JOB SAFETY ANALYSIS WORKSHEET

Ref No: CU/NES/MAN/JSA/001 Date :-

NAME OF MASTER EMPLYOER:

Project:

Location:

The type of work, nature of work:

The tools and machineries used:

The training and skill required for the job: Safety induction training, Safe practices and JSA Briefing before starting
the erection work.

Personal Protective Equipment Required: Safety Shoes, Hard hat, Hi vis. reflective Jacket, Safety goggles, Hand
gloves, mouth mask, Safety harness

Prepared By:

Reviewed by:

Approved by:

Job Step Hazards Identified Controls Required Training PPEs Needs Action By/Record

Work place set up &  Slip and trip  Engage trained/inducted workforce for
pit area dismantling of person the task Site Engg./ Sup
with breakers.  Poor house  Stack the material in arranged manner.
keeping  Maintain good housekeeping.
 High noise  Use ear plug
area

Boring in R.W.H pit  Slip and trip  Maintain good housekeeping at work
hazard. place. Site Engg./ Sup.
 Fall of  Carry the load according to personal
material and capacity if the load is more than 25 kg
fall of person.
then seek the help of other workers.
 High noise
area  Wear job specific personal protective
equipment (hand gloves, safety shoes,
ear plug,hardhat, gumboot etc.)
 All material should be stack in proper
place.
 All stacking material should be
barricaded.
Excavation of pit  Fall of side  Wear job specific and excavation with
area with help of soil in pit slop Site Engg./ Sup.
Jcb. & manually.  Carry the load according to personal
.
capacity if the load is more than 25 kg
 Fall of person
then seek the help of other workers.
from height
 High noise  Use full body safety belt if height is
area. more then two meter.
 Working area should be hard
barricaded.
 Don’t stack lose material on height.
 Use stair with railing both sides enter
the pit.

 Dressing  Slip and trip  Use stair with railing both sides enter
 Layout of person the pit. Site Engg./ Sup.
 Bar binding  Poor house  Engage trained/inducted workforce for
 Pcc work keeping the task
 Fall of person  Stack the material in arranged manner.
from height
 Maintain good housekeeping.
 Area should be barricaded and display
warning signage’s.
 Wear job specific personal protective
equipment (hand gloves, safety
shoes,,hardhat, etc.)
 Use full body safety belt if height is
more then two meter.

steel cutting &  Flying chips,  Use job specific PPEs ( like hand
wooden cutting for material gloves, safety shoes, safety Site Engg./ Sup.
wall setup.  Fire and goggles,face shield.ear plug etc. )
explosion  Use fire cylinder cutting steel or
hazards wooden area.
 Electrical
 Use Every electrical equipments should
hazards&
be inspected.
Noise
 Only trained person perform task jobs.
.

Wall setup inside pit .

 Slip and trip
of person
• Use stair with railing both sides enter
Site Engg./ Sup.

 Poor house the pit.

keeping • Stack the material in arranged manner.
 Cut with Maintain good housekeeping
sharp edges
• Use iron cap in sharp steel edges.
Wall casting  Slip trip  Clean area and use pies casting wall
hazards work Site Engg./ Sup.
 Noise  Use ear plug when machine running.
hazards

Dismantling  fall of material  dismantling of shuttering use proper

shuttering  sharp edges tools and clean area. Site Engg./ Sup.
cut  Material should we properly arranged
in storage area.

Refilling of soil out  Slip trip & fall  Area should be barricaded and display
side the tank  Poor warning signage’s . Site Engg./ Sup.
housekeeping  .Refill the soil outside the tank properly
clean and dressed.
 Use properly ppe’s ear plug hard
helmet, safety shoes ,dust mask, etc.

oil trap chamber  Slip trip fall  Set up ground level

layout & pcc  Cut with  Bar binding working use iron cap on Site Engg./ Sup.
manually. sharp edges steel
• Do not lift the weight more than 25 kg.

• Use ppe’s gloves, goggles, hard helmet,

etc.

shuttering of tank  Fall from  Use full body safety belt and life line
slab & bar binding. person for while fixing hard pole. Site Engg./ Sup.
height  No lose item should be place on height.
 Cut with
 Display warning signage.
sharp edges.
 Area should be barricaded.
 Use cap in steel edges.

dismantling road  High Noise  Use ear plug breaker works.

main chamber to oil Area  Area barricaded Site Engg./ Sup.
trap chamber with  Slip trip fall  Housekeeping maintain.
breaker & remove
soil oil trap chamber
.
ss pipe setup oil trap  Slip tip  Area should be barricaded and display
chamber to main hazards warning signage’s. Site Engg./ Sup.
chamber &   Use ppe’s safety shoes hard helmet
etc.

shuttering bar  fall of material  Every material should be properly lifted

binding main drain  Cut with  Area should be barricaded and display Site Engg./ Sup.
chamber sharp edges warning signage’s.
l
 Use proper ppe’s
casting tank slab /oil  Fall of object.  Area should be barricaded and display
trap chamber/main  Slip trip warning signage’s . Site Engg./ Sup.
drain chamber hazards  Must use of tool kit.
 Poor  No lose item should be place on height.
housekeeping
 Casting with rmc vehicles and install
the pipe line to connect with pump.
 Rmc vehicles properly guarding
 Clean all working area