JOB TITLE / AIM: JSA for Installation of HDPE Sheets at Evaporation Pond.

JSA DATE :29/10/2007 JSA NO./ REVISION: DEL , 88

JSA LEADER: Mr. Zahid Masood SCRIBE: Asad Nadeem
PARTICIPANTS : Mahboob, Farhan
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis

Job Steps:
i. Mobilization of Tools & Equipment & workers
ii. Manually Installation & Cutting of HDPE Sheets
iii. Fusion Welding of HDPE Sheets Joints
iv. Night Works
v. Demobilization

Alternatives Considered: N/A

Equipment / tools : fusion welding machine , grinder , gripper , knife , power generator ,
Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-
002-F03.
Part 3: Contingency Plans. Standard PPE : First aid kit must be present at the area and the HSE personnel is the first
response in case of emergency

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA?
Any practices that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management
system.
 File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of equipment ,tools Unauthorised equipment / tools brought Before mobilizing any equipment/tools make
and workers out to site sure that the DEL E&P got inspected
- Equipment includes fusion approved & tagged the fusion welding
welding machine machine and electrical extension cable.
- Electrical extension cable Only approved and inspected tools shall be
used in the welding fusion job.
Unauthorised Access No person shall be allowed to cross the
temporary fence without authorization.

Workers starting the job un aware of job
hazards
Unskilled and un inducted personnel
starting the job
JSA must be placed on site Ensure all the
persons take part in the toolbox meeting
discussion.
Persons signed at the back of JSA
Ensure that all personnel prior to start the
have been inducted and oriented about the
hazard in the job site.

3 Manual Installation & Cutting of
HDPE Sheets.
Workers starting the job unfit to work All personnel got the medical fitness
certificate from the Del Doctor.
Hand Injury Ensure proper handling/hauling & storing of
HDPE Sheets get help if required.
Lack of Supervision Job Supervisor must be present at job all
time.
Hand Injury Ensure that workers worn appropriate hand
gloves.
Back pain Ensure sufficient manpower was provided
during manual placement of HDPE Sheets.
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)

Dust Ensure that all worker performing job in the

5 Fusion Welding of HDPE Sheets
Joints
Area must wear Dust Masks
Cuts Ensure that only trained personnel’s will
perform job of cutting and when knife will not
in use it will be closed and then put in
pockets no horse play shall be allowed at site
.
Fire Ensure available fire extinguisher in the area.
Ensure no flammable materials present in the
area
Ensure workers know how to extinguish the
fire

Skin burn Ensure that workers are wearing leather

Non-Bio Degradable Hazard
Electrical Shock
Damage Distribution Boards
Loose Clothing
gloves.
Ensure that all the extra material will be
removed from the Site after completion of
Job.
Ensure that all electrical operated tools are
free from electrical shock hazards properly
insulated, Attached ELCBS, or Circuit
Breakers.
Ensure that all DB’s are fit for work attached
with earthing, ELCB,s properly insulated
receptacle in good working conditions.
No loose clothing is allowed at site. over alls
for all orkers and Cotton shirts and trousers
for management.
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Slip & Trip Fall Working area clean and tidy, cables properly
managed all materials staked properly.
Loose Grip Griper must be used for pulling sheet shall
be operated / used by some trained person
gripped properly before pulling sheets.
Heat Stress/Exhaustion Ensure potable water with sealed/sufficient
shelter is available each area where workers
are doing the job. Unauthorised person
should not operate the equipment without
proper knowledge on how to operate the
machine
6 Night Works Snake bite Workers will inform and be aware about the
presence of snakes at the area. No killing of
snakes
Insufficient lighting Ensure that lighting will proper installed and
will sufficient
Poor Lightening at Entrance and Exit Sufficient lights shall be there at the entrance
and exit of the evaporation pond.
7. Demobilization Poor house keeping Ensure that there should be proper
housekeeping at the end of the job.