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| BOMESC | Deschpt Block Transportation work 单片运输作业 Job Location 作业地点： | JSANo.编号： BOMESC-HSE-JSA-56 Company Name 公司名称: | ||
| Job Safety Analysis 作业风险分析 | Prepared By: (Originator's Name)发起人（带班）： | Date日期: | ||
| EXECUTED BYSUPERVISOR 执行人（主管）： Name姓名 | Title 职位 | REVIEWEDBY审核人（安全）： Title 职位 | ||
| Name 姓名 | ||||
| SEQUENCE OF JOB STEPS 工作步骤 | POTENTIAL ACCIDENTS OR | Risk Ranking without Controls 采取措施前风险 | Risk Ranking After Controls 采取措施后风险 评分 | Additional Actions Required 其他安全措施 | Action Party 责任人 | |
| HAZARDS 潜在事故和风险 | RECOMMENDED SAFE JOB PROCEDURE | |||||
| Fill in based on 20 types of injuries 依据20类伤害来填写 | 推荐安全措施 1.ldentify hazards- For each job step,list | Additional actions shall be in place when the risk level is high after the recommended safe work job procedure is in place. 在推荐的安全工作程序到位 后，当风险等级较高时，应 采取额外措施. | ||||
| 1.Break the job into basic Ask yourself for each step,what steps in order. accidents could occur to the 2.Describe what is done (not how) in 3-4 words per step. 3.Keep steps natural—neither too 4lnclud keysafetystps (e.g., "Check for gas before entry"). 5.按顺序分解作业基本步 骤。 2.每步用3-4个词描述"做 什么”（而非"怎么做"）。 3.步骤应简洁自然，避免过 细或过泛。 | ||||||
| people during the job step. Ask: Can they be struck by or contacted by anything?Can they be caught in,on,or between anything?Can they be exposed to gas, fumes, radiation, etc.? 问,自己每一个工作步骤中可能 问：他们是否会被碰伤或撞伤？ 他们是否会被卡住？他们是否会 摔倒？他们是否会扭伤或过度劳 累？他们是否会暴露在未知气 体、烟雾、辐射等中？ 4.包含关键安全措施（如"进 入前检查气体"）。 | LIKELIHOOD SEVERITY 可能 严重 性 性 | potential accidents. 2.Define precautions- Specify clear do/don't actions (e.g.,"Wear gloves" vs. "Be careful").Avoid vague terms like "stay alert." 3.Match numbering- Assign precautions thesamenumberastherrelatedjiob RISK I 4.Improve methods - Ask: Is there a safer way to perform this job? 风险 Foripmeirs:Canadjustmentsexnd 1.识别危险－针对每个作业步骤，列出潜在 事故。 2.明确预防措施－使用具体指令（如"戴手 套"而非"小心"）。避免模糊表述。 3.编号对应－预防措施编号须与关联的作 业步骤一致。 4.优化方法-思考： 是否有更安全的作业方式？ 维修时：能否通过调整延长设备寿命？ |
| SEQUENCE OF JOB STEPS 工作步骤 | POTENTIAL ACCIDENTS OR HAZARDS 潜在事故和风险 Fill in based on 20 types of injuries 依据20类伤害来填写 | Risk Ranking without Controls 采取措施前 风险评分 | RECOMMENDED SAFE JOB PROCEDURE 推荐安全措施 | Risk Ranking After Controls 采取措施后 风险评分 | Additional Actions Required 其他安全措 施 | Action Party 责任人 | |||
| 1.Preparatio n before transportatio n 运输前准备 | Other injuries 其他伤 害（Personnel involved in the operation unaware of the risk and work procedure 作业人员不知道作业 时的风险和工作程序） | 2 | 3 | operators and spotters, Discussing all potential damage and give safety instruction 在危险并且给予安全指导 | Safe task analysis risk reduction talks and JSA to be conducted prior operation by all 作业之前所有操作人员和信号员做安全作业分析风险降低谈话和工作安全分析，讨论所有的潜 | 3 | L | 专业主管 | |
| Otherinjuries 其他伤 operation交叉作业） Othr niuries其 t | 3 3 | M | PTWstti If Any deviation from Lifting Plan,Work must stopped and Engineering to provide | 2 | 3 L | 专业主管 | |||
