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JSA (Job Safety Analysis) Sheet

Activity Name:- Area Hard barrication Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Untrained worker Personal injury
1 Manpower Mobilization Given Tool Box Talk to all workers.
Break down Ensure daily maintance of excavator
Evaluating the capacity of the dumper
Provision of banks man for guiding the process and stopper for
vehicle.
Personal injury
2 Loading & unloading Fall/Slip/Trip Ensuring the level ground for unloading dumper at dumping area.

Material stacking not less than 1.5 mtrs from the edge of the pit .

Personal injury Ensuring safe working height for stacking of the material.(1.5 mtrs)

Identifying the route of the vehicle.

Personal injury, loss of Checking the competency of the vehicle driver


3 Material transports Road accident
properly Checking of authorization papers of driver & vehicle.
Confirming fitness of the vehicle- viz. breaks, tale lamps, reverse
horns.
Ensure inducted labour at site
4 Barrication Fall of material Personal Injury Ensure sufficient manpower for carriage of material
Ensure use of FBSH while barrication near edge of the pit.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Personal injury, damage Ensure proper illumination during dark hours.
5 Work during dark hours person, fall of
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 : ______

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