Metal Crafts Constructors Pvt Ltd
HPCL- Mittal Energy Ltd
Permit No:
Main Activity: Dismantling of scaffolding
Sub Activities
Sl. (List the tasks required to
No. perform the activity in the hazards that could cause injury/damage to
sequence they are carried
out
1 Removal of scaffolding
Shifting of scaffolding
2 properly to avoid slips.
material
3 All sub activities ( 1 )
Name
Job Safety Analysis Sheet
Hazards (Both Existing as well as
potential) Against each task list the
people, equipment or the environment.
Obstruction to movement in work area
Struck (injury) by falling objects
Injury due to Fall (Slip/trip) from the work
location
Injury due to sudden collapse of
incomplete scaffolding
Injury due to improper handling
Injury due to improper stacking of
scaffolding materials.
Physical Injury while working
Designation
Location: CPP
JSA No: MCCPL/HMEL/JSA-06.Rev.01
Control Measures.
(List the control measures required to
eliminate or minimize the risk of injury
arising from the identified hazard.)
Tools, tackles etc are not to be carried in
hands while climbing. Use pouch, belt or other
lowering device
Ladder must be free of oil/grease
Do not use scaffolding braces for climbing up,
use ladders
Gloves with good grip must be used while
climbing.
Use PPE'S required.
Standard lifting procedure to be used for
lifting objects.
No person to be allowed to stand under the
weight which is to be lifted
If scaffolding erecting is above normal
walkways, use safety net
Use Full body Harness
Ensure proper tightening of bolts and nuts
and follow sequence of erection and
dismantling.
Nobody should be allowed to work in
incomplete scaffold.
All scaffolds should be checked and certified
by the competent authorities.
All scaffolds should carry status boards
Use trolley for shifting the Scaffolding
material. Do not use bare hands For shifting
scaffolding material to height
Use rope and pulley arrangement with
sufficient manning and barricading; tie rods
Materials to be kept at one location away from
walking area. Area to be barricaded.
Scaffolding erected should not block identified
Escape routes of the Plant/Work location.
Use correct tools.
Use mandatory PPEs.
Signature Date
 Approver-1 (Manager or above both
issuer & requester)

Note:

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