JSA (Job Safety Analysis) Sheet

Activity Name:- Linear Bather erection by crane (M-1

Ref-
Batching Plant)

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker, Only inducted worker shall be deputed at the work
1 Manpower Mobilization lack of skill Personal injury place.
awareness Given Tool Box Talk to all workers.
Only Third party inspected and having valid Form 12,
Telescopic crane having capacity of 40 T should be use.
Third party inspected and having valid form 12 D'shakle
Uninspected lifting Personal injury, with capacity 5t (4no.) sling with capacity 5T
media Property damage (4no.)should be use.
Operator having valid driving licenses.
Banks man should be provide for giving signal.
2 Erection liner bather
16 mm nylon rope should be tied at both end of
structure to avoid swinging of material.
No work and worker should be deployed under
Swing of material Personal injury suspended load.
Entry of personnel is strictly restricted in the area swing
of boom.
Work area should be barricaded to avoid unauthorized
entry.
Work shall be carried out under supervision.
Night work permit to be taken from concern engg.and
Darkness, fall of safety dept.
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of Electrical cable should lead min 2 m height. No exposed
damage to property
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 : ______