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JOB SAFETY ANALYSIS FORM

Job Function: IFE Rig Evaluation Date September 7, 1999


(and time if applicable):
Department/ Location: IFE Completed By: D. Speidel
Houston
Description of Job: Perform IFE Rig Evaluation
Accident/ Incident/ Near miss experience: None at this time
Maximum potential loss: Loss of Life
Legal requirements/ relevant codes of practice/ procedures:
Sequence of Job Steps Persons Involved Hazards Identified Control Measures in place
Pre-Evaluation Meeting Customer-Contractor- Remote Location of rig, hazardous operations, Trip Planning, Special
IFE Engineer weather Equipment or PPE required
Driving to Rig IFE Engineer Accident involvement Drive defensively, Trip planning
Check-in/Orientation IFE Engineer Unfamiliar environment, Violate safety rules of Receive orientation. Wear basic
location PPE.
Check Equipment (tools, IFE Engineer Hands full, may result in falls! Arrange to have one hand free at
paper, forms) all times. (bag, backpack)
Establish contact with IFE Engineer May open wrong valve and cause spill, shut Communicate with the
contractor rep in charge of down critical equipment and cause shut down representative
equipment
Begin rig evaluation. IFE Engineer, Heat stress, noise, slips, trips, falls, hit by DATA WILL BE SACRIFICED
Contractor Rep. something, eye injury, exposed to dust, toxic, FOR YOUR SAFETY!
chemical fumes, hit by high pressure fitting Get assistance. Safety training.
Try not to work alone.
Exit conference IFE Engineer Failure to inform contractor rep would not be Communication, IFE Rig
professional. Evaluation training program.
Summarize major or serious findings
Take your equipment and IFE Engineer Would not have equipment for next evaluation, Double check to see if you have
Leave the rig location cause delays, your equipment could drop off everything before leaving
something and hurt someone. location.

Suggested training required: Basic safety training courses.

Signed: Position: Date:

Verified By: D. Speidel Position: HSE – Safety Manager Date: September 7, 1999

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