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RATNA INFRASTRUCTURES

Current activities for which JSA is available.


Sr No Description JSA No.
RATNA INFRASTRUCTURES
Current activities for which JSA is available.
Sr No Description JSA No.
1 Surveying activity RATNA /PIDILITE INDUSTRIES VIZAG/JSA/01
2 Excavation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/02
3 Pit Cleaning RATNA/PIDILITE INDUSTRIES VIZAG/JSA/03
4 Area Hard barrication Deshuttering RATNA/-IDILITE INDUSTRIES VIZAG/JSA/04
5 Soling in foundation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/05
6 PCC (Plain Cement Concrete) in Excavated pit RATNA/PIDILITE INDUSTRIES VIZAG/JSA/06
7 Shuttering in Foundation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/07
8 Footing deshuttering Activity RATNA/PIDILITE INDUSTRIES VIZAG/JSA/08
9 Reinforcement in Foundation RATNA/PIDILITE INDUSTRIES VIZAGJSA/09
10 Shuttering in Pedestal RATNA/PIDILITE INDUSTRIES VIZAGJSA/10
11 Concreting in Foundation RATNA/PIDILITE INDUSTRIES VIZAGJSA/11
12 Pedestal Reinforcement RATNA/PIDILITE INDUSTRIES VIZAGJSA/12
13 Bolts & template fixing and grouting RATNA/PIDILITE INDUSTRIES VIZAGJSA/13
14 Grouting of Bolts & pockets fixing RATNA/PIDILITE INDUSTRIES VIZAGJSA/14
15 Pedestal Concrete RATNA/PIDILITE INDUSTRIES VIZAGJSA/15
16 Soil Backfilling in foundation & Plinth RATNA/PIDILITE INDUSTRIES VIZAGJSA/16
17 Shuttering for Plinth Beams RATNA/PIDILITE INDUSTRIES VIZAGJSA/17
18 Reinforcement in Plinth Beams RATNA/PIDILITE INDUSTRIES VIZAGJSA/18
19 Concreting PCC in plinth RATNA/PIDILITE INDUSTRIES VIZAGJSA/19
20 Column Reinforcement RATNA/PIDILITE INDUSTRIES VIZAGJSA/20
21 Plinth Shuttering RATNA/PIDILITE INDUSTRIES VIZAGJSA/21
22 Plinth Concreting RATNA/PIDILITE INDUSTRIES VIZAGJSA/22
23 Plinth Deshuttering RATNA/PIDILITE INDUSTRIES VIZAGJSA/23
24 Column Shuttering RATNA/PIDILITE INDUSTRIES VIZAGJSA/24
25 De-Shuttering of Column RATNA/PIDILITE INDUSTRIES VIZAGJSA/25
26 Expansion Joint in Columns RATNA/PIDILITE INDUSTRIES VIZAG/JSA/26
27 Column Concreting RATNA/PIDILITE INDUSTRIES VIZAG/JSA/27
28 Concrete placing by using mobile crane through concrete bucket RATNA/PIDILITE INDUSTRIES VIZAG/JSA/28
29 Staging for beam bottom RATNA/PIDILITE INDUSTRIES VIZAG/JSA/29
30 Beam & Slab Shuttering RATNA/PIDILITE INDUSTRIES VIZAG/JSA/30
31 Reinforcement for beam & Slab RATNA/PIDILITE INDUSTRIES VIZAG/JSA/31
32 Cut outs in slab RATNA/PIDILITE INDUSTRIES VIZAG/JSA/32
33 Structural work within cutouts RATNA/PIDILITE INDUSTRIES VIZAG/JSA/33
34 Slab Concreting-RCC RATNA/PIDILITE INDUSTRIES VIZAG/JSA/34
35 Deshuttering of slab Shutter RATNA/PIDILITE INDUSTRIES VIZAG/JSA/35
36 Brick work RATNA/PIDILITE INDUSTRIES VIZAG/JSA/36
37 UCR Masonary RATNA/PIDILITE INDUSTRIES VIZAG/JSA/37
38 Plastering Works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/38
39 Plastering to ceiling RATNA/PIDILITE INDUSTRIES VIZAG/JSA/39
40 Painting RATNA/PIDILITE INDUSTRIES VIZAG/JSA/40
41 Sand receiving, sampling & unloading. RATNA/PIDILITE INDUSTRIES VIZAG/JSA/41
42 Concrete by mixer machine RATNA/PIDILITE INDUSTRIES VIZAG/JSA/42
43 Welding works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/43
44 Gas Cutting works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/44
45 Roofing/Sheeting works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/45
46 Temporary area lighting RATNA/PIDILITE INDUSTRIES VIZAG/JSA/46
47 Reinforcement loading & unloading RATNA/PIDILITE INDUSTRIES VIZAG/JSA/47
48 Reinforcement cutting/bending RATNA/PIDILITE INDUSTRIES VIZAG/JSA/48
49 Structural material Loading,unloding and shifting by crane RATNA/PIDILITE INDUSTRIES VIZAG/JSA/49
50 Structural fabrication & Erection RATNA/PIDILITE INDUSTRIES VIZAG/JSA/50
51 Unloading of Soil Using Crane RATNA/PIDILITE INDUSTRIES VIZAG/JSA/51
52 Manually cement loading & Unloading RATNA/PIDILITE INDUSTRIES VIZAG/JSA/52
53 Cutting of cement bag manually RATNA/PIDILITE INDUSTRIES VIZAG/JSA/53
54 Concreate cube mould RATNA/PIDILITE INDUSTRIES VIZAG/JSA/54
55 Curing of conceate cube RATNA/PIDILITE INDUSTRIES VIZAG/JSA/55
56 Working in Shuttering Yard RATNA/PIDILITE INDUSTRIES VIZAG/JSA/56
57 Removal of Barbed wire & Pole RATNA/PIDILITE INDUSTRIES VIZAG/JSA/57
58 excavator maintaince & Greecing RATNA/PIDILITE INDUSTRIES VIZAG/JSA/58
59 loading stones in dumepr /tractor &transportation near pit. RATNA/PIDILITE INDUSTRIES VIZAG/JSA/59
60 Plumbing work RATNA/PIDILITE INDUSTRIES VIZAG/JSA/60
61 safety net fixing at perifery RATNA/PIDILITE INDUSTRIES VIZAG/JSA/61
62 Disel unloading,dispencing RATNA/PIDILITE INDUSTRIES VIZAG/JSA/62
63 Concrete admixtures drum unloading & dispencing RATNA/PIDILITE INDUSTRIES VIZAG/JSA/63
64 material Stacking (not more than 1.5 m) RATNA/PIDILITE INDUSTRIES VIZAG/JSA/64
65 Temporary Sheds RATNA/PIDILITE INDUSTRIES VIZAG/JSA/65
66 Dewatering by sump pump RATNA/PIDILITE INDUSTRIES VIZAG/JSA/66
67 soil compaction test RATNA/PIDILITE INDUSTRIES VIZAG/JSA/67
68 Mobile tower Crane Erection. RATNA/PIDILITE INDUSTRIES VIZAG/JSA/68
69 Mobile tower Crane Operation and Maintenance. RATNA/PIDILITE INDUSTRIES VIZAG/JSA/69
70 Grinding Operation. RATNA/PIDILITE INDUSTRIES VIZAG/JSA/70
71 Drilling Holes on Column RATNA/PIDILITE INDUSTRIES VIZAG/JSA/71
72 Concrete breaking RATNA/PIDILITE INDUSTRIES VIZAG/JSA/72
73 Drilling Operation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/73
74 Structral Material Loading, Un-loading & Shifting RATNA/PIDILITE INDUSTRIES VIZAG/JSA/74
75 Confined Space RATNA/PIDILITE INDUSTRIES VIZAG/JSA/75
76 Weld Mesh Fixing RATNA/PIDILITE INDUSTRIES VIZAG/JSA/76
77 Sag Rod Fixing RATNA/PIDILITE INDUSTRIES VIZAG/JSA/77
78 wall cladding RATNA/PIDILITE INDUSTRIES VIZAG/JSA/78
79 Waterproofing works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/79
80 Porta cabin loading, unloading & Shifting by one or two Farana RATNA/PIDILITE INDUSTRIES VIZAG/JSA/80
81 Rebaring work RATNA/PIDILITE INDUSTRIES VIZAG/JSA/81
82 Excavation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/82
83 Hot Work RATNA/PIDILITE INDUSTRIES VIZAG/JSA/83
84 Reinforcement in foundation RATNA/PIDILITE INDUSTRIES VIZAG/JSA/84
85 Welding works RATNA/PIDILITE INDUSTRIES VIZAG/JSA/85
86 Exection & Use of Scaffolding RATNA/PIDILITE INDUSTRIES VIZAG/JSA/86
JSA (Job Safety Analysis) Sheet

Activity Name:- Surveying activity

Location:- RATNA /PIDILITE INDUSTRIES VIZAG 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.

1 Manpower Mobilization Untrained worker Personal injury 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.

Personnel Injury Ensure leveling of machine on plane surface.


2 Setup of instrument Fall of instrument Equipment damage Ensure no loose earth platform for set up of machine
Precaution to be taken while working on edge of the pit.

Ensure person standing on plane surface with sufficient visibility & light.

Slip /TripUnevan
3 Holding staff at points Personal injury Ensure use of PPE.Safety Shoes,helmet and reflective jacket
Surface
Ensure Full Body safety Harness while checking giving points on
columns/slabs & other such height work.
Ensure use of inspected and certified ladder.
Skin irritation due to
4 Making of footing Skin dermatitis Use of Safety hand gloves, safety shoes and helmet as PPE.
lime power

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Excavation

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
A.Only inducted worker shall be deputed at the work place.Pre medical certificate submitted to
admin Dept.
Manpower
1 Untrained worker Personal injury B.Induction process covers all identified hazards and precautions to be taken.
Mobilization
C.Tool Box talk on daily basis to be conducted by Supervisor on (Activities to be performed in day,
hazard and precau
Ensuring all the labour for use safety helmet,reflective jacket,safey shoes PPEs.
Checking the competency of the excavator operator.
Hard barricading around all the excavated pits.
Daily inspection of the equipment as per the defined checklist
Uneven surface
Underground utilities Comply to the requirement of excavation and height work permit
Vehicle topple
Overhead electrical Distinguishing the stoppage area for vehicle
Electrocution
cabel
2 Damage to property Provision of banks man for guiding the excavation activity
Loose soil
Minor/Major accident
Unauthorised Soft barrication of area being excavated.
Personel Injury
Operation Loose material along the edge shall be removed.
Unauthorised entry
Vertical cutting of the pit will be done by giving slops / caving of pits.

Instruction to drink water at regular intervals


Provision for water at each individual location of work.

Loose soil Evaluating the capacity of the excavator/dumper.


Uneven surface
Provision of bench man for guiding the process.
Uninspected Vehicle topple
Loading & unloading equipment Major /Minor injury to Competency of the driver operating dumper or excavator.
3 (Besides pit and into Hit person
dumper) Strike Minor /Major accident Ensure Hard barricading around all the excavated pits and stopper provided to dumper.
Unauthorised
Operation Ensuring the level ground for unloading dumper at dumping area.
Unauthorised Entry

Proper access should be provided for shifting debris.


During Vehicale Movement siganal man Should Be Provided
Signal Man SOP Should Be
Serious injury/Foot FollOWED While loading
Debris shifting by Hit Hazard
4 injury /property the material driver operator will not be Seating in vehicale
tractor /Dumper. Fall of material
damage, During Loading the Material Wheel Stoper Should Be Provided the Vechicale
All operator/drivers should be well trained.
Work should be done under continuous supervision.
Do not overload tractor while debridge shifting .

Loose soil
Uneven surface
Vehicle inspection to be carried out before starting the activity
Uninspected
Vehicle topple Competency of the driver operating dumper or excavator.
equipment
Major /Minor injury to Provision of bench man for guiding the process.
5 Movement of Dumper Hit
person Ensure Hard barricading around all the excavated pits and stopper provided to dumper.
Strike
Minor /Major accident Ensuring the level ground for unloading dumper at dumping area.
Unauthorised
Signal Man Must Be Provide
Operation
Unauthorised Entry
a. Identifying the route of the vehicle.
B.Checking the competency of the vehicle driver
Uninspected Vehicle c. Checking of authorization papers of driver & vehicle.
Loose soil Minor/major Accident D. Confirming fitness of the vehicle- viz. breaks, tale lamps, reverse horns.
Parking of Dumper E. Operating speed limit of 10K
6 Hit by Vehicle topple
for Unloading
Strike to Minor/major injury a.Cleaner available to guide during reverse operation
b.Dumper halting at 2mtr distance from the pit
c.Reverse horn avability
d. Daily checks of the vehicle to check the vehicle fitness of the vehicle.
a.Hard stopper or sand bags to be placed at edge during reverse operation.
Overcrowding In
B.Hard barricade to be available.
Movement area
Uneven Surface Minor/major Accident Identifying the route of the vehicle.
7 Material transports Overloading Vehicle topple Checking the competency of the vehicle driver
Unauthorised Minor/major injury Checking of authorization papers of driver & vehicle.
Operation
Uninspected Vehicle Confirming fitness of the vehicle- breaks, tale lamps, reverse horns.
The pit to be barricaded from all 4 sides after completion of activity.
Night work permit to be taken from concern engg.and safety dept.
Work during dark Personal injury, damage
8 Darkness Ensure proper illumination during dark hours.
hours to property
Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______

Name & Signature of Consultant :__________


Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Pit Cleaning

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker,lack Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
of skill awareness Given Tool Box Talk to all workers.
1.Only approved standard ladder to be used.
2.Placing ladder on the stiff firm base surface.
a.Fall Hazard Personnel Injury 3.Resting ladder against the stiff surface.
4.Top of the ladder to project at least 1 mtr outside the pit
5.While ascending and descending on the ladder always f

Use of required PPEs such as Helmet, Jacket, Safety shoes.


Pit cleaning Excavated material shall be kept min.2mtr.away from the Pit /
(a.Use of ladder to enter the pit Trench edge.
b.Collecting material and b.Collapse of sides Injury
Loose material along the edge shall be removed.
charging in the collection
Vertical cutting of the pit will be done by giving slops / caving of
vessel
2 pits.
c.Lifting and sending it to the
top of pit Work will be carried out under supervision.
d.Charging the material into Back stress and Heat a.Instructing for drinking water at regular intervals.
Health hazard
stack Stress b.Provide the drinking water at each individual location
e.Comming out of pit.)
Improper use of Use proper ppe as per work requirement.
Injury
handling tools. Use only inspected tools .
Ladder to be anchored using clamp and 1m above pit.
Loose material along the edge shall be removed.
Fall of person, Cut &
Improper use of Ladder On the top, angle of repose shall be maintained.
Injury
Supervision should be present at the time of loading &
unloading.
Night work permit to be taken from concern engg.and safety
Darkness, fall of dept.
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of Electrical cable should lead min 2 m height. No exposed
damage to property
machinery electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Revision:- R-1
Activity Name:- Pit Cleaning Ref- SPCL/MIIPL/Site/JSA/004

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker,lack Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
of skill awareness Given Tool Box Talk to all workers.

1.Only approved standard ladder to be used.


2.Placing ladder on the stiff firm base surface.
a.Fall Hazard Personnel Injury 3.Resting ladder against the stiff surface.
4.Top of the ladder to project at least 1 mtr outside the pit
5.While ascending and descending on the ladder always f

Use of required PPEs such as Helmet, Jacket, Safety shoes.


Pit cleaning
(a.Use of ladder to enter the pit Excavated material shall be kept min.2mtr.away from the Pit /
b.Collecting material and Trench edge.
b.Collapse of sides Injury Loose material along the edge shall be removed.
charging in the collection
vessel Vertical cutting of the pit will be done by giving slops / caving of
2
c.Lifting and sending it to the pits.
top of pit Work will be carried out under supervision.
d.Charging the material into
Back stress and Heat a.Instructing for drinking water at regular intervals.
stack Stress
Health hazard
b.Provide the drinking water at each individual location
e.Comming out of pit.)
Improper use of Use proper ppe as per work requirement.
Injury
handling tools. Use only inspected tools .
Ladder to be anchored using clamp and 1m above pit.
Loose material along the edge shall be removed.
Fall of person, Cut &
Improper use of Ladder On the top, angle of repose shall be maintained.
Injury
Supervision should be present at the time of loading &
unloading.
Night work permit to be taken from concern engg.and safety
Darkness, fall of dept.
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of Electrical cable should lead min 2 m height. No exposed
damage to property
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

Activity Name:-Soling in foundations

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Work permit to be issued
1 Manpower Mobilization Untrained worker Personal injury
Tool Box Talk to be conduted and hazards associated with activity to be
briefed to all workers involved in the activity

Ensuring the level ground for unloading dumper at dumping area.


Uneven surface Provision of bench man for guiding the process and stopper for vehicle.
overcrowding in
movement area Vehicle topple Dust prevention measures to be taken
Dust Hit by vehicle
Noise Nausia
2 Loading & unloading Material stacking not less than 1.5 mtrs from the edge of the pit .
Fall Of Material Headeche
sharp Edges Injury to person Vehicles to be driven by Authorised licence holder .
Fine particles Trap Activity to be carried out in supervision.
Unauthorised PPEs to provided
Operation
Ensuring safe working height for stacking of the material.(1.5 mtrs)

Uneven surface Identifying the route of the vehicle.


Overcrowding in
Vehicle topple Checking the competency of the vehicle driver
movement area
loss of property Checking of authorization papers of driver & vehicle.
3 Material transports Trap
Major acccident
Hit
Electrocution
overhead electrical Confirming fitness of the vehicle- breaks, tale lamps, reverse horns.
lines
Fall of person Ensure inducted labour at site
Fine Particles
4 Soling inside the pit Eye Injury
Uneven Surface Ensure material stacked not less that 1.5 mtr from edge of the pit.
irritation to skin

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- PCC in Excavated pits

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker,lack of
1 Personal injury Tool Box talk on Activities Brief the hazards associated with the activities, Precautions to be
Mobilization skill awareness
taken.
Injury due to person a. Unloading at the distance of 2 mtrs from the pit.
Uneven surface getting striked by b. Pit to be barricaded
overcrowding in movement dumper
a. Cleaner for guidance during the reverse operation
area b. Hard Barrication
Unloading of the
Dust c. Reverse Horn provision
2 stones at the pit
Noise a.Fall hazard
edge sharp Edges b.Injury due to sharp a. Provision of hard barricade.
Fine particles edges of the stones. b. Dumper to stop at distance of 2mtrs from the pit
Unauthorised Operation
c. Use of the metal/wooden stoppers
d. Provision of sand barricade or hard barricade.
Dust
a. Charge only from outside barricade.
Charging the stones Noise
3 b. Presence of hard barricade.
in the pit sharp Edges
c. Use of PPE(Helmet,Gloves, reflective jacket,Safety Shoes.)
Fine particles
Levelling of the Dust a. No person to be present in pit during charging operation
4
stones in the pit sharp edges b. Use of PPE(Helmet,Gloves, reflective jacket,Safety Shoes.)

Dust
Insect a. Only approved ladder to be used.
Eye Injury
Land Slide b. Ladder to be rested against the firm base
Dermatitis
Work inside Fall Of Material c. Ladder to be rested against the firm edge.
Trapp
5 excavated pit and Material Stacking at edges d. Person to ascend and descend facing towards ladder and firmly having the grip of the ladder.
access & egress vehicle Movement near e. Use of the height work permit
Excavation

a. Remove soil, boulder from the edge of excavated pit.


b. Excavated material to be placed at 1mtr distance from the pit
Damage to vehicle Proper route shall be identified and maintained.
Uneven surface Vehicle should stop min 2 m from excavated pit edge.
Overcrowding in movement
Define route for entry and exit from work place.
6 Vehicle movement area Personal injury,
Hard Barricade
ovehead electrical lines Property damage
Hit by vehicle Using sand bags or hard stopper for stopping of the vehicle.
Vehicle should be directed by trained person.
Work should carried out under close supervision.

Use of full body harness with shock absorber hooked with hard barricade if lever operation for
concrete pouring is to be carried out by standing at edge of pit inside barricade.

Land Slide Ensure that the workers maintain safe distance while pouring of concreting and is secured
fine particles Personal injury properly.
pouring Concret by Vehicle topple damage to property Ensure use of relevant PPE's before start of the work.
8
transit mixer Fall of material Eye injury Direct concreting shall be done using a chute, in case it is not possible,concreate to poured in
Chemical contact Dermatitis tray and same shall be carried by workers.
No person to be available in pit during Pouring.
In case of person stand inside the hard barrication then he should wear full body safety harness
and anchored to ledger.
Use of wooden or metal stoppers at the rear wheels.
Area to be concreted shall be barricaded against unauthorized entry.
Fine particles Eye Injury
a. Vibrator needle to be operated by standing inside the pit or standing outside the pit.
Use of the needle Chemical Contact Dermatitis
b. Use of ELCB, blower to be inspected for electrical connections.
9 vibrator to level the Wrong posture Bone dislocation
c. Use of PPE (Safety Shoes/Gum boot ,helmet, Reflective jacket, safety shoes/and safety
concrete in the pit Electrocution Major Accident
goggles)

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Shuttering in Foundation

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker,lack Work Permit to be obtained
1 Minor/Major injury
Mobilization of skill awareness Tool Box Talk to be conducted and hazard associated with the activity to be briefed to all
workers.

Land Slide
Housekeeping to done before starting the activity
Movement of Uneven Surface
Fall of person Access to be provided
2 shuttering frame near Overcrowding in
Fall of material Trained people to be used for unloading the shuttering material.
pit movement area
PPE Safety shoes,helmet, reflective jacket and hand gloves.
(Worker/material)
loose soil Minor / Major injury
Material stacking at Fall of person
Entering inside the Only approved ladder to be used,Person to ascend and descend facing towards ladder and
3 edge of pit fall of material
pit firmly having the grip of the ladder.
Vehicle movement Trap
near pit
Oil Spliiage
a. Skin irritation
Application of Skin Contact
b. splash in the eyes
4 shuttering oil to the Protruding Nails 1.Use of the PPE like Hand gloves and safety goggles.
c. hand injury
shuttering frame. Sharp Edges

Uneven Surface Carpenters instructed to carrying out shutter bolting activity with using 3 persons to hold
Shutter bolting of Overweight Fall of the frame the shutter frame in vertical position.
5 Loose supporting
shuttering frame Personnel Injury Supporting material to be kept tied .

A. Proper housekeeping/stacking of material in an isolated area.


B.Scaffolds / staging to be made as per the scheme.
slip Fall of person C.Work shall be carried out by competent person under proper supervision of foremen /
Shifting the Loose soil Fall Of material incharge.
6 shuttering frame in Land Slide Minor/major injury
the pit sharp edges Injury/property
protruding nails damage Use of Basic PPE
Before erection of steel frame staging is started, a through inspection should be
undertaken on it.
Loose nail should be removed from site .
a. Standard inspected hand tools to be used.
B.Hand tool inspection and tagging for use.
C.Inspecting the tool be supervisor of contract agency before use.

A.Verticales,ledgers should be inspected for defects such as cracks / excessive knots.


B.Before the reinforcement shuttering works are started for beam, working
platform/walkway are to be provided .
Bare Electrical Cable Shock C.Before starting the reinforcement work on the concrete.
Joints. Nousia
Protruding Nail Headeach a. Use of full body harness with proper Anchoring arrangement.
Fitting of the
7 Sharp Edges Infection A. Machine should be inspected before starting the work by safety dept and provide valid
shuttering frames.
Dust Eye Injury tag.
Noise Cut Injury B.Electric supply cable should be having industrial/waterproof pin top
Loose Tools Fall Of Material C.Connections to be taken from field distribution panels having 30mA ELCB.
D.Proper housekeeping.
E.PPE's

A. Only approved standard ladder to be used.


B.Placing ladder on the stiff firm base surface.
C.Resting ladder against the stiff surface.
D.Top of the ladder to project at least 1 mtr outside the pit
E.While ascending and descending on the ladder always

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________

Name & Signature of Pidilite HSE Engineer : ______


JSA (Job Safety Analysis) Sheet

Activity Name:- Footing Deshuttering Activity

Location:-RATNA /PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures

a. Only inducted worker shall be deputed at the work place.


c.Induction process covers all identified hazards and precautions to
1 Manpower Mobilization Untrained worker Minor / major injury be taken.
d.Tool Box talk on daily basis to be conducted by Supervisor on
(Activities to be performed in day, hazard and preca

Use of standard certified ladder


Ladder to be rested against the stable base
loose soil Ladder to rest against the stable back surface
Material stacking at Fall Of person Ladder to be projected 1 mtr above the ground
2 Entering Inside the Pit edge of pit fall of material
To have process of facing the ladder while entering and coming out
Vehical movement Trap
of the pit.
near pit
Comply to the requirement of excavation and height work permit

Unauthorised Entry
Unauthorised
Removing of the side operation Use of PPE (Safety Shoes, Reflective jacket, Safety Helmet and
3 Fall Of Person
barricade for backfilling Uneven Surface hand gloves.).
Uninspected
Equipment
Use of PPE (Safety Shoes, Reflective jacket, Safety Helmet and
Loose support Fall Of Material hand gloves.).
Removal of the support
4 Overweight Fall of Person Store the removed clamp,siupports in segregated area.
used for shuttering
Wrong posture Trap Proper house keeping. Material to be collected and placed in
segregated location outside the pit.

