Job Safety Analysis Form Supervisors Name: XXXXXXXXXXX Work Team: Job Steps / Activities 1 Plan the Task
2 Communicate to the work team what the Task entails and how to do it Safely 3 Through all of the Task think Safety
Activity: Liner install (1)(2)(2)Company: XXXXX Date: 1-NOV-2006 (3)Hazards (see attached list) Persons at Risk L S =R Controls 1、Interface work shall be forbidden without insulated measure.在地面工作将严禁没有绝缘措施 2、Wear PPE properly.穿合适的PPE 3、Comply with operating regulation.遵守操作规章 4、Check that hand tools are in good condition before use.在使用之前手动工具前先检查它是否完好无损 5、Don’t use Cracked hammer handles不要使用破裂的铁锤柄 6 、Never extend a spanner handle by using tubing.不要使用管子来延伸扳子手柄 Person Responsible Liner install Use of hand tools / 1 2 2 Pan zhi he Li ling jun Notes (1) (2)Include inexperienced persons, under 18s and new (within 6 months) and expectant mothers Severity 3 2 1 3 2 1 Unlikely 6 4 2 Possible 9 6 3 Probable Completed by Severity 3 = Permanent (e.g., loss of limb, occupational illness) or fatality Severity 2 = Serious (e.g., fractures, major cuts or burns) Severity 1 = Significant (e.g. minor sprain/strain, irritation, trivial cuts/burns) The residual risk is to be calculated using the table. Risk figures above 3 are not acceptable and work must not continue until the risks are reduced. (3)Date Likelihood
T 5230_00_08/1
Template Approved by: M Moss
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Job Safety Analysis Form Supervisors Name: XXXXXXXXXXX Work Team: Job Steps / Activities 1 Plan the Task
2 Communicate to the work team what the Task entails and how to do it Safely 3 Through all of the Task think Safety
Activity: Equipments installation (1)(2)(2)Company: XXXXX Date: 1-NOV-2006 (3)Hazards (see attached list) Persons at Risk L S =R Controls 1、Lifting equipments and cranes shall be qualified.吊装设备和起重机必须有资格 2、Set alertness area during lifting.在吊装期间设置警戒区域 3、Workers shall be qualified, and operate comply with regulations.工人必须有资格，并且操作遵守规章 4、All of the lifting tools shall be qualified.所有吊装工具必须有资格 Person Responsible Equipments installation 设备安装 Use of lifting equipment or cranes 使用吊装设备或起重机 / 2 3 6 5、Inspect safety appliance before using. Report defects.使用之前必须检查安全器具，报告缺陷 6、Signalman should coordinate to ensure safe lifting operation with proper signals.信号员必须确保使用正确的信号确保起重运作的安全进行 7、Never lift up load beyond rated capacity of crane.绝对不能提升超过吊臂所能承受的荷载的物件 Pan zhi he Li ling jun Notes (1) (2)Include inexperienced persons, under 18s and new (within 6 months) and expectant mothers Severity 3 2 1 3 2 1 Unlikely 6 4 2 Possible 9 6 3 Probable Completed by Severity 3 = Permanent (e.g., loss of limb, occupational illness) or fatality Severity 2 = Serious (e.g., fractures, major cuts or burns) Severity 1 = Significant (e.g. minor sprain/strain, irritation, trivial cuts/burns) The residual risk is to be calculated using the table. Risk figures above 3 are not acceptable and work must not continue until the risks are reduced. (3)Date Likelihood
T 5230_00_08/1
Template Approved by: M Moss
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Job Safety Analysis Form Supervisors Name: XXXXXXXXXXX Work Team: Job Steps / Activities 1 Plan the Task
2 Communicate to the work team what the Task entails and how to do it Safely 3 Through all of the Task think Safety
Activity: Equipments installation (1)(2)(2)Company: XXXXX Date: 1-NOV-2006 (3)Hazards (see attached list) Persons at Risk L S =R Controls 8、Make sure outrigger were fully extended and installed on firm pad. 确保外伸支架全部伸出并立于稳住的衬垫 9、Lift equipments comply with the procedure, fix the equipments on time after lifting.吊装设备应遵守程序，吊装之后及时安装设备 Person Responsible Equipments installation 设备安装 Use of lifting equipment or cranes 使用吊装设备或起重机 / 3 3 9 10、Lifting be planed where Use two cranes, lift comply with rigging regulation.使用两个吊车时必须有吊装方案，吊装遵守吊装规范 11、Use the right type of sling for the job in hand. 工作中使用正确型号的吊索 12、 Do not stand underneath the load whilst it is being lifted.在吊装时不要站在负载下面 Pan zhi he Li ling jun Notes (1) (2)Include inexperienced persons, under 18s and new (within 6 months) and expectant mothers Severity 3 2 1 3 2 1 Unlikely 6 4 2 Possible 9 6 3 Probable Completed by Severity 3 = Permanent (e.g., loss of limb, occupational illness) or fatality Severity 2 = Serious (e.g., fractures, major cuts or burns) Severity 1 = Significant (e.g. minor sprain/strain, irritation, trivial cuts/burns) The residual risk is to be calculated using the table. Risk figures above 3 are not acceptable and work must not continue until the risks are reduced. (3)Date Likelihood T 5230_00_08/1
Template Approved by: M Moss
Page 7 of 74
Job Safety Analysis Form Supervisors Name: XXXXXXXXXXX Work Team: Job Steps / Activities 1 Plan the Task
2 Communicate to the work team what the Task entails and how to do it Safely 3 Through all of the Task think Safety
Activity: Equipments installation (1)(2)(2)Company: XXXXX Date: 1-NOV-2006 (3)Hazards (see attached list) Persons at Risk L S =R Controls 1、PPE shall be worn, life lines and safety nets should be used if necessary 必须穿PPE，假如需要必须使用生命绳、安全网 2、Build qualified operation platform when working in high, wear safety harness provided and anchor them securely.当在高空工作时，搭建合格的操作平台，佩戴所提供的安全带，并确保扣紧 Person Responsible Equipments installation 设备安装 Work at height 高空作业 / 3 3 9 Pan zhi he Li ling jun 3、Scaffolding shall be inspected and qualified 脚手架必须被有资格的人检查 4、Comply with the regulation of elevated work 遵守高空作业的规章 5、All materials shall be secured by means of lanyards to prevent them from falling down.所有的材料必须通过系索的方式系好 防止其跌落到下面 Notes (1) (2)Include inexperienced persons, under 18s and new (within 6 months) and expectant mothers Severity 3 2 1 3 2 1 Unlikely 6 4 2 Possible 9 6 3 Probable Completed by Severity 3 = Permanent (e.g., loss of limb, occupational illness) or fatality Severity 2 = Serious (e.g., fractures, major cuts or burns) Severity 1 = Significant (e.g. minor sprain/strain, irritation, trivial cuts/burns) The residual risk is to be calculated using the table. Risk figures above 3 are not acceptable and work must not continue until the risks are reduced.
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(3)Date Likelihood
T 5230_00_08/1
Template Approved by: M Moss
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