Name of organisation completing the work: KQC

Task:

Construction & Erection of

Formwork

Principal contractor:

Job name:

MESAIEED POWER PLANT PROJECT

Job number:

Kettaneh Construction W.L.L

Health,
Safety
& Environmental
Management
System
Kettaneh
Construction
W.L.L
Job location:
GT 1/ GT
2/ GT 3 (SMS)

Job Safety Analysis

- CONSTRUCTION &
ERECTION
OF FORMWORK
29.09.07
Number
of pages in this JSA:
7 PAGES

Date the JSA was prepared:

This JSA has been reviewed by:

Barry Joyce; Tony Dagher

Contractor or Representative (signature)

Position
Item
Number

Break the job down into steps

Hazard
What could harm someone?

Collision with Plant Vehicles

Site Engineer; Site Supervisor;

Site Foremen; Site Operatives

Employee (signature)
Date

Work activity

This JSA has been discussed with:

Access to Workplace
Trip Hazards

Falling Materials

Position

Date

Control Measures
What can be done to make

Persons responsible
Who will make sure it

the job safe?

happens?

A high level of personal awareness

is required from all employees
whilst transiting around site.
Where possible personnel are to
adhere to designated walkways.
In addition to the above, all
personnel will be issued with and
wear Hi-Viz jackets or waistcoats,
as a part of the Mandatory Site
PPE Requirements
All personnel are to maintain a
high degree of vigilance whilst
moving around site. All Kettaneh
work areas are required to be kept
free, as far is reasonably
practicable, of trailing cables,
timber packing etc. and all tools,
equipment and waste cleared
away as soon as possible.
All personnel are to maintain a
safe working distance from others
working overhead. Personnel are
not to work under suspended
loads. If working at height all tools
and equipment are to be secured
from displacement.
All personnel are to maintain a

Site Engineer
Supervisor

Site Engineer
Supervisor

Site Engineer
Supervisor

Completion
Date and signoff