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Department : HSE
Document Code: SUES/SFTY/JSA/GR-3
Activit
MS-302 Removal & Demolishment of Foundations
y:
Unit: EDC/VCM Date of JSA
JSA Score % 53.78
Special PPEs Required As per permit requirement
1. Determine the Likelihood on the Qualitative Risk Assessment Process Chart (pick a letter applicable to the task
2. Determine the Consequence on the Qualitative Risk Assessment Process Chart (pick a number applicable to th
3. Take Likelihood score and the Consequence score to the Risk Analysis Matrix and line up both letter and numb
4. Write the scores in the Risk Rating (eg. Likelihood = C - Possible, Consequence = 3 - Moderate, Risk Rating = H
5. Determine whether a JSA is required. If the Risk is rated above ‘Low’ then a JSA must be completed.
Low
A Almost Certain (Expected to happen) 1 (No injuries or low financial
cost)
Minor
Likely (First aid treatment or
B (May easily happen) 2 medium
financial loss)
Moderate
Possible (Medical treatment
C (May happen) 3 required or
high financial cost)
Major
Unlikely
(Lost time injury or major
D (May happen sometime) 4 financial loss)
Rare Critical
(May happen in extreme (Death or extreme financial
E circumstances) 5 loss)
Plant, Equipment & Tool Work Group
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
Personal Protective Equipment (PPE) requ
# Unauthorized work.
# Lack of competency.
1 Obtain the work permit
# Poor communication.
# Unidentified underground utilities.
# Unauthorized work.
# Lack of competency.
1 Obtain the work permit
# Poor communication.
# Unidentified underground utilities.
- Falling Loads.
7 MS-302 Removal -Electrical Hazards.
-Crane Overload
# Uncertified Hilti.
# Hot Work approval and Unskilled
user/operator.
Demolishment of concrete foundation of MS-302
8 # Striking of rigged load with Scaffolding.
using Hilti.
# Fire Hazard due to Hot job.
# Material / pieces striking nearby
personnel.
# Dust inhalation.
# Cut / burs on hands during lifting.
9 Removal of all types of Debris
# Unskilled workforce.
# Striking of rigged load with Scaffolding.
TOTAL JSA S
Final Revi
Area Owner
A (Almost
11 16 20 23
Certain)
B
(Likely) 7 12 17 21
C (Possible) 4 8 13 18
D (Unlikely) 2 5 9 14
E
(Rare) 1 3 6 10
Risk Legend
Low Risk - 1-5
A JSA MUST be undertaken for any risk grea
Moderate Risk - 6-9
than a 'Low' rating
A JSA MUST be undertaken for any risk grea
than a 'Low' rating
High Risk - 10-17
Extreme Risk - 18-25
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
otective Equipment (PPE) required (Check box of required PPE):
d manpower working at height # Certified lifting tools must be used and safety
el falling hazard supervisor with mechanical/civil supervisor must
falling hazard be ensured
trical cables & accessories # Double lanyard Protecta Safety Harness to be
used, Harness should be third party certified
cted tools D 4 during scaffolding erection
ory PPEs usage # Scaffolding certification to be done by EPCL
ting team unavailability-Proper approved personnel.
ng of area is not done # Personal working on height must be aware of
hazards
re blanketing is not done # The activity must be stopped in raining or high
wind velocity > 25kph
# In case of any Emergency at base plant the
activity must be stopped.
# Scaffolding platform shall be below the rack with
proper access to the line laying portion.
# Completely covering the sides and bottom of
the rack.
# No gaps between the planks & both sides of the
rack
# Fire fighting team with required tools must be at
site during the works progress
5 (Critical)
25
24
22
19
15
Remarks
Hood
Mask
JSA SCORE OF
Risk rating
EACH ACTIVITY %
10 40
10 40
9 36
14 56
14 56
15 60
14 56
14 56
14 56
19 76
6 24
5 20
53.7777777778
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