HINDUSTAN ZINC LIMITED

BAROI MINE
JOB SAFETY ANALYSIS
Company Name: - Date: - JSA No: -

Site Name: - Supervisor Name: - Permit to work Yes/ No

Required
Plant /Area: - Location: -

Scope of JSA: -

JSA Team Member Name: -

Overall Risk Assosiated with JSA

Approved By: - Position of Approving person Date: -

Activity Hazard Inherent Risk Controls Residual Risk