JSA (Job Safety Analysis) Sheet

Activity Name:- Curing of concreate cube Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures

Untrained worker,lack of Only inducted worker shall be deputed at the work place.
1 Manpower Mobilization Personal injury
skill awareness
Given Tool Box Talk to all workers.

Proper access to work place (curing water tank) to be provided.

slip,trip
Cube mould should stack properly near the work place
Curing of concreate cube
2 Use proper P P E as per work requirement.
mould
Use safe system for loading / unloading of concreate cube by
manually
Fall of concreate cube personal injuey Use gum boot, rubber hand gloves,safety helmet while unloading
of concreate cube into the wter tank.
Housekeeping should be done after completion the work.
Ensure proper illumination during dark hours.
3 Work during dark hours Darkness, fall of person Personal injury
Work area 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 : ______