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Job Safety Analysis Sheet

JOB DESCRIPTION: Core Drilling / Saw Cutting Concrete or Asphalt JSA Ref. No.

Facility: Permit No.

Work Area:
WPMP / EF 1772 Date:

PERSONAL PROTECTIVE EQUIPMENT & TOOLS: Hard Hat, Safety Shoes, Face Shield, Safety Goggles, Hand Gloves, Coverall,
Coring Machine, Saw Machine

 Refer to HSEMS Procedures - Doc. No. SA.KOC.004

Yes “Permit to Work”.
Non – compliance of KOC and
HSE MS Procedures Yes  Obtain a Hot Work Permit & necessary permits prior to
 Conduct Tool Box Talk.

Yes  Ensure the equipment / tools to be used for the job are
properly working, have been inspected and periodic
Planning Defective Tools / Equipment inspection sticker posted.
Yes  No “modified” tools will be allowed for use on site.
 Only authorized personnel involved in the job will be
Unauthorized Personnel Yes allowed.
 Ensure that necessary work permit has been secured
Unauthorized Work Yes prior to starting the required work in the existing

Yes  Barricade the work area to prevent unauthorized entry of

 Ensure that coring machine to be used on site has been
Yes inspected and periodic inspection sticker posted.
 Ensure that only trained persons are engaged for the
Yes work.
 Use appropriate dust mask during coring/ saw
Failure of Equipment Yes opearation.
 Proper and appropriate PPE must be worn while
Faulty / Defective Equipment
Yes  Safety goggles should be worn during working hour.
Concrete/ Asphalt Exposure to dust
Coring  Availability of eye washing station must be ensured in the
Eye injury due to gliding/flying Yes work area, so that workers can address their need. .
Yes  Ensure that the location of existing cables and other
embedded items in the concrete slab have been properly
Damage to existing cables Yes identified.
 Necessary Work Permit should be secured prior to
Yes concrete cutting/ concrete coring or chipping work.
 Ensure that Supervisor in-charge of the work has
Yes inspected the work area and properly coordinated to
concerned persons.

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Yes  Ensure proper housekeeping at worksite.
Exposure to dust Yes  Waste & other materials generated during the work
should be removed or properly disposed off from the
Housekeeping work site after completing the job.
Eye injury due to gliding/flying
particles or rubbish materials Yes  Use dust mask during the housekeeping work.
Yes  Proper PPE should be worn by worker.
 Ensure all employees undergone commissioning awareness
training and understand the existing hazard inside the
commissioning areas.
 Ensure there is full time supervision and control.
 Ensure workers are informed of live system
 Provide trained flagman during working and moving near
facility area
Live System Under  Flagman gives proper signal to operator during operation
Commissioning  Operator do not operate without signal by flagman
Yes  Avoid awkward posture
Additional Hazards
 Do not put hands between materials
(Other than indicated
above) Manual handling  Seek the Help if object is heavy
Hand Injury/Body Injury Yes  Ensure work area kept clear
 Use appropriate PPE snd tools if required
 Giving a balanced position of feet
 Feet apart ,giving a balanced and stable base
 Donot use knee ,keep straight
 When turning to the side ,move the feet do not twist the
 Keep close to the load materials

Prior approval/endorsement shall be obtained from Permit Applicant and Permit Issuer before carrying out any changes to existing safety
measures and safe work conditions for the duration of the permit.

JSA Done by Permit

Name Controlling Team : MP - IX
Controlling Team /
KOC No. Signature :
Asset Owner

JSA Reviewed by Name Controlling Team : MP - IX

Permit Issuer
KOC No. Signature :

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