Job Safety Analysis (JSA) DOC # ARE-SF-09

Issue N0. Revision No. Issue Date Page

01 00 01-05-2018 1 of 2

PROJECT:
Client:________________________
Activity: Block and Masonry works at height
Steps Hazards Control Measures to be Enforced Remarks/Ac
tion
 Obtain work permit  Necessary information not  True job description will be provided on the
properly communicated to permit. Site
issuing authority Supervisor

 Pre-task safety talk  Safety measures not properly  Safety precautions, assessed hazards and its Site
emphasized. corresponding control measures will be well Supervisor
 Hazards assessed and safety elaborated and be understood by workers.
precautions are not identified
 Required control measures
not communicated.

 Job preparations  Personnel not competent to  Deploy only competent persons to do the Site
do the job job. Supervisor
 Working at height certificate  Obtain proper work permit at height.
not approved  Maintain the proper house keeping in
 Poor house keeping working area.
 Job Safety Analysis (JSA) DOC # ARE-SF-09

Issue N0. Revision No. Issue Date Page

01 00 01-05-2018 2 of 2

 Block and masonry  Fall from height
work at height  Tools not inspected.
 Used of defective tools
 Area not barricaded.
 Heat stress
 Used the full body harness and 100% tie off Site
when working at height Supervisor
 Used the inspected tools and color coded
 Proper barrication and safety sign at
working area.
 Proper rest shelter
 Cold drinking water shall be available at
site.
 Frequent break as per area temperature

Prepared by: Checked By

Name: Name:
Date: Date:
Signature: Signature: