Professional Documents
Culture Documents
Principal Contractor (PC) XYZ Contracting Services (Add builders details here)
8910 Management Road
Projectville ACT 2666
Ph. (02) 1234 5432 Hi
Potters Hut
Work Location
Site Address:
15 Brick Street
Signature:
Date:
Signature:
Date:
Have workers been consulted about the JSA and signed the last page of Yes
this JSA?
PPE REQUIRED
Hard hat Respirator or Dust mask X Harness Erect Access Scaffolding Fall Arrest systems UV protection clothing X
Safety Boots X Hand Protection - Gloves X Fire Extinguishers X Erect Warning Signs X Protective Clothing X Sun Glasses X
Eye Protection X Full Face Shield Barricades X Welding screen Sun Screen 30+ X
Ear Protection X High Visibility Vest Ventilation X Welding Face Shield Broad Brim Hat X
VERY
VERY LIKELY LIKELY UNLIKELY UNLIKELY
WHAT DAMAGE
Could happen Could happen Could happen, Could happen,
COULD IT CAUSE?
anytime. sometimes. but only rarely. but probably
never will
Death or permanent
1 1 2 3
disability.
Long-term illness or
1 2 3 4
serious injury.
Medical attention or
2 3 4 5
several days off work.
▪ Untrained personnel commencing ▪ All workers to have current General Induction Card
work
2 Entry to Site ▪ First day on site, entry to unsafe 3 ▪ Report to site office. All workers to undertake site 5 Supervisor
areas. induction All Workers
▪ Accessing site via other means than 3 ▪ Entry to site to be via gate directed by site 5 Supervisor
the main gate can lead to management. All Workers
exposure to site hazards ▪ Review site access, parking and delivery area
3 Site Inspection ▪ If site management are unaware of 3 ▪ Review the site emergency evacuation plan and 5 Supervisor
Identify site conditions work being carried out then advise site management of work activity for the All Workers
workers will be unaccounted for in day.
the event of evacuation
▪ Failure to follow traffic management 2 ▪ Ensure Traffic management procedures developed 5 Supervisor
plans can lead to injury, damage by site management are followed All Workers
to vehicle or equipment
▪ Ignoring safety signs can lead to 1 ▪ Become familiar with the site safety signs and follow 4 Supervisor
exposure to hazards and all instructions (e.g. wearing of appropriate PPE) All Workers
noncompliance with site safety
▪ Uneven ground can cause slip and 3 ▪ Check for slip and fall hazards and use designated 5 Supervisor
fall injuries when moving tools areas to access work area. All Workers
▪ Underground or overhead gas lines 1 ▪ Identify the location of underground or overhead gas 4 Supervisor
can cause serious burns if lines on site All Workers
punctured
▪ Personal Injury 2 ▪ Identify where the first aid kit is located. 5 Supervisor
▪ Identify who the first aider is on site. All Workers
▪ Identify the location of the toilets and amenities on
site
▪ Each worker is required to wear the required PPE at
all times.
▪ MSDS for any onsite materials are to be registered
on site
▪ Exposure to weather conditions 2 ▪ Ensure appropriate PPE available and sun 5 Supervisor
▪ UV Radiation when working in the protection is provided and used by all personnel All Workers
sun on site
▪ Wear a hat
▪ Use 30+ sunblock
▪ Fire 3 ▪ Identify where the fire extinguisher is located 5 Supervisor
All Workers
▪ Possible injury if lever slips while 2 ▪ Read material safety data sheets & manufactures 5 Supervisor
opening paint tins recommendations prior to opening cans. All Workers
▪ Inhale fumes ▪ Read MSDS data sheets, ensure adequate
▪ Skin damage or contamination ventilation requirements are in place.
▪ Eye damage from splashing paint. ▪ Correct training in use of P.P.E equipment to be
▪ Falls of ladders provided
▪ Trips over materials when brushing ▪ Correct training in the use of portable ladders &
or rolling on paint working from heights.
▪ Ensure work area is clear
▪ Use P.P.E equipment such as protective clothing
such as overalls or long sleeves.
▪ Hit by falling materials 1 ▪ Ensure when working under others, safety head 5 Supervisor
▪ Falls from lower roofs protection is worn. All Workers
▪ Hit by on site plant & equipment ▪ Ensure warning signs are erected or the area is
▪ Sunburn barricaded off
▪ Ensure safety guardrails are erected.
▪ Use P.P.E equipment such as fluoro vest.
▪ Set up only in safe clear areas.
▪ Use P.P.E equipment such as sun cream, hats &
protective clothing
19 Airless spraying ▪ Leaks, slips, eye injury 2 ▪ Ensure correct PPE is used and is suitable for the 5 Supervisor
task. All Workers
▪ Safety glasses must be worn at all times.
▪ Attach high pressure hoses & spray gun to spray
unit,
Ensure safety trigger lock is operational and
locked machine is turned off.
▪ Check for correct setup, tighten all fittings as per
manufacturers specification.
▪ Do not spray from ladders, use mobile scaffold as a
substitute.
▪ Paint splashes, 2 ▪ Place paint pick up hose in paint container 5 Supervisor
▪ Property damage ▪ Place spray machine on drop sheets prior to All Workers
▪ Slip hazards. operation.
▪ Have spill kit available at all times.
▪ Electric shock 1 ▪ Plug spray unit into ELCB/RCB power and start 4 Supervisor
spray unit All Workers
▪ Check for leaks. Switch off if maintenance is
required, advise supervisor.
▪ Slips, Trips & Falls, Paint injection 2 ▪ Lay out hoses in an orderly fashion to ensure no 5 Supervisor
kinks or leaks are in the hose All Workers
▪ Minimize trip hazards
▪ Make sure hoses stay within work area.
▪ Check that the trigger safety lock is on whilst not in
use.
▪ Inhalation of spray vapour, 2 ▪ Pick up spray gun & move to surface to be sprayed 5 Supervisor
overspray ▪ Obtain firm footing and begin to spray surface All Workers
▪ Pressure injection injury 2 ▪ Do not point spray gun at another person 5 Supervisor
▪ Inappropriate behaviour will not be tolerated. Any All Workers
person using the airless gun in a harmful manner
will be removed from site
▪ Always use trigger safety lock
▪ If a pressure injection injury is suspected consult a
doctor without delay
▪ Damage to property 2 ▪ Monitor weather conditions 5 Supervisor
▪ Environmental impact ▪ Ensure that overspray does not occur All Workers
▪ Use drop sheets or setup containment area if
required.
▪ Pack up clean up, Use correct waste management
control, manual handling techniques, task specific
P.P.E and drop sheets.
20 Pack up, Clean up ▪ Pressure injury, equipment 2 ▪ Use correct manual handling techniques 5 Supervisor
Spraying Equipment damage, trips ▪ Ensure pressure spray gun is switched off and the All Workers
▪ Strains, traffic, trips pressure is out of lines by squeezing the trigger to
release pressure from the lines
▪ Using the correct tools disconnect all the hoses from
the paint gun
▪ Lay hoses out in an orderly fashion, free from
kinks/loops.
▪ Roll up hoses in safe work area
▪ Place the hoses and the gun securely in vehicle
Ensure clear path to vehicle. Ensure no damage
can occur during transport.
21 Prevent Public contact ▪ Pedestrians, slip, trip & falls, 2 ▪ Place ‘Wet Paint’ signs around area 5 Supervisor
with painted surfaces ▪ Do not leave signs where the public can slip on them All Workers
▪ Tape to floor and wall so that they can be seen when
coming from all directions, remove where
applicable at the end of each day.
▪ Remove signs only after paint is dry
22 Paint Spill – Clean up ▪ Slips trips, falls 2 ▪ Contain spilt paint by spreading absorbent material 5 Supervisor
▪ Exposure to chemicals from spill kit All Workers
▪ Fumes, vapour ▪ Use of correct PPE mask, gloves, glasses and the
▪ Fire like.
▪ Damage to property ▪ Block the drains if spillage is likely to enter them
▪ Environmental impact ▪ Drains have to be blocked if petrol, oil or chemical is
spilt and is in danger of entering drain. Use
containment socks & absorbent material to soak
up the spill.
▪ If spilt on the road; use traffic controls (Spread
material on to roadway) and making sure slippery
road signs are in place, Use barricades & signage
if spill occurs in work area to isolate the spill.
▪ Call appropriate authorities, if the incident requires
escalation.
▪ Barricades, signs, fire extinguisher, PPE, Spill Kit
available, block drains alert authorities
▪ Consult MSDS
▪ Sweep or shovel up absorbent material into drums or
bags
▪ If it is a large spill leave material on roadway to be
cleaned by road broom next day. Implement traffic
controls, seek local authority approval & consider
correct type of waste disposal measure needed to
dispose of waste.
▪ Pick up tools and equipment before leaving effected
area
▪ Use correct waste management control
▪ Dispose of via a registered waste disposal depot,
implement a chain of custody for waste disposal.
▪ If solvent is applied to remove staining, this must
also be soaked up and returned for disposal
▪ If flammable solvent were used spontaneous
combustion may occur
▪ Keep ignition sources away from work area, control
public access and vehicle traffic (implement
controls).
▪ Fire extinguisher must be available
▪ Investigation to be conducted
23 Using a Spill Kit ▪ Slips trips, falls 1 ▪ Stop the Spill where it started 4 Supervisor
▪ Exposure to chemicals ▪ Call Police if its traffic hazard. All Workers
▪ Fumes, vapour ▪ Major petrol and chemical spills should be handled
▪ Fire by Emergency Services - Australia: 000
▪ Damage to property ▪ Drains have to be blocked if petrol, oil or chemical is
Declaration by Workers:
1. I have been consulted with and have assisted in the development of this Job Safety Analysis.
2. I have been given the opportunity to comment on the content of this Job Safety Analysis.
3. I have read and understand how I am to carry out the job steps listed, and will abide by the control measures outlined in this Job Safety Analysis.
4. I have been supplied with the personal protective equipment identified in this JSA and I have been given training in the safe use of this equipment.
5. I have read and understand the requirements set out in the mateial safety data sheets for the hazardous substances identified in this Job Safety Analysis.
6. I will ensure that this Job Safety Analysis is reviewed and revised if relevant control measures are revised.
NAME OCCUPATION, QUALIFICATIONS, SIGNATURE DATE SIGNATURE REVISED SIGNATURE REVISED SIGNATURE REVISED
DUTIES, RESPONSIBILITIES DATE DATE DATE