Part 1: Job Particulars Page 1 of _____

JOB TITLE / AIM: Jsa for removing of road barrier at check post # 1
JSA DATE: 27/12/2006 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Imran Raza. SCRIBE: Masood Memon
PARTICIPANTS: Muhammad Amin, Raza Saleem, Zaheer Abbas, Mozam Khan
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps: 1-Mobilization of Equipment
2- Holding of road barrier with crane
3- Opening of nuts and bolts
4-Lifting of road barrier using crane
5-Demobilization

Alternatives Considered: N/A

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE,S First aid kit must be present at the area and the Hse personnel is the first response in case of
emergency

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.
 File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of workers & Unauthorised equipment/tools brought out to Before mobilizing any equipment/tools make sure
equipment site that the E &P Personnel got inspected the
equipment. Banks man must be provided and
adhering the speed limit inside the BHP area
Unskilled and uninducted personnel starting Ensure that all personnel prior to start the have
the job been inducted and oriented about the hazard in the
job site.
Workers starting the job unfit to work All personnel not fit to work shall not be allowed
to work at the project site.
2 Holding of road barrier with crane Improper fixing of hitch Prior to holding the hitch make sure hitch is fixed

3 Opening of nuts and bolts Hand injury During the opening of nuts & bolts wear hand
gloves
Uninspected tools are used Prior to work make sure all tools must be inspected
and colour coded

4. Lifting of road barrier using crane Hand Injury Ensure proper hauling of materials/Wear hand
gloves.

Exposure of workers to various hazard like

hand injury, dust, eye injury
Uncompacted soil/trench
Back injury
Ensure workers are complying with the min.
PPE req. Safety shoes, helmet, safety glass,
Dust mask, reflective vest,
Equipment should be inspected by equipment
Ensure outrigger fully extended and in stable
condition secure.
Make sure swing zone was barricaded and Workers
will be oriented about the proper posture and
positioning during the execution of the job. Ensure
that workers have proper ladder/access during
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
placement of sling and shackles Ensure there is a
traffic coordinator or banks

Miscommunication Ensure there is a traffic coordinator or banks

 
5   Demobilization
Equipment failure
Same as mobilization
person during transferring the porta cabin
another location
Only certify operator for crane. A copy of the
daily checklist should be in the crane all the
rigging gears should be certified. The
operator must have his load chart to confirm
his allowable distance of load to crane.
Operator must not try to override any of the
crane safety alerts
Ensu
Same as mobilization each