Only prefold sheets with support to be used.


Land Slide
Removal of shuttering Cut injury Use of PPE.
5 Sharp Edges
wooden frame trap in The material is lowered by rope. Throwing of material is strictly
prohibited.
Support multi person activity.
Uneven Surface Fall Of Person Fall on person resulting into the injury
6 Placing on edge Material Stacking at Loose soil
Placing in the designated locations.
edge

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Reinforcement in Foundation

Location:- RATNA /PIDILITE INDUSTRIES VIZAG 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.
Manpower
1 Untrained worker Minor/major Injury Tool Box talk on Activities to be carried out in day, hazards associated with the
Mobilization
activities, Precautions to be taken.
Non-tested tools
Overloadl Fall Of material a. Unloading at distance of 1 mtr from the pit.
Unauthorised Vehicle Topple b. Designated location for the storage of the reinforcement rods.
Unloading
Operation Trap c. Use of safety shoes,gloves,helmet and reflection jacket.
2 Reinforcement
Unauthorised Entry Equipment Failure d. Vehicle to be driven by authorised Operator .
near pit Uneven Surface Struck to Material e.Activity area to be barricaded
Overhead electrical electrocution f.Activity to be carried out in cometent supervision
lines

a.Only approved standard ladder to be used.


Fall of person
loose soil b.Placing ladder on the stiff firm base surface.
Entering inside the Land Slide
3 Material stacking at c.Resting ladder against the stiff surface.
pit Ladder without
edge of pit d.Top of the ladder to project at least 1 mtr outside the pit
Inspection
e.To have process of facing the ladder while entering and coming out of the pit.

Uneven surface
Fall Of material Identifying the route of the vehicle.
Overcrowding in
Vehicle Topple Checking the competency of the vehicle driver
Shifting movement area
Trap Checking of authorization papers of driver & vehicle.
4 reinforcement in Trap
Equipment Failure Confirming fitness of the vehicle-breaks, tale lamps, reverse horns.
the pit Hit
Struck to Material Signal Man To be provided
overhead electrical
Electrocution Distace to be maintain for overhead electrical lines
lines
a. Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and
Sharp Edges Cut Injury
Erecting the shoulder pad.
Overweight Fall Of Material
5 reinforcement in b. Work shall be carried out by competent person under proper supervision of foremen
Unapproved Fall of Scaffolding
the pit / incharge.
scaffolding Fall of person
c. Use of certified scaffolds for tying reinforcement at the site

Night work permit to be taken from concern engg.and safety dept.


Work during dark Personal injury, damage
6 Darkness Ensure proper illumination during dark hours.
hours to property
Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Shuttering in Pedestal

Location:-RATNA /-PIDILITE INDUSTRIES VIZAG 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
Manpower
1 worker,lack of skill Personal injury Pre medical test certificate submitted to admin Dept.
Mobilization awareness
Tool Box talk on Activities to be carried out in day, hazards
associated with the activities, Precautions to be taken.
Uneven surface
Overcrowding in Fall Of material
Movement of movement area Vehicle Topple
a. Trained people to be used for unloading the frame.
2 shuttering frame near Trap Trap
b. PPE Safety shoes,helmet, reflective jacket and gloves.
pit Hit Equipment Failure
overhead electrical Struck to Material
lines
Fall of person
loose soil
Land Slide Only inspected ladder to be used,Person to ascend and descend
3 Entering inside the pit Material stacking at
Ladder without facing towards ladder and firmly having the grip of the ladder.
edge of pit
Inspection

a. Skin irritation
Application of Splash Of oil
b. splash in the eyes
4 shuttering oil to the oil Spillage Use of the PPE like Hand gloves and safety goggles.
c. Soil Pollution
shuttering frame. Skin Contact
d. eye injury

Use of PPE
Before erection of steel frame staging is started, a through
inspection should be undertaken on it.
Proper housekeeping/stacking of material in an isolated area.

Scaffolds staging to be made as per the scheme.


Work shall be carried out by competent person under
Sharp Edges supervision of foremen / incharge.
Protruding Nails Cut injury Loose nail should be removed from site .
Uneven Suface Fall of person
Scaffolding should be inspected for defects such as cracks
5 Shuttering overweight Trap in
/excessive knots.
land slide Fall of Material
material stacking at Land slide Before the reinforcement shuttering works are started for beam,
edge working platform/walkway are to be provided .
Before starting the reinforcement work on the concrete column
the existing scaffolding must be extended to more than the
required height, so that it provides a means to anchor safety
belts used by the workmen.

Staging to be done for height more than 2 mtrs, same shall be


got approved by SPCL safety officer.
Name & Signature of Site Engineer :___________
Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concreting in Foundation

Location:-RATNA/-PIDILITE INDUSTRIES VIZAG 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.
Manpower Pre medical certificate submitted to admin Dept.
1 Untrained worker Personal injury
Mobilization Tool Box Talk to be conducted and hazards associated with the
activity to be briefed to all workers.

Work Permit to be obtain


Work inside loose soil Fall of person Inspected ladder shall be use for access.
2 excavated pit and Material stacking at Fall Of material
access, egress edge of pit personal injury.
Remove soil, boulder from the edge of excavated pit.

Uneven surface Proper route shall be identified.


Fall Of material
Overcrowding in Vehicle should stop min 2 m from excavated pit edge.
Vehicle Topple
movement area
Trap Define route for entry and exit from work place.
3 Vehicle movement Trap
Equipment Failure
Hit
Struck to Material Vehicle should be directed by trained person.
overhead electrical
Electrocution Distance to be maintain for overhead electrical lines
lines

Work should carried out under close supervision.


Ensuring worker for maintaining safe distance while pouring of
Land Slide
Personal injury concreting inside the pit.
fine particles
Concreting pouring by damage to property Safe access should be provided for foundation pits.
4 Vehicle topple
transit mixer Fall of material
Eye injury
Dermatitis Inspection of safety PPEs before start of the works by Site
Chemical contact Engineer and Supervisor.
Workers inside the pit shall be trained for receiving concrete.

Night work permit to be taken from concern engg.and safety


dept.
Personal injury,
5 Work during dark hours Darkness Ensure proper illumination during dark hours.
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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Pedestal Reinforcement

Location: RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower
1 Untrained worker Personal injury Tool Box talk on Activities to be carried out in day, hazards associated with
Mobilization
the activities, Precautions to be taken.
Non-tested tools
Overload a. Unloading at distance of 1 mtr from the pit.
Fall Of material
Cowercrowding of b. Designated location for the storage of the reinforcement rods.
Unloading Vehicle Topple
material c. Use of safety shoes,gloves,helmet and reflection jacket.
2 Reinforcement near Trap
Unauthorised d. Vehicle to be driven by authorised Operator .
pit Equipment Failure
Operation e.Activity area to be barricaded
Struck to Material
Unauthorised Entry f.Activity to be carried out in cometent supervision
Uneven Surface

1.Only approved inspected ladder to be used.


Fall of person
loose soil 2.Placing ladder on the stiff firm base surface.
Entering inside the Land Slide
3 Material stacking at 3.Resting ladder against the stiff surface.
pit edge of pit
Ladder without
4.Top of the ladder to project atleast 1 mtr outside the pit
Inspection
5.While ascending and descending on the ladder always fa

Uneven surface
Fall Of material Identifying the route of the vehicle.
Overcrowding in
Vehicle Topple Checking the competency of the vehicle driver
Shifting movement area
Trap Checking of authorization papers of driver & vehicle.
4 reinforcement in Trap
Equipment Failure Confirming fitness of the vehicle- viz. breaks, tale lamps, reverse horns.
the pit Hit
Struck to Material Signal Man To be provided
overhead electrical
Electrocution Distace to be maintain for overhead electrical lines
lines

Inspected FBSH having double lanyard, shock absorber should be provided.


Unapproved scaffold
Fall Of Scaffolding
5 Working at height Uneven Surface Scaffold shall be erected on even surface by providing base plate, side
Fall of person
Uninspected FBSH support, and ledger at every at 500mm with side supports wherever height
increases beyond 2 mtrs .

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.
Sharp Edges Cut Injury
Ensure access should be clear for unwanted and slippery materials.
Overweight Fall Of Material
6 Reinforcement Ensure long steel should be shifted by sufficient no. of workmen
Unapproved Fall of Scaffolding
scaffolding Fall of person 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.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Bolts & template fixing & grouting


Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.

1 Manpower Mobilization Untrained worker Personal injury Given Tool Box Talk to all workers.Brief the hazards
associated with the activity
work permit to be obtained
Evaluating the capacity of the dumper
Uneven Surface Provision of banks man for guiding the process and stopper
Fall Of person
Overcrowding Of for vehicle.
2 Material shifting Strike to
Material in Movement Ensuring the level ground for unloading
hit by
area Material stacking not less than 1.5 mtrs from the edge of
the pit .
Ensure template fixed with binding arrangement with
pedestal.
Sharp Edge Cut injury Ensure sufficient manpower for carriage & fixing of bolts &
Fixing of bolts &
3 Wrong posture Personel Injury template at place
template
Loose tools Slip Of tools Ensure use of rubber gloves for fixing template
Ensure use of inspected tools & tackles and tied by person

Check for MSDS before use of grouting material


Grouting of bolts & Chemicle contact Dematitis
4 Only trained labour shall be deployed
pockets Sharp Edges cut injury
Ensure use of rubber hand gloves before starting of activity

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Grouting of bolts & pockets Fixing.


Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Tool Box talk on Activities to be carried out in day, hazards
associated with the activities, Precautions to be taken.

Evaluating the capacity of the dumper


Uneven Surface Provision of banks man for guiding the process and stopper
Fall Of person
Overcrowding Of for vehicle.
2 Material shifting Strike to
Material in Movement Ensuring the level ground for unloading
hit by
area Material stacking not less than 1.5 mtrs from the edge of the
pit .

Sharp Edge Cut injury Check for MSDS before use of grouting material
Grouting of bolts &
3 Wrong posture Personel Injury
pockets Only trained labour shall be deployed
Loose tools Slip Of tools
Ensure use of rubber hand gloves before start of activity
Night work permit to be taken from concern engg.and safety
dept.
Personal injury, damage Ensure proper illumination during dark hours.
4 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Pedestal Concrete

Location :RATNA/PIDILITE INDUSTRIES VIZAG 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,lack
1 Manpower Mobilization Personal injury Tool Box Talk to be conducted and hazards associated with the activity
of skill awareness
to be briefed to all workers.

Fall of person Inspected ladder shall be use for access.


loose soil
Work inside excavated pit Land Slide
2 Material stacking at
and access egress Ladder without
edge of pit Remove soil, boulder from the edge of excavated pit.
Inspection

Non Tested Equipment Proper route shall be identified.


