JSA (Job Safety Analysis) Sheet

Ref-
Activity Name:- Fencing on compound wall

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.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Ensure height work permit before starting work
Deploy only trained people for work
Ensure path should be clear from any obstruction
Ensure excess load should not carry by any worker
Material fall, man Ensure required PPE's eg. Safety shoes, safety jacket, Cotton
2 Material shifting Personal injury
fall, sharpe edge handgloves, safety helmet, safety goggle etc.
Provide caution signage to workplace
Ensure safe scaffolding e.g. access, working platform with mid rail,
top rail with support
Ensure only trained worker deploy for work
Fall of man, Fall of
Personal injury, fatal Ensure Full body safety harness above 2mtr. Height
3 Fixing of Y-pole material, fall of
accident
handtool Ensure tools and material are fixed with rope
Ensure person should not stand below height work
Ensure use of inspected tools & tackles
Ensure safe scaffolding e.g. access, working platform with mid rail,
top rail with support

Fall of man, Fall of Ensure only trained worker deploy for work
Fixing of barbed material, fall of Personal injury, fatal Ensure Full body safety harness above 2mtr. Height
4
wire handtool, sharp accident
edge Ensure tools and material are fixed with rope
Ensure person should not stand below height work
Ensure use of inspected tools & tackles

Night work permit to be taken from concern engg.and safety dept.

Darkness, fall of
Work during dark Personal injury, Ensure proper illumination during dark hours.
4 person, fall of
hours damage to property Electrical cable should lead min 2 m height. No exposed electrical
machinery
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 : ______