WESTERN REGION PIPELINES, CHAKSU

JOB SAFETY ANALYSIS

PART-A : JSA Date: 23.11.16 Work Permit no: HW- Page: 1 of 4

No.: 3326
WRPL/CHK/CT
-01/06
Unit: WRPL Area : Tank Farm Location: CT-01 Work permit type:
Chaksu Hot/Cold /Confined
space entry /
Electrical/Working
at Height
Job Title: Civil Works inside the tank JSA done by: Name & Sign. with Date
dyke. Designation:
1. Hemant Bhardwaj ,
DMO
2. Sumit Alok,
DM(HS&E)
3. Harish Chand, O&ME
Job to be Executed By 4. -
Department Contractor 5. -
Mech Maint (TF) M/s Expo Gas 6. -
Containers
Limited
JSA Reviewed and approved By Location In-Charge/ Engineer In-Charge (Name,
Designation, Sign with date) :

(1)Rajeev Ranjan, SMNM (2) B.S. Manjhi, COM

Sl Activity Hazard Recommended Actions /

no Procedures & Control
Measures
1 Mobilization of Equipments,  Accident during  Induction training
Man power: vehicles Movement. shall be given on
 Injury from following.
Equipments : Non sparking surrounding a) Siren Code
hand tools , Stud of size working area b) Material
(Attached as Annexure-I)  Sickness due to handling
adverse weather c) Evacuation
conditions route
Manpower: Worker -04 with  Equipment Damage d) PPE
one Supervisor. while shifting. demonstration
 Snake Bite e) 1st Aid
f) Fire
Extinguisher
g) Hazards of
tank
h) Importance of
rim seal, Hume
pipe.
 All workers to be

Page 1 of 4
 instructed to walk only
on pedestals or
extreme left side of
road.
 Defined route to be
followed for reaching
working site.
 All manpower shall
equipped with
mandatory PPE, Yellow
& blue colour safety
helmet, Safety Shoes,
Gloves, and Boiler suit.
 Only experienced and
physical fit person
shall be engaged.
Certificate shall be
produces by contractor
for physical fitness for
working in hazardous
area
 C&A verification shall
be done by contractor.
Original Identity Card
shall be produced by
all workers to CISF-
Security wing.
 First Aid Box shall be
arranged by contractor.
 Tool box talk shall be
given by site supervisor
on daily basis and
recorded.
2 Demolition of PCC  Spark may be  Gas test for LEL shall
generated be done and registered.
inside the PCC  Use of flame proof
demolishing equipments.
equipment  Ensure Use of gloves to
 Injuries may avoid sweating in hand
happen during  Use of helmet.
handling the  Spark Arrestor to be
equipment. used in the exhaust of
 Spark may be the concrete mixing
generated from machine.
the exhaust of  Safety goggles to be
the concrete used.
mixing  Ensure the use of dust
machine. resistant masks.

3 Completing of  Improper stacking  Broken concrete to be

Maintenance / site of old studs cleared from the
clearance /material. working/operating
 area.

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  Left over construction
material are to be
removed.
 All permits shall be
closed / stopped.

PART-B : Compliance Audit by JSA Team Members while the Job is being
executed :

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Sl. Recommended Actions / Observations Compliance Checked By
No Procedures & Control Status Name of
Measures Officer with
Sign. date &
time

Note:

1. To make JSA process effective, the defined job shall be broken down into
sequential steps. Actions / activities for each steps shall be logical & linked with
previous & forward action steps. All possible hazards associated with each job step
shall be deliberated among the persons involved in preparing JSA and recorded
carefully. JSA recommendations / control measures for each hazard / job step
should be validated by team members & recorded in the Part-A of JSA sheet. Use
additional JSA sheets as per requirements.

2. Review of JSA shall be done by Location In-Charge. After review Location In-
Charge to put his signature with name & date.

3. The Job shall be carried out with safety precautions as per JSA
recommendations. In order to ensure that job is being executed as per JSA
recommendations, the job shall be audited by the Location In-Charge/Designated
Safety Officer/Nominated officer/Engineer In-Charge while the job is in progress
and recorded in the Part-B of JSA Sheet with compliance status, name, signature,
date & time of audit by the Officer.

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