Uneven surface Fall Of material
Overcrowding in Vehicle Topple Vehicle should stop min 2 m from excavated pit edge.
movement area Trap
3 Vehicle movement Define route for entry and exit from work place.
Trap Equipment Failure
Hit Struck to Material
overhead electrical Electrocution Vehicle should be directed by trained person.
lines
Fall Of Chute Provision of chute resting on ledger with proper tieing arrangement.
Insufficiant support
4 Providing Chute eye injury Check all excavated pit covered with hard barrication.Display signage
Splash Of concrete
board near work place.
Ensure height work permit to be taken from concern engg.and safety
dept.
Uninspected FBSH Inspected FBSH having double lanyard, shock absorber should be
Fall of person
Working at height Unapproved scaffold provided.
Fall of scaffold
5 Unauthorised Entry Scaffold shall be erected on even surface by providing base plate, side
support, and ledger at every at 500mm with side supports wherever
height increases beyond 2 mtrs .
Work should carried out under close supervision.
Ensuring worker for maintaining safe distance while pouring of
Land Slide concreting inside the pit.
Personal injury
fine particles
Concreting pouring by damage to property Inspection of safety PPEs before start of the works by Site Engineer and
6 Vehicle topple
transit mixer Eye injury Supervisor.
Fall of material
Dermatitis Workers inside the pit shall be trained for receiving concrete.
Chemical contact
Staging around pedestals to be done (for height more than 2mters) &
walking platform to be placed on top.
Labours shall be provided with FBSH for height more than 2 mtrs.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Personal injury, damage
7 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Shuttering for Plinth Beams

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower
1 Untrained worker Personal injury Tool Box talk on Activities to be carried out in day, hazards associated with the
Mobilization
activities, Precautions to be taken.
Fall of person
Uneven Surface, Trap
Movement of shuttering a. Trained people to be used for unloading the frame.
2 Overweight, Fall Of Material
frame near pit b. PPE Safety shoes,helmet, reflective jacket and gloves.
wrong Posture Hit by
Struck
Fall of person
loose soil,
Land Slide Only approved ladder to be used,Person to ascend and descend facing towards
3 Entering inside the pit Material stacking at
Ladder without ladder and firmly having the grip of the ladder.
edge of pit
Inspection

a. Skin irritation
Application of Splash Of oil,
b. splash in the eyes
4 shuttering oil to the oil Spillage, Use of the PPE like Hand gloves and safety goggles.
c. Soil Pollution
shuttering frame. Skin Contact
d. eye injury

a. Proper housekeeping/stacking of material in an isolated area.


b. Scaffolds / staging to be made as per the scheme.
Cut injury c. Work shall be carried out by competent person under proper supervision of
sharp edges, Fall of person foremen / incharge.
Shifting the shuttering
5 protruding nails, Trap in
frame in the pit
Loose soil Fall of Material
Use of Basic PPE
Land slide
Before erection of steel frame staging is started, a through inspection should
be undertaken on it.
Use of Basic PPE
Before erection of steel frame staging is started, a through inspection should
be undertaken on it.
Sharp Edges
Proper housekeeping/stacking of material in an isolated area.
Protruding Nails Cut injury
Work shall be carried out by competent person under proper supervision of
Uneven Suface Fall of person
foremen / incharge.
2 Shuttering overweight Trap in
land slide Fall of Material Sides of beams are supported with use of primary / secondary & same shall be
material stacking at Land slide supported with the help of vertical cup lock of 0.5 m.
edge Loose nail should be removed from site .

Timber jacks, joists, stringers and ledgers should be inspected for defects such
as cracks / excessive knots.
Night work permit to be taken from concern engg.and safety dept.
Ensure proper illumination during dark hours.
Personal injury,
3 Work during dark hours Darkness
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 :___________ Name & Signature of safety Engineer : ______

Name & Signature of Consultant :__________ Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Reinforcement in Plinth Beams

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury Tool Box talk on Activities to be carried out in day, hazards associated
Mobilization awareness with the activities, Precautions to be taken.
Non-tested tools
Overload
Fall Of material
Cowercrowding of
Unloading Vehicle Topple a. Unloading at distance of 1 mtr from the pit.
material
2 Reinforcement Trap b. Designated location for the storage of the reinforcement rods.
Unauthorised
near pit Equipment Failure c. Use of safety shoes,gloves,helmet and reflection jacket.
Operation
Struck to Material
Unauthorised Entry
Uneven Surface
a. Only inspected ladder to be used.
Fall of person
loose soil b. Placing ladder on the stiff firm base surface.
Entering inside the Land Slide
3 Material stacking at c. Resting ladder against the stiff surface.
pit Ladder without
edge of pit d. Top of the ladder to project atleast 1 mtr outside the pit
Inspection
e. While ascending and descending on the ladder alwa
Uneven surface
Fall Of material
Overcrowding in
Vehicle Topple
Shifting movement area a. PPE Usage
Trap
4 reinforcement in Trap b. Trained people.
Equipment Failure
the pit Hit
Struck to Material
overhead electrical
Electrocution
lines
A.Use of PPE such as safety shoes, helmet PVC hand gloves, safety
Sharp Edges Cut Injury goggle and shoulder pad.
Erecting the
Overweight Fall Of Material B.Work shall be carried out by competent person under proper
5 reinforcement in
Unapproved Fall of Scaffolding supervision of foremen / incharge.
the pit scaffolding Fall of person C.Use of certified scaffolds for tying reinforcement at the site.

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.
Sharp Edges Cut Injury
Overweight Fall Of Material Ensure access should be clear for unwanted and slippery materials.
6 Reinforcement
Unapproved Fall of Scaffolding
Ensure long steel should be shifted by sufficient no. of workmen
scaffolding Fall of person
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.
Night work permit to be taken from concern engg.and safety dept.
Work during dark Personal injury,
7 Darkness Ensure proper illumination during dark hours.
hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concreting -PCC in plinth

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker,lack
1 Personal injury Tool Box talk on Activities to be carried out in day, hazards
Mobilization of skill awareness
associated with the activities, Precautions to be taken.
Non Tested Equipment Proper route shall be identified.
Uneven surface Fall Of material
Overcrowding in Vehicle Topple
Vehicle should stop min 2 m from excavated pit edge.
movement area Trap
2 Vehicle movement Trap Equipment Failure
Define route for entry and exit from work place.
Hit Struck to Material
overhead electrical Electrocution
lines
Vehicle should be directed by trained person.

Work should carried out under close supervision.

Land Slide Ensuring worker for maintaining safe distance while pouring of
Personal injury
fine particles concreting.
Concreting pouring by damage to property
5 Vehicle topple Inspection of safety PPEs before start of the works by Site Engineer
transit mixer Eye injury
Fall of material and Supervisor.
Dermatitis
Chemical contact Direct concreting to be done , if not possible then concrete to
poured in tray and same shall be carried out by labour on manual
basis.

Night work permit to be taken from concern engg.and safety dept.


Personal injury,
6 Work during dark hours Darkness Ensure proper illumination during dark hours.
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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Reinforcement for columns

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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,lack of skill
1 Manpower Mobilization Personal injury Tool Box Talk to be conducted and Hazards associated with the activity to be briefed toall
awareness
workers.
Fall Of material
Uneven surface
Vehicle Topple
Overcrowding in movement area a. Unloading at distance of 1 mtr from the pit.
Trap
2 Unloading Reinforcement near pit Trap b. Designated location for the storage of the reinforcement rods.
Equipment Failure
Hit C. Use of safety shoes,gloves,helmet and reflection jacket.
Struck to Material
overhead electrical lines
Electrocution
a. Only approved standard ladder to be used.
Fall of person
b. Placing ladder on the stiff firm base surface.
loose soil Land Slide
3 Entering inside the pit c. Resting ladder against the stiff surface.
Material stacking at edge of pit Ladder without
d. Top of the ladder to project atleast 1 mtr outside the pit
Inspection
e. While ascending and descending on the ladder alwa
Fall Of material
Uneven surface
Vehicle Topple
Overcrowding in movement area a. PPE Usage
Trap
4 Shifting reinforcement in the pit Trap b. Trained people.
Equipment Failure
Hit
Struck to Material
overhead electrical lines
Electrocution
A.Use of PPE such as safety shoes, helmet PVC hand gloves, safety goggle and shoulder pad.
Cut Injury
Sharp Edges B.Work shall be carried out by competent person under proper supervision of foremen /
Erecting the reinforcement in the Fall Of Material
5 Overweight incharge.
pit Fall of Scaffolding
Unapproved scaffolding C.Use of certified scaffolds for tying reinforcement at the site.
Fall of person
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.
Cut Injury Provide proper platform on Scaffolds.
Sharp Edges
Fall Of Material Ensure access should be clear for unwanted and slippery materials.
6 Reinforcement Overweight
Fall of Scaffolding Ensure long steel should be shifted by sufficient no. of workmen
Unapproved scaffolding
Fall of person 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.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Plinth Shuttering

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower
1 Untrained worker Personal injury Tool Box Talk to be conducted and Hazards associated with the
Mobilization
activity to be briefed toall workers.
Uneven surface
Fall Of material
Overcrowding in
Vehicle Topple
movement area
Movement of shuttering Trap a. Trained people to be used for unloading the frame.
2 Trap
frame near pit Equipment Failure b. PPE Safety shoes,helmet, reflective jacket and gloves.
Hit
Struck to Material
overhead electrical
Electrocution
lines
Fall of person
loose soil
Land Slide Only approved ladder to be used,Person to accend and descend
3 Entering inside the pit Material stacking at
Ladder without facing towards ladder and firmly having the grip of the ladder.
edge of pit
Inspection
a. Skin irritation
Application of Oil Spliiage
b. splash in the eyes
4 shuttering oil to the Skin Contact Use of the PPE like Hand gloves and safety goggles.
c. hand injury
shuttering frame.

a. Proper housekeeping/stacking of material in an isolated area.


b. Scaffolds / staging to be made as per the scheme.
slip Fall of person c. Work shall be carried out by competent person under proper
Loose soil Fall Of material supervision of foremen / incharge.
Shifting the shuttering
5 Land Slide Minor/major injury d. Ensure - General and height work pe
frame in the pit
sharp edges Injury/property
protruding nails damage Use of Basic PPE
Before erection of steel frame staging is started, a through
inspection should be undertaken on it.
Use of Basic PPE
Before erection of steel frame staging is started, a through
Sharp Edges inspection should be undertaken on it.
Protruding Nails Cut injury Proper housekeeping/stacking of material in an isolated area.
Uneven Suface Fall of person
6 Shuttering overweight Trap in Work shall be carried out by competent person under proper
land slide Fall of Material supervision of foremen / incharge.
material stacking at Land slide Loose nail should be removed from site & nails which have
edge came out of ply shall also be bent or removed.
Timber jacks, joists, stringers and ledgers should be inspected
for defects such as cracks / excessive knots.
Night work permit to be taken from concern engg.and safety
dept.
Personal injury, Ensure proper illumination during dark hours.
7 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed
damage to property
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Plinth Concreting

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Tool Box Talk to be conducted and Hazards associated with
the activity to be briefed toall workers.
Proper route shall be identified.
Uneven surface
Fall Of material
Overcrowding in Vehicle should stop min 2 m from excavated pit edge.
Vehicle Topple
movement area
Trap
2 Vehicle movement Trap Define route for entry and exit from work place.
Equipment Failure
Hit
Struck to Material
overhead electrical Vehicle should be directed by trained person.
Electrocution
lines

Work should carried out under close supervision.


Ensure that the workers maintain safe distance while pouring
Land Slide of concreting and is secured properly.
Personal injury
fine particles Ensure use of relevant PPE's before start of the work.
Concreting pouring by damage to property
3 Vehicle topple
Direct concreating shall be done using a chute,in case it is
transit mixer Eye injury
Fall of material
Dermatitis not possible,concreate to poured in tray ans same shall be
Chemical contact
carried by workers.
Area to be concreated shall be barricaded against
unauthorised entry.
Night work permit to be taken from concern engg.and safety
dept.
Personal injury,
4 Work during dark hours Darkness Ensure proper illumination during dark hours.
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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Deshuttering of Plinth

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury
Mobilization awareness
Tool Box Talk to be conducted and Hazards associated with the
activity to be briefed toall workers.
Area barricade to restrict entry.

Ensure (FBSH)full body safety harness anchor by each workmen.


Unapproved design Fall Of person
2 Stagging Uneven surface Fall of stagging Cuplock verticals are checked against bending & breakages
Ledgers shall be placed at every 500mm & same shall be covered
with the cups.
Maintain good house keeping at work site.

Area barricade to restrict entry.


Engaged trained & experienced psreson on the job.
Sharp edges Cut injury Maintain good house keeping at work site.
Protruding nails Fall of person
3 Deshuttering Conduct tool box talk before starting the work.
Wrong Posture fall of material
Unauthorised Entry Trap in Ensure all hand tools are inspected.
Ensure recommended PPE should be worn the worker such as
safety shoes,helmet, hand gloves goggles & dust mask.

Night work permit to be taken from concern engg.and safety dept.

