Project/Job No : JSA No PIL-JSA Rev:00

Client : Date April 29,2023

JOB SAFETY ANALYSIS (JSA) & HSE Prepared by Zouwei
WORK PROGRAM
Risk levels : Review by
H : High
M : Medium Approved by
L : Low
THIS JSA MUST BE READ IN
BRIEFING/TOOL BOOX MEETING
Personal Protective Equipment
PRIOR TO START WORKING, FAIL TO
DO THIS WILL GIVE THE DISCLIPINARY Helmet, Kacamata,Sarung tangan, Rompi, Sepatu Safety
ACTION

N RISK LEVEL RESIDUAL

o TASK HAZARD POTENTIAL RISK H M L PREVENTION PLAN RISK
PIC

PENGGUNAAN PERANCAH
1 Persiapan Pekerjaan -Tidak menggunakan Kecelakaan fatal, Only people who are in good health and have Supv/HSE
Memeriksa dan APD sesuai standar terbentur, tertusuk, received special and experienced training that can
memakai Alat -Do not use PPE tergores do this job.
Pelindung Diri (APD) according to The fatal accident, hit, 只有身体健康，并接受了特殊且经验丰富的培
Work Preparation standard stabbed, scratched - 致 训，才能完成这项工作。
Checking and using -不要根据标准使用 命事故，撞到，刺 Personal protective equipment (PPE) must be
Personal Protective PPE 伤，刮擦 checked and used properly and correctly in
Equipment (PPE) -没有储备饮用水 中暑晕倒 accordance with applicable SOPs.
工作准备检查并使 -No reserve of Heatstroke fainting 必须根据适用的 SOP 对个人防护设备（PPE）
用个人防护设备 drinking water 高空坠落受伤 进行正确，正确使用。
（PPE） -登高没有佩戴安全 High altitude fall injury 现场储备饮用水
带 On site storage of drinking water
-Climbing high 登高必须佩戴安全带工作
without wearing a Climbing high requires wearing a seat belt to work
seat belt 必须使用手套，安全头盔和安全鞋
Gloves, safety helmets, and safety shoes must be
used
 身体有伤口 移动（固定）模板要在安全的环境下进行 Supv/HSE
There are wounds on Mobile (fixed) templates should be carried out in
the body a secure environment
骨折 制作模板使用台锯必须根据 SOP 操作，并制定
2 开始工作 fracture 专人操作台锯，台锯使用完后用对台锯锯片进
start work 制作（拆除）模板 高空坠落 行保护。
Making (dismantling) High altitude fall The use of a table saw for template production
templates 中暑晕倒 must be carried out in accordance with the SOP,
Heatstroke fainting and a dedicated person should be designated to
高空坠物 operate the table saw. After the table saw is used,
Falling objects from the saw blades should be protected.
high altitude 安装模板时必须在安全的操作平台进行，高空
照明不足 安装模板配备好安全带。
Insufficient lighting When installing the template, it must be carried
out on a safe operating platform, and the
template must be equipped with a safety belt
when installed at height.
清理拆除模板上的钉子
Clean and remove nails from the formwork
搬运材料堆放整齐
Handling materials and stacking them neatly
脚手架通道上严禁堆放杂物
It is strictly prohibited to stack debris on the
scaffolding passage
拆除模板必须将拆除下来的物品归类堆放整齐
The dismantled items must be classified and
stacked neatly when dismantling the template
夜间必须有充足的照明
Adequate lighting must be provided at night
身体有伤口 搬运螺纹钢需要 1 到 2 人配合进行完成。
螺纹钢捆扎 There are wounds on Handling threaded steel requires the cooperation
the body of one to two people to complete.
Rebar binding 骨折 对低于 1.2 米的螺纹钢使用物品进行覆盖尖锐
fracture 部分
钢筋扎伤 Cover sharp parts of threaded steel with items
Steel bar puncture below 1.2 meters
高空坠落 高空作业在安全的工作做平台上进行
High altitude fall Working at heights is carried out on a safe work
中暑晕倒 platform
 Heatstroke fainting 不能大量在脚手架上堆放螺纹钢，如当日工作
砸伤 结束必须将多余的螺纹钢从脚手架上取下来或
Crushing injury 用固定在脚手架上
照明不足 It is not allowed to stack a large amount of
Insufficient lighting threaded steel on the scaffold. If the work ends
on the same day, excess threaded steel must be
removed from the scaffold or fixed on the scaffold
夜间必须有充足的照明
Adequate lighting must be provided at night
身体有伤口 清理出一块安全的场地停放泵车
There are wounds on Clear a safe area to park the pump truck
the body 指定一名工人对车辆进行引导
骨折 Assign a worker to guide the vehicle
混凝土浇筑 fracture 脚手架上的操作平台必须完整
轻伤或重伤 The operating platform on the scaffold must be
Concreting Minor or serious complete
injury 安排木工值守，如出现模板损坏立即修护
中暑晕倒 Arrange carpenters to be on duty and
Heatstroke fainting immediately repair any damage to the formwork
混凝土进入眼睛 夜间必须有充足的照明
Concrete entering Adequate lighting must be provided at night
the eyes
泵车停放点不安全
The pump truck
parking area is
not safe
无人指挥车辆
Unmanned
command
vehicle
照明不足
Insufficient lighting
身体有伤口 佩戴防毒面具或者口罩
Wear a gas mask or mask
There are wounds on 防腐材料堆放在指定位置
the body Stacking anti-corrosion materials at designated
防腐保护 locations
轻伤或重伤
使用刷子进行涂抹
Corrosion protection Apply with a brush
Minor or serious injury
 中暑晕倒 使用过的 B3 桶统一存放在 B3 仓库
Used B3 barrels are uniformly stored in the B3
Heatstroke fainting warehouse
中毒

poisoning

电焊焊接 电击 穿戴焊工专门 PPE

Electric welding electric shock Wear welder specific PPE
中暑 在安全的环境下进行焊接作业
Heatstroke Welding operations are carried out in a safe
死亡 environment
death 下雨严禁作业
被尖锐物刺伤 No Operation in Rain
Punctured by sharp 焊机要求接地，检查焊把线是否有正常
objects The welding machine requires grounding, check if
中毒 the welding wire is normal
poisoning 高空作业必须佩戴安全带
坠落 Safety belts must be worn for high-altitude
fall operations
3 清理现场 绊倒 身体受伤 工作完成后，清理现场多余材料，确保现场无 Supv/HSE
Clean up the site Tripping Physical injury 垃圾和材料堆放
钉子扎伤 摔伤 After the work is completed, clean up excess
Nail puncture fall and hurt oneself materials on site to ensure that there is no
garbage or material stacking on site
Prepared by Reviewed by Reviewed by Approved by
Date :.......................... 2023 Date : .............................. 2023 Date :...................2023 Date :...................2023

HSE Manager
HSE Engineer Pil Manager
Pil Engineer