JSA (QHSE)

This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibility

List the operational steps List what could go wrong and what the consequences could be List controls in place to prevent an accident List who is responsible for each control

Taking delivery:
* Unloading the truck  Splinters/cuts  Wear gloves and other protective clothing
* Moving materials manually to the work  Being struck by materials  Take care when moving materials by hand  All is the super visor
area Responsibility
 Maintain an awareness of other people in the area
 Remove obstacles in pathway
 Trips and falls
 Be aware of uneven or unstable surfaces
 Being hit by moving vehicles or
 Park vehicle off the road before unloading
falling materials
 Make sure materials are not unloaded onto the road
 Watch for passing vehicles
 Make sure remaining materials are stable on the truck

 Never carry power tools with the trigger depressed

 Using hand and power tools  Injuries from nail guns, power
saws and drills  Keep hands away from the immediate work area
 Disconnect tools from the power source
 Before making adjustments or carrying out servicing
 Wear hearing and eye protection
 Do not direct compressed air at anyone
 Check that adjustable guards are operating correctly
 Keep a firm grip while using tools

 Work on Excavation  Earth slide  Helmet, PPE

 Foundation  Fall of material  Safety helmet, proper protection

  Safety helmet, safety harness and belt provide

Steel erection  Fall of object & workers

 Crush injuries (personnel /  Tools/ fall-hit/ on the body parts

static object  Use Taglines Wear correct PPE. the glove are good
quality of rubber materials. Observe the Load and
the load placement area and keep well clear

Date:20/4/2024 Operation: Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibility

List the operational steps List what could go wrong and what the consequences could be List controls in place to prevent an accident List who is responsible for each control

 Erecting and securing:  Strains and sprains  Use correct lifting techniques
- wall frames-blocks  Get assistance when lifting heavy loads
 All is the super visor
 Use good judgement to assess manageable loads
- wall plates Responsibility
- ledger plates  Wear gloves, goggles and other protective equipment
 Injury from flying debris and Dust
 Ensure all guards are in place on tools and machines
 Be aware of people working nearby

 Wrist sprains and cuts from drill twisting.  Ensure drill is kept at a good working height
 Use a work platform to avoid stretching
 Keep drill bit square to the surface being drilled

 Falls from a ladder  Ensure that ladders are safely secured, and at a 4:1 pitch
 Do not stand higher than the 3rd top rung
 Only carry out light duties, using one hand, when working from
a ladder

 Using hand and power tools
saws and drills
 Work on Excavation
 Foundation
 Steel erection
 Crush injuries (personnel /
static object
Date:21/4/2024
 Injuries from nail guns, power  Never carry power tools with the trigger depressed
 Keep hands away from the immediate work area
 Disconnect tools from the power source
 Before making adjustments or carrying out servicing
 Wear hearing and eye protection
 Do not direct compressed air at anyone
 Check that adjustable guards are operating correctly
 Keep a firm grip while using tools
 Earth slide  Helmet, PPE
 Fall of material  Safety helmet, proper protection
 Fall of object & workers  Safety helmet, safety harness and belt provide
 Tools/ fall-hit/ on the body parts  Use Taglines Wear correct PPE. the glove are good
quality of rubber materials. Observe the Load and
the load placement area and keep well clear
Operation: Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibility

List the operational steps List what could go wrong and what the consequences could be List controls in place to prevent an accident List who is responsible for each control

 Erecting and securing:  Strains and sprains  Use correct lifting techniques
- wall frames-blocks  Get assistance when lifting heavy loads
 All is the supervisor
 Use good judgement to assess manageable loads
- wall plates Responsibility
- ledger plates  Wear gloves, goggles and other protective equipment
 Injury from flying debris and Dust
 Ensure all guards are in place on tools and machines
 Be aware of people working nearby

 Wrist sprains and cuts from drill twisting.  Ensure drill is kept at a good working height
 Use a work platform to avoid stretching
 Keep drill bit square to the surface being drilled

 Falls from a ladder  Ensure that ladders are safely secured, and at a 4:1 pitch
 Do not stand higher than the 3rd top rung
 Only carry out light duties, using one hand, when working from
a ladder

