Doc. No.

FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 1 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical
Department Work Area Prepared by (Supervisor) Approved by (Dept. Leader) JSA No. Rev. No.
Name: Name:
CAR-002
Signature: Signature:

Rig Name: Scarabeo 9

Operation/Job Description: Electrical – Mechanical Works
Date:
Risk Assessment
Responsible for the
Seq. No. Activity Step Hazards Precautions/Measures to be taken (L: Low / M: Medium / H: High)
measure
Cons. Prob. Risk
1. Coordinate with other
discipline supervisors, other
work permit applicants in
surrounding areas to ensure
no conflicts of activities
2. Ensure all personnel
1. Conflicting activities.
1 involved in the operation
2. Misinterpretation of the scope of
understand the exact work
work and associated hazards and
scope (verify to avoid Project Manager
precautions required for execution.
Prepare Work Permit \ JSA miscommunication) HSE Manager H L M
3. Language barrier,
3. Supervisor shall ensure Supervisor
miscommunication
facilities are available for
4. Incorrect or insufficient Personnel
Rescue & Evacuation
Protective Equipment (PPE)
purposes and are
communicated prior to
commencement of activities.
4. Specialist PPE required shall
be provided before
commencement of activities.
An Electrical Isolation shall be
2 1. Electric hazards (e.g. direct/indirect contact) conducted prior to any electrical work
Isolation procedures and HSE Manager
2. Electric hazards (e.g. short-circuits, arcing) on energized components. H L M
performing task PTW Systems shall confirm this prior to Supervisor
3. Potential of injury or fatality
activity start.
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Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 2 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical Activity performed by competent

personnel.
Earthing system.
Electrical activities: Electric hazards (e.g. direct/indirect contact) PTW Systems prior activity start.
Use of hand tools (i.e. Electric hazards (e.g. short-circuits, arcing) Area restricted to operating personnel.
3 scissors, screwdrivers, pliers, Manual handling TBT focused on task to be carried out
Supervisor H L M
etc.); Potential of fatality prior to operations start-up.
System damage Cable management shall be
continuously monitored.
Lock-out Tag-out system shall be
utilized diligently.
Safety signs & barriers install.
1. Ensure personnel are fully
briefed on their working
environment and that the
correct Personal Protective
Equipment is supplied &
1. Slips utilized in the correct fashion as
4 2. Trips the activity dictates.
Working Environment Supervisor M L L
3. Falls 2. Personnel shall insure adequate
4. Dropped objects lighting for activities to
commence.
3. Personnel shall ensure area is
barriered to prevent
unauthorized access to work
area
Check/prepare tools & 1. Malfunction of Tool/Equipment 1. Prior to commencement of Supervisor L L L
equipment activities, all tools, equipment,
and connections shall be
thoroughly inspected by a
trained, qualified, and
competent Technician/Person
2. Supply and wear the correct
5 PPE for the activities
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 3 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical undertaken (hard hat, safety

shoes, safety glasses, FRC
working clothes, gloves) Any
additional or Specialist PPE
required shall be provided
before commencement of
activities.
Use of air/hydraulic powered 1. Pinch points 1. Orientate personnel to be aware Firewatcher M L L
tools and/or equipment 2. Entanglement of the dangers in working with Supervisor
3. Crush points Air/Hydraulic Driven Power
4. Moving-rotating machinery and/or Tools
vehicles. 2. Before using any accessory,
5. Electrical Shock make sure that it is compatible
6. Object projection for use with the chosen Tool.
7. Sharp edges 3. Ensure maximum handling
8. Noise control of tools when using and
9. Vibration maintain control over the
10. Slips, Trips, Falls tool/equipment.
11. Dropped Objects 4. All Tools/Equipment shall be
12. Equipment malfunction disconnected from source when
13. Release of “Stored Energy” not in use, no exceptions!
5. Do not carry the tool by the
hose, connection, or whip
check.
6 6. Protect the hose from sharp
objects and heat.
7. Wear appropriate hearing
protection whilst exposed to
noise above 85 dB.
8. Wear appropriate PPE for the
activity.
9. Ensure any other operations in
the immediate vicinity are
aware of your activities before
commencement.
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 4 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical 10. Ensure any “Deadman”

button/switch is operational and
tested before use.
11. Ensure any additional/specialist
PPE is provided and worn
before commencing operations.
(Goggles/Face Shield/Apron
Impact Gloves etc)
12. Check materials and workplace
for the potential of “stored
energy” being released during
activity