Work during dark Personal injury, Ensure proper illumination during dark hours.
4 Darkness
hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Column Shuttering

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury Tool Box Talk to be conducted and Hazards associated with the
Mobilization awareness activity to be briefed toall workers.
Area barricade to restrict entry.
Ensure (FBSH)full body safety harness anchor by each
workmen.
Unapproved design Fall Of person
2 Staging Uneven surface Fall of stagging Cuplock verticals are checked against bending & breakages
Ledgers shall be placed at every 500mm & same shall be
covered with the cups.
Maintain good house keeping at work site.
Use of Basic PPE
Before erection of steel frame staging is started, a through
inspection should be undertaken on it.
Proper housekeeping/stacking of material in an isolated area.

Work shall be carried out by competent person under proper


Uneven Surface supervision of foremen / incharge.
Cut injury
Sharp edges Struts and diagonal brace must be in proper position and
Fall of person
3 Shuttering Protruding nails secured for frames to develop full load carrying capacity.
fall of material
Wrong Posture Lifting of shutter boards & placing in position shall be done by
Trap in
Unauthorised Entry sufficient nos of workers to avoid fall of material.
Labours standing on scaffolds hall be given FBSH.
Scaffolds shall be supported to avoid overturning.
Loose nail should be removed from site & nails which have
came out of ply shall also be bent or removed.
Timber jacks, joists, stringers and ledgers should be inspected
for defects such as cracks / excessive knots.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Expansion joints in columns


Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury Tool Box Talk to be conductedand brief the hazards associated
with the activity to all workers.
Uneven Surface Work permit to be obtained
Overcrowding of Evaluating the capacity of the dumper
Fall of person
material Provision of bench man for guiding the process and stopper
fall of material
overload for vehicle.
2 Material shifiting injury to person
Overhead electrical Ensuring the level ground for unloading
vehicle topple
lines
electrocution
hit
Strike Distace to be maintain from overhead electrical cables

Unapproved
Fall of person use Inspected scaffold.
scaffolding
Casting of expansion Fall of Stagging
3 loose Supports Use of FBSH
joint material Injury to person
Ensure working platform
Night work permit to be taken from concern engg.and safety
dept.
Personal injury, damage Ensure proper illumination during dark hours.
4 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Column concreting

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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,lack Minor/major injury
1 Manpower Mobilization of skill awareness injury Tool Box Talk to be conducted and hazards assiciated with the
activity to briefed to all workers.
Non Tested Equipment
Proper route shall be identified.
Uneven surface Fall Of material
Overcrowding in Vehicle Topple Inspected vehical/equipment to be used
movement area Trap Define route for entry and exit from work place.
2 Vehicle movement Trap Equipment Failure
Hit Struck to Material Bench man to be provided to guide the vehicle
overhead electrical Electrocution Work permit to be obtained
lines
Inspected FBSH having double lanyard, shock absorber should be
provided.
Fall of Person
Unapproved scaffold Life line, hard barication and safety net should be provided on
fall of
3 Working at height Unprotected platform
material/equipment edge.
fall of stagging Scaffold shall be erected on even surface by providing base plate,
side support, and ledger at every at 500mm with side supports
wherever height increases beyond 2 mtrs .
Uneven surface Vehicle topple
noise Deafness If concreting is proposed by pumping then all the pipes are
Splashing of concrete eye injury checked at the bends & joints against rigidity.
Concreting - By concrete Chemical Contact dermatitis
4
pump/Boom Placer overcrowding at hit by
working area Fall of Concrete piepes are tied at the scaffolding to avoid fall during
overhead electrical material/structure strokes.
lines/structure Electrocution At the time of Ball Passing Activity all the labours are removed
from the area & end of the pipe is provided with ball case or
Concrete pipe cleaning Compressed air Eye injury catcher to catch the ball.
5 Concrete pipes shall not be facing against confined space to avoid
activity Splash of concrete Hit
rebound during ball pass (pump cleaning activity) & end pipe must
be in straight.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concrete placing by using mobile crane


through concrete bucket
Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury
Mobilization awareness
Tool Box Talk to be conducted and hazards associated with
the activity to be briefed to all workers.
Regular inspection of lifting tools & tackles before starting the
activity, to ensure that the same are not damaged due to
Uninspected improper use.
Equipment/tools Area below and surrounding the activity to be cordened off
unapproved with Caution tapes.
failure of Equipment
scaffolding Daily Tool Box Talk meeting to be conducted
Equipment topple
Overhead electrical
concrete by using fall of material Ensure latch in place before lifting of bucket
2 lines/structure
bucket damage to property
Unauthorised Entry
major Accident Ensure proper access & working platform while unloading the
Unauthorised
Personel Injury concrete in place using bucket
Operation
leakage Leather hand gloves shall be provide for handelling of bucket

Dust mask and rubber hand gloves shall be provided.


Proper house keeping should be maintain.
Night work permit to be taken from concern engg.and safety
dept.
Personal injury, damage Ensure proper illumination during dark hours.
3 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed
to property
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Staging for beam bottom

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker,lack
1 Personal injury Tool Box Talk to be conducted all workers.
Mobilization of skill awareness
Work Permit To Be obtain.
Area barricade to restrict entry.
Ensure full body safety harness anchor by each workmen.
Cuplock verticales are checked against bending & breakges
Ledgers shall be placed at every 500mm & same shall be covered with
Unapproved design
Fall Of person the cups.
2 Staging Uneven surface
Fall of stagging
Maintain good house keeping at work site.
Conduct tool box talk before starting the work and workers to be briefed
about hazards associated with the activity
Ensure recommended PPE should be worn the worker such as safety
shoes, helmet, hand gloves goggles & dust mask.
Inspected FBSH having double lanyard, shock absorber should be
3
provided.

Uninspected FBSH Fall of person Life line, hard baricading and safety net should be provided on edge.
Working at height
Unapproved scaffold Fall of scaffold
Scaffold shall be erected on even surface by providing base plate, side
support, and ledger at every at 500mm with side supports wherever
height increases beyond 2 mtrs .
Night work permit to be taken from concern engg.and safety dept.
Personal injury, Ensure proper illumination during dark hours.
4 Work during dark hours Darkness
damage to property Electrical cable should laid min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Shuttering for beam & Slab

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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,lack
1 Manpower Mobilization Personal injury Tool Box Talk to Be Conducted For all workers.
of skill awareness
Work Permit To BE Obtained
Area barricade to restrict entry.
Ensure full body safety harness anchor by each workmen.
Cuplock verticals are checked against bending & breakages
Ledgers shall be placed at every 500mm & same shall be covered with
the cups.
Unapproved design Maintain good house keeping at work site.
Fall Of person
2 Staging Uneven surface Conduct tool box talk before starting the work.
Fall of stagging
Unauthorised Entry Ensure recommended PPE should be worn the worker such as safety
shoes, helmet, hand gloves goggles & dust mask.
All the Primary/Secondary sections are placed in tact & tied to the
supports to receive the plywood shuttering
All the staging to be checked for its stability before allowing plywood
shuttering

Platform for ply wood shall be confirmed for its existence & same shall
Unapproved be supported by either wooden timber or cuplock vertical & ledger
Fall Of Person
Scaffolding
Fall Of Material Adequate thickness of ply shall be used & same shall be tested against
Wrong Posture
Placing of ply wood Fall Of Staging its suitability viz for beam & slab bottom 12mm thick play to be used.
3 Unauthorised Entry
sheets Protruding Nails
Cut Injury
Major/minor Injury Proper stacking of ply wood,movement on slab during shuttering shall be
Sharp Edges
restricted & gathering of persons shall be avoided at one point to
minimize the load on the ply beneath
PPE's To Be Used
Inspected FBSH having double lanyard, shock absorber should be
provided.
Uninspected FBSH Life line, hard baricading and safety net should be provided on edge.
Fall of person
4 Working at height Unapproved scaffold
Fall of scaffold
Unauthorised Entry Scaffold shall be erected on even surface by providing base plate, side
support, and ledger at every at 500mm with side supports wherever
height increases beyond 2 mtrs .
Night work permit to be taken from concern engg.and safety dept.
Personal injury, Ensure proper illumination during dark hours.
5 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Reinforcement for Beam & slab

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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, lack of skill
1 Manpower Mobilization Personal injury Tool Box Talk to be conducted and Hazards associated with the activity to be briefed toall
awareness
workers.
Inspected FBSH having double lanyard, shock absorber should be provided.
Uninspected FBSH Life line, hard barication and safety net should be provided on edge.
Fall of person
2 Working at height Unapproved scaffold
Fall of scaffold
Unauthorised Entry Scaffold shall be erected on even surface by providing base plate, side support, and
ledger at every at 500mm with side supports wherever height increases beyond 2 mtrs .

Confirmation shall be taken from shuttering department against stability of structure


before start of reinforcement activity
Use of PPE such as safety shoes, helmet Cut Resistance hand gloves, safety goggle and
shoulder pad.
Work shall be carried out by competent person under proper supervision of foremen /
incharge.
Cut Injury
Sharp Edges Use of approved scaffolds for tying reinforcement at the site.
Fall Of Material
3 Reinforcement Overweight Provide proper platform on Scaffolds.
Fall of Scaffolding
Unapproved scaffolding Ensure workmen should have shoulder pad.
Fall of person
Ensure access should be clear from 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.
Night work permit to be taken from concern engg.and safety dept.
Personal injury, damage to Ensure proper illumination during dark hours.
4 Work during dark hours Darkness
property Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Cut outs in slab.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker, Only inducted worker shall be deputed at the work place.
Manpower
1 lack of skill Personal injury
Mobilization awareness
Tool Box Talk to be conducted and Hazards associated with
the activity to be briefed toall workers.
Hard barrication around cutout

Sharp edges fall of person covering of cutouts using MS plates/or reinforcement jali.
2 Provision of cutouts struck to cut injury
Provision of toe guard./morter strip around cutout to avoid
Protruding bar fatal accident
fall of rolled out material.
Provision of warning sign board.
Electrocution a. PPE Usage.
Uninspected tools
Eye injury B. Use of fall protection device with clamping arrangements
Fine particles
3 Cutting activity Burn c.Provision of rods to barricade the area.
Spatters
Fire D.electrical connection to be taken through 30mA ELCB
Fall of person E.Flammable material to be removed from work place

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,
4 person, fall of
hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Structural work within cutouts

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker, lack
1 Personal injury Tool Box Talk to be conducted and hazards associated with the activity to be briefed to
Mobilization of skill awareness
all workers.
Use of proper PPEs - welding shield,safety shoes,safety helmet,safety
goggle,highlighter jacket
Barricading of work
2 Personal injury Major burns
Whole area under working will be properly barricaded
area
No any unauthorized material to be kept inside barricading area

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
Electricity safety belt to lifeline or nearest scaffold.
Electrocution
Fire
Connection of Burn Use of good insulation of welding supply & erecting cable.
Heat
welding cable to Short Circuit
3 Toxic Fumes Joint free cable to be used
power socket earth & Explodification
Cable overlapping SPCL approved welding machine to be used
welding work. nausia
wet floor
Fatigue
Hot work permit to be taken from concern project and safety dept.

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.

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
fire No any person allow to stand in front gas cylinder in front of gas cylinder
Heat Explosion
4 Gas cutting work explosion Burn Both cylinders should kept always in vertical position on trolley proper chain.
back fire Major Incident
gas leakage Lighter to be used for lighting torch.
Provision of flash back arrester. Tip cleaning for torch
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.
Work during dark Personal injury, Ensure proper illumination during dark hours.
5 Darkness Electrical cable should lead min 2 m height. No exposed electrical
hours damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Slab RCC concrete

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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,lack
1 Manpower Mobilization of skill awareness Personal injury Tool Box Talk to be conducted and Hazards associated with the
activity to be briefed toall workers.

loose soil Fall of person


Work inside excavated Inspected ladder shall be use for access.
2 Material stacking at Fall Of material personal
pit and assess egress edge of pit injury.
Remove soil, boulder from the edge of excavated pit.
Proper route shall be identified.
Uneven surface
Fall Of material
Overcrowding in Vehicle should stop min 2 m from excavated pit edge.
Vehicle Topple
movement area
Trap
3 Vehicle movement Trap
Equipment Failure
Define route for entry and exit from work place.
Hit
Struck to Material
overhead electrical
Electrocution Vehicle should be directed by trained person.
lines

Uneven surface
Vehicle topple If concreting is proposed by pumping then all the pipes are
noise
Deafness checked at the bends & joints against rigidity.
Concreting - By Splashing of concrete
eye injury
Chemical Contact
5 concrete pump/Boom overcrowding at
dermatitis
Placer hit by
working area
Fall of material/structure Separate staging to be prepared for piping activity concrete piepes
overheadelectrical
Electrocution are tied at the scaffolding to avoid fall during strokes.
electrical lines/structure

At the time of Ball Passing Activity all the labours are removed
from the area & end of the pipe is provided with ball case or
catcher to catch the ball.
Compressed air
Concrete pipe cleaning Eye injury Concrete pipes shall not be facing against confined space to avoid
6 Splash of concrete
activity Hit rebound during ball pass (pump cleaning activity).
fine particles
Compressors are tested against required air pressure & during Ball
Pass constant air pressure shall be maintained.
PPE's to be provided
Night work permit to be taken from concern engg.and safety dept.
Personal injury, damage Ensure proper illumination during dark hours.
7 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Deshuttering of Slab

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

S.No Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work place.
Untrained
1 Manpower Mobilization worker,lack of skill Personal injury Tool Box Talk to be conducted and Hazards associated with the activity to
awareness be briefed toall workers.

