JSA (Job Safety Analysis) Sheet

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Activity Name:- Pedestal Reinforcement 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.
Manpower Untrained worker,lack
1 Personal injury
Mobilization of skill awareness Given Tool Box Talk to all workers.

Unloading 1.Fall hazard a. Unloading at distance of 1 mtr from the pit.

1.Personnel Injury
2 Reinforcement near 2.Cut Injury due to B.Designated location for the storage of the reinforcement rods.
2.Personnel Injury
pit sharp edges. C.Use of safety shoes,gloves,helmet and reflection jacket.

1.Only approved standard ladder to be used.

2.Placing ladder on the stiff firm base surface.
Entering inside the
3 1.Fall hazard 1.Personnel Injury 3.Resting ladder against the stiff surface.
pit 4.Top of the ladder to project atleast 1 mtr outside the pit
5.While ascending and descending on the ladder always fa

1.Head injury
Shifting 1.PPE Usage
2.Fall of material
4 reinforcement in the Personnel Injury 2.Trained people.
c.Wire piercing in the
pit finger

Uninspected FBSH Fall of person Inspected FBSH having double lanyard, shock absorber should be provided.
5 Working at height Scaffold shall be erected on even surface by providing base plate, side
Unapproved scaffold support, and ledger at every at 500mm with side supports wherever height
increases beyond 2 mtrs .

Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and
cut, slip
shoulder pad.

Work shall be carried out by competent person under proper supervision of

Injury, impact,
foremen / incharge.
Penetration Use of proper scaffolds for tying reinforcement at the site.
fall of person, material Provide proper platform on Scaffolds.
Sharp object, Fall of Ensure workmen should have shoulder pad.
6 Reinforcement person , Fall of Fall,Trip,Slip Ensure access should be clear for unwanted and slippery materials.
material Ensure long steel should be shifted by sufficient no. of workmen
Working area should be barricaded to prevent unauthorized entry.
Ensure steel should be shifted through shifting platform from ground to
working platform.
Ensure reinforcement should be stack 1.5 mtr away from the working area.
Staging to be done for height more than 2 mters, same shall be got approved
by SPCL safety officer.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Work during dark Personal injury, damage Ensure proper illumination during dark hours.
7 person, fall of Electrical cable should lead min 2 m height. No exposed electrical
hours to property
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 : ______