 Using hand and power tools
saws and drills
 Work on Excavation
 Foundation
 Steel erection
 Crush injuries (personnel /
static object
Date:22/4/2024
 Injuries from nail guns, power  Never carry power tools with the trigger depressed
 Keep hands away from the immediate work area
 Disconnect tools from the power source
 Before making adjustments or carrying out servicing
 Wear hearing and eye protection
 Do not direct compressed air at anyone
 Check that adjustable guards are operating correctly
 Keep a firm grip while using tools
 Earth slide  Helmet, PPE
 Fall of material  Safety helmet, proper protection
 Fall of object & workers  Safety helmet, safety harness and belt provide
 Tools/ fall-hit/ on the body parts  Use Taglines Wear correct PPE. the glove are good
quality of rubber materials. Observe the Load and
the load placement area and keep well clear
Operation: Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.
Task
List the operational steps
 Manual wood selection
 Cutting operations
 Using hand and power tools
saws and drills
 Clamping operations
 Hammering operation
 ERECTION OF RE- BAR,
FORM-WORK & FALSEWORK
 LEVELING /SCREEDING
ANDCURINGCONCRETE
Date:23/4/2024
JSA: of
HARC reference (if applicable):
Hazard Controls Responsibility
List what could go wrong and what the consequences could be List controls in place to prevent an accident List who is responsible for each control
 Dust -Wood particles  Dust masks should be worn / Wear eye protection
 Rough surface / Rough lumber  Wear gloves and other protective clothing
 All is the super visor
Responsibility
 Hardness Wood type  Ensure blade is well sharpened
 -Understand the type of plank before operation
 Never carry power tools with the trigger depressed
 Injuries from nail guns, power  Keep hands away from the immediate work area
 Disconnect tools from the power source
 Before making adjustments or carrying out servicing
 Wear hearing and eye protection
 Do not direct compressed air at anyone
 Check that adjustable guards are operating correctly
 Keep a firm grip while using tools
 Slip /hand slip- Head injury, -  Ensure full concentration while working
Injury of other body parts
 Jaws / pinch points – Crushing- Bruises,  Keep fingers and hands out of the jaws
cuts.  selecting the right hammer for the job,
- Focus on nail head and not the hammer.
 Hammer head /Hand/finger injury,
 Never use a hammer with a loose or broken handle
 Hammer handle /hammer head flying off  Wear / used proper PPE (gloves, steel boot, coverall, etc) • All
 cracked head protruding ends of rebar and formwork should be capped or
bended
 Protruding rebrands sharp angle of  Formwork erected based on calculation, drawing and design by
formwork and false-work professional engineer P.E
 Slip, trip and fall -physical injuries  Place or lay a walkway (metal or wooden planks) • Barricades
 and signages in place to avoid authorized person / trespassing
 Concrete splash
  Wear safety glass, goggle and long shirt
 Bending static for long hours  Used machinery/equipment •Add numbers of workers
Operation: Client: Supervisor:
Team Members: Reviewed by:
Reviewed by:
 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.
Task
List the operational steps
 Manual wood selection
 Cutting operations
 Using hand and power tools
saws and drills
 Clamping operations
 Hammering operation
 ERECTION OF RE- BAR,
FORM-WORK & FALSEWORK
 LEVELING /SCREEDING
ANDCURINGCONCRETE
Date:24/4/2024
JSA: of
HARC reference (if applicable):
Hazard Controls Responsibility
List what could go wrong and what the consequences could be List controls in place to prevent an accident List who is responsible for each control
 Dust -Wood particles  Dust masks should be worn / Wear eye protection
 Rough surface / Rough lumber  Wear gloves and other protective clothing
 All is the super visor
Responsibility
 Hardness Wood type  Ensure blade is well sharpened
 -Understand the type of plank before operation
 Never carry power tools with the trigger depressed
 Injuries from nail guns, power  Keep hands away from the immediate work area
 Disconnect tools from the power source
 Before making adjustments or carrying out servicing
 Wear hearing and eye protection
 Do not direct compressed air at anyone
 Check that adjustable guards are operating correctly
 Keep a firm grip while using tools
 Slip /hand slip- Head injury, -  Ensure full concentration while working
Injury of other body parts
 Jaws / pinch points – Crushing- Bruises,  Keep fingers and hands out of the jaws
cuts.  selecting the right hammer for the job,
- Focus on nail head and not the hammer.
 Hammer head /Hand/finger injury,
 Never use a hammer with a loose or broken handle
 Hammer handle /hammer head flying off  Wear / used proper PPE (gloves, steel boot, coverall, etc) • All
 cracked head protruding ends of rebar and formwork should be capped or
bended
 Protruding rebrands sharp angle of  Formwork erected based on calculation, drawing and design by
formwork and false-work professional engineer P.E
 Slip, trip and fall -physical injuries  Place or lay a walkway (metal or wooden planks) • Barricades
 and signages in place to avoid authorized person / trespassing
 Concrete splash
  Wear safety glass, goggle and long shirt
 Bending static for long hours  Used machinery/equipment •Add numbers of workers
Operation: Client: Supervisor:
Team Members: Reviewed by:
Reviewed by:
 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibility

List the operational steps List what could go wrong and what the consequences could List controls in place to prevent an accident List who is responsible for each control
be

 Site Preparation  Uneven ground, tripping hazards  Mark boundaries of the trench area and block the area from two
side starting from the entrance near gate 1 next to the garage  All workers on site
 Ensure the work area is clear of debris and obstacles

 Excavator / hand tools Setup  Risk of equipment malfunctions,  Conduct equipment inspection before use.
rollovers  Ensure the excavator is on stable ground.
 Equipment operator
/Supervisor
 Soil Testing  Unstable soil conditions, risk of cave-  Perform soil testing to determine soil stability.
ins
 Supervisor
 Utility Location  Contact utility companies for locates.
 Striking underground utilities
 Hand dig to expose utilities if necessary.

 Excavation with hand tools 1- Damage to services & infrastructure not
(shovels, blunt nosed bars, not identified in below ground survey, hydrocarbon
power tools). release, loss of utilities, electric shock hazard.
2- Possible water accumulation.
3- Heat stress.
 Equipment falling into work area
 Back filling
Injuries to operatives in the work area
/Concert filling
Vehicles falling into excavation
 May affect Respiratory system.
 Hands may get injured
Back-filling- Worker hit by compactor
While reverse the Tripper/Tractor may hit
the person
 Rendering Works
 Manual handling operations (MHO’s)
1- If unidentified line, obstruction, concrete (red or otherwise),  Supervisor
or similar is contacted, stop work, notify facility, and re-
assess hazards.
2- Pump water out when necessary
3- Workers to drink fluids, take breaks when working in warmer
weather -. frequency based on conditions. Evaluate need to  Supervisor
provide shaded break area.
 Strict access control to the work area,
 Wear respirators or cover mouth and nose with wet cloth.
 Use gloves and other PPEs
 Do not allow persons to work in front of compactor.  Supervisor
Reverse Alarm should be provided and need stand by
Vehicle helper
 Maximum use of equipment to reduce need for MHO’s
MHO Training prior to any work being carried out (Toolbox
 Supervisor
talk attached) This training is to be documented
Wearing of gloves Wearing of safety shoes Wearing of
safety glasses

Date:26-30/4/2024 Operation: Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibility

List the operational steps List what could go wrong and what the consequences could List controls in place to prevent an accident List who is responsible for each control
be

 Site Preparation  Uneven ground, tripping hazards  Mark boundaries of the trench area and block the area from two
side starting from the entrance near gate 1 next to the garage  All workers on site
 Ensure the work area is clear of debris and obstacles

 Excavator / hand tools Setup  Risk of equipment malfunctions,  Conduct equipment inspection before use.  Equipment operator
rollovers  Ensure the excavator is on stable ground. /Supervisor

 Soil Testing  Unstable soil conditions, risk of cave-  Perform soil testing to determine soil stability.
ins  Supervisor

 Utility Location  Contact utility companies for locates.

 Striking underground utilities
 Hand dig to expose utilities if necessary.
 Supervisor
 Excavation with hand tools 1- Damage to services & infrastructure not 1-If unidentified line, obstruction, concrete (red or otherwise), or
(shovels, blunt nosed bars, not identified in below ground survey, hydrocarbon similar is contacted, stop work, notify facility, and re-assess
power tools). hazards.
release, loss of utilities, electric shock hazard.
2- Pump water out when necessary
2- Possible water accumulation.  Supervisor
3- Workers to drink fluids, take breaks when working in warmer
3- Heat stress.
weather -. frequency based on conditions. Evaluate need to
provide shaded break area.

 Equipment falling into work area

 Back filling  Strict access control to the work area,
/Concert filling Injuries to operatives in the work area
 Wear respirators or cover mouth and nose with wet cloth.
Vehicles falling into excavation
 Use gloves and other PPEs  Supervisor
 May affect Respiratory system.
 Do not allow persons to work in front of compactor.
 Hands may get injured
Reverse Alarm should be provided and need stand by
Back-filling- Worker hit by compactor
Vehicle helper
While reverse the Tripper/Tractor may hit
the person

Date:04-06/5/2024 Operation: Manual digging Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.