| 与作业方案有差异） Other injuries 其他伤 害（Supports are not fully disconnected | 3 3 | M | 计部人员提供预备方案并签字 M disconnected | alternate plan and signed (MOC）如果吊装计划出现任何偏差，作业须立即停止并由设 Dedicated person check in advance to make sure all the supports have been | 2 2 | 3 3 | L L | 专业主管 专业主管 | |
| 从吊物上落下不固定 | 胎架切除不完全） Other injuries 其他伤 害（Injuries due to loose/unsecure materials or tools falling from Module | 3 3 | M | 运输前专人检查确保切除所有胎架 | Pre-transport inspection to ensure alloose/unsecure materials or tools on The module are cleared 运输之前进行检查确保模块上所有不固定物或工具清理干净 | 2 | 3 | L | 专业主管 |
| 物造成人员受伤） Other injuries 其他伤 害（SPMT failure SPMT 故障） | 3 3 | M | SPMT is certified and conducted daily pre-use inspection SPMT 持有效检验证书及每天的使用前检查表 SPMT inspection by operator for visible defects to be carried out prior operation | 2 | 3 | 专业主管 | |||
| Other injuries 其他伤 害（Injuries/Material | M | 作业前操作人员对 SPMT是否有可见的缺陷进行检查 Use of the lifting equipment according to theinstructions 按照说明书使用吊装设备 Slings,chains and shackles must have valid test certificates --) colour code | 2 3 | 专业主管 | |||||
| damage caused by incorrect | 吊索、链和卸扣需有有效的检验证书色标 |
| manipulations 操作不当引起的伤害 及工具材料损害） Other injuries 其他伤 害（Material damage caused by unprepared working upae(insund.ostacle s) 工作区未准备妥（地下 结构，不稳定，障碍等) 导致设备损坏） Other injuries 其他伤 害（Lacking of personnel or | 3 2 | 3 M 3 | Proper communication/signals to crane driver by one person only 通过一人与吊机操作员进行有效沟通 Toolbox meeting / Start before work meetings 安全会/作业前交底会 In地aundergroundprepains Check with ifting plan 检查吊装方案 | 2 3 | L | 专业主管 | ||
| unqualified personnel 人员不够或人员水平 不足） Other injuries 其他伤 | 害（antinjure)脚伤 | 2 | 3 3 | Co-ordinate with the project manager in order to provide enough personnel 与项目经理协调提供充足人手 Presence of the SPMT operator during the assembling/positioning of the parts 在组装/就位阶段SPMT 操作员应出席 | 3 L | 专业主管 | ||
| 3 L | 专业主管 | |||||||
| 手伤（割到）） Other injuries 其他伤 | Visual inspection ofliftig tackle before use | |||||||
| 使用前对吊装索具做外观检查 | ||||||||
| Check presence of colour tag 检查是否有色标 | ||||||||
| - Equipment 设备） | Non valid hoisting equipment needs to be red tagged and NOT used M | 2 3 | L | 专业主管 | ||||
| 无效其中设备需用红色标记，并且不允许使用 | ||||||||
| Proper communication/signals to crane driver by one person only | ||||||||
| 通过一人与吊机操作员进行有效沟通 | ||||||||
| 划出组装区域界限，做指示牌，并且禁止随意进入 | ||||||||
| 害（Fall of objects SPMT拼接 物体坠落) | 3 3 | 保护底盘 | 2 | 专业主管 | ||||
| 2.Assembly SPmts | Other injuries 其他伤 | |||||||
| Escort chassis | ||||||||
| Mark out,indiate and forbid accesto the assembly area | 3 L | |||||||
| Use of slings by qualified personnel | ||||||||
| 组装 | 合格人员来使用吊索 | ||||||
| Other injuries 其他伤 害（Lack of space 空间不足) | 2 | 3 | Assemble the parts according to the instructions of the supervisor | 1 3 | L | 专业主管 | |
| 按照主管人员的只是拼接组装 Discuss the assembling with the responsible before hand | |||||||
| 3.Preliminary test | Other injuries 其他伤 害（Interchange prtum-roapling 压力及联轴器交换 Connection of | 提前与负责人员讨论拼接组装事宜 Use correct tools 使用正确的工具 | 专业主管 | ||||
| Folla明书ructins L Supervision by experienced worker 由经验丰富人员进行监督 | |||||||
| tori-ieries其他油） | 2 | 3 | 完成作业（防止联轴器松开） Foresee spill kit + absorbent granulates 预先准备泄露处理包及可吸油颗粒剂 直接将漏油清理干净 | 1 3 | L | 专业主管 | |
