JSA (Job Safety Analysis) Sheet

Activity Name:- Bitumen work. 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
Given Tool Box Talk to all workers.
1 Manpower Mobilization worker,lack of skill Personal injury
awareness Required work permits should be taken before start of activity
Work Shall be carried out under continuous Supervision.
Unloading shall be done in presence of banks man.
Ensure that the material shall not come in contact with skin.
Avoid unauthorised entry.
2 Unloading of Bitumen Improper unloading Burn
Workmen should be having nose mask, leather hand gloves, long
sleeve, leggaurd and coton apron along with all required PPEs
Unloading area should be identified provide caution sign boad.
Only Inspected mixer should use.
Mixing of Bitumen with Faulty Mixer, All moving parts should be guarded
Personal Injury, Burn,
3 sand material by using Unguarded moving
Property damage Provide hard barrication to loading hopper area
Mixer parts, Fall of person
Mixer should operate by trained person only
All hand tools should be inspected for its defect before it use.
Carry out periodic inspection and perventive maintenance of all hand
tools.
Spreading of Bitumen by Burn, Property No person should be allow to stand or work while spreading of
4 Improper PPE's
manualy damage bitumen is carried out.
Only trained person shall be depolyed for the work.
All the hadntools should be stored at its designed place.
Eye wash and hand wash facility along with soap should be avalible
near job location.
Untrained
Leveling of Bitumen by Personal injury, Only trained person should be deployed the work.
5 person,contact with
manualy Property damage
skin Banksman should be present for guide.
Entry should be restricatd.
Work Shall be carried out under contineous Supervision.
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Personal injury, damage Ensure proper illumination during dark hours.
6 Work during dark hours person, fall of
to property
machinery Electrical cable should lead min 2 m height.No exposed 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 : ______