Job Safety Analysis

TRS-HS-FRM-0001

Instructions for completing Job Safety Analysis (JSA) form

Section I -Enter general information about the site and job task.
Section II - Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit, certification, and risk
assessment requirements.
Section III - Identify any human/organizational factors that could impact the ability to perform the work safely.

1. Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to leave an extra row
between steps in case you need them later. Add additional rows to the table as needed, or if completing the JSA on paper, print additional copies of the
sheet to accommodate all job steps.
2. Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to trigger your
thinking about different types of hazards and energy sources.
3. List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure examples and
hierarchy provided to trigger your thinking about different types of controls and their effectiveness at reducing risk. Controls toward the top of the table
tend to be more effective at minimizing the severity and/or likelihood of an event than the controls toward the bottom of the table. If this job involves a Life
Crucial Operation, continue to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified, then proceed to step 8.
4. Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could result from
this job step. Use the severity table provided. Write the severity number in column D (Severity).
5. Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this job step. Use
the likelihood table provided. Write the likelihood number in column E (Likelihood).
6. Multiply the severity number by the likelihood number and enter the product in column F (Risk).
7. Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
i. Very low and low risk ratings of 1-3. This level is generally considered acceptable provided that all control measures are applied.
ii. Medium risk ratings of 4-6. Medium risk requires a planned approach to control the hazard and applies additional controls if required. Action taken must
be documented on the risk assessment form.
iii. High and Very High-Risk ratings of 8-24. For all high and very high risk, Column G (Additional control measures) must be implemented to further reduce
the risk to a medium or low level. Such activities shall not be proceeded until applying additional control measures. The Construction Director/Manager or
facility Manager must personally review the activities with a High or Very High residual risk score and approve additional control measures by signing off
the JSA.
8. Repeat steps 2-7 for each of the job steps identified.

Section IV - Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The Construction
Director/Manager or facility Manager must review and approve the additional control measures that have a High or Very High-Risk rating before proceeding the task.
Additional space is also provided for crew members to sign the JSA if desired.

Reference Table in completing Section III – Job Safety Analysis (Column B – Hazard)
Biological & Electrical Chemical Gravity/Height Mechanical & Motion
Environmental Arc Flash Air Emissions Equipment Being Thrown Off/Under
Altitude Buried Utilities Chemical Products Tipping/Collapsing Equipment
Animal Bite/Sting Damage to Leads/Cables  Carcinogenic Excavation/Trench Disintegration of Moving
Blood-Borne Pathogens Damage to Switches  Combustible/Flammable Falling Objects Components
Contaminated Food/Water Energized Circuits/Conductors  Explosive Floor Openings/Edges Driving/Vehicle Traffic
Insect-Borne Disease Inadvertent Energization  Toxic Grating Removed Ejection of Workpiece/Debris
Pests Lack of Isolation/Grounding  Corrosive Inadequate Support Entanglement
Poisonous Plants Missing/Damaged Insulation  Reactive Lack of Access Ladders/Stairs Friction
Precipitation Overhead Lines Client/Process Chemicals Suspended Load Movement/Shifting
Temperature/Humidity Overload of Circuits Lack of Containment Unstable/Insecure Materials Moving Parts
Unsanitary Conditions Stored Energy Leakage/Spills Work Above/Below Others Pinch/Crush Points
Weather (Batteries/Capacitors) Material Incompatibility Work at Height/Fall Hazards Projectiles
Wind/Turbulence Water Near Electrical Produced/Disturbed by Work Walking/Working Surface Rotating Equipment
Pressure Conductors  Asbestos  Slippery Sharp Edges, Corners, or Points
Abrasive Blasting Work Environment  Lead  Uneven Shearing
Compressed Gases Cluttered  Silica  Obstructed Stored Energy
High Pressure Fluid Confined Space  Welding Fumes  Steep (Springs/Accumulators)
Pressure Testing Damaged Tools/Equipment  Dust  Moving/Swaying/Pitching Striking
Pressure Washing/Blasting Entrapment Water Discharges  Insufficient/Unstable Trapped Between Equipment
Radiation Erosion Wastes Generated Ergonomic and Fixed Structures
Intense Light Hazardous Atmosphere  Hazardous Awkward Unexpected/Uncontrolled
Lasers  Oxygen Rich/Deficient  Non-Hazardous Postures/Movement Movement
Microwaves  Contaminants Sound Excessive Force/ Exertion
Naturally Occurring Ignition Sources Continuous Noise Heavy/Awkward Load
Radioactivity Radioactive Inadequate Ventilation Intermittent Noise Repetitive Motion
Material Poor Lighting/Glare Extreme Noise Same Position
X-Rays Restricted Access/Egress Impact Noise Vibration
Runoff

