JSA (Job Safety Analysis) Sheet

Ref-
Activity Name:- Rolling shutter fixing.

Location:- Date :

Sub-Activity
Sr.No. Type Of Hazard Risk(s) Involved Risk Control measures
Name
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 ladder/ scaffold should use for work
Ensure only inspected portable equipments should use for work
Fall of material,
fall of man, Ensure safety belt(FBSH) above 2 mtr. Height
2 Fixing of Frame Personal Injury
electric shock, fall
of equipment Ensure tools and material should fix with rope at height (work platform)

Ensure person should not stand below load

Ensure only inspected ladder/ scaffold should use for work
Fall of material, Ensure person can carry weight
fall of man,
3 Fixing of shutter Personal Injury Ensure safety belt(FBSH) above 2 mtr. Height
electric shock, fall
of equipment Ensure tools and material should fix with rope at height (work platform)
Ensure person should not stand below load
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
4 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 : ______