Task Hazard Controls Responsibilit

List the operational steps
 Loading and Off-loading of cable
drums
 Stabilizing the hiab
Truck
List what could go wrong and what the
consequences could be
List controls in place to prevent an accident
 Improper handling of material.
 Improper use of Lifting
Equipment
 Fall of load
y
List who is responsible for
each control
 Equipment Check List (Verified).
 Area cordons off.  Supervisor
 Load the material as per the designed loading capacity of the vehicle.
 Weight of load clearly marked / Known.
 No Manual Handling will be allowed for heavy load
 Supervisor
 The truck wheel should not be lifted off the ground as they supply the main
stability.  Supervisor
 Ensure Parking brake is applied.
 That the truck wheels are chocked if the ground slopes.

 Don't keep the unnecessary materials/tools on the scaffold platform \  Supervisor

 CABLE LAYING AND  Fall of objects / Tools.
PULLING.  Hand tools to be tied with permanent structure or person

 Accidental Fall of Person  Supervisor

 Use of Safety Harness/full body harmless to prevent accidental fall

 HAND INJURIES
 TERMINATION  Trained and competent electricians using suitable tools shall carry out
Cable Termination. Modified Power and Hand tools are not acceptable.
 Avoid slashing cables while sliding it on your hand
 Supervisor
 Apply the LOCKOUT / TAGOUT procedures as necessary as
  Slips trips and falls practicable
Clean up worksite
 Remove tools equipment and rubbish from worksite and maintain a
clean work environment.
 Supervisor shall conduct tool box meeting in this regard

Date:07/5/2024 Operation: Manual digging Client: Supervisor:

JSA: of Team Members: Reviewed by:

HARC reference (if applicable): Reviewed by:

 JSA (QHSE)
This form should be used to list identified hazards, controls and responsibilities for each step in the operation.
Task
List the operational steps
 Mixing of painting
 Painting of Structural Steelwork
 Clean up after job
 Transformer lifting
Check the intended route and point of
placement
 Evaluate the Load
 LIFTING WITH crane
Date:08/5/2024
JSA: of
HARC reference (if applicable):
Hazard
List what could go wrong and what the
consequences could be
 Poisoning due to poor
mixing
 skin irritation
 fire Hazard
1. Poisoning from substance
through contact.
2. Personal being overcome
by fumes from paint while
applying.
3. Environmental damage
from spilling paint
4. Paint Over Spray
5. Fire from paint fumes
1. Poisoning from substance
2. Splash into eyes.
3. Contamination of the
environment
 Slips, Trips & Falls Crush
Injury
 Lacerations, Splinters
 FALL OF OBJECT
Operation: Painting-lifting
Team Members:
Controls Responsibilit
List controls in place to prevent an accident
y
List who is responsible for
each control
 Use gloves while mixing at all time, safety glasses to be worn at all times.
 Coverall to be worn. Mixing to be as per manufacture data & MSDS
instructions.
 Personal to be aware of information contained on their instructions and be
available at all times for reference.
1. Use of gloves while painting and mixing, correct PPE
2. Personal to carry paint in small amounts so not to strain or overbalance while
working at heights.
3. Personal working in open area with good ventilation.
4. Personal wear “SUNSTROM” respirators at all times while painting in
enclosed areas or poor ventilation.
5. Paint will be in small container to reduce the risk of spills of large amounts. .
6. Wind direction and speed to be monitored.
7. Paint to be applied by brush reducing the potential of combustible fumes.
8. Fire extinguishers place around site and on support truck
1. Use of gloves while cleaning up, correct PPE as per manufacture data /
MSDS sheet to be worn.
2. Ensure all tins have been catalyzed and then placed in appropriate bins
depending on local council require.
 Inspect the area immediately around the load and the route for clearance
and tripping hazards. Clear movable objects from the route. Check for
uneven terrain. Clean up spills that could affect foot traction.
* Examine object for snags, burrs, splinters, sharp edges,
nails. Remove objects prior to lift and/or wear gloves for hand protection.
 CERTIFIED CRANE OPERATOR AND RIGGERS (3RD \\
PARTY CERTIFIED) WILL CARRY OUT THE LIFTING
Client: Supervisor:
Reviewed by:
Reviewed by: