POWER
JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT ACTIVITY OR TASK: LIFT PERSONNEL IN SCISSOR LIFT
Location / Project:
JSA Preparation & task work team:
Job Number: JSA Number: G02
JSA Revision:
Competence = Relevant Training/Qualifications + Experience
Competence/ Qualific’n req’d to complete work safely JSA approved by person responsible i.e.
Name:
Position / Competence/ License:
Date:
Codes of Practice & Legislation that are applicable:
Team Leader / Tradesman
2. HAZARD IDENTIFICATION Identify hazards that may be present by ticking items on the list below.
3. PRECAUTIONS: hard hat, safety glasses, safety boots
compulsory
WORK LOCATION Difficult Entry/Exit
HAZARDOUS AREA
HIGH RISK
HIGH RISK
ADDITIONAL PRECAUTIONS
PERMITS
Falling Objects
Suspended loads
Gloves: type ………………….
Hot Work
Working at Heights
Poor Lighting Slippery Surfaces
Poor Visibility Inhalable Dusts/Fibres
Goggles Full Face Shield
Excavation Confined Space
Engulfment (trench collapse)
Remote Area
Multiple Electrical Feeds
High Noise Levels
High Visibility Vest
Hazardous Work Clearance
Poisonous Gas Present Temperature Extremes
Motor Room Hazards Toxic Substances
Trip Hazards Electrical Hazards - LV
Use of Chemicals Elevated Work Platform
Harness Fire Extinguishers
Access to Area High Voltage Access
Defined Confined Space
Potential for Difficult Rescue
Electrical Hazards - HV
Difficulty to Communicate amongst workers
Barricades
Scaffolding Other?
Oxygen Deficiency Oxygen Excess
Hazardous Substances - attach MSDS to JSA
Explosive Gas Present
HAZARDOUS SUBSTANCES in work area / to be used
Manual Handling Sharp Materials
Moving Machinery Tools & Equipment
Ladders used in th the task Working at Heights Working near Crane & Crane Runways
Heat/ Sunlight/ Radiation Traffic Movement Working near Operation Processing Lines
Ventilation Lighting Erect Scaffolding to access
PERMIT NUMBER
-attach MSDS
Rail Movement
Live Rails
Pressurised Fluids Flamm. Materials Present
Pneumatics
Respirator or or Dust mask Erect Warning signs Personal Locks or Tag system Group isolation Welding screen Fall Arrest systems Welding Face Shield
4. ENVIRONMENTAL HAZARDS – (IMPACTS) tick those identified Air Air Pol Pollu luti tion on (dus (dust, t, fume fumes) s)
Spil Spills ls to grou ground nd
No is ise ( pl pl an an t & eq equ ip ip me me nt nt )
S oi oil Er Er os os io n
Spil Spills ls to drai drains ns/w /wat ater erwa ways ys
Haza Hazard rd to Flor Flora a /Fau /Fauna na
RISK RATING TABLE
Other:
This table is used to to calculate whether the hazard you have identified is Extreme: 9-10 High: 7-8, Medium: 5-6 or Low: 3-4
5. EQUIPMENT REQUIRED: Static Plant & Equipment
Likelihood: How likely is it to be that bad? Almost Certain Expected to Occur
Likely – could The objective of rating the risk is to lower the risk by initiating risk control measures. The score is
Mobile Plant & Equipment
happen sometime
Moderate – could happen but not likely Unlikely – could happen but very rare
Revision Date: March 2005
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Rare -
could happen
but probably never will
Consequences: how severe an injury? Death
Serious Injuries
Medical Treatment Req’d
1st Aid req’d
10
9
8
7
9
8
7
6
8
7
6
5
7
6
5
4
6
O 5 HS-034-F01
3
POWER
JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT noted in the JSA risk score column on the next page – both before & after risk control measures have been nominated.
Safety / Emergency Equip’t
JSA Number:
NAME OF TASK: LIFT PERSONNEL IN SCISSOR LIFT
Step No. Logical sequence
Sequence of Basic Job Steps
Potential Safety & Environmental Hazards/Impacts
Risk Rating
Identify the hazards (health and safety or Use table on Break down Job into steps. Each step should accomplish a major task and environmental) associated with each step, the previous page to examine each to find all possible risk factors be logical. score risk Environmental Aspects
1
Obtain PTW
2
Identify work area
Injury / damage as a result of incorrect information Risk of injury due to low awareness of work environment, Unauthorised operator, Mechanical failure, Falling from heights, Scissors lift topples, Coming into contact with Instruments, Valves or other items.
