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JOB TITLE / AIM: Jsa for manual removal of rip rap bricks using hammer , manual backfilling, manual compacting using hand roller.
JSA DATE: 18/08/2006 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Mr.AbduRehman SCRIBE: Hernand Suyom/Abdullah Khan
PARTICIPANTS: SM Qoraish
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps: List the main sequential steps. each step should accomplish a specific component of the task.

1. Mobilization of equipment
- Hand roller
- Trolley
2-Manual removal of bricks using Hammer.

3. Manual backfilling and compaction using hand roller

4- Including night working
5- Demobilization

Alternatives Considered: What are other possible means of achieving the job outcome?
Above ground cable tray.

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 Before mobilizing any equipment/tools make
equipment to site sure that the E &P Personnel got inspected
the equipment. Banks man must be provided
and adhering the speed limit inside the
process area
Ensure that all personnel prior to start the
have been inducted and oriented about the
hazard in the job site.
Workers starting the job unfit to work All personnel must undergone fitness
certificate from the Del doctor. not fit to work
shall not be allowed to work at the project site.
Excavation Certificate must be in place prior to
work. Ensure all the persons take part in the
tool box meeting discussion. JSA was
discussed to workers and signed at the back.
Hand Injury Ensure proper hauling of materials/get help if
required/Wear hand gloves.
2- Manual removal of bricks using Hand Injury Ensure proper hauling of materials/get help if
Hammer required/Wear hand gloves.

Heat Stress/Exhaustion Ensure potable water/sufficient shelter is

available each area where workers are doing
the job. Water coller must be sealed and
signed by authorise person and must be filled
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
from uv Water source.

Eye Injury Ensure workers are wearing the eye goggles

Manual backfilling and Exposure of workers to various hazard like Ensure workers are complying with the min.
compaction using hand roller hand injury, dust, eye injury PPE req..Safety shoes, helmet, safety glass,
dust mask,
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Cave-in Any excavation deeper than 4ft must be bench
or slope. Area must be hard barricaded.
Heat Stress/Exhaustion Ensure potable water/sufficient shelter is
available each area where workers are doing
the job. Water coller must be sealed and
signed by authorise person and must be filled
from uv Water source.
Snake bite Workers will inform and be aware about the
presence of snakes at the area. No killing of
snakes
Back injury Workers will be oriented about the proper
posture and positioning during the execution
of the job. If the load is too heavy get some
one for help.
Ensure that during removal pipe sufficient
amount of workers are present.
. Excavated holes/ openings Area with excavation/holes to be barricaded
and covered
Tripping hazards Ensure that workers accessing the right
walkway

3 Night working
.
Poor visibility Ensure sufficient amount of lighting in the area Ensu
No work shall be performed if there if not enough
lighting
If access is not properly lit then a designated
assembly point shall be established with sufficient
light.
Trips/falls
Ensure all excavations adjacent to the work area is
taped off with high visibility tape prior to
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
commencement of works.
A standby vehicle should be present at the area
A charge radio must be present at all times at the
area and any incident must be reported
immediately to BHPB personnel
Miscommunication Doctor will be on call in any case
Employees will assure a buddy system
No worker shall work alone at the site
Person working alone Ensure that no workers shall work more than 14
hours and have 7 hours enough sleep
Ensure that special attention will be done for the
presence of snake in the area
Snake bite

3
Same
Demobilization Same As Mobilization