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-08

Location of Works Activity
Works Activity
FIELD CONTROL INSPECTION CHECKS
Expected Duration of Works :
Field Control Check –
Frequency
: B1.1, Ground Floor & Level 7 Method Statement Reference: I1912-AI-OPR-MST-0070-00
: Installation of Pelmet
Risk Assessment Reference: DAIS-I192-HSE-CRA-AIPL-08
Other Document Reference: WAH & Electrical
FEB -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:
:
A. Work Commencement – All Checks 2
1 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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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: 7700098352 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

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Job Hazard Analysis
Pre -work During Checked by/
Signature

1
Working at Fall of Scaffolding erection area to be levelled and will be ensuring
by site engineer
Amit
Vishwakrama
 
height/ personals from
Scaffolding scaffold cause Ensure scaffolding should have safe access approach, top
rail, mid rail, and toe board.
Amit
Vishwakrama
 
erection and fatality or loss
dismantling time injury,
The scaffold inspected by the LIN scaffold inspector & Tag
provided
Amit
Vishwakrama
 
Struck by
Materials or Following safe scaffolding procedure
Amit
Vishwakrama
 
fall of Deployment of trained and skilled and certified scaffolding
with easy identification
Akahsh
Shinde
 
materials
cause Injury, All work must be carried out under supervision
Akahsh
Shinde
 
Collapsed of
scaffold cause
Ensure nearby floor opening/ slab edges/ lift shaft opening
are closed as per SOP
Akahsh
Shinde
 
injury.
Ensuring no cantilever scaffolding will be used
Akahsh
Shinde
 
Provision of full body harness and using harness from 1.8-
meter height
Sandeep
Sudra
 
Displaying caution instruction singes.
Ehtesham
Ansari
 
Clear overhead obstructions
Ehtesham
Ansari
 
Height work training should be given to workers.
Akahsh
Shinde
 

3
Electrocution Only skilled worker should have allowed for work Electrician
 
Usage of Fire due to electrical
power tools short circuit or All electrical equipment should be checked before use. Electrician
 
overload Inspection tag should be maintain & checked
Contact with Electrical DB and all cables should well maintained and Electrician  
no single joint should allowed to work
rotating parts
Trip/fall person RCBO is must on electrical distribution board Electrician
 
Inhalation Appropriate Machine Guards to fixed on Respected Amit
Vishwakrama
 
Machines
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Job Hazard Analysis

Overhead cable routing Electrician

 
Use right tool for right job Amit
Vishwakrama
 
Provide job specific P.P.E. e.g. face shield, nose mask, Ehtesham/
Amit
 
cotton hand gloves etc.

Remarks

Field Control Inspection Check – Submission / Verification and Closeout

Name: Ehtesham Ansari Signature Date:

JHA Submitted By
(Engineer)
Position : Safety Officer
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

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