Job Safety Analysis Sheet
Job: Manual Excavation JSA Ref. No. JSA /KOC / 01
Facility: Work Area / Equipment: Permit No.
Date:
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat, Safety Shoes, Safety
Goggles, Hand Gloves, Dust Mask, Barriers, Ladder, Guardrail, Polling Board
SEQUENCE OF Yes /
POTENTIAL HAZARDS PRECAUTIONS
BASIC JOB STEPS No
Presence of EOD Ensure the area to be excavated is declared EOD cleared.
Locate underground / aboveground services referring to the
site map / drawing.
Location of Underground /
Aboveground Services (such Endorsements in Excavation Notification from the
Pre - work pipeline, cables etc) concerned Teams for the services in the area to be
excavated.
Hold pre-job safety meeting
Non-compliance of KOC -HSEMS
Get authorization for Cold Work Permit
Procedures, F & S Regulations or
Engineering Standards Conduct Toolbox Talk
Damage to underground / Check for underground / aboveground services through
aboveground Services (such metal detectors.
pipeline, cables etc) Isolate services as needed through authorized permit.
Cave-in's of excavation Utilize sloping, benching & shoring as needed
Keep excavated material at least 1 meter away from the
Excavation Collapse of Excavated Materials edge of the trench.
Inspection for soil condition before starting excavation work.
Keep the equipment away from the edge of the trench.
Accidental fall of equipment
Wear appropriate PPE
Possibility of toxic / flammable gas Carry out gas test before excavating in hazardous area.
Ensure the approach to Emergency Equipment is not
Blocking Emergency Equipment
blocked due to open trenches.
Barricade the trenches
Unattended trenches
Use warning signs & lights
Post Excavation
Trenches left open for extended Close the trench, backfill and compact the area.
period Close the permit after making the site clean & tidy.
Additional Hazards
(Other than indicated
above)
Name: Designation:
KOC / ID. No. Company:
JSA Done By
Controlling Team: Contract No.(If Applicable):
Signature: Date: