Job Safety Analysis Sheet JOB DESCRIPTION: Confined Space Entry JSA Ref. No. JSA / KOC / 04 Facility: Permit No. Date: Work Area / Equipment: PERSONAL PROTECTIVE EQUIPMENT: Hard Hat, Safety Shoes, Hand Gloves, Safety Harness, BA Set / Airline Unit, Chemical Suit, Gum Boot, Safety Goggles, Multi – gas Detector, Lifeline and Full Body Harness. SEQUENCE OF BASIC JOB STEPS POTENTIAL HAZARDS Yes / No PRECAUTIONS Plan the work involving personnel responsible for preparation (isolation, depressurization, draining, venting, flushing, purging, gas testing etc) of confined space. Refer Appendix - 6 of KOC F & S Regions, HSEMS Procedure Doc. No. SA.KOC.007 ‘Entry into Confined Space’ Ensure the Confined Space is positively isolated from all sources of energy (hydraulic, pneumatic, electrical etc.) Use multilock & tag for isolation carried out. Ensure the confined is depressurized & content is drained safely. Lack of Communication Non-compliance of KOC HSEMS Procedures, F & S Regulations Energized Equipment Pre – Entry Pressurized Fluid Pyrophoric Deposition Ensure the pyrophoric deposition (sludge) is water wetted. Flammable & / or Toxic Atmosphere Ensure the confined space is flushed, purged and thoroughly ventilated as required. Ensure the confined space is free from any flammable / toxic atmosphere and has sufficient oxygen for normal breathing. Obtain the entry permit & other associated permits for types of work to be carried out. Place a Standby Person at manhole to maintain contact with the entrant and record entry / exit. Lack of Oxygen Unauthorized Entry No Contact with the Entrant Dark / Insufficient Illumination Ensure safe illumination suitable to hazardous area classification. Ensure the work to be carried out inside the Confined Space fulfill the Permit to Work requirement for the type of work. Ensure sufficient ventilation and air circulation inside confined space. Provide periodic break / rest to the entrant. Ensure continued gas monitoring. Ensure cross ventilation to dispose toxic vapor. Ensure availability of full body harness & lifeline etc for emergency retrieval of personnel from Confined Space. Barricade the Confined Space and post warning notice. Ensure there is no tool, equipment, rags or other material left inside Fire & Explosion Entry Heat & Humid Welding Fumes / Toxic Hazard Entrapment or Collapse of Entrant Re-entry / Completion Left Unattended for Re-Entry Foreign Materials Left inside Additional Hazards (Other than indicated above) JSA Done By Name: KOC / ID. No. Controlling Team: Signature: Designation: Company: Contract No.(If Applicable): Date: