SWP No.

: JOB SAFETY ANALYSIS Auditor’s badge number:

Health, Safety and Environment Dept.
Auditor’s signature:

Date of site Detailed description of work: Checking of Camera Exact location of Receiving PKE GULF WLL
inspection: Consider what could go work: Authority:
wrong?

JSA submitted by: Name Signature JSA reviewed by: Name Signature
Badge No. Date Badge No. Date

CONFINED SPACE EXCAVATION ELECTRICAL MOTOR VEHICLES AND MOTORISED EQUIPMENT

Lack of Oxygen Underground electricity cables Electrically energised equipment Poor visibility
Flammable vapours Underground pipelines Live electrical systems Road conditions
Pyrophoric material Cave-ins Overhead power lines Oncoming traffic and speeds over 40 kph
Toxic gases Lack of Oxygen Underground electrical cables Unsecured cargo
Materials in the space Flammable gases Flammable vapour or material Large loads in a congested work sites
Converging walls or sloping floors Toxic gases Static electricity Uncontrolled vehicle entry
Unguarded or exposed electrical equipment Drowning Lightning Pedestrian traffic and large animal crossings
Inadequate entry/ exit methods Excavation equipment Electrically powered portable equipment Equipment failure
Extreme temperatures
LIFTING AND RIGGING HOT WORK MARINE WORK WORKING AT HEIGHT
Unchocked pipes Flammable gases Personnel transfer  Falling to a lower level
Improper rigging, misidentifying the load, equipment failure Flammable and combustible materials Environmental conditions (weather)  Falling objects (tools, equipment etc.)
Loads striking personnel, vehicles or equipment Uncontrolled entry to restricted area Static accumulation Environmental conditions
Equipment overloading, overextension and overturning Explosive pockets of gas Anchoring near pipelines Live electrical lines
Shifting loads Compressed gas cylinders Taught deck lines, ropes and chains Inadequately supported surfaces
High voltage power lines Marine life Lightning
Congested work area Suspension trauma
OTHER OTHER OTHER OTHER
 Slip, trip  Property damage  Noise  Inadequate inspection of scaffold by inspector
 Unauthorized entry  Manual Handling  Scaffold collapse  Falling from height
 Covid 19  Sharp edges & Pinch Point  Sharp edges  Equipment Damage
 Outdoor work in exposed heat  Dust  Damaged tools & materials  Flying particles

Remarks:

Sequence of job steps Hazards Control measures

(order in which the work will be carried out and brief details of how the task (anything with the potential to cause harm. Copy and (to reduce or eliminate the hazard)
will be performed) paste from Hazard Table or Other)
01 Mobilization to site Slip, trip Eyes on path
Unauthorized entry Obtain valid permit.
Covid 19 Maintain social distance while work as much as possible. Wash your

GRAVITY MOTION MECHANICAL ELECTRICAL PRESSURE TEMPERATURE CHEMICAL BIOLOGICAL RADIATION SOUND
Form No. BP4473 (12/20)
 hands frequently as possible, don’t touch nose mouth and face
without washed hand. Wear face mask.
Outdoor work in exposed heat Where practicable, reschedule the work to cooler periods in the
daytime. Arrange more frequent breaks and resting facility.
Provide workers with drinking water and remind them to take plenty
of water and stay alert of their physical conditions. Obey ministerial
order (Ministerial Order No.(24) of 2007 with respect to Banning the
Employment of Workers in the Construction Sector during the Summer
under the Sun and in Open Areas between 12:00 Noon and 4:00 p.m.)
02 Loading and unloading of scaffolding materials form Physical injury Assign only authorized drivers, certified vehicles, Driver ensures that
Vehicle. property damage loads are safely tied prior to transportation and not to overload or
Manual Handling carry unsuitable materials. Adopt correct body position/Apply safe
Sharp edges & Pinch Point manual handling techniques. Use only approved access. Driver and
Dust passengers shall use seat belt. Ensure reverse parking, Follow Internal
Noise /external traffic rules.
Park the vehicles in designated parking areas only.
Switch off engine, leave the key in the ignition and apply parking
break. Vehicle shall enter with approved permits and approved routes
only.Wear heavy duty hand gloves (leather coated), safety shoes, and
coverall. etc. Wear dust mask .Wear ear plug/ear muff.
03 Erection and Dismantling of Scaffold Scaffold collapse No scaffold shall be erected, add to, altered or dismantled except by
Sharp edges competent scaffolder’s .Pre-use inspection of scaffolding materials
Manual handling prior to use.
Damaged tools & materials Do not use damaged scaffolding materials for erection. Scaffold to be
Inadequate inspection of scaffold by erected on stable and level ground.
inspector. Wear Hand gloves and appropriate PPE.
Adopt correct body posture and work as a team.
All erected scaffold shall be inspected by trained and competent
scaffolding Inspector.
04 Work at height Scaffold collapse Ensure that scaffold is inspected and tagged by authorized person.
Ensure SWL of scaffold. Do visible inspection for missing components
of scaffold.
Falling from height Use a full-body harness and 100% tie-off lanyard with a substantial
anchorage point. Stop the activity if the wind speed is high. Avoid
overreaching. Ensure proper hazard communication with workforce
with respect to work at height.
Falling objects Tools to be safely secured at height to prevent falling from scaffold
platform. Don’t keep material near the edge

GRAVITY MOTION MECHANICAL ELECTRICAL PRESSURE TEMPERATURE CHEMICAL BIOLOGICAL RADIATION SOUND
Form No. BP4473 (12/20)
 SWP No.: JOB SAFETY ANALYSIS Auditor’s badge number:
Health, Safety and Environment Dept.
Auditor’s signature:

05 Checking of Camera Equipment Damage Assign Trained and experienced technician

Flying particles Wear safety glasses.
Dust Wear dust mask.
Manual handling Wear gloves, ankle support safety shoes.
Adopt correct body posture.
Damaged tools Pre inspection shall be done prior to use the hand tools.

06 Demobilize from site Slip, trip, and fall. Carryout good housekeeping and eyes on path.

Risk control communication (signed by all members of the workforce)

I have been made aware of the contents of this JSA and the hazards and control measures associated with this job and agree to comply with the stipulated permit conditions
Print name Signature Badge number Print name Signature Badge number

GRAVITY MOTION MECHANICAL ELECTRICAL PRESSURE TEMPERATURE CHEMICAL BIOLOGICAL RADIATION SOUND
Form No. BP4473 (12/20)