| Other injuries 其他伤 害（Bad coupled hoses: 软管连接不当（漏油， 系统失灵) | 业 Check couplings 检查联轴器 Check hoses or mark couplings | ||||||
| power packs PPU 就位 | Interchange pressure and return-coupling 压力及联轴器交换 Power pack leaks | 3 | 3 | 检查管，记spit 准备防漏罐及泄露处理包 Supervision by experienced worker | 2 3 | L | 专业主管 |
| 动力机组漏油） Other injuries 其他伤 | 由经验丰富人员进行监督 作前spersStaeforetn | ||||||
| 5.Loading and unlosading SPMT 装卸 | 害（Damage to the load or accidents handid byincoret 操作不当导致货物受 | 3 | 3 | 业 Check the means of communication 检查沟通途径 | 2 3 | L | 专业主管 |
| M 损或其他事故) | Define the load evolution area 确定货物移动区域 Appoint a lifting supervisor in critical situations 在关键或危急情形下，指派吊装主管 |
| 6.Driving SPMT SPMT 运行 | Other injuries 其他伤 害（Instability 不稳定性) | 3 | 3 M | Do not drive when you have doubts about the surface 对地面情况不确定时不要行驶 Check the gravity centre position 检查重心位置 Check the setting of the hydraulic suspension 检查液压悬挂的安装 | 2 | L | 专业主管 | ||
| Drive with the suspension as low as possible 悬挂尽量在低位状态行驶 Check continuously the horizontally position of the lifting platform 不断检查吊装平台水平位置 Use water gauge for critical transports 关键运输时使用水位表 | 3 | ||||||||
| Other injuries 其他伤 害（Unexpected moves of the load 货物意外移动） | 3 | 3 | Keep speed down 降低速度 Monitor weather conditions and forecast M 检测天气条件和天气预报 确保货物正确且按照计算加固 Provide driver & assistant | Ensure that the load is secured correctly and according to calculations | 2 | 3 | L | 专业主管 | |
| 7.Positining under the Module | teraniuris其t物 体掉落) Other injuries 其他伤 | 3 | 3 M | 提供驾驶员及辅助人员 Provide communication tools 提供沟通工具 开始前做路勘，作为作业启动会的一部分 Claim sufficient space todo the work in a safe way 提出安全作业所需要的足够的空间要求 | Route survey to be done before start, as part of the start to work meeting | 3 2 | L | 专业主管 | |
| SPMT 在模 块下就位 | irrelevant personnel entering transportation area 作业人员受伤和 非作业人员进入作业 现场造成未知伤害) Otherinuwes 其他伤 condition 恶劣的天气 条件） | 3 M | personnel to enter 所有作业人员 PPE 齐全，包括安全帽、安全眼镜、工作服、劳保鞋。对作业现 场进行警戒带圈围，禁止非作业人员进入 [Check weather forecast prior operation， Wind speed should be lessthan 10.8m/s. Should be stop when bad weather 作业前关注天气预报，风速小于10.8米每秒，天气恶劣停止吊装 | 2 2 | 3 3 L | 专业主管 专业主管 | |||
| Other injuries 其他伤 害（There is no enough flood lights at work site when | M | Contact the electrician to install enough flood lights at work site in advance 提前联系电工在施工现场装置足够多的照明灯 | 2 | 3 | 专业主管 |
| transport at night. 夜间进行吊装作业没 | 更新日期（Update | -30 | May30, | 20267 | |||||
| 有足够的照明灯） Other injuries 其他伤 害(Comunimuninat | 3 | ||||||||
| 8.Transport the module to the designated place with SPMT | ion 通讯故障） Other injuries 其他伤 害 (Upfamiarwt 对 | 3 | 3 M | En有Tran关人tingrueisbriefe toalivolved personel | 2 | L | 专业主管 专业主管 | ||
| SPMT 将模 块运输至指 定地点 | Other injuries 其他伤 害（Personnel still on the module when transport begin | 2 | Transport supervisor to ensure that all personnel are off module and give the all clear signal to SPMT operator prior to transport 在运输之前运输监督要确保所有人员都离开了模块并且把人员已清的信息告知 SPMT 操作员 | 专业主管 | |||||
| 运输开始时仍有人员 停留在模块上) Other injuries 其他伤 害（Hands/ finger and personal injures 手/手 | Use the appropriate PPE 佩戴合适的劳动保护用品 | 专业主管 | |||||||
