Manual
HEALTH, SAFETY AND ENVIRONMENT MANUAL
KSDR-L2-05A-HSE
Job Safety Analysis
Form Name
KSDR-L2-05A-02-03-FOR-002
Form No 2
Manual Level
Issue Date 01-Nov-04
Rev. Date 26-Apr-18
Rig: JS-2
Supervisor: Click
Job: Testing standpipe manifold
Number of Personnel Required To Do The Job:
Date: 4-Jun-18
Date Reviewed/Revised: 4-Jun-18
Hard Hats Chemical Barriers Signs / Barriers
X X
Safety Glasses Safety Shields Safety Goggles
Permit To Work Required: Yes / No
Rev. No 4
X
Life Vests Gloves MSDS
COO
JSA I.D.#: JS2-JSA-DR-035
here to enter text.
REQUIRED CONTROL MEASURES: X Boots Respiratory Protection Fire Fighting Equipment
Approved by QHSE
SOP I.D.#: JS2-SOP-DR-035
X
Rig Announcement Communications Hearing Protection Fall Protection
X
HAZARDS Simultaneous Operations Hazards Well Control Hazards Weather Hazard Environmental Hazard
X
If Yes, Type and Number:
Tools Required: Test pump or cement unit with chart recorder, flanged 1502 union, HP hose, barrier tape Sequence of Basic Job Steps Prior to job commencing Raise permit, prepare HP test pump or cement unit and chart recorder Rigging up and testing standpipe and choke manifolds as per programme
Uncontrolled when printed| FORM
Potential Accidents/Hazards (PPE; Body Position; Procedure; Environmental; Tools/Equip) Lack of communications affecting ongoing operations Equipment not suitable for the operation, damaged equipment
Use of hand tools, high pressure test pump or cment unit, blown hoses, spillage and personal injury
Recommended SAFE Job Procedure or Controls Hold pre job safety meeting and discuss the full workscope. Ensure the proposed job will not have any adverse effect on ongoing operations. Raise permit. Check all equipment to be used is in good working condition. Check all hoses and connections, install R clips and whip checks on air hoses. Prior to test starting, barrier off surrounding area, post warning signs, make PA announcement, only competent personnel to run test pump and chart recorder. Complete pressure testing manifold as per procedure and programme dictates. Ensure upon completion of testing the manifolds are lined up correctly, test charts are completed correctly and the relevant post test paperwork and logs are filled in. Clear work areas of equipment, remove barriers and warning signs, make PA announcement and sign off permit.
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Manual
HEALTH, SAFETY AND ENVIRONMENT MANUAL
KSDR-L2-05A-HSE
Job Safety Analysis
Form Name
KSDR-L2-05A-02-03-FOR-002
Form No Manual Level
2
Issue Date 01-Nov-04
Rev. Date 26-Apr-18
Rev. No 4
Approved by QHSE
COO
Additional Risk Assessment: The above steps stay basically the same . Additional risk that change every time need assessing. Do risk assessment on following during pre-job JSA meeting: Weather conditions (Rain, dry, wind, temperature, visability); Time of day (Day Time/Night Time) ; Number of persons doing this job for first time: Any other additional Conditions. PERSONNEL INVOLVED: Name
Position
Company
Signature
Name
Position
Company
Signature
O.I. Line Supervisor
Uncontrolled when printed| FORM
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Manual
HEALTH, SAFETY AND ENVIRONMENT MANUAL
KSDR-L2-05A-HSE
Job Safety Analysis
Form Name
KSDR-L2-05A-02-03-FOR-002
Form No Manual Level
2
Issue Date 01-Nov-04
Rev. Date 26-Apr-18
Rev. No 4
Approved by QHSE
COO
De- Brief At the end of the job/task, all persons involved to discuss the job/task and fill in below De-Briefing section.
List what went well
List What did not go well
List Revisions/changes to be made
JSA Has been revised per De-Brief:
Uncontrolled when printed| FORM
Name/Title____________________________ Signature ____________________________ Date _________________
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