5.1 Adequate 24V lighting should be provided. Ensure not C3,L5 INSIGNIFICANT
exceed 110V. The lighting equipment (intrinsically & explosion
proof type) shall be used.

1.5.2 GFCI shall be protected from wet area to avoid trip light
inside confined space during activity.

1.5.3 Provide additional approved non-spark able flashlights

to entrants and standby man for emergency purposes.
Classification: Internal Use #

1.5.4 The extension cord shall have a valid PK inspection

sticker. Damaged/frayed Flexible cords/cables/wires shall not
be used. Cords should be inspected before each use. Flexible
cords shall be used only in continuous lengths without splice
or tape.

1.6 Electrical Hazard C3,L4 / MINOR 1.6.1 Electrical cables should not contact with hot, sharp and C3,L5 INSIGNIFICANT
wet surfaces.

1.6.2 Ensure that electrical cables shall be routed without

touching metal parts directly and use insulation pads or strap
method to hold the required cables.

1.6.3 Damaged/frayed Flexible cords/cables/wires shall not

be used. Cords should be inspected before each use. Flexible
cords shall be used only in continuous lengths without splice
or tape.

1.6.4 Flexible/extension cords, hand and stand lights shall be

provided with an electrical inspection sticker.

1.6.5 Electrician shall inspect the electrical setup for confined

space

1.7 Un-organized materials that C4,L4 / 1.7.1 Provide proper access way near the entrance of C4,L5 INSIGNIFICANT
can cause slip, trip and falls INSIGNIFICANT confined space and do not stock material, use the strap
method to hold the required cables away from entrance.

1.7.2 Conduct housekeeping by arranging the cables & tools

away from the access..
 1.7 Un-organized materials that C4,L4 / C4,L5 INSIGNIFICANT
can cause slip, trip and falls INSIGNIFICANT
Classification: Internal Use #

1.7.3 Ensure all work crew knows the nearest safety shower /
eye wash station in case of emergency.

1.7.4 PK-NORTH approved special PPE as per work permit

shall be used.

1.8 Combustible material / C4,L4 / MINOR 1.8.1 Remove all combustible un-needed material around the C4,L5 INSIGNIFICANT
flammable materials (like rags) confined space and specially near the light set-up area (stand
around confined space lighting set- light).
up may lead to fire.

2 Working at height 2.1 Falling personnel or objects C4,L4 / 2.1.1 Ensure the condition of scaffoding ladder before using. C4,L5 /
from scaffolding or ladder could INSIGNIFICANT INSIGNIFICANT
lead to personal Injury.
2.1.2 Use full body harness with 100% tie off and follow
LSR#03 .

2.1.3 Three point contact shall be maintained and do not hold

any material or tools while ascending or descending the
ladder

2.1.4 Ensure proper access to enter confined space, organize

hoses to avoid slip, trip & fall.
2.1.5 Avoid multi level activity inside the confined space

2.1.6 Ensure the work is performing within the provided

scaffolding platform and do not stand out of the guard rail or
over the guard rails.

2.1.7 Do not transfer any materials or tools by throwing

2.1.8 Use chin Strap with helmet. While working at height

2.1.9 Secure materials/tools at height to avoid falling. Ensure

no materials or tools are stored edges of the scaffolding
platform or above toe board level.
Classification: Internal Use #

2.1.10 Immediately stop the activity if found any scaffolding

components are not secured during the work and inform to
the scaffolding supervisor to secure the components then re-
inspection shall be done to resume the work safely.

3 Sand Blasting using Air 3.1 Fire Hazard (Due to Abrasive C3,L4 MINOR 3.1.1 Obtain valid confined space permit and ensure C3,L5 /
Compressor, Hoses, Sand material applying to the object LEL 0% INSIGNIFICANT
Pot,Air Reciver,Air Filter with high pressure)
and garnet or grit 3.1.2 Remove all flammable materials from inside confined
materials. space.

3.2 Whiplashing hazard C3,L4 MINOR 3.2.1 All hoses shall be secure with whiplash arrester and C3,L5 /
safety pin. INSIGNIFICANT
3.2.2 Job supervisor ensure that hoses are not twisted and
sewed

3.3 Static electricity C3,L4 / MINOR 3.3.1 Air compressor shall be properly grounded at proper C3,L5 /
grounding point. INSIGNIFICANT

3.3.2 Blasting nozzle shall be properly grounded

3.3.3 Ensure grounding wire of the hoses shall be in good

condition and checked phisycally by Execution supervisor.

