JSA (Job Safety Analysis) Sheet

Activity Name:- Material loading unloading and shifting

Ref-
Location:- 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
of skill awareness Given Tool Box Talk to all workers.

Loading Unloading Fall of material Injury to the persons 1.Ensure specific driver for tough rider.
material working surrounding areas. 2.Ensure light,tyre condition,reverce
viz.stone,cement Permanent disable or horn,breaks,gear condition,cluch condition,stering of tough
2 fatality due to fall of rider.
bag,bricks,scaffold
material.
material,dieseal drum
etc.s
Entrapping of part of Injury to the persons 1.Shifting work to be carried out with authorized persons with
body below the continuous supervision.
3 Shifting material material. 2.Area shall be made clear for any obstruction to the
material.

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

dept.
Darkness, fall of
Personal injury, damage to Ensure proper illumination during dark hours.
4 Work during dark hours person, fall of
property Electrical cable should lead min 2 m height. No exposed
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 : ______