JSA (Job Safety Analysis) Sheet

Ref-
Activity Name:- Spry painting of structure members.

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.
Untrained Given Tool Box Talk to all workers.
1 Manpower Mobilization worker,lack of skill Personal injury
awareness Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Whole area under working to be properly barricaded & warning sign
boards.
No material to be kept inside barricading area no hot work shall be
performed near painting area.Continous supervision by competent
person.
Painters will be strictly followed safety shoes,helmet,safety goggles,
Rubber gloves, nose mask while working at site.
Skin & eye Storage of paint shall be specific area.
contact,inhelation,inj
Spry painting of Hazardous chemical MSDS to maintained & safe use instruction to be
2 ection,fumes,Noise & Personal injury
structure given.
Dust,air compressor
bust Equipment shall be inspected by the safety officer.

Third party inspected and having valid form 12.

Ensure safety valve cut off pressure and it should be working
condition.
Ensure no damage of air hose.
Ensure no damage of nozzle or any obstruction in it.
Night work permit to be taken from concern engg.and safety dept.

Darkness, fall of Ensure proper illumination during dark hours.

Personal injury, damage
3 Work during dark hours person, fall of Electrical cable should lead min 2 m height.No exposed electrical
to property
machinery wire.Earthing.
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 : ______