JOB SAFETY ANALYSIS

Ref: C5+– JSA- 003

Facility / Site:……………………………………………… Location within Site:…………………….. Permit No:……………………. Permit Type: ……………… Date:…………………….

Task Description: Excavation

REQUIRED REFERENCES JSA REVIEW

Have the relevant Procedures, Standards, Guidelines,
or Safe Work Practices been reviewed? Yes N/A
Pending confirmation by the Task Leader of site conditions, I agree that the attached JSA identifies the
significant Task Steps, Hazards, and Controls.

JSA REVIEWER (Supervisor or Designate):

RISK ASSESSMENT
Must existing Procedures or Work Practices be
Yes No Name / Signature: Company:
modified to perform this work?
After mitigation, are there any hazards that continue to WORK SITE VERIFICATION
present a potentially significant risk? (Scenario-Based Yes No
Risk Assessment required)
The Work Team has assessed the worksite conditions and confirms:
 The JSA addresses the applicable hazards and necessary controls.
PPE REQUIRED DURING THIS TASK
 The Team has the appropriate resources (people and equipment) to do the job safely.
HARD HAT SAFETY GLASSES
 Others that could be affected by the work have been informed.
FACE SHIELD TASK LEADER:
SAFETY SHOES / BOOTS
GOGGLES

FALL PROTECTION Name / Signature: Company:

FALL RESTRAINT COMPLETE THE SECTION BELOW IF THIS JSA IS NOT PART OF A PERMIT PACK
GLOVES:

COTTON Work Team Declaration:

LEATHER I acknowledge that I have reviewed the attached JSA, I understand my roles
and responsibilities, and I will comply with the instructions for this task.
IMPACT PROTECTION
Name (print): Name (print):
Dust mask
OTHER (specify):
           
Work clothes
           
           
           
OTHER PPE (specify):            
           
 TASKS/STEPS POTENTIAL HAZARDS HAZARDS CONTROLS HAZARD PORT
(Number) (What could go wrong?) (How can harm be prevented?) MITIGATION STATES
1. Permitting work  Work condition not safe  HSE team to assess continuously the  PTW system
 Procedures and tasks not clear conditions of work in the assigned area  Tool Box Talk
 Lack of supervisory  One person to issue work permits  Inspection
 Miscommunication  Toolbox talks Certificates
 Not correct PPE worn  Competency of personnel and supervisory for
 Equipment not inspected and certified the activity
 Define hierarchy and reporting flowcharts
 Define proper PPE to be used for the work
 Check inspection certificates of equipment for
the job
2. Mobilization and Driving  Collision with other vehicles.  Travel at suitable speed for the surface  Trainings
 Overturning vehicle with driving off road. conditions and respect speed limits.  Certifications
 Driving fatigue  In-field journey Management Plan
 Drivers to receive a course in Desert defensive
driving prior to mobilization to project
location
 The use of mobile phones (including hands
free) is not permitted whilst the vehicle is in
motion
 Seatbelt On all the time driving
3. Site Preparation  Musculoskeletal from erecting hoardings, traffic  Training regarding good lifting techniques and  Trained First aiders
barriers, barricades, posting safety signage and how to recognize your own limitations. onsite
material handling  Team work if it looks like two or even three  Emergency
workers would do the job more effectively Response Plan
and safer than one, then that is probably true.
 TBT in place
 Adequate PPE for all personnel
 Use of mechanical lifting and avoid manual
handling as much as possible when applicable.
 Provide hard barricade to protect the
excavation
4. Checking equipment  Punch point / hand injuries  Smart grip / 3 points of contact when climbing  Trained First aiders
 Personnel Injury onto machines onsite
 Falling from machine  Use containment cans/ plastic covers to  Emergency
 Slipping from ladder prevent spills Response Plan
 Diesel / oil spill  Wear dust mask when cleaning air filter
 Electric shock  Adequate equipment, certified will be used  Ambulance ready
 Breathing dust from filters  Competent persons will perform the job to intervene in case
  Wiring must be done only after turning off the of emergency
power and confirming there is no electricity to
prevent electrification.  Evacuation car on
 Equipment check list should be made for all work site covering
new equipment coming to site POB working in the
 Ensure the respiratory equipment such as air area.
line hose pressure regulator, filter is free from
defect.
 Weekly equipment check list should be made
and kept at engine
 Wear proper PPE
 Use proper ladders / steps to go on top
5. Excavation  Person fall in the trench  Install stakes and warning tape around trench  Trained First aiders
 Dust goes in respiratory system  Ground personnel to wear high visibility onsite
 Mishandled or poorly placed material jackets  Emergency
 Excavated material or other objects falling on  Inspect he excavation at the start of each day. Response Plan
workers  Remove debris and excavated soil near
 Personnel hit by excavator or wheel loader excavation site  Ambulance ready
 Mobile equipment incident due to unstable  Provide hard barricade to protect the to intervene in case
adjacent structures excavation of emergency
 Workers go down in the trench while trenching  Wear respiratory mask if working downwind
 Evacuation car on
 Back injury when working with shovel under bad  Place excavated material at safe distance from
work site covering
posture the excavation
POB working in the
 Personnel trip / falling hazards due to excavated  Provide save access to the excavation.
area..
material  Never walk under and beside excavator
 Excavator tilting due to bad ground stability (mud, loader, wheel loader or screening machines
sand…)  Be aware of nearby vehicles and mobile
equipment causing soil to vibrate
 Do not go down in the trench while
excavation
 Wear correct safety boots and mind steps / do
not rush
 Check the stability of the ground below the
excavator
 Keep safe distance between the heavy
equipment and the trench edges (2m)
6. Cleaning &Housekeeping • Equipment and tools remain on site • Training for good work practices to be held on Plastic bags
• Slip trip and fall site waste bins
• Trash left in the work place • TBT in place before job, housekeeping issue to
be mentioned in all TBT
• After working day, team leader must ensure
 cleaning, inspecting equipment and good
housekeeping.
• Waste management plan is in force during
project
• Waste to be removed in time as per
CONTRACTOR waste management plan

7. Permitting work  Work condition not safe  HSE team to assess continuously the  PTW system
 Procedures and tasks not clear conditions of work in the assigned area  Tool Box Talk
 Lack of supervisory  One person to issue work permits  Inspection
 Miscommunication  Toolbox talks Certificates
 Not correct PPE worn  Competency of personnel and supervisory for
 Equipment not inspected and certified the activity
 Define hierarchy and reporting flowcharts
 Define proper PPE to be used for the work
 Check inspection certificates of equipment for
the job

Name Position Date Signed

Prepared By
Checked By
Approved By