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Task THINK
JSA FOR UNLOADING CONTAINER, GENERATOR & FUEL Before you
Being
Assessed TANK WORKS CHECK
Before you
Site JSA No. JSA-002 REV 0
PROCEED
Sheet
Recorded By Tasnim Date 14/02/18 Contractor 1 of 4
No.
Attendees:
NAME DESIGNATION COMPANY NAME DESIGNATION COMPANY
P.P.E. Requirements (indicate by marking “Y” or “N”) Note: This list is for selection of PPE above the minimum requirements specified by TPGM
Goggles [Y] Face Shield [N] Soft Mask P1 or P2 [Y] Respirator-1/4 or 1/2 or full face [N ] Airline/Hood [N] SCBA [N] Safety Harness [Y]
Disposable chemical suits [N] PVC Splash Suit/Hood [N] Chemical Apron [N ] Chemical Resistant Gloves [N ] Chemical Boots [N ]
Ear Muffs [N] UV Protection Cream [N]
Height Safety Requirements Anchor Strap [Y] Rescue Plan-Suspended Person [N] Scaffold Erection [Y] Work Vest [Y]
Full Body Harness [Y] Retractable Lanyard [Y] Inertia Reel [Y] Static line [N] Man Basket [N] EWP [N] Gondola [N ]
Confined Space Entry Requirements Vent/Purge [N] Gas Test/Log [N] Personal Monitor [N] Rescue plan [N] Harness for top entry [N]
Documentation Client PTW [ ] TPGM PTW [ ] Isolation-Lockout/ Tagout [ ] Isolation List [ ] Work Procedure [ ] P&ID [ ]
Prepared By: Tasnim Reviewed By TPGM HSE -Name: Approved By TPGM CM -Name:
Date: 28/06/2016 Date: / / Date: / /
Position: Signature: Signature:
Signature:
S.No Job description Potential Hazard/ Risk Person/s Risk Control Measures/ Mitigation Action by
Involved Rating
1. Mobilization of workers at Unauthorized personnel / Workers (4M) Ensure all personnel and team have attended the Person In
site Miscommunication / Communication HSE induction Charge &
Breakdown Conduct briefing before starting work in order to Supervisor
explain the risk
Make sure all teams involved are equipped with
PPE before starting work
Inspect all equipment thoroughly before using
Make sure all safety devices and guard are intact
and operable
Barricade where the erection work is to be carried
out and display a warning sign
Make sure all safety tools are already in place and
safe for use
2. Material delivery Unauthorized personnel Driver (4M) Ensure lorry driver carries valid driving license Supervisor
which is registered to the local authority
Ensure lorry driver possesses valid road tax and car
insurance
Material Fall Driver (8M) Ensure the driver maneuvers the lorry to the Supervisor
intended location at a given speed limit
Proper lashing must be provided by the lorry driver
to properly tie all the material to the lorry
Danger of being hit by lorry Workers (8M) Flagman to be available during movement of Supervisor
vehicle to the loading area
4. Shifting of equipments from Limited access Workers/ (4M) Ensure the area is clear and have sufficient space Supervisor
storage to installation area Vehicles for both the vehicles and workers
Consult the respective authority at site for
clearance to shift the equipment
Improper base support Workers (4M) Lay pipe rollers or wooden planks or any approved Supervisor
supporting materials
Sit the switchgears on top of those materials which
will serve as base support for lifting and shifting
Request for inspection and approval of the support
setup from a competent personnel before the
shifting process
Personal Injury Workers (8M) Ensure all personnel know and follow established Supervisor
procedures for installation work
Ensure nobody is near to the equipment except
authorized personnel when shifting it from one
location to another
Fall of Objects / Tools Workers (8M) Remove or secure any moving parts of the Supervisor
equipment before the shifting work
Keep clear of all tools used before or during the
shifting process in their respective storage
locations.
5. Lifting of equipments Limited access Workers (4M) Ensure the area is clear and have sufficient space Supervisor
for both the machineries and workers
Consult the respective authority at site for
clearance to shift the equipment
Electrical hazard Workers (8M) Ensure all tools are properly inspected and tagged Supervisor
Perform regular check on electrical tools for
leakages or malfunctions
Use of generator Workers (4M) Ensure generator is properly grounded and tagged Supervisor
Make sure all electrical tools and equipment are
plugged to extension cord with proper safety
features
Fire hazard
Workers (4M) Fire extinguisher placed near to generator in the Supervisor
event of fire emergency.
Fall of materials / tools Workers (4M) Supervisor
Secure all materials and tools properly during the
installation work
6. Housekeeping Slip and fall tripping Workers (4M) Clean-up all unused materials and dispose Supervisor
immediately once the job has been completed
Ensure proper housekeeping to be maintained
throughout the work progress
Personnel Injury Workers (4M) Use appropriate gloves to protect hand from Supervisor
splinters and sharp edges