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Reference Table in completing Section III – Job Safety Analysis (Column C – Control Measure)
Most Effective Controls Examples
Elimination  Make connections at ground level before  Remove a dangerous machine from service
(Remove the hazard altogether) erecting a structure to eliminate work at height  Provide power outlets to avoid trailing cords
Substitution  Use latex rather than oil-based paints
(Replace the material/process  Reduce energy, such as speed, force, amperage, pressure, and temperature
with a less hazardous one)  Use water-based detergents instead of organic solvents
 Isolate hazardous energy
Engineering/Isolation  Ventilation
sources  Secondary containment
(Design effective control  Machine guarding
 Interlocks  Barriers
measures to protect people and  Enclosures
 Platforms and guardrails  Improve lighting
the environment)  Circuit breakers
 Exclusion zones
Warning  Signs  Horns  Labels
 High visibility paint
(Alert people to the hazards)  Backup alarms  Beepers  Tags
Administrative  Work rotation to minimize exposure
(Provide training, procedures,  Inspect safety equipment  Training and supervision
etc.)  Good housekeeping practices
PPE
 Safety glasses  Fall harness and lanyards  Respiratory protection
Least Effective (Personal protective
 Hearing protection  Gloves  High visibility vests
equipment)

Reference Table in completing Section III – Job

Reference Table in completing Section III – Job Safety Analysis (Column D –Severity)
Safety Analysis (Column E – Likelihood)
Impact On Likelihood Chances of
Severity Level Probability
People Environment / Community Equipment / Property Level Occurrence
 Long-term (multi-year) impacts to  Extensive losses of high
air, surface/ground water, or soil; or value equipment/property
Single / Expected to occur
Critical /  Widespread areas including offsite  Loses exceeding $1,000,000; Very
6 Multiple 4 in most 1 in 100
Catastrophic area/community affected; or or Likely
fatalities circumstances
 Some adverse publicity/media  Major unplanned impact on
coverage project budget and schedule
 Losses of
 Lasting (up to one year) impacts to
equipment/property that
Injury or illness air, surface/ground water, or soil; or
cannot be readily replaced;
resulting in  Offsite area/community affected; or Strong possibility
or
Major 4 permanent  Events that are reportable to Likely 3 the event will 1 in 1,000
 Losses exceeding $100,000;
total or partial regulatory authorities; or occur
or
disability  Potential for adverse
 Significant unplanned
publicity/media coverage
impact on project budget
 Temporary (up to one month)
Injury or illness
impacts to air, surface/ground  Loss of equipment that can
resulting in
water, or soil limited to the project be readily replaced; or
medical
site; or  Losses exceeding $10,000; The event might
Moderate 2 treatment or Possible 2 1 in 10,000
 Breach of regulatory requirement or or occur
temporary
limit; and  Minor impact on project
disability/loss
 No potential for adverse budget
of function
publicity/media coverage
 No direct impact to air,  No impact on equipment
Injury or illness surface/ground water, or soil; or functionality Highly unlikely but
requiring first-  Effects restricted within buildings or  Minor, cosmetic damage; or may occur in 1 in
Minor 1 Unlikely 1
aid treatment containment structures; and  Repair costs easily covered exceptional 1,000,000
only  No potential for adverse by normal project operating circumstances
publicity/media coverage budget

Reference Table in completing Section III – Job Safety Analysis (Column F – Risk)

Risk Matrix Overall Risk Ratings

Likelihood
Very Low Low Medium High Very High
Severity Unlikely Possible Likely Very Likely 1 2-3 4-6 8-18 24
1 2 3 4

Critical - 6 6 12 18 24
High and Very High-Risk ratings of 8-24.
Additional control measures must be implemented to further reduce the High
Major - 4 4 8 12 16 and very high risk to acceptable level.
Note: The Construction Director/Manager or Facility Manager must personally
review the activities with a High or Very High residual risk score and approve
Moderate - 2 2 4 6 8 suitable additional control measures by signing the JSA.

Minor - 1 1 2 3 4

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Section I – General Information

Emergency Procedures
Emergency Contact Name : TRSDC Emergency Operation Center (EOC) Emergency Contact Phone Number : Mr. Afridi / Mr. Liu
Primary Contact 011-212 7111 Primary Contact 059-600 1876

Secondary Contact +99 50 523 3422 Secondary Contact 055-347 0700

Details
Program Number. P 10-H 12 Company Name CHEAC

Project Name Pilling , foundation & Haul Road Date 11/24/2022

JSA /Risk Assessment Title Electrical Category ✘ New Revised
Specific Location Ummayhat 9-5- All Zones Building N/A

Plant Tools & Equipment Required Power Tools, Battery operated Tools & Hand Tools Area All Zone including Camp

Work Scope/Description Installation & Maintenance

Section II – Does this job require any of the following operations?

