f _____

JOB TITLE / AIM: Scaffolding erection and dismantling in process area

JSA DATE: 03/02/2007 JSA NO./ REVISION:
SUPERVISOR/ JSA L7EADER: Haji Aziz SCRIBE: Abdullah Khan
PARTICIPANTS: Rab Nwaz,Gulzar Ali
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps: List the main sequential steps. Each step should accomplish a specific component of the task.

1.Mobilization of equipment and materials

2.Manual hauling of materials
3.Erection of scaffolding Digitally signed
4.Dismentling of scaffolding by Abdullah Khan
5.Demobilization Abdullah DN: cn=Abdullah
Khan, o=Descon,
c=US
Date: 2006.11.23

Alternatives Considered: What are other possible means of achieving the job outcome?
Signature
Not Verified Khan 11:49:01 Z

Above ground cable tray.

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE,S : First aid kit must be present at the area and the HSE personnel is the first response in case of
emergency

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.
 File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 . Mobilization of equipment and Unauthorised equipment/tools brought out Before mobilizing any equipment/tools make
materials to site sure that the materials got inspected.
Ensure that all personnel prior to start the
have been inducted and oriented about the
hazard in the job site.
Workers starting the job unfit to work All personnel must undergone fitness
certificate from the Del doctor. not fit to work
shall not be allowed to work at the project
site.
Ensure all the persons take part in the tool
box meeting discussion. JSA was discussed
to workers and signed at the back.
Hand Injury Ensure proper hauling of materials/get help if
required/Wear hand gloves.
Exposure of workers to various hazard like Ensure workers are complying with the min.
hand injury, dust, eye injury PPE req..Safety shoes, helmet, safety glass,
dust mask,

2. Manual hauling of Exposure of workers to various hazard like Ensure workers are complying with the min. PPE
materials hand injury, dust, eye injury req..Safety shoes, helmet, safety glass,
Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available
each area where workers are doing the job. ORS
is available at the area
Back injury Workers will be oriented about the proper posture
and positioning during the execution of the job.
Unskilled and uninducted personnel starting Ensure that toolbox meeting was regularly
the job conducted and people are aware of the job and the
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
hazard enclosed in the job they are performing.
JSA was discussed and signed at the back
Personnel and equipment interface Ensure that during unloading of materials it will
be unloaded at the safe side not in traffic side. A
watchman must be available during unloading
Fall of materials to worker Materials should not be thrown down during
unloading instead there will be two person at the
trolley and three person shall stand down
receiving the rebars at a time and place at the
Hand injury ground.
Ensure workers are wearing the hand gloves

Trips Ensure materials are properly stage

3. Erection of scaffolding Fall of Workers or Materials Ensure workers are wearing appropriate full body
Harness and tie-off 100% on yellow tag
Scaffolding. No one should access a scaffold if
there is a red tag or no tag. Works on scaffold
must be supervised at all times. No equipment and
tools will be stored on the scaffold. All persons
working on scaffold must be trained on working
at heights and use of harnesses. All harness must
be checked daily by a competent person and
inspected monthly and logged. NO workers
should alter the scaffolding Ensure that no tools or
materials will be stored at the working platform
Ensure that no throwing of materials at elevated
area Ensure that area was secured and barricaded
Ensure that the scaffold is approved inspected by
BHPB person prior to used and tagged
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Back injury Ensure workers properly inducted about the
proper positioning Ensure workers are complying
with the min. PPE req. Safety shoes, helmet,
safety glass, dust mask, Ensure workers have
provided water and proper shade.

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

each area where workers are doing the job. First
aid kit available at site. Water callers should be
sealed and signed by water handler and should be
filled from UV Filter source located at del camp.
4 Dismantling of Fall of Workers or Materials Ensure workers are wearing appropriate full body
scaffolding harness and tie-off 100% on yellow tag
Scaffolding. No one should access a scaffold if
there is a red tag or no tag. Works on scaffold
must be supervised at all times. No equipment and
tools will be stored on the scaffold. All persons
working on scaffold must be trained on working
at heights and use of harnesses. All harness must
be checked daily by a competent person and
inspected monthly and logged. NO workers
should alter the scaffolding Ensure that no tools or
materials will be stored at the working platform
Ensure that no throwing of materials at elevated
area Ensure that area was secured and barricaded
Ensure that the scaffold is approved inspected by
BHPB person prior to used and tagged
Ensure workers properly inducted about the
Back injury proper positioning Ensure workers are complying
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
with the min. PPE req..Safety shoes, helmet,
safety glass, dust mask, Ensure workers have
provided water and proper shade.

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

each area where workers are doing the job. First
aid kit available at site. Water collars should be
sealed and signed by water handler and should be
filled from UV Filter source located at del camp.

5 Demobilization Poor house keeping Ensure that the area is left clean and tidy after
finishing the job.

Name: Signature:

Zahid Masood (JSA Leader) -----------------------------------------------------------

Agha Saeed (Engineer) -----------------------------------------------------------

Abdul Rehman (Supervisor) -------------------------------------------------------------

Mudaser (Supervisor) --------------------------------------------------------------

Haji Bashir (Supervisor) ----------------------------------------------------------------