Mech Operation 1. Pinch points 1. Orientate personnel to be aware Firewatcher L L L

2. Entanglement of the dangers in working with Supervisor
3. Crush points Mechanical Power/Hand Tools.
4. Moving-rotating machinery and/or 2. Before using any attachment,
vehicles. make sure that it is compatible
5. Electrical Shock for use with the chosen Tool.
6. Object projection 3. Ensure maximum handling
7 7. Sharp edges control of tools when using and
8. Noise maintain control over the
9. Vibration tool/equipment
10. Slips, Trips, Falls 4. All Power Tools/Equipment
11. Dropped Objects shall be disconnected from
12. Equipment malfunction source when not in use, no
13. Release of “Stored Energy” exceptions!
14. Object projection 5. Do not carry the tool by the
15. Sharp edges cable connection.
6. Ensure any cut-off/deadman
switch is operational and tested
before use.
7. Protect the cable from sharp
objects and heat.
8. Wear appropriate hearing
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 5 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical protection whilst exposed to

noise above 85 dB.
9. Ensure any other operations in
the immediate vicinity are
aware of your activities before
commencement.
10. Ensure any specialist PPE is
supplied and used as required
(Impact Gloves/Face
Shield/Goggles
Gauntlets/Vibration Gloves/
Ear Defenders etc)

1. Restrict manual handling

1. Over exertion. of weight more than 15kg.
2. Restricted movement due to 2. Minimize handling Supervisor
Manual Handling M L L
8 environmental restrictions. oversized/awkward shaped Personnel
3. Dropped Objects loads and request assistance if
unsure.
1. Do not stand under
suspended loads.
2. Pay attention to the range of
1. Falling objects Supervisor
9 Lifting operations cranes in service. H L M
2. Malfunction of equipment Personnel
3. Always use Tag Lines when
removing/landing loads.

1. Improper waste disposal. 1. Check after work that all

2. Trip and slip hazard. equipment, garbage, debris Supervisor
10 Housekeeping is removed and disposed of M L L
3. Unsafe working conditions. Personnel
4. Objects/debris left at worksite accordingly.

11
12
13
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 6 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical
REMINDER:
This is a Generic Job Safety Analysis Template.
It is your duty to modify this JSA to adhere to specific requirements and any hazards that may be present in your workplace.
Always ensure that your Hot Work is performed Safely and in compliance with local Safety Regulations and Procedures
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 7 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical
Probability for the analysis
PROBABILITY Before mitigation After mitigation
of the quantified risk
The event is highly unexpected by the HSE risk assessment team because the preventive/protective measures applied have always shown to be
A Very unlikely Never occurred in the Energy sector. Less frequent than 10-5 events/year
effective and/or it could only happen under a freak combination of adverse conditions.
Already occurred in the Energy sector. Similar occurrences have already been recorded in the The event is unexpected by the HSE risk assessment team the preventive/protective measures applied have always shown to be effective
B Unlikely Between 10-5 and 10-4 events/year
Energy sector. and/or it can only happen under a freak combination of adverse conditions.
Already occurred in the Company. Some similar occurrences have already been The HSE risk assessment team is aware that the event could happen even if the preventive/protective measures applied have shown themselves to
C Possible Between 10-4 and 10-2 events/year
recorded in the Saipem group (less than once a year). be effective and/or presence freak combination of adverse conditions is not necessary for it to occur.

It has occurred many times in the Company. Many occurrences have already been recorded The event would not surprise the HSE risk assessment team because the preventive/protective measures applied have often shown to be ineffective
D Probable Between 10-2 and 10-1 events/year
in the Saipem group (more than once a year). and/or it probably will occur if the conditions remain unchanged.

It has occurred on the site many times a year. Many occurrences have already been recorded The event would not surprise the HSE risk assessment team because the preventive/protective measures applied have almost always been shown to More frequent than 10-1
E Very probable
at one particular branch in the Saipem group (more than once a year). be ineffective and/or it is certain that it will occur if the conditions remain unchanged. events/year

EFFECTS ON ENVIRONMENT and Communities

SEVERITY ANNUAL FREQUENCY / PROBABILITY OF OCCURRENCE
INJURY TO DAMAGE TO
OF
PERSONS ASSET IMPACT ON HIGH CLEAN UP
INCIDENT LOCAL
REQUIREMENTS/ REPUTATIONAL A B C D E
SPATIAL EXTENSION VULNERABLE INTERVENTION/ COMMUNITIES
AREAS* REMEDIATION AUTHORITIES IMPACT
IMPACT
Very Very
Slight injury or Managed with Unlikely Possible Probable
Slight damage unlikely p robable
L1 limited health internal Reporting not Not reported
No disruption Very Minor Not impacted Not impacted
Negligible effects emergency necessary in the news
to operation

