JOB SAFETY ANALYSIS
JOB TITLE Confined Space Entry JSA NO.
TITLE OF PERSON OVERSEEING TASK:
JOB # :
PROTECTIVE EQUIPMENT:
STEP NO. SEQUENCE OF BASIC JOB STEPS
Select all necessary tools, fall protection,
rescue notification, equipment and materials.
1 air monitoring equipment is calibrated and working properly for the type of
Preform tailgate pre-entry meeting with entry
supervisor, entrants and attendants
Access work area. Set up tripod, rescue
equipment, and communication with
2 supervisor, entrants, attendants and rescue
team, have correct tools and material staged
and ready to use/work.
Low/high oxygen content can lead to affrication.
Complete Confined Entry Permit, and Air
monitor checks, LO/TO procedures (if
3 hazardous or toxic substances or materials,
applicable) Illumination is low voltage and
explosion proof.
4 Prepare and enter the space for work.
Enter the CS and preform
5
work/inspection/cleaning.
Slip/fall hazard due to material/tools/debris inside lift any tools/material from the car. Have attendant hold exit ladder or tie off to
Complete the work/inspection/cleaning and
6 passed out from the space to the employee on the catwalk that could be knocked into the exit opening. Keep cords/leads hoses
exit the CS
lighting cords. Limited visibility due to respirator.
7
8
9
Employees Signatures
DATE: NEW JSA
ANALYSIS BY:
REVIEWED BY: Gene Jones
DEPT.: y APPROVED
g BY: Gene Jones -1/12/2016
Respiratory protection as needed. SUPERVISOR:
POTENTIAL HAZARDS RECOMMENDED ACTION OR PROCEDURE
Review and make sure only trained personal are entering/attending the entry.
Untrained/Unfamiliar entrants/attendants with
Rescue and retrieval equipment are at location and in good working order. All
procedure/processes. Entrapment/affrication,
injury/loss of conscience, dangerous/toxic or
entry being preformed. All respirator, supplied air and escape air is operating
explosive atmosphere.
properly, and fit check made.
Use proper ladder safety (3 points of contact,), harness properly worn, SRL or
Slip, Trip and fall hazards. Dropped objects,
lanyard is correct for application. Hoist all tools and material by means of
improper confined space equipment set up .
bucket and rope. Do not carry tools or material up ladders by hand
Assure air monitor devices are calibrated and current, all personal monitors
are functioning properly. Attendant and entry supervisor take air sample
LEL can lead to explosion or fire hazard.
reading starting at the bottom, middle and top of the space and record results
Presence of toxic atmosphere. Presence of
onto CSP. Review results with entry crew. Ventilated the space as required
per standard/procedure until reading are within LEL and oxy limits for entry.
product or other material introduced into the
Fire extinguisher on hand., and all sources of ignition are removed fro the
space from other point not the entry way. fire
space. proper lighting is supplied and all sources or material or energy sources
from welding, cutting, grinding burning.
have been LO/TO.
Slip/fall hazard to elevated work area. Dropped
Utilize 3 points of contact when ascending/ descending ladder. Use 100% fall
tools/materials. Attendant not ready or proper
protection above 4ft. Calibrated air monitor and attendant at entry point, all
entry set-up complete. Space not properly
readings in acceptable limits, fire extinguisher and rescue PPE at the entry
ventilated and rechecks complete. May contain
point, and rescue team on stand by.
toxic/hazardous atmosphere
Continuous atmospheric testing by the attendant,. Constant communication
Presences or build-up of toxic or hazardous with entrants. Tool inspection and proper materials. Entrants respirators and
atmospheres, entrapment, medical/health or air supply hose and respirators are properly fit, correct size and hose
injury. Air supply or respirator failure. Tool or entanglement hazard has been addressed. All personal monitors , and alarms
material failure. are functioning properly and worn. Rescue team has been notified of the entry
and on stand by.
Utilize 3 point of contact when ascending/descending. Use bucket and rope to
the space, dropped tools or materials being stable object to prevent slipping. Do not lay tools or material on top of car or
outside. Entanglement with air supply hose, centrally located as much as possible. Complete the CSP, and check that all
entrants have exited the space, and rescue team notified to return to stand
down mode.