Job Safety Analysis (JSA)
Severity
Date:
02-01-2014
JSA #:
05/JSA-14
AHT. SWIBER
Vessel: ANNA
Page #
of
Band
Labels
Cargo Hose Delivering
Review / Revision #
Barricade
Fall Harness
Face Shield
Goggles
Likelihood
Hard Hat
Hearing Protection
Safety Glasses
Permit__________________________________________
Leather Gloves
Steel-Toed Footwear
Other __________________________________________
Date:
PPE
/ Permits
Job:
Cotton
Gloves Required For
FireThis
Extinguisher
Severity:
1 = Slightly Harmful
2 = Harmful
3 = Extremely
Risk
Criteria Harmful
High
Moderate
Lockout/Tagout Tolerable Work Vest
All Crew
To Be Performed By:
Descriptions
Likelihood:
A = Highly Unlikely
B = Unlikely
C = Likely
Formal JSA Review
______________________________________
Completed Prior to Job
(Masters signature)
Task To Be Performed:
Air Hose
Compressed Gas Hose
Hammer Wrench
Scaffold
Portable Lighting
Other ____________________________________
Chain Fall
Cutting Torch
Impact Gun
Sledge Hammer
Welding Lead
Other ____________________________________
Come-along
Electrical Cord
Ladder
Tag Line
Escape Route ____________________________________________________
Equipment / Tools Required For This Job:
Rigging
/ Rigging Points
Required
For This Job:
Nylon Sling ______
______
______
Wire Rope Sling ______
Size
______
______
Shackle ______
______
______
Wire Rope Sling ______
______
______
Shackle ______
______
______
______
Wire Rope Sling ______
______
______
Shackle ______
______
______
______
Wire Rope Sling ______
______
______
Shackle ______
______
______
SWL
Qty.
Nylon Sling ______
______
______
Nylon Sling ______
______
Nylon Sling ______
______
Size
Choking
Existing Padeye
Field Burned Hole
Vertical
Field Installed Padeye
Field Drilled Hole
SWL
Qty.
Size
SWL
Qty.
Est. weight of load
What is the Weak Link for this rigging plan?
_____________________________________________
Basket
KOM-SOPM-10 Revision : 1
Page 1 of 2
Job Safety Analysis
L = Likelihood
Sequence of Job Steps
Along side to bunker ship
Transfer hose
Connecting hose
Casting off from Bunker
ship
Prepared By:
Potential Hazards
Collution due; engine failure,
loss of steerage, bad weather /
Poor visibility / Damage to
property / Fire explosion /
Human injury or loss of life
Fall due to slip and trip / hand
finger caught in between hose
and bulkwalk top
Wrong manifold;
contamination / inproper camlock coupling connection; loss of
containment / hand finger cought
between couplings; finger injury.
Fouling of propeller by line in
water / Engine failure, bad
weather; collusion / damage
property and human injury /
handling of fuel fuel in contact
with body parts.
EDY SYAM / 2ND MATE
KOM-SOPM-10 Revision : 1
Reviewed By:
S = Severity
R = Risk (see table)
Recommended Safe Procedures / Hazard Protection
Toolbox talk / Test engines and all related equipment prior to approach /
confirm to bunker ship ready to receive vessel / Approch slowly and
manoeuvre vessel carefully /Master to exercise discreation and good
judgments whether to continue operation or to cancel if weather
unfavaurable / Maintain Good communication with bunker ship / Ensure
vessel have good vender to avoid steel to steel contact / stop all hot work /
SOPEP equipment in placed / Contingencies preparedness.
Keep deck clean and tidy / Controlled passing of hose / Dont hold hose to
close to bulwalk top / Work orderly, dont rush concentrate on the job being
done.
Colour coding of Fuel and water manifold & hoses coupling / hose
connection to be done by competent person / connection to be double
checked by duty engineer / Keep hand fingers away from coupling when
connecting / Connecting to be done by two persons
Test engines and all related equipment prior to casting off / Confirm bunker
ship ready to release vessel / Ensure propeller is clear and all lines on deck /
good communication between bridge and deck crew / Master to exercise
good seaman ship to manoeuvre vessel clear of bunker ship / MSDS /
Gloves, cover alls, bunker procedure.
HENDRA M. / CHIEF MATE
Approved By:
RUSDY / MASTER
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