JSA (Job Safety Analysis) Sheet

Activity Name:- Erection of Piperack frame Ref-

Location:- Date :
Sr.N Activity
Type of Hazard Risk Involved Risk Control measures
o. Name
Deploy only inducted worker for work
Untrained persons, TBT shall be conducted before starts the activity.
Mobilisation of
1 unexperienced Personal injury Provide all PPE`S as i.e.Helmet,Jacket,Shoes,Goggles.
manpower All required permits should be taken before start activity
person
Work should be done under continous supervision.
Only authorised person should be deployed for the work.
Approch of Ensure that heavy equipment unloading access should be even surface.
Uneven vehical
Heavy fall of materials, Access should be safe,clear, & identified.Unloading stacking work area should be soft barricated.
2 Access, uneven
Equipment at Personal injury
work area No any loose materials to be kept inside barricating area.
job location
Only authorised person should be deployed for the work.
Only inspected vehical having valid insurance, form no.11, RTO,licence.& Ensure that head lights,reverse
horn,indicators, front horn is in good condition
Bank`sman should be present contionously for movement control.
Shifting of Unapproved Ensure that hooking shall be adeqately fitted with Gunnybags or sleeves & properly lock safety lutch.
fabricated Vehical, Untrained No any shall be allowed under suspended load.Guide rope thick shall be tied to both ends
3 fall of materials Access should be safe,clear, & identified.Unloading stacking work area should be soft barricated.
piperack frame hydra operator
by hydra. uneven work area Ensure that the frame are properly tited
Ensure gied rope with 5mtr. long fixed at both end
Ensure both gied rope holding person should walk 3mtr. Away from Hydra.
Bank`sman should be present contionously for movement control.
Access should be safe,clear, & identified.loading stacking work area should be soft barricated.
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Lifting of frame
No any shall be allowed under suspended load.
unloading near Damage lifting
4 Personal injury Guide rope shall be tied to both ends.All structural properly stacked with wooden piece area shall be
erection tackle, sling escape
identified
location
Gunny bags should be used for sharpness protection.
Ensure path should be clear and even surface
Ensure only one trained signalman should give signal to hydra operator
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure person should wear only inspected double lanyard full body safety harness
Ensure person should anchour his safety belt snap hook to 2nd frame resting clit
Errection of 1st Tilt of hydra,Fall of Personal injury,
5 Ensure person should hold ladder when one person goes up to tie ladder with rope
frame frame, fall of person fatal injury
Ensure ladder is tied with rope
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Guide rope should be tied during erection of frame.
Ensure that person stand away ; No one put hand below load during fixing & alignment.
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
 Ensure 1st frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 2nd Fall of frame, fall Personal injury,
6 Ensure hand tools should fix with rope at height
frame oe person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure 1st & 2nd frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 3rd Fall of frame, fall oe Personal injury,
7 Ensure hand tools should fix with rope at height
frame person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure 1st,2nd, & 3rd frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 4th Fall of frame, fall oe Personal injury,
8 Ensure hand tools should fix with rope at height
frame person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure Night work permit before work

Work During Fall of person, Ensure path should be clear and even surface
9 Darkness
Night personal injury Proper illumination should be provide during night work.

Emergency evacution plan should be explain to all workers.

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

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