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JSA #65 Main Road Open Cut Road Crossing (Street F) .

The Job Safety Analysis (JSA) Record Sheet outlines safety procedures and potential hazards associated with the Main Road Open Cut Road Crossing project. It includes a detailed list of hazards, corrective actions, and responsibilities for personnel involved in the project, ensuring compliance with Saudi Aramco safety standards. The document emphasizes the importance of proper communication, personal protective equipment (PPE), and traffic management to mitigate risks during the operation.

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Amrou Ben Rjeb
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0% found this document useful (0 votes)
40 views16 pages

JSA #65 Main Road Open Cut Road Crossing (Street F) .

The Job Safety Analysis (JSA) Record Sheet outlines safety procedures and potential hazards associated with the Main Road Open Cut Road Crossing project. It includes a detailed list of hazards, corrective actions, and responsibilities for personnel involved in the project, ensuring compliance with Saudi Aramco safety standards. The document emphasizes the importance of proper communication, personal protective equipment (PPE), and traffic management to mitigate risks during the operation.

Uploaded by

Amrou Ben Rjeb
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 16

JOB SAFETY ANALYSIS (JSA) RECORD SHEET

PLANT/EQUIPMENT DEPARTMENT: Project Pipeline Department Date: 06/25/2023


IDENTIFICATION: Division/Unit: CDPD
Main Road Open Cut: Road Crossing . JSA # 65 Rev. 0
(JTF Area)

Main Road Open Cut Road Crossing (street F).


Prepared & Reviewed:
Name Date Signature Badge No.
(Position)
Prepared By: Safety Sup AMROU B.R 06-25-2023 8284365

Prepared By: EPPM HSE Manager Hichem Ayari 06-25-2023

Reviewed By: SAPMT Project Engineer

Reviewed By:

Reviewed By:

Reviewed By:

Approved By:

Area Operations Foreman:

Signature & Date:__________________________

References (e.g. SA CSM, GI’s, other SA standards, etc.):


