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JOB SAFETY ANALYSIS WORK SHEET

FACILITY /
MANGALA UPGRADATION PROJECT STAGE-2 (EPC-2) DATE : PAGE No: 1
SITE:
AREA JSA REF
AUTHORITY: No:
DEPT. PTW NO.
DEPARTMENT / SYSTEM /
Operation / Rajasthan
LOCATION:
JOB SAFETY ANALYSIS TEAM (FIRST NAMED-JSA TEAM
TASK DESCRIPTION:
LEADER)
Non-Destructive Testing (NDT) - Liquid Penetrant Test NAME POSITION
Cairn Construction Civil Engineer
Contractor Site Supervisor
Contractor Site HSE Engineer
Cairn Construction HSE Engineer

REFERENCES AND OTHER RELEVANT INFORMATION : (e.g. Emergency

Provision Required, Competency requirements, Tools & Equipment, P&ID’s, JSA Reviewed
Drawings, Procedures, Certificates, other Job Safety Analysis’s)
NAME
(PRINT) :
POSITION :
SIGNATURE
DATE :
Sl ACTIVITY HAZARD HAZARD EFFECT IR CONTROL MEASURES Responsibility RR
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 Improper  Injury to 2 2 M  Ensure MSDS available in storage Site 2 1 L

Storage workmen area incharge/Engineer
 Skin  Ensure proper label & signage
diseases/Disor  Training for persons engaged in
der storage and handling
 Toolbox meeting shall be
conducted.
 Sufficient quantity of fire
extinguisher shall be kept.
 Chemical shall be kept away from
Storage &
hot work zone.
1. handling of
cleaner &  Stack the chemical in proper
Penetrant manner to avoid any personnel
developer injury
 Skin  Injury to  Conduct daily toolbox talk Site 2 1 L
Irritation. workmen discussing safety precaution incharge/Engineer
 Eye injury  Skin according to the work to be
diseases / performed.
Disorder 2 M  Proper PPE’s as stipulated in
2 MSDS to be provided & used.
 All the safety measures as
included in MSDS Must be
followed.
 Only certified and trained person
to be engage for handling.
2. Liquid  Lack of  Physical injury 3  Tool box meeting shall be Site 3 1 L
Penetrant access & due to conducted incharge/Engineer
test egress improper body 3 H  Suitable access (Scaffold/ ladder)
movement should be provided.
 Falling from
height
 Use personal fall protection

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system while working at height

 Health  Injury to  Nearby working group shall be Site 3 1 L
Hazard workmen informed prior to work. incharge/Engineer
 Skin  Conduct daily toolbox talk
diseases / discussing safety precaution
Disorder according to the work to be
performed.
 Proper PPE’s as stipulated in
MSDS to be provided & used.
 Only Trained and authorized
3 3 H person to be engage for Job.
 After completion of job chemical
shall be properly removed from
the joint.
 Nose mask shall be used while
activity.
 Only certified & trained person to
be engage for the Job.
 Ensure housekeeping should be
done after DP test
Housekeepin  Trip,  Injury to 2  Conduct daily toolbox talk 1 1 L
g & removal slip/struck person discussing safety precaution
of excess by  Slip & fall from according to the work to be
material  Manual ground performed.
handling  Housekeeping will be maintained
 Hand injury 1 L in a good & orderly manner.
3.  Disposed chemical rugs and cans
as per approved waste
management procedure.
 Keep the materials & tools in
appropriate place & segregate
accordingly in the stockyard.
 Remove all tools & equipment as

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soon as reasonably practicable

 Hazardous  Soil  All wastage & empty drums to be 2 1 L
wastage contamination disposed as per waste
 Spillage management procedure.
4. Environment 2 M  In chemical spillage area, Drip
2
al concerns tray / Spill kit shall be ensured.
 Job specific tool box talk should
be conducted

5 Emergency Extreme Collapse of 2 2 M  Evacuation procedure shall be in Section In charge / 2 1 L

response weather individual, Fire, place Site Engineer
condition, Explosion,  Emergency Response action to
Lack of Unviability of be communicated during TBT
supervision, emergency  Radio officer to be informed in
case of Emergency
Leakage of vehicle
 Ensure emergency vehicle
toxic or arrangement is place
flammable
gases

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