JOB SAFETY ANALYSIS - JSA
ABG/JSA004
TASK : Using Grinding machine
☐ Working at height (>1.2 m)
☐ Dropped objects
☐ Confined space
☐ Excavation
☐ Ground / slope stability
☐ Slips, trips, and falls
☐ Overspeed (driving)
☐ Transient vehicles
☐ Work Permit
☐ Scaffold check (tagging system)
☐ Scissor lift requirements
☐ Lifting Plan
☐ Dropped objects inspection
☐ Barrier & warning signs
☐ Maintain 3-point contact
☐ Basic worksite PPE
☐ Safety glasses + face shield
☐ Chemical splash goggles
☐ Double hearing protection
☐ Coveralls (antistatic/flame retardant)
☐ High visible vests
☐ Heavy duty gloves
TASK SUPERVISOR
TASK
LOCATION:
WORKSITE HAZARD IDENTIFICATION
☐ Equip. moving, rotating parts
☐ Using hand tools
☐ Use of knifes/sharp objects
☐ Gas/liquid under pressure
☐ Objects under tension
☐ Electricity (low voltage)
☐ Electricity (medium-high voltage)
☐ Electrostatic energy
WORKSITE HAZARD CONTROLS + REQUIRED DOCUMENTATION
☐ Support system/shoring
☐ Journey Management Plan
☐ Worksite Traffic Plan
☐ Work Method Statement
☐ Inspect tools / equipment
☐ Body positioning (line of fire)
☐ Pressure control / relief valve
RECOVERY MEASURES (PPE & SAFETY EQUIPMENTS)
☐ Rubber/chemical gloves
☐ Cotton gloves
☐ Heat resistant gloves
☐ Dust mask
☐ Respirator mask (cartridge)
☐ SCBA mask
☐ Safety harness (> 1.8m)
JSA No:
☐ Lightning discharge
☐ Hydrocarbon’s leaks/spills
☐ Ignition source
☐ Fire / explosion
☐ Radiation work
☐ Chemical (diesel / engine oils)
☐ Welding fumes
☐ Toxic materials (lead painting)
☐ Equipment isolations (LOTO)
☐ Proper tool for the job
☐ Housekeeping standards
☐ Rigging assessment
☐ Safety Data Sheet (SDS)
☐ Ignition source controls
☐ Non-sparking tool
☐ Harness lanyard w/ Shock Absorber
☐ Horizontal lifeline
☐ Self-retracting lifeline
☐ Hard safety barricade
☐ Caution tape
☐ Fire extinguisher
☐ Fire blankets
CONSTRUCTION MANAGER
Rev: 02
Issued: ___ /___/_____
TASK
SUPERVISOR:
☐ Hot surfaces ☐ Adverse weather conditions
☐ Manual handling (pinch points) ☐ Snakes/spiders/scorpions
☐ Loud steady noise (>85Dba) ☐ Biological hazard (COVID-19)
☐ Vibration ☐ Simultaneous Ops (SIMOPS)
☐ Dust (including abrasive blasting, silica) ☐ Remote location (< supervision)
☐ Overexertion ☐ Inadequate lighting
☐ Awkward posture ☐ Struck by objects or equipment
☐ Heat stress ☐ Others_______________
☐ Hot work permit ☐ HSE induction training
☐ Continuous gas testing ☐ MOPO (Matrix of Permitted Operations)
☐ Temporary lighting ☐ COVID-19 Management Plan
☐ Adequate air ventilation ☐ Fatigue Management Plan
☐ Secondary containment ☐ Buddy system
☒ Weather monitoring ☐ Gas testing
☐ Ground wetting ☐ Others: ______________
☐ Lock Out / Tag Out Devices ☐ Access and egress plans
☐ Chemical apron ☐ Spill kit
☐ Tyvek suit / chemical suit
☐ Others: ______________
☐ Eyewash / emergency shower
☐ Others: ______________
☐ Fire Fighting / ERT standby
☐ Others: ______________
☐ First aid kit
☐ Others: ______________
☐ Radio communication ☐ Others: ______________
SITE HSE MANAGER
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Name& Signature Name& Signature Name& Signature

JOB STEP POTENTIAL HAZARD CONTROL RESPONSIBILITY

#
MEASURES /
HAZARD CONTROLS

1 1. Hazards not PPE to be worn. PICW/EHS

identified, not Coverall, Safety helmet
discussed (max 3 yrs.), Safety
2. Controls not in place footwear, Safety
or inefficient eyewear or goggles +
3. Poor communication face visor (Dark glasses
4. Lack of competency in direct sunlight),
or knowledge to Gloves (cut resistant),
perform the task Dust mask (dependent
on material being cut)
Face shield + Safety
eyewear or goggles; to
Task Planning + be worn by any person
Pre-start task within 3 meters of the
activity
Ear plugs; to be worn
by any person within 3
meters of the activity
Procedures to be
followed
LOTO will be in place
but check that there
are no adjacent live gas
sources
PTW
Life Saving Rules
2 Equipment Damaged or faulty 1. Ensure guard is PICW
equipment fitted, adjusted
and tightened
properly. Do not
use without guard.
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 JOB STEP POTENTIAL HAZARD CONTROL RESPONSIBILITY
#
MEASURES /
HAZARD CONTROLS

2. Ensure power lead

and plug are in
good condition
3. Machine should
have inspection
tag. Return to
stores and inform
store-man of any
issues with tool
3 Grinding or cutting Changing blades 1. Only competent PICW
person to change
blades (welder or
another trained
person)
2. Always physically
disconnect from
power source
3. Blade max speed
capability must
exceed machine
max speed.
4. Blade must suit
task. Cutting blade
for cutting,
grinding for
grinding and do
not use metal-
cutting blades for
stone
5. Check new blades
for damage
3 Grinding or cutting Hot Work 1. Local gas PICW/EHS
monitoring for
LEL’s
2. Fire watch trained
personnel only
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 JOB STEP POTENTIAL HAZARD CONTROL RESPONSIBILITY
#
MEASURES /
HAZARD CONTROLS

3. Fire extinguisher
at location
4. Remove all
flammable
materials and
substances
5. Protect against
stray sparks
(screens, fire
blankets)
Bursting of grinding 1. Cordon off area to PICW/EHS
disk avoid
unauthorized
persons in work
areas.
2. Trained and
competent
employees.
3. Do not apply
unnecessary
pressure when
using. Let the tool
do the work
4. Guards fitted as
item 2.1
Noise 1.1 Ear protection to PICW/EHS
be worn by all in
the vicinity

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 JOB STEP POTENTIAL HAZARD CONTROL RESPONSIBILITY
#
MEASURES /
HAZARD CONTROLS

HEREBY I CONFIRM THAT I

NEW ON HAVE READ, UNDERSTOOD,
THE AND WILL ADHERE TO THE
TASK? REQUIREMENTS TO THIS JSA
(< 90 days) TO PERFORM THE TASK
SAFELY.
S
NAME TASK FUNCTION MENTOR I
G
N
YES NO A DATE
T
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R
E

1.

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 JOB STEP POTENTIAL HAZARD CONTROL RESPONSIBILITY
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MEASURES /
HAZARD CONTROLS

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