You are on page 1of 2

Jubliant Infrastructure Limited-Bharuch

Annexure-6
JOB SAFETY ANALYSIS

JSA NO. Department /


Job Title: Routine/ Non Routine New/ Revised
Activity/ No…

Reference work Permit


JOB SAFETY ANALYSIS no: Supervisor:
Prepared By:

Department: Project Plant location: Niacinamie


Reviewed By:
Job Description: Work in confined space
Approved By:

SEQUENCE OF TASK POTENIAL HAZARDS PREVENTIVE MEASURES

 Work inside the  Injury to person inside  Ensure that work permit procedures are followed.
confined space the confined space  Ensure that in & out record in confined space entry should be
 Oxygen mentioned.
deficiency/hazardous  Gas testing shall be carried out to ensure toxic gases.
gases  Ensure the confined space check list then start the work.
 Property damage  Competence, training, supervision and suitability.
 Personnel/equipment  Proper ventilation either through natural or fan.
fall in confined space
 Wear appropriate PPE
 Awkward Access/
 Confined space attendant still attend outside of confined space
Egress
until person working inside the confined space.
 Personnel /equipment
fall in, collapse of  Ensure proper good condition of ladder.
excavated adjacent  Ensure proper entrance & exit of confined area
 Keep access always clear from obstructions.
 Ensure the excavated area hard barricaded
 Remove all of loose items from excavated adjacent to avoid falling
 Ensure proper shoring or maintain slope to avoid collapse of
excavated area.
Day-1 Day-2 Day-3

Permit issuer

Permit acceptor

Prepared by- Permit Issuer and Permit Acceptor Reviewed by-Plant Manager/ Safety officer

Approved By HOD

Page 1 of 2
Format No.: EHS-006/F06-00 Effective Date:
Jubliant Infrastructure Limited-Bharuch

Annexure-6
JOB SAFETY ANALYSIS

Page 2 of 2
Format No.: EHS-006/F06-00 Effective Date:

You might also like