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Ref- ZLD/JSA/001
Ref- ZLD/JSA/002
Ref- ZLD/JSA/003
Ref- ZLD/JSA/004
Ref- ZLD/JSA/005
Ref- ZLD/JSA/006
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Ref- ZLD/JSA/012
Ref- ZLD/JSA/013
Ref- ZLD/JSA/014
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Ref- ZLD/JSA/016
Ref- ZLD/JSA/017
Ref- ZLD/JSA/018
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Ref- ZLD/JSA/026
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Ref- ZLD/JSA/136
JSA (Job Safety Analysis) Sheet
Location:-
Personnel Injury
2 Setup of instrument Fall of instrument Equipment damage
Ref- ZLD/JSA/001
Date : 12.10.15
Given Tool Box Talk to all workers.What are activities to be carried out,
what are the hazards, what are the precautions that are to be taken.
Ensure person standing on plane surface with sufficient visibility & light.
Ensure FBSH while checking giving points on columns/slabs & other such
height work.
Ensure use of inspected and certified ladder.
Cement, bricks shall be carried from the source by using tractor trolley.
Location:-
Manpower
1 Untrained worker Personal injury
Mobilization
Fall/Slip of excavator
& dumper Major Injury
Loading & unloading
(Besides pit and into
Fall/Slip of excavator
& dumper Major Injury
Loading & unloading
(Besides pit and into
3 dumper)
Slip of excavated
Personal injury
material
a.Striking to the
a. Major Accident
person
Parking of Dumper
5
for Unloading
b.Fall in the
b. major accident
excavated Pit
Darkness, fall of
Work during dark Personal injury, damage
8 person, fall of
hours to property
machinery
Ref- ZLD/JSA/002
Date : 12.10.15
Ensure Hard barricading around all the excavated pits and stopper provided to dumper.
Material stacking not less than 1.0 mtrs from the edge of the pit .
Location:-
Personal injury
2 Loading & unloading Fall/Slip/Trip
Personal injury
Darkness, fall of
Personal injury, damage
5 Work during dark hours person, fall of
to property
machinery
Darkness, fall of
Personal injury, damage
5 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/003
Date : 12.10.15
Location:-
Pit cleaning
(a.Use of ladder to enter the pit
b.Collecting material and
b.Collapse of sides Injury
charging in the collection
vessel
2
c.Lifting and sending it to the
top of pit
d.Charging the material into
Back stress and Heat
stack Stress
Health hazard
e.Comming out of pit.)
Improper use of
Injury
handling tools.
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/004
Date : 12.10.15
Location:-
Slip of excavated
Personal injury
material
Darkness, fall of
Personal injury, damage
5 Work during dark hours person, fall of
to property
machinery
Darkness, fall of
Personal injury, damage
5 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/005
Date : 12.10.15
Provision of banks man for guiding the process and stopper for vehicle.
Ensuring the level ground for unloading dumper at dumping area.
Material stacking not less than 1.5 mtrs from the edge of the pit .
Location:-
a.Fall hazard
Charging the stones
3 b.Injury due to sharp edges Personnel Injury
in the pit of the stones.
Levelling of the
4 Injury due to sharp edges Personnel Injury
stones in the pit
Fall of person,
Improper access.
Work inside personal injury.
5 excavated pit and
assess egress
Personal injury, fall of
Excavated material like soil,
material
boulder laid on pit edge.
Ref- ZLD/JSA/006
Date : 12.10.15
Location:-
Movement of
2 shuttering frame near Fall of the frame Personnel Injury
pit
Entering inside the
3 Fall from ladder Personnel Injury
pit
Shutter bolting of
5 Fall of the frame Personnel Injury
shuttering frame
Fitting of the
7 Electric Hazard Shock
shuttering frames.
Personnel Injury
Darkness, fall of
Work during dark Personal injury,
8 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/007
Date : 12.10.15
Only approved ladder to be used,Person to ascend and descend facing towards ladder
and firmly having the grip of the ladder.
Carpenters instructed to carrying out shutter bolting activity with using 3 persons to hold
the shutter frame in vertical position.
A. Machine should be inspected before starting of work by safety dept and provide valid
tag.
B.Electric supply cable should be having industrial/waterproof pin top
C.Connections to be taken from field distribution panels having 30mA ELCB.
D.Proper houseke
Location:-
Insufficient
7 Illumination Personnel Injury
illumination
Darkness, fall of
Personal injury, damage
9 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/008
Date : 12.10.15
Use of PPE.
Support multi person activity.
Fall on person resulting into the injury
Enough Illumination
DG Panel closed
DG Panel covered
DG with rubber mats.
Location:-
a. Head injury
Shifting
b. Fall of material
4 reinforcement in Personnel Injury
c. Wire piercing in
the pit the finger
a.Cut,slip
Erecting the Sharp object, Fall of b.Injury, impact
5 reinforcement in person , Fall of c.Penetration
the pit material d.Fall of person,
material
Darkness, fall of
Work during dark Personal injury, damage
6 person, fall of
hours to property
machinery
Ref- ZLD/JSA/009
Date : 12.10.15
a. PPE Usage
b. Trained people.
a. Use of PPE such as safety shoes, helmet PVC hand gloves, safety
goggle and shoulder pad.
b. Work shall be carried out by competent person under proper
supervision of foremen / incharge.
c. Use of certified scaffolds for tying reinforcement at the site
Location:-
Fall of person,
Improper access.
Work inside personal injury.
2 excavated pit and
Excavated material Personal injury, fall of
assess egress
like soil, boulder laid material
on pit edge.
Uneven surface
Personal injury,
3 Vehicle movement Vehicle fall down
Property damage
inside the pit
Fall of person,
5 Staging Personal Injury
material
Concreting pouring by
6 Fall of person Personal injury
transit mixer
Concreting pouring by
6 Fall of person Personal injury
transit mixer
Darkness, fall of
Personal injury,
7 Work during dark hours person, fall of
damage to property
machinery
Ref-ZLD/JSA/010
Date : 12.10.15
Location:-
1.Head injury
Shifting
2.Fall of material
4 reinforcement in Personnel Injury
c.Wire piercing in the
the pit finger
cut, slip
Injury, impact,
Penetration
fall of person, material
Sharp object, Fall of
person , Fall of
Sharp object, Fall of
6 Reinforcement person , Fall of Fall,Trip,Slip
material
Darkness, fall of
Work during dark Personal injury,
7 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/011
Date : 12.10.15
1.PPE Usage
2.Trained people.
Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and
shoulder pad.
Work shall be carried out by competent person under proper supervision of
foremen / incharge.
Use of proper scaffolds for tying reinforcement at the site.
Provide proper platform on Scaffolds.
Ensure workmen should have shoulder pad.
Ensure access should be clear for unwanted and slippery materials.
Ensure long steel should be shifted by sufficient no. of workmen
Working area should be barricaded to prevent unauthorized entry.
Ensure steel should be shifted through shifting platform from ground to
working platform.
Ensure reinforcement should be stack 1.5 mtr away from the working area.
Staging to be done for height more than 2 mters, same shall be got
approved by SPCL safety officer.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
Movement of
2 shuttering frame near Fall of the frame Personnel Injury
pit
Ref- ZLD/JSA/012
Date : 12.10.15
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/013
Date :
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/014
Date : 12.10.15
Location:-
Concreting pouring by
6 Fall of person Personal injury
transit mixer
Darkness, fall of person, Personal injury, damage
7 Work during dark hours
fall of machinery to property
Ref- ZLD/JSA/015
Date : 12.10.15
Location:-
Striking of person
Use of dumper to during reverse Personnel Injury
2 unload sand at the operation of dumper
edge of the pit
Fall in pit Personnel Injury
Slip of excavated
Personal injury
material
Entry of the person in
4 pit for spraying the Fall Hazard Personnel Injury
water
Darkness, fall of
Personal injury,
5 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/016
Date : 12.10.15
Evaluating the capacity of the dumper for carting & unloading of material
Location:-
Movement of shuttering
2 Fall of the frame Personnel Injury
frame near pit
2 Shuttering
Trip / fall of Personnel injury /
personnel fatal
2 Shuttering
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/017
Date : 12.10.15
Timber jacks, joists, stringers and ledgers should be inspected for defects
such as cracks / excessive knots.
