F _____

JOB TITLE / AIM: JSA for Installation of Kerb Stones in Process Area
JSA DATE: 11/04/2007 JSA NO./ REVISION:
SUPERVISOR/ JSA LEADER: Iqbal Zaffar SCRIBE: Ali Anjum
PARTICIPANTS: Faisal
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
1.Mobilization of tools & workers
2 4”-5” Excavation for Krebs
3 Fixing of Krebs with Cement Mortar with Filling of Mortar at sides.
5 Demobilization.

Alternatives Considered: N/A

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE,S : First aid kit must be present at the area and the Hse personnel is the first response in case of
emergency

Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.

File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of tools & workers and Unauthorised tools brought to site Before mobilizing any tool make sure that the E
material &P Personnel got inspected the tool.
Unskilled and uninducted personnel starting Ensure that all personnel prior to start the have
the job been inducted and oriented about the hazard in the
job site.

2 4”-5” Excavation for Krebs
Workers starting the job unfit to work All personnel must undergo the fitness exam from
DEL company doctor & if not fit to work shall not
be allowed to work at the project site.
Workers starting the job without permit JSA must be in place prior to work. Ensure all the
persons take part in the toolbox meeting
discussion. All Persons must sign at the back of
JSA.CWP shall be obtained from OPS.
Hand Injury Ensure proper hauling of materials/get help if
required/Wear hand gloves.
Fall of tools/material Ensure proper stacking of materials
No materials shall stack behind the edge of slope
Ensure that proper barrication are in place.
Ensure that proper access & egress was in place
Hand injury Ensure that workers are wearing of hand gloves
during manual trimming

Ensure that area have been provided with proper

Trips/falls access & egress
Ensure slow movement of workers.
Penetration in under ground services Ensure that excavation must not exceed than 6
inches..
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)

Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available

each area where workers are doing the job. First
aid kit available at site.

3 Fixing of Krebs with Cement Mortar Hand Injury Ensure proper hauling of materials/get help if
with Filling of Mortar at sides required/Wear hand gloves.

Throwing of Kerbs Ensure that workers must not throw the bricks
during working to avoid any incident.

MSDS for Cement. MSDS of Cement must be attached with the

permit.

Ensure that area have been provided with proper

Trips/falls access & egress while working on the slopes.

5 Demobilization Poor house keeping Ensure that area should be clean after the work is
being finished.
Same as mobilization