Form – RA 002

JSA – Job Safety Analysis JSA No: 01

SWMS Title: Shifting of material,equipmet& accessories using Chain Block Revision : 01
Submitted by:
Contractor: INFINITI BUILDING SOLUTIONS PVT LTD Prepared by: BALAJI BODA

Contact Name SURESH KUMAR Contact Position: SITE ENGINEER

Contact Signature: Contract Phone No: +918297577506

Project Details & JSA Task Description:

Project: DRPL-PHASE-2 Location

Shifting of material,equipmet& accessories using Chain Bldg/Area DRPL-PHASE-2

Block
Task / Activity: :Level UPPERBASE

Zone/Room

Trades Involved:
Welder, Fitter, Helpers,Site engineer

Major Equipment to be used

List PPE required for this task: Helmet, safety shoe, hand gloves,
for this task:
*All equipment listed has has been cleared for use on site and is maintained in
accordance with the manufacturers recommendations. shoulder pad

List any Hazardous General work and lift permit

Substances, Materials or List Permits to Work required to
Dangerous Goods to be used: commence this Task:

Cushman & Wakefield Regional Template. Revision A. 10/02/2014

 Form – RA 002

Risk Matrix & Ranking

Likelihood / Probability
Level Description of Consequence or Impact Consequence L M U
Likely Moderate Unlikely
H (1) Potential death, permanent disability or major structural failure/damage. Off-site environmental H (1)
1 1 2
(High level of harm) discharge/release not contained and significant long-term environmental harm. (High)
M (2) Potential temporary disability or minor structural failure/damage.
M (2)
(Medium level of On-site environmental discharge/release contained, minor remediation required, short-term 1 2 3
(Medium)
harm) environmental harm.
Incident that has the potential to cause persons to require first aid.
L (3) L (3)
On-site environmental discharge/release immediately contained, minor level clean up with no 2 3 3
(Low level of harm) (Low)
short-term environmental harm.
Level Likelihood / Probability
Likely Could happen frequently
Moderate Could happen occasionally
Unlikely May occur only in exceptional circumstances

Hazards Identification & Control Measures

Risk Class Responsibility
Item Job steps Hazards Controls
Refer risk matrix Who will do it
# Break the job down into sequential steps List what can harm you How can you make the job as safe as possible
Inadequate training
Verifying the documents of Chain Block,
1 General induction training all
Web Slings and Wire Ropes Fatality, Serious Injury
and Property Damage
Competency of Driver to be verified
Verifying the Documents of Boom task specific injries due
2 including the SWL and other documents all
Lift/Scissor Lift to inexperience,
of Boom Lift/Scissor Lift
job specific Toolbox to be done before
starting work and route map to be clearly
Manual handling injuries all
explained and Emergency exit boards to
be clearly displayed.

Cushman & Wakefield Regional Template. Revision A. 10/02/2014

 Form – RA 002

Hazards Identification & Control Measures

Risk Class Responsibility
Item Job steps Hazards Controls
Refer risk matrix Who will do it
# Break the job down into sequential steps List what can harm you How can you make the job as safe as possible
Verifying competency of Driver, Rigger,
entry to unsafe areas, and SWL of Crane
movement of site
3 Verifying Competency Certificates all
personnel vehicles, plant Hydro crane Range Diagram should be
& equipment well verified by the Engineer
Trail run to be done
hit by machinery such as
Documents to be displayed during task
forklift
all
Risk assessment / training employees or
route map to be clearly
man power
explained
Injury to trespassers
Area to be barricaded and display
Obstruction to other signage.
activities.
4 Area Barrication Appropriate barrication and training to all
injury due to fall of workers
objects hitting
trespassers and nearby Isolating the area with other activities.
activity workers.
Safety Harness to be used while climbing
Falling of Men on to a ladder or any other MEWP and
and Material Chain Block to be fixed
at a rigid Point to with stand the load
5 Fixing Chain Block all
Chain Block to be lifted
with a conditioned rope Certified Lifting Tools only to be used and
to avoid fall openings to be secured with safety nets

Cushman & Wakefield Regional Template. Revision A. 10/02/2014

 Form – RA 002

Hazards Identification & Control Measures

Risk Class Responsibility
Item Job steps Hazards Controls
Refer risk matrix Who will do it
# Break the job down into sequential steps List what can harm you How can you make the job as safe as possible
Safety Harness to be Hooked to Lifeline at
edges. Ensuring rope pulley/Chain Pully
of any damages and firmly fixed to a
permanent structure

Rope pulley to be fixed firmly and area to

Fall of Men and Material
6 Lowering with rope pulley/Chain Block be barricaded all
Serious Injury
No other activity in the work vicinity
under the load, Area to be Barricaded

Training to be imparted to workmen about

lifting hazards
Regular Intervals for workers.
Manual Handling injuries
Workers to be trained on correct manual all
Injuries related to
handling procedures and ensure intervals
WRULD's
between work activity.
Shifting/Movement area to be cleared
from obstacles, Slippery area to be
identified and cleared and Required
Slip, Trip and Fall
Lighting to be provided
Shifting Manually
7 all
from Floors Fatality, Serious Injury
Job specific Toolbox to be done before
and Property Damage
starting work and route map to be clearly
explained and Emergency exit boards to
be clearly displayed.

JSA Induction Verification. To be signed by all participants in the task prior to commencement.

Cushman & Wakefield Regional Template. Revision A. 10/02/2014

 Form – RA 002

I have read this SWMS, understand its content and acknowledge its conditions and my responsibilities :

Print Names: Title / Trade Classification Signatures: Dates:

JSA Review & Approval to Proceed.

Review Date
Status

Rejected Resubmit Approved

Commnets:

This JSA has been reviewed and the works may proceed based on compliance with the requirements outlined in this SWMS , respective permits to work issued, applicable
EH&S legislation, codes and specifications.

Reviewer: Company: Title: Signed: Date: Time:

Cushman & Wakefield Regional Template. Revision A. 10/02/2014