Work permit to be obtain


Area barricade to restrict entry.
Sharp edges Cut injury Ensure full body safety harness anchor by each workmen.
Protruding nails Fall of person Engaged trained & experienced person on the job.
2 Deshuttering
Wrong Posture fall of material Maintain good house keeping at work site.
Unauthorised Entry Trap in Conduct tool box talk before starting the work.
Ensure recommended PPE should be worn the worker such as safety
shoes,helmet, hand gloves goggles & dust mask.
Inspected FBSH having double lanyard, shock absorber should be
Unapproved Fall of Person provided.
scaffold fall of Life line, hard baricading and safety net should be provided on edge.
3 Working at height
Unprotected material/equipment Scaffold shall be erected on even surface by providing base plate, side
platform fall of stagging support, and ledger at every at 500mm with side supports wherever
height increases beyond 2 mtrs .
Night work permit to be taken from concern engg.and safety dept.
Personal injury, Ensure proper illumination during dark hours.
Work during dark
4 Darkness damage to Electrical cable should lead min 2 m height. No exposed electrical
hours
property wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________ Name & Signature of safety Engineer : ______

Name & Signature of Consultant :__________ Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Brick work

Location:-RATNA /PIDILITE INDUSTRIES VIZAG Date :

S.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,lack
1 Manpower Mobilization Personal injury Tool Box Talk to be conducted and hazards associated with the
of skill awareness
activity to be briefed to all workers.

Uneven suface
Fall of person Ensuring safe stack height (1.5 mtrs).
2 Stacking of the material Sharp edges
Cut injury Use of PPE

Inspected FBSH having double lanyard, shock absorber should


be provided.
Life line, hard barication and safety net should be provided on
Fall of Person
edge.
Unapproved scaffold, fall of
3 Working at height
Unprotected platform material/equipmentfall Scaffold shall be erected on even surface by providing base
of stagging plate, side support, and ledger at every at 500mm with side
supports wherever height increases beyond 2 mtrs .

Ensuring limited stack of the material.

Brick Must Not Be OverStack On Platform.


Over Stacking Materials
Use Proper PPE (PVC Hand Gloves).
4 Brick Work on Platform,Not Proper Personal injury
Use Proper Working Platform.
PPE,Fall of Materials
Proper Access and Agress Must Be Provided.

Unapproved Fall of staging


Ensuring FBSH while shuttering & concreting at height.
5 Lintels/Patli beams Scaffolding, fall of person
Use of two planks clamped at two ends for working
Unprotected Platform

Name & Signature of Site Engineer :___________ Name & Signature of safety Engineer : ______

Name & Signature of Consultant :__________ Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Masonary/pitching Works

Location:-RATNA /PIDILITE INDUSTRIES VIZAG 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.
Manpower Untrained worker,lack
1 of skill awareness
Personal injury Tool Box Talk to be conducted and Hazards associated with the activity to
Mobilization be briefed to all workers.
Height work permit must be obtained.
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 not stock extra masonry material on working plat form.
fall of staging Use of Dust mask for handling dry cement.
Unapproved Scaffolding
fall of person
Masonry (Sub Divide Fine particles Thoroughly wash the exposed body part with fresh water and soap after
2 unprotected platform
splash of material the work.
Activity) eye injury
dust
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.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Project Name_ Hyat Pla Activity Name._ Masonary Work

Location_ Chikalthana, Aurangabad Date _11/11/22

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,lack
1 Manpower Mobilization of skill awareness
Personal injury Tool Box Talk to be conducted forand associated hazards to be
briefed to all workers.
Height work permit must be obtained.

Erect proper scaffold on levelled & 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
Unapproved Scaffolding fall of staging Use proper P P E as per work requirement.
Fine particles fall of person Do not
Use stockmask
of Dust extrafor
masonary
handling material on working plat form.
dry cement.
2 Masonry unprotected platform splash of material
dust eye injury 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.
Personal injury, damage to
3 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed
property
electrical wire.Earthing.
Route shall be illuminated.

Name & S Site Project Manger


Name & Signature of Pmc safety officer : ______
JSA (Job Safety Analysis) Sheet
Name of Project_ Hyatt Place
Activity Name:- Plastering works

Location:Chikalthana, Aurangabad Date : 11/11/22


S.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,lack
1 Manpower Mobilization Personal injury
of skill awareness Tool Box Talk to be conducted and hazards associated
with of
Use the activity
Dust masktofor
behandling
briefed to allcement.
dry workers.

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.

Fall of staging/material Erect proper scaffold on leveled rigid base.


Unapproved scaffolding fall of person Proper access to work place to be provided.
2 Plaster Work toxic inhalation nausia Material should stack properly near the work place
chemical contact Dust fatigue Area should be barricaded to control the unotherised
dermatitis 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.
Personal injury, damage Ensure proper illumination during dark hours.
3 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing to be provided.
Route shall be illuminated.
_____ Name & signature Name & Signature of PMC HSE : ______
Project manger
JSA (Job Safety Analysis) Sheet

Activity Name:- Plastering to ceiling Date _11/11/22

Location:Chikalthana, Aurangabad

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization worker,lack of skill Personal injury Tool Box Talk to be conducted for all workers.
awareness Work permit to be obtained
Use of Dust mask for handling dry cement.

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.
Fall of Proper access to work place to be provided.
Unapproved
staging/material Material should stack properly near the work place
scaffolding
fall of person Area should be barricaded to control the unauthorized entry.
2 Plaster Work toxic inhalation
nausia Work area shall keep clean and tidy
chemical contact
fatigue
Dust Use of proper PPEs such as safety shoes,gumboots,helmet,rubber
dermatitis
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.
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of Pmc safety officer______
Name & Signature of Project manger:__________
JSA (Job Safety Analysis) Sheet
Project Name_ Hyatt Place
Activity Name:- Painting

Location:-Chikalthana, Aurangabad Date _11/11/22

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,lack
1 Manpower Mobilization Personal injury
of skill awareness Tool Box Talk to be conducted to all workers.
Height work permit must be obtained.
Erect proper scaffold on leveled base.
Proper access & to work place to be provided.
Material should stack properly near the work place
Unapproved Area should barricaded to control the access
Scaffolding Fall of staging Work area shall keep clean and tidy
Chemical contact Dermatitis Confirmation of MSDS before use of material.
Toxic inhalation ill health Use proper P P E as per work requirement,F.B.S.H,Safety
2 Painting Works Wrong posture fall of material helmet,Safety shoes,
Use of Dust mask Hand gloves
for handling dry Safety goggle.
material.
Loose Splash of paint
tools/equipment eye Injury Thoroughly wash the exposed body part with fresh water and
Flammable Liquid Fire soap after the work.
Spillage
Use of PPE such as safety 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.
Personal injury, damage Ensure proper illumination during dark hours.
3 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of Pmc safety Officer ______
Name &gnature_ Project manager
JSA (Job Safety Analysis) Sheet

Activity Name:- Sand receiving, sampling & unloading.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.

Vehicle entry at main Checking of documents & instructing driver not to exceed speed
2 Unauthorised entry Major injury
gate limit of 15 km/Hr.

For sampling use proper inspected tools.


Ensure no vehicle moment while sampling.
3 Sampling of material Fine Particles Eye injury
Can explore the possibility of use of sampling point with two
poles,wire rope and FBSH while at height.

Uneven surface Provision of bench man for guiding the process and stopper for
overcrowding in vehicle.
movement area
Dust Vehicle topple
4 Loading & unloading Noise Minor/major accident Ensuring the level ground for unloading dumper at dumping area.
Fall Of Material Eye Injury Vehical to be driven by authorised licence holder
Fine particles PPE's to be provided
Unauthorised
Operation

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concreting by Mixer Machine

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
Manpower
1 worker,lack of skill Personal injury
Mobilization awareness
Given Tool Box Talk to all workers.
Use of Dust mask for handling dry cement.

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.

Proper alignment and positioning of Mixer Machine to be done


Use of armoured cable with ELCB power connection

Cable Should not lay on ground and adequate clearance shall be maintained
Uninspected from ground for Vehicle or personnel movements i.e 3.0 m above ground
Equipment level.
Unguarded Moving Cable laying above 3 mtr.Drop from lower part of work
Parts Exhaust insulation.
Chemical contact Minor/Major Injury Hand Gloves and ear plug will be provided .
Machine mixed / noise Electrocution If PVC insulated body for that single earthing should provided
Manually Placed / dust burn If Metal insulated body for that double earthing should provided
2
Mechanically Electrical Hazards, Dermatitis
Auto off when operator release switch & ELCB
vibrated fire Damage to property Proper connection through MCB+ELCB with and ensure plug top shall be
short circuit provided
Fine Particles
Unauthorised entry Damaged cable shall not be used
Unauthorised houskeeping to be maintained at work place.
Operation Working platforms to be made for pouring 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.
Personal
Work during dark Electrical cable should lead min 2 m height. No exposed electrical
3 Darkness injury,damage to
hours wire.Earthing.
property
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:-Roofing/sheeting works

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization worker,lack of skill
Given Tool Box Talk to all workers.
awareness
Sleepery Use of basic PPEs.
FallOf person
Unauthorised Entry
Fall Of Material
Material Stacking Height Work permit to be taken from safety officer
Staging collapse
Moving on/ to work on Unapproved On the roof all workers are advised to move on permanently fixed
2 Personal injury
roof Scaffolding purlin locations that are much stronger than other locations.
wrong posture
One to one communication to be maintain at all time during work.

Leather hand gloves to be provided to the labours involved in


shifting of sheets.
Sleepery Proper space management throughout working area so as to get
Sharp edges FallOf person material stacked in appropriate space in adequate nos.
Placing of sheet / Unauthorised Entry Fall Of Material Scaffolding scheme approved by safety officer to be adopted.
3
fastening in position Unapproved Staging collapse Only trained persons to be deployed for this operation.
Scaffolding Personal injury Provision of life line for moving on the roof.
wrong posture Two persons on ground and two on roof to required for shifting of
sheets.
All stacked sheets are tied together by using ropes.
Night work permit to be taken from concern engg.and safety dept.
Personal injury, Ensure proper illumination during dark hours.
4 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:-Reinforcement loading unloading

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work
1 Manpower Mobilization worker,lack of skill Personal injury place.
awareness Given Tool Box Talk to all workers.
1) failure of Wire 1)Injury to the Third party testing to be done for the Lifting derrik
rope slings / farana persons working and other tools & tackles like wire rope slings, chain
. below and pully blocks for 2 times the actual weight of the
2) Overloading surrounding areas. heaviest material to be lifted.
3)Uneven Surface Permanent disable Regular inspection of lifting tools & tackles before
4) Overhead or fatality due to starting t
Electrical lines fall of material.
5) uninspected 2) farana tilt
Tools & Tackles 3) Fall Of material
Reinforcement loading
2 6) Unauthorized being Lifted
unloading
operation 4) Hit by moving
7)Unauthorised vehical
Entry

1) failure of Wire 1) Fall of Material Shifting work to be carried out with authorised
rope slings / farana 2) Electric persons with continuous supervision. Area shall be
. Shock /personel made clear for any obstruction to the material. Guy
2) Overloading injury ropes shall be tied at each end of the material being
3)Uneven Surface Major accident shifted. Material to be shifted in a sequencial ma
4) Overhead
Electrical lines
5) uninspected
Tools & Tackles
Shifting of
3 6) Unauthorized
reinforcement material
operation
7)Unauthorised
Entry

