JOB SAFETY ANALYSIS WORKSHEET

Part 1: Job Particulars Page 1 of _____

JOB TITLE / AIM: Construction of New underground drainage water line
JSA DATE:07 /06/2006 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Iqbal Zafar SCRIBE: Hernand Suyom
PARTICIPANTS: Iqbal Zafar
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
1. Mobilization of equipment
2. Manual cutting using chisel of RCC pipe
3. Removal of old RCC pipe using crane
4. Removal of Drain water pit using Excavator.
5. Installation of New RCC Pipe using crane
6. Construction of New SWP & CWP
7. Demobilization
Alternatives Considered: N/A

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. All work fronts will have a first aider c/w a first aid kit. The first aider will be responsible in the event of an
emergency/incident. The first response will then be activating DEL ERP!!!

Pakistan Asset Team Approved: AHMED HASEEB PA-HSEC-02-040-002-F01

BHP Billiton Checked: NAJEEB MALIK Attached to: PA-HSEC-02-040-002-P
Originator: SYED FAHEEM Rev: 1 Issue: 13/05/05 Page 1 of 7
 JOB SAFETY ANALYSIS WORKSHEET

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 Unauthorised equipment/tools brought out to Before mobilizing any equipment/tools make sure
site that the E &P Personnel got inspected the
equipment. Banks man must be provided and
adhering the speed limit inside the BHP
Unskilled and uninducted personnel starting Ensure that all personnel prior to start the have
the job been inducted in BHP operation and oriented
about the hazard in the job site.
Workers starting the job unfit to work All personnel not fit to work shall not be allowed
to work at the project site.
Workers starting the job without permit Operations gas detection must be in place prior to
work. Ensure all the persons take part in the tool
box meeting discussion.
Delays in response to potential incident or Ensure radio communitcations are maintained at
emergency situation work area at all times
2 Manual cutting of RCC pipe using Eye injury Ensure worker to perform the job must have
Hilti double eye protection wearing face shield and
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 JOB SAFETY ANALYSIS WORKSHEET

JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
safety glass
Workers will be oriented about the proper posture
Back injury and positioning during the execution of the job.
Heat Stress/Exhaustion Ensure drinking water is available/and proper
shade
First aid kit must be present at the area with ORS.
If the person is feeling dizziness immediately
inform the supervisor or HSE personnel. HSE
personnel are the first response.

Snake bite Workers will inform and be aware about the

presence at the area. No killing of snakes
Unskilled and uninducted personnel starting Ensure that toolbox meeting was regularly
the job conducted and people are aware of the job and the
hazard enclosed in the job they are performing
Unauthorized operator doing the job Only trained and authorized person will operate
the Hilti machine
Materials might roll over the worker Ensure the pipe was choked or secured prior to
cutting
Ensure that the tools are properly inspected and
Electrocution tagged.
Ensure that water has been drained at the
excavated area prior to cutting
3. Removal of old RCC pipe using Equipment failure Equipment must be inspected by the equipment
crane supervisor on daily basis
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 JOB SAFETY ANALYSIS WORKSHEET

JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Uncompacted soil/trench could result Ensure area was properly compacted to prevent
equipment fall over Know the weight of the water pit, ensure that the
load is rigged properly
Lifting gears must be certified and inspected
Uncertified/uninspected tools
Improper lifting procedure Ensure only approved crane operator and rigger
are used.
Miscommunication Proper communication must be present at the area
at all times. Only one man signal man rigger to
convey message to operator
Use tag line and ensure that swing zone was
demarcated, no one should stand under the
suspended load
Hand injury Ensure workers are wearing the hand gloves
Trips/falls Ensure that area was secured and barricaded
4.. Removal of Drain water pit using Moving Injury Flag man should be present with machine
Excavator
Unauthorized operator doing the job Only trained and authorized person will operate
the crane
Fire No smoking policy on the site is mandatory. Fire
extinguisher(DCP) must be present in the area
Workers will be oriented about the proper posture
Back injury and positioning during the execution of the job.

Heat Stress/Exhaustion
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 JOB SAFETY ANALYSIS WORKSHEET

JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Ensure drinking water is available/and proper
shade
First aid kit must be present at the area with ORS.
If the person is feeling dizziness immediately
inform the supervisor or HSE personnel. HSE
personnel are the first response.

5. Installation of new RCC pipe using Equipment failure

crane
Uncompacted soil/trench could result
equipment fall over
Uncertified/uninspected tools
Equipment must be inspected by the equipment
supervisor on daily basis
Ensure area was properly compacted to prevent
equipment fall over
Know the weight of the water pit, ensure that the
load is rigged properly
Lifting gears must be certified and inspected

Unauthorized operator doing the job
Fire
Only trained and authorized person will operate
the crane
No smoking policy on the site is mandatory. Fire
extinguisher(DCP) must be present in the area

Miscommunication
Proper communication must be present at the area
at all times. Only one man signal man rigger to
convey message to operator

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 JOB SAFETY ANALYSIS WORKSHEET

JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)

Use tag line and ensure that swing zone was

demarcated, no one should stand under the
Back injury suspended load

Workers will be oriented about the proper posture

Heat Stress/Exhaustion
and positioning during the execution of the job.
Ensure drinking water is available/and proper
shade
First aid kit must be present at the area with ORS.
If the person is feeling dizziness immediately
inform the supervisor or HSE personnel. HSE
personnel are the first response.

6. Construction of new SWP & CWP
Includes concreting and bricks
installation using mixer machine
Hand injury
No proper access and egress Ensure workers are wearing the hand gloves
Trips/falls Ensure that all area excavated was secured and
barricaded with scaffolding pipe.
No proper access and egress
Ensure that proper access was provided to worker
Back injury
Ensure that all area excavated was secured and
Pinch point hazard
barricaded with scaffolding pipe.
Dust
Ensure that proper access was provided to worker

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 JOB SAFETY ANALYSIS WORKSHEET

JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Heat Stress/Exhaustion Workers will be oriented about the proper posture
and positioning during the execution of the job.
Ensure that workers are not wearing loose
shirt/scarf during concreting
Ensure that workers are wearing dust mask
Workers will be oriented about the proper posture
and positioning during the execution of the job.
Unauthorized operator doing the job Ensure drinking water is available/and proper
shade
Fire First aid kit must be present at the area with ORS.
If the person is feeling dizziness immediately
Miscommunication inform the supervisor or HSE personnel. HSE
personnel are the first response.
Only trained and authorized person will operate
Equipment failure
the machine
No smoking policy on the site is mandatory. Fire
extinguisher(DCP) must be present in the area
Proper communication must be present at the area
at all times.
Equipment must be inspected by the equipment
supervisor on daily basis
7. Demobilization Same as mobilization
Same as mobilization

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