JOB TITLE: JSA FOR CONFINED SPACE ENTRY

JSA DATE: May,27,2009 REVISION: 00

Safety Spectacles, Safety Shoes, Hard Hat (ANSI Approved),Full body Harness, Chin
List of PPE’s for Each Person
straps, Leather & cotton Gloves
Extra tools/
Breathing Apparatus, Life line, Tripod.
Equipments Required
Personnel Involved: Safety Supervisor, Site supervisor, Site engineer, SBM, Helper.

LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY Wis Moving of shuttering: Moving

Attach copies of any relevant documentation/ drawings.

Part 3: Job Safety Analysis

Job Steps: List the main sequential steps. Each step should accomplish a specific component of the task.
1. Entry of Personnel into Confined Space.
2. Execution of work in confined space. .
3. Exit After Completion of Job.
JOB TITLE: JSA for Confined Space entry
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Entry inside confined space  Confined space entry work permit must be obtained prior
to start of work.
 Permit to work instructions must be strictly followed.
1-a Oxygen Deficiency (suffocation, faint,  Oxygen level to be checked before entry and ensure
unconsciousness) within limit (19.5% to 21.5%)
 Before start of work proper ventilation system to be
provided.
 Confined space should be ventilated through exhaust
fans/ Blowers 24 hours before issuance of permit.
 Ensure exhaust system to be remained operational
during working inside the confined space.
 Oxygen level to be checked half an hour before start
of work and after every 2 hours during activity.

Oxygen Enrichment (Potential explosion )  Before start of work proper ventilation system to be
provided.
 Ensure exhaust system to be remained operational
during working inside the confined space.

1-b Explosion  Explosive limit of the possible gases to be checked before

issuance of permit
 LEL of explosive gases must be zero.
JOB TITLE: JSA for Confined Space entry
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1-c Fire  Combustible material to be removed on priority inside the
confined space.
 No Entrance will be allowed if smoke is observed inside
the confined space.
 Fire extinguisher to be placed out side confined space.
1-d Excessive heat  Ventilation system to be installed.
 Entrants will work inside confined space for
maximum ...... minutes after each entry.
 Entrants must be provided with life lines.
 Drinking Water to be provided outside the confined
space.
1-e Toxic gases  Toxic gases must be checked before issuing permit.
 If there are any traces of any toxic gas, work will not be
allowed.
1-f

1-g Poor illumination  Lights of 12 volts are allowed inside the Confined space.
 110 Volts of light/Grinder is allowed only with double
ELCB.

2 Execution of job inside the Suffocation due to dust  Dust mask must be worn by entrants inside confined
confined space. space for working.
2-a Inexperience SBM  SBM must be experienced and skilled to handle
emergency procedure.
 SBM must have proper method/equipment for
communication.
 SBM must have log sheet to record time and name
JOB TITLE: JSA for Confined Space entry
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
of entrants, number and type of tools used inside
the confined space.
 SBM will call the workers out after ......min and
then next team will enter inside the confined
space.
 SBM must have emergency phone numbers.
 He should have SCBA, fire extinguisher, life line
and communication equipment.
 He should know proper rescue procedure.

2-b  Improper tools  Appropriate/Inspected tools must be used for the

execution of work.

2-c  Engulfment  Entrance must be restricted if water is accumulated in

 The confined space.

2-d  Working Plat form Strength inside  Ensure the strength of the working platform by the
Vertical Confined Spaces. inspection done by a competent person.

2-e  Acoustics of the (vessel) confined  Appropriate ear protection must be used.
Space. (i-e ear plugs/ ear muffs).
 JOB TITLE: JSA for Confined Space entry
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)

3 Exit after job completion
 Worker remain inside the confined  Activity’s supervisor must ensure that there is no
space worker or tools left inside the confined space at the
end of the shift or end of work.
 After ensuring entrance points to be hard barricaded.
 No personnel allowed to enter inside after job
completion and end of the shift.

Prepared By: __________________________

(Muhammad Umar)

Reviewed
_______________ ________________ __________________
(Muzamil Irshad ) (Ejaz Baig ) ( Irshad ul haq Haqqi )

Approved By:
______________________ _____________________
( MIH ) ( AZS )