Approved MS TSP-JPS1-1-CM-MS-0002 for Earth Work, IFC BI-10-01483 alignment drawings.
GI 2.100 - Work Permit System,
GI 2.709 - Gas Testing Procedure
GI 6.007 - Reporting of Contractor On-Job Injuries/Occupational Illnesses,
GI 6.030 - Traffic Control and Vehicle Safety,
GI 7.025 - Heavy Equipment Operator Testing and Certification,
GI 7.026 - Crane and Heavy Equipment Incident Reporting Procedures,
Gl.1021.000 - Street and Road Closure - Excavation, Reinstatement & Traffic Controls,
GI 150.002 - Basic Life Support (BLS) Heart saver Automated External Defibrillator (AED)/Standard First Aid (SFA) and First Aid Kit,
“*Uncontrolled
GI 151.006 when saved or printed.”
- Implementing the Saudi Aramco Environmental Health Code, 1 of 16
GI 430.001 - Implementing the Saudi Aramco Hazardous HAZARD
Waste Code LEGEND: A=high category, B=medium category, C=low category
S. Hazard
Sequence of Steps Potential Hazards Corrective Action/Recomendation Action By
No. Ranking
1.1.1Work Permit Issuer & Receiver shall conduct a
1.1Miscommunication/ joint site inspection and identify all necessary
Wrong Type of Work potential hazards associated in the work place
Site preparation and B SA WP Issuer/ TSP Receiver
1. Permit. and provide immediate corrective action.
Mobilization 1.1.2 Issue correct type of work permit specific for
(Personnel, Materials the task to be performed.
& Equipment) 1.1.3 Work Permit Receiver shall be SA certified.
1.2.1 All Worker should wear Complete PPE’s and
wear P22 dust mask. B TSP Site Supervisor/TSP WPR/
1.2.2 Identified first aider to be on site. TSP Safety Officer/ TSP
1.2 Physical injuries during 1.2.3 Heat stress index to be on site Workers
loading unloading 1.2.4 Provide adequate water and ice to the work site
materials by during hot season.
manual handling 1.2.5 Provide rest & cool down areas.
Muscular skeletal 1.2.6 Wear jackets, hand gloves, bonnets etc. to make
injuries due to poor you feel lesser colder and avoid frostbites.
posture, over exertion 1.2.7 During break times, head for shelter that will
protect you from wind and rain.
1.2.8 Work area to be free of obstruction & walk
paths around site are clear
1.2.9 All personnel shall undergo internal
Induction and Saudi Aramco Safety Orientation.
1.2.10 WPR, TSP key personnel and other qualified
person shall be present while preparation in
progress.
1.2.11Report incidents and near misses immediately
to supervisor
1.3.1 Supervisor, foreman or any available key
1.3 Trips / Slips/Falls, person in-charge the activity should reviewed
Caught-on/in-between, and discuss JSA to all involved workers at site.
B TSP Site Supervisor/TSP WPR/
Crushing and struck 1.3.2 Properly plan the temporary staging area TSP Safety Officer/ TSP
by/onto hazards during loading/unloading by barricading
Workers
and ensuring walkways to be clear of any
clutters.
1.3.3 Maintain good housekeeping prior to start,
end of work and during work execution.
1.3.4 Personnel to avoid wearing loose tattered
work clothing or unbuttoned shirt and tuck
in all the ends of head scarfs.
1.3.5 Personnel to watch their steps and be
“*Uncontrolled when saved or printed.” 2 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
vigilant of any moving vehicles/ equipment
passing/operating nearby.
1.3.6 To strictly store materials/tools (at their barricaded
designated areas) properly.
segregated and piled up without any protruding
parts that obstruct the walkway.
1.3.7 Maintain a safe distance between equipment
and working crew.
1.3.8 Illumination shall be provided for low light
and night work.
2.1.1 Only trained and certified persons is to undertake
Road Closure traffic B TSP Q/A (E&I)
preparation, setting up management as per Gl.1021.000 - Street and Road
2. 2.1 Traffic controller injured by TSP Site Supervisor/TSP
signs and Traffic
passing vehicle Closure - Excavation, Reinstatement &Traffic Electrician/TSP WPR/ TSP
Control
Traffic injury to personnel Controls, Safety Officer/ TSP Workers
and GI 6.030 - Traffic Control and Vehicle Safety,
2.1.2 Ensure wearing PPE (ie high visibility vest with
reflective stripe, etc.) when working near or on road.
2.1.3 No works at night unless all necessary lights, signage
and correct night PPE is in place.
2.1.4 Ensure all signages requirements for detouring
shall be accordance to the SA requirements.
2.1.5 Assigned traffic control personnel both side of the road
to control the traffic and should wear a reflectorized
vest
with flag
2.1.6 Install blinker lights, and other types of light give
enough Illumination during night time.
2.1.7 JTF Security and Fire Protection Department (FRPD)
shall be notify one week ahead prior to close the road
and obtain Road Closure Permit.
2.2.1 Communication must be clear between the controllers.
2.2 Incident due to inadequate 2.2.2 Signs to be checked for adequacy. B TSP Construction Manager/
traffic management 2.2.3 Traffic control plan shall be properly communicated to Superintendent/Supervisor and
Vehicle collision. all involved personnel. Foreman
2.2.4 Emergency Communication or Contact number shall be /TSP WPR/ TSP Safety
available at site.
Officer/TSP E&I Q/C

