Nghi Son Refinery and Petrochemical Limited Liability Company
Company :
ACTIVITY:
Work Location / Area
Equipment’s / Material &
Tools Used :
NO.
MEGARIG
Manual Bolt tightening.
Date :
JSA No. :
PTW Number
Hand tools.
Activity
Hazard
P
1.
 Noncompliance of NSRP-HSSE Procedures.
Pre-Task Preparation
 Lack of Communication
Impact
E
A
Control Measures
M
 Non-compliance
M 



4.
Selecting Closer & Safe
Muster Point / Emergency
Response / Evacuation
Route.
Use of Hand Tools
 Fire, Explosion, Toxic gas leak, Slips, trips,
Falls, Unsafe selection of muster point.
 Evacuation access route blocked.
 Change in wind direction.
 Poor communication with ERT
 Obstruction in access for ERT

Physical Injuries

Pinch points


Slips/trips/falls hazard
Improper handling of hand tools


M
M
Action By
R


 Unauthorized work
2.
11-05-2018








Obtain a Valid PTW with relevant certificates.
Conduct START Meeting to inform the workers of
the task descriptions.
Discuss START in dual language for clear
understanding as required.
All team members must have the necessary NSRP
Trainings
Use all Mandatory PPE.
Maintain good communication with all team
members.
Identify the nearest Muster Point.
Ensure all personnel are aware of Safe & nearest Muster
Point.
Emergency Contact No. 02378738541
Plant Telephone: 6700 / 6701
Wind direction to be monitored from the nearest visible
wind sock.
Ensure all tools are good condition.
Don’t place fingers in pinch points.
Use the right tools for the right job.
Do not use damaged or handmade tools.
Tools should not be left lying around.
Supervisor
Workers
Supervisor
Workers
Supervisors/
Workers
Technician
1
Nghi Son Refinery and Petrochemical Limited Liability Company
8.
10.
14.
Manual Handling
Work at Height
House keeping
Scattered Material.
Tools left around.

Ergonomic Problems.

Pinch point and obstructions.

Physical Injuries.


Slips/trips/falls hazard.
Improper handling of Load.


Fall from Height
Falling object
L
 Personnel Injuries.
 Slip, Trip, Fall.
L
H
L
Remarks:
P: Person, E: Environment, A: Assets, R: Reputation, L: Likelihood, S: Severity, RC: Record.
JSA Prepared by
JSA Reviewed by
Name:
Name:
Signature:
Signature:
L
M
L
H








Follow NSRP manual handling procedure.
Use Buddy system for manual lifting.
Follow safe manual handling Technique.
Keep the load close to the body as much as possible.
Keep the body in a comfortable/correct position
Don’t place fingers in a pinch point.
Use Specific PPE’s.
Ensure access & egress are clear from obstructions.







Wear safety harness and 100% tie-off
Ensure 3-point contact when accessing ladders.
Ensure access & egress are clear from obstructions
Secure all loose materials.
All hand tools shall be equipped with restraint ropes.
Proper housekeeping in work area
Ensure drop zone is barricaded and with Watchman.

Ensure proper wind up & housekeeping is maintained at
worksite.
Remove Barrication & signage’s after completion of work.
Ensure area is left neat & tidy.
Close the PTW as work completed.



Supervisor /
Workers
Supervisor
Workers
Technician
Supervisor’s
Workers
JSA Verified by
Name:
Signature:
JSA Checklist
2
Nghi Son Refinery and Petrochemical Limited Liability Company
JSA Work Details and checklists
Date:
Job Title: Manual Bolt tightening
JSA Ref #
Description of Work:
Manual bolt tightening
Permit # (If applicable):
Originator:
(A) Identify Potential Hazards for The JOB
Hazard Prompt List (Review the job steps and identify if any of the following hazards are applicable)
Potential Hazard Exposure Mechanisms
□
Electricity
X
Weather
□
Excavations/ Earthworks
□
Struck – by, against
□
□
Hot/ Cold Objects
□
Insect/ Animal Bites
□
Fire
□
Contact with
Rotating Equipment
□
Lighting
□
Introduction of Non Native Species
□
Contacted by
□
Vehicles
□
Driving Hazards
□
Harm to Flora/ fauna
□
Caught – in, on, Under, between, against
□
Muscular Stress
X
Falling Objects
□
Historical Sites
□
Exposure – temperature, chemicals, noise, dust
□
Mental Stress
X
Noise
□
Vegetation Clearing
X
Slip, Trip or Fall – from heights, same level
□
Repetitive Work
□
Radiation
□
Spills/ Leaks
□
Complete Manual Handling Risk Assessment attached
X
Heights
□
Hydrocarbon/ Gas Release
□
Other Mobile/ Stationary Equipment
□
Overexertion/ excessive force – lifting, pushing, pulling,
□
Lone Worker
□
Surfaces
□
Pressure (Stored Energy)
□
Escape of Material – oil spill, gas release, light spill
□
Vibration
X
Tools/ Equipment
□
Fumes/ Vapour/Dust
X
Human Factors
□
Moving Objects
□
Human Factors
□
Light Spill
□
Confined Spaces
□
Off Road
□
Depths
□
Asbestos
□
Chemicals
□
Other (List additional Hazards below)
X
Weather conditions
Personal Protective Equipment
X
Eye/Face protection
□
Hearing protection
□
Respiratory protection
X
Head protection
□
Safety/Rescue line
X
Safety harness
X
Foot protection
X
Hand protection
□
Gas detector
X
□
Body protection
Other
□
Spill prevention and clean up
□
Light shields
•hot/dry
•wet
•windy
• cold
SWMS & JSA Meeting Form
SWMS/JSA MEETING FORM
3
Nghi Son Refinery and Petrochemical Limited Liability Company
Work Title: : Manual Bolt tightening.
PTW No: 60811
Date: 05-03-2018
PTW Requester :
Name/Signature:
A. Subject Discussed
1
Adjacent works
2
Work at Height
3
Manual Handling.
4
Bolt Tightening
5
Housekeeping
6
B. Attendance List
Name
Div./ Section
1
2
3
4
5
6
7
8
C. Feedback
1.
Adjacent activities to be considered.
2.
Conflicting activities to be discussed & Prioritized.
Safe Work Method Statement No.
1.0
Scope
Position
TITLE: Manual Bolt tightening.
1.1
Signature
DATE:
Apply Permit to Work with Relevant attachments & certificates.
To complete the activity of bolt tightening.
4
Nghi Son Refinery and Petrochemical Limited Liability Company
2.0
References
2.1 etc
MD-04-MT-SỨM-01
3.0
Responsibilities
3.1 etc
MEGARIG
4.0
Equipment
4.1 etc
Hand tools, Hand Torque,
5.0
Materials
5.1 etc
N/A
6.0
Resources
6.1 etc
Manpower
7.0
Procedure
7.1 etc
MD-04-MT-SỨM-01
8.0
Safety
8.1 et
Valid permit, JSA and attachments, 100% tie of to modify scaffolding and WAH.
9.0
Attachments
9.1 etc
Permit, JSA, Attachments, Plot Plan, etc.
Prepared by: (Contractor)
Checked by: (Maintenance)
Maintenance Section Approval
Permit Requester
Section Manager
Name
Signature
Date
5