JSA (Job Safety Analysis) Sheet

Ref-
Activity Name:- Erection of chuqured plate

Location:- Date : 1

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected Hydra should use for material shifting
Ensure only inspected & damage free web-belt or slings and gunny bag
Shifting of Fall of material, for sharp edge protection should use for material shifting
Personal Injury,
2 chuqured plate by fall of man, road Ensure path is clear from any obstruction
Fatal accident
Hydra accident, trap
Ensure guide rope fixed at both end

Ensure person who hold guide rope should walk 2mtr away from hydra

Ensure any overhead known obstruction

Ensure safe access eg. Inspected scaffold or Ladder
Lifting of
chuqured plate on Ensure lifeline and FBSH
Fall of material, Personal Injury, Ensure path is clear from any obstruction
3 fabricated
fall of man, trap Fatal accident
structure by Ensure person should not stand below suspended load
Hydra Ensure only signalman give signal for errection operation
Ensure guide rope fixed at both end
Ensure only inspected welding machine should use for welding
Avoid Flammable material in welding area.
Fixing of Fall of person,Fall Ensure only trained and skilled person deployed for work.
Personal Injury,
chuqured plate on of material,
4 Fatal accident, Ensure fire extinguisher provide near welding work.
fabricated Electric shock,
Property damage Ensure area below welding work should be barricaded.
structure burn, fire
Ensure required PPE's for work eg. Safety shoes, safety helmet,safety
jacket, lather handgloves, Faceshield
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of Ensure proper illumination during dark hours.
Work during dark Personal injury, Electrical cable should lead min 2 m height. No exposed electrical
5 person, fall of
hours damage to property wire.Earthing.
machinery
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 : ______