JOB SAFETY ANALYSIS RECORD SHEET

PLANT/EQUIPMENT Department: Date: Field visit conducted by all JSA participants? Yes/ No
SAPMT-RNLGPD
PSU-30-2 Division/Unit: Field Visit date:
ROUD-30-2 JSA #
1. DESCRIPTION OF ACTIVITY

Prepared by: NAME SIGNATURE APPROVAL

(for participation and field visit)

Unit Head_________________________ Date:________________

Division Head: ___________________ Date: _______________

o Notify the Safety Compliance Team and Loss Prevention o Safety Compliance Team representative may conduct
representatives prior commencing the job unannounced audits or spots checks as per procedure
References (GI, RIM): Special safety equipment required:
● GI 2.100 Work Permit System – SMS 6.01 – 6.04 Job specific P.P.E i.e. hard hat, safety glasses, safety shoes, hand
● GI 2.709 Gas Testing Procedure gloves, barrier and appropriate signage, fire retardant cloth,
● GI 7.025 Heavy Equipment Operator Testing Certification personal gas detectors to be on site.
● GI 7.026 Crane and Heavy Equipment Incident Reporting Procedures
● SAES Saudi Aramco Standards Engineering Standards
● SAES-Q-001- Criteria for Design & Construction of Concrete structures
● SAES-Q-007- For Foundation of Heavy Machine
● ACI-211-Method of Proportioning Concrete Mix Design

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 References (GI, RIM):
● ACI-336-Specification for Construction of Drilled Piers
● ASTM-D5882-Pile Integrity Test Method
● ASTM-D1143-Standard for Compression Load Test
● ASTM-D3966-Standard for Lateral Load Test
● ASTM-D3689-Standard for Tensile Load Test
● Saudi Aramco Safety Handbook and Construction Safety Manual
● RIM 1.800 Emergency Response Plan (ERP).
● RIM 1.801 Work Permit (Refinery Areas).
● RIM 1.806 Fire Watch
● RIM 1.803 Personal Protective Equipment.
● RIM 1.802 MX4 and MX6 gas monitor.
● RIM 1.822 Emergency Response H2S release.
● RIM 1.808 Crane Operating Procedures.
● RIM 1.122 Job Safety Analysis.
● GI 7.029 Rigging Hardware requirements.
● SMS 6.01/02/04 Cold/Hot/Release Permits.
● SMS 6.05 Excavation Permit Process.
● SA Construction Safety Manual, Part 1, Chapter 9.0 (Personal Protective
Equipment).
● SA Construction Safety Manual, Part 1, Chapter 11.0 (Fire Prevention).
● SA Construction Safety Manual, Part 1, Chapter 13.0 (Transportation).
● SA Construction Safety Manual, Part 1, Chapter 1.0 (Work Permit System).
● SA Construction Safety Manual, Part 2, Chapter 9.0 (Working places, ladders
& specification).
● SA Construction Safety Manual, Part 2, Chapter 10.0 (Hand tools and power
tools).

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General Precautions:

1. Authorized minimum personnel to enter the area, (Operation & SAPMT shall decide in advance the number of persons allowed to work). All other personnel should
be restricted from the job site.
2. Install warning signs and barricades keep people away from the job site.
3. Use only appropriate and good condition tools for the job.
4. Work permits for the job shall be taken as per the requirement of GI 2.100 (Work Permit System).
5. Pre-task briefing to be conducted prior to start any task.
6. Safe means of access for all the personnel designated to this job.
7. Use / wear the appropriate types of PPE including special PPE, if required for the specific task.
8. No radios or mobile phones are planned to use. Switched off mobile phones (Mobile Phones Restriction).
9. Contractor Supervisor will coordinate and confirm with Control Room Supervisor and Operations of any upset or abnormal situation. Maintain close coordination
and communication at all times with the Operations and Proponent.
10. Keep plant operation on standby alert prior and during job. In case of any upset, they must be available to respond immediately.
11. Inform RSS and other plants about this job before it started.
12. In case the plant emergency alarm is sounded, all work must be stopped, all permits will become automatically cancelled and Emergency Response Plan to be
followed.
13. Monitor the weather forecast that might affect the settlement or condition of Spheroid Tank due to strong wind or earthquake or heavy downpour leading to soil
collapse.
14. Stop work when wind speed for crane operation reaches more than 32 km/hr
15. All applicable chapters of the CSM- Work Site Safety Manual.