3.4 High Pressure causing personal C3,L4 / MINOR 3.4.1 Ensure all hoses shall be inspected by 3rd party and C3,L5 /
injury due to hose rapture certificates will be readily available. INSIGNIFICANT

3.4.2 Ensure all of the hoses are free from any damages &
contaminations.
 injury due to hose rapture INSIGNIFICANT

Classification: Internal Use #

3.4.3 Ensure metallic tag shall be fixed on the hoses to verify

pressure and validity.

3.4.4 Ensure all of the hoses connections are done by proper

connectors/safety lock pins/Whiplash arrestors.

3.4.5 Ensure sand blasting hoses shall be properly connected

to blasting pot
3.4.6 Ensure Air compressor,sand pot,air receiver and air filter
having valid third party inspection and PK inspection sticker.
3.4.7 Do not attempt to point the blasting nozzle at
personnel’s.
3.4.8 Ensure that sand blasters shall be maintain safe distance
from the object to be blasted while working inside confined
space.
3.4.9 Workers shall be maintain safe distance from the joints
of hoses during sand blasting.
3.4.10 Ensure the dead man switch is in proper operational
condition.
3.4.11 Blasting pressure shall not exceed allowable limits.

3.4.12 Damaged hose shall not be used.

3.4.13 Pressure gauges shall be calibrated and Monitor

blasting pressure.
3.4.14 Technicians and execution supervisor shall be checked
physically integrity of hoses screw before work begins to
prevent diconnection of hoses from holder.
3.5 Improper set up /preparation C5,L4/ 3.5.1 Air compressor must be properly grounded at proper C5,L5 INSIGNIFICANT
INSIGNIFICANT grounding point. Maintain proper communication between
entrance and worker assign for compressor.

3.5.2 All hoses shall be secure with whiplash arrester and

safety pin.
3.5.3 Comply with approved SMP-MM-005
3.5.4 Before starting the air compressor ensure no valves are
in open condition which are not using
Classification: Internal Use #

3.5 Improper set up /preparation C5,L4/ C5,L5 INSIGNIFICANT

INSIGNIFICANT

3.5.5 Job supervisor ensure that hoses are not twisted and
sewed
3.6  Accumulation & inhalation of C3,L4 / MINOR 3.6.1 Sandblaster shall wear blasting hood. All other workers C4,L5 INSIGNIFICANT
dust in the area shall wear dust mask.
Classification: Internal Use #
3.6  Accumulation & inhalation of C3,L4 / MINOR C4,L5 INSIGNIFICANT
dust
3.6.3 Ensure breathing hoses are secured and properly
connected to Co monitor.

3.6.4 Ensure continues ventilation to avoid dust accumulation

inside confined space.

3.6.5 Provide scaffolding frame arround the air remover area

and cover it with canvas to avoid spreading of dust .

3.6.6 Execution area supervisor shall physically check the

condition of air filter, hoses and blasting hood.

3.6.7 Hood view ports made of impact-resistant safety glass

should have a plastic cover screen

3.7 Air Pollution C3,L4 / MINOR 3.7.1 Selection of the garnet shall be done as per PK C3,L5 INSIGNIFICANT
Environmental regulation.

3.7.2 Disposal skips and removal out of PK shall be as per

SHEM-13

3.8 Enriching of carbon monoxide C3,L4 / MINOR 3.8.1 Sandblaster shall be informed to stop activity, if he has C3,L5 INSIGNIFICANT
difficulty in breathing and report to Execution Supervisor.

3.8.2 Ensure CO Alarm is connected with the breathing line

connected to hood and not having kinks. Execution Supervisor
shall verify functioning of alarm prior to activity

3.8.3 Ensure continue breathing air to the blasting hood

during the activity.

3.9 Noise C3,L4 / MINOR 3.9.1Wear earplug protection while doing sand blasting C3,L5 /
activity INSIGNIFICANT
4 Removal of used abrasive 4.1 Falling of materials C3,L4 / MINOR 4.1.1 Use rope & bucket for shifting the waste garnet. C3,L5 /
materials/Housekeeping INSIGNIFICANT
using compressed air and 4.1.2Area shall be barricade with safety signs. The employee
manually. pulling the rope shall be away from the suspended
basket/load.
Classification: Internal Use #

