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 Edhel Tungul
Hand Tools
Herbert Idian & Others Project Site Officer
Responsible Supervisor Januar Jay Santillan Date Approved:
JOB STEP HAZARDS IDENTIFIED CONTROLS REQUIRED IN-CHARGE/OWNER
Use gloves
Cuts and Bruises
Drywall installation Work with proper posture Herbert
Ergonomic hazard due to drilling
Use standard tools
Personnel job rotation
Fall from height
Use scaffolds and fall protection
Ceiling Installation Ergonomic hazard (body pain due to ceiling works) Herbert
Eyes on the job
Cuts & bruises
Use gloves & goggles
Dust inhalation Wear PPE-facemask
Chipping works Ergonomic hazard (body pain) Use scaffolds and fall protection Herbert
Cuts & bruises Eyes on the job

Safety Officer:

Januar Jay Santillan