Information
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A Pre-Job Risk Assessment (PJRA) shall be completed before at the beginning of a shift/task, when a job-task changes, and before any permit to work is required.
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FIRST NAME / LAST NAME
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District / Location
- ES Canada
- ES United States
- Appalachia
- Midland
- North Dakota
- BOS Solutions (Corporate)
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Client / Rig #
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Job Task / BOS SOP (e.g., Service centrifuge / BOS-016)
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Select date
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Location
Pre-Job Risk Assessment
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Are you fit for duty with 6+ hours of sleep prior to your shift?
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Are you well hydrated and do you have plenty of water for your shift?
Hazard Identification and Risk Analysis
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TASK DESCRIPTION: Provide a brief overview of the steps involved with this task, (e.g., LOTO power, grease equipment, etc.). Break the task down into 3 - 5 summary steps.
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Did you reference adherence to an applicable BOS SOP in the steps listed above? If no BOS SOP can be applied to the job task, select "N/A".
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Enter the applicable BOS SOP here (e.g., BOS-016);
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HAZARD ANALYSIS: Select the types of hazards that apply to the task per the BOS SOP / Field Manual (select all that apply). If no SOP applies to the task, use your judgment.
- Air transport / Travel
- Blind spots
- Bump / Impact / Impalement
- Burns / Handling hot materials
- Caught between / Struck by / Crushed
- Chemical handling
- Cold temperature extremes
- Cuts / Lacerations
- Driving / Distraction / Fatigue
- Drugs / Alcohol
- Electrical shock
- Environmental contamination
- Eye irritation
- Fire / Explosives
- Inhalation
- Handling (using hands)
- Hot temperature extremes
- Manual lifting
- Mechanical lifting / Suspended loads
- Moving equipment
- Muscle / Back stress or strain
- Natural phenomenon / Tornadoes, etc.
- Noise / Hearing loss
- Pinch points
- Pressure / Pressurized fluids
- Rotating equipment
- Skin irritation
- Spills
- Slips, trips, and falls / Stepping and walking
- Working at / Falling from heights
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RISK ANALYSIS: In a worst case scenario, describe what could go wrong during this task, what injuries you might sustain, or how you could be affected.
Risk Assessment
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POTENTIAL SEVERITY: From the BOS SOP / Field Manual, enter the POTENTIAL SEVERITY of hazard occurrence. If no SOP applies to the task, use your judgment.
- 1 - Minor: Medical Treatment / Recordable / >$500 Loss
- 2 - Serious: Restricted Work / Recordable / >$10,000 Loss
- 3 - Major: Lost Time Injury / >$50,000 Loss / Vehicle Totaled
- 4 - Catastrophic: Fatality / >250,000 Loss / Loss of Client
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POTENTIAL LIKELIHOOD: From the BOS SOP / Field Manual, enter the POTENTIAL LIKELIHOOD of hazard occurrence. If no SOP applies to the task, use your judgment.
- 1 - Impractical / Improbable / Rarely
- 2 - Unlikely / Not Probable / Infrequent
- 3 - Likely / Probable / Frequent
- 4 - More Likely / More Probable / More Frequent
- 5 - Highly Likely / Highly Probable / Very Frequent
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BOS Solutions Risk Matrix
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RISK ANALYSIS: From the BOS SOP / Field Manual, enter the POTENTIAL RISK RANKING "if the SOP is NOT followed." If there is no SOP, multiply POTENTIAL SEVERITY (above) by POTENTIAL LIKELIHOOD (above) for the RISK RANKING.
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Using the guidance of the hierarchy of controls, try to reduce risk. REMEMBER: multiple controls are recommended and encouraged.
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RISK CONTROLS - How are you going control risk exposure during this task?
- Design / Engineering
- Substitution
- Barrier / Isolation
- Required Work Permits
- Warning Signs
- Required Training
- Procedures
- Required PPE
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BOS Solutions Risk Matrix
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After implementing the selected Controls, calculate the new RISK RANKING (using the Risk Matrix above). What is your new number? This new number should now match the RISK RANKING in the BOS SOP / Field Manual "if the SOP is followed." If no SOP applies to the task, use your better judgment.
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STOP THE JOB and see if there is a way to REDUCE exposure to the RISKS associated with these HAZARDS.
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Were you able to reduce this task to a 1, 2, or 3?
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If the answer is NO, click the box to confirm you have CALLED and assigned an Action Item to your Supervisor to mitigate the hazards BEFORE work is started.
All present employees.
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The person completing the PJRA is responsible for ensuring the controls noted are in place and for monitoring their effectiveness, unless another responsible party is noted.
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Add employee(s) to sign.
Employee
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Type and Sign name here.