JSA (Job Safety Analysis) Sheet

Activity Name:- Excavation Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
a.Only inducted worker shall be deputed at the work place.
Manpower B.Induction process covers all identified hazards and precautions to be taken.
1 Untrained worker Personal injury
Mobilization C.Tool Box talk on daily basis to be conducted by Supervisor on (Activities to be performed in day,
hazard and precau
Excavation work permit to be taken from concern engg.and safety dept.
Underground Utilities Major Accident
Ensure for electrical cable ,any water services before excavation.
Fall from height Personal injury Ensuring all the labour for use safety helmet,refrative jacket,safey shoes PPEs.
Checking the competency of the excavator operator.
Hard barricading around all the excavated pits & soft barrication around the swing area of poclain.

Competency of driver. Process of displaying the photo along with the driver license on the pockland.

Daily inspection of the equipment as per the defined checklist

Excavation (Only
Fall/Slip of excavator Major Accident Comply to the requirement of excavation and height work permit
2 using Pockland and
JCB) Damage to inventory Distinguishing the stoppage area for vehicle
Provision of banks man for guiding the excavation activity
Striking by the swing Injury
movement of the arm Major Accident Soft barrication of area being excavated.
.
Loose material along the edge shall be removed.
Collapse of sides Injury
Vertical cutting of the pit will be done by giving slops / caving of pits.
Medical fitness
Instruction to drink water at regular intervals
Heat Stroke Injury Provision for water at each individual location of work
AC Cabin
Periodic breaks for the banks man.
Evaluating the capacity of the excavator/dumper.

Provision of banks man for guiding the process.

Fall/Slip of excavator
& dumper Major Injury Competency of the driver operating dumper or excavator.
Loading & unloading
(Besides pit and into Only the certified driver whose photo is displayed on the dumper or excavator to operate the same.
3 dumper)
Ensure Hard barricading around all the excavated pits and stopper provided to dumper.

Slip of excavated Material stacking not less than 1.0 mtrs from the edge of the pit .
Personal injury
material
Ensuring the level ground for unloading dumper at dumping area.
Striking against the
4 Movement of Dumper people working at Major Injury Ensuring safe working height for stacking of the material.(1.5 mtrs)
site
a. Identifying the route of the vehicle.
a.Striking to the B.Checking the competency of the vehicle driver
a. Major Accident
person c. Checking of authorization papers of driver & vehicle.
D. Confirming fitness of the vehicle- viz. breaks, tale lamps, reverse horns.
Parking of Dumper E. Operating speed limit of 15K
5
for Unloading
a.Cleaner available to guide during reverse operation
b.Fall in the b.Dumper halting at 2mtr distance from the pit
b. major accident
excavated Pit c.Reverse horn avability
d. Daily checks of the vehicle to check the vehicle fitness of the vehicle.
a.Hard stopper or sand bags to be placed at edge during reverse operation.
B.Hard barricade to be available.
Personal injury, loss of Identifying the route of the vehicle.
6 Material transports Road accident Checking the competency of the vehicle driver
properly
Checking of authorization papers of driver & vehicle.
Confirming fitness of the vehicle- viz. breaks, tale lamps, reverse horns.
7 Open Pit Pit not covered Fall hazard Operating speed limit of 15Km/Hr.
The pit to be barricaded from all 4 sides after completion of activity.
Darkness, fall of Night work permit to be taken from concern engg.and safety dept.
Work during dark Personal injury, damage
8 person, fall of Ensure proper illumination during dark hours.
hours to property
machinery Electrical cable should lead min 2 m height. No exposed electrical 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 : ______