Deshuttering of Slab Shutter JSA HSE Professionals

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JSA (Job Safety Analysis) Sheet

Activity Name:- Deshuttering of Slab 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.
Manpower Untrained worker,lack
1 Personal injury
Mobilization of skill awareness Given Tool Box Talk to all workers.
Area barricade to restrict entry.
Ensure full body safety harness anchor by each workmen.
Engaged trained & experienced person on the job.
2 Deshuttering Fall of material Personal Injury Maintain good house keeping at work site.
Conduct tool box talk before starting the work.
Ensure recommended PPE should be worn the worker such as safety
shoes,helmet, hand gloves goggles & dust mask.
Inspected FBSH having double lanyard, shock absorber should be
Uninspected FBSH Fall of person
provided.
Without edge Life line, hard barication and safety net should be provided on edge.
1
3 Working at height protection
Scaffold shall be erected on even surface by providing base plate, side
Unapproved scaffold Fall of person support, and ledger at every at 500mm with side supports wherever
height increases beyond 2 mtrs .
Night work permit to be taken from concern engg.and safety dept.
Darkness, fall of
Work during dark Personal injury, Ensure proper illumination during dark hours.
4 person, fall of Electrical cable should lead min 2 m height. No exposed electrical
hours machinery
damage to property
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 : ______

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