JOB SAFETY ANALYSIS WORKSHEET

Task Description Summary - Civil work

JSA Ref No-

4. IR
STEP

1. Activity
2. Potential Hazard 3. Hazard Effect 5. Existing Controls & Controls Required 6.Responsible
Description E P R
1.Working without work permit 1. Inspection of work location prior starting the job
1. Illegal operation 2. Clear the area and only safe access/egress to be used
2. Performing
2. Clash of activities 3.Strict compliance to the PTW procedure and obtain Permit To Work
Authority not available at work location Site Engineer,
Work Area prepration
1 3 2 6 4..PTW must be kept visible at work location and no unauthorizsed movement Perfroming
3. Personal Injury
3. Slippery surface Authority
4.Damage to 5. Permit issuer and receiver must conduct work site inspection Prior issuing the permit
4. Defective tools
equipment's tools & tackles
5. Floor openings 6. Performing Authority must be available at site untill the work is in progress
1.Adequate lighting and Personal Protective Equipment Site Engineer,
1.Electrocution by touching OH supply 1.Slip, Trip, Fall causing injury to
2 surveying 3 2 6 2.Usage of fibre instruments only proper barrication should be done while survey Perfroming
lines Vehicle hit & run , dehydration Personnel.
3.Drinking water facility at work location Authority
1.Electrocution
2.explosion
1.Utilities generally offer a free service for locating and making buried services with
3.flames stakes,flags or paint.
1.Buried gas and electrical lines present
4.fires 2.Ask located authority and mark their underground services. 3.
a serious risk of injury and death. Site Engineer,
Metal detector is harmful only if it is exposed to any living thing for very long time.
3 Underground Utiliteis 2.Utility pipes, conduit, and cable may 4 3 12 Perfroming
5.gas explosions
be damaged. Authority
6.flooding 4.surface area to be scanned to know the under ground utiliteis by using Metal detector.
7.contamination of water
8.spread of disease
or contamination from raw sewage.
1. Inadequate use of hand tools 1.Inspect tools before using
1.Finger Caught in between 2.Use right tools for the job Site Engineer/
2. Failure
4 Use of hand tools 2.Personal Injury 3 2 6 Perfroming
to use PPE 3. Use appropriate PPE
3.Damage to equipment Authority
3. Using makeshift tools 4. Do not use any makeshift or damaged tools at site
1. Leakage of toxic & flammable gases 1. Exposure to CO,CO2 & H2s gases 1.Continuous gas monitoring to be done.

2. Fire 2.Area Inspection checks to be done.

3.Explosion 3 Ensure no combustible/flame material around, ensure good HouseKeeping.
4. Personal Injury 4.Strictly follow Zero Tolerance & Life Saver Guideline Site Engineer /
Working in HC
5 4 3 12 5.Appropriate Extinguisher to be made available Performing
atmosphere
Authority
6. Ensure adequate supervision
7.No mobile is allowed inside the premises
8.Ensure atmospheric test to prevent exposure.
9. Crew should be aware about emergency action & response
10.Emergency Response action to be communicated during TBT.
LYSIS WORKSHEET

7.RR
E P R

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 1. Obtain to Permit to Work and ensure to daily revalidate the permit
1. Working in Direct Line of Fire 2. Damage to plant Utility or machinery 2. Permit issuer and receiver shall jointly inspect the job site.Identify Simultaneous activity in
the area of work.Permit shall be issued based on priority and risk involved.

2. Human Error 3. Damage to equipment 3.Conflict in the task shall be assessed by issuing authority/Performing
authority.Communication of the activity shall be given to other involved parties.

3. Damage to property 4. Conduct Job specific tool box before start of work.
4.Conflict of activities 5. Area should be barricaded.
6. Display hazard warning signage's. Site Engineer
SIMPOS(Simultaneou
6 3 3 9 7. Always ensure welding and grinding booths before starting hot work. /Performing
s Operations)
Authority
8. Always ensure fire watcher and fire extinguisher before starting hot work

9. Do not go in operations area with authorization or permit to work.

10. Do not operate or disturb any valve, switch, locks and tags.Ops shall ensure LOTO for
their oprating units.

11. Do not keep loose materials on elevated platforms and on the edge of cellar pit.
12. secure and keep tools in tool box.
1.Unidentified and/or unmitigated 1. Foot or leg injuries 1. Clear the route of hazards and debris before moving materials
hazards, or unsafe conditions
2.Loss of control of material, crushing 2. Finger or hand injuries. 2.Proper techniques of stretching, lifting, bending, moving, rolling of materials, securing good
injuries, pinch’s, unexpected footing, the importance of good nutrition and hydration, etc., should be address. Site Engineer
Manual material movements, etc.
7 3 2 6 /Performing
handling
Authority
3.Muscle strains, pulls and repetitive 3. MSD's musculoskeletal disorder 3.Encouraged to switch hands often, and vary the types of activities performed to limit
motion injuries. exposure to repetitive motion injuries.
4.Injuries resulting from lack of 4. ULD's - Upper limb disorder 4.Good communication between crewmembers should reinforce individual awareness of real
communication, or miscommunication. and potential hazards.
1. Uncertified vehicle 1. Unathorised entry of vehicle onsite
1. Vehicle entry certificate shall be ensured before engaging in facility.
2. Uncertified driver /operator 2. Unauthorised operator or driver 2. Gas test shall be ensure prior to vehicle movement inside hazardous area .
3. Parking of vehicle on wrong location 3. Road or access blockage 3. Spark Arrestor shall be fitted to the exhaust of vehicle
Site Engineer
Vehicle movement
8 4.Akward load transportation 4. Vehicle shall be parked in designated area /Performing
3 2 6 Authority
4.Entanglement or hit of vehicle parts to
the Overhaed lines or existing facility
5.Ensure vehicle are Vedanta (Cairn Oil & Gas). 's inspected/approved before use.
6. Load to be secured adequately to prevent fall.
7.Driver/Oprator to be HSE inducted and defensive driving trained.
8. Banksman should be provide during the vehile movement.
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 1. Toxic and flammable environment 1. Fire & Explosion 1. Confined space entry certificate shall be obtained
2.Oxygen Deficient Atmosphere 2. Collapse of workmen 2. Continuous gas monitoring & Pre job check shall be done

3. Personal Entrapment and engulfment 3. Personal Injury / death 3. Forced Ventilation shall be provided if needed.

4. High noise 4. hearing impairment

4. Ensure Confined Space Entry log sheet is filled and updated by stand by man.
5. Electricity 5. Electrocution
5. Only Confined Space Entry trained personnel should be engaged to perform the activity
6. Low light 6. Poor visibility 6. Ensure all engaged personnel's are well aware of emergency action & response
7.Limited access & egress 7. Slip & Trip 7. Ensure all electrical equipment are grounded adequately
Site Engineer/
9 Confined Space Entry 8. H2s leak 8. Asphyxiation due to H2s exposure. 4 3 12 8. Use ear plugs where applicable Performing
authority
9. Use 24V electric power supply lighting if any hydrocarbon traces identified
10. Effective toolbox talk taking reference of JSA shall be conducted prior entry into confined
space
11. Trained and experience stand by man shall be assigned to maintain log sheet and keep
record of entry and exit.
12. Electrical DB's must be fitted with ELCB and MCB.
13. Cable management shall be done to avoid trip hazard.
14. Ensure adequate illumination inside confined space
15. Adequate access and egress shall be ensured
16.No Compressed gas cylinder shall taken into confine space area.
17. Use flame proof lights inside confined space
1. Fall from Height 1. Personal Injury 1. Full Body harness must be worn all the times of work at height.
2. Dropped Objects 2. Damaged to utility or person below 2. While moving 100% tie off must be ensured
3. No loose objects shall be kept at height and materials to be secured.
4. Barricade the area below and protect utilities below
5. Do not work by standing on beams etc. Use Beam belt if required.
6. Do not anchor safety harness on incomplete scaffolding members
Site Engineer
10 Working at height 4 3 12 7. Always hook harness on firm structure capable of withstanding at least 19.5 KN load /Performing
8. Do not hook on Process pipe lines or valve handles etc. Authority
9. Do not hook on cable trays or electrical cables etc.
10. Use rope for securing spanner from falling below

11.Vertigo test with height work training to be ensured for personnel working at height.

