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JSA (Job Safety Analysis) Sheet

Activity Name:- Alluminium door fixing.

Location:-

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved

Manpower
1 Untrained worker Personal injury
Mobilization

Fall of material,
fall of man, Personal Injury,
2 Fixing of Frame
electric shock, fall proerty damage
of equipment

Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours damage to property
machinery

Name & Signature of Site Engineer / Supervisor :_________

Name & Signature of Project In-charge :__________


JSA (Job Safety Analysis) Sheet

Ref-

Date :

Risk Control measures


Only inducted worker shall be deputed at the work place.
Given Tool Box Talk to all workers.
Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected ladder/ scaffold should use for work
Ensure only inspected portable equipments should use for work
Ensure safety belt(FBSH) above 2 mtr. Height

Ensure tools and material should fix with rope at height (work platform)

Ensure person should not stand below load


Night work permit to be taken from concern engg.and safety dept.
Ensure person can carry weight
Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site In-charge :___________

Name & Signature of HSE Officer : ______


JSA (Job Safety Analysis) Sheet

Ref-
Activity Name:- Alluminium door fixing.

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected ladder/ scaffold should use for work
Ensure only inspected portable equipments should use for work
Fall of material,
fall of man, Personal Injury, Ensure safety belt(FBSH) above 2 mtr. Height
2 Fixing of Frame
electric shock, fall proerty damage
of equipment Ensure tools and material should fix with rope at height (work platform)

Ensure person should not stand below load


Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of Ensure person can carry weight
Work during dark Personal injury, Electrical cable should lead min 2 m height. No exposed electrical
4 person, fall of
hours damage to property wire.Earthing.
machinery
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 : ______

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