“*Uncontrolled when saved or printed.” 3 of 16


HAZARD LEGEND: A=high category, B=medium category, C=low category
2.3.1 Wear appropriate PPE to the environment conditions.
2.3 Weather Conditions 2.3.2 Ensure adequate iced drinking water is available. TSP Construction Manager/
Dehydration / Heat Stress 2.3.3 Seek shelter during times of rest. Shade or cool rest Superintendent/Supervisor and
area to be available for persons on site. Foreman
2.3.4 Supervisors to monitor workers water intake and for
signs of heat stress.
/TSP WPR/ TSP Safety
Officer/TSP E&I Q/C
3.1 Miscommunication from road 3.1.1. Ensure that detour is as per SA standard and
3. Road Diversion users due to substandard detour requirements. A TSP Construction Manager/ TSP
3.1.2 Appropriate number of trained flagman wearing Superintendent/Supervisor
reflective vest must be utilized and /TSP WPR/ TSP Safety
3.1.3 Ensure that detour signboards have been established
prior to closing of the road
3.1.4 Consent/approval from the proper authority must be
acquired
3.1.5 Attached detour drawing in the permit.
3.1.6 JTF Security and Fire Protection Department (FRPD)
shall be notify one week ahead prior to close the road
and obtain Road Closure Permit.
3.2.1 Ensure that detour is as per SA standard and
3.2 Struck by oncoming vehicle requirements B TSP Construction Manager/ TSP
3.2.2 Appropriate number of trained flagman wearing Superintendent/Supervisor and
reflective vest must be utilized /TSP WPR/ TSP Safety
3.2.3 Ensure that detour signboards have been established
prior to closing of the road.
3.2.4 Consent/approval from the proper authority must be
acquired.
3.2.5 Attached approved detour plan in the work permit
4.1.1 Highlight potential hazards and precaution
4. Asphalt/Concrete 4.1 Uncertified Heavy Equipment required as per JSA. A TSP Construction Manager/ TSP
Cutting & Removal Operator 4.1.2 The S.A. Permit Issuer & WPR shall conduct a Superintendent/TSP Supervisor/
joint site inspection to identify and address TSP WPR/ TSP Safety
further hazards, other than JSA-mentioned, to
ensure a safe execution of job.
4.1.3 Approved As-Built Drawing must be available at
site as a reference the exact location of existing
underground utilities.
4.1.4 Used cable/metal detector to identify
underground utilities and obtain SA work permit
requirements.
4.1.5 Do not use mechanical excavator within 3 meters
of any underground pipes, cable or other
obstruction.
“*Uncontrolled when saved or printed.” 4 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
4.1.6 Performed manual excavation (test pit by
applying size of 1.2meter deep x 1.2 meter
4.1.7 Once any existing utilities identified and exposed
apply proper protection to avoid any damage.
4.1.8 Inspect the equipment using for asphalt or concrete
Cutting equipment.
4.1.9 Ensure the operator of concrete or asphalt cutter shall
be trained and competent.
4.2.1 Trained Flagman wearing reflective vest shall be
4.2 Struck by/Struck Against assigned at the work site B TSP Construction Manager/ TSP
4.2.2 Personnel shall not work within the boom radius while Superintendent/TSP
an excavator is in operation or where they could be Supervisor/TSP /TSP WPR/ TSP
struck by any part of the excavator Safety
4.2.3 Non-essential personnel must be kept out of the work
area
4.2.4 Secure the work area with barricades in placed.
4.3.1 All employees must wear proper PPE and experienced
4.3 Personnel Injury (hand and enough to do the job B TSP Construction Manager/ TSP
eye) 4.3.2 Non-essential personnel shall not be allowed to access Superintendent/TSP
the work area Supervisor /TSP WPR/ TSP
4.3.3 First aid kit and first aider will be available at site • Safety
4.3.4 Materials that are not needed must be removed from
the working area in.
5.1.1 Pre-job safety meeting shall be conducted to
5. Excavation / 5.1 Possible hitting of the entire work force to discuss hazard. B TSP Construction Manager/ TSP
Trenching (Manual underground utilities/ 5.1.2Approved As-Built Drawing must be available at Electrical Engineer/TSP
