Job Safety Analysis Sheet

JOB DESCRIPTION: Erection & Use of Scaffolding JSA Ref. No. JSA / KOC / 07

Facility: Work Area / Equipment: Permit No.

Date:

PERSONAL PROTECTIVE EQUIPMENT: Hard Hat, Safety Shoes, Hand Gloves, Safety Harness.

SEQUENCE OF
Yes /
BASIC JOB POTENTIAL HAZARDS PRECAUTIONS
No
STEPS
Location of Emergency
 Ensure the emergency equipment will not be blocked or
Equipment near the proposed
damaged due to scaffolding erection.
Scaffolding
Non-compliance of KOC -  Refer Chapter -13 of KOC F & S Regulations, HSEMS
Pre – Work HSEMS Procedures, F & S Procedure Doc. No. SA.KOC.002 ‘Control & Use of
Regulations & Engineering Scaffolding, & Recommended Practice KOC – L – 025
Standards “Scaffolding”
Unauthorized erection of
 Obtain the Cold Work Permit.
scaffolding
Damage to onsite detectors /  Take extreme care during erection and override it if
switches / transmitters etc needed.
 Provide guardrail & toe board to prevent falling of tools /
objects.
 Don’t keep the unnecessary materials on the scaffold
Fall of objects / Tools. platform.
 Hand tools to be tied with permanent structure or
person.
 If required barricade the area during erection work.
 The Scaffolder must use Safety Harness to prevent
Accidental Fall of Person
accidental fall .
Erection & Use of  The scaffold must be inspected, certified & tagged by
Unstable Scaffold
Scaffolding the competent person confirming its suitability.
 The scaffold tag must indicate the maximum load that it
Weak Scaffold
can bear.
 The scaffolding is to be inspected at least weekly for
Damaged Scaffold any damage due to weather condition (rain, high wind
etc) or other unsafe conditions.
 In case of any modification, addition in the scaffold, it
Modified Scaffold
has to be re-inspected & certified.
 Ensure Scaffold is securely supported on a rigid ground
Improperly Supported Scaffold
and not on process piping / vessel or equipment.
 Do not use if green Tag is missing.
Incomplete Scaffold
 Do not use if red tag is available.
 Do not use if it does not have valid inspection tag
Old Scaffolding Doubtful Integrity
attached.

Additional
Hazards
(Other than
indicated above)

Name: Designation:
KOC / ID. No. Company:
JSA Done By
Controlling Team: Contract No .(If Applicable):
Signature: Date: