Classification: Internal Use #

Team(Formal ) JSA

JOB DESCRIPTION:Utilization of fork lift JSA Tracking # :

,Trailer,Boom Truck,Dyna,Pickup for loading,
unloading and shifting materials.
NEW Revised 1. Expiry of JSA
JOB SAFETY ANALYSIS
2. Change in format of JSA

3. Others specify:
JO B LO CATION (Plant / Equipment# or Specific EBS - 1 RISER & Lay
STYRENE - 1 PLANT DATE OF PREPARATION of JSA:17/06/2021
Are a): locat ion: down area

Risk Rating after implementing approved

POTENTIAL Control of Measure (MITIGATION
No Job SEQUENCE STEPS control of Measure(MAJOIR, SIGNIFICANT, Responsibility (action by)
HAZARDS \Prevention)PLAN
MINOR,INSIGNIFICANT)

1 Mobilization of Fork lift,Dyna,Boom Truck 1.1 Un- 1.1.1 Forklift/Trailer/Dyna / Boom

Pickup & Trailer inspected, Truck must be inspected by
uncertified Petrokemya mobile equipment &
rigging tools and must have a valid inspection Insignificant
tackles, sticker. Verify no hydraulic oil leak
Forklift before mobilizing forklift
/trailer/Boom
Truck/Dyna/Pick 1.1.2 Only Petrokemya authorized
up, incompetent Forklift/trailer / Boom Truck
personnel that operator, riggers / flag man are Insignificant
could lead to allowed to perform their job.
personal injury.
1.1.3 Proper planning and
adequate supervision by related
supervisor need to be ensure at all
times. Ensure proper casing of fire Insignificant
extinguisher are provided in the
equipments.

1.1.4 All lifting tools and tackles

shall be inspected and current
color coded by Petrokemya mobile Insignificant
equipment.

1.2 Damage 1.2.1 Ensure to obtain a vehicle

adjacent to movement certificate. The ground
facility and blind level for forklift activiy shall be
spot. planned and verified before Insignificant
mobilizing

1.2.2 Follow equipment route map

as per the vehicle movement
Insignificant
certificate and staging.

1.2.3 Follow the Petrokemya traffic

rules, regulations and ensure the
availability of flagman whenever Insignificant
required.

1.2.4 Ensure proper distance

between trailer/forklift and plant
equipment/structures (congested Insignificant
area, other activities)

1.3 Chemical 1.3.1 Any chemical/paints

Hazard transported shall have MSDS with
job supervisor and handover one
copy to forklift operator. Job
supervisor shall communicate
MSDS data of the chemical shifed Insignificant
by the forklift and explain hazard,
precaution, special PPE,
transportaion, storage and
accidential spill response.

1 Mobilization of Forklift, Dyna,Pickup,Boom 1.4 Poor visibility 1.4.1 Ensure no movement shall be
Truck & Trailer allowed during rainy,foggy and
(Continuation) dusty weather condition, unless
the job supervisor allows after Insignificant
evaluation.

1.5 Internal 1.5.1 Gas test shall be conducted

combustible to ensure a 0% LEL. Forklift/trailer
engine shall be equipped with fire
extinguisher as per Petrokemya Insignificant
standards.

1.5.2 Combustible materials must

be removed from the area. Insignificant

1.5.3 While refuelling

Forklift/trailer / Boom Truck engine
should be switch off, no Hot work
activity shall be allowed nearby Insignificant
area.

1.5.4 Cover all sewer cover grating

by using Petrokemya approved
fire blanket on the radius of 3 Insignificant
meters.

15.5 Fire extinguisher shall be

placed near the Forklift. Insignificant

1.3.6 Daily inspection check list to

be maintained as per Petrokemya Insignificant
checklist.

2 Fork Lift & Boom Truck Operation 2.1 Fall of load. 2.1.1 Area shall be barricaded with
proper sign board. No personnel
are allowed to walk, stand or work Insignificant
under suspended load.

2.1.2 Rigger/Forklift Operator shall

always consider the centre of Insignificant
gravity for rigging

2.1.3 Only authorized person shall

be allowed to enter inside the
barricaded area. Insignificant

2.1.4 Load must be balanced &

secured on forks. Visually inspect
the material to be unloaded from Insignificant
trailer to ensure no loose stacked
materials

2.1.5 Maximum speed with load

shall not exceed 5KM/Hr. Insignificant

2.1.6 Ensure the trailer is stopped

and wedged properly to avoid
unnecessary movement of trailer Insignificant
during unloading

2.1.7 Never exceed SWL capacity

of the forklift. Insignificant

2.1.8 Any drums shifted by the

forklift shall be straped properly
and the condition of the pallet shall Insignificant
be verified.

2.2 Forklift 2.2.1 Any slings or lifting tackles

collision with use to lift load using fork shall be
workers as per manufacturer's
recommendation and approval
fromPetrokemya MEQ Supervisor. Insignificant
Ensure stoppers shall be provided
to avoid slipping of slings from the
fork

2.2.2 Movement in congested

area / blind spots shall be only
with assistance of flagman. Any
entry inside warehouse/ shops Insignificant
shall be inform to the owner for
necessary precaution while
entering through door.

2.2.3 Always use reverse horn

while reversing. Maintain minimum
speed in blind spots and use alarm
to alert other workers. If the load
is obstructing vision of forklift Insignificant
operator, then drive on reverse
with rigger (flagman) assistance.

2.2.4 Never park heavy mobile

equipment in sloped area without
proper stoppers and never leave Insignificant
equipment unattended with keys
left.
2 Fork Lift & Boom Truck Operation 2.3 Congested 2.3.1 Always wear hand gloves at
and pinch point all times while doing rigging. Insignificant
area that can
cause Hand and 2.3.2 Keep away your hand from
body injury pinch point. Insignificant

2.3.3 Provide rigger/flagman to

guide forklift operator during
placing of load on trailer/trucks. Insignificant
Ensure riggers/flagman shall never
be in the "line of fire".

2.4 Topple of 2.4.1 Ensure if any equipment

forklift towed using forklift shall be
properly connected at towing eye
only. Never tow with damaged Insignificant
towing eye. Never exceed the SWL
capacity of forklift

2.5 Un-organized 2.5.1 Tools and tackles must be

materials that organized properly. Insignificant
may cause slip,
2.5.2 Barricade the area properly.
trip and falls. Insignificant

2.5.3 Conduct housekeeping

before, during and after job Insignificant
completion.
2.6 Rainy 2.6.1 Any reactive chemical (with
weather Hazard moisture) transported shall be Insignificant
provided with tarpaulin sheet.

3 Covid-19 3.1 immune 3.1.1 Reduce numbers of people Insignificant

deficiencies, onsite at any one time -
Transmission of staggered start times, staggered
Covid-19 breaks etc
via airborne
particles, 3.1.2 Surgical masks – Mask to be Insignificant
infected surfaces worn all the time
and
waste 3.1.3 Maintain distance with each Insignificant
other of Minimum 6 Feet
3.1.4 Washing hands 20Sec Insignificant
Continous with Soap
3.1.5 Use of PPE – masks, gloves, Insignificant
aprons and coveralls,
face masks (safe system of work
where required to
ensure safe usage and disposal)
3.1.6covering one's mouth when Insignificant
sneezing or coughing, disinfecting
surfaces.

3.1.7monitoring and self-isolation Insignificant

for people exposed or
symptomatic.

4 Heat stress 4.1 heat cramps, 4.1.1 Conduct Tool box meeting to Insignificant
heat exhaustion, discuss regarding Heat Stress
heat stroke cause and prevention

4.1.2 Monitor Heat Index at the Insignificant

PKN Control Room and
follow work regime as per the
given category
4.1.3 Provide water and other Insignificant
refreshments at site for the
workers consumption