4 4.1 Falling of materials C3,L4 / MINOR C3,L5 /

INSIGNIFICANT

4.1.3 At least 2 person should hold the rope and one end
should be tied off to secure point.
4.2 Inhalation of dust. C3,L4 / MINOR 4.2.1 Wear dust mask while removing garnet waste from the C3,L5 INSIGNIFICANT
confined space.
Classification: Internal Use #

4.2 Inhalation of dust. C3,L5 INSIGNIFICANT

4.2.2 Collect the garnet waste and put in a jumbo bag to

dispose.
4.3 Ergonomics Hazard C3,L4 / MINOR 4.3.1 Ensure the right body posture while manual lifting C3,L5 INSIGNIFICANT
4.3.2 Employee selection in work assignments should be
matched to the job in terms of knowledge and physical
4.4.1 Ensure nobody is standing ahead while performing air
abilities.
blowing

4.4 High pressure C3,L4 / MINOR 4.4.2 The pressure shall be used as required. C3,L5 INSIGNIFICANT

C3,L4 / MINOR 4.4.3 Air supply valve shall be open after proper
communication and whenever required

4.4.4 Air supply valve shall be closed when not in use

4.5.1 Arrange all a materials in the work place and take out
unnecessary materials from the work place

C3,L4 / MINOR 4.5.2 Perform housekeeping before, during and after the work

4.5 Slips and Trips C3,L4 / MINOR 3.5.1 Arrange all a materials in the work place and take out C3,L5 /
unnecessary materials from the work place INSIGNIFICANT
3.5.2 Perform housekeeping before, during and after the work

5 Spray painting using by 5.1 Paints & Solvents vapors C3,L4 / MINOR 5.1.1 Provide adequate ventilation in the confined space. C3,L5 INSIGNIFICANT
Air compressor and causing difficulty in breathing due
Airless spray to improper ventilation. 5.1.2 Ensure provided awareness to the crew about safe
pump,manual painting handling of paints, health hazards, fire hazards and
using by hand tools. precautions from SDS and PDS data

5.1.3 Do not store paints and solvents take only required

amount of paint inside the confined space.
 Air compressor and causing difficulty in breathing due
Airless spray to improper ventilation.
Classification: Internal Use
pump,manual painting
using by hand tools.
#

5.1.4 Use appropriate half-face Cartridge respiratory

protection with face sheild as recommended by SDS and work
permit.

5.1.5 Follow SMP-OS-005 during painting activity

5.2 Fire C3,L4 / MINOR 5.2.1 Do not store paint and solvents under direct sunlight. C3,L5 INSIGNIFICANT
Always keep lid closed of the paint cans/Tins.

5.2.2 Ensure Fire Extinguishers are readily available outside

the job location (temporrary storage and paint mixing area).

5.2.3 Ensure proper bonding and grounding of all Air

compressor and spray machine
5.2.4 Extension cords shall not be taken inside confined space.

5.2.5 Ventilation rate shall be maintained. Gas test shall be

done to ensure LEL 0%.
5.2.6 Paint cans shall not be kept in open condition when not
in use.
5.2.7 No other hot work shall be permitted in the confined
space and out side during painting activity.
5.2.8 Awareness shall be given to crew by FSN supervisor
regarding flammable hazard of paint and not allowing any
source of ignition including any electrical spark to prevent any
fire incident.

5.3 Slipping /tripping hazard that C3,L4 / MINOR 5.3.1 Provide proper access way near the entrance of C3,L5 INSIGNIFICANT
could lead to personal injury. confined space and do not stock material, use the strap
method to hold the required cables away from entrance.

5.3.2 Observe proper housekeeping during and after the job

completion.
Classification: Internal Use #

5.4 Using improper pressure using C3,L4 / MINOR 5.4.1 Inspect the hose before use. The pressure use shall be as C3,L5 INSIGNIFICANT
spray pump per approve by painting QC.
5.4.2 Execution area supervisor shall physically check the
connection of hose.
5.4.3 Spray pump, air compressor shall have valid thirty party
sticker, with certificates readily available.
5.4.4 Exicution area supervisor shall always check the
calibration gauge of the spray pump and their compressor.

5.5 Falling of person from height C3,L4 / MINOR 5.5.1 Visually inspect changing level, curves. and watch you C3,L5 INSIGNIFICANT
that could lead to personal injury. steps.
5.5.2 While working at height use full body Harness with
shock absorber (double lanyard) shall be used and hooked to
firm anchor points (100% tie off is required) assure full
compliance. Uses chin Strap with helmet.

