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JSA (Job Safety Analysis) Sheet

Ref :
Activity title:- Removal of Barbed wire & Pole 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 Untrained worker,lack
1 Personal injury
Mobilization of skill awareness
Given Tool Box Talk to all workers.

Use of PPE such as safety shoes, helmet PVC hand gloves, safety
goggle and shoulder pad.

Work shall be carried out by competant person under proper


Removing of Barbed supervision of foremen / incharge.
2 Cut,slip of wire/pole Personal injury
Wire,Pole
Proper housekeeping of wire after its removal.

Provision of proper access to remove the wire.

Work during dark Darkness, fall of Ensure proper illumination during dark hours.
3 Personal injury
hours person, fall of pole 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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