and Mechanical) nearby above utilities/ site as a reference the exact location of existing Supervisor/TSP Certified
Damaged hand tools underground utilities. Electrician
5.1.3 Used cable/metal detector to identify /TSP WPR/ TSP Safety
underground utilities and obtain SA work Officer/TSP E & I (Q/C)
permit requirements.
5.1.4 Do not use mechanical excavator within 3
meters of any underground pipes, cable or
other obstruction.
5.1.5 Performed manual excavation (test pit by
applying size of 1.2meter deep x 1.2 meter
length x 1.2 meter width) to exposed
underground utilities.
5.1.6 Stop work immediately if a line is encountered
And notify to WP issuer.
5.1.7 Once any existing utilities identified and
exposed apply proper protection to avoid any
“*Uncontrolled when saved or printed.” 5 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
damage.
5.1.8 Located spoil piles at least 0.6 (2ft) from the
edge of excavation
5.1.9 Provide ladders and extend a minimum of 1m
(3ft) above the top of excavation wall.
5.1.10 Maintain safe distance as per Saudi Aramco
requirements when working near energized
Utilities.
5.1.11 All hand tools has been being used during
manual excavation shall be inspected and
color coded.
5.1.12 WPR, TSP key personnel and other qualified
person shall be present while activity in
progress.
5.1.13 Slopping, benching, shoring and/or sheet
pilling method must comply with Saudi
Aramco CSM requirements.
5.1.14 Driver/Operator to be SAG licensed and
must complete the Qyadati online
defensive driving training/test.
5.1.15 Operator to comply with the certification
requirements as per GI 7.025.
5.1.16 Driver/Operator to familiarize with the
route and location prior to mobilization
5.1.17 Deployment of flagmen in constricted
areas and road crossings where traffic/
equipment are expected to pass or operate.
5.1.18 Drivers/Operators to always follow traffic
signs and rules/regulations.
5.1.19 Daily prestart inspection to be conducted
on equipment/vehicle. Seatbelts to be
worn while driving/operating.
5.1.20 Heavy equipment shall have Warning
triangle, Proximity Warning Alert System
(PWAS), Fire extinguisher & First Aid Kit
5.1.21 Ensure to secure any loads using cargo
straps or any means of securing the load
prior to departure.
5.1.22 Comply as per GI 6.030 requirements (Traffic
Vehicle safety).
5.1.23 Obtain Work Permit prior to start any activity,
unloading any materials inside ARAMCO
“*Uncontrolled when saved or printed.” 6 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
restricted area
5.2.1 Supervisor, foreman or any available key
5.2 Slips, Trips & Fall person in-charge the activity should reviewed B TSP Construction Manager/ TSP
and discuss JSA to all involved workers at site. Supervisor/TSP WPR/ TSP
5.2.2 Properly plan the temporary staging area Safety Officer/TSP (Q/C)
during loading/unloading by barricading
and ensuring walkways to be clear of any
clutters.
5.2.3 Maintain good housekeeping prior to start,
end of work and during work execution.
5.2.4 Personnel to avoid wearing loose tattered
work clothing or unbuttoned shirt and tuck
in all the ends of head scarfs.
5.2.5 Personnel to watch their steps and be
vigilant of any moving vehicles/ equipment
passing/operating nearby.
5.2.6 To strictly store materials/tools (at their
barricaded designated areas) properly.
segregated and piled up without any protruding
parts that obstruct the walkway.
5.2.7 Maintain a safe distance between equipment
and working crew.
5.2.8 Illumination shall be provided for low light
and night wok
5.3.1 Unwanted materials and any obstruction from
5.3 Eye Injury/ Hand Injury/ the area should be cleared. B TSP Construction Manager/ TSP
Noise/Dust Inhalation 5.3.2 To strictly store materials/tools (at their Supervisor/
barricaded designated areas) properly /TSP WPR/ TSP Safety
segregated and piled up without any Officer/TSP (Q/C)
protruding parts that obstruct the walkway.
5.3.3 Barricade the area, workers should wear safety
Glass, Wear P22 Dust Mask
5.3.4 Weather gloves (Cotton or Leather)
5.3.5 Wear ear plugs or ear muffs.
5.4.1 Any excavation deeper than 1.2m (4ft.) is considered
5.4 Cave in (collapse of side as confined space. B TSP Construction Manager/ TSP
walls) 5.4.2 A confined space work permit shall be obtained and Supervisor/
gas test shall be performed prior to entry. /TSP WPR/ TSP Safety
5.4.3 Unauthorized personnel are not allowed to enter the Officer/TSP (Q/C)
work location.
5.4.4 Shoring/ sloping/ benching of excavation according to
the soil conditions.
“*Uncontrolled when saved or printed.” 7 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
5.4.5 Excavation and Shoring guide shall conform with the
minimum requirements per SA CSM II-1
5.4.6 Apply Shoring, Benching, and sloping system.
6.1.1 Ensure the operator and the driver has a valid TSP Construction Manager /TSP
6. Hauling/Removal of 6.1 Miss communication between certification. B Supervisor/TSP Certified
Concrete or Asphalt Loader and Driver resulting to 6.1.2 Both Driver and operator shall agreed the positioning Operator and Driver
Waste and spoiled hitting/collision between two of the dump truck during loading of waste materials. /TSP WPR/ TSP Safety
equipment during 6.1.3 Driver and operator shall be aware the load capacity of Officer/TSP E & I (Q/C)
sand
hauling of waste materials the dump truck.
6.1.4 Provide trained flagman to assist during loading and
dispatching.
6.1.5 Barricade and install signages the area of operation
6.1.6 Do not allow anyone to standing near both equipment.
6.1.7 Ensure the Dump Truck Driver is setting down on his
cabin.
6.1.8 Ensure the Vehicle are fully parking Brake to avoid
sudden movement.
6.1.9 Position the dump truck in the level ground and
compacted ground
7.1.1 Shoring/ sloping/ benching of excavation according to
7.1 Equipment Falls into the soil conditions. B TSP Construction Manager /TSP
excavated pits 7.1.2 Unauthorized personnel are not allowed to enter the Supervisor/TSP Certified
work location. Operator and Driver
7.1.3 A confined space work permit shall be obtained and /TSP WPR/ TSP Safety Officer
gas test shall be performed prior to entry
7.1.4 Maintained safe distance of equipment from the edge
of trench.
7.1.5 Barricading shall be done to avoid fall into the
excavated trenches.
7.2.1 Barricading shall be done to avoid fall into the TSP Construction Manager /TSP
7.2. Dust Inhalation excavated trenches. B Supervisor/TSP Certified
7.2.2 Ensure all workers shall wear a complete PPE’s. Operator and Driver
7.2.3 Apply watering (dust control) the sand to minimized /TSP WPR/ TSP Safety Officer
the dust.
7.2.4 Prior to dispatch the dump truck going to land fill area
ensure the dump box or dump bed are cover by net to
avoid any falling objects.
8.1.1 Prior to dispatch the dump truck going to land fill area
Transportation and 8.1 Over speeding/Collision ensure the dump box or dump bed are cover by net to B TSP Construction Manager /TSP
8. /Overloaded and sudden releases avoid any falling objects. Supervisor/TSP Certified
Disposal of waste to
of load on the road. 8.1.2 Ensure the Driver familiar the traffic signs and speed Operator and Driver
Land fill limits, /TSP WPR/ TSP Safety Officer
“*Uncontrolled when saved or printed.” 8 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
8.1.3 Prior to travel driver must be ensure all safety latch of
the dump bed are tight and in good condition.
8.1.4 Driver shall be familiar the location of the land fill
area.
8.1.5 Ensure the materials loaded in the truck are not exceed
to the load capacity required.
9. Asphalt repair 9.1 Mechanical 9.1.1 Personnel should be provided and use complete and
Falling load proper PPEs B TSP Construction Manager /TSP
9.1.2 Toolbox meeting prior to start work. Supervisor/TSP Certified
9.1.3 Only qualified person should concerned for this Operator and Driver
operation /TSP WPR/ TSP Safety Officer
9.1.4 Supervision full time
9.1.5 Fire extinguisher should be available all the time
9.1.6 good Housekeeping for work area should be
maintained during work hours and before to leave the site
evening time
Ensure that asphalt repair machine is in good condition and
inspected by competent person.

