Nghi Son Refinery and Petrochemical Limited Liability Company

Company : MEGARIG Date : 11-05-2018

ACTIVITY: Manual Bolt tightening. JSA No. :
Work Location / Area PTW Number
Equipment’s / Material & Hand tools.
Tools Used :

NO. Activity Hazard Impact Control Measures Action By

P E A R
1. Pre-Task Preparation  Noncompliance of NSRP-HSSE Procedures.  Obtain a Valid PTW with relevant certificates.
 Conduct START Meeting to inform the workers of Supervisor
 Unauthorized work
the task descriptions. Workers
 Lack of Communication M M  Discuss START in dual language for clear
understanding as required.
 Non-compliance
 All team members must have the necessary NSRP
Trainings
 Use all Mandatory PPE.
 Maintain good communication with all team
members.

2. Selecting Closer & Safe  Fire, Explosion, Toxic gas leak, Slips, trips,  Identify the nearest Muster Point.
Muster Point / Emergency Falls, Unsafe selection of muster point.  Ensure all personnel are aware of Safe & nearest Muster Supervisor
Response / Evacuation  Evacuation access route blocked. Point. Workers
Route. M
 Change in wind direction.  Emergency Contact No. 02378738541
 Poor communication with ERT  Plant Telephone: 6700 / 6701
 Obstruction in access for ERT  Wind direction to be monitored from the nearest visible
wind sock.

4. Use of Hand Tools

 Physical Injuries  Ensure all tools are good condition.
M Supervisors/
 Don’t place fingers in pinch points.
 Pinch points Workers
 Use the right tools for the right job.
Technician
 Slips/trips/falls hazard  Do not use damaged or handmade tools.
 Improper handling of hand tools  Tools should not be left lying around.

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 Nghi Son Refinery and Petrochemical Limited Liability Company
8. Manual Handling
 Ergonomic Problems.
Supervisor /
 Pinch point and obstructions.  Follow NSRP manual handling procedure. Workers
L L L  Use Buddy system for manual lifting.
 Physical Injuries.  Follow safe manual handling Technique.
 Slips/trips/falls hazard.  Keep the load close to the body as much as possible.
 Improper handling of Load.  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.

10. Work at Height Supervisor

 Fall from Height  Wear safety harness and 100% tie-off
Workers
 Falling object H L H  Ensure 3-point contact when accessing ladders. Technician
 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.
14. House keeping  Personnel Injuries.  Ensure proper wind up & housekeeping is maintained at
Scattered Material.  Slip, Trip, Fall. worksite. Supervisor’s
L M
Tools left around.  Remove Barrication & signage’s after completion of work. Workers
 Ensure area is left neat & tidy.
 Close the PTW as work completed.

Remarks:
P: Person, E: Environment, A: Assets, R: Reputation, L: Likelihood, S: Severity, RC: Record.
JSA Prepared by JSA Reviewed by JSA Verified by
Name: Name: Name:
Signature: Signature: Signature:

JSA Checklist
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 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)    
Personal Protective Equipment
X Eye/Face protection □ Hearing protection □ Respiratory protection X Weather conditions
X Head protection □ Safety/Rescue line X Safety harness •hot/dry
X Foot protection X Hand protection □ Gas detector •wet
X Body protection □ Spill prevention and clean up □ Light shields •windy
• cold
□ Other        

SWMS & JSA Meeting Form

SWMS/JSA MEETING FORM
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 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
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B. Attendance List
  Name Div./ Section Position Signature
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. TITLE: Manual Bolt tightening. DATE:
 
Apply Permit to Work with Relevant attachments & certificates.
1.0 Scope 1.1
To complete the activity of bolt tightening.

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 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.
Maintenance Section Approval
  Prepared by: (Contractor) Checked by: (Maintenance)
Permit Requester Section Manager
Name  
Signature  
Date