09-2021

Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 1 of 4

Job area is considered: Unit area:- Ammonia Storage tank Establishment/Project: JSA No.:
Project No:

Contractor: Hill India tkIS India: Client:

1. 1. 1.
Person participating in 2. 2. 2.
Job Safety Analysis. 3. 3. 3.
4. 4. 4.
5. 5. 5.

JOB DESCRIPTION: Excavation & soil loading/backfilling

Requirement of adding Personal Protection Requirement of adding special equipment or tool

Requirement of Working Permit Equipment.
(Check the relevant box) (Additional list)
Restricted space 1. Helmet 6. Red & Green Flag 1. Excavator 5.
Heating job 2. Shoes 7. Signal light 2. Roller 6.
Digging 3. Safety Goggles 8. Megaphone 3. Earth compacter 7.
Isolation / Energization 4. Hand Gloves 4. Dozer 8.
Other job  5. Whistle

JSA considering procedure Yes No Comment


Is JSA establishment participated by job implementing group?

tkIS India Form: Job Safety Analysis

 09-2021
Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 2 of 4


Is JSA considered by Job implementing group before carrying out the job?

Is JSA sheet used/ consulted in work implementation?

Is the job carried out step by step?

Do you propose to improve JSA sheet (give in detail)

Is detail of any trouble showing

ACTIVITIES HAZARD/ DANGER CONTROL MEASURE ACTION

Separate the job into the Describe all hazards identified for each task based Describe fully all equipment, facility, and/or procedure controls
main tasks and record them on observations and experience. applicable for each hazard.
in sequence.

 Pre-work safety training

 Conduct TBT before start the work

tkIS India Form: Job Safety Analysis

 09-2021
Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 3 of 4

 PTW will be taken prior to job.

 Damage underground utilities Checking for underground utilities before starting the work,
Taking proper precautions before starting of work, the work must be carried out in
presence of supervisor.
Undergound utilities

 If the height or voltage of the overhead electric lines cannot

 Electric shock by overhead cable be accurately estimated ask your Electricity Supply
Authority for advice.

 Injury to personal working near by excavator.

 Moving machinery near the edge of the excavation  No person will allowed to enter on excavation area while excavation is in
may cause a collapse. progress, signal man must be aware.

 Inhalation of dust  Water sprinkling at regular intervals to avoid dust accumulation

and use Nose mask.

Dust pollution while soil

backfilling

tkIS India Form: Job Safety Analysis

 09-2021
Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 4 of 4

 Fall of person inside the pit Put the barricade around the pit
Person working too close to  .
the edge of excavation  Make proper arrangements to barricade the area being
excavated.

 All open excavation are to be provided with hard barricade

 Excavated soil to be kept away at least 4mtr away from
excavation
Access of workers into  Fall of worker into excavation
 Provide warning signage near excavation.
excavation area  Fall of material into excavation
 Use certified and inspected ladder as access into
excavations.
Ladder should be extend at least 1.5mtr at landing platform.

 Shoring / slope should maintain as per soil condition placing the

 Collapse of soil equipment away (min1.5m) from the edge of excavation, excavated
soil should kept 1.5mtr distance from the edge of excavated pit.

 Avoid roller rolling to the edges.

 Maintain at least 1.5m away from the edges.
 Toppling of roller.
 Experienced person should drive.
 Accident due to failure moving parts
Moving parts must have proper cover/Guard

Compaction with roller

 Injury due to slip/trip and fall  Proper housekeeping will be maintained

Housekeeping

tkIS India Form: Job Safety Analysis

 09-2021
Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 5 of 4

 Asphyxiation due to lack of oxygen

 Inhalation of toxic materials
 Fire
 Excavated Soil or Equipment falling workers.
 Moving machinery near the edge of the
excavation can cause a collapse.

 Falling, Slips, Trips
 The accidental severing of underground
utility lines/power lines.
 Material handling Hazards.

Prepared by Reviewed by Approved by

(Team -Area supervisor/Engineer/Safety (Area Manager) (Area owner/Area authority)
officer)
Name: Name: Name:

Designation: Designation: Designation:

Signature: Signature: Signature:
Date: Date: Date:

tkIS India Form: Job Safety Analysis

 09-2021
Process
Construction HSE Management
QM code
thyssenkrupp JOB SAFETY ANALYSIS PIN LP-CHM-022 F01
Industrial Solutions (India)
Page 6 of 4

tkIS India Form: Job Safety Analysis