| 指和人员受伤） Other injuries 其他伤 害（SPMT failure SPMT 故障） | 2 | Ensure that any equipment (SPMT) that willbe used to transport has been inspected and approved foruse 确保用于运输的液压平板车已经过检查并允许使用 Do not exceed/overload SWL for the transport equipment 运输设备不能超过安全工作载荷 Ensure that SPMT to be synchronized for homogeneous movement | 专业主管 | ||||||
| Other injuries 其他伤 物Sing ofLlad | 2 | 两辆平板车要同步匀速运动 Ensure that the wood on the SPMT for supporting the structure have the appropriate location | 专业主管 | ||||||
| Other injuries 其他伤 害（Module overturned | 保持安全caut小心运行，大运ed速度：imu米f/nsporting elocity：5km/h | ||||||||
| 模块翻倒） Other injuries 其他伤 | Transport Route road condition to be check before operation and guarantee there is | 专业主管 | |||||||
| 物） | no sharp edges and the path is solid and flat 清理干净沿途上所有的材料和障碍物，保证没有锋利边缘的物体和道路结实平坦 | 专业主管 | |||||||
| Other injuries 其他伤 害（Accidental injury to irrelevant personnel rnteriprtoroute area 无关人员进入运 输路线区域造成意外 伤害） | 2 | 3 L | 1 3 | L | 专业主管 | |||
| 2 | 3 | L | 1 3 | L | 专业主管 |
通用 JSA
| PSMS Human factors 人的因素 | 如此项作业涉及PAMS 要求（例如：SWC/AAR/V&V），请按照 PSMS 要求来执行。 | 专业主管 | ||||||
| Other injuries 其他伤害 Unanthor作业区域出现 未授权人员） | 3 3 | M | Display warning signage,instal barricades if necessary. 必要时张贴警示标识、设置路障 | 2 | 3 | 专业主管 | ||
| Other injuries 其他伤害 （Use of mobile phone led to distraction cause accident使用手机注意力 分散导致事故) | M | Do not use a mobile phone when you are working. 工作时请勿使用手机 | 2 | 3 | 专业主管 | |||
| Other injuries 其他伤害 （Working alone单独作 2 业） | 3 | L | Working alone is not allowed,follow buddy system 不允许单独作业，遵循伙伴机制 | 2 | 3 L | 专业主管 | ||
| Vehicle injury 车辆伤害 Other injuries 其他伤害 | 2 3 | L | Stdgeyouae spy | 1 | 3 L | 专业主管 | ||
| (Operation after drug 3 and alcohol 酒后/毒品后 作业） | 4 | M | If individuals do not get enough rest, feel tired or take some drugs that make people drowsy or inattentive,they should inform the supervisor 个人如果没有得到足够的休息，感到 疲乏或者服用了一些使人嗜睡或者注意力不集中的药物，要告知主管 | 2 | 2 L | 专业主管 | ||
| Other injuries 其他伤害 （Injury人员受伤） 3 | 3 | M | Observe proper lifting technique. Bend knees whilst ifting 遵守正确的搬运技术，搬运时屈膝。 Operator have received training related to the homework | 2 | 1 L | 专业主管 | ||
| Training 培训 Other injuries 其他伤害 | 4 3 | M | 作业人员经过与作业相关的培训。 Use of applicable respiratory protection.使用合适的呼吸保护器。。 | 2 | 1 L | 专业主管 | ||
| involved) 职业健康（如 涉及） Occupational 吸隐患） | （Respiratory hazard 呼 3 | 3 | M | 2 3 | 专业主管 |
| health (if involved) 职业健康（如 涉及） | Other injuries 其他伤害 （Noise hazard噪声） | Use of hearing protection,ear plugs, earmuffs 使用听力保护器、耳塞、耳罩 | 专业主管 | |||||
| Mechanical factors | Other injuries 其他伤害 （眼睛受伤Eye | 始终佩戴护目镜、耳塞、防尘口罩、面罩、手套 Safety glass/ere protection/dust mask/face shield/gloves to be worn | 2 | 专业主管 | ||||
| 机械因素 Mechanical factors 机械因素 | protection) Electrical shock 触电 | 3 M | use every day 检查工具和季度色，确保能正常使用.每天使用前进行检查。 | Inspection and color code of tools to ensure in good working condition.Check before Ensure power supply protected with RCD or GFCl and grounding instaled 确保电源有漏电保护器、良好接地 | 2 | 专业主管 | ||
