F _____

JOB TITLE / AIM: JSA for construction of batter protection along road barrier
JSA DATE: 1/3/2007 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Iqbal Zafar SCRIBE: Abdullah Khan
PARTICIPANTS: Mehboob, Bruce Boxshall
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Approved:

Bruce Boxshall 1-March -07

Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:

1. Mobilization of equipment, tools & workers, establishment of laydown area and access to work site.
2. Trimming of slop
3. Excavation for Toe Beam
4. Bricks laying and grouting
5. Demobilization

Materials, tools and equipment required: Tractor trolley, barrows, koda, shovel, mortar mix, drums for water storage

Alternatives Considered: None identified

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans.

Clear access to be maintained to Phase 1 area and Ambulance to be positioned in Phase 1 area in the event of an emergency.

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices that need to be
captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.

File: 10.30
JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls

No (Copy from part 2 of form) (Use Hazard Checklist)

1 Mobilization of equipment, tools & Unauthorised tools brought to site Before mobilizing any tool make sure that the E &P
workers, establishment of laydown area Personnel got inspected the tool.
and access to work site.

Unskilled and uninducted personnel starting the job Ensure that all personnel prior to start the have been
inducted and oriented about the hazard in the job site.

Workers starting the job unfit to work All personnel must undergo the fitness exam from DEL
company doctor & if not fit to work shall not be allowed
to work at the project site.

Workers starting the job without permit JSA must be in place prior to work. Ensure all the
persons take part in the toolbox meeting discussion.
All Persons must sign at the back of JSA.CWP shall
be obtained from OPS.

Hand Injury Ensure proper hauling of materials/get help if

required/Wear hand gloves.

Bricks stacked in unsafe manner Ensure proper stacking of materials

No materials shall stack behind the edge of slope
Ensure that proper barrication are in place.

Throwing of Bricks Ensure that workers must not throw the bricks during
working to avoid any incident.

No access in the event of an emergency Ensure that proper access & egress was in place by
way of opening in fence at all times work activities are
in progress.

Hand injury when stacking bricks Ensure gloves are worn at all times.

Poorly coordinated/controlled activities Ensure proper supervision is in place at all times

2 Trimming of slope Hand injury Ensure that workers are wearing of hand gloves during
manual trimming
JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls

No (Copy from part 2 of form) (Use Hazard Checklist)

Ensure proper tools are use for the job

Head/face injury due to protruding beams on flare PPE and toolbox meeting to highlight awareness.
line

Tripping hazards Ensure that excess materials shall removed far way
from the area
Ensure that no worker shall work without sufficient
light.
Ensure that wearing of clear glass is a must after dark.

Workers might fall over the slope Ensure persons stay topside of road barrication if not
working on slope

Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available

each area where workers are doing the job.
First aid kit available at site.

SIMOPS Ensure that a minimum separation distance of 5m is

maintained between works involved in activity

Trips/falls on slope Ensure slow movement of workers while accessing

slope. Persons only to move up and down slope at
same angle as slope

3 Excavation for Toe Beam Damage to buried service BHP Operations excavation certificate to be obtained
and all requirements define therein are followed.

4 Bricks laying and grouting Hand Injury Ensure proper hauling of materials/get help if
required/Wear hand gloves.

Mishandling of hazardous material MSDS of Cement must be attached with the permit
and requirements outlined followed.

Trips/falls on slope Ensure slow movement of workers while accessing

slope. Persons only to move up and down slope at
same angle as slope

5 Demobilization Area left untidy resulting in tripping hazards, etc. Ensure that area should be clean after the work is
being finished.
JSA No: JOB TITLE:

Step Describe Job Step Potential Hazards Hazard Controls

No (Copy from part 2 of form) (Use Hazard Checklist)

All access materials shall be removed from slope by

barrow