1 Confined Space Entry JSA Example
Job Safety Analysis Control No:
Status:
Original Date: Last Date Closed:
Organization: JSA Type: Work Type: Work Actiity: Specific Site:
Confined Space Entry Confined Space Entry
!ersonal !rotectie "#uip$ent %!!"&
Selected
Hard Hat
Y
Lifeline/Body Harness
Y
Air Purifying Purifying Respirator
Y
Co$$ents
Supplied Air Respirator - SCBA
Y
Supplied Respirator
Y
Gloves
Y
Safety oot!ear
Y
Proper PPE per your Refinery Guidelines
Y
Personal Gas "onitor
Y
Based on results of Ha#ard Assess$ent
%t&er
Y
Coveralls appropriate to 'o(
'eie(ers 'eie(ers Na$e
!osition
Date Approed
Deelop$ent Tea$ Deelop$ent Tea$ )e$ber Na$e
!ri$ary Contact
!osition
Job Steps
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
$ Confined Space Entry JSA Example No
Job Steps
!otential *azard
Critical Actions %0E1 or specific details al!ays refer to t&e relevant SAE 2%R3 PRAC0*CESStandard+
)
*dentify need to conduct confined space entry during 'o( planning+
Prepare 2or, Per$it and Confined Space Entry or$+
5
%0E1 %t&er for$s $ay (e needed depending on type and location of confined space+ Conduct 'o( site and e6uip$ent preparation+ %0E1 separate 7LA8s9 $ay (e re6uired to address specific 'o( site or e6uip$ent preparation tas,s !it&in t&is step+
)+ Lac, of &a#ard a!areness of t&e specific confined space leading to in'ury or fatality+ + Loss of ti$e. potential in'ury or fatality if !rong location is identified. assessed or entered+
)+ Ensure description of !or, identifies t&e specific type of confined space1 pit. tan,. e4cavation. pipe. tunnel. etc+ and t&at co$petent personnel conduct t&e &a#ard assess$ent+ + Confir$ t&e entry/!or, location. and co$$unicate !or, intentions to appropriate personnel+
)+ Potential confined space &a#ards not identified $ay cause in'ury or incident+
)+ ollo! t&e Confined Space Entry SAE 2%R3 PRAC0*CESStandard instructions+
)+ Ha#ardous energy sources affecting confined space not properly identified or positively isolated+ + :naut&ori#ed access of personnel to !or, area leading to in'ury+ 5+ Evacuation routes not identified leading to !or,ers confusion in an e$ergency+ ;+ Previous contents of confined space not evaluated for &a#ards leading to in'ury+ <+ E6uip$ent !it& internal co$(ustion engines in close pro4i$ity to t&e confined space $ay cause accu$ulation of car(on $ono4ide 8C%9 inside t&e space or create a source of ignition for fla$$a(le vapors venting fro$ t&e confined space+ =+ Gas detector not cali(rated. not properly $aintained 8faulty sensors. (attery not fully c&arged. etc+9 or not fitted !it& sensors for t&e suspected leading to erroneous readings+ >+ Co$petent personnel not identified or not availa(le leading to poor decision 6uality+ ?+ *$proper access to entry and e4it point openings leading to in'ury+
)a+ *nclude co$petent persons in 7LA develop$ent to ensure identification of all sources of &a#ardous energy+ )(+ *dentify and isolate sources of &a#ardous energy+ Revie! and i$ple$ent controls of G@ S&ared SAE 2%R3 PRAC0*CESBaseline 7LA for *solation of Ha#ardous Energy+ + Place (arricades and signs to restrict access to !or, site+ 5a+ *dentify evacuation routes during site assess$ent and include in 7LA+ 5(+ @evelop contingency and e$ergency rescue plans+ *nclude t&e follo!ing in t&e Rescue Plan1 Procedures for reporting e$ergencies E$ergency escape routes Rescue e6uip$ent re6uired 0&e designated e$ergency asse$(ly area Rescue and first aid procedures and duties ;+ Revie! e4isting infor$ation a(out t&e previous contents. including $aterial safety data s&eets 8"S@S9 and ot&er relevant infor$ation+ *f sufficient •
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This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
% Confined Space Entry JSA Example + 0o4ic or fla$$a(le vapors released (y distur(ing sludge product inside tan,s leading to fire. in'ury or fatality+ )+ Slips. trips and falls due to poor &ouse,eeping leading to in'ury+ ))+ @elay in !or, (eginning due to a lac, of or incorrect !or, per$it docu$entation for t&e 'o(+ )+ *nade6uate ventilation and/or cooling !&ic& could result in a (uild up of &a#ardous vapors and/or &eat resulting in suffocation. poisoning and/or &eat stress+
