JSA (Job Safety Analysis) Sheet

Activity Name:-Concrete from batching plant to transit mixer Ref-

Location:- Batching Plant 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.
Ensure banks man for guiding the vehicle movement.
Hit of vehicle to Personal injury/damage Providing murum filled gunny bag barrier behind the vehicle.
2 Miller allingment
person/Batching plant to property
Provide stoppper at tyres.
Night work permit to be taken from concern engg.and safety
dept.
Darkness, fall of
Personal injury, damage Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of
to property
machinery Electrical cable should lead min 2 m height. No exposed
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 : ______