| Falling Object 高处坠物 | Object strike 物体打击 | Require mandatory use of lanyards for hand tools used on modules and place tools in tool buckets/bags if they are not in use,avoiding placement on work platforms and other potential fall locations. 要求在模块上使用的手持工具强制使用防坠绳，且如工具没有正在使用应放置在工具桶/工具包 中，避免放置在作业平台和其他潜在坠落的位置。 All tools, loose materials and equipment that have potential to drop to lower areas during work are secured using lanyards,material bags, tool bags/boxes, etc. Barricades and signs/tags are in place to restrict access to areas under and around elevated surfaces on which work is being performed in order to prevent entry into a potential dropped object area. 所有在工作过程中有可能掉落至较低区域的工具、松散材料及设备，均使用防坠绳、材料袋、 工具袋/箱等进行固定。 | 专业主管 |
| Legal and company regulations 法律规定及 公司规定 | 不要使用临时的凳子如桶、塑料线轴等。 | Cover or provide physical barrier on floor openings and leading edges. 对作业面上的孔洞和边缘进行覆盖或者做圈围防护。 人员在平台上作业时任何人不得移动平台；如工作需要移动平台时，上面的人员需要下来When people work on the platform,anyone is not allowed to move the platform; if the work requires to move the platform, the people above shall get down Provide and conduct JSA and STARRT prior to work start. 作业开始前提供、执行JSA 和 STARRT According to the requirements of PSMS（Personnel Safety Management System） safety management tools,the foreman and the supervisor shallinspect the site before the working and fill out the SWC. During the working, verification and validation shall be carried out to | 1 | 3 L | 专业主管 专业主管 专业主管 | ||||
| 2 | 3 L | M ensure that the safety measures are effectively implemented. After the working,a review shall be conducted to make our activity safer and smoother. （if needed) 根据 PSMS 安全管理工具要求，作业负责人及主管作业前检查现场并填写SWC 检查表，作业 中进行验证与确认（V&V）安全措施是否有效落实，作业后进行回顾（AAR），使我们的作业 更加安全与顺利。（如涉及） Apply for the corresponding work permit before starting the assignment 作业前申请相对应的作业许可 | |||||||
| Cold and hot Other injuries 其他伤害 stress （Working in cold 冷热应力 we wtier.col sres. | 3 寒冷天气作业，冷应力。 | 3 | M | After frost and snow, the working surface should be cleaned in time to prevent slipping or falling from high places due to frost and snow. 霜、雪过后要及时清理作业面，防止因霜雪和场地太滑而引起滑到或者高处坠落。 | 2 | 3 | 专业主管 | ||
| It is forbidden to use open flame to defrost gas pipelines,gas cylinders and other pressure vessel equipment. 气体管道、气瓶等压力容器设备禁止使用明火解冻。 Provide proper work platform and clear the platform of ice and snow.为工人提供作业平台并清 除平台上的冰雪。 Appropriate and suitable clothing must be provided. Clothing should consist of a base layer, intermediate layer and appropriate outer garments.提供适当的衣物，衣物应包含底层、中间夹 层tio | 2 3 | 专业主管 | |||||||
| Other injuries其他伤害 | An appropriate work-rest regime or schedule and a heated shelter for relief from the cold will be provided.提供适当的作息制度，以及温暖的庇护场所以减轻寒冷带来的影响。 Achange of dry work clothing willbe on hand for each worker.每工人都应该更换和穿戴干燥 的衣物。 Warm,non-alcoholic drinks (avoid or minimize coffee or other liquid containing caffeine) and/or soups willbe available.要有可用的不含酒精的热饮（尽量避免含咖啡因的饮料）或者汤 类。 The buddy system will be used at alltimes.任何时候都要遵循伙伴制度。 Work willbe planned to consider the additional weight and bulkiness of clothing that may affect work performance.Consider fire hazard for hot work 工作时要考虑厚重的衣物可能对工 作造成的影响。热工作业时注意火灾风险。 Work will be performed away from big windy or adverse weather, drafty,or unprotected areas as much as possible.尽量避免在风大或是不利天气、通风良好的以及未防护区域进行作业。 Follow the summer construction requirements of BOMESC | 遵循博迈科夏季施工要求 Immediately report to yard HSE offcers incase of emergency and | |||||||||
