JOB SAFETY ANALYSIS (JSA)
Title of Activity / Work:
Name of Project Site:
Location of Project Site:
Name of Contractor:
Date of JSA Preparation:
Sl. No. Subactivity / Steps
PART A:- STANDARD JSA
1 Preparatory Works & Manual
handling of material
2 Manual excavation / Mechanical Dust
Excavation
Excavation & Trenching
JSA PART A:- 13-Jul-16
Hazard
Slippery surface & tripping hazard
Sharp edges / surfaces
Length & weight of the material
Loose Grip, Slippery surface of material,
throwing of material
Wrong Posture
Underground utilities like electrical,
telephone cables, water,steam pipes, gas
line, etc.
JSA PART B :-
Effect
Slip/Trip/Fall may cause injury Clean up Water, grease, oil or other similar substances to prevent slippery
Contact with Sharp edges /
surfaces may cause injury or
bruises
Hit by material may cause
Injury
Fall of object may cause Injury Clean up Water, grease, oil or other similar substances of slippery surface of
Backache, Strain
Skin and eye irritation, cough , Proper leveling/compacting ground.
lung irritation
Fire / Explosion / Electric
shock may cause Injury
Doc. No. ANX-1 of BG-06874IN (JSA) , Rev.
Doc. Rev. Date 13-Jul-16
Job No. :
PTW No.:
JSA No.: TEIPL/JSA/003
Activity / Work Location Name:
Compliance? Yes /
Control Measures Responsibility No Remarks
Execution Engineer & Job
surface. Supervisor; HSE
-Monitoring & Training
Proper access to work location. Access should be free of tripping materials.
Use Mandatory PPE- Safety Shoes/Gum boot with steel toe, Safety Helmet.
Keep hands away from sharp edges / surfaces.
Use safety gloves.
Barricade the working area.
Assess the weight to be lifted.
Follow buddy system for handling lengthy / heavy object.
material.
Hold the material firmly while handling.
Material should not be thrown from top on ground / other level.
Secure the material while shifting on vehicle or trolley.
Use of safety gloves.
Follow Safe Manual Handling techniques.
Use mechanical equipment if load is too heavy to handle.
Train all concerns in manual materials handling techniques.
Execution Engineer & Job
Supervisor; HSE
-Monitoring & Training
Storing soil or other fine particles material in low height of the heap. Cover them
with empty gunny bags.
Ensure all site traffic adhere to the site speed limit.
Vegetation clearing should be carried out on a needs basis.
Wear dust mask.
Sprinkle the ground surface with water unless it is moist.
Take excavation permit. In case isolation of underground services required take
LOTO permit.
Obtain permission from respective authorities of U/G services, prior to
excavation, if required.
Locate the position of buried utilities by referring to drawings, Route marker,
Concrete saddles, Sand Padding.If required use Cable/utility detectors.
Make trial pits by manual excavation to locate the exact position of buried
utilities/cables prior and thereafter use mechanical means.
Handtools used for excavation shall be provided with wooden or insulated
material handle.
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Sl. No. Subactivity / Steps
3 Providing Illumination
4 Crossing Excavations
5 Excavation near the existing
structure
6 Working inside the excavation
7 Working inside the excavation Oxygen deficiency or presence of hazardous Asphyxiation
gas (Open Excavation/Pit having Depth >=1.5
m depth & less than 4.5 m width and where
depth is more than width)
8 Placing of braces / jacks
9 Mechanical Excavation
Hazard
Unsecured / Loose pit walls
Accumulation of debris and other material at Falling of material (Soil) may
the edges of the excavation
Water logging , Rain water ingress
Unsecured Excavation edges
Poor Illumination
No proper platform crossing to cross
trench.
Existing structure
Snake / Insects presence in the excavation Poisoning due to Snake /
Insects venom may cause
fatality
Collapse of excavation wall/ Cave-in
Unsecured cross braces or trench jacks
Excavator movement close to workers
HT overhead line
Effect
Cave-in can cause Injury or
suffocation
cause injury.
Drowning may cause
illness/injury
Fall of person / material may
cause injury
Fall of person / material may
cause injury
Fall of person due to jumping
over the excavation may
injury
Collapse of the structure may Provide support for existing structure, if any. Use under-pining method and or
cause injury
Serious injuries/ fatility
Fall of material (jacks or cross Cross braces or trench jacks, if any should be truly in horizontal positions, secured
braces or soil) may Injury
Collision or Struck by
excavator may cause injury
Electrical shock may cause
injury
Compliance? Yes /