infor$ation does not e4ist. get &elp fro$ t&e appropriate su('ect $atter e4perts+ <+ Locate e6uip$ent !it& internal co$(ustion engines at least < feet 8)< $eters9 a!ay fro$ entry openings and ensure t&eir e4&austs are directed a!ay fro$ entry points+ =+ Revie! gas detector records. including annual cali(ration record s&eet. $ont&ly cali(ration s&eet and daily field response s&eet+ Also verify t&at t&e correct sensor for t&e gas (eing detected is installed in t&e $onitor+ >+ Revie! personnel training records to verify t&at t&ey &ave t&e co$petencies to perfor$ t&eir roles 8e+g+ Gas 0esters. Entry 2atc&. ire 2atc&. Entrants. Rescue 2or,ers. e4cavation co$petent person. etc+9+ ?a+ Provide secured ladders or stairs to elevated entry/egress points to verify t&at proper fall protection controls are in place+ ?(+ Evaluate t&e si#e and s&ape of t&e entry opening and potential o(stacles at entry point+ Revie! dra!ings of t&e space. if availa(le. to select (est location for entry to avoid a!,!ard entry and o(stacles+ ?c+ @esignate a stand(y person assist !it& safe entry and egress of !or, cre!+ + Revie! "S@Ss to identify precautions and appropriate PPE+ Perfor$ continuous gas $onitoring !&ile sludge is present in t&e space+ )+ Revie! &ouse,eeping and correct deficiencies+ ))+ Plan t&e !or, !it& co$petent personnel and t&e appropriate su('ect $atter e4perts 8S"Es9 to prepare t&e correct docu$entation per t&e sc&edule+ E4a$ples of docu$entation include !or, per$its !it& t&e re6uired gas
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
& Confined Space Entry JSA Example testing readings. signatures. and &a#ard $itigation and PPE re6uire$ents+ )+ Provide ade6uate ventilation and cooling e6uip$ent 8if necessary9+ Derify t&at t&e e6uip$ent is functioning as intended+ ;
Gas test t&e !or, site and/or e6uip$ent+ %0E1 separate 7LA8s9 and per$its $ay (e re6uired to address specific 'o( tas,s !it&in t&is step+
)+ Gas 0ester not 6ualified to test t&e at$osp&ere and interpret t&e readings leading to incorrect readings t&at $ay cause in'ury or fire+ + Readings ta,en at confined space opening $ay not (e representative of t&e internal at$osp&ere of t&e confined space+ 5+ ailure to test for specific to4ic or fla$$a(le gases and vapors $ay cause in'ury or fatality+ ;+ ailure to conduct follo!-up or continuous gas tests 8as appropriate9 could result in in'ury or fatality+ <+ ot !earing t&e re6uired PPE or !earing t&e incorrect PPE could result in in'ury or fatality+ =+ :ndetected &a#ardous gases due to $alfunctioning of gas detection e6uip$ent $ay cause in'ury or fire+
%0E1 Refer to t&e Gas 0esting !it& LL Gas @etection E6uip$ent SAE 2%R3 PRAC0*CESBaseline 7LA+ )+ Derify t&at t&e Gas 0ester is 6ualified to perfor$ t&e testing+ a+ Gas test initially at t&e opening of t&e confined space after t&e ventilation &as (een turned off for a $ini$u$ of )< $inutes+ *f t&e readings indicate t&at it is safe to do so. test furt&er inside t&e confined space (efore allo!ing !or, to start+ ote1 A separate per$it and Confined Space Entry for$ is re6uired if t&e Gas 0ester needs to enter and test inside t&e confined space+ (+ Entry 2atc& $ust (e present for all confined space entries+ 5+ Conduct gas testing for o4ygen 8%9. to4ic and fla$$a(le gases and vapors and record t&e results on t&e per$it along !it& date. ti$e and Gas 0esters signature+ ;+ *$ple$ent continuous or periodic gas testing 8as specified in t&e per$it9 to verify t&at t&e confined space at$osp&ere re$ains safe for entry+ Record gas testing results on t&e per$it or applica(le for$ 8e4a$ple1 if entrants are out of confined space for $ore t&an one &our9+ <+ *dentify t&e correct PPE and re6uire t&at personnel !ear it (efore t&ey enter into t&e confined space+ ote1 2&en t&e Gas 0ester $ust enter into t&e confined space to conduct internal gas tests. t&e PPE $ust (e specified on t&e per$it and
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
' Confined Space Entry JSA Example t&e Gas 0ester $ust put it on prior to entering t&e confined space+ PPE $ay include supplied air respirator. coveralls. ru((er (oots and personal $onitor+ =+ Confir$ t&at t&e gas testing e6uip$ent is cali(rated and (u$p tested+ )+ Entry 2atc& does not recogni#e &a#ards and react appropriately+
<
=
Position dedicated Entry 2atc& personnel at t&e confined space+
Enter t&e confined space and (egin !or,+
+ Entry 2atc& could (e overco$e (y gases or vapors originating fro$ !or, in confined space leading to in'ury or fatality+ 5+ %t&er unit/e6uip$ent $ay (e or (eco$e a source of fla$$a(le or co$(usti(le $aterial !&ic& $ay cause personal in'ury or fire+
)+ Entrants una!are of t&e &a#ards. not !earing t&e correct personal protective e6uip$ent 8PPE9 or not follo!ing 7LAs. procedures. standards or instructions for !or, tas,s (eing perfor$ed could result in in'ury or fatality+ + Personnel una!are of e$ergency procedures could result in in'ury or fatality 8e+g+ co$$unication (et!een entry!atc& and entrants unclear or does not occur9+ 5+ Constricted entry points could result in in'ury+ ;+ *nade6uate lig&ting in a confined space can $a,e it difficult to see and could result in in'ury or fatality+ <+ 0e$peratures inside t&e confined spaces can (eco$e &ot due to t&e !eat&er conditions or due to t&e !or, occurring inside t&e space and $ay result in &eat-related in'ury or fatality+
)a+ Derify t&at t&e Entry 2atc& is co$petent for t&e tas,+ )(+ Provide t&e Entry 2atc& !it& a co$$unication device to raise t&e alar$ if t&ere is an e$ergency+ + Ensure Entry 2atc& is up !ind fro$ any potential gas or vapor &a#ard and is !earing t&e appropriate PPE+ 5+ "onitor t&e Entrants and t&eir !or, and loo, for potential &a#ards arising fro$ and to near(y operations/!or,+ Confir$ t&at t&e Entry 2atc& &as t&e ,no!ledge and a(ility to contact operations personnel+ )a+ *nvolve t&e affected personnel in t&e pre-'o( (riefing to revie! t&e 7LA. associated &a#ards and controls. including PPE re6uire$ents+ Consult and follo! 7LAs. procedures. standards and instructions+ )(+ Before personnel enter t&e confined space. t&e Per$it *ssuer. t&e Entry 2atc& and operating personnel $ust c&ec, t&e !or, location/conditions and t&e controls 8including ventilation re6uire$ents. if applica(le9 to validate t&e per$it re6uire$ents+ )c+ Conduct LPSA (efore starting !or, tas,s and eac& ti$e t&ere is a c&ange+ + Revie! t&e Rescue or E$ergency Plan and facility e$ergency procedures 8including evacuation routes. rally points and alar$s9 !it& personnel+ 5+ Be a!are of surroundings and &a#ards (y loo,ing inside t&e
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
( Confined Space Entry JSA Example
>
2or, is in progress+
?
Co$plete t&e !or, and clean up t&e 'o( site+
=+ Personal in'ury or fatality due to unaut&ori#ed entries or entrants not accounted for+ >+ Entrants $ay e4it fro$ an un$onitored egress point t&at !ould co$pro$ise t&e entry log and could result in inade6uate co$$unications of &a#ards to entrants in t&e confined space+
confined space and planning (ody position during entry+ Pay attention to s&arp edges. protrusions. scaffold. etc+ ;+ :se approved lig&ting to perfor$ !or, tas,+
+ *nstruct entrants to co$$unicate intentions !it& all Entry 2atc&es if vessel entry/egress points are different 8e4a$ple1 colu$n top entry and colu$n (otto$ egress9+
)+ Conditions c&ange during !or, t&at $ay introduce ne! &a#ards causing potential in'uries or incidents+ + *nade6uate gas testing 8proper intervals. continuous testing !&en re6uired. etc+9 $ay cause in'uries or fires+ 5+ aulty co$$unication e6uip$ent $ay lead to potential losses+ ;+ C&anges in at$osp&eric conditions outside t&e confined space and/or inside t&e confined space $ay result in asp&y4iation and/or introduction of fuel to an ignition source t&at $ay cause a fire/e4plosion+
)+ Stop !or, and cancel t&e !or, per$it if t&e !or, scope or condition c&anges+ Revie! t&e 7LA to identify c&anges to !or, conditions and any ne! &a#ards+ Perfor$ a LPSA+ Co$plete and re-issue t&e !or, per$it+ + Ensure t&at t&e confined space at$osp&ere is tested !it& t&e fre6uency specified in t&e per$it+ 5+ Confir$ t&at co$$unication e6uip$ent is !or,ing correctly+ ully rec&arge radio (atteries prior to !or, (eginning+ ;+ Derify t&at PPE is identified in &a#ard assess$ent and t&at personnel ,no! t&e Rescue/E$ergency Plan+ Confir$ t&at t&e Rescue Personnel are on site and are availa(le to perfor$ a rescue. if needed+
'ecycle Co$$ents +uality 'eie(s This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
) Confined Space Entry JSA Example ,ield -erification . -alidation
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, hazards, and conditions A JSA is not a su!stitute for compliance with applica!le laws, re"ulations, or Chevron standards Each contractor is ultimately responsi!le for the safety of its employees and its compliance with applica!le laws, re"ulations, and Chevron standards Chan"in" conditions, such as weather, location, terrain, e#uipment, processes, etc, may not !e addressed here, !ut must !e addressed !y each contractor with its employees !efore work !e"ins
