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.
Personal
Hit of vehicle to Providing murum filled gunny bag barrier behind the vehicle.
2 Miller allingment injury/damage to
person/Batching plant
property
Provide stoppper at tyres.
Night work permit to be taken from concern engg.and safety
dept.
Darkness, fall of
Personal injury, Ensure proper illumination during dark hours.
3 Work during dark hours person, fall of
damage to 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 : ______