Metal Crafts Constructors Pvt Ltd

HPCL-Mittal Energy Ltd, GGSR, Bathinda

Job Safety Analysis Sheet

Permit No:
Main Activity: Finish Painting
Sub Activities
(List the tasks required to
Sl.no perform the activity in the
sequence they are carried out
Surface cleaning & application
1 assisted with sparks.
of paint
Location: CPP
JSA No: MCCPL/HME/JSA-20.Rev.01
Hazards (Both Existing as well as potential)
Against each task list the hazards that could cause
injury/damage to people, equipment or the
environment
Strain, while working
Injury to eyes due to splash of paint , dust, rust etc.
Slip injury due to spillage of paint in the nearby
area
Fire due to spillage of paint on hot surface or
Fall of person/Collapse of scaffolding due to
improper loading
Control Measures. (List
the control measures required to eliminate or minimize the risk of injury
arising from the identified hazard.)
Maintain correct posture, while carrying out the job.
Use of mandatory PPEs & dust mask.
Clean the spilled paint immediately.
Barricade the area where painting is in progress
Ensure housekeeping in the area.
Store painting material at appropriate place.
Covering the nearby hot surfaces, where painting job is not taking place,
with the fire resistant cloth. Ensure fire extinguishers
Ensure proper scaffolding and avoid transfer of load on to scaffold
Use only certified and validated scaffolding
Ensure appropriate PPE's and usage of the same.
Provide life line wherever possible.
Ensure/encourage use of fall arrestors, safety nets.etc.
Provide ladders for better approach to the working platforms

Name Designation Signature Date

Approver-1 (Manager or above both issuer &

requester)

Note:

1. JSA to be done by issuer and accepter of work permit, in case required, representative from other discipline can also join the team for JSA

JOB SAFETY ANALYSIS FORM

 JSA Sheet No._______________
Checklist of common Hazards
This should be used as an aid to identifying hazard. This is the list for the most common hazards but is not a definite list.
Mechanical/Equipment Thermal Ignition sources Electrical
Entanglement Hot surface Electricity Electrical shock
Shearing Steam Static electricity Static electricity
Crushing Refrigerants Hot work Power failure
Striking Stored Energy Lightening Pressure
Cutting Falling material Sparks Release of energy
Mechanical failure (e.g. by overloading) Springs under tension/compression Frictions Implosion
Chemical Counterweights Flames Compressed air
Flammable Radiations Auto ignition Steam
Toxic e.g. ionizing radiation (X-rays) Pyrophoric material Hydraulics
Harmful Place of work Vehicles Process
Irritant Obstructions Fork lift Wrong material
Oxidising Access/egress Tankers Missed steps
Pyrophoric Work at height Reversing vehicles Instrument failure
Corrosive Falling objects Speed Interlocks
Dangerous to environment Slip/trip/fall People Control system failure
Dust explosions Housekeeping Unsafe behavior Alarms
Gases Temperature Human errors Nature
Fumes Ventilation Training/competence Weather
Vapours Confined space Method of work Winds/Storms/lightening
Dusts Hazards of other tasks being done Manual handling (lifting, carrying, pushing
Asphyxiants Simultaneously. and pulling)
Stress/workload
Biological (e.g. legionella) Noise/Vibrations/Hot work

Name Designation Signature Date

Approver-1 (Manager or above both Issuer

& requestor)
(Note: 1. JSA to be done by issuer and acceptor of work permit. In case required, representative from other discipline can also join the team for JSA.

2. JSA to have approvals for Hot Jobs, confined space entry & Work on equipment in service