Instrument, Installation & Maintenance Co.
Job Safety Observation Report No: IMCO_JSO_26
P. O. Box 22803, Doha, Qatar
Tel no. 0974-466-79-10/23/24 REPORT Project Title: EPIC FOR POWER
SUPPLY TO DSSA & NWDH
Describe in detail the Job Safety Observation: (including scenarios and recommendations)
_________________________________________________________________________________________________
Date of Job Safety Observation: 10 Sept.’ 07 Time of JSO: 07:00 am
Person Involved: QAIG Workers Company Name: Qatar Al Atiyah
Nationality: Nepali and India Badge Number: Sub Contractor
Location of Incident: 33kV sub station IMCO Worksite Supervisor: Jojo P. Macasa
Brief Description of incident:
At around 7:00 am during concrete pouring for blinding at the s/s-905, 11kV substation, QAIG workers sub
contractor of IMCO has not wearing proper suit protection such as rubber boots and disposable coverall which
are exposed to chemical hazards. Cause of direct contact of the skin and eyes by hazardous substances.
Attach separate sheets if insufficient space; NOTE IMCO_FO_JSO_019a
Action Taken:
Immediately stop the QAIG workers to work and advise them to wear first the proper PPE before continuing
their job activities.
State actions taken to correct and prevent such occurrence: If closed what evidence have you to verify:
If still OPEN state measures for closure:
Recommendation;
1) Worksite Supervisor should alert their people to potential hazards associated to hazardous with materials
(chemicals) a non routine job task.
2) Ensure to wear proper PPE such as rubber boots, disposable coverall and goggles.
3) Ensure that enough time has been allowed to carry out the work efficiently and safely.
4) Ensure that the workers are properly experienced and trained for the work they are to undertake.
5) Ensure that the Safety Rules and Regulation are adhered to and that relevant Safety Precaution is taken.
Confirm if Job Safety Observation is Open or Closed
OPEN CLOSED
If closed sign: Safety Officer: I hereby confirm that the Job Safety Observation has been closed and corrective preventive
methods applied
Signature: Joel Vestal Date open: Date closed:
Reported By: Reviewed and Checked by HSE In-Charge ONLY:
Name: Joel Vestal Name: Francis E. Tan
Signature: Date: Signature: Date:
Designation: Safety Officer Confirm closure if applicable
Are their attachments
YES NO Closed: YES NO
Note: Form must be completed in all sections where possible; clear precise legible reporting must be made, ensure that any
attachments are correctly filled out and stabled or adequately clipped
Form Created: 16_January_07 IMCO_FO_JSO_019
Form revision # : 0