G02
Rev:
Recommended Corrective Action or Procedure Determine what actions are necessary to eliminate or minimise all hazards that could lead to an accident, injury, illness or environmental incident. The risk must be reduced or controlled to a level that is acceptable before work commences. Indicate who is to perform the action where applicable against each action
Risk Rating Of the risk following corrective action
Obtain correct PTW. Training in PTW system. Operators for this task will be trained and competent in the use of SCISSOR LIFTS – no other person is to operate the SCISSOR LIFT for this task, First task is to complete your daily checks to assess that the SCISSOR LIFT is in a safe working condition and complete the attached logbook for future reference. Check all oil and fuel levels where applicable or the charge level of the Electric type units. Prior to SCISSOR LIFT set up assess area for obstructions, drains, uneven or unstable ground and any other item that may raise a concern for the work crew. At all times while driving the SCISSOR LIFT along road ways etc the occupants of the work platform of the scissor lift must keep inside the platforms safety rails If the area that requires the use of a scissor lift is congested, then it is advisable to gain the services of an observer to assist the operator to gain access into the area with out the risk of damage to live plant, equipment or personnel
Revision Date: March 2005
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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT 3
4
Set up scissor lift
Gain a clearance and permit prior to setting scissor lift up on Roadway. The small electric scissor lift is best to be transported to the relevant work sites with the use of a Franna crane to maintain a high battery level. Scissor lift to be directed to set up area by competent person. Scissor lift to operated (driven) and be set up on firm and level foundation as per manufacturers specifications. While setting up scissor lift and equipment if anything is assessed as a physical risk ask for assistance. If the scissor lift is fitted with an attachment point for a safety harness then all occupants of the scissor lift must wear an approved harness.
Fire / explosion
Visually monitor all scissor lift movements and ask for assistance if vision is obscured. Conduct take 5 and Job Start meeting with the entire work crew to discus tasks at hand any potential hazard that may impact on the safety of Personnel.
Prepare to carry out tasks from scissor Scissor lift topples lift platform Fire, explosion Collision with plant, equipment,
Gain all relevant road closures to eliminate uncontrolled traffic movement in work area.
Vehicles or personnel. FALLING FROM HEIGHTS Edge of road way collapses
If the scissor lift is working or parked on the Refinery road system then we must protect our work area, personnel and scissor lift by placing high visibility barricading around this area to eliminate any access from unauthorised vehicles, pedestrians or bicycles from entering the danger zone. While working near the edge of Roadways keep Scissor lift a minimum of 1 metre from the edge of the roadway and operate under the guidance of a spotter. If during the scissor lifts operation the supporting surface subsides or shows signs of the scissor lift wheels penetrating and sinking into the ground or if the work area has altered and is deemed to be unsafe, stop work and contact the work group Supervisor. Make the area safe and then once the concerns are discussed if there is an alternative location the scissor lift can be positioned then conduct a new job start meeting and continue on or if the area cannot be deemed safe to continue, stop the work until it is deemed safe to do so.
Revision Date: March 2005
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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT 5
Install and remove equipment as required
Falling tools – people below
Barricade work area at ground level to prevent people entering in the danger zone for falling objects
Fall from Scissor lift Position the scissor lift so that personnel working from the work platform do not have to lean out or over reach past the railing to complete the task. If this is a requirement then stop work and conduct another take 5 and job start to discus the risks and an alternate method for completion of the task at hand.
High winds Hand or eye injury
Access the risk from high winds and Electrical storms on a regular basis. – halt the job if necessary, assess the conditions and if cleared up conduct take 5 and job start.
6
Placing scissor lift into lay down or parking area
Gloves and safety glasses must be worn When placing scissor lift into lay down or parking area maintain minimum of 1 metre clearance between the scissor lift wheels and the edge of the roadway. As a suggestion with the small electric scissor it is efficient to transport this unit with a franna crane. Please note this is a guide only for firm and stable ground and each area must be assessed on an individual basis prior to this motion-taking place. The electric scissor lift requires that it is placed on charge at the end of each night, gain all relevant permits and clearances and plug in the tested electrical lead to the end of the unit where the battery L.E.D lights a positioned. electric scissor it is efficient to transport this unit with a franna crane. Please note this is a guide only for firm and stable ground and each area must be assessed on an individual basis prior to this motion-taking place. The electric scissor lift requires that it is placed on charge at the end of each night, gain all relevant permits and clearances and plug in the tested electrical lead to the end of the unit where the battery L.E.D lights a positioned.
Scissor lift topples Falling from heights
Revision Date: March 2005
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OHS-03-F01
POWER
JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT
Revision Date: March 2005
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OHS-03-F01
POWER
JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) CONSULTATION & SIGN-OFF RECORD I confirm by my signature below, that I have attended a briefing on the requirements of the attached Job Safety & Environment Analysis and agree to perform the work in the manner detailed on it. I confirm that copies of the relevant Permits, MSDS's, Isolation Plans etc. have been reviewed. JSA NAME
JSA No:
NAME
(Please print)
SIGNATURE
Rev:
DATE
THIS SAFE WORK BRIEFING / TRAINING WAS CARRIED OUT BY (responsible person at that location) : Name: Signature: Date: Client sign off (where applicable) Site / Project Manager sign off (document reviewed)
Revision Date: March 2005
OHS-03-F01
