JOB SAFETY ANALYSIS

Job / Activity: WORKING AT HEIGHT JSA Ref. No. JSA/KOC

Permit No.
Type of Activity: Worksite: Equipment:
Critical /Non-Critical Date:
Personal Protective Equipment & Tools: Hard Hat, Safety Shoes, Hand Gloves, Safety Harness, Goggles
Initial Risk Residual Ri
Sequence of Basic Job
Potential Hazards Precautions
Steps Severity Likelihood Risk Rating Severity

Ensure the emergency equipment will not be blocked or

Location of damaged due to Man Lift/ Scaffold/Ladder
Emergency Severe unlikely Med Moderate
Equipment near the
proposed Scaffolding

Refer HSEMS Procedure Doc. No.

KOC.SA.002 ‘Safe Control and Use of Scaffolding,
Portable Ladders and Stepladders.KOC.SA.031 - Working
at Height Procedure
Non-compliance of Ensure valid approved "Fall Protection Plan" as per
KOC -HSEMS Severe Possible High Appendix B of KOC.SA.031 - Working at Height Procedure Severe
Planning Procedures is in place.

Unauthorized work Obtain the Valid Work Permit. as per KOC.SA.004 - Permit
Severe Possible High Severe
activity to Work Procedure.
Check safety condition for whole work place.
Stable Ground Equipment and tools inspection must be carried out before
Severe Possible High starting the work. Severe
condition

• Provide guardrail & toe board to prevent falling of tools /

objects.
• Don’t keep the unnecessary materials on the scaffold
platform.
• Hand tools to be tied with permanent structure or person.
Fall of objects / Tools. Severe Possible High •The area in the vicinity of work at height should be Severe
barricaded and danger notice posted to alert the personnel.

• The Scaffolding must use Safety Harness to prevent

accidental fall.
• All person to wear PPE (Safety shoe, Helmet gloves,
goggles & Cover all).
•Users of harness shall ensure 100% tie off when working
Accidental Fall of Severe Possible High at height. •Safety belts, Severe
Person harnesses, lifelines, lanyards and accessories should be
inspected periodically. •Ensure that the
employees who are involved in working at height are
imparted with relevant training.

• Ensure personnel using platform have been trained.

• Wear safety harness attached to platform.
• Ensure the integrity of the scaffolding by verifying
inspection tags and certificates as well as work location at
Falling from platform Severe Possible High Severe
height verifying its suitability as well as fitness for the
purpose.

•The area in the vicinity of work at height should be

Unauthorized entry of barricaded and " No unauthorised Entry" notice posted to
unwanted persons in Severe Possible High alert the personnel. Severe
the working at height
area

• Supervisor should know the emergency contact numbers

Emergency response Severe Possible High and KOC Emergency Number 160, assembly point and Severe
First aid center.
Additional Hazards
(Other than indicated above)

JSA Done (by Worksite Name: Designation Company. Controlling

Signature: Date:
Supervisor) & Employee Id: Team:

JSA Reviewed (by Permit Name: Designation Company. Controlling

Signature: Date:
Applicant) & Employee Id: Team:

JSA Authorized (by Permit Name: Designation Company. Controlling

Signature: Date:
Issuer) & Employee Id: Team:
A Ref. No. JSA/KOC
rmit No.
te:

Residual Risk

Likelihood Risk Rating

Very Unlikely Low

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

Very Unlikely Med

nature: Date:

nature: Date:

nature: Date: