JSA (Job Safety Analysis) Sheet

Activity Name:- Plumbing work Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization worker,lack of skill Personal injury
awareness Given Tool Box Talk to all workers.
Material shifting by two person.
Material shifting to
Personal injury,
2 work location Manually Fall of material Pathway should be clear and free from any material.
Property damage
(App.wt 50Kg.)
Cotton handgloves shall be provide.

Uninspected All hand tools should be inspected before use for its damage.
Cut injury.
handtools Ensure that hand tools should be use for its define work.
Machine should be inspected before starting of work by safety dept and provide
valid tag.
3 Use of Hand Tools
Electric supply cable should be having industrial/waterproof pin top
Electric hazard Shock

Connections to be taken from field distribution panels having 30mA ELCB.

Proper housekeeping should be maintained

Scaffold shall be errect on the even surface by providing base plate, ledger at
Fall of person, every 500mm and side support.
Unapproved access
fall of material Metal flanks shall be provide for standing people which surely tied by binding
4 Working on hight wire.
F.B.S.H. should be provide in good condition with double lanyard and shock
absorber.
Unathorised entry Personal injury
Work area shall be soft barricated to avoid unauthorised entry.

Ensure proper illumination during dark hours.

Darkness, fall of Personal
5 Work during dark hours person, fall of injury,damage to Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
machinery property
Route shall be illuminated.

Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________

Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______