Name of organisation completing the work: KQC Job name: MESAIEED POWER PLANT PROJECT

Construction & Erection of

Task: Job number:
Formwork Kettaneh Construction W.L.L
Principal contractor: Health,
Kettaneh Safety
Construction & Environmental
W.L.L Management
Job location: System
GT 1/ GT 2/ GT 3 (SMS)

Job Safety Analysis

Date the JSA was prepared: - CONSTRUCTION &
29.09.07 ERECTION
Number OF FORMWORK
of pages in this JSA: 7 PAGES

This JSA has been discussed with: Site Engineer; Site Supervisor;
This JSA has been reviewed by: Barry Joyce; Tony Dagher
Site Foremen; Site Operatives

Contractor or Representative (signature) Employee (signature)

Position Date Position Date
Item Work activity Hazard Control Measures Persons responsible Completion
Number Break the job down into steps What could harm someone? What can be done to make Who will make sure it Date and signoff
the job safe? happens?
A high level of personal awareness
is required from all employees
whilst transiting around site.
Where possible personnel are to
Collision with Plant Vehicles adhere to designated walkways. Site Engineer
In addition to the above, all Supervisor
personnel will be issued with and
wear Hi-Viz jackets or waistcoats,
as a part of the Mandatory Site
PPE Requirements

All personnel are to maintain a

high degree of vigilance whilst
moving around site. All Kettaneh
1 Access to Workplace
work areas are required to be kept Site Engineer
free, as far is reasonably Supervisor
Trip Hazards practicable, of trailing cables,
timber packing etc. and all tools,
equipment and waste cleared
away as soon as possible.

All personnel are to maintain a

safe working distance from others
working overhead. Personnel are
not to work under suspended Site Engineer
loads. If working at height all tools Supervisor
Falling Materials and equipment are to be secured
from displacement.

All personnel are to maintain a