JOB HAZARD ANALYSIS [JHA] WORKSHEET

INSTALLATION/FACILITY LOCATION JOB ACTIVITY DESCRIPTION OF ACTIVITY POWER BRUSH & TOUCH UP PAINTING

NOTE 1. A valid Permit to Work, including the associated Isolation/ByPass Certificate(s) as necessary, is required for all work. 2. Personnel carrying out the work shall be fully familiar with the written Work/Operating Procedures developed for the job. The Work/Operating Procedures shall describe, in step-by-step instructions, the correct method of executing the specified work. 3. Prior to commencement of work, the task-specific JHA shall be discussed amongst all personnel involved in the execution; and requirements contained therein shall be fully understood by all involved personnel.

JOB STEP

DESCRIPTION OF JOB STEP

POTENTIAL HAZARD

POTENTIAL IMPACT

INHERENT RISK L S R

CONTROL BARRIERS

RECOVERY BARRIERS Site safety

RESIDUAL RISK L S R

RESULT

Preparation for PTW.

Failure will cause damage to equipment and can cause harm to personnel.

Monitoring

Body injury

Applicant, Authorizing, Approval Signatories be familiar with the job.

& observation by Safety Officer Site safety Monitoring

ACCEPTABLE

Check / clean / setup painting equipment.

Slip, trip and fall, eye injury.

Body injury & Property damage

PPE, PTW, Competent Person, equipment Passport.

& observation by Safety Officer

ACCEPTABLE

Body injury & Property damage 3

Clean-up / remove masking tapes. Sharp tools.

Site safety

Wear hand gloves.

Monitoring & observation by Safety Officer Site safety

ACCEPTABLE

Housekeeping.

Slip, trip and fall.

Body injury & Property damage

Monitoring

Follow safe work practices and regular housekeeping.

& observation by Safety Officer

ACCEPTABLE

RISK ASSESSMENT - LEGEND L - LIKELIHOOD CATEGORY LOW 1 MEDIUM 2 HIGH 3 DEFINITION Remote Possible Probable S - SEVERITY CATEGORY LOW 1 MEDIUM 2 HIGH 3 DEFINITION No Damage Minor Damage Major Damage R RISK RATING H M L 3 2 1 L 6 4 2 M LIKELIHOOD 9 6 3 H RESULT 6-9 3-4 1-2 UNACCEPTABLE TOLERABLE ACCEPTABLE

SEVE RITY

No Injury Non-LTI Lost Time Injury

No Pollution Minor Pollution Major Pollution

IS THERE A SAFER WAY TO COMPLETE THE JOB ?

ARE THERE ALTERNATIVES WITH LESS RISK?

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WORK PERMIT TYPE WORK PERMIT NO

A4

JHA NO TYPE OF EQUIPMENT MANUFACTURER CERTIFICATE NUMBER(S) TAG.NO PRECISE WORK SITE

ASSOCIATED CERTIFICATES TYPE(S) AND NUMBER ISOLATION/BYPASS/LIFTING/CONFINED SPACES/RADIATION CERTIFICATES

ENDORSED BY NAME DESIGNATION SIGNATURE DATE /2/13 Partner Construction Manager/Supervisor NAME DESIGNATION SIGNATURE DATE /2/13 Partner Safety & Health Manager/Officer NAME DESIGNATION SIGNATURE DATE /2/13 MOKHTAR PCSB Construction Supervisor Representative (CSR) NAME DESIGNATION SIGNATURE DATE /2/13 PCSB Safety & Health Officer NAME DESIGNATION SIGNATURE DATE /2/13 Production Supervisor/Maintenance Supervisor

APPROVED BY NAME DESIGNATION SIGNATURE Offshore Installation Manager NAME

TOOL BOX REVIEW - WORK ACTIVITY PARTICIPANTS POSITION SIGNATURE PERFORMED JOB BEFORE? Name Signature Date Time

WORK ACTIVITY RESPONSIBILITY WORK LEADER

/2/13

DATE

/2/13

RISK ASSESSMENT - LEGEND L - LIKELIHOOD CATEGORY LOW 1 MEDIUM 2 HIGH 3 DEFINITION Remote Possible Probable S - SEVERITY CATEGORY LOW 1 MEDIUM 2 HIGH 3 DEFINITION No Damage Minor Damage Major Damage R RISK RATING H M L 3 2 1 L 6 4 2 M LIKELIHOOD 9 6 3 H RESULT 6-9 3-4 1-2 UNACCEPTABLE TOLERABLE ACCEPTABLE

SEVE RITY

No Injury Non-LTI Lost Time Injury

No Pollution Minor Pollution Major Pollution

IS THERE A SAFER WAY TO COMPLETE THE JOB ?

ARE THERE ALTERNATIVES WITH LESS RISK?

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