F _____
JOB TITLE / AIM: JSA for construction of batter protection along road barrier
JSA DATE: 1/3/2007                                                         JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Iqbal Zaffar                                       SCRIBE: Abdullah Khan
PARTICIPANTS: Mehboob
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
                                              Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
           1.Mobilization of tools & workers
           2 Trimming of slope
           3 Brick Masonry for Toe Beam
           4 Bricks laying on slope & ground level
          5 Demobilization
Alternatives Considered: N/A
     Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE,S : First aid kit must be present at the area and the Hse personnel is the first response in case of
emergency
Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.
                                                                                                                                    File: 10.30
JSA No:                JOB TITLE:
Step           Describe Job Step                              Potential Hazards                             Hazard Controls
    No     (Copy from part 2 of form)                        (Use Hazard Checklist)
1        Mobilization of tools & workers and   Unauthorised tools brought to site            Before mobilizing any tool make sure that the E
         material                                                                            &P Personnel got inspected the tool.
                                               Unskilled and uninducted personnel starting   Ensure that all personnel prior to start the have
                                               the job                                       been inducted and oriented about the hazard in the
                                                                                             job site.
                                               Workers starting the job unfit to work        All personnel must undergo the fitness exam from
                                                                                             DEL company doctor & if not fit to work shall not
                                                                                             be allowed to work at the project site.
                                               Workers starting the job without permit       JSA must be in place prior to work. Ensure all the
                                                                                             persons take part in the toolbox meeting
                                                                                             discussion. All Persons must sign at the back of
                                                                                             JSA.CWP shall be obtained from OPS.
                                               Hand Injury                                   Ensure proper hauling of materials/get help if
                                                                                             required/Wear hand gloves.
                                               Fall of tools/material                        Ensure proper stacking of materials
                                                                                             No materials shall stack behind the edge of slope
                                                                                             Ensure that proper barrication are in place.
                                                                                             Ensure that proper access & egress was in place
2        Trimming of slope                     Hand injury                                   Ensure that workers are wearing of hand gloves
                                                                                             during manual trimming
                                               SIMOPS                                        Ensure that proper distance from one workers to
                                                                                             another workers
                                               Trips/falls                                   Ensure that area have been provided with proper
                                                                                             access & egress like ladders going down the slope
                                                                                             Ensure slow movement of workers while accessing
JSA No:               JOB TITLE:
Step           Describe Job Step                       Potential Hazards                      Hazard Controls
    No     (Copy from part 2 of form)                 (Use Hazard Checklist)
                                                                               down the area
                                                                               Ensure that area secured & barricaded
                                                                               Ensure potable water/sufficient shelter is available
                                        Heat Stress/Exhaustion                 each area where workers are doing the job. First
                                                                               aid kit available at site.
                                                                               Ensure that only designated access shall be used
                                                                               going down and up the slope
                                        Workers might fall over the slope
                                                                               Ensure that no worker shall work without
                                                                               sufficient light.
                                                                               Ensure that wearing of clear glass is a must after
                                                                               dark.
                                                                               Ensure proper tools are use for the job
                                                                               Ensure that full supervision are in place
                                                                               Ensure that excess materials shall removed far way
                                                                               from the area
4        Brick Masonry for Toe Beam     Hand Injury                            Ensure proper hauling of materials/get help if
                                                                               required/Wear hand gloves.
                                        Throwing of Bricks                     Ensure that workers must not throw the bricks
                                                                               during working to avoid any incident.
                                        MSDS for Cement.                       MSDS of Cement must be attached with the
                                                                               permit.
                                                                               Ensure that area have been provided with proper
                                        Trips/falls                            access & egress while working on the slopes.
JSA No:                JOB TITLE:
Step           Describe Job Step                       Potential Hazards                     Hazard Controls
    No     (Copy from part 2 of form)                (Use Hazard Checklist)
4        Bricks laying on slope & ground   Person falling from slope          Ensure that Full body harness shall be worn while
         level                                                                Placing the bricks.
                                                                              Harness shall be tied of with scaffold railing
                                                                              constructed on the top.
5        Demobilization                    Poor house keeping                 Ensure that area should be clean after the work is
                                                                              being finished.
                                           Same as mobilization