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JOB TITLE / AIM: JSA for concrete pouring using crane and concrete bucket includes night works
JSA DATE: 03/07/06 JSA NO./ REVISION: 122
SUPERVISOR/ JSA LEADER: Zafar Iqbal SCRIBE: Hernand Suyom
PARTICIPANTS : M. Ramzan, Abdul Khalique, Imtiaz Ghani
LIST ASSOCIATED PROCEDURES/WORK INSTRUCTIONS OR TEMPORARY WIs:
Attach copies of any relevant documentation/ drawings.
Part 2: Job Safety Analysis
Job Steps:
1.Mobilization of equipment & workers
- Crane
- Transit mixer
- Bucket
- Wire rope & shackle
2. QC inspection for concrete quality prior to pouring
3. Concrete pouring using crane includes transit mixer concrete unloading to concrete bucket
4. Night working
5. Demobilization

Alternatives Considered: Concrete pump mixer breakdown

Now undertake the JSA and record in the table below. Use prompts on JSA Prompt Sheet and Hazard Checklist PA-HSEC-02-040-002-F03.
Part 3: Contingency Plans. Standard PPE, S: First aid kit must be present at the area and the HSE personnel is the first response in case of
emergency
Part 4: Review. After the job has been completed, JSA leader should note: any hazards, which were identified in the original JSA? Any practices
that need to be captured in the OMS? List action items, changes, and transfer any changes to the Change Management system.

File: 10.30
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
1 Mobilization of equipment & Unauthorised equipment/tools brought out to Before mobilizing any equipment/tools make sure
workers site that the E &P Personnel & BHP got inspected the
equipment. Checklist are in equipment

Unskilled and uninducted personnel starting Ensure that all personnel prior to start the have
the job been inducted and oriented about the hazard in the
job site.
Ensure bringing of materials are secured and not
overloaded
Ensure a preparation area to keep the access clear
Workers starting the job unfit to work All personnel must undergo the fitness exam from
DEL company doctor & if not fit to work shall not
be allowed to work at the project site.
Workers starting the job without permit JSA must be in place prior to work. Ensure all the
persons take part in the tool box meeting
discussion. Persons signed at the back of JSA
Equipment failure Ensure equipment are being inspected prior to use
& on a daily basis
Ensure that banks person was provided prior to
mobilization
Equipment crane/transit mixer overturn
Ensure outrigger is fully extended, stable with
outrigger pad in place.
Ensure that bucket are check without leakage
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Ensure area to be secured and barricaded during
preparation and placement of extendable hose
Unauthorised operator Ensure that enough man power was provided
during preparation
Ensure that operator are trained and experience in
the concrete pump operation
Ensure that no unauthorised person shall operate
the machine and stay near the machine
Ensure that no leakage from the chute, the tire has
been choke to ensure no movement will take place
during concrete pouring
No other person shall stay under the concrete
bucket during pouring
Ensure tag line was in place
Ensure a experienced rigger who will be the one
man signal man during bucket positioning and
pouring

Bucket failure Ensure that the bucket pad eye are inspected and
no sign of defects
Ensure that bucket locking device are safe and
secured prior to lifting
Ensure to established loading area for bucket and
transit mixer
Ensure that are was secured and barricaded
unauthorised person should not be at the working
area
Uncertified lifting gears Ensure that lifting gears are certified and
inspected
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Traffic Ensure that traffic movement has been establish to
allow smooth movement of vehicle and eliminate
equipment collision
Ensure to establish a standby parking area to
eliminate the traffic
Ensure that transit mixer driver are being oriented
about the traffic flow and follow the site seatbelt
policy/speed limit policy
Ensure that MSDS for cement are available at
Doctors office
Equipment stuck up Ensure that equipment shall not access through
uneven/compacted soil
2 QC inspection for concrete quality Dust Ensure proper wetting of soil and workers are
prior to pouring wearing dust mask
Establish a check point for QC inspection
Heat Stress/Exhaustion Ensure that enough man power are present during
cement testing
Ensure enough ventilation and lighting are
available in testing area
Equipment failure
Ensure that concrete debris are contained in one
area
Ensure that a