 = Requires formal/special training  = Requires certification or Competent/Qualified Person designations

 = Requires a permit/form/report ∆ = Life Crucial Operations = Requires full Risk Assessment

Description Yes Description Yes

Aerial Lifts  ∆ Cranes - Critical lift    ∆
Confined Space    ∆ Hot Work  

Dismantling and Demolition  Loading/Unloading Material ∆

Electrical Hazards    ∆ ✘ Noise Exposure 
Excavation/Trenching    ∆ Powered Industrial Trucks   ∆
First Line Breaks    ∆ Radiation Area Work   
Grating/Floor Plate/ Guardrail Removal  ∆ ✘ Respiratory Hazards 
Hazardous Energy Control    ∆ Roof Work    ∆
Hazardous Materials
   Scaffolding   ∆
Asbestos & Lead Work
Hazardous Materials
  Site/Vehicle Traffic ∆
Crystalline Silica & Cadmium
Hazardous Waste Operations   Steel Erection  ∆
Heavy Equipment   ∆ Work at Height (> 6 ft)   ∆
Rigging, & Cranes   ∆ Other

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Section III – Job Safety Analysis
(A)
Activity/Step
Installation & Maintenance of
lighting devices, electrical
appliance in camp, wiring &
Cabling
Generator maintenance
Job Safety Analysis( TRS-HS-FRM-0001)
Revision 01, Rev. Date 29-July-2020
Risk Assessment (Post Control Measures)
(B) (C) (D) (E) (F) (G) (H) (I) (J)
Hazards Control Measures Severity Likelihood Risk Additional Control measures Severity Likelihood Risk
Follow permit to work system with
procedures
-All temporary power supply must be
installed by a competent electrician
-De-energized and lock out electrical
circuit/parts you will be working on.
-Personnel shall ensure that suitable
Personal Protective Equipment is worn
at all times when handling sharp or
otherwise potentially hazardous
materials
-Personnel shall ensure that a safe
system of work is implemented so as to
reduce the possibilities of
accidents/incidents caused by a lack of
communication Shut of the power supply & Loto system
Electrocution Physical
-All personnel involved must have shall be implemented.
injuries Electric shock Trip, 3 2 6 2 1 3
electrical safety/LOTO training. Make sure store energy shall be
Slip, Fall, Cut
-All electrical cables for temporary completely released.
power supply must be of approved
materials and hung using lead stand to
prevent damage to electrical cords and
to prevent slip, trips, and fails
-Measure appropriate length of cable or
wire to be used. Used correct tools in
cutting handled and stored receipt in
accordance with procedure for material
control
-All tools should be insulated type
-Ensure that the work being carried out
is closely monitored and supervised by
a qualified, experienced, and trained
Engineer/supervisor.
-PPE
Fire, Burn, Electrocution, Energized work-permit to work 3 3 9 Shut of the generator & Loto system 2 2 4
entanglement required. shall be implemented.
All Tools shall be insulated. Make sure store energy shall be
Electricians have proper training and completely released.
shall be certified by 3rd party.
Fire Watcher available.
All tools shall be inspected & colour
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Installation of DB Panels
Maintenance of DB Panels
Wrong circuit, installation by
incompetent person.
Fire, Burn, Electrocution,
coded.
Electrician should wear shock proof
gloves & Shoes.
Rescue teams are available nearby.
Fire extinguisher shall be available.
Design shall be prior approved by
electrical engineer.
Required capacity shall be identified.
Energized after the inspected by an
All ECLB and other material shall be ISO
2 2 4 electrical engineer. 2 1 2
certified & inspected.
All cables shall be fully load tested.
After the installation, DB panel shall be
detailed inspected and tagged by
electrical engineer
Energized work-permit to work
required.
All Tools shall be insulated.
Electricians have proper training and
Shut of the generator & Loto system
shall be certified by 3rd party.
shall be implemented.
Fire Watcher available.
3 2 6 Make sure store energy shall be 2 2 4
All tools shall be inspected & colour
completely released.
coded.
Electrician should wear shock proof
gloves & Shoes.
Rescue teams are available nearby.
Fire extinguisher shall be available.

Note: Insert additional rows or print additional sheets as necessary to accommodate all job steps.

Section IV – Approval and Signatures

Prepared by Company Position
Wang Peng CHEAC HSE Supervisor
Reviewed and Approved by Company Position
Liu CHEAC Supervisor/Engineer

Imran Wahab CHEAC HSE Representative

High and Very High residual risk rating (8-24)

Note: All High and Very High residual risk ratings (8-24) require review and approval by Construction Director/Manager or Facility Manager before starting work to ensure that the additional controls are adequate to execute the task safely.
Reviewed and Approved by Company Position
Mr. Dong CHEAC Construction Director/Manager or Facility Manager
Reviewed by Crew Company Position
Site Electrician

Safety Officer

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