Doc. No.

JOB SAFETY ANALYSIS WORKSHEET Rev. No.

Doc. Date
Project Name Ikebukuro Resto Bar Tools/Equipment Required Date Prepared:
Job Location & Details GFF-19 to 21 Approved by:
JSA Participants SEDG personnel
Hand Tools
Project Site Officer
Responsible Supervisor Januar Jay Date Approved:
JOB STEP HAZARDS IDENTIFIED CONTROLS REQUIRED IN-CHARGE/OWNER

Demolition of existing wall Fall from height Use scaffold and fall protection Januar Jay

Chipping works Ergonomic hazard (body pain) Personnel job rotation Januar Jay/Jerbert

Use gloves
Drywall installation Cuts and bruises Work with proper posture Januar Jay/Jerbert
Use proper tools
Safety Officer:

Januar Jay Santillan