10.1.1 All waste materials (e.g. scraps, debris, electrical


House Keeping and 10.1 Improperly handling & wire) shall be immediately removed in the work area B TSP Construction Manager/ TSP
10. disposal of waste. and contained in waste receptacles. Electrical Engineer/TSP
DISPOSAL OF WASTE
Uncollected waste 10.1.2 Waste materials shall be properly disposed on Supervisor/TSP Certified
MATERIALS sanitary landfills approved by the Saudi Aramco. Electrician
10.1.3 Maintenance liquid wastes such as used oils will /TSP WPR/ TSP Safety
be stored in a closed, watertight and leak proof Officer/TSP E & I (Q/C)
containers so designed for the purpose and
bonded to 120% of the container volume with
impervious plastic or similar lining the bund.
10.1.4 Each storage container of used oil waste will be
plainly labelled with appropriate warning notices
i.e. 'Used Oil-Combustible', etc. Containers'
storage area shall be isolated or free from
potential sources of ignition or open flame and
shall be plainly identified with warning notices.
10.1.5 Execute every day before and after
Housekeeping
11.1.1 Call at Saudi Aramco emergency number 911 and
11. Emergency 11.1 Serious incident, report emergency such as; C TSP Construction Manager/ TSP
Personnel serious Tell two times, “this is an emergency Electrical Engineer/TSP
Reporting
injuries, fatality or ““this is an emergency” Supervisor/TSP Certified
property damage Tell your name and SA ID number Electrician
“*Uncontrolled when saved or printed.” 9 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
Tell the location and type of emergency. /TSP WPR/ TSP Safety
Tell how many personnel are injured Officer/TSP E & I (Q/C)
Tell what kind of emergency help is
required (ambulance or fire truck)
12.1.1 In case of emergency follow the following steps
12. Evacuation 12.1 Fire or explosion, Stop all activities:
major spillage, release Shutdown work equipment C TSP Construction Manager/ TSP
of toxic gas Evacuate to the safe area Electrical Engineer/TSP
Roll call is taken to ensure all workers are present Supervisor/TSP Certified
No one allowed return to work until notification Electrician
received from SA that it is safe to do so. /TSP WPR/ TSP Safety
Officer/TSP E & I (Q/C)
13.1.1 Provide adequate water and ice to the work site
13. Heat Stress 13.1 Heat Rash Heat Rash Heat during hot season. B TSP Construction Manager/ TSP
Cramps Heat Cramps 13.1.2 Provide rest & cool down areas. Electrical Engineer/TSP
Heat Syncope (light headed 13.1.3 In cold weather Wear jackets, hand gloves, bonnets Supervisor/TSP Certified
> faint) Heat Syncope (light etc. to make you feel lesser colder and avoid Electrician
headed > faint) frostbites. /TSP WPR/ TSP Safety
Heat Exhaustion 13.1.4 During break times, head for shelter that will protect Officer/TSP E & I (Q/C)
Heat Exhaustion you from wind and rain.
Heat Stroke 13.1.5 In hot weather drink plenty of water, and take break
in regular intervals and follow the heat index chart.
13.1.6 When the air temperature is less than 37°C (99°F),
fans or portable air movers may be used to reduce
heat stress by increasing the air flow in the work area
adequate supply of potable drinking water and ice
will be supplied to employees as per project
standards. Workers must be encouraged to drink
plenty of waters as often as they need. Area HSE
Staff will monitor the adequacy of the supply and
status of all drinking station.
13.1.7. The risk to be assessed as per the demand of all jobs
and monitored with control strategies for hot days.
13.1.8. Increase the frequency and length of rest breaks, the
daily work schedule is to be posted in the heat stress
shelters and notice boards in multiple languages.
13.1.9 Provide adequate amount of wholesome drinking
water near work place.
13.1.10 TSP and sub-contractor to provide industrial type
Fans in each rest shelter for cooling.
13.1.11 Reduce work activity levels to reduce the amount
of metabolic heat internally generated by a worker.
“*Uncontrolled when saved or printed.” 10 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
e.g., confined space, welding, working at height,
etc.
13.1.12 EPPM/TSP and Subcontractors shall provide cool,
fresh water to all locations in volumes that exceed
local water usage levels at all times Drinking water
shall be stored and dispensed in clean, clearly;
labelled [Drinking Water Only] containers kept in
shaded areas by EPPM/TSP and Subcontractors and
shall be changed daily. Water shall be stored in
clean tanks, properly disinfected, and insulated
such to avoid excessive temperatures. Lids must be
taped, and date and time of delivery of the water
recorded on the tape.
13.1.13 Ice water and cool water must be supplied to all
shelters and work areas. Ice must be produced and
handled in accordance with food standards of
hygiene.
13.1.14 Delivery vehicles shall carry prominent signage
indicating the purpose of the vehicle
13.1.15 Delivery vehicles will have a planned delivery
schedule, designated drive / water handler and a
delivery log check sheet be maintained in each
vehicle.
13.1.16 Employee shall take long break during peak
summer months (Starting from 15 June to 15
September) from 12:00pm to 15:00 as per the Saudi
Govt. Labor Law (No employee is permitted to
work under direct sun light during 12:00pm to
15:00pm) from mid of May to mid of September.
13.1.17 Employee will work maximum in day shift 08
hours of every day and 03 hours break in the mid-
day.
13.1.18 Employees can work 45 minutes of every hour with
15 minutes spent at rest in the shade.
13.1.19 If at any time during the course of work, an
employee feels signs or symptoms of heat disorder,
they will be immediately be moved to shaded area
and consume liquids. Supervisor will ensure
sufficient cold water and/or low sugar electrolyte
replacement is available. Supervisor and Safety
officer will monitor the task force for signs and
symptoms of heat stress.
“*Uncontrolled when saved or printed.” 11 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
Supervisor responsible for explaining contents of this JSA
Name: Signature: Date:

Emergency Response Preparedness:


Nearest Emergency Assembly Point location?
Nearest Fire
Extinguishers?
Nearest Spill
Kit?
Nearest First Aid
Kit?
Method of communicating an Radio Channel Phone
Air horn? Yes: No:
emergency? No: No:

Sign On: I confirm that the JSA has been explained and its contents are clearly understood and accepted. I also confirm that my required
qualifications to undertake this activity are current and approved. I clearly understand the controls in this JSA must be applied as documented;
otherwise work is to cease immediately and a review is to be completed and work can recommence.
Name Position Signature Date Employer

“*Uncontrolled when saved or printed.” 12 of 16


HAZARD LEGEND: A=high category, B=medium category, C=low category
Sign On: I confirm that the JSA has been explained and its contents are clearly understood and accepted. I also confirm that my required
qualifications to undertake this activity are current and approved. I clearly understand the controls in this JSA must be applied as documented;
otherwise work is to cease immediately and a review is to be completed and work can recommence.
Name Position Signature Date Employer

“*Uncontrolled when saved or printed.” 13 of 16


HAZARD LEGEND: A=high category, B=medium category, C=low category
Sign On: I confirm that the JSA has been explained and its contents are clearly understood and accepted. I also confirm that my required
qualifications to undertake this activity are current and approved. I clearly understand the controls in this JSA must be applied as documented;
otherwise work is to cease immediately and a review is to be completed and work can recommence.
Name Position Signature Date Employer

“*Uncontrolled when saved or printed.” 14 of 16


HAZARD LEGEND: A=high category, B=medium category, C=low category
“*Uncontrolled when saved or printed.” 15 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category
“*Uncontrolled when saved or printed.” 16 of 16
HAZARD LEGEND: A=high category, B=medium category, C=low category

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