Control Measures Responsibility No Remarks
Proper sloping, benching or shoring shall be done as appropriate as per soil type.
In case water emerged, dewatering by dewatering pump.
Use PPE- Safety Shoes/Gum boot with steel toe, Safety Helmet, Dust mask, safety
goggles
Keep excavated soil, debris atleast 1m away from the edge of the excavation.
Boulders and big stones that may be slide or roll into the excavation shall be
removed promptly.
In case water emerged, dewatering by dewatering pump.
Do not walk or stand on edge of the excavation. Provide barricade around
excavations. Hard Barricade of 1m height should be provided for excavations
beyond 1.5m depth.
Provide minimum two access / ladders for such excavation/trench.
Provide access, ladders or stair every 25 feets in excavation.
Don’t allow vehicle, equipment to operate too close to excavated areas and
maintain at least 2 m distance from edge of cut.
Display safety warning Signs
Ensure proper Warning lights and illumination. Execution Engineer & Job
Provide barricade around excavations. Hard Barricade of 1m height should be Supervisor; HSE
provided for excavations beyond 1.5m depth. -Monitoring & Training
Provide two entries/exits / ladders for such excavation/trench.
Display safety warning Signs.
Execution Engineer & Job
Provide safe crossing bridge/ramp with handrail for trench Supervisor; HSE
-Monitoring & Training
Execution Engineer & Job
Construct retaining wall side by side if required. Supervisor; HSE
-Monitoring & Training
Identify the presence of Snake / Insects. Execution Engineer & Job
Use Snake / Insects repellents. Supervisor; HSE
-Monitoring & Training
Take "Confined space entry permit" ( excavation >= 1.5 meter depth) in addition Execution Engineer & Job
to "Excavation Work Permit" for Excavations having more than 1.5 m depth & Supervisor; HSE
width is also more than 4.5 m but where release of toxic/poisonous/flammable -Monitoring & Training
fumes, gases is possible by any means (through soil or ruptured pipe line). Or
Excavations having more than 1.5 m depth & width is also more than 4.5 meter
but access is very critical, Emergency evacuation system/equipment Not available
and/or Oxygen level is less than 19.5%.
Gas testing shall be carried out by authorised gas tester.
Ensure other equipment exhaust doesn't enter the trench.
Provide mechanical ventilation if there is no natural ventilation .
Provide proper sloping/ benching/ shoring for excavation as applicable. Execution Engineer & Job
Competent supervisor shall inspect excavation prior to entry. Supervisor; HSE
-Monitoring & Training
Provide minimum two access / ladders for such excavation/trench.
Keep excavated soil, debris atleast 1m away from the edge of the excavation.
Execution Engineer & Job
to prevent sliding, falling or kick –outs. Supervisor; HSE
-Monitoring & Training
Barricade excavator operation area. Execution Engineer & Job
Persons should not work/stand in boom arm radius of the excavator. Supervisor; HSE
-Monitoring & Training
Functional Reverse horn in excavator.
Depute banksman to signal excavator.
Ensure to maintain safety clearances (>3m) between Excavator Boom Arm and
HT cable. If required isolate / de-energize service lines.
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 Supervisor; HSE
-Monitoring & Training

HT overhead line Electrical shock may cause Compliance? Yes /

Sl. No. Subactivity / Steps Hazard injury Effect Control Measures Responsibility No Remarks

Dedicated banksman to give signal & present all the time to monitor excavator
boom arm movement.

10 Tipper operation Tipper operation near workmen Collision or Struck by Tipper No one shall be allowed to stand / work under the raised tipper. Execution Engineer & Job
may cause injury Ensure that reverse horn on tipper are functional. Supervisor; HSE
-Monitoring & Training
Signal man shall be provided for tipper movement.
11 Backfilling Removal of trench support from top Collapse of soil may cause Backfilling & removal of trench supports should progress together from the Execution Engineer & Job
injury bottom of the trench. . Supervisor; HSE
-Monitoring & Training
Ropes shall be used to pull out the jacks or braces in unstable soil from the above.

PART B:- LOCATION SPECIFIC JSA

Note:

Prepared by: Reviewed by: Approved by:

Note: This is standard JSA prepared based on general hazards. Site has to review this JSA & Update considering process involved, site & work location condition, equipments/machines/ tools use, people involved and activities near by job location.

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