JOB SAFETY ANALYSIS (JSA) WORKSHEET

Date: 09 Dec 2018 JSA Number: 6347-JSA--0014

Department Name: HSE Division/Unit Name VRU Facility: Bulk Plant

Job Title/Description: Grout Placement and Curing and Coating Concrete foundation

Equipment’s and Tools to be used: Light duty electric chipping hammer, Mixer machine, Mixing Container, Trowel & Grout Float,
chisel, hammer and Power Generator, Bitumen Paint, Paint roller, Hand Tools.

PPEs to be used: Hard Hat, Safety Glass, Safety Rubber Shoes, Respiratory Mask, Face Shield, Disposable Coverall, Rubber Gloves dust mask.

Name(s) of Individuals Performing JSA: Rana Maqsood khawar Ayub (HSE Incharge)

Signature: _______________________ _____________________

Critical Steps Hazard(s) Controls/Recommended Action

Secure the material on Pickup to avoid

Transportation of Bitumen, Cement and grout
material to main site.
Loading and unloading of material manually.
Unsafe Movement of Pickup.
Unsafe Manual handling back injury.
falling of materials.
Access and egress routes and signs.
Must comply with speed limit of 20kph.
Must be assisted by a banks man and a
functional reverses alarm.
Traffic management plan shall be
followed.
Make sure proper manual handling
techniques.
Do not lift the load beyond your capacity

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 i.e. not more than 20kg.
Lift the load close to your body.
Store the load at proper designated place t
site.
Chemical storage procedure shall be
followed.
Chemical storage procedure shall be
Chemical hazard. followed.

Use chemical mast to avoid inhalation of

Inhalation chemical dust.

Use respiratory mask to avoid the effects

of vapors i.e. drowsiness and dizziness
Storage & Mixing of Grout Hazardous Vapour’s
hazard.
Keep container at well ventilated place.
Do not breath Vapor, Fumes, Spray
Do not empty into drains.

Make sure proper eye and skin protection

Irritation to eye and skin when exposed to chemical see the CHB or
MSDS for reference.

Use proper inspected mixer machine.

Electrical hazard Make sure daily visual inspection of
Machine shall be carried out at daily bases.
Electrical wire shall be inspected. Do not use

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 damage wire.
Color code shall be done.
Use rubber gloves and rubber shoes.
Avoid sitting at wet surface.

Use proper hand gloves.

Placing the grout Damage to hand skin Do not expos directly to the chemical.
Read the manufacturer specification for the
Batter understanding.

Eye irritation Use proper eye protection. In case of

continuous irritation visit the clinic for
Treatment.
Curing On completion grout area shall be watered
Slip, trip, fall Make sure use of proper safety shoes to avoid slip
trip and falling on the same level.

Using burlap can cause fire hazard. Make

Sure no hot work in the area especially welding
Fire hazard cutting and grinding.
Do not smoke in the area.
Keep the burlap wet all time.
Dispose properly after use.
Store burlap at a dry ventilated place at site
storage area

Coating and painting the surface by using
Bitumen
Mixing (Chemical hazard)
Read CHB/MSDS for batter understanding.
Use rubber gloves, rubber shoes, disposable cover
all and respiratory system to avoid inhalation
Of fumes and vapors of chemical.
Wash eye hand hands with soap before meal

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 The disposal of chemical shall comply to
Disposal of raw material Waste disposal plan.
The disposal shall be according to the
Saudi Aramco standards.

Maintain good housekeeping all the time

before, during and after finishing the job.
Turn equipment off after its used.
Assign helpers for regular housekeeping.
Housekeeping is the responsibility of
everybody working at site.
All workers must participate to keep the
working area clean.
Secure all materials tools shall be
Housekeeping Slip, Trip and Falls appropriately stored in designated places.
Chemical Spills
Clean up spills or any chemical leak.
In case of emergency stop the work
Isolate/switch off any machine or
Equipment Unplug any electrical tool.
Evacuate Go to Nearest area assembly/
mustered point.
Follow the emergency communication protocol
system. Stay at assembly area
Until all clear alarm.
A new permit shall be issued for the job.

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 Instructions
1. Use as many lines as needed to list the critical steps. Be specific.
2. There may be more than one hazard per step. List each hazard.
3. Identify the proper control for addressing each hazard. The preferred priorities are engineering, administrative (procedures) and then PPE.
4. Identify any recommended actions required, e.g., develop a new procedure or perform an industrial hygiene assessment. Assign a responsible party
for any required actions.
5. List each type of PPE needed for the task. Be specific.
6. Identify key steps as “STOP WORK TRIGGERS” (in the “Controls” column) if there are any conditions, job changes or distractions that will
prompt personnel to stop all work activities associated with the job until further assessment is conducted or additional controls are implemented.

Normal Approvals Name Signature Date

SAPMT HSE Representative

SAPMT Construction Representative

Proponent Representative

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