Location:-
a. Head injury
Shifting
b. Fall of material
4 reinforcement in Personnel Injury
c. Wire piercing in
the pit the finger
a. Cut,slip
Erecting the Sharp object, Fall of b. Injury, impact
5 reinforcement in person , Fall of c. Penetration
the pit material d. Fall of person,
material
cut, slip
Injury, impact,
Penetration
fall of person,
Sharp object, Fall of material
6 Reinforcement person , Fall of
material
Darkness, fall of
Work during dark Personal injury,
7 person, fall of
hours damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/018
Date : 12.10.15
a. PPE Usage
b. Trained people.
A.Use of PPE such as safety shoes, helmet PVC hand gloves, safety
goggle and shoulder pad.
B.Work shall be carried out by competent person under proper
supervision of foremen / incharge.
C.Use of certified scaffolds for tying reinforcement at the site.
D
Use of PPE such as safety shoes, helmet PVC hand gloves, safety
goggle and shoulder pad.
Work shall be carried out by competent person under proper
supervision of foremen / incharge.
Use of proper scaffolds for tying reinforcement at the site.
Location:-
Concreting pouring by
5 Fall of person Personal injury
transit mixer
Darkness, fall of
Personal injury,
6 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/019
Date : 12.10.15
Location:-
a. Head injury
Shifting
b. Fall of material
4 reinforcement in Personnel Injury
c. Wire piercing in
the pit the finger
a.Cut,slip
Erecting the Sharp object, Fall of b.Injury, impact
5 reinforcement in person , Fall of c.Penetration
the pit material d.Fall of person,
material
cut, slip
Injury, impact,
Penetration
fall of person,
material
Sharp object, Fall of
6 Reinforcement person , Fall of
material
Darkness, fall of
Work during dark Personal injury,
7 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/020
Date : 12.10.15
a. PPE Usage
b. Trained people.
A.Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and
shoulder pad.
B.Work shall be carried out by competent person under proper supervision of
foremen / incharge.
C.Use of certified scaffolds for tying reinforcement at the site.
D
Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and
shoulder pad.
Work shall be carried out by competent person under proper supervision of
foremen / incharge.
Use of proper scaffolds for tying reinforcement at the site.
Provide proper platform on Scaffolds.
Ensue workmen should have shoulder pad.
Ensure access should be clear for unwanted and slippery materials.
Ensure long steel should be shifted by sufficient no. of workmen
Working area should be barricaded to prevent unauthorized entry.
Ensure steel should be shifted through shifting platform from ground to working
platform
Ensure reinforcement should be stack 1.5 mtr away from the working area.
Staging to be provided for height more than 2mtrs
Reinforcement shall be given a support to avoid buckling of column.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
Route shall be illuminated.
Location:-
Movement of shuttering
2 Fall of the frame Personnel Injury
frame near pit
6 Shuttering
Trip / fall of Personnel injury /
personnel fatal
6 Shuttering
Darkness, fall of
Personal injury,
7 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/021
Date : 12.10.15
Location:-
Fall of person or
Personal
Concreting pouring by vehicle into the
4 injury,damage to
transit mixer pit,exposure of skin
property
to cement
Darkness, fall of
Personal injury,
5 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/022
Date : 12.10.15
Location:-
Fall of
2 Staging Personal Injury
person,material
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours machinery
damage to property
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours machinery
damage to property
Ref- ZLD/JSA/023
Date : 12.10.15
Location:-
Fall of
2 Staging Personal Injury
person,material
3 Shuttering
3 Shuttering
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/024
Date : 12.10.15
Filling of expansion
3 Fall Personal injury
joint material
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/025
Date : 12.10.15
Location:-
Ref- ZLD/JSA/026
Date : 12.10.15
Non provision of
Fall of person
working platform
Wet cement/slurry
Skin irritation
leakage
Darkness, fall of
Personal injury, damage
3 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/027
Date : 12.10.15
Location:-
Without edge
Fall of person
3 Working at height protection
Unapproved scaffold Fall of person
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/028
Date : 12.10.15
Location:-
Without edge
protection
Fall of person
Unapproved scaffold
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/029
Date : 12.10.15
Location:-
Untrained worker,lack
1 Manpower Mobilization Personal injury
of skill awareness
Darkness, fall of
Personal injury,
5 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/030
Date : 12.10.15
Location:-
Without edge
2 Working at height
protection
Fall of person
Unapproved scaffold
cut, slip
Injury, impact,
Penetration
Sharp object, Fall of
3 Reinforcement person , Fall of fall of person, material
material
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/031
Date : 12.10.15
Location:-
Hand injury
3 Cutting activity Personnel Injury
Fall Hazard
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/032
Date : 12.10.15
a. PPE Usage.
B. Use of fall protection device with clamping arrangements
c.Provision of rods to barricade the area.
Location:-
Barricading of work
2 Personal injury Major burns
area
Darkness, fall of
Work during dark Personal injury,
5 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/033
Date : 12.10.15
Use of proper PPEs as per SPCL norms use of ELCB and proper fuse in main
supply board to be there. only SPCL approved scaffolds to be used for working
at height,competent supervisor to be present at all time during hot work
activities.
For continuous protection double lanyard belt to be used. worker to tie his
safety belt to lifeline or nearest scaffold.
Use of good insulation of welding supply & erecting cable.
Joint free cable to be used
SPCL approved welding machine to be used
Hot work permit to be taken from concern project and safety dept.
Check against hose pipe for gas leakage with soap water.
Ensure that hot work permit to be taken before starting work.
No flammable or combustible
material should not be stored in working are
No any person allow to stand in front gas cylinder in front of gas cylinder
Both cylinders should kept always in vertical position on trolley proper chain.
Check against hose pipe for gas leakage with soap water.
Ensure that valve protection to fitted on cylinder.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
Fall of person,
Improper access.
personal injury.
Work inside excavated
2
pit and assess egress Excavated material Personal injury, fall of
like soil, boulder laid material
on pit edge.
Uneven surface Personal injury,
Property damage
3 Vehicle movement Vehicle fall down
inside the pit
Concreting -
transported through
5 Fall of pipe line Fatal accident
mixer placed through
concrete pump
Darkness, fall of
Personal injury,
7 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/034
Date : 12.10.15
Location:-
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours machinery
damage to property
Ref- ZLD/JSA/035
Date : 12.10.15
Location:-
Ref- ZLD/JSA/036
Date : 12.10.15
Location:-
Injury /property
Scaffolds, Fall of
damage,Cut, Slip,
person & material
Impact,
Respirator hazard
Masonry (Sub Divide Skin contact with Skin Irritation
2
Activity) cement material,
Dust
Darkness, fall of
Personal injury, damage
3 Work during dark hours person, fall of
to property
machinery
Darkness, fall of
Personal injury, damage
3 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/037
Date : 12.10.15
Erect proper scaffold on leveled & rigid base with side supports.
Proper access to work place to be provided.
Material should stack properly near the work place
Soft barrication around scaffold structure shall be done.
Work area shall keep clean and tidy
Use proper P P E as per work requirement.
Do
Usenot stockmask
of Dust extrafor
masonry material
handling on working plat form.
dry cement.
Thoroughly wash the exposed body part with fresh water and
soap after the work.
Use of proper PPEs such as safety shoes,gumboots,helmet,rubber
hand glovs,dustmask,ear plug
Use of safety net wherever possible to avoid fall of bricks
Working area should be barricaded to prevent unauthorized entry.
Housekeeping should be done after completion the work.
Material staking should be 1.5mtr away from working area
Trolley should be use for material shifting.
Proper supervision provided.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
2 Masonry
Respirator hazard
Skin contact with Skin Irritation
cement material,
Dust
Fall of stones
Personal injury
Darkness, fall of
Personal injury, damage to
3 Work during dark hours person, fall of
property
machinery
Darkness, fall of
Personal injury, damage to
3 Work during dark hours person, fall of
property
machinery
Ref- ZLD/JSA/038
Date : 12.10.15
Location:-
2 Plaster Work
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- DB/AMZ/Site/JSA/039
Date : 12.10.15
Throughly wash the exposed body part with fresh water and soap
after the work.
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.
Material should stack properly near the work place
Area should be barricaded to control the unotherised entry.
Work area shall keep clean and tidy
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.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
2 Plaster Work
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/040
Date : 12.10.15
Thoroughly wash the exposed body part with fresh water and
soap after the work.
Use of PPE such as Safety shoes, gumboot,rubber handgloves,
goggle & nose mask.
height work permit must be obtained.
