Professional Documents
Culture Documents
Jsa Manual Excavation
Jsa Manual Excavation
Jsa Manual Excavation
Job: Excavation
Facility:
Permit No.
Date:
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat, Safety Shoes, Safety
Goggles, Hand Gloves, Dust Mask, Barriers, Ladder, Guardrail, Polling Board
SEQUENCE OF
BASIC JOB STEPS
POTENTIAL HAZARDS
Presence of EOD
Pre - work
Excavation
PRECAUTIONS
Non-compliance of Procedures, F
& S Regulations or Engineering
Standards
Damage to underground /
aboveground Services (such
pipeline, cables etc)
Cave-in's of excavation
Close the permit after making the site clean & tidy.
Location of Underground /
Aboveground Services (such
pipeline, cables etc)
Post Excavation
Yes /
No
Additional Hazards
(Other than indicated
above)
JSA Done By
Name:
KOC / ID. No.
Controlling Team:
Signature:
Designation:
Company:
Contract No.(If Applicable):
Date: