JSA (Job Safety Analysis) Sheet

Activity Name:- Hard rock Chiseling by Poclain Ref-

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 worker,lack
1 Manpower Mobilization Personal injury
of skill awareness Given Tool Box Talk to all workers.

Distinguishing the stoppage area for vehicle

Provision of banksman for guiding the excavcation activity

Checking of compitency of the poclain operator

Checking of authorisation papers of poclain & operator

Damage to
Hard rock Chiseling by Confirming fitness of the Poclain.
2 Hit by poclain inventory,personal
Poclain
injury No worker shall be allowed in the Excavating area
Trained Banksman/ Supervisor Shall be provided

Tool box talk should be given tooperator & Bansman.

Darkness, fall of
3 Work during dark hours
Poclain shall rest on strong foundation / hard soil.
Operator of Poclain must have Experince Certificate.
Night work permit to be taken from concern engg.and safety
dept.
Ensure proper illumination during dark hours.
Personal injury,
person, fall of
damage to property Electrical cable should lead min 2 m height. No exposed
machinery 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 : ______