Erect proper scaffold on leveled rigid base.
Proper access to work place to be provided.
Material should stack properly near the work place
Area should be barricaded to control the unauthorized entry.
Work area shall keep clean and tidy
Use of proper PPEs such as safety shoes,gumboots,helmet,rubber
hand glovs,dustmask,ear plug
Provide rope for lifting / lowering material.
Proper head room to be kept below slab, barication shall be
supported at proper interval.
Provision of covering on floors to collect the fallen mortar.
Scaffolding should be inspected by safety person before starting
the work
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
Scaffolds, fall of
Injury, Property damage
person & material
Hazardous Material,
2 Painting Works
skin contact, Eye Respirator hazard, skin
contact, inhalation, irritation
injection, fumes
Darkness, fall of
Work during dark Personal injury, damage
3 person, fall of
hours to property
machinery
Darkness, fall of
Work during dark Personal injury, damage
3 person, fall of
hours to property
machinery
Ref- ZLD/JSA/041
Date :
Thoroughly wash the exposed body part with fresh water and
soap after the work.
Use of PPE such as gunboot,helmet,rubber hand gloves,nose
mask.
Painting box should be shifted through rope
Ensure neaest eye wash station is in good working condition
Ensure no hot wok should not be caried out within 11mtr.
Night work permit to be taken from concern engg.and safety
dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.
Location:-
Ref- ZLD/JSA/042
Date : 12.10.15
Location:-
Ref- ZLD/JSA/043
Date : 12.10.15
Provision of banks man for guiding the process and stopper for
vehicle.
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/044
Date : 12.10.15
Location:-
Machinery Injury,cut
Electrical Hazards,
Electrical short fire Electrocution, burn
due to short circuit
Ref- ZLD/JSA/045
Date : 12.10.15
Thoroughly wash the exposed body part with fresh water and soap after the
work.
Use of required PPEs such as Helmet, Jacket, Safety shoes.
All Concrete machinery shall be checked before use.
Cable Should not lay on ground and adequate clearance shall be maintained
from ground for Vehicle or personnel movements i.e 3.0 m above ground
level.
Cable laying above 3 mtr.Drop from lower part of work
Exhaust insulation.
Hand Gloves and ear plug will be provided .
If PVC insulated body for that single earthing should provided
If Metal insulated body for that double earthing should provided
Auto off when operator release switch & E LCB
Proper connection through MCB+ELCB with and ensure plug top shall be
provided
Damaged cable shall not be used and proper cable joints shall be made if
necessary.
Proper houskeeping of work place.
Walking platforms shall be made for poring concrete in trenches / pit with
side railing.
Safety Permit shall be taken before start of activity.
Use of proper PPEs such as safety shoes,gumboots,helmet,rubber hand
glovs,dustmask,ear plug
Ensure access should be clear for unwanted and slippery materials.
fire extinguisher & sand bucket should be kept at working area.
Working area should be barricaded to prevent unauthorized entry.
Ensure all electrical tools should be inspected by the electrical engg.prior to
work
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
Manpower
1 Untrained worker Personal injury
Mobilization
Barricading of work
2 Personal injury Major burns
area
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/046
Date :
Location:-
Barricading of work
3 Personal injury Major burns
area
Property damage
4 Gas cutting work fire,burns,explosion,bac fatal injury
k fire eye injury
Darkness, fall of
Work during dark Personal injury,
5 person, fall of
hours damage to property
machinery
Darkness, fall of
Work during dark Personal injury,
5 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/047
Date :
Location:-
Placing of sheet /
3 Personal injury Minor cuts to hand
fastening in position
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/048
Date : 12.10.15
Location:-
Scaffolds,fall of
3 Height work Injury
person & material
Scaffolds,fall of
3 Height work Injury
person & material
Darkness, fall of
Work during dark Personal injury,
4 person, fall of
hours damage to property
machinery
Ref- ZLD/JSA/049
Date :
Warning sign should placed for blank cable and poles while dark operation.
Location:-
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/050
Date : 12.10.15
Location:-
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/051
Date : 12.10.15
Location:-
Ref- ZLD/JSA/052
Date :
1) electric shock
2) fire burns
Personal Injury/Fatal
3 Fabrication 3) toxic fumes
Accident
4) explodification
Erection of Structural
4
Steel
Erection of Structural
4
Steel
Darkness, fall of
Personal injury,
5 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/053
Date :
No person stand below the lifted load Precautaions to be taken to prevent load
swing. Tied with guide rope
Predefining all the work location for above work.
While moving the material it will be kept tied at both end with guide rope.
Proper and uniform stacking to be done on leveled surface with packing.
ELCB and proper fuse in main supply board to be there. only approved scaffolds
to be used for working at height ,Trained persons to be deployed at work
competent supervisor to be present at all time during hot work activities.
Use of good insulation of welding supply & erecting cable.
Joint free cable to be used
Inspected welding machine to be used
Hot work permit to be taken from concern project and safety dept.
Proper earthling to job and welding machine.
Proper access & platform shall be provided.
Remove all flammable & combustible materiel from work area.
Fire extinguisher to be kept available near by working area.
Welding shield to be used for welding
All lifting machines tools and tackles should possess valid competent person
certificate
Work area shall be barricaded and warning signs shall be displayed.
Guide rope to be used for erection
Work permit shall be obtained before start of work.
Erected steel members shall be properly braced and supported for stability.
Inspected electrical tools shall be used.
All distribution boards should have ELCB.
Cable shall not interfere traffic and movements.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Location:-
Damage to
inventory/Injury to the
Unloading silo of 6.5 mt
persons working below and
2 weight with 12.00 m Fall of material
surrounding areas.
length & 2.6m width Permanent disable or
fatality due to fall of silo.
Darkness, fall of
Work during dark Personal injury,damage to
3 person, fall of
hours machinery
property
Ref- ZLD/JSA/054
Date : 12.10.15
Location:-
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/055
Date : 12.10.15
Location:-
Darkness, fall of
Personal injury,
8 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/056
Date : 12.10.15
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
Ref- ZLD/JSA/057
Date : 12.10.15
Use of required PPEs such as safety Helmet, refractive jacket, Safety shoes,Ear
Plug, Safety goggle,Nose mask
Driver having valid driving licences, and ensure that he will be stand th' out the
operation.The vechile have stopper and reverse horn.
Banks man should be provide for giving signal.
All hand tools should be inspected before its use for damage.
Hose pipe should be inspected periodically and also before its use for any
leakage and damage.
All hand tools should be inspected before its use for damage.
Location:-
2 Masonry
Respirator hazard
Skin contact with Skin Irritation
cement material,
Dust
Fall of stones
Personal injury
Darkness, fall of
Personal injury, damage to
3 Work during dark hours person, fall of
property
machinery
Darkness, fall of
Personal injury, damage to
3 Work during dark hours person, fall of
property
machinery
Ref- ZLD/JSA/058
Date : 12.10.15
Thoroughly wash the exposed body part with fresh water and
soap after the work.
Use of proper PPEs such as safety
shoes,gumboots,helmet,rubber hand glovs,dustmask,ear
plug
Proper supervision provided.
Material staking should be 1.5mtr away from working area
Housekeeping should be done after completion the work.
Night work permit to be taken from concern engg.and safety
dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.
Location:-
slip,trip
Ref- ZLD/JSA/059
Date : 12.10.15
Location:-
slip,trip
Ref- ZLD/JSA/060
Date : 12.10.15
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
slip,trip
Ref- ZLD/JSA/061
Date : 12.10.15
Sharp object
Unathorised entry
Darkness, fall of
Work during dark Personal injury,
3 person, fall of
hours damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/062
Date : 12.10.15
Personal injury
Darkness, fall of
Work during dark Personal injury,
3 person, fall of
hours damage to property
machinery
Ref : ZLD/JSA/063
Date :
Removing of Barbed
2 Cut,slip of wire/pole Personal injury
Wire,Pole
Ref : ZLD/JSA/064
Date : 12.10.15
Use of PPE such as safety shoes, helmet PVC hand gloves, safety
goggle and shoulder pad.
1.Cleaning
a. Forget to shut off
a.Driver keeps bucket at ground level.
engine resulting into
B.Shuts off the engine
accidental start of
c.Close the cabin.
engine. a. Major Injury
D.Lock the cabin
3 b. Fall from height due b. Major Injury
e.Collects the cotton waste
to improper method to c. Skin diesease
-- Ground level cleaning
access the height.
