JOB SAFETY ANALYSIS (JSA)
Title of Activity / Work:
Name of Project Site:
Location of Project Site:
Name of Contractor:
Date of JSA Preparation:
Sl. No. Subactivity / Steps
PART A:- STANDARD JSA
1 Site preparation & development
2 Site preparation & development
3 Site preparation & development
, transportation
4 Cutting ground, transportation
5 Tree Cutting, Use of tools
PART B:- LOCATION SPECIFIC JSA
Site preparation & development
JSA PART A:- 13-Jul-16 JSA PART B :-
Hazard Effect
Snakes or insects Poisoning due to Snake /
Insects venom may cause
fatality
Mosquitos Skin Rash, dengue, fever,
malaria , skin irritation
Dust Skin and eye irritation, cough , 1) Proper leveling/compacting ground.
lung irritation
Flying stone while cutting ground, Contact with sharp object
transportation, strong wind may cause severe injury
Sharp Thorn /sharp edges Contact with sharp object
may cause severe puncture
injury.
Doc. No. ANX-1 of BG-06874IN (JSA) , Rev.
Doc. Rev. Date 13-Jul-16
Job No. :
PTW No.:
JSA No.: TEIPL/JSA/001
Activity / Work Location Name:
Compliance? Yes /
Control Measures Responsibility No Remarks
††1) Spraying of chemicals/repellent to prevent Snakes or insects. Execution Engineer & Job
2) Good Housekeeping and cleaning ground to make place inhabitat for Supervisor; HSE
snakes/insects. -Monitoring & Training
3) Provide First Aid box. Tie up with near by hospital
4) First aid trainings.
1) Spraying of pest control chemicals to keep away mosquitoes and to kill it’s Execution Engineer & Job
larvae. Supervisor; HSE
-Monitoring & Training
2) Maintain Good Housekeeping.
3) Regular cleaning of accumulated water from pits /ditches.
4) Dengue / Malaria awareness.
Execution Engineer & Job
2) Storing soil or other fine particles material in low height of the heap. Cover Supervisor; HSE
them withall
empty wet gunny bags. -Monitoring & Training
3) Ensure site traffic adhere to the site speed limit.
4) Vegetation clearing should be carried out on a need basis.
5) Cleaning eyes / face with water.
6) Provide windbreaks either natural or constructed that reduces the wind
velocities. Natural wind breaks can be native shrubs or trees left in place during
site clearing. Constructed barriers can be made from metal / wood sheets.
7) Air Monitoring for dust (Particulate Matters).
8) Water Sprinkling on ground.
1) Proper leveling/compacting ground. Execution Engineer & Job
2) Ensure all site traffic adhere to the site speed limit. Supervisor; HSE
-Monitoring & Training
3) Barricade and Put Safety Signage in cutting operation area.
4) Provide windbreaks either natural or constructed that reduces the wind
velocities. Natural wind breaks can be native shrubs or trees left in place during
site clearing. Constructed windbreaks can be made from metal / wood sheets.
1) Cut the trees with thorns carefully by mechanical tools / cutter. Execution Engineer & Job
2) Use gloves. PPE Assessment Audit Supervisor; HSE
-Monitoring & Training
3) Guard the tools.
4) Hold the tool firmly while cutting.
5) HSE Training,
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 Compliance? Yes /
Sl. No. Subactivity / Steps Hazard Effect Control Measures Responsibility No Remarks

Note:

Prepared by: Reviewed by: Approved by:

Note: This is standard JSA prepared based on general hazards. Site has to review this JSA & Update considering process involved, site & work location condition, equipments/machines/ tools use, people involved and activities near by job location.

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