JSA (Job Safety Analysis) Sheet

Activity Name:- Painting Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Untrained worker,lack
1 Personal injury
Mobilization of skill awareness Given Tool Box Talk to all workers.
Scaffolds, fall of Height work permit must be obtained.
Injury, Property damage
person & material
Erect proper scaffold on leveled base.
Proper access & to work place to be provided.
Material should stack properly near the work place
Area should barricaded to control the access
Work area shall keep clean and tidy
Hazardous Material,
2 Painting Works skin contact, Eye Respirator hazard, skin Confirmation of MSDS before use of material.
Use proper P P E as per work requirement,F.B.S.H,Safety
contact, inhalation, irritation Use of Dust mask for handling dry material.
helmet,Safety shoes.
injection, fumes Thoroughly wash the exposed body part with fresh water and
soapofafter
Use PPE the work.
such as gunboot,helmet,rubber hand gloves,nose
mask.
Painting box should be shifted through rope
Ensure neaest eye wash station is in good working condition
Ensure no hot wok should not be caried out within 11mtr.
Night work permit to be taken from concern engg.and safety
Darkness, fall of dept.
Work during dark Personal injury, damage Ensure proper illumination during dark hours.
3 person, fall of Electrical cable should lead min 2 m height. No exposed electrical
hours to property
machinery wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________

Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______