Concreate Cube Mould JSA HSE Professionals

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JSA (Job Safety Analysis) Sheet

Activity Name:- Concreate cube mould. Ref-

Location:- Date :

Sr.No. Sub-Activity Name Type Of Hazard Risk(s) Involved Risk Control measures
Only inducted worker shall be deputed at the work
Untrained worker,lack place.
1 Manpower Mobilization Personal injury
of skill awareness
Given Tool Box Talk to all workers.
Proper access to work place to be provided.
slip,trip Cube mould should stack properly near the work place
Use proper P P E as per work requirement.
Use safe system for loading / unloading cube mould by
manually
Fall of cube mould personal injuey
Filling of concreate cube Use safety shoes, rubber hand gloves,safety helmet
2 while lifting of cube mould
mould
Thoroughly wash the exposed body part with fresh
water and soap after the work.
Use of proper PPEs such as safety
Skin contact with
skin irritation shoes,gumboots,safety helmet,rubber hand glovs and
cement material
change frenquently
Housekeeping should be done after completion the
work.
Work during dark Darkness, fall of Ensure proper illumination during dark hours.
3 Personal injury
hours person Work area shall be illuminated.

Name & Signature of Site Engineer / Supervisor :___________ Name & Signature of Site In-charge :___________

Name & Signature of Project In-charge :__________ Name & Signature of HSE Officer : ______

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