JSA (Job Safety Analysis) Sheet

Activity Name:- Plastering works Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury
Mobilization Given Tool Box Talk to all workers.
awareness
Respirator hazard Use of Dust mask for handling dry cement.
Hazardous Material, Throughly wash the exposed body part with fresh water and soap
Skin Irritation
Skin contact,Eye after the work.
contact & Dust Use of PPE such as Safety shoes, gumboot,rubber handgloves,
goggle & nose mask.
height work permit must be obtained.
Errect proper scaffold on levelled rigid base.
Proper access to work place to be provided.
2 Plaster Work Material should stack properly near the work place
Area should be barricaded to control the unotherised entry.
Scaffolds,Fall of material, Cut Slip & Work area shall keep clean and tidy
person Impact
Use of proper PPEs such as safety shoes,gumboots,helmet,rubber
hand glovs,dustmask,ear plug
Provide rope for lifting / lowering material.
Scaffolding should be inspected by safety person before starting
the work
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of
damage to property Electrical cable should lead min 2 m height. No exposed electrical
machinery
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 : ______