5.6 Falling of objects / materials C3,L4 / MINOR 5.6.1 Secure materials/tools at height to avoid falling. Ensure C3,L5 INSIGNIFICANT
that could lead personal injury. toe board provided and don’t store above toe board level.

5.7 Skin or eye Irritation. C4,L3 / MINOR 5.7.1 Wear full body disposable coverall during spray painting C4,L5 INSIGNIFICANT
and mixing of paint,
5.7.2 Ensure the body is covered properly and that no body
part is exposed to paint material in case any paint splash.

5.7.3 Wear appropriate eye protection(safety glass with face

shield) during spray painting activities.
5.8 Sudden spill of paint due to C4,L3 / MINOR 5.8.1 Verify all the hose connections prior to start of the C4,L5 INSIGNIFICANT
improper connection/ excess activity. .
pressure used than the design.
5.8.2 Ensure using allowable pressure as per manufacturer
recommendation and hose capacity.
5.8.3 ensure gauges are visible and not damaged to view and
confirm.
5.8.4 Ensure emergency eye wash station/safety shower
nearby identified and in working condition.
Classification: Internal Use #

5.9 Damaging of equipment’s C3,L4 / MINOR 5.9.1 Equipment’s shall be protected near by the work C3,L5 INSIGNIFICANT
nearby location like Trans meter, Pressure gages etc…
5.10 Ground contamination C3,L4 / MINOR 5.10.1 Use plastic sheet to prevent ground contamination
while mixing the paint.

5.11 Un expected blockage on C3,L4 / MINOR C3,L5 INSIGNIFICANT

spray painting hose or pump 5.11.1 Stop the activity if any unexpected blockage on
painting hoses. Inform Execution Supervisor and take out all
set up out of confined space.

4.11.2 Depressurized the spray painting related equipment's

prior to shifting out.

4.11.3 Ensure proper communication between worker inside

confined space and worker near the equipment at ground
level.

4.11.4 No troubleshooting shall be done to do depressurized

without supervision.
4.11.3 Ensure proper cleaning to be done by qualified
personnel prior to resume the activity

6 Inspection for Painting 6.1 Uninspected tools or C3,L4 / MINOR 6.1.1 Ensure that elco meter inspected and calibrated prior to C3,L5 INSIGNIFICANT
and abrasive blasting equipment's lead to personal use by qualified person
work using battery injury
operated portable tools. 6.1.2 Ensure all portable/electronics tools are calibrated and
having valid inspection certificate which is using for inspection
job

6.1.3Follow manufacturer operating instruction manual

6.1.4Ensure all the inspection devices are properly insulated

6.2 Falling object 6.2.1 Use shoulder bag to bring the elco meter while using
C3,L4 / MINOR ladder and working at height.

6.3 Static electricity C3,L4 / MINOR 6.3.1Ensure proper grounding while using of holiday detector
to prevent static electricity
Classification: Internal Use #

6 Inspection for Painting C3,L5 INSIGNIFICANT

and abrasive blasting
work using battery
operated portable tools.

6.3 Static electricity C3,L4 / MINOR

Classification: Internal Use #

Section A :JSA Preparation /review Section B: JSA Approval

1- Team Leader (PK maintenance / execution Supervisor): I have led the JSA team
during the preparation phase and I have agreed to the highlighted risks, mitigation 5-Approved by Maintenance \Technical Manager
actions and listed steps of this JSA

NAME & ID : DEPT: NAME & ID : DEPT:

SIGN : DATE SIGN : DATE

2-Contractor/Operator/Subject Matter Expert (as applicable): I have reviewed and

agreed with all steps of this JSA 6-Acknowledged by Area Operation \ Owner Manager

NAME & ID : DEPT: NAME & ID : DEPT:

SIGN : DATE SIGN : DATE

NAME & ID : DEPT:

7-Approved by Department Sr. Manager: (Only required if any of the remaining risks is higher than Insignificant )
SIGN : DATE

NAME & ID : DEPT: NAME & ID : DEPT:

SIGN : DATE SIGN : DATE

3-Operation Supervisor: I have reviewed and agreed with all steps of this JSA 8- Acknowledged by Director (Only required if any of the remaining risks is either Significant or Major).

NAME & ID : DEPT: NAME & ID : DEPT:

SIGN : DATE SIGN : DATE

4-EHSS representative: I have reviewed and agreed with all steps of this JSA 9- Approved by President: (Only required if any of the remaining risks is either Significant or Major).

NAME & ID : DEPT: NAME & ID : DEPT:

SIGN : DATE SIGN : DATE