SEVERITY OF THE CONSEQUENCES

(First Aid) team 1 Minor
Minor pollution
Minor injury Minor damage
contained at site Managed with Reported to
Effects on health Brief disruption
L2 level and that internal Local authority Not reported 2 Low
(Medical Treatment (cost10K€- Not impacted Not impacted
Low doesn’t spread on emergency without any in the news
or Work Restricted 100K€ or 1day
the environmental team fines
Case) downtime)
media
3 Medium
Pollution of the
Serious injury or environmental media,
Local damage
health effects or up to a medium area Managed with Reported to Local
Partial disruption Might be 4 High
L3 temporary or (within the operational internal authority (Port Reported in
(cost100k€-500k€ or Not impacted impacted with no
Medium permanent total site, or at most within emergency Authority, etc) with Local News
1-7 days lasting effect
invalidity a team negligible fines
downtime)
(Lost Time Injury) few km) with short
term effect. 5 Major
Reported to
Red Area - inacceptable risk: the activities Pollution of the
Majorcannot
damagebe carried out until additional control measures able to reduce the risk to anwith
Impacted acceptable levelauthority
National (yellow or green area) have been implemented.
environmental media
L4 - the risk is tolerable Major
as it disruption
is assessed as ALARP
up to (As LowImpacted
a vast area as Reasonably Required the short term (inspections, fines, Reported in
with short Practicable). The activities can be commenced, but it is necessary to:
Single fatality (cost 500k€-3M€ or intervention of effect (up to stop of operations) National
High (beyond the site of the term effect o Identify adequate risk reduction control measures
1-2 weeks external facilities few months with not negligible News
incident) with medium o Ensure that the risk is subjected to periodic monitoring and assessment so that it remains
downtime) effect) fines
term effect. constantly within the ALARP range.
Pollution of the Reported to o Guarantee, in this way, that a risk threshold considered inacceptable is not exceeded.
Extensive damage Impacted with The ALARP level can be defined by using a qualitative assessment or with a cost/benefit analysis to assess
environmental media Required the National authority
Very mayor medium or long
L5
up to a vast area Impacted with intervention of
term effect
(inspections, fines, Reported in whether the implementation of measures to mitigate the identified consequences or reduce the frequency
Multiple fatalities disruption (cost (beyond the site of medium or long external facilities or stop of operations) International
Very High 3M€-10M€ or more (significative can be pursued with a cost that is unreasonably greater than the benefits actually obtained.
the incident) with term effect remediation not with not negligible News
than 2 weeks time spawn fines Green Area - acceptable risk: the activities can start without the need of any additional control
long term possible
downtime) effect. effect)
measures.
 Doc. No. FORM_DF-SCTDOF-HSE-012-E
FORM
LIFE
Rev. 01 Date: 14/10/2021
JOB SAFETY ANALYSIS
Page. 8 of 3
Ref.Doc. STD_DF-SCTDOF-HSE-001-E

Electrical
POTENTIAL HAZARDS (tick those that apply) SAVING RULES
ICON HAZARD  ICON HAZARD  ICON HAZARD  (TICK IF APPLICABLE TO THE TASK)
Fall from height Suspended loads Confined space

Pinch points / sharp Dangerous

Fall into water
edges atmosphere
Bypassing Energy
Dropped objects
Crush points / caught Difficult access / ☐ safety control ☐ Confined space ☐ Driving ☐ Isolation ☐ Hot Work
in between egress
Moving / rotating /
Electrical hazard remotely controlled Manual handling
machinery

Weather conditions /
Fire / explosion Slip / trip hazard
Sea state
Safe Mechanical Work Working at
New / ☐ Line of Fire ☐ Lifting ☐ Authorisation ☐ Height
Oil / Chemical
inexperienced Poor visibility
Spills
personnel
Hazardous /
Hot/cold surfaces /
chemicals Biological hazard
substances
exposure
Potential release
Communication Ionizing radiations
of energy

High noise / vibration Vessel

Pressure
levels emergencies

Other
Other Other

All personnel involved in this job must sign the JSA to confirm that they have taken part of the meeting to discuss the JSA measures and have clearly understood their duties and responsibilities.
If the JSA is associated to an ADC, the signatures can be recorded only in the ADC Form.

NAME SURNAME POSITION SIGNATURE