1 Hot Work JSA Example
Job Safety Analysis Control No:
Status:
Original Date: Last Date Closed:
Organization: JSA Type: Work Type: Work Actiity: Specific Site:
Hot Work Activities
!ersonal !rotectie "#uip$ent %!!"&
Selected
Co$$ents
Hard Hat
Y
Required
Safety Glasses
Y
Required
Fire Resistant Clothing
Y
Face Shields
Y
As required
Y
As required
Hearing Protection Goggles Lifeline!ody Harness Air Purifying Purifying Res"irator Su""lied Air Res"irator # SC!A Welding Hood
Y
WeldingPi"e Clothing
Y
Welding 'askGoggles
Y
For $elding %o&s
Personal Floatation (evice Long sleeve shirt
Y
Local "rocedure
Gloves
Y
Leather
)ther Safety Cones!arricades
Y
Safety *est
Y
+nee Pads Caution ,a"e !ack !eltSu""ort Su&stantial leather foot$ear Winter Clothing Safety Foot$ear
Y
Personal Gas 'onitor Long "ants
Y
'eie(ers
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, haards, and conditions! A JSA is is not a su"stitute for compliance with applica"le laws, re#ulations, or $hevron standards! Each contractor is ultimately responsi"le for the safety of its employees and its compliance with applica"le laws, re#ulations, and $hevron standards! $han#in# conditions, such as weather, location, terrain, e%uipment, processes, etc!, may not "e addressed here, "ut must "e addressed "y each contractor with its employees "efore work "e#ins!
& Hot Work JSA Example 'eie(ers Na$e
!osition
Date Approed
Deelop$ent Tea$ Deelop$ent Tea$ )e$ber Na$e
!ri$ary Contact
!osition
Job Steps No
Job Steps
!otential *azard
Critical Actions
-
Co."lete General Work Per.it
High risk $ork /on#routine andor "eriodic $ork $here a""roved $ork "rocedures do not e0ist
Co."lete "er.it and i."le.ent controls required
1
Conduct ha2ard assess.ent 3 $rite 4SA5s6
High risk $ork /on#routine andor "eriodic $ork $here a""roved $ork "rocedures do not e0ist
7nsure qualified "ersonnel conduct ha2ard assess.ent 3 $rite 4SA5s6
Create a $ritten $ork "lan
High risk $ork /on#routine andor "eriodic $ork $here a""roved $ork "rocedures do not e0ist
7nsure "lan descri&es in detail the activities9 tasks and sutasks required to co."lete a s"ecific sco"e of $ork
Fla..a&le va"ors 5= LFL6 ,o0ic gasesva"ors )0ygen deficientenriched As deter.ined during Ste" 1
7nsure equi".ent to &e $orked on is cleaned of all fla..a&leco.&usti&le .aterials 7nsure co.&usti&le .aterials that cannot &e re.oved are covered $ith fla.e"roof .aterial; 7nsure oily surfaces and oil s"ills are rinsed and covered $ith at least 1> .. of sand; 7nsure trash9 oily rags9 grass9 $eeds9 etc are re.oved; 7nsure "ressure relief valves on "i"elines and vessels ad%acent to the $ork area are "ro"erly "i"ed or vented to the safe area; 7nsure gas testing "erfor.ed in surrounding area for a distance of -> .eters 5>@ feet6 7nsure LFL is @= 7nsure no residues of co.&usti&le liquids "resent; 7nsure all "otential areas are tested 5e;g;9 ad%acent to $elded sea.s9 "lates9 etc<6 (eter.ine follo$#u" gas testing require.ents 7nsure all identified require.ents and controls have &een i."le.ented &efore signing "er.it
8
:
Conduct 4o& Site7qui".ent Pre"aration 5e;g;9 isolation9 de"ressuri2ation9 "urging9 flushing9 sealing all drains9 etc<6 5se"arate 4SA5s6 .ay &e required to address s"ecific %o&6
>
?nitial Gas ,esting
Fla..a&le va"ors 5= LFL6 ,o0ic gasesva"ors )0ygen deficientenriched As deter.ined during Ste" 1
Finali2e 3 ?ssue Hot Work Per.it
As deter.ined during Ste" 1
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, haards, and conditions! A JSA is not a su"stitute for compliance with applica"le laws, re#ulations, or $hevron standards! Each contractor is ultimately responsi"le for the safety of its employees and its compliance with applica"le laws, re#ulations, and $hevron standards! $han#in# conditions, such as weather, location, terrain, e%uipment, processes, etc!, may not "e addressed here, "ut must "e addressed "y each contractor with its employees "efore work "e#ins!
' Hot Work JSA Example
B
D
E
-@
--
?nadequate co..unication to all "ersonnel involved
7nsure the follo$ing to"ics are covered Sco"e of $ork Conditions and require.ents listed on "er.its and 4SA5s6; Potential ha2ards and controls 7.ergency res"onse require.ents 'ini.u. PP7 required
!egin Hot Work 5e;g;9 $elding9 cutting9 etc;6 5se"arate 4SA5s6 .ay &e required to address s"ecific %o& tasks $ithin this ste"6
Fire Fla..a&le va"ors 5= LFL6 ,o0ic gasesva"ors )0ygen deficiency
Wear "ro"er PP79 including $elding hel.et and res"iratory "rotection if a""lica≤ 7nsure continuous gas testing occurs9 if required 7nsure fire e0tinguisher is readily availa&le 7nsure fire $atch is availa&le9 if required 7nsure $eldingcutting equi".ent is in good $orking condition 7nsure &arriers are set#u" contain any flying de&ris
Work Sto""ages 5"er.it cancellations9 e0tensions9 and revalidations6
'ay include &ut not li.ited to Change in sco"e of $ork Change in entire $ork cre$ Change in site conditions Failure to conduct gas testing ?ssue $ith "er.its
7nsure Per.it ?ssuer re#evaluates "er.it require.ents and controls if any $ork sto""ages occur
Work Co."letion
4o& site not left in safe9 clean9 andor orderly condition Adequate ti.e has ela"sed for the Fire Watch to verify condition of the %o& site Work "erfor.ed does not .eet required sco"e and s"ecifications
7nsure Per.it ?ssuer revie$s %o& site "rior to signing off on %o& Retain "er.its and su""orting docu.entation in accordance $ith require.ents
Conduct Safety !riefing
Assess any changing conditions9 such as $eather9 traffic etc "date ha2ard and critical actions
This sample JSA is intended for use as an awareness tool only and is not intended to cover all potential risks, haards, and conditions! A JSA is not a su"stitute for compliance with applica"le laws, re#ulations, or $hevron standards! Each contractor is ultimately responsi"le for the safety of its employees and its compliance with applica"le laws, re#ulations, and $hevron standards! $han#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!