Metal Crafts Constructors Pvt.

Ltd
HPCL- Mittal Energy Ltd, GGSR, Bathinda

Job Safety Analysis Sheet

Permit No: Location: CPP
Main Activity: Blasting & Painting JSA No: MCCPL/HMEL/JSA 01Rev.02
Sl. No. Sub Activities Hazards (Both Existing as well Control Measures.
(List the tasks as potential) Against each task (List the control measures required to eliminate or
required to list the hazards that could cause minimize the risk of injury arising from the identified
perform the injury/damage to people, hazard.)
activity in the equipment or the environment.
sequence they are
carried out
Use mandatory PPE"s and boiler suit.
Injury due to flying sand particles
Enclose the area to prevent flying particles
Use good quality hose. Check the capacity of the hose to
ensure for the pressure rating.
injury due to disconnection of
1 Blasting Use proper connectors.
hoses
Use proper tools
Compressor shall properly earthed
Fire may occurred in compressor Use inspected and certified compressor. Provide fire
extinguisher near the compressor
Store paints & Mixers in well Ventilated place & far from
flammable objects
don’t placed the paints & mixers near by the Compressor

Fire & Blasting Provide Fire Extinguishers near the compressor.

2 Painting
Store all chemical materials separately and barricade the
chemical Hazard inhalation of surrounding area
chemicals
use blasting hood
personal injury (Eye) Use safety goggles
Do not use bare hands to handle heavy material.
Loading/unloading Injury to people during material
3
material handling Use crane/hydra wherever required
Use correct tools and proper PPE’s.

Name Designation Signature Date

Approver-1 (Manager or above

both issuer & requester)

Note:

1. JSA to be done by issuer and accepter of work permit, in case required, representative from other discipline can also join the team for JSA
 JOB SAFETY ANALYSIS FORM
JSA Sheet No._______________
Checklist of common Hazards
This should be used as an aid to identifying hazard. This is the list for the most common hazards but is not a definite list.
Mechanical/Equipment Thermal Ignition sources Electrical
Entanglement Hot surface Electricity Electrical shock
Shearing Steam Static electricity Static electricity
Crushing Refrigerants Hot work Power failure
Striking Stored Energy Lightening Pressure
Cutting Falling material Sparks Release of energy
Mechanical failure (e.g. by overloading) Springs under tension/compression Frictions Implosion
Chemical Counterweights Flames Compressed air
Flammable Radiations Auto ignition Steam
Toxic e.g. ionizing radiation (X-rays) Pyrophoric material Hydraulics
Harmful Place of work Vehicles Process
Irritant Obstructions Fork lift Wrong material
Oxidising Access/egress Tankers Missed steps
Pyrophoric Work at height Reversing vehicles Instrument failure
Corrosive Falling objects Speed Interlocks
Dangerous to environment Slip/trip/fall People Control system failure
Dust explosions Housekeeping Unsafe behavior Alarms
Gases Temperature Human errors Nature
Fumes Ventilation Training/competence Weather
Vapours Confined space Method of work Winds/Storms/lightening
Dusts Hazards of other tasks being done Manual handling (lifting, carrying, pushing
Asphyxiants Simultaneously. and pulling)
Stress/workload
Biological (e.g. legionella) Noise/Vibrations/Hot work

Name Designation Signature Date

Approver-1 (Manager or above both Issuer

& requestor)
(Note: 1. JSA to be done by issuer and acceptor of work permit. In case required, representative from other discipline can also join the team for JSA.

2. JSA to have approvals for Hot Jobs, confined space entry & Work on equipment in service