-- Height cleaning climb on the
c. Splash of grease or
conveyor to access the height.
contact with grease
-- Clean and grease using gre
a. Issue of fire in
barrel during storage
2.Diesel filling activity. of barrel of diesel.
A.Diesel brought at the site in 200ltrs b. Injury to the person
barrels in truck. while movement of the 1.Fire hazard
B.Truck parked in designated parking truck. 2.personnel injury
area. c. Fall injury while 3.personnel injury
4
C.Truck moves to the area where filling climbing to access the 4.Diesel spillage issue.
activity is to be carried out. diesel charging port 5.Eye injury due to the
D.Cleaner opens the knob of the barrel d. Overflow of the splashed diesel.
of diesel. diesel from the storage
E. Cle tank.
e. Splash while
removing
Ref- ZLD/JSA/065
Date : 12.10.15
Location:-
Damage to
Hard rock Chiseling by
2 Hit by poclain inventory,personal
Poclain
injury
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/066
Date : 12.10.15
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/067
Date : 12.10.15
Location:-
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
Inhaling
2 Anti- Termite Treatment Toxic Material ,Injecting,Eye
irretation
Ref- ZLD/JSA/068
Date : 12.10.15
Location:-
Material shifting to
Personal injury,
2 work location Manually Fall of material
Property damage
(App.wt 50Kg.)
Uninspected
Cut injury.
handtools
Fall of person,
Unapproved access
fall of material
4 Working on hight
Ref- ZLD/JSA/069
Date : 12.10.15
All hand tools should be inspected before use for its damage.
Ensure that hand tools should be use for its define work.
Machine should be inspected before starting of work by safety dept and provide
valid tag.
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
Ref- ZLD/JSA/070
Date : 12.10.15
Hand tools should be inspected before starting the work for its
damage and defect.
Inspected FBSH having double lanyard, shockabsorber should be
provided.
Life line, hard barication should be provided on edge.
Location:-
Personal injury/wastege of
2 Diesel unloading Drum toppling
material.
Slip of person/hazardous
3 Disel dispencing Spillage of diesel
envoirnment (prone to fire)
Ref- ZLD/JSA/071
Date : 12.10.15
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
Personal injury/wastege of
2 Chemical unloading Drum toppling
material.
Ref- ZLD/JSA/072
Date : 12.10.15
Use of rubber hand gloves while connecting pump to batching plant pump.
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
Slip of person/hazardous
2 Filling of Diesel. Spillage of diesel
envoirnment (prone to fire)
Ref- ZLD/JSA/073
Date : 12.10.15
Cordoning of periphery of DG
Location:-
Untrained worker,lack of
1 Manpower Mobilization Personal injury
skill awareness
Ref- ZLD/JSA/074
Date:
Personal injury
2 Material shifiting Fall/Slip/Trip
Personal injury
3 Erection of shed
Excavation of pit for
a
column footing
Concreting of column
b
foundation
Fall /slip/trip Personal injury
c Erection of columns
d Erection of purlin
e Cladding/roofing
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/075
Date :
Ensure scaffolding structure while erecting columns & ensure proper bracing.
Ensure use of nut bolts properly inspected & use of gloves for fixng of the
same in position
Use of FBSH along with lifeline while placing of sheets on roof
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/076
Date : 12.10.15
Darkness, fall of
Personal injury, damage
4 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/077
Date : 12.10.15
Use safety shoes, cotton hand gloves, safety helmets while handling
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.
Material shifting by
2 Fall/Slip Personal injury
excavator
unloading in to the
3 Material Fall/Slip Personal injury
hopper
4 Inspection of hopper
Ref- ZLD/JSA/078
Date : 12.10.15
Provide staging and platform at safe distance from hopper to guide operator
while dumping (It should not be in the swing area of the excavator)
Use of Full Body Safety harness with shock absorber and scaffolds hooks.
The platform to be provided with railing and person should hook up lanyard
with the railing.
Height work Permit.
Carry out the jammed stone with the help of sling and dee shakle.
Use PPE viz. safety shoe, reflective jacket, helmet, goggles. Ear plug, nose
mask.
a.Dumper to be operated by only certified driver.
B.Dumper during reversing to be guided by the banks man.
C.Only trained and certified driver should operate the JCB / Loder.
D.No person to available in operational area of JCB / Loder which will be
collec
Personal injury,
Unskilled Worker
Property damage
2 Maintenance Work
Ref- ZLD/JSA/079
Date : 12.10.15
Location:-
Darkness, fall of
Work during dark Personal injury, damage to
4 person, fall of
hours machinery
property
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/080
Date : 12.10.15
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
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
Uneven surface Damage to vehicle Proper route shall be identified and maintained.
Vehicle should stop min 2 m from excavated pit edge.
Transit mixer
2 Vehicle fall down Personal injury, Define route for entry and exit from work place.
moments
inside the pit Property damage Using sand bags or hard stopper for stopping of the vehicle.
Vehicle should be driven by licensed driver only.
Ensure all valid documents of vehicle & driver.
Vehicle fall down Vehicle should stop min 2 m from excavated pit edge.
Boom placer inside the Personal injury, Define route for entry and exit from work place.
3 vehicle movement pit/Uneven Property damage,
& Self supporting surface/failure of over turning of vehicle Vehicle should be driven by licensed driver only.
balance Self supporting shall be done on rigid surface only.
Outriggers must be opened to its fullest.
Ensure banks man while pouring concrete at specific location.
Checking of boom swing movement.
Delivery of Fall of Checking of boom swing clearance.
4 Personal injury
concrete material/Concrete Ensure first positioning for water / slurry passing.
Ensure final pouring positioning.
Ensure hose pipe downward direction while cleaning.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of Ensure proper illumination during dark hours.
Work during dark Personal injury,
5 person, fall of
hours damage to property Electrical cable should lead min 2 m height. No exposed electrical
machinery wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
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
For proper shifting of material proper communication equipment should be provide for
proper communication.
Operator having valid driving licence.
Improper shifting of Horn & Light of the crane should be in working condition.
Shifting of Personal injury,
2 material, Improper Signal man should be guide properly
Crane Property damage
communication
Work area should be clean & clear.
Proper housekeeping should be maintained at wok area.
Work done under continuous supervision.
Hand tools should be inspected for any damage before they use & kept in proper toolkit.
Faulty hand tools
Operator having valid driving licences.
Personal injury, Banks man should be provide for giving signal.
Erection of Property damage
3 No work and worker should be deployed under suspended load.
Crane
Swing of Crane Work area should be barricaded to avoid unauthorised entry.
Work shall be carried out under supervision.
Uninspected FBSH Personal injury Only inspected FBSH having double lanyard, shock absorber should be use.
Only authorised person shall work.
Use standard tools & equipment for electrical work.
Electrical Work Electrical
(if the power is shortciruit,shock, Electrical burn, All electrical accessories & cables shall be of adequate capacities.
4 given from fire due to short Personal Injury, All electrical connections shall be made by qualified electrician
other out- circuit or electrical Property Damage. Panel boards shall have ELCB,MCB.
source) fault Oil spillage to be controlled.
Growth of grass shall be controlled near electrical installations.
All cable joints to be properly jointed and insulated.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of Ensure proper illumination during dark hours.
Work during Personal injury,
5 person, fall of
dark hours damage to property Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
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
Tower crane should be Third party inspected and having valid Form no.
12.Only trained and licences holder person should be deployed the
Pre inspection Negligence of Personal injury,
2 operation.
before operation operator Property damage
Daily check the crane as per standard checklist before start of the
activity.
Uninspected lifting For proper lifting & shifting of material proper communication equipment
Lifting & Shifting
media,inproper should be Provide (mobile,walky-talky) for proper communication.
of material
shifting of Personal injury,
3 (e.g.steel,shutteri Wire rope & D-shackle should be having valid test certificate.
material, Property damage
ng ply/plate,brick Horn
Improper
etc.) & Light of the crane should be in working condition.
communication
Only Trained Person should be Deployed for work.
Personal injury,
Unskilled Worker LOCK-OUT-TAG-OUT (LO-TO) before start of the maintenance.
Property damage
Work area should be barricaded to avoid unauthorised entry.
Maintenance
4 Hand tools should be inspected for any damage before they use & kept in
Work
proper toolkit.
Faulty hand tools Personal injury Work shall be carried out under supervision.
No work and worker should be deployed near weighbridge.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of Ensure proper illumination during dark hours.
Work during dark Personal injury,
5 person, fall of
hours damage to property Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Location:-
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved
o. Name
Untrained
Manpower
1 worker,lack of skill Personal injury
Mobilization
awareness
Improper shifting
Shifting of of material, Personal injury,
2
weighbridge Improper Property damage
communication
Electrical
shortciruit,shock, Electrical burn,
4 Electrical Work fire due to short Personal Injury,
circuit or electrical Property Damage.
fault
Personal injury,
Unskilled Worker
Property damage
5 Maintenance Work
Darkness, fall of
Work during dark Personal injury,
6 person, fall of
hours damage to property
machinery
Ref- ZLDJSA/084
Date : 12.10.15
Hand tools should be inspected for any damage before they use & kept in proper toolkit.
Location:-
Ref- ZLD/JSA/085
Date : 12.10.15
Location:-
3 Excavation
Untrained worker,
lack of skill Personal injury
awareness
8 Operation
Fall of material Personal injury
Ref- ZLD/JSA/086
Date : 12.10.15
Do not overload the bricks into the trolley and stacking upto 1.5 m.
Personal injury,
Unskilled Worker
Property damage
2 Maintenance Work
Ref- ZLD/JSA/087
Date : 12.10.15
Rock Blasting
During transporting , Handling of explosives Personal injury,fire
charging the holes with
explosives.
Providing muffling on
Manually Handling Personal injury,fire
charged holes
Rock Blasting
Personal injury,Damage
4 Blasting operations to Blasting of Rock
to property
be performed at fixed
time
Ref- ZLD/JSA/088
Date : 12.10.15
Employees shall wear safety PPE like safety shoes, safety goggles, ear plug,nose mask.
Boring holes shall be marked for locations and covered after the work is completed.
All employees shall wear PPE like safety helmets,safety goggles,cotton hand
gloves,coton cloths.
Explosive van shall have due permit to carry the explosives.
Explosive van or wooden box carrying explosives to charge the holes shall be at the site
not more than 30 minutes before commencement of charging the hole.
Gunny bags containing sands weight of 25 kgs each will be placed on holes.
The Explosive van shall be parked at designated area and no other personnel than
authorized shall be within 20 m of the explosive van.
The area while loading explosives in the bore shall be barricaded to a minimum distance
of 20 m.
Explosive van shall be parked in designated area safely away from other activities.
Holes charged only using 'bamboo',don’t use MS rod and plastic material.
Blasting shall be planned for all holes those are charged in a day.
Danger and warning sign boards shall be displayed at the entrance,work areas.
Before charging of hole area of 250m shall be cordened off with flags at least 30
minutes before firing.
Only authorised personnel bearing licence shall charge the hole.
After the charging all connections shall be made by shot firer only.
Before blasting the cordened area shall be clear off all men, livestock, machinery.
Warning siren will be sound with wailing tone 10 minutes before blasting 3 times.
Blasting will be done by shot firer and he will inspect the site after 10 minutes elapse of
time.
All clear siren will be sound by long tone if it is OK and no misfire took place.
Emmergency path way and Assembly Point shall be clean and clear.
Personal Injury/Fatal
Crack,cut
5 Grinding Operation Accident
Splatters Eye Injury
Darkness, fall of
Personal injury,
6 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/089
Date :
Ensure speed of grinding wheel should not less than speed of grinding m/c
Location:-
Darkness, fall of
Personal injury, damage
3 Work during dark hours person, fall of
to property
machinery
Ref- ZLD/JSA/090
Date :
Location:-
Untrained
Manpower
1 worker,lack of skill Personal injury
Mobilization
awareness
Property damage
Faulty Machine
Personal injury,
2 Machine Operation
Cable lying on
Electric shock
ground
Ref- ZLD/JSA/091
Date : 12.10.15
Location:-
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
2 Straightning Work
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
material
Ref- ZLD/JSA/92
Date : 12.10.15
Hand tools should be inspected for any damage before they use &
kept in proper toolkit.
Location:-
Untrained worker,
1 Manpower mobilisation lack of skill Personal Injury
awareness
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/093
Date : 12.10.15
Location:-Fabrication Yard
Project No. 115000TAP Carbon Black
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
personal
2 Stacking of material Fall of material injury/Wastage of
material.
Darkness, fall of
Personal injury,
4 Work during dark hours person, fall of
damage to property
machinery
RBIPL Structural Engg. RBIPL EHS Incharge RBIPL Project
Manager
JSA NO:RB/JSA/ST/04
Date : 22.12.19
Employees shall wear safety PPE like safety shoes, full body apron,
safety goggles, ear plug, nose mask.
Acknowledgement
JSA (Job Safety Analysis) Sheet
Location:-
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
Darkness, fall of
Personal injury,
3 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/095
Date : 12.10.15
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
Untrained
Leveling of Bitumen by Personal injury,
5 person,contact with
manualy Property damage
skin
Darkness, fall of
Personal injury,
6 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Date : 12.10.15
Risk(s)
Sr.No.Sub-Activity Name Type Of Hazard Risk Control measures
Involved
Manpower Untrained worker,lack Only inducted worker shall be deputed at the work place.
1 Personal injury
Mobilization of skill awareness Given Tool Box Talk to all workers.
1.Only inspected Hydra use for loading unloading shifting and
Fall of material from Injury to the errection of cement pipe.
height due to failure persons 2.Only inspected and damage free tools & tackles like wire rope
of wire rope slings working slings, web belt should use.
or web belt for surrounding 3.Regular inspection of lifting tools & tackles
lifting the material. areas. before starting the activity latch & hook of the Hydra is checked
Loading and Permanent before lifting, to ensure that the same are not damaged due to
2 Unloading of disable or improper use.
cement pipe fatality due to 4.Area below and surrounding the
fall of activity to be cordoned off.
material. 5.Use of PPE's like Safety
Helmets with chin strap,Safety shoes and Full body harness with
double lan yard for persons working at height.Ensure banks man.
6.All the
certificate related to sling testing & form no 12 is checked.
Entrapping of part Injury to the Shifting work to be carried out with authorized persons with
Shifting and of body below the persons continuous supervision.
3 erection of material. Area shall be made clear for any obstruction to the material.
cement pipe Guy ropes shall be tied at each end of the material being shifted.
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/098
Activity Name:- Rebaring
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Untrained worker Personal injury
Give Tool Box Talk to all workers.
Ensure safe scaffolding e.g. access, working platform with
mid rail, top rail with support
Ensure drilling m/c should inspected with damage free cable
Drilling of holes on Fall of material, Fall and industrial pin top
2 Personal injury
coloumn of person Ensure worker working on height with Full body harness
Ensure tools and other material on working platform should
bind
Ensure use of inspected tools & tackles
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
machinery
electrical wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Loose fitting/
4 General Assembly
Damage hose
Personal injury
Darkness, fall of
Personal injury,
7 Work during dark hours person, fall of
damage to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/099
Date : 12.10.15
Ref- ZLD/JSA/100
Activity Name:- Drilling Operation.
Name & Signature of Site Engineer / Supervisor :_________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Sub-Activity
Sr.No. Type Of Hazard Risk(s) Involved
Name
Manpower Untrained
1 Personal injury
Mobilization worker
Lifting of
materiel and
2
moving to work Fall hazard
location ( material fall, Personal injury,
Hydra or Farana Fatal accidents
tilt )
1) electric shock
2) fire burns
Personal
3) toxic
3 Fabrication Injury/Fatal
fumes 4)
Accident
explodification
Manual Handling,
Fall hazard
( material Personal injury,
4 Errection
fall,man fall, Fatal accidents
Hydra or Farana
tilt )
tilt )
Ref- ZLD/JSA/101
Date :
Ensure General work permit to be taken from concern engg.and safety dept.
Vehicle movement Fatal accident Personal injury, Ensure route should be clear from any obstruction
3
( Vibro roller ) Ensure work should be done under continious supervision.
Ensure for any unauthorised entry .
Electrical Hazard shock Ensure all armoured cable should lead min.6 mtr height.
Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
Only inducted worker shall be deputed at the work place.
Untrained Given Tool Box Talk to all workers.
Manpower
1 worker,lack of skill Personal injury
Mobilization Required work permits should be taken before start of activity
awareness
Work Shall be carried out under continuous Supervision.
Whole area under working to be properly barricaded & warning sign
boards.
