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Alternatives Considered:
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 Equipment & Unauthorised Tools brought on to site. Ensure all tools shall be inspected & tagged prior
workers. starting the job.
Un inducted &Unskilled Persons All persons are skilled and trained for the job&
they are fully aware of all hazards.
Ensure that all personnel are fit for the job prior
starting the job.
All personnel must be Undergone fitness for work
Un fit workers for Job.
assessment thru Del Doctor.
2 Alignment With Jack Hammer Jack slippage Ensure that the skilled worker is doing the job
Loosening of nut Ensure that nut and bolts are properly fixed after
finishing the activity.
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
3 Nut Bolt Tightening Hand Injury Ensure that the Hand gloves shall be worn at all the
times.
Uninspected tools are used Prior to work tools are must be inspected and
colour coded.(like Wrenches, Screw drivers,
Spanners, hammers )
Same as
4 Demobilization Same