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Job Safety Analysis (Jsa) Form

This Job Safety Analysis form summarizes the key steps and safety precautions for a job collecting produced water and crude from a production platform. The key job steps are obtaining the proper work permit, preparing equipment, collecting produced water and crude, adjusting the demulsifier dosage as needed, and observing the emulsion and water clarity. Potential hazards include exposure to crude oil and produced water, spills, falling objects, and slippery floors. Recommended preventative measures include wearing proper PPE such as gloves and goggles, understanding the work permit, having spill containment supplies ready, and following dosing instructions.

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65 views

Job Safety Analysis (Jsa) Form

This Job Safety Analysis form summarizes the key steps and safety precautions for a job collecting produced water and crude from a production platform. The key job steps are obtaining the proper work permit, preparing equipment, collecting produced water and crude, adjusting the demulsifier dosage as needed, and observing the emulsion and water clarity. Potential hazards include exposure to crude oil and produced water, spills, falling objects, and slippery floors. Recommended preventative measures include wearing proper PPE such as gloves and goggles, understanding the work permit, having spill containment supplies ready, and following dosing instructions.

Uploaded by

sigit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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JOB SAFETY ANALYSIS (JSA) FORM

JOB DESCRIPTION: DATE: JSA #. PAGE 1 OF 1 NEW


PTW #: REVISED

COMPLETED BY: EMPLOYEE / OPERATOR: SUPERVISOR: REVIEWED BY: All team

COMPANY/ORGANIZATION: WORK SECTION/ DEPARTMENT: APPROVED BY:

REQUIRED/RECOMMENDED PERSONAL PROTECTIVE EQUIPMENT / SAFEWORK PERMITS:

PARTICIPANTS:
NO. NAME DEPT/COMPANY NO NAME DEPT/COMPANY
1 PT.

BASIC JOB STEPS, IN SEQUENCE POTENTIAL HAZARDS RECOMMENDED PREVENTIVE MEASURES


Obtain work permit  Misunderstanding on job permit  Read and understand the permit clearly
 Conflict with other job  Make sure the work permit has been approved
prior to job execution
Prepare the job and equipment  Falling object  Wear appropriate PPE
 Slip / Slippery floor
Collect produced water and crude from  Crude oil and produced water exposure  Wear appropriate PPE
production platform  Crude oil and produced water spill  Put standby container if any spill happen

Decrease on increase demulsifier dosage  Low or incorrect demulsifier dosage  Reset demulsifier dosage to incumbent dosage
Water and crude observation for emulsion and  Crude oil and produced water spill  Wear appropriate PPE
water clarity.  Put stand by bucket & rag
 

JSA – tank entry W-1

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