OSCA 2017 - Job Safety Analysis (JSA)

• Participant's Name:

• Trainer/Assessor:

  Select John McCorkle Gavin Dicinoski Rick Baker Nicole Allison Shane Clark Gerard Mapes Peter Roberts Andrew Hayes Ken Bulow Other

  • John McCorkle
  • Gavin Dicinoski
  • Rick Baker
  • Nicole Allison
  • Shane Clark
  • Gerard Mapes
  • Peter Roberts
  • Andrew Hayes
  • Ken Bulow
  • Other

• Task:

  Select Replacing flat tyre Maintenance to AC unit on roof Restocking pallets Replacing start on light vehicle Confined space entry into pump pit Digging trench Replacing electrical cable in underground conduit Grading haul road Pruning a large tree Other

  • Replacing flat tyre
  • Maintenance to AC unit on roof
  • Restocking pallets
  • Replacing start on light vehicle
  • Confined space entry into pump pit
  • Digging trench
  • Replacing electrical cable in underground conduit
  • Grading haul road
  • Pruning a large tree
  • Other

• List other:

• Conducted on

  Date
• Location
  Address

• Unit of competency this JSA relates to?

  Select RIIRIS201D - Conduct Local Risk Control ( MSAPMOHS217A - Gas Test Atmospheres MSAPMPER300C - Issue Work Permits RIIMPO301D - Conduct hydraulic excavator operations RIIRIS202S - Isolate and access plant RIIWHS202D - Enter & Work in Confined Spaces RII204D - Work Safely at Heights RIIRIS301D - Apply Risk Management Processes Other:

  • RIIRIS201D - Conduct Local Risk Control (
  • MSAPMOHS217A - Gas Test Atmospheres
  • MSAPMPER300C - Issue Work Permits
  • RIIMPO301D - Conduct hydraulic excavator operations
  • RIIRIS202S - Isolate and access plant
  • RIIWHS202D - Enter & Work in Confined Spaces
  • RII204D - Work Safely at Heights
  • RIIRIS301D - Apply Risk Management Processes
  • Other:

• List Other:

Access

• Are any permits required?

  Select None Working alone in remote locations Permit to dig High voltage Hot work Confined space entry Electrical isolation Floor/guarding removal Working at heights Other

  • None
  • Working alone in remote locations
  • Permit to dig
  • High voltage
  • Hot work
  • Confined space entry
  • Electrical isolation
  • Floor/guarding removal
  • Working at heights
  • Other

• Obtain/complete necessary permit

• All Hot Work activities require the use of a Fire Watch, who will have to remain at the work site for 20 minutes after the Hot Work is complete. The Fire Watch must hold the appropriate VOC and been duly authorised by the Area Manager.

• All confined space entries on this site require a Stand-by person/s, a Rescue Plan in writing, Continuous Atmospheric Monitoring and Mechanical Ventilation when required by the Confined Space ID & Analysis. Ensure you review the register and CSID&A for the space to be entered. All rescues must be planned, established and rehearsed.

Energy

• What type/s of energy are present?

  Select Gravity Steam Chemical Electrical Explosion Stored pressure Noise/Vibration Thermal Radiation Biomechanical Other

  • Gravity
  • Steam
  • Chemical
  • Electrical
  • Explosion
  • Stored pressure
  • Noise/Vibration
  • Thermal
  • Radiation
  • Biomechanical
  • Other

• List Other:

Slips/Trips/Falls

• Working at heights or near an unguarded depth (i.e. an excavation or pit)

• What could you fall on, into or through?

• Consider the need for barricading before the use of PPE.

• Ladders//Scaffolds

• Ensure the Ladder or Scaffold has been formally inspected prior to use. Scaffolding = every 30 days. Ladders = Prior to use.
  Is the ladder fit for purpose?

• Slippery Surfaces

• If possible clean up the area to eliminate the hazard. If that isn't possible consider other means to ensure good traction.

• Uneven ground

• You may have to demarcate the area with hazard tape or yellow paint if the uneven work area has high traffic. You may also consider the need to provide a temporary flooring if the uneven ground is severe.

• Trip Hazards

• Conduct general housekeeping to remove trip hazards where possible. Demarcate those that can't be removed and inform all workers of their presence.

Working at heights

• Have you been trained as a 'Height Safety Operator' at a minimum?

  Yes

  No

  N/A

• Have you considered the possibility to eliminated the hazard completely or substitute it for a less hazardous method such as scaffolding, EWP or man-cage on a crane?

  Yes

  No

  N/A

• Are you aware that PPE should not be your first and only choice of protection when working at heights?

  Yes

  No

  N/A

• PPE should only be used as a secondary control to back up your higher level control. Only when no other high level control measure is possible, and you have your Manager's approval in writing, can you use PPE as your only (primary) control measure.

• Have you consider the need to rescue a person that has fallen?

  Yes

  No

  N/A

• Describe your method of rescue.

• You must list how you plan on ensuring a person that has fallen will be recovered in under 5 minutes if using fall-arrest.

Job data information

• Date and time

  Date

• Task Description complete with job steps:

Job Safety Check Participants.

• Enter in the names of the Job Safety Analysis participants - each person must sign.

Name

• Add signature

  Sign

• Is there anyone who is a participant of this job Safety Analysis not familiar with the task being performed?

  Yes

  No

• You MUST ensure all assisting with this task are made aware of all aspects of the job prior to commencement.

Risk Management

• Hazard Identification

Hazard

• List hazards

• CONSEQUENCE

  1. Low

  2. Minor

  3. Moderate

  4. Major

  5. Critical

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• High Risk

• Moderate Risk

• Low Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• High Risk

• Moderate Risk

• Low Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• Moderate Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• Enter any controls that exist or you have implemented to mitigate the risk

Control Measures

• List all controls required to reduce the risk to an acceptable level and then determine the revised risk after controls were put in place. (e.g. EWP, Working at Heights SOP, Harness, Heights Permit etc...)

• CONSEQUENCE

  1. Low

  2. Minor

  3. Moderate

  4. Major

  5. Critical

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• High Risk

• Moderate Risk

• Low Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• High Risk

• Moderate Risk

• Low Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• Moderate Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• LIKELIHOOD

  A. Almost Certain

  B. Likely

  C. Possible

  D. Unlikely

  E. Rare

• Extreme Risk

• High Risk

• Any additional controls required to bring the risk to an acceptable level?

Control Measures

• If the revised risk is High or Extreme you will have to select another control measure to reduce the risk to an acceptable level before proceeding.

Sign off

• Participant's Name and Signature:

  Sign

• Supervisor's Name and Signature:

  Sign