Night work permit to be taken from concern engg.and


Darkness, fall of safety dept.
Personal injury, Ensure proper illumination during dark hours.
4 Work during dark hours person, fall of Electrical cable should lead min 2 m height. No
damage to property
machinery exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Structural Fabrication & Erection


Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
1 Manpower Mobilization Untrained worker Personal injury Only inducted worker shall be deputed at the work place.
Given Tool Box Talk to all workers.
failure of Wire rope Safety shoes safety helmet safety goggle florecent jacket cotten hand gloves to
slings / farana . be used. Area under working to be properly cordoned off.
Overloading
Uneven Surface Before lifting of material with lifting equipment safety supervisor inspect all tied
Overhead Electrical Fall Of Material slings are in proper way,then only material to be lifted.
lines Vehicle topple
Lifting of materiel and Overcrowding in No person stand below the lifted load Precautaions to be taken to prevent load
2 Minor/major injury
moving to work location movement area swing. Tied with guide rope
major accident
Unauthorised
Predefining all the work location for above work.
Operation
Hit by While moving the material it will be kept tied at both end with guide rope.
Trap
Proper and uniform stacking to be done on leveled surface with packing.

electrical supply to be given through ELCB. 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.
electricity Use of good insulation of welding supply & erecting cable.
Electric shock Joint free cable to be used
Heat
Burn
fire Inspected welding machine to be used
3 Fabrication Headeche
toxic fumes Hot work permit to be taken from concern project and safety dept.
Nausia
explodification 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
Unapproved Fall Of Material All lifting machines tools and tackles should possess valid competent person
scaffolding Vehicle topple certificate
Uninspected Electric shock Work area shall be barricaded and warning signs shall be displayed.
equipment Minor/major fire
Guide rope to be used for erection
Unauthorised Minor/major injury
Erection of Structural operation major accident Work permit shall be obtained before start of work.
4
Steel Unauthorised Entry Erected steel members shall be properly braced and supported for stability.
Overload
Overhead electrical Inspected electrical tools shall be used.
lines/structure 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.
Personal injury,
5 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:-Unloading of Silo using crane

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work
Untrained worker, place.
1 Manpower Mobilization lack of skill Personal injury Given Tool Box Talk to all workers.
awareness Proper trained/experienced labour should be used for
unloading
Non tested lifting Silo shall be unloaded by 15 Ton Farana ACE Mobile
tools Crane & confirming third party inspection reports for
Unauthorised entry the Lifting derrick and other tools & tackles like wire
Overloading rope slings, chain pulley blocks for 2 times the actual
Uneven Surface weight of the silo to be lifted.
Fall Of Material Activity to be monitor by competent supervisor
Unloading silo of 6.5 mt Overhead Electrical
Vehicle topple Barricading to be provided to restrict unauthorised
2 weight with 12.00 m lines
Minor/major injury entry
length & 2.6m width Overcrowding in
major accident Area of activity to be make free of obstacles
movement area
Unauthorised
Operation
Hit by
Trap
Ensure proper illumination during dark hours.
Personal injury,damage to Electrical cable should lead min 2 m height. No
3 Work during dark hours Darkness
property exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Project Name _ Hyatt Place


Activity Name:- Cement Loading & Unloading manually

Location:Chikalthana, Aurangabad, Maharashtra Date_ 11/11/22

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained
Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization worker,lack of skill Personal injury
awareness Given Tool Box Talk to all workers.
Height work permit must be obtained.
Errect proper scaffold on levelled & 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.

Unapproved Fall of staging Do not stock extra masonary material on working plat form.
Use of Dust mask for handling dry cement.
scaffolding Fall Of Person
2 Masonry
Dust Eye injury
Chemical Contact silicosis 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.
Personal injury, damage to
3 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed
property
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of Pmc safety Officer : ______
Name & Suture Project Manger
JSA (Job Safety Analysis) Sheet

Activity Name:- Cutting of cement bags by manually.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

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 of skill awareness
Personal injury
Mobilization Given Tool Box Talk to all workers.
Proper access to work place to be provided.

Cement Bags to be stacked away from ignition source

Use proper P P E as per work requirement.


Use proper knife for cutting cement bag
Use cotton hand gloves for cutting of cement bag
Flammable material Fire Use of Dust mask for handling dry cement.
Sharp Edges Cut injury
2 Cutting of cement bag
Dust Eye injury Thoroughly wash the exposed body part with fresh water
Chemical Contact silicosis and soap after the work.
Use of proper PPEs such as safety
shoes,gumboots,helmet,rubber hand glovs,dustmask,ear
plug and change frenquently

Housekeeping should be done after completion the work.

Display safety instructions near work platform


Work during dark
3 Darkness Personal injury Ensure proper illumination during dark hours.
hours

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concreate cube mould.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work
Untrained
Manpower place.
1 worker,lack of skill Personal injury
Mobilization awareness Given Tool Box Talk to all workers.
Proper access to work place to be provided.

Cube mould should stack properly near the work place


Use proper P P E as per work requirement.
Use safe system for loading / unloading cube mould by
manually
Sharp edges Cut injury Use safety shoes, rubber hand gloves,safety helmet
Filling of concreate cube
2 Dust Skin itching while lifting of cube mould
mould
chemical Contact silicosis Thoroughly wash the exposed body part with fresh
water and soap after the work.
Use of proper PPEs such as safety
shoes,gumboots,safety helmet,rubber hand glovs and
change frenquently
Housekeeping should be done after completion the
work.
Work during dark Darkness, fall of Ensure proper illumination during dark hours.
3 Personal injury
hours person Work area shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Curing of concreate.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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,lack of
1 Manpower Mobilization Personal injury
skill awareness
Given Tool Box Talk to all workers.

Proper access to work place (curing water tank) to be provided.

Cube mould should stack properly near the work place


Curing of concreate cube Dust eye injury Use proper P P E as per work requirement.
2
mould eletricity short circuit
Use safe system for loading / unloading of concreate cube by
manually
Use gum boot, rubber hand gloves,safety helmet while
unloading of concreate cube into the wter tank.
Housekeeping should be done after completion the work.
Ensure proper illumination during dark hours.
3 Work during dark hours Darkness Personal injury
Work area shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity title:- Working at Shuttering Yard

Loction:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker, Only inducted worker shall be deputed at the work place.
Manpower
1 lack of skill Personal injury
Mobilization awareness Given Tool Box Talk to all workers.
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 / in charge.
Manually transport of shuttering material with proper PPE's.

Working area should be barricaded to prevent unauthorised entry.


uneven surface
Work permit to be obtained
protruding nails fall of person
sharp edge fall of material Proper Housekeeping shall be maintained.
2 Shutter Making
dust cut injury
job specific training to be conducted
uninspected tools eletric shock
eletricity Required PPE's like safety shoes, safety helmet and hand gloves ,
safety goggle should be used during making of shutter.

Safety precaution should be taken during Shutter making.


Shutter must be handled carefully while shifting.
Proper Electrical safety should be followed
Use of Safety Goggles, dust Mask during ply cutting

Night work permit to be taken from concern engg.and safety dept.


Personal injury, Ensure proper illumination during dark hours.
Work during dark
3 Darkness damage to
hours Electrical cable should lead min 2 m height. No exposed electrical
property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity title:- Removal of Barbed wire & Pole

Loction:-RATNA/PIDILITE INDUSTRIES VIZAG 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.


Manpower Untrained worker,lack
1 Personal injury
Mobilization of skill awareness
Given Tool Box Talk to all workers.

Use of PPE such as safety shoes, helmet , hand gloves, safety


goggle and shoulder pad.

cut injury Work shall be carried out by competent person under proper
sharp edge
fall of person supervision of foremen / incharge.
Removing of Barbed uneven surface
2 trap
Wire,Pole overload
hit by
wrong posture Proper housekeeping of wire after its removal.

Provision of proper access to remove the wire.


Route of movement to be made free of obstacles

Work during dark Ensure proper illumination during dark hours.


3 Darkness Personal injury
hours Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Maintainance & greeceing activity of excavator
Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.
Shapr edges Cut injury
2 Maintainance activity spillage fire Ensure engine swithced off before opening.
Chemical contact Skin irritation

Unapproved platform a. SOP to be displayed in the local language for cleaning activity on the
Sharp edges Major Injury pockland.
1.Cleaning
3 Spillage Major Injury b. SOP to be formed as part of training of pockland driver and bench man
Chemical Contact Dermatitis before certifying them competent to work on same.
c. Only trained driver to work on the pockland

Fire a. To designate the area for temporary parking of the truck containing the
Unapproved platform personnel injury diesel barrel.
2.Diesel filling activity.
4 Spliiage Eye injury b. To barricade the area with cautionary board of " Diesel highly flammable
Flammable liquid splashed diesel. material stored"" No smoking and open flames allowed".
Skin irritation c. Use of proper access method to Filling diesel

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Loading stones in dumper / tractor &


transportation near pit.
Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.
Unauthorised
Operation Fall of material Ensure banks man for guiding of excavator.
Sharp edges hit by Evaluating capacity of the dumper/trolley for loading.
2 Loading of stones Dust Dizziness Ensure material not falling outside the dumper/trolley.
Heat fall of person
wrong posture Ensuring the level ground for loading dumper.

Night work permit to be taken from concern engg.and safety


dept.
Personal injury, damage Ensure proper illumination during dark hours.
3 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Plumbing work.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization worker,lack of skill Personal injury
Given Tool Box Talk to all workers.
awareness
Uneven Surface Material shifting by two person.
Material shifting to
slip Personal injury,
2 work location Manually Pathway should be clear and free from any material.
overload Property damage
(App.wt 50Kg.)
Cotton handgloves shall be provide.
All hand tools should be inspected before use for its damage.
Ensure that hand tools should be use for its define work.
Uninspected hand
tools Cut injury Machine should be inspected before starting of work by safety dept and provide
valid tag.
3 Use of Hand Tools Electricity Electrocution
Fine particles Skin Irritation Electric supply cable should be having industrial/waterproof pin top
Sharp Edges
Connections to be taken from field distribution panels having 30mA ELCB.

Proper housekeeping should be maintained


Scaffold shall be errect on the even surface by providing base plate, ledger at
every 500mm and side support.

Fall of person, Metal flanks shall be provide for standing people which surely tied by binding
Unapproved Staging wire.
4 Working on height fall of material
Unathorised entry
fall of staging F.B.S.H. should be provide in good condition with double lanyard and shock
absorber.
Work area shall be soft barricated to avoid unauthorised entry.

Ensure proper illumination during dark hours.


Personal
Work during dark
5 Darkness injury,damage to Electrical cable should lead min 2 m height. No exposed electrical wire.Earthing.
hours property
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Safety net fixing at perifery

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker,lack of Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
skill awareness Given Tool Box Talk to all workers.

Material should be shifted by manually.


Uneven Surface Fall Of Material
2 Material shifting & stacking Sharp edge Personal injury Worker should be provided leather handgloves.
Stacking over height Property damage
Material area should be softly barigatted.
Welding cable properly terminated to holder & also termination of
the return earthing. Holder Shall be in Good Condition.
Use proper lugs & nut bolts to fix the joints.
Provide proper electric connection through 30mA ELCB and
Unapproved Scaffolding
industrial pin top.
Heat Fall of person
spatters fall of material All Combustable near Periphery shall be removed. Fire Extinguisher
Cable overlapping Fire shall be Placed near hot work.
Fixing of hooks to metal pipe
3 Electricity Burn injury Area below hot work should be barricaded to avoid unauthorised
by means of welding.
Toxic fumes electrocution entry.
Loose tools/equipment ill health Welding face shild, leather hand gloves should be provided during
Loose Return cable joint fatigue welding work.

Electrical cable should be above 2.5 mt hight.

Work done under continues supervision.

Hand tools should be inspected before starting the work for its
Unapproved Staging damage , defect, and tying with person
Fall of person
Uninspected hand tools
fall of material/Tools
4 Fixing of safety net to pipe loose tools Inspected FBSH having double lanyard, shockabsorber should be
Personel Injury
wrong posture provided.
Life line, hard barication should be provided on edge.

Night work permit to be taken from concern engg.and safety


dept.
Personal injury, damage to Ensure proper illumination during dark hours.
5 Work during dark hours Darkness
property Electrical cable should lead min 2 m height. No exposed
electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Diesel unloading,dispencing.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work
Untrained worker,lack of place.
1 Manpower Mobilization Personal injury
skill awareness
Given Tool Box Talk to all workers.

Unauthorised Entry Soil Pollution Unloading using rubber tyres.


2 Diesel unloading Leakage/Spillage fire
Chemical Contact dermatitis Display of MSDS at storage shed & labours are instructed
to use rubber hand gloves.
Use of dispencing pump(manual operated) for transfering
Leakage Soil Pollution of diesel.
3 Disel dispencing Spillage fire
Chemical Contact dermatitis Use of tray while transfering the diesel.

Ensure proper illumination during dark hours.


Personal injury,damage to Electrical cable should lead min 2 m height. No
4 Work during dark hours Darkness
property exposed electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:-Concrete admixture's drum unloading,dispencing.

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker,lack Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
of skill awareness Given Tool Box Talk to all workers.
Leakage Spash Of chemical
Unloading using rubber tyres.
2 Chemical unloading Spillage Dermal irritation
Chemical Contact Display of MSDS at storage shed.
Spillage Spash Of chemical Use of rubber hand gloves while connecting pump to batching
3 Chemical dispencing
Chemical contact Dermal irritation plant pump.
Ensure proper illumination during dark hours.
Personal injury,damage to Electrical cable should lead min 2 m height. No exposed
4 Work during dark hours Darkness
property electrical wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Material stacking .

Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker,lack of Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
skill awareness Given Tool Box Talk to all workers.

Uneven Sarface
Fall of material
Overheight stacking
2 Material Stacking Fall Of person Ensure stacking heights not more than 1.5 mtrs.
Sharp edges
cut Injury
Unauthorised Entry

Night work permit to be taken from concern engg.and safety


dept.

Ensure proper illumination during dark hours.


3 Work during dark hours Darkness Personal injury, 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Temporary sheds
Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.
Evaluating the capacity of the dumper
Uneven Sarface
Fall of material Provision of bench man for guiding the process and stopper for vehicle.
Overheight stacking
2 Material shifiting Fall Of person Ensuring the level ground for unloading dumper at dumping area.
Sharp edges
cut Injury Material stacking not less than 1.5 mtrs from the edge of the pit .
Unauthorised Entry
Ensuring safe working height for stacking of the material.(1.5 mtrs)
Uneven surface
Underground Utilities Minor/major accident Ensure use of PPEs with proper tools & tackles
Dust property damage Ensure use of hand gloves while mixing & placing of concrete
Chemical contact electrocution
Ensure scaffolding structure while erecting columns & ensure proper bracing.
3 Erection of shed Uninspected cut injury
Equipment Fall of person Ensure use of nut bolts properly inspected & use of gloves for fixing of the
Uninspected Tools fall of material same in position
Sharp edges equipment failure
Sleepery Use of FBSH along with lifeline while placing of sheets on roof

Night work permit to be taken from concern engg.and safety dept.

Personal injury, damage Ensure proper illumination during dark hours.


4 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Dewatering by electrical sump pump.


Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.

Uneven surface Evaluating the capacity of the dumper


Fall Of person
Loose soil
Fall Of Material
2 Sump pump shifiting Electricity
electrocution Provision of bench man for guiding the process and stopper for vehicle.
Overweight
soil collapse
Wrong Posture

Person to be appointed near pump with proper PPE.

Uneven surface Fall Of person Pump has to be 2m away from the pit corner.
Loose soil Fall Of Material
3 Dewatering ELCB and proper fuse in main supply board to be there.
Electricity electrocution
Bare cable joints soil collapse Joint free cable to be used
Electrical cable should lead min 2 m height. No exposed electrical wire.

Night work permit to be taken from concern engg.and safety dept.

Personal injury, damage Ensure proper illumination during dark hours.


4 Work during dark hours Darkness
to property Electrical cable should lead min 2 m height. No exposed electrical
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Soil compaction test.


Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Untrained worker, lack Only inducted worker shall be deputed at the work place
1 Manpower mobilisation Personal Injury
of skill awareness Given Tool Box Talk to all workers
Proper access to work place to be provided

Proper barrication to be provided to the testing area while conducting test


Uneven surface Fall Of Person
Conducting Soil Sharp Edges Cut Injury Use proper Chisel for digging the soil
2
Compaction Test Dust Splash in eye
Use cotton hand gloves, Goggles & Nose mask for digging soil
Fine particles Skin irritation
Use proper Personal Protective Equipments as per work requirement
Thoroughly wash the hand with fresh water and soap after work.
Fall Of Person Use safe system for handling the sand pouring cylinder
Uneven surface
Fall Of Material
Handling the sand Overweight
3 Cut Injury
pouring Cylinder Dust Use safety shoes, cotton hand gloves, safety helmets while handling
Splash in eye
Fine Particles
Skin irritation
Night work permit to be taken from concern engg.and safety dept.

Personal injury, damage Ensure proper illumination during dark hours.


4 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite HSE Engineer : ______
JSA (Job Safety Analysis) Sheet
Activity Name:- Mobile Tower Crane Erection.
Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr. Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
No. Name
Manpower Only inducted worker shall be deputed at the work place.
1 Unskilled Workmen Personal injury
Mobilization Given Tool Box Talk to all workers.
Uneven Surface For proper shifting of material proper communication equipment should be provide for
Property damage proper communication.
Uninspected
Minor/major accident Operator having valid driving licence.
Equipment/tools
electrocution Horn & Light of the crane should be in working condition.
Unauthorised
Shifting of fall of material
2 operation Signal man should be guide properly
Crane Equipment topple
Overhead electrical
hit Work area should be clean & clear.
lines/structure
inor/major injury Barricading to be provided to activity area
Overload
Unauthorised entry Work done under continuous supervision.
Hand tools should be inspected for any damage before they use & kept in proper toolkit.
Uninspected Property damage
Equipment/tools Minor/major accident Operator having valid driving licences.
Unauthorised electrocution Banks man should be provide for giving signal.
Erection of operation fall of material No work and worker should be deployed under suspended load.
3
Crane Overhead electrical Equipment topple Work area should be barricaded to avoid unauthorised entry.
lines/structure hit
Overload inor/major injury Work shall be carried out under supervision.
Unauthorised entry Only inspected FBSH having double lanyard, shock absorber should be use.
Only authorised person shall work.
Uninspected Use standard tools & equipment for electrical work.
Electrical Work
equipment All electrical accessories & cables shall be of adequate capacities.
(if the power is
electricity Electrocution All electrical connections shall be made by qualified electrician
4 given from
Cable overlapping Short circuit Panel boards shall have ELCB,MCB.
other out-
Wrong cable
source) Oil spillage to be controlled.
dressing
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.
Work during Personal injury, Ensure proper illumination during dark hours.
5 Darkness
dark hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of ATC HSE Officer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Mobile Tower Crane Operation and


Maintenance.
Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr. Sub-Activity
Type Of Hazard Risk(s) Involved Risk Control measures
No. Name

Manpower Only inducted worker shall be deputed at the work place.


1 Unskilled Worker Personal injury
Mobilization Given Tool Box Talk to all workers.
Unauthorised For proper lifting & shifting of material proper communication equipment
Operation should be Provide (mobile,walky-talky) for proper communication.
Uninspected Equipment failure
Lifting & Shifting
equipment/tools Property damage
of material
Unauthorised Personal Injury
2 (e.g.steel,shutteri
Entry Electrocution Wire rope & D-shackle should be having valid test certificate.
ng ply/plate,brick
Uneven surface Minor/major Horn &
etc.)
Overhead acccident Light of the crane should be in working condition.
electrical cables

Only Trained Person should be Deployed for work.


Uninspected/
LOCK-OUT-TAG-OUT (LO-TO) before start of the maintenance.
Loose tools
Fall of material Work area should be barricaded to avoid unauthorised entry.
Spillage
Maintenance Cut injury
3 sharp edges Hand tools should be inspected for any damage before they use & kept in
Work Personal Injury
Unauthorised proper toolkit.
Fire
Entry 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.
Ensure proper illumination during dark hours.
Work during dark Personal injury,
4 Darkness
hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite safety Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Grinding Operation.


Location:-RATNA/PIDILITE INDUSTRIES VIZAG 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.
1 Manpower Mobilization Untrained worker Personal injury
Given Tool Box Talk to all workers.
ELCB in main supply board to be there.
Use of good insulation electrical cable.
Joint free cable to be used
Electrical Cable shall not interfere traffic and movements.
Bare Cable joints Personal Injury
Remove all flammable & combustible materiel from work area.
Wrong dressing of Electrocution
2 Electrical Connection Guard to be provided to rotating part of machine
cables fire
PPE's

Unauthorised
Face shield and all required PPE's to be used for grinding.
Operation
Minor/major injry Work area shall be clear and warning signs shall be displayed.
Uninspected tools
Electrocution Work permit shall be obtained before start of work.
3 Grinding Operation Electricity
Fire
Spatters
Eye injury
Fine Particles

Night work permit to be taken from concern engg.and safety dept.


Ensure proper illumination during dark hours.
Personal injury,
4 Work during dark hours Darkness Electrical cable should lead min 2 m height. No exposed electrical
damage to property
wire.Earthing.
Route shall be illuminated.

Name & Signature of Site Engineer :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite safety Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Drilling of holes on coloumn

Location:- RATNA/PIDILITE INDUSTRIES VIZAG 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.
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
Uninspected tools Ensure drilling m/c should inspected with damage free cable
Electricity and industrial pin top
Minor/major injury
Unauthorised
Electrocution Ensure worker working on height with Full body harness
Drilling of holes on Operation
2 eye injury
coloumn Dust Ensure tools and other material on working platform should
Deafness
Noise bind
Wide fingure
Vibration
Fine Paticles Ensure use of inspected tools & tackles
PPE's

Night work permit to be taken from concern engg.and safety


dept.
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours Darkness
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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite safety Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Concrete Breaking (Breaker)

Location:- RATNA/PIDILITE INDUSTRIES VIZAG 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.
Give Tool Box Talk to all workers.
1 Manpower Mobilization Untrained worker Personal injury All required permits should be taken before start activity
Work should be done under continuous supervision.
Only authorised person should be deployed for the work.
Ensure that breaking activity person stand on clean & safe area.
Only inspected chipping M/C industrial pin top should be used.
Uninspected tools
Electricity Ensure that chipping M/C needle ,body condition should be ok.
Breaking of RCC by Unauthorised Ensure that required that hand tools i.e. chiesel,hammer should be
2 chipping by M/C & Operation Minor/major injury mashroomfree & are in good condition.
Chisel Dust Electrocution All required hand tools should be welded free.
Noise eye injury
Vibration Deafness Provide leather hand gloves, Ear plug, nose mask, goggle during
RCC breaking work.
Fine Paticles Wide fingure
Uninspected tools Ensure safe scaffolding e.g. access, working platform with mid rail,
Electricity top rail with support
Minor/major injury Ensure drilling m/c should inspected with damage free cable and
Unauthorised
Electrocution industrial pin top
Drilling of holes on Operation
4 eye injury
column Dust Ensure worker working on height with Full body harness
Deafness
Noise
Wide fingure Ensure tools and other material on working platform should bind
Vibration
Fine Paticles Ensure use of inspected tools & tackles

Night work permit to be taken from concern engg.and safety dept.

Personal injury, Ensure proper illumination during dark hours.


5 Work during dark hours Darkness
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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite safety Engineer : ______
JSA (Job Safety Analysis) Sheet

Activity Name:- Drilling Operation.


Location:-RATNA/PIDILITE INDUSTRIES VIZAG Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Manpower Untrained Only inducted worker shall be deputed at the work place.
1 Personal injury
Mobilization worker Given Tool Box Talk to all workers.
ELCB in main supply board to be there.
Bare Cable
joints Personal Injury Use of good insulation electrical cable.
Electrical
4 Wrong Electrocution Joint free cable to be used if joint is there provide shrinkable joint
Connection
dressing of fire
Electrical Cable shall not interfere traffic and movements.
cables
Remove all flammable & combustible materiel from work area.
All required PPE's to be used for grinding.
Uninspected Work area shall be clear and free from any obstruction
tools
Electricity Minor/major injury Ensure goggle before starting work
Unauthorised Electrocution
5 Drilling Operation Operation eye injury
Dust Deafness
Noise Wide fingure
Vibration
Fine Paticles

Night work permit to be taken from concern engg.and safety dept.

Work during dark Personal injury, Ensure proper illumination during dark hours.
6 Darkness
hours 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 :___________


Name & Signature of safety Engineer : ______
Name & Signature of Consultant :__________
Name & Signature of Pidilite safety Engineer : ______

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