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Leighton India Contractors Pvt.

Ltd
Job Hazard Analysis

Business/Project : DAIS Extension Project, Mumbai Project No.: I1912


JHA Reference No. : DAIS-I192-HSE-JHA-AIPL-04

Location of Works Activity : B1.1, Ground Floor & Level 7 Method Statement Reference: I1912-AI-OPR-MST-0066-00
Works Activity : Painting work
Risk Assessment Reference: DAIS-11912-HSE-CRA-AIPL-04
Other Document Reference: WAH & Electrical
FIELD CONTROL INSPECTION CHECKS
Expected Duration of Works : Jan. -2023 March-2023 Designate the number of checks required in line with stated frequency
From To Person undertaking inspection checks to indicate which planned check is being conducted by
“circling” the related sequence number of check(s) below:
Field Control Check – :
Frequency A. Work Commencement – All Checks 1 2 3 4 5 6 7 8 9 10 11

12 13 14 15 16 17 18 19 20 21 22

23 24 25 26 27 28 29 30 31 32 33
B. Every Month
34 35 36 37 38 39 40 41 42 43 44

Period Over Which Checks :


to be Conducted 45 46 47 48

Field Control Inspection Checks – control measures requiring inspection, check and signoff will be identified using ”  “ indicator in either the “PRE-WORKS” or “DURING” works
columns within the “Action(s) Complete/Control in Place” column as appropriate. Inspections and checks are related to the stated control measures per “job/task”.
“Job/Task” steps that do not show an inspection/check, i.e. no cross indicated in box “  “ do not require formal inspection check or signoff but should be referenced / observed
and considered during inspections activities.

“STRIVE” Coaching Technique


 Study the Area  Implement Agreed Controls
 Take Time to Engage with the Work Team  Verify Commitment
 Review the Controls in Place  Ensure Compliance
Prepared By Name: Akash Shinde Signature: Date:
Position: Site In charge

DAIS- I1912-HSE-FM-001B(02)
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Leighton India Contractors Pvt. Ltd
Job Hazard Analysis
Reviewed By Name: Tejveer Singh Signature: Date:
Position: Manager- HSE

Reviewed By Name: Ajay Korde Signature: Date:


Position: Finishing Manager
Approved By Name: David Poole Signature: Date:
Position: Sr. Project Manager
Nominated Responsible Persons: Engineers / Supervisors / Foremen / Subcontractors
 We have had detailed discussion and explanation for this Job Hazard Analysis during the “Task Launch Meeting”, and will implement, check/monitor as specified the control measures accordingly.
 Refer to the training record for details of all training attendees for “Task Launch Meeting” and “Field Control Briefing”.
Leighton – Signed after “Task Launch Meeting”

Name: Ajay Korde Name: Tejveer Singh Name: Name: Name: Name:
Title: Finishing Manager Title: HSE Manager Title: Title: Title: Title:
Contact: 77000098352 Contact: 9871971793 Contact: Contact: Contact: Contact:
Signature: Signature: Signature: Signature: Signature: Signature:

Leighton – Signed after “Task Launch Meeting”

Name: Sandeep Sudra Name: Akash Shinde Name: Amit Vishwakrama Name: Ehtesham Ansari Name: Name:
Senior Project Manager -
Title: Title: Site In charge Title: Site Engineer Title: Safety Officer - AIPL Title: Title:
AIPL
Contact: 8898889499 Contact: 9137050053 Contact: 9702844890 Contact: 9702388589 Contact: Contact:

Signature: Signature: Signature: Signature: Signature: Signature:

Sl no. Job / Task Class 1 Risks Control Measures Responsible Action (s) Complete /
Person
Control in Place

DAIS- I1912-HSE-FM-001B(02)
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Leighton India Contractors Pvt. Ltd
Job Hazard Analysis
Checked by/
Image / Photo Description Pre- Work During Signature
1 Usage of
power tools
Electrocution All Machine inspected by LIN Electrician
 
Slip trip hazard
from cable
Using certified industrial plug top Electrician
 
&material Cable routing to be over headed
Electrician  
Dust inhalation
Eye injury due to
All rotating machine should be guarded Ehtesham
Ansari
 
flying partial
Material may
Dust mask provided
Amit
Vishwakarma
 
have sharp
edges Maintain housekeeping Before & after work
Amit
Vishwakarma
 
Inspected power tools with inspection tags to be Ehtesham
Ansari
 
used
Electrical connection should be routed through Electrician
 
RCCB and by authorized electrician only

Dead man switch need to be check


Electrician
 
Training for safe operation of power tools will be Ehtesham
Ansari
 
given to the workman
Before starting the activity all flammable material Amit
Vishwakarma
 
shall be removed from work location

Eye Protection, Hand gloves & other PPE’s Provided


Amit
Vishwakarma
 
2 Working at
height/
Fall of personals
Scaffolding erection area to be levelled and will be
ensuring by site engineer
Amit
Vishwakarma
 
from scaffold
Scaffolding
erection and
cause fatality or
Ensure scaffolding should have safe access Akash Shinde
 
approach, top rail, mid rail, and toe board.
loss time injury,
dismantling
Struck by
The scaffold inspected by the LIN scaffold inspector Amit
Vishwakarma
 
& Tag provided
Materials or fall of
materials cause Following safe scaffolding procedure
Amit
Vishwakarma
 
Injury,
Collapsed of
Deployment of trained and skilled and certified
scaffolding with easy identification
Akash Shinde
 
DAIS- I1912-HSE-FM-001B(02)
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Leighton India Contractors Pvt. Ltd
Job Hazard Analysis
scaffold cause
All work must be carried out under supervision
Ehtesham
Ansari
 
injury.
Ensure nearby floor opening/ slab edges/ lift shaft
opening are closed as per SOP
Ehtesham
Ansari
 
Ensuring no cantilever scaffolding will be used
Akash Shinde
 
Provision of full body harness and using Akash Shinde
 
harness from 1.8-meter height

Displaying caution instruction singes.


Amit
Vishwakarma
 
Clear overhead obstructions
Ehtesham
Ansari
 

Ehtesham  
Ansari
Height work training should be given to workers.

Remarks

DAIS- I1912-HSE-FM-001B(02)
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Leighton India Contractors Pvt. Ltd
Job Hazard Analysis

Field Control Inspection Check – Submission / Verification and Closeout

JHA Submitted By Name Signature Date:


(Engineer) Position
Name : Signature Date:
Verified By
(Manager)
Position :
Closed By Name : Signature Date:
(Manager) Position :

Note: Please issue the completed copies to Safety Department for filing

DAIS- I1912-HSE-FM-001B(02)
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Leighton India Contractors Pvt. Ltd
Job Hazard Analysis

DAIS- I1912-HSE-FM-001B(02)
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