No material to be kept inside barricading area no hot work shall be
performed near painting area.Continous supervision by competent
person.
Spraying person will be strictly followed safety shoes,helmet,safety
Sprying of Resin goggles, Rubber gloves, Organic nose mask while working at site.
Skin & eye
Solution on Personal injury,
2 contact,inhelation,
finished floring Property damage
injection, Fire Storage of Resin solution shall be specific area.
surface .
Hazardous chemical MSDS to maintained & safe use instruction to be
given.
Ensure ABC type Fire Extingusher near storage and work area
Ensure unauthourised entry
Name & Signature of Site Engineer / Supervisor :_______Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Manpower Untrained worker,lack Only inducted worker shall be deputed at the work place.
1 Personal injury
Mobilization of skill awareness Given Tool Box Talk to all workers.
Material should be shifted by manually.
2 Material shifting Fall of man Personal injury Pathway should be clear and free from any material.
Cotton handgloves shall be provide.
Ensure Height work permit & General work permit are taken and
signed by concerned Engg. & Safety Officer.
Fixing of safety net to Man Fall Personal Injury.
3 Inspected FBSH having double lanyard, shockabsorber should be
CUT OUT provided and FBSH lanyard should be anchored to life line.
Without edge protection Fall of person Life line, hard barication should be provided on edge.
Night work permit to be taken from concern engg.and safety
dept.
Work during dark Darkness, fall of person, Personal injury, Ensure proper illumination during dark hours.
4
hours fall of machinery damage to property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Use of proper PPEs as per SPCL norms use of MCB/ELCB and proper fuse in main supply
board to be there. only SPCL approved scaffolds to be used for working at height, Trained
persons to be deployed at work competent supervisor to be present at all time during work
Connection of For continuous protection double lanyard belt to be used. worker to tie his safety belt to
welding cable lifeline or nearest scaffold.
Electric Shock,
from power Use of good insulation of welding supply & erecting cable.
Fire Burns,
socket to
3 Toxic Fumes, Injury/Death Joint free cable to be used
welding
Explodification SPCL approved welding machine to be used
machine and
Mig unit & Hot work permit to be taken from concern project and safety dept.
welding work. Proper earthing to welding machine.(duble earthling required)
Remove all flammable & combustible materiel from work area.
Fire bucket to be kept available near by working area.
Welding shield to be used for welding
Shifting of Mig Fall, Electric Ensure supply is cut off during shifting of Mig unit
4 Injury/Death
unit shock Ensure Mig unit is fixed by rope if kept at height
Cleaning of
welding torch Ensure supply is cut off during cleaning of welding torch
by using
5 Fire, injury
silicon spray
(Anti spatter Ensure cleaning of torch is away from open flame, gas cutting work, welding work
spray)
Personal Night work permit to be taken from concern engg.and safety dept.
Darkness, fall Ensure proper illumination during dark hours.
Work during injury,
4 of person, fall
dark hours damage to Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
of machinery
property 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 : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- D.G.Set loading,unloading by Hydra and
shifting by Dumper Ref- ZLD/JSA/106
Location:- Date : 12.10.15
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
Untrained Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 worker,lack of skill Personal injury
Mobilization
awareness Ensure Work permit during shifting of D.G.set
Fall of material Injury to the Third party testing to be done for the Lifting derrick and other
from height due persons working tools & tackles like wire rope slings, chain pulley blocks for 2
Loading to failure of below and times the actual weight of the heaviest material to be lifted.
2 Unloading by derrick or Chain surrounding areas. Regular inspection of lifting tools & tackles before starting .
Hydra/Farana pulley block or Permanent disable Ensure only inspected Hydra/Farana should use for loading and
wire rope slings or fatality due to unloading of D.G.Set.Ensure Operator have valid Licence.
for lifting the fall of material. Ensure guide rope shall use while lifting / loading of D.G.set.
material.
Shifting work to be carried out by only inspected
Trailer/Dumper , insure Driver have valid licence.work with
continuous supervision.
Shifting by Road Accident, Fatal, Injury, Property
3 Area shall be made clear for any obstruction to the material.
Dumper/Trailer Material Fall damage
D.G. set shall be tied with rope at each end. Ensure path
should be clear from any obstruction
Name & Signature of Site Engineer / Supervisor :__________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Location:-
Darkness, fall of
Work during dark Personal injury, damage to
4 person, fall of
hours property
machinery
Ref- ZLD/JSA/107
Date :
Ref- ZLD/JSA/108
Activity Name:- Fixing of bracket in cutout
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Name & Signature of Site Engineer / Supervisor :__________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Builder Hoist Erection . Ref- ZLD/JSA/110
Location:- Date : 12.10.15
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
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
Ensure General work permit to be taken from concern engg.and Verified by safety Officer.
Fall of material from Third party testing to be done for the Lifting derrick and other tools & tackles like wire rope slings,
height due to failure chain pulley blocks for 2 times the actual weight of the heaviest material to be lifted. Regular
Property inspection of lifting tools & tackles before starting . Ensure only inspected Hydra/Farana should use
of derrick or Chain
damage,Personal for Fixing Of Foundation Frame .Ensure Operator have valid Licence. Ensure guide rope shall use
pulley block or wire while lifting Foundation Frame .work with continuous supervision.
injury.
rope slings for lifting Area shall be made clear for any obstruction to the material.
Fixing of the material.
Foundation
2
Frame By using Work area should be barricaded to avoid unauthorised entry.
Hydra Faulty hand tools Personal injury Hand tools should be insected for any damage before they use.
Swing of material Personal injury 16mm nylon rope should be tied at both end of structure to avoid swinging of material.
No work and worker should be deployed under suspended load.
Work shall be carried out under supervision.
Ensure base mast is fixed properly .
Fall of material,Man Personal injury,Property Ensure General work permit , Height work permit,Scaffold erection & dismentaling work permit to
Fall damage be taken from concern engg.and Verified by safety Officer.
Use PPE's like Safety Helmet, Safety shoes, fluroscent jacket,Hand gloves.
Work area should be barricaded to avoid unauthorised entry.
Erection of
3 Tower Work shall be carried out under supervision.
mast,material Only inspected FBSH having double lanyard, shock absorber should be use.
bucket . Uninspected FBSH Personal injury Ensure Safe Access & support while working at Height .
Ensure Chain Pulley is inspected and fixed properly.
Ensure area should be clear from any overhead obstruction .
No work and worker should be deployed under suspended load.
Ensure mast which is to be erected is anchored properly.
Use proper & apropriate electrical handgloves, & must wear ppes as per work requirement..
Electrical Only authorised person shall work.Use standard tools & equipment for electrical work.
4 Electrical Work shortciruit,shock, fire Electrical burn Panel boards shall have ELCB ,earthing, Fuse,to control overload / faults.
due to short circuit
All cable joints to be properly jointed and insulated.
All electrical connections shall be made by qualified electrician
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Work during Personal injury, Ensure proper illumination during dark hours.
5 person, fall of
dark hours damage to property Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
machinery
Route shall be clearly Maintained.
Name & Signature of Site Engineer / Supervisor :______ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/111
Activity Name:- Erection of movable scaffold & work on it
Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Lifting of materiel
2 and moving to
work location Fall hazard
( material fall, Personal injury, Fatal
Hydra or Farana accidents
tilt )
1) electric shock
2) fire burns
Fabrication
3) toxic fumes Personal Injury/Fatal
3 (Welding & Gas
4) Accident
cutting )
explodification
Manual Handling,
Errection of
Fall hazard Personal injury, Fatal
4 support beam on
( material fall,man accidents
bracket
fall )
Darkness, fall of
Work during Personal injury,
5 person, fall of
dark hours damage to property
Darkness, fall of
Work during Personal injury,
5 person, fall of
dark hours damage to property
machinery
Ref- ZLD/JSA/113
Date : 12.10.15
Untrained persons,
Mobilisation of
1 unexperienced Personal injury
manpower
person
Approch of
Uneven vehical
Heavy fall of materials,
2 Access, uneven
Equipment at job Personal injury
work area
location
Shifting of Unapproved
3 Column, LG, Vehical, uneven fall of materials
Truss by hydra. work area
Lifting of
coulmn,L.G. Damage lifting
5 Personal injury
unloading near tackle, sling escape
erection location
Finger caught
Fixing & Cut injury,
between, faulty
7 Alingment of personal injury,
hand tools , loose
column fall of colomn
bolting
Activity Name:- Erection of LG, Truss, Beam
Location:-
Sr.N Activity
Type of Hazard Risk Involved
o. Name
Uneven approch,
Errection of Fall of person,
uneven level,
8 Beam,Rafter on fall of scafold, fall
inadequate working
colomn of material
platform
Date :
Only inspected handtools should be used & ensure that the beam should be adequarely fitted with bolting.
Sling should be not removed until the beam adequately fitted with column by nut bolt.
Wire rope sling loosed in such a way that the sling come near scaffold so the person can easily de-sling
the wire rope
Only trained person deployed for errection work .
Work should be done under continous supervision.
Ensure Night work permit before work
Proper illumination should be provide during night work.
Emergency evacution plan should be explain to all workers.
Improper
Unloading & Stacking of Personal
2 unloading,Fall of
Bitumen primer . Injury.
person.
Burn,
Spreading of Bitumen by
5 Improper PPE's Property
manualy
damage
Personal
Untrained
Leveling of Bitumen by injury,
6 person,contact with
manualy Property
skin
damage
Personal
Untrained
injury,
7 Tile Fixing person,Improper
Property
Handling,
Personal
Untrained
injury,
7 Tile Fixing person,Improper
Property
Handling,
damage.
Personal
Darkness, fall of
8 Work during dark hours injury, damage
person,
to property
Ref- ZLD/JSA/115
Date : 12.10.15
Approch of
Uneven vehical
Heavy fall of materials,
2 Access, uneven
Equipment at Personal injury
work area
job location
Turning of
fall of materials,
bridge for Unapproved
Tilt of crane or
3 appropriate Vehical, uneven
Farana, Personal
position by work area,
injury
crane & Farana
Unapproved
Tying the sling lifting m/c,
to Bridge & damaged safety
4 fall of materials
hook, crane, latch or welded
Farana hook, Improper
access
Lifting of
Fabricated Damage lifting
5 bridge near tackle, sling Personal injury
erection escape
location
Wrong rope
Errection of Personal injury, fall
anchor, overload
6 Fabricated of person, stuck to
on boom,
bridge person
colomn swing
Finger caught
Fixing & Cut injury,
between, faulty
7 Alingment of personal injury, fall
hand tools ,
Bridge of bridge
loose bolting
Finger caught
Fixing & Cut injury,
between, faulty
7 Alingment of personal injury, fall
hand tools ,
Bridge of bridge
loose bolting
Ref- ZLD/JSA/116
Date : 12.10.15
Approch of
Uneven vehical
Heavy fall of materials,
2 Access, uneven
Equipment at Personal injury
work area
job location
Turning of
staircase for fall of materials,
Unapproved
appropriate Tilt of crane or
3 Vehical, uneven
position by Farana,
work area,
crane & Personal injury
Farana
Unapproved
Tying the
lifting m/c,
sling to
damaged safety
4 staircase & fall of materials
latch or welded
hook, crane,
hook, Improper
Farana
access
Lifting of
Fabricated Damage lifting
5 staircase near tackle, sling Personal injury
erection escape
location
Wrong rope
anchor, overload
Errection of Personal injury,
on boom,
6 Fabricated fall of person,
colomn swing,
staircase stuck to person
unsafe access
to man
Finger caught
Fixing & Cut injury,
between, faulty
7 Alingment of personal injury,
hand tools ,
staircase fall of bridge
Finger caught
Fixing & Cut injury,
between, faulty
7 Alingment of personal injury,
hand tools ,
staircase fall of bridge
loose bolting
Personal
Work Darkness, fall
injury,
8 during dark of person, fall
damage to
hours of material
property
Ref- ZLD/JSA/117
Date : 12.10.15
Slip of backfiling material Personal injury Ensuring proper spreading of material after unloading of material.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Work during Darkness, fall of person, Personal injury,
5
dark hours fall of machinery damage to property Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/119
Activity Name:- Alluminium door fixing.
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected ladder/ scaffold should use for work
Ensure only inspected portable equipments should use for work
Fall of material,
fall of man, Personal Injury, Ensure safety belt(FBSH) above 2 mtr. Height
2 Fixing of Frame
electric shock, fall proerty damage
of equipment Ensure tools and material should fix with rope at height (work platform)
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- DB/AMZ/Site/JSA/120
Activity Name:- Erection of chuqured plate
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected Hydra should use for material shifting
Ensure only inspected & damage free web-belt or slings and gunny bag
for sharp edge protection should use for material shifting
Shifting of Fall of material,
Personal Injury,
2 chuqured plate by fall of man, road
Fatal accident Ensure path is clear from any obstruction
Hydra accident, trap
Ensure guide rope fixed at both end
Ensure person who hold guide rope should walk 2mtr away from hydra
Name & Signature of Site Engineer / Supervisor :_________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/121
Activity Name:- Rolling shutter fixing.
Sub-Activity
Sr.No. Type Of Hazard Risk(s) Involved Risk Control measures
Name
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected ladder/ scaffold should use for work
Ensure only inspected portable equipments should use for work
Fall of material,
fall of man, Ensure safety belt(FBSH) above 2 mtr. Height
2 Fixing of Frame Personal Injury
electric shock, fall
of equipment Ensure tools and material should fix with rope at height (work platform)
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/122
Activity Name:- Staircase and walkways railing work.
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
o. Name
Only inducted worker shall be deputed at the work place.
Given Tool Box Talk to all workers.
Manpower
1 Untrained worker Personal injury Required work permits (Hot work permit, Height work permit)should be
Mobilization
taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure only inspected ladder/ scaffold should use for work
Fall of material, Personal Injury, Ensure safety belt(FBSH) above 2 mtr. Height
2 Material shifting
fall of man, fatal accident Ensure tools and material should fix with rope at height (work platform)
Ensure person should not stand below load
Ensure only inspected ladder/ scaffold should use for work
Ensure only inspected welding machine with ELCB should use for work
Deploy only trained welder for welding work
Avoid for flammable material in welding area.
Fall of material, Ensure required PPE's for work eg. Safety shoes, safety helmet,safety
Fixing of railing fall of man, Personal Injury, jacket, lather handgloves, Faceshield
3
pipe electric shock, fall fatal accident
of equipment Ensure person can carry weight
Ensure safety belt(FBSH) above 2 mtr. Height
Ensure tools and material should fix with rope at height (work platform)
Ensure only inspected portable electrical equipments used for work.
Ensure person should not stand below load
Night work permit to be taken from concern engg.and safety dept.
Name & Signature of Site Engineer / Supervisor :_______ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Location:-
Sr.N Sub-Activity
Type Of Hazard Risk(s) Involved
o. Name
Manpower
1 Untrained worker Personal injury
Mobilization
Reinforcement
of cutout
Material fall, Man Personal injury, Fatal
4 casting &
fall, sharpe edge accident
Casting of
cutout
Darkness, fall of
Work during Personal injury,
5 person, fall of
dark hours damage to property
machinery
Darkness, fall of
Work during Personal injury,
5 person, fall of
dark hours damage to property
machinery
Ref- ZLD/JSA/123
Date : 12.10.15
Ref- ZLD/JSA/124
Activity Name:- Fencing on compound wall
Fall of man, Fall of Ensure only trained worker deploy for work
Fixing of barbed material, fall of Personal injury, fatal Ensure Full body safety harness above 2mtr. Height
4
wire handtool, sharp accident
edge Ensure tools and material are fixed with rope
Ensure person should not stand below height work
Ensure use of inspected tools & tackles
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/125
Activity Name:- Trench periphery work
Sub-Activity
Sr.No. Type Of Hazard Risk(s) Involved Risk Control measures
Name
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure natural or artificial illumination
Shifting of Fall of material, Ensure person can carry kg weight
2 Personal Injury
Material fall of man
Ensure path is clear from any obstruction
Ensure only inspected welding machine with ELCB should use for work
Fall of material, Ensure only trained welder deploy for work
Trench work fall of man,
3 Personal Injury Electrical connection should done by only authourised electrician
(Welding) Electric shock,
sharp edge Ensure person can carry weight
Ensure path is clear from any obstruction
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Darkness, fall of
Work during dark Personal injury, Electrical cable should lead min 2 m height. No exposed electrical
4 person, fall of
hours damage to property wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure person can carry safe load while shifting.
Personal
Shifting of drain Fall of material, Ensure path is clear from any obstruction
2 Injury,property
cover fall of man Ensure required PPE's eg. Safety shoes, safety jacket, Cotton
damage
handgloves, safety helmet, safety goggle etc.
Ensure only inspected T & L bar should use for fixing of cover
Personal
Fixing of drain Fall of material, Ensure leg should not come below lifting cover
3 Injury,property
cover fall of man Ensure person can carry safe load while shifting.
damage
Ensure path is clear from any obstruction
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Darkness, fall of Electrical cable should lead min 2 m height. No exposed electrical
Work during dark Personal injury,
4 person, fall of wire.Earthing.
hours damage to property
machinery Ensure path is clear from any obstruction
Ensure continuos supervision during night work.
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 : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/127
Activity Name:- Phever block fixing fixing.
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Shifting of Phever Fall of material, Ensure person can carry kg weight
2 Personal Injury
block fall of man Ensure path is clear from any obstruction
Ensure person can carry kg weight
Fixing of Phever Fall of material,
3 Personal Injury
block fall of man Ensure path is clear from any obstruction
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/128
Activity Name:- Curb stone fixing.
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Shifting of curb Fall of material, Ensure person can carry kg weight
2 Personal Injury
stone fall of man Ensure path is clear from any obstruction
Ensure person can carry kg weight
Fixing of curb Fall of material,
3 Personal Injury
stone fall of man Ensure path is clear from any obstruction
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/129
Activity Name:-Drain line work
Risk(s)
Sr.No. Sub-Activity Name Type Of Hazard Risk Control measures
Involved
Only inducted worker shall be deputed at the work place.
Untrained Given Tool Box Talk to all workers.
Manpower
1 worker,lack of skill Personal injury
Mobilization Required work permits should be taken before start of activity
awareness
Work Shall be carried out under continuous Supervision.
Ensure general work permit taken by engineer & verified by Safety dept.
Ensure safe Access whle unloading of pipe
Unloading of pipe Improper Personal Unloading shall be done in presence of supervisor.
from vehicle by unloading,Fall of Injury,
2 Ensure no person shall stand in front of slop
using slop ramp / person., material property
manually stuck to person, damage. Avoid unauthorised entry.
Workmen should be having all required PPEs
Unloading area should be identified provide caution sign boad.
Safety shoes safety helmet safety goggle florecent jacket cotten hand
gloves to be used.
Personal Ensure unauthourised entry, ensure safe distance between man and
Trap hazard
Injury Hydra or Farana
Ensure only inspected Hydra or Farana should use for material shifting
and pipe fixing
Shifting of pipe at Ensure hydra operator have valid licence
work location by Only inspected and damage free slings/web belt should use
3
using hydra /
manually
Fall hazard Before lifting of material with lifting equipment safety supervisor inspect
Personal all tied slings are in proper way,then only material to be lifted.
( material fall,
injury, Fatal
Hydra or Farana
accidents No person stand below the lifted load Precautaions to be taken to
tilt )
prevent load swing. Tied with guide rope
Predefining all the work location for above work.
While moving the material it will be kept tied at both end with guide
rope
Ensure hydra operator have valid licence
Only inspected and damage free slings/web belt should use
Trap hazard,Fall
Personal
hazard ( material
4 Fixing of drain pipe injury, Fatal
fall, man fall, Hydra
accidents
Trap hazard,Fall Ensure area of work with even surface without any obstacle
Personal
hazard ( material Ensure after drain pipe shifting to fix position person will go for
4 Fixing of drain pipe injury, Fatal
fall, man fall, Hydra allignment
accidents Ensure persons leg is away from/ not below the load/pipe
or Farana tilt )
Ensure guide rope to control material swing
Insure only inspected hand tool use for work
Work Shall be carried out under contineous Supervision.
Night work permit to be taken from concern engg.and safety dept.
Personal
Work during dark Darkness, fall of
8 injury, damage Ensure proper illumination during dark hours.
hours person,
to property Electrical cable should lead min 2 m height.No exposed electrical
wire.Earthing.
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 : ______
JSA (Job Safety Analysis) Sheet
Ref- ZLD/JSA/130
Activity Name:- Window fixing.
Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Manpower Given Tool Box Talk to all workers.
1 Untrained worker Personal injury
Mobilization Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Ensure continuos supervision.
Ensure only inspected portable equipments should use for work
Ensure only inspected ladder/ scaffold should use for work
Ensure safety belt(FBSH) above 2 mtr. Height
Fall of material, Ensure tools and material is not kept on window frame .
Personal Injury, cut
Fixing of Window fall of man,
2 injury, property Ensure required PPE's eg. Safety shoes,reflective jacket,cotton
Frame & Glass. electric handgloves,safety helmet, safety goggle etc.
damage
shock,sharp edge
Ensure area below the work is barricaded with signage
Ensure stacking of window frame should not be above 1.5 mtr height .
Name & Signature of Site Engineer / Supervisor :_________Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Name & Signature of Site Engineer / Supervisor :________ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Tilt of hydra,Fall of Ensure person should anchour his safety belt snap hook to 2nd frame resting clit
Errection of 1st Personal injury,
5 frame, fall of Ensure person should hold ladder when one person goes up to tie ladder with rope
frame fatal injury
person
Ensure ladder is tied with rope
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Guide rope should be tied during erection of frame.
Ensure that person stand away ; No one put hand below load during fixing & alignment.
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure 1st frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 2nd Fall of frame, fall Personal injury,
6 Ensure hand tools should fix with rope at height
frame oe person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure 1st & 2nd frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 3rd Fall of frame, fall Personal injury,
7 Ensure hand tools should fix with rope at height
frame oe person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure safe access e.g. only inspected scaffold, only inspeced ladder with safe ratio 1:4
Ensure 1st,2nd, & 3rd frame bolting & clits are fixed at another end
Ensure lifeline shoould fix ( coloum to coloum)
Ensure person should anchour his safety belt snap hook to lifeline
Ensure that hooking shall be adeqately fitted with Gunnybags or Sleeves & properly lock safety latch.
Erection of 4th Fall of frame, fall Personal injury,
8 Ensure hand tools should fix with rope at height
frame oe person fatal injury
Ensure only inspected hand tool should use
Guide rope should be tied at both end during erection of frame.
Ensure person should not stand below suspended load
Ensure bolts are fixed at one side
Ensure clit or clamp is fixed at another end
Ensure Night work permit before work
Work During Fall of person, Ensure path should be clear and even surface
9 Darkness
Night personal injury Proper illumination should be provide during night work.
Emergency evacution plan should be explain to all workers.
Name & Signature of Site Engineer / Supervisor Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :_______ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Location:-
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury
awareness
Caught in
4 Hopper cleaning Personal Injury
between,trip,Cut
Darkness, fall of
Personal injury, damage
5 Work during dark hours person, fall of
to property
machinery
Name & Signature of Site Engineer / Supervisor :___________
Ref- ZLD/JSA/133
Date : 12.10.15
Instability of ground Topple of crane. Prior to place the crane,survey the ground condition & level / strengthen it if necessary
Failure of lifting crane Fall of material / Engage tested and certified crane.Load of Material must be checked.
Removing of property damage /
Counter Weights, Failure of lifting gears Use tested & certified lifting gears.Prior to use.
Improper or too many personal injury.
Operator
Cabin,Tower signals confuse the
Fall of material / Designate experienced & trained person for slinging.
Crane operator.
property damage /
Boom,Counter Improper method of personal injury. Prior to start lift, discuss & prepare a safe lifting method & implement it.Constant
4
Jib,Cat lifting operation supervision required.
Head,Reducer
Working area should be baricated to prevent unauthorised entry.
Mast,Basic Mast
with Telescoping Experience signal man should be operated.
Inadequate
Assembly by
experienced personnel. Personal injury. Guide rope should be tied to both side of material.
Telescopic Crane
Ensure crane checklist should be done before starting the work.
Work shall be carried out under supervision.
P.T.O.
Only inspected vehical having valid insurance, form no.11, RTO,licence.& Ensure that
head lights,reverse horn,indicators, front horn is in good condition
Ensure sling D'shakle having valid test certificate.
Name & Signature of Site Engineer / Supervisor :_______ Name & Signature of Site In-charge :___________
Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______
JSA (Job Safety Analysis) Sheet
Location:-
Fall of person,
2 Staging Personal Injury
material
Darkness, fall of
Personal injury,
5 Work during dark hours person, fall of
damage to property
machinery
Ref- ZLD/JSA/135
Date : 12.10.15