| Work during drizzling.小 雨天气作业 | ( Heat stroke due to working in hot weather,. 高温天气工作导致中暑 Hot stroke could cause secondary injury, including fainting, convulsion and confusion hot stress summertime 中暑可能导 致次生伤害，比如眩晕, 痉挛或者意识模糊热应力 (夏季)） Electrical shock 触电 | 3 | 3 | dial yard emergency number 18222955911 for help. 及时汇报给场地安全，并拨打场地应急急救电话 18222955911. M | The work areas shall be covered with shelter and ensure work area is free from rain droplets | 2 3 3 | L | 专业主管 | |||
| 3 3 3 | and workers from getting wet.工作区域必须搭盖遮雨棚，确保工作区域无雨滴，工人不得淋湿 Worker's clothing and PPE must be dry.工人的衣服和劳保用品必须是干燥的 | 2 | 3 | L | 专业主管 专业主管 | ||||||
| 3 | Cables and hoses to be inspected prior work and ensuring they are free from any exposed core or damaged.作业前检查气带和电缆并确保它们没有任何裸露的核心或损坏 | 2 | 2 | L | 专业主管 | ||||||
| 3 | M | All electrical equipment shallbe protected from rain via shelters.所有用电设备必须做防雨措施 | L | 专业主管 | |||||||
| M | Check the wires/cables for damage prior operation and take protection measures against the | 2 | L | 专业主管 | |||||||
| 3 | 3 M | rain to getwet.作业前检查电线/电缆无破损并做好防护，防止被雨淋湿 All wires/cables hang up on cable hanger.所有电线架空 | 2 | 3 | L | 专业主管 | |||||
| 3 3 | M 3 | Clearing the area of water. Provide proper work platform to workers make sure nobody is working in the puddle.清理地面积水，为工人提供作业平台，确保没有人站在水中作业 | 2 | 3 | L | 专业主管 | |||||
| Other injuries 其他伤害 Additional | control 3 | M | Increase the guardian in the work area.增加工作区域的监护人 | 2 | 3 L | 专业主管 | |||
| measures.额外的控制措 施） | |||||||||
| Other injuries 其他伤害 | 3 | 3 | M | Construction supervisors and electricians are present.建造主管和电工在场 Ensure suffcient illumination in workplace and walkways, | 2 | 3 | L | 专业主管 | |
| Working at dark place 夜间工作 | （Working at dark place 夜间工作） | 2 | 3 | L | 确保现场足够的照明 | 1 | 3 L | 专业主管 | |
| 2 | 3 | Wear high visibility/reflective vest 穿高亮反光马甲 Working alone is not allowed, follow buddy system | 1 | 3 L | 专业主管 | ||||
| Operation 业完成eted作 | Other injuries 其他伤害 | 3 | 3 | M | 不允许单独作业，遵循伙伴机制 All equipment de-energized and secured. 对所有设备断电、关闭 | 2 | 3 L | 专业主管 | |
| (Unsecured aork 工作区域不安全） | 2 3 | L | 1 3 | L | 专业主管 | ||||
| 2 3 | L | Conduct housekeeping,waste management, PPE maintenance 做好卫生、垃圾清理和 PPE 的维护保养。 | 1 3 | L | 专业主管 |
Note:
Hold Point 停顿点 - Supervisor shall assigns a worker to carry out the check to confirm all HOLD points are in place before work commence.主管应指派一名工人进行检查，以确认所有 HOLD 点在工作开始前到位。
Trigger Point 触发点 - Pause or stop the work activity when these TRIGGER points are discovered while work is in progress. 在工作进行期间发现这些触发点时，暂停或停止工作。
以下哪些是适用于此项作业的生命攸关原则？请在下方勾选。
Which of the following LSRs are applicable to the work activity? Please tick below.
