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    Job Safety Analysis Form: Sub Activities Hazards Control Measures

    Uploaded by

    Nagendra Kumar Singh
    The document provides a job safety analysis form to identify hazards and control measures for work activities. It lists the main activity and location, permits required, and a table to describe sub-activities, associated hazards, and required control measures to eliminate or minimize risks. The table provides an example of stress relieving activities, identifying electrocution, fire/arc flash hazards, and waste generation as key risks. Control measures include using certified personnel, ensuring proper electrical equipment and connections, implementing hot work compliance, and collecting waste in separate bins. A second example identifies working at heights as a hazard, with risks of falling, scaffolding collapse, and falling tools/materials; control measures involve using certified scaffolding, adequate work platforms, and securing

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    Job Safety Analysis Form: Sub Activities Hazards Control Measures

    Uploaded by

    Nagendra Kumar Singh
    27 views2 pages
    The document provides a job safety analysis form to identify hazards and control measures for work activities. It lists the main activity and location, permits required, and a table to describe sub-activities, associated hazards, and required control measures to eliminate or minimize risks. The table provides an example of stress relieving activities, identifying electrocution, fire/arc flash hazards, and waste generation as key risks. Control measures include using certified personnel, ensuring proper electrical equipment and connections, implementing hot work compliance, and collecting waste in separate bins. A second example identifies working at heights as a hazard, with risks of falling, scaffolding collapse, and falling tools/materials; control measures involve using certified scaffolding, adequate work platforms, and securing

    Original Description:

    job safety analy sis

    Original Title

    JSA for SR

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    The document provides a job safety analysis form to identify hazards and control measures for work activities. It lists the main activity and location, permits required, and a table to describe sub-activities, associated hazards, and required control measures to eliminate or minimize risks. The table provides an example of stress relieving activities, identifying electrocution, fire/arc flash hazards, and waste generation as key risks. Control measures include using certified personnel, ensuring proper electrical equipment and connections, implementing hot work compliance, and collecting waste in separate bins. A second example identifies working at heights as a hazard, with risks of falling, scaffolding collapse, and falling tools/materials; control measures involve using certified scaffolding, adequate work platforms, and securing

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    27 views2 pages

    Job Safety Analysis Form: Sub Activities Hazards Control Measures

    Uploaded by

    Nagendra Kumar Singh
    The document provides a job safety analysis form to identify hazards and control measures for work activities. It lists the main activity and location, permits required, and a table to describe sub-activities, associated hazards, and required control measures to eliminate or minimize risks. The table provides an example of stress relieving activities, identifying electrocution, fire/arc flash hazards, and waste generation as key risks. Control measures include using certified personnel, ensuring proper electrical equipment and connections, implementing hot work compliance, and collecting waste in separate bins. A second example identifies working at heights as a hazard, with risks of falling, scaffolding collapse, and falling tools/materials; control measures involve using certified scaffolding, adequate work platforms, and securing

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    JOB SAFETY ANALYSIS FORM

    Main Activity: Plant & Location:


    Date: Day1 Day2 Day3 Day4 Day5 Day6 Day7
    Permit Nos.
    (Day 1-7)
    S.No. Sub Activities Hazards Control Measures
    List the tasks required to (Both Existing as well as potential) List the control measures required to eliminate or
    perform the activity in the Against each task list the Hazards minimize the risk of injury arising from the identified
    sequence they are carried that could cause injury/damage Hazard.
    out to people, equipment or the
    environment.
    1 Stress Relieving Activity ● Electrocution ● Competent personnel shall be ensured.
    ● Fire hazard & Arc flash ● Industrial socket / plug tops shall be ensured.
    ● Generation of Waste ● Only inspected electrical equipment Colour
    materials (wool) coded shall be used.
    ● All electrical connections should be routed
    through 30mA ELCB / RCCB for power tools
    and double body earthling.
    ● Proper rated capacity tiding arrangements
    shall be used (normal combustible rope shall not
    be permitted)
    ● Hot work compliance checklist shall be
    ensured prior to start the work activity.
    ● Good House Keeping to be ensured
    combustible materials shall be removed form the
    vicinity.
    ● All flammable materials kept outside of work
    area
    ● Fire extinguishers shall be placed at work
    area.
    ● Power cables shall be kept away from hot
    surface.
    ● All waste materials shall be collected and
    stored in separate waste bins.

    2 Working at Height  Fall from Height ● Ensure only certified scaffolding shall be used.
     Scaffolding collapse ● Ensure adequate size of working platform with
     Fall of loose tools & alternate escape route is prepared.
    material ● Secure all loose material while working at
    height.

    Note…………………………………………………………………………………………………………………………………………………………

    JSA Format No. 9112-000-HSE-006-00004/Ver-2


    ……………………………………………………………………………………...
    …………………………………………………………………………………………………………………………………………………………
    ………………………………………………………………………………………
    Name & Sig. Day Day 3 Day Day Day Day
    Issuer 2 4 5 6 7
    Requestor
    *App-1 Issuer
    Remarks:
    *App-1 Requestor

    (Note:1. JSA to be done by issuer and acceptor of work permit. In case required, representative from other
    discipline can also join the team for JSA.
    2. JSA to have approvals*(Managers) for Hot Jobs, confined space entry & Work on equipment in service
    3. Minimum one hand written job specific information to be included every day by the issuer &
    requestor. In case of no additional information, write-“No change from above” in the Remarks.
    Checklist of common Hazards
    This should be used as an aid to identifying the hazards. This is the list for the most common hazards but is not
    a definitive list.
    Mechanical/Equipment Thermal Ignition sources Electrical
    Entanglement Hot surface Electricity Electric shock
    Shearing Steam Static electricity Static electricity
    Crushing Refrigerants Hot work Power failure
    Striking Stored Energy Lightening Pressure
    Cutting Falling material Sparks Release of energy
    Mechanical failure (e.g by Springs under Frictions Implosion
    overloading) tension/compression
    Chemical Counterweights Flames Compressed air
    Flammable Radiations Auto ignition Steam
    Toxic e.g. ionising radiations (X- Pyrophoric material Hydraulics
    rays)
    Harmful Place of work Vehicles Process
    Irritant Obstructions Fork lift Wrong material
    Oxidising Access/egress Tankers Missed steps
    Pyrophoric Work at height Reversing vehicles Instrument failure
    Corrosive Falling objects Speed Interlocks
    Dangerous to environment Slip/trip/fall People Control system failure
    Dust explosions Housekeeping Unsafe behaviour Alarms
    Gases Temperature Human errors Nature
    Fumes Ventilation Training/competence Weather
    Vapours Confined space Methods of work Winds/Storms/lightening
    Dusts Hazards of other tasks Manual handling (lifting,
    Asphyxiants being done carrying, pushing and
    pulling)
    simultaneously. Stress/workload
    Biological (e.g.legionella) Noise/Vibrations/Hot work

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