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 NOTE: Each JSA must be job specific.

JSA Pre-Approval Checklist Yes/No

Have a field visit been conducted by all JSA participants prior to the JSA development?
Have the JSA been initiated in the system?
Have the Safety Coordinator representative been notified?
Have the Loss Prevention representative been notified?
Is the executor (Saudi Aramco and/or Contractor) part of the JSA discussion and development?
Have the complete JSA documentation been loaded to the JSA database?

1. Use as many lines as needed to list the critical steps. Be specific.

2. There may be more than one hazard per step. List each hazard.
3. Identify the proper control for addressing each hazard.
4. Identify any recommended actions required.
5. Identify responsible position for each critical step and its corresponding hazard controls implementation

NOTE: Any deviation from the agreed on steps and/ or controls will require reevaluation and further assessment of the JSA and the corresponding job.

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 Responsible
Description of Responsible
Hazard Control Measures Party Completion
Work Party
Signature
1. Transportation of 1.1 Traffic hazard during 1.1.1 Trailer truck driver must have a valid Heavy SAG License.
PDA Hammer transport. 1.1.2 Driver improvement program shall be completed by the driver.
weight 8 tons, Falling of materials 1.1.3 Ensure all vehicle and equipment are in good condition
hammer support during transport 1.1.4 Transport materials properly and ensure loads do not exceed ASYAD
stem & test the vehicle manufacturer’s design load capacity. Loads shall be
equipment properly secured and tied down. Materials shall not extend
over the sides of the vehicles. Loads extending beyond the
front or rear shall be marked with a red flag and trailers shall
be equipped with visible brake and taillights.
1.1.5 Comply G.I 6.00 Traffic Vehicle Safety Requirements
1.1.6 Deploy escort vehicle & flagman to accompany the trailer
carrying Heavy equipment
1.1.7 Identify safe traffic route and check the height for transmission
line and gate (if) of the loaded truck.
1.1.8 Identify weight & dimensions of the equipment and this need
to be included the method statement.
1.1.9 Comply PWAS requirement for ALL earth moving equipment’s
and vehicle (identified)
1.1.10 Available wheel chocks must be provided for all rubber-tired
equipment when temporarily parked
1.1.11 Existing site-specific emergency plan to be followed.
1.2 Existing facility 1.2.1 Use authorized and safest plant road
1.2.2 Identify and protect existing facility by proper barricade and
warning signage.
1.2.3 Obey speed limit posted on the road ASYAD
1.2.4 Heavy Equipment shall be kept ≥3m (10 ft) from pipeline,
equipment cable or other obstruction.

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2. Loading & 2.1 Slippage of Hammer 2.1.1 Obtain work permit as per G.I .2.100 from operation prior to
unloading PDA bring equipment to site.
Hammer using 2.1.2 Deploy certified Rig operator by SA approved 3rd party vendor. ASYAD
hydraulic bed)
2.1.3 Ensure ground is firmed and where parked trailer for
and its
offloading.
accessories by
Crane. 2.1.4 Ensure close supervision.
2.1.5 Hammer should be tacked properly at designated place by
providing barricade and signage
2.1.6 Motor vehicles, Cranes and heavy equipment shall be kept
away from the edge of the excavation a distance of 2m (6.5 ft)
or the depth of the excavation, whichever is greatest
2.1.7 Keep clearance ≥ 0.6m (2ft) from any fixed object
2.2 Hydraulic failure 2.2.1 “STOP WORK TRIGGER” if hydraulic leakage or any failure.
2.2.2 Obtain SA inspection sticker from SA ID/Sticker officer for the
trailer and its hydraulic part.
2.2.3 Ensure there is no hydraulic oil leakage ASYAD
2.2.4 Deploy only qualified and experienced driver/operator to
offload the machine from lo bed trailer.
2.2.5 Ensure periodic maintenance are done for the trailer and keep
the maintenance record.
2.2.6 Spill kit should be available at site

