JOB SAFETY ANALYSIS

Ref: – JSA-…….

Facility / Site: NCPF Location within Site: CPF Permit No: Permit Type: Cold Date:02/04/2019

Task Description: Civil work activities for road

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
or Safe Work Practices been reviewed? Yes N/A
Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.

JSA REVIEWER (Supervisor or Designate):

RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No Name / Signature: Company: MSBI
modified to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
 The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK
 The Team has the appropriate resources (people and equipment) to do the job safely.
HARD HAT SAFETY GLASSES
 Others that could be affected by the work have been informed.
FACE SHIELD TASK LEADER:
SAFETY SHOES / BOOTS
GOGGLES

Name / Signature: Company: SOCOBAT

FALL PROTECTION
FALL RESTRAINT
COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:
COTTON Work Team Declaration:
LEATHER I acknowledge that I have reviewed the attached JSA, I understand my roles
and responsibilities, and I will comply with the instructions for this task.
IMPACT PROTECTION
Name (print): Name (print):
Dust mask OTHER (specify):
Work clothes

OTHER PPE (specify): Worker performing task inside to wear Double

Earing Protection (ear plugs and ear muffs)
 TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

• Equipment • A valid permit to work

Failure • Competent drivers
• Collision between • Weekly and daily basis inspection
vehicles • in -vehicles monitoring system Beacons lights
1. Mobilization of • Struck by mobile • speeding limit to be implemented MSBI Emergency response
equipment Equipment • Awareness session to be in place prior starting Plan
• awareness sessions to the involved personnel onsite on daily basis
• Close supervision
• Adequate PPE
• Good housekeeping
• Power tools
• Vibration
• WRULDs • Ear plugs and dust mask to be worn
• Flying particles • Equipment CHECK before use and color code to be in place
• Dust • Application of Job rotation/ Frequent breaks
2. Grading the • Noise
• Only authorized persons to carry out the job MSBI Emergency response
ground and • Traffic plan
• Minimize using power tools as much as you can Plan
compacting • Collision with fixed
installation , • Fire extinguishers to be on site
pedestrians • Banks man to be onsite to monitor the traffic plan
• Incompetent • Spraying water to avoid dust exposure
operators

• Collision with fixed

structures, other
operators or other • Competent and qualified truck operator
engines onsite • Safety belt to be worn and JM should be available
3. removal of the • Incompetent truck • Banks man to monitor the traffic plan
MSBI Emergency response
excavated driver • Prohibition of overfill the truck Plan
materials • Dust • Inspection the pathway of the truck and ensure is free from
• Overfilling of truck obstacles
• Overall of truck • Beacons lights to be functional
• Uneven ground /
sloping
• Strains and injuries • Unload rebar from trailers as close as possible to work area.
• Pinches • Use proper lifting devices and proper lifting techniques.
• Slips and Trips and • Mechanical aid awkward bars.
Falls
4. Rebar and • Establishing clear communication.
• Electrocution MSBI Emergency response
shuttering • Take regular breaks to relieve fatigue from constant lifting.
• Dust Plan
installation • Observe careful hand placement. Watch out for ends of the wire
• Sharp edges
• Poor pathways for and sharp edges on rebar.
exit of workers • The use of heavy-duty gloves is required.
• Clean work area as needed during the day. Pick-up tie wire,
 TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

• Working in awkward • Use careful foot placement while walking on rebar mats and at
postures decks.
• Make sure that all floor openings and holes are covered or
protected.
• Close supervision to be mandatory
• Soft, uneven • Check area before proceeding. Make sure ground is level and firm.
ground. • Check access to discharge point.
• Engines collision • Ensure a guide is used and is visible at all times.
with existing
• Check list of pump to be implemented by competent person
pedestrian , fixed
structures and • Wear glasses, keep hopper full, and advise operator when load
other equipment finished.
onsite • Try to operate controls from a position that avoids being in a direct
5. Pouring • Concrete spray line with the elbow. MSBI Emergency response
concrete from hopper. • Beware of traffic. Plan
• Slip on plastic • Tie a rope in the hose to avoid swinging
under pump.
• Contact of concrete
with eyes /skin
irritation
• STRUCK BY
concrete pump
hose
• Slips, trips, falls • Work area to be kept clear of trip hazards at all times
• Cuts, lacerations, • Keep hands & face away from vibrating head of unit
abrasions • Only trained/competent worker to operate machine
6. Concrete
• Electric shock MSBI Emergency response
vibration • Never over reach with man basket if needed for finition task
• Falling of man Plan
And finition work • whip check to equipped with all under high pressure hoses
basket
• Damage equipments • Check man basket before job commencement
 TASK STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES

• Silica exposure • Dust mask to be worn to avoid inhalation contact and respiratory
• Struck by system protection
equipment • Use ear plugs and adequate PPE
• Entanglement h
• Ensure machine guard are well fixed
• Severe injuries Back
pain • Frequent breaks should be taken for recovering
• Falling/Flying • Ensure work area is clear of other workers.
7. Cleaning of Debris • Inspect and test drill and cord prior to use. MSBI Emergency response
foundations and • Tool Malfunction • Make sure that cords are not lying in water. Plan
Work of Piercing and Electric Shock • The drill operator to use any auxiliary Handles that are on the drill to
• Loss of Control Over maintain control.
Tool • Take regular breaks from drilling or switch with another worker (if
• Vibratory Fatigue drilling for a prolonged period of time) to relieve fatigue
• Excessive Noise
• Try to isolate the operator to reduce exposure of his colleagues

• Bites • Job rotation to be applied and share outdoors activities between all
• Poisonous insects workers
• Slip, trips and fall • Big and fresh quantity of water to be displayed
8. Adverse • Dehydration • Manual technique
weather • Heat struck • Awareness session to workers to aware them about hazards
• Dizziness associated with poisonous insects MSBI Emergency
condition:
• MSD • First aid kit and first aider should be available response plan (medical
Scorpions and
• Fatigue • Frequent breaks to be taken for recovery treatment + ambulance)
snakes
• Working in extreme • Workers should wear adequate coverall
temperature • Time management culture among work force

Name Position Date Signed

Ettih walid HSE 02/04/2019
Prepared By
Checked By Area HSSE Supervisor
Approved By PTW coordinator