INSTALLATION / SITE DATE

JSA REF NUMBER JSA TEAM (NAME LIST)

DEPARTMENT NAME POSITION & SIGNATURE
PERMIT TO WORK NO
TASK DESCRIPTION

Installation of cable tray / ladder

REFERENCES AND ANY OTHER RELEVANT INFORMATION ( e.g P CONFIRMED ALARP

& ID's , Drawings,Procedure , Work Instructions, Certificates , Special Tools or Equipment) JSA APPROVED BY (Installation / Facility /Site Manager)

Name
Signature
Position
Date
& SIGNATURE

/Site Manager)
 JOB SAFETY ANALYSIS WORKSHEET
Task Description Summary -Installation of cable tray / ladder.
JSA Ref No: RDG/E/CT/01

4. IR 7. RR
1. 2. 3. 6.
STEP

5. Existing Controls & Controls Required

Activity Description Potential Hazard Hazard Effect Responsible
E P R E P R

1. Working without work 1. Illegal operation 1.Strict compliance to the PTW procedure and requirements
permit 2. Clash of activities 2.PTW must be kept visible at work location Site Engineer
1 Obtain Permit To Work 2. Performing authority must be 2 1 L 3. Permit issuer and receiver must conduct work site inspection /Performing 2 1 L
Authority
available at work location Prior issuing the permit

1. Falling material from vehicle or trucks. 1.Slip, trip and fall on same 1.Experienced & Trained rigger should load and unload the materials

2. Traffic accidents level 2.Equipment and vehicle must be operated by qualified & certified operators
3. Uncertied Vechical 2. Personal Injury 3.Rigging tool like sling, lifting belt, D-shackles etc. must be inspected
Transportation and Handling of Site Engineer
2 cable Trays to designated work 4. Uncetrified crane operator 3. Damage to equipment's 3 2 M 4.Keep speed on its required limit /Performing 3 1 L
location Authority
5. Uncertified rigger and technical crew tools & tackles 5.Equipment or vehicle should be in good condition & checked regularly by HEQ
6.Parking of vechical at wrong location 4.Blocking of road / Road jam 6.Qualified signal man to guide driver to intended work location

1.Electric shock 1. Personal Injury 1.Ensure that no open wires and splicing joints on extension cords
2.Twisting of drill machine that might 2.Damage Equiptment tools & Tackles &
cause injury Personal Injury 2.Equipment shall be inspected and color coded
3.Socket outlets shall be weather proof industrial type and approved as per
project requirement provided with grounding terminals
4.Drill machine shall be in good running condition
Site Engineer
3 Drilling works 3 2 M 5.Used appropriate PPE; Leather gloves /Performing 3 1 L
Authority
6.Drill machine must be provided with guide stopper, properly positioned and
grip

1.Cuts and Laceration 1. Proper tools and equipment shall be used when installing cable tray &
1. Personal Injury supports. Inspected and in good working condition
2.Muscle Strain/Sprain 2. Proper body mechanics while manual lifting cable tray, body should be
straight & knees bent. Use two persons on lifting
Site Engineer
4 Cable Tray & Support installation 3 2 M 3.Personal Protective Equipment (gloves and goggle) must be worn while work /Performing 3 1 L
is in progress Authority

1. Proper barricade shall be executed so as to prevent entry of unauthorized

1. Danger from falling objects 1. Person Injury personnel entering worksite
2. Being hit by crane 2. Wearing of Personnel Protective Equipment shall be used at all times
3. The area of barricade shall cover the entire rotational path of the crane
4. Safety warning signs shall be visible and clear at work area

Site Engineer
5 Unauthorized personnel entering 3 2 M /Performing 2 1 L
worksite Authority
 1. Scaffolding shall be inspected by trained and certified scaffolding inspector
1. Danger from falling,. 1. Person Injury and green tagged
2. Materials kept on platform should be as per the load bearing capacity of the
2. Slip, Fall on same floor / ground platform
3. Only trained personnel or workers are allowed to work on a high level or
elevation platform
Site Engineer
6 Use of working platform M 4. Full body harness shall be worn at all times while working on platform. /Performing L
Lanyards must be properly hooked (100% tie off) Authority

5. No tools shall be carried by hands while climbing on a working platform

6. No stepping on handrails
7. Good housekeeping shall be maintained above working platform

1. Being caught by winch machine

pulley/cable wire 1. Person Injury 1. Only qualified winch operator are allowed to operate the machine
2. Danger from falling of cable tray while
lifting 2. Winch machine cable wire path shall be properly guarded or barricade

3. Winch machine shall be properly fastened and rest on a solid platform

4. Winch machine shall be properly operated slowly without jerking
Site Engineer
7 Winch operation 5. Proper coordination and signals between the winch operator and rigger /Performing
while cable tray is being lifted Authority
6. No person should be directly under the load during lifting. Barricades
installed around proper work radius

1.Accumulation of debris 1. Tripping /Falling hazard 1. Housekeeping shall be maintined during

2. Non closure of permit the activity and at the end of job
2 Remove all debris from the site Site Engineer
8 Housekeeping & close 2 1 L /Performing 1 1 L
of work for the day 3 Permit must be closed and submitted to Authority
CIL upon completion of job

1. Extreme weather condition 1 Collapse of individual 1.Evacuation procedure shall be in place

2 Lack of supervision 2. Fire 2. Effective TBT , shall include Emergency
3.leakage of toxic or flamable 3.Explosion response Site Engineer
9 Emergency Response 2 2 M /Performing 2 1 L
gases 4 Unvailbility of emergency 3. Ensure emergency vehicle arrangement Authority
vehcile is on place

1. Poor communication 1. Human fatigue 1.Ensure enagaged crew is trained in working

2. Inadequate illumination 2. Poor Visibility night shift
3. Lack of supervision 3. Attracting Live Reptiles 2. Ensure adequate lighting arrangement
4. Eating at site are made.
5. Working withour extension 3. Ensure effective night shift supervision Site Engineer
10 Night Shift Work 2 2 M /Performing 3 1 L
of permit 4. Stop work in the event of adverse climate Authority
5. Ensure night shift personnel get enough sleep or rest during day
6. Ensure personnel are trained to meet any emergency that may
occur at night
 1. Unvailbility of drinking water 1. Heat related illness 1.Esnure plenty of cold drinking water is available at site
2. Lack of or inadequate rest shed 2.Collapse of workmen 2. Ensure adeqaute rest shelter is available for workmen to take rest Site Engineer
11 Heat Stress Management 3. Failure to follow heat index flag 2 3 M as per procedure and heat index flag system /Performing 2 1 L
Authority
system
 RISK MATRIX

Severity

1. 2. 3. 4.
Minor Moderate Serious Major
No or Minor Off Site Serious Injury More than One
Injury Medical Treatment & LTI LTI

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

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

3.
Possible 50/50 3 6 9 12
chance

2.
Unlikely Could 2 4 6 8
occur less than
50/50 chance
1.
Very Unlikely
little or no 1 2 3 4
chance of
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
 5.
Significant
Permanent
Disability and
Fatality

25

20

15

10

able,however review

h specialists and
o take account
duced to further before