12.Safe scaffold platform to be used ensuring green tag provided before accessing.
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 1. Falling Hazard 1. Personal injury 1. Tool Box talk shall be done before starting the job
2. Collapse of scaffold due to wrong
2. Damage to plant Utility or machinery 2.Before the work started person should go for vertigo test.
erection
3. Pinch or Crush 3. Hand Injury 2. Safety harness and other mandatory PPE shall be used.
4. Dropped Objects 4. Injury to persons or utility below 3. Trained and experienced scaffolders shall only be engaged for the job
5. Electrocution 5. Burn Injury 4. Competent Scaffolding supervisors shall be engaged.
5. Only approved scaffolding materials shall be used.
6. Max. Load on scaffold must be calculated and scaffold shall be designed accordingly Site Engineer /
Erection of
11 4 3 12 Performing
Scaffolding 7. Ground shall be levelled and compacted and sole plates shall be used Authority
8. Daily Inspection for ground condition & scaffolding shall be done
9. Scaffold shall have ties with existing structure where ever needed.
10. After completion green tag shall be issued by competent person.
11.Hand protection shall be used and material handling training shall be given to the engaged
crew.
12. Area under scaffolding erection shall be barricaded.
13. Any utility or machinery below shall be covered or net shall be used.
14. If working near Over head lines etc. Shutdown shall be taken.
1. Falling hazard 1. Personal Injury 1. Scaffolder shall be trained and experienced.
2. Dropped objects 2. Damage to utility or persons below 2. Before work person should go for vertigo test.
3. Structure collapse 3. Property Damage / accident 3. Dismantling shall be carried out under competent supervisor
4. Pinch or crush 4. Hand Injury 3. Dismantle the scaffold as per standard safe method only
5. Electrocution 5. Burn Injury 4. No parallel dismantling shall be done in same structure Site Engineer /
Dismantling of
12 4 3 12 5. Dismantled members shall be lowered safely and stacked properly Performing
Scaffolding
6. Full body harness must be worn and anchored properly all the time Authority
7. Area below shall be cordoned off.
8. Hand protection must be used.
9. Dismantling shall be stopped in high wind or extreme wheather conditions
10. If working near over head lines etc. Shut down shall be taken
1. Failure to use PPE 1. Hand or finger injury 1. Ensure appropriate PPE is used by all engaged crew
2. Inadeqaute access to excavation 2. Fall of personnel into excavation 2. Adeqaute access should be provided for excavation
3.Poor Housekeeping 3. Slip Trip 3. Esnure good housekeeping to avoid slip and trip Site Engineer,
Reinforcement &
13 4.Pinch Points 4.Strains 3 2 6 4. Use adequate manual handling techniques Perfroming
shuttering
5. Manual Handling 5.Keep fingers out from in between bundles or rebar pieces Authority
6. Keep walk area and paths of travel unobstructed
7. Guard all protruding rebars, on to which a worker could fall
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 1. Placement of readymix truck 1. Vehicle collision 1. Assign flagmen to guide vehciles
2. Concrete pouring 2.Concrete burn 2. Ensure ready mix truck is equipped with reverse alarm
3. Concrete 3. Personal Injury 3.Only authorised personnel shall place the chute and run the mixer
4. Failure to secure 4. Struck , caught in between 4. Wear safety goggles to protect eyes
Pouring Concrete by Site Engineer,
14 Manualy and 5. Failure to use PPE 5. Eye injury 3 2 6 5. Wear appropriate gloves when working with concrete Perfroming
Mechanically 6. Spillage of concrete 6. Soil contamination 6. Wash off any excess concrete from your skin ASAP Authority
7. Use rope to hold the boom placer
8. Use face shield while concrete pouring
9. Use gum boots (rubber boots) while working in concrete
10. Spilled Concret shall be removed immediately
1. Exposure to dust 1. Enhalation of dust 1. Dust suppression method shall be use and epecific PPEs shall be use
2. Slip, Trip, fall 2. Personal injury,property damage 2. Ensure Access/Egress shall be obstrution free,
3. Chemical exposure 3. Fumes inhalation, skin contact 3. Ensure to avoid overloaded working platform by bricks.
Masonary work 4. Working near live electrical equipment 4. Electricution 4. Specific Ppes shall be use. Site Engineer,
15 Bricks and plastering 5. Explotion 3 2 6 5. PTW system to be followed Performing
work 6. Close monitoring by supervisor during work. Authority

1. Personal injury /death,

2.
Loss the property, 1. All electrical connection through ELCB and RCCB.
1. Electrical shock 3. 2. Cable must be in good condition.
2. Fire and elplosion Person fall from height and on the same 3. Remove the combustible material near the work area.
Breaking the
level, 4. Use the appropriate PPE. Site Engineer,
Concrete / Brick wall
16 3. Secondary hazard 3 2 6 5. Use the ear plugs and ear muffs to protect from high noise. Performing
by electrical hand
4. Expose 4. Temporary deafness, 6. Use the right tool for the job. Authority
Breaker
the noise and viberation 7. Keep blades and
5. Noise 5. Psychological effect cutting edge sharp. 8.
of noise such as stress high BP, Reduce the amount of time you use the tool
irritation,
1. Inadequate use of hand tool. 1. Finger 6. Caught
Exposeinthe hand arm vibertion
between. 1. Inspect tools before using.
2. Failure to use 2. Personal 2. Use right tools for the job.
PPE. Injury. 3. Use appropriate PPE.
3. Using makeshift 3. Damage to equipment. 4. Do not use any makeshift or damaged
Site Engineer,
tools. tools at site. 5. Inspection of work location prior
17 Core cutting work 3 2 6 Performing
4. Damage electrical cable. 4. Personal Injury. starting the job. 6.
Authority
5. Defective 5. Ensure proper housekeeping prior to starting hot work.
tools. Electrocution. 7. Remove all damage cable before starting work.
6. Slippery 6. Slip, 8. Power supply must be through ELCB / RCCB
surface trip and fall on same level
1.Under ground facilities 1. Damage to U/G facilities 1. Prior starting back filling activity protect the existing U/G facilities
2.Excavation without barricade 2. Fall of personnel into excavation 2. Adequate hard barricade should be installed
3. Storage of spoil soil at the edge 3. Collapse of excavation 3. Prominent signage's shall be installed
4. Maneuvering of heavy vehicle close of 4. Heavy vehicle should maneuver beyond 2 mtrs from the edge of excavation
Site Engineer,
Back filling & excavation edge
18 2 2 4 Performing
compaction 5. Dedicated banks man shall be assinged in vehicle and equipt Authority
6. Prior to back filling temporary shoring shall be removed in safe manner
7. Area should be clear of any obstruction and free movement shall be provided
8. Close supervision is required during activity
9. Ensure all equipments are operated by trained personnel
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 1. Poor communication 1. Human fatigue 1.Seprate crew to be engaged in night shift.Avoid extended hours work.
2. Inadequate illumination 2. Poor Visibility 2. Ensure adequate lighting arrangement are made and fitness of the equipments. Site Engineer /
19 Night Shift Work 3. Lack of supervision 3. Attacting Live Reptiles 3 2 6 3. Ensure effective night shift supervision Performing
4. Eating at site 4.Moter vehicle accident. 4. Stop work in the event of adverse climate . Authority
5. Working without extension of permit 5. Ensure personnel are trained to meet any emergency that may occur at night.
1.Ensure that workplace is maintained clear of debris, waste and other rubbish which shall be
segregated and disposed in separate container for disposal.
1.Personal injuries due to poor 2.Make the area clean and tidy
Site Engineer/
housekeeping. 3.Do not feed or befriend with wild animals such as dogs or cats.
20 House Keeping 1.Slipping, Tripping and Falling hazards 3 2 6 Perfroming
4.Report any animal attack, snakebite or scorpion sting
Authority
5.No one should be allowed to go to remote area alone.
6.Ensure availability of drinking water at job site.

1. Extreme weather condition 1 Collapse of individual 1.Emergency Response action to be communicated during TBT.
2 Lack of supervision 2. Fire 2.Radio Officer to be informed in case of emergency. Site Engineer /
21 Emergency Response 3 2 6 Performing
3.leakage of toxic or flammable gases 3.Explosion 3. Ensure emergency vehicle arrangement is place. Authority
4 Unavailability of emergency vehicle
1. Unavailability of drinking water 1. Heat related illness 1.Esnure plenty of cold drinking water is available at site
2. Ensure adequate rest shelter is available for workmen to take rest as per procedure and
2. Lack of or inadequate rest shed 2.Collapse of workmen Site Engineer /
Heat Stress heat index flag system
22 3 2 6 Performing
Management 3. Failure to follow heat index flag
3. Toilet facilities based on the deployed manpower and Hygine condition to be ensured. Authority
system
4.Refresment to be provided.
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 JOB SAFTEY ANALYSIS FRONT SHEET

INSTALLATION/SITE

JSA REFFERENCE No MEIL/CIVIL/JSA-066 DATE

DEPARTMENT PROJECT-CIVIL JOB SAFTEY ANALYSIS TEAM(FIRST NAMED JSA TEAM LEADER)

PERMIT TO WORK No NAME AND SIGNATURE

TASK DESCRIPTION

Manual excavation for trial pit for cellar pit

CONFIRMED ALARP
REFERENCE AND ANY OTHER RELEVANT INFORMATION
e,g P&ID's,Drawings,Procedures,work instruction Certificate,Special JSA APPROVED BY (Installation/Facility/Site Manager):
Tools or Equipment)
NAME
No of Workers :

Name of the PTW : SIGNATURE

DATE OF REVIEWED : 15/04/2022 POSITION

DATE OF VALIDITY : 14/04/2023 DATE
 RISK MATRIX

Severity
5.Significant
2.Moderate
1.Minor No or Minor Off Site 3.Serious Serious 4.Major More than
Permanent
Injury Medical Injury & LTI One LTI
Disability and
Treatment
Fatality

5.Will Occur in
5 10 15 20 25
present state
Probability (Likelihood of the Occurance)

4. More likely to
4 8 12 16 20
occur than not

3. Possible 50/50
3 6 9 12 15
chance

2. Unlikely Could
occur less than 2 4 6 8 10
50/50 chance

1.Very Unlikely little

or no chance of 1 2 3 4 5
occurrence

1-3 Low Risk Managed by routine procedures.May be acceptable,however review

to see if risk can be reduced further

4-6 Modrate Risk Task should only proceed with appropriate management
authorisation

8-12 High Risk Task needs further review and consultation with specialists and
where possible the task should be re-defined to take account
of the hazards involved or the risk should be reduced to further before
the task is allowed to commence
15-25 Extreme Risk Task should not proceed