JSA For Installation of Conduit and Boxes
JSA For Installation of Conduit and Boxes
RSG-HS-FRM-0001
RED_SEA_GLOBAL
Section I -Enter general information about the site and job task.
Section II - Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit, certification, and risk assessment requirements.
Section III - Identify any human/organizational factors that could impact the ability to perform the work safely.
Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to leave an extra row between steps in c a s e you need
1 them later. Add additional rows to the table as needed, or if completing the JSA on paper, print additional copies of the sheet to accommodate all job steps.
Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to trigger your thinking about different types of
2 hazards and energy sources.
List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure examples and hierarchy provided to trigger your
thinking about different types of controls and their effectiveness at reducing risk. Controls toward the top of the table tend to be more effective at minimizing the severity and/or likelihood of
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an event than the controls toward the bottom of the table. If this job involves a Life Crucial Operation, continue to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified, then
Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could result from this job step. Use the severity table
4 provided. Write the severity number in column D (Severity).
Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this job step. Use the likelihood table provided. Write
5 the likelihood number in column E (Likelihood).
Multiply the severity number by the likelihood number and enter the product in column F (Risk).
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Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
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🗸 Very low and low risk ratings of 1-2. This level is generally considered acceptable provided that all control measures are applied.
Medium risk ratings of 3-9. Medium risk requires a planned approach to control the hazard and applies additional controls if required. Action taken must be documented on the risk
🗸
assessment form.
High and Very High-Risk ratings of 10-25. For all high and very high risk, Column G (Additional control measures) must be implemented to further reduce the risk to a medium or low
🗸 level. Such activities shall not be proceeded until applying additional control measures. The Construction Director/Manager or facility Manager must personally review the activities
with a High or Very High residual risk score and approve additional control measures by signing off the JSA
Repeat steps 2-7 for each of the job steps identified.
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Section IV - Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The Construction Director/Manager or facility Manager must review
and approve the additional control measures that have a High or Very High-Risk rating before proceeding the task. Additional space is also provided for crew members to sign the JSA if desired.
Reference Table in completing Section III – Job Safety Analysis (Column B – Hazard)
RED_SEA_GLOBAL
Reference Table in completing Section III – Job Safety Analysis (Column C – Control Measure)
Controls Examples
Elimination
(Remove the hazard altogether)
Substitution
(Replace the material/process with a less
hazardous one)
Engineering/Isolation
(Design effective control measures to protect
people and the environment)
Warning
(Alert people to the hazards)
Administrative
(Provide training, procedures, etc.)
PPE
Less (Personal Protective Equipment)
Effective
Impact On Chances of
Severity Level &Likelihood Level Probability&
Occurrence
People Equipment / Property
Reference Table in completing Section III – Job Safety Analysis (Column F – Risk)
Risk Matrix
Very Low Low Medium High Very High
Likelihood Severity 1 2 3-9 10-16 20-25
1-Negligible 2-Minor 3–Moderate 4-Significant 5-Major
Medium Hgh High High High High and Very High-Risk ratings of 10-25.
5 – Almost Certain
(5) (10) (15) (20) (25)
Additional control measures must be implemented to further reduce the High
Medium Medium High High High
4 – Likely and very high risk to acceptable level.
(5) (5) (12) (16) (20)
3 – Possible
Medium Medium High High Note: The Construction Director/Manager or Facility Manager must personally
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(5) (5) (12) (15)
review the activities with a High or Very High residual Risk score and approve
Low Medium Medium Medium High
2- Rare suitable additional control measures by signing the JSA.
(2) (5) (5) (8) (10)
Very Low Low Medium Medium Medium
1 – Unlikely
(1) (2) (5) (4) (5)
Details
Company Name
Program / Facility / Operations Program 03 - Coastal Village Economic Homes Contracting Co
Uninspected or damaged scaffolds and ladders Scaffolds to be tagged by scaffolding 3 3 9 Always check the tag red green or yellow 2 1 2
inspectors Red tag not allowed to use
No work is allowed to be carried on Certified inspector inspects the scaffolding and
untagged or red tagged scaffolds or place the tag
scaffolds with expired inspection tags
Collapse of scaffold/ladder No unauthorized alteration to be made 4 3 12 Permit to work must be obtained and 2 1 2
in the scaffold while working precautions to be taken as listed before starting
Scaffold weight ratings and capacity to the activity
be marked and no overloading is No work allowed directly under the area where
allowed of scaffold platforms work at height is in progress. Full supervision
Proper material handling techniques will by construction team, Safety officer.
be used and, if required, a pulley with
bucket will be installed for handling the
material and tools
Ladders must be extending 3 rungs
above the platform (0.9 meters)
Make sure that the ladders are secured
by side lock or supports
Footing shall be proper and on the even
ground
Lack of edge protection Proper guard railing system for work at 5 4 20 Assure that the access areas are clear 2 1 2
height platforms to be available along
with toe boards
Unstable work platform No unauthorized alteration to be made 3 3 9 Full supervision by construction team, Safety 2 1 2
in the scaffold while working officer
Scaffold weight ratings and capacity to
be marked and no overloading is
allowed of scaffold platforms
Loose component of scaffold Make sure that the ladders are secured 4 4 16 No work allowed directly under the area where 2 1 1
by side lock or supports work at height is in progress
Footing shall be proper and on the even
ground
Damaged, broken or defective ladders or
components shall not be used
Untrained personnel All personnel must be trained for work 3 3 9 Barricade the work area and put signages 2 1 2
at height Daily TBT, Pre-Task Briefing for site workers
Safety harness to be worn and on daily activities.
Do not try to overreach 100% tie off to
be maintained
Manual material handling Proper material handling techniques will 3 3 9 Maintain proper housekeeping all the time 1 1 1
be used and, if required, a pulley with
bucket will be installed for handling the
material and tools inspect the tools and
equipment before usage
Do not use and damaged and faulty
tools
Staff engaged in working shall be aware
of Emergency call out procedure.
Fire Immediate help shall be called by Emergency no. posters shall be displayed at
calling EOC number 011 212 7111 sites and rest shelters
Unexpected Event Explosion
considering the emergency situations. 2 1 2
Emergency condition Full supervision by construction team.
First Aiders will be available on site. 3 3 9 Safety supervisor.
Standby emergency vehicles as
Daily TBT, Pre-Task Briefing for site workers
applicable
including drivers on daily activities.
Do not panic in emergency situations
and respond correctly.
All employees must be included in the
emergency drills
The Project Emergency Preparedness
Plan will be communicated and
implemented.
Emergency no. posters shall be displayed at
Employees will be trained how to act in
Uncertainty/ sites and rest shelters.
case of Emergency.
Emergency Response dangerous condition Full supervision by construction team.
Assemble point and direction sign Safety supervisor. 1 2 2
Fatality should be displayed on site. 3
Daily TBT, STA, Pre-Task Briefing for site
injury Suitable emergency communication workers including drivers on daily activities.
Property damage means shall be provided. 9
Emergency contacts to be displayed. 3
Emergency equipment & services shall
be readily available like crane with man
basket, standby dewatering pumps,
tripod with winch as applicable or
sewerage tanker and spill kit with
emergency team.
Full time supervision availability for the
assign tasks at site so that he/she to
minimize the situation of emergency to
occur at site by arranging safe
equipment/safe workplace and monitor
the work and provide required
information/instruction/training to
workforce to minimize the condition to
develop as emergency.
Lone work must be avoided.
Sleeping / resting in unauthorized areas
shall not be permitted, provision of
adequate welfare at designated locations
with good illumination.
Provision of sufficient safe access to
emergency services / ambulance
Provision of full time first aiders / male
nurse
Provision of emergency standby vehicle
at site.
Note: All High and Very High residual risk ratings (10-25) require review and approval by Construction Director/Manager/Facility or Operations Manager before starting work to ensure that the additional controls are adequate to execute
the task safely.
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