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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT
Location / Project:
ACTIVITY OR TASK: LIFTING CONTAINERS WITH CRANE
JSA Preparation & Job Number:
task work team: JSA Number: JSA G17 JSA Revision:
Competence = Relevant Training/Qualifications + Experience
Competence/ Qualificn
Codes of Practice &
reqd to complete work
Legislation that are
safely
applicable:
JSA approved by Name: Position / Competence/ License: Date:
person responsible i.e.
Team Leader / Tradesman

2. HAZARD IDENTIFICATION Identify hazards that may be present by ticking items on the list below. 3. PRECAUTIONS: hard hat, safety glasses, safety boots
compulsory
WORK LOCATION HAZARDOUS AREA HIGH RISK HIGH RISK ADDITIONAL PRECAUTIONS PERMITS
Difficult Entry/Exit Hazardous Substances Falling Objects Suspended loads Gloves: type . Hot Work
Oxygen Deficiency - attach MSDS to JSA Poor Lighting Poor Visibility Goggles Excavation
Oxygen Excess Working at Heights Slippery Surfaces Inhalable Dusts/Fibres Full Face Shield Confined Space
Engulfment (trench collapse) Remote Area Multiple Electrical Feeds High Noise Levels High Visibility Vest Hazardous Work Clearance
Poisonous Gas Present Motor Room Hazards Trip Hazards Use of Chemicals Harness Access to Area
Temperature Extremes Toxic Substances Electrical Hazards - LV Elevated Work Platform Fire Extinguishers High Voltage Access
Defined Confined Space Potential for Difficult Rescue Electrical Hazards - HV Difficulty to Communicate Barricades Scaffolding
Explosive Gas Present amongst workers Ventilation Other?
Manual Handling Moving Machinery Lighting
PERMIT NUMBER
HAZARDOUS SUBSTANCES in work area / to be used Sharp Materials Tools & Equipment Erect Scaffolding to access
-attach MSDS
Ladders used in the task Heat/ Sunlight/ Radiation Respirator or Dust mask
Working at Heights Traffic Movement Erect Warning signs
Working near Crane & Working near Operation Personal Locks or Tag system
Crane Runways Processing Lines Group isolation
Rail Movement Live Rails Welding screen
Pressurised Fluids Pneumatics Fall Arrest systems
Flamm. Materials Present Welding Face Shield

4. ENVIRONMENTAL HAZARDS (IMPACTS) tick those identified Consequences: how severe an

Likelihood:
Air Pollution (dust, fumes) Spills to ground Other: RISK RATING TABLE How likely is it to injury?
Noise (plant & equipment) Soil Erosion
This table is used to calculate whether be that bad? Death Serious Medical 1st Aid
the hazard you have identified is Injuries Treatment reqd
Spills to drains/waterways Hazard to Flora /Fauna Reqd
Extreme: 9-10 High: 7-8,
Medium: 5-6 or Low: 3-4 Almost Certain - 10 9 8 7
Expected to Occur
5. EQUIPMENT REQUIRED: Likely could 9 8 7 6
The objective of rating the risk is to lower the risk happen sometime
Static Plant & Equipment
by initiating risk control measures. The score is Moderate could
Mobile Plant & Equipment 8 7 6 5
happen but not likely
Unlikely could 7 6 5 4
happen but very rare

Revision Date: March 2005 . of .. Rare - could happen OHS-03-F01

6 5 4 3
but probably never will
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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT
noted in the JSA risk score column on the next
Safety / Emergency Equipt
page both before & after risk control measures
have been nominated.

NAME OF TASK: LIFTING CONTAINERS WITH CRANE JSA Number: JSA G17 Rev:

Potential Safety & Risk Recommended Corrective Action or Procedure Risk

Step Sequence of Basic Job Steps Environmental Hazards/Impacts Rating Determine what actions are necessary to eliminate or minimise all hazards that Rating
No. Break down Job into steps. Each step should Identify the hazards (health and safety or Use table on could lead to an accident, injury, illness or environmental
Of the risk
Logical accomplish a major task and environmental) associated with each step, the previous incident. The risk must be reduced or controlled to a level following
sequence
be logical. examine each to find all possible risk factors page to that is acceptable before work commences. corrective
score risk Indicate who is to perform the action where applicable against each action action
Environmental Aspects

1 Obtain PTW Injury / damage as a result of Obtain correct PTW. Training in PTW system.
incorrect information
2 Identify work area Risk of injury due to low awareness Take 5, be aware of hazards
of work environment
3 Heavy Lifts with Crane Objects falling from lifted load: The area of the swing radius of cranes shall be barricaded where
necessary. Employees shall not be permitted to work under the
load of cranes. Lifts MUST NOT be swung over the top of where
other people are working. Riggers to ensure and double check
for correct slinging method and everything on load is secure prior
to taking lift. Tag lines MUST BE USED to control loads.

Electrocution Equipment SHALL NOT BE operated where any of the load will
come within 6.4m of any electrical distribution or power line.
4 Heavy Lifts with Cranes (any Lift over 5 Failure of equipment: Cranes shall be inspected prior to use and at weekly intervals.
Tonne or of Unknown Weight or Using Records or test inspections shall be maintained at the site.
2 Cranes is Considered a Heavy Lift) Equipment must not be operated above its safe rated capacity.
Manufacturers specifications shall be observed by all crane
operators. Only certified riggers to be used to dog loads and give
signal to driver. All crane operators shall be appropriately
certified - records of certification shall be maintained at site.
Rated load capacity, operating speeds, special hazard warnings
and instructions shall be visible to the operator while at the
control station.

Revision Date: March 2005 . of .. OHS-03-F01

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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA) / SAFE WORK METHOD STATEMENT
5 Lifting Containers Risk of injury due to crush points Take 5, be aware of crush points

Risk of load shifting due to incorrect Use qualified riggers to assess correct chain length. Crane
rigging, exceeding working radius operator to avoid exceeding working radius.

Risk of equipment failure due to

overloading Monitor container weight and do not exceed crane lifting limits

Risk of damage due to truck size

mismatch Check truck size matches container size prior to lift

Risk of injury / damage due to high Crane operator to check weather conditions
wind

Risk of damage / injury due to poor

Use spotter and correct signals to assist crane operator.
visibility related to large load

Revision Date: March 2005 . of .. OHS-03-F01

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JOB SAFETY & ENVIRONMENT ANALYSIS (JSA)

CONSULTATION & SIGN-OFF RECORD

I confirm by my signature below, that I have attended a briefing on the requirements of the attached Job Safety &
Environment Analysis and agree to perform the work in the manner detailed on it.
I confirm that copies of the relevant Permits, MSDS's, Isolation Plans etc. have been reviewed.

Rev:
JSA NAME JSA No:

NAME (Please print) SIGNATURE DATE

THIS SAFE WORK BRIEFING / TRAINING WAS CARRIED OUT BY (responsible person at that location) :
Name: Signature: Date:

Client sign off (where applicable)

Site / Project Manager sign off (document reviewed)

Revision Date: March 2005 OHS-03-F01