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 2.3 Failure of Rigging 2.3.1 “STOP WORK TRIGGER” if found any defective Rigging
hardware hardware’s.
2.3.2 All the rigging hardware’s should be inspected by Competent
person (SA certified Rigger).in compliance with G.I 7.030 ASYAD
requirements.
2.3.3 Load test proof certificate should eb available at site for each
Rigging hardware’s by SA approved 3rd party vendor.
2.3.4 Deploy SA certified Rigger in compliance with G.I 7.025 & G.I
7.028 requirement.
2.3.5 Ensure close supervision at site
2.3.6 Use taglines to control the load.
2.3.7 Each lifting tool / rigging hardware must be colour coded
2.3.8 Safe working load (SWL) & Identification number clearly
marked
2.4 Struck by / Un 2.4.1 Provide barricade with VISIBLE warning signage around the
authorized entry crane swing area.
2.4.2 Deploy trained standby man.
2.4.3 Ensure no one stand/ passing under suspended load.
ASYAD
3 Assembly of the 3.1. Crane failure 3.1.1 Obtain work permit as per G.I 2.100 requirement
Rig using by the 3.1.2 STOP WORK TRIGGER if found any damage on crane
Crane components.
3.1.3 Comply Inspection requirements for the Crane as per G.I 7.030. ASYAD
3.1.4 Deploy SA certified operator for related model of the Crane as
per G.I 7.025 requirements.
3.1.5 Ensure no one stand/ passing under suspended load
3.1.6 Daily pre use inspections checklist must be conducted by
operator on all mechanical and heavy equipment
3.1.7 Heavy equipment shall be kept ≥ 3m(10ft) from pipeline,
equipment, cable or other obstruction.

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3.2 Rigging hardware 3.2.1 3.2.1 “STOP WORK TRIGGER” if found any defective Rigging
hardware’s.
3.2.2 All the rigging hardware’s should be inspected by Competent
person (SA certified Rigger).in compliance with G.I 7.030
requirements. ASYAD
3.2.3 Load test proof certificate should eb available at site for each
Rigging hardware’s by SA approved 3rd party vendor.
3.2.4 Deploy SA certified Rigger in compliance with G.I 7.025 & G.I
7.028 requirement.
3.2.5 Ensure close supervision at site
3.2.6 Use taglines to control the load.
3.2.7 Each lifting tool / rigging hardware must be colour coded
3.2.8 Sling angles less than 30 degrees above the horizontal shall not
be used.
3.2.9 Safe working Load (SWL) & Identification number clearly
marked
3.3 Falling of the 3.3.1 Provide Man lift for personal movement to the height.
person/tools during 3.3.2 Provide Full body harness with Suspension trauma for the
assembly crew.
3.3.3 Crew shall be trained on Fall protection who will be working at
height.
ASYAD
3.3.4 Use approved Full body harness as per CSM.
3.3.5 Use tool carrying bag and ensure that it is secured on the
manlift and remove all unwanted tools from height and shall
be secured on the man lift platform.
3.3.6 Provide barricade with warning signage.
3.3.7 Deploy stand by man to prevent un authorized entry.

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4. Preparation of 4.1 Burns, fire, Eyes 4.1.1 Only Trained Worker (Hot work Specific Training) shall
pile head to injuries, hand perform this job.
install Four PDA Injuries, High noise, 4.1.2 Allocate fire extinguisher
sensors by Electrocution 4.1.3 PPE Minimum Mandatory required ASYAD
grinding & 4.1.4 Eyes on Task
drilling on sides 4.1.5 Need use ear protection during grinding use
of pile. 4.1.6 Avoid grinding sparks hit the fuel
4.1.7 Use only approved power tools with color coded checked
4.1.8 Verify grinding discs maximum speeds adequate for grinders
used
4.1.9 Verify disc (RPM) conditions
4.2 Noise 4.2.1 Provide proper ear protection (ear plug/ ear muff) for the crew
working nearby. ASYAD
4.2.2 Provide warning signage regards ear protection requirement
5 Using Crane for 5.1 Ground failure to 5.1.1 Area shall be hard barricaded with sign boards
Unloading support the crane and 5.1.2 All lifting gears checked prior to start lifting
hammer from failure to support the 5.1.3 Crane shall never exceed 75% of its load chart
truck and base of load, 5.1.4 Crane Operator and Rigger third party certified ASYAD
placing on top Drop down 5.1.5 Crane daily inspected by operator before start work.
of pile head, Falling object 5.1.6 Two guide ropes always there while lifting ongoing
lifting and 5.1.7 PPE Minimum Mandatory required at all times of work site.
holding PDA 5.1.8 Assess weather conditions, wind & Heat
hammer at 5.1.9 Competent person only allows performing PDA test.
required height
5.1.10 Unauthorized person not allow to enter the jobsite
to make free fall
on pile top
during test
performance.

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6. Shifting of test 6.1 Ground fails to sport 6.1.1 Lifting Operation according with contractor Lifting requirements
equipment from the crane. Fall of load, 6.1.2 Ensure that the operator is trained and competent and must
one test Fall of workers. hold valid KSA License and Third-party Certification.
location to 6.1.3 Ensure that the equipment is fit for purpose and must be
another test inspected prior to going on to site and holding the relevant
sticker of conformance from contractor.
location or take
6.1.4 Use only good condition, Inspected, Color Coded (As per
out from the contractor) lifting tools and tackles.
project site. 6.1.5 All Lifting Gears checked prior to start lifting
6.1.6 Conduct Tool box talk meeting prior to start the task.
6.1.7 Verify that Tail Crane will be used according with contractor
Lifting requirements
6.1.8 Deploy trained, competent riggers to execute the job.
6.1.9 Deploy competent crane operator to do the job.
6.1.10 Crane Daily Inspected by Operator. ASYAD
6.1.11 Assess the ground condition prior to the positioning of the
Piling rig for stability
6.1.12 All hydraulic hoses will be inspected prior to works operations
6.1.13 No defective hoses will be allowed to be used.
6.1.14 A Flag man will be present during any movement of the piling
rig.
6.1.15 A restriction zone will be established to prevent unauthorized
entry of personnel.
6.1.16 Follow the lifting by securing loads with double guide ropes
6.1.17 No work/personnel movement under suspended loads.
6.1.18 Use full body harness when going to work more than 1.8 mtr.
7. Working in 7.1 Heat stress 7.1.1 Ensure all personnel have correct PPE such as hard hat,
hot Heat cramps safety glasses, coverall, safety shoe, hand gloves, & ear
environment Heat stroke protection.
7.1.2 Rest shelter not to be more than 50 feet away from the ASYAD
work.
7.1.3 Ensure plenty of drinking water is provided.
7.1.4 Heat stress awareness will be given to all workers prior to
start the work.

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8. Emergency 8.1 Fire Medical 8.1.1 Make sure emergency contact numbers are placed and
response Emergency Emergency Protocol to be followed
8.1.2 Ensure rescue equipment are available on site ASYAD
8.1.3 Area to be barricaded, no one will be allowed to enter the
area ERP should be activated and followed.
9. Finishing, 9.1 Materials left on 9.1.1 Ensure that all wastes materials have been removed from
Housekeeping the ground, unprotected the work area to the designated waste area.
9.1.2 Ensure that the wire ends are kept protected. If applicable ASYAD
protruding wires and close out the work permit.
rods

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