制措施是否都已在 JSA 中明确？如是，请勾选□；如否，请在下方补充。
Are the controls all specified in the JSA? If yes, please tick□; If not, please add below.
补充控制措施：
Additional control measures:
STOP and USE a HOLD POINT if unsafe condition identified. Report to your supervisor. Use below space for additional safety issue or task changes. Use HAZARD WHEEL to identify thehazard.如发现不安全情况，停工并进行“停顿点”通知相关主管。在下面补充其他安全问题或作业变动。使用附件中的“风险轮”确定风险种类。
危险识别工具
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JSA Reviewed With Employees 已阅 JSA 的员工
| Employee Name 员工姓名 | Employee Name 员工姓名 | Employee Name 员工姓名 Employee Name 员工姓名 |
| Thereare sufficient and effective preventioncontrol.monitoring and protection measures,or eployees haveahigh sense of safety andhealthandsrictlyipeenttheopeainprocedurch isextremely unlikely tocause accidents or incidents有分、有效 的防范、控制、监测、保护措施，或员工安全卫生意识相当高，严格执行操 作规程，极不可能发生事故或事件 | Not herd of in the industry行业内未听说过 | LikeliboodL发生的 | ||||||
| Once thehazard ocurs,it can be foundin time and monitored 监测，或现场有防范控制措施，并能有效执行，或过去偶尔发生事故或事件 | 2 | 业hedtr | 10 | |||||
| No protective measures(no protective devices,no personal protective equipment,etc.)or not strictly inaccordance with 人防护用品等），或未产格按操作程序执行，或危善的发生容易被发现（现 场有监测系统），或曾经做过监测，或过去曾经发生类似事故或事件 | thecoan | 15 | 12 | |||||
| The occurrence of the hazard is not easy to find, thereis no detection system on site,no monitoring has been organized.or there are control measures onsitebut they are not effectively implemented or the control measures are improper or the hazard ccursorisexpectedtooccur危善的发生不容易发现，现场没有检测系 统，也未组 或在现场有控制措施，但未有效执行或控制措施 不当，或危善发生或预期情况下发生 | Occursmany ties year inthecompany公司内每年 多次发生 | 16 | 12 | |||||
| Failuretotakepreventivemonitoring.protectioncontrol measuresor hzards at the site cannot be found (no monitoring system), accidents or events often occur ircumstances在现场没有采取防范、 监测、保护、控制措施或危的 不能被发现（没有监测系统），或在正常情况下经常发生此类事故或事件 orsuch | Occurs frequently attherass-rootslevel 在基层经常发生 | 15 | 10 | |||||
| Table sures风险应对措表 | Consequenceseverity/priorityS后果严重/优先程度S | |||||||
| isklevel风险等级 | iplet生期限 | |||||||
| 20-25A/1级（Exteelgero极其危险） | Control messures控制措车 | Iihediately立即整改 | 5 | 2 | 1 | |||
| Take.emers | Rect | 大，效果显著 iolatio Potential violations of | dancewiththe Sot in acsordan | 不明显 | ||||
| 15-16B/2级 （Highly dangerous高度危险） | 低风险， Consider establishing | 期检查 ectives | ays20 | 产重违 standards潜在违反法规和标准 PeopleDeath人员死亡 sity动力 | 方合级行业的 | 操作规程、规定 | Fully consistent完全符合 | |
| 9-12C/3级（Significant risk显著危险） 4-8D/4级（Mi1d risk轻度危险） | 1oss | orirectnconom 10ssM | No harm无伤善 No 1oss无损失 | |||||
| No.othe | 作业作规 | ds保存工作 | Some devices 上生2 | 大，几不工 | ||||
| 1-3B/5级 （S1ight1y 有危险） | 无获实取 | required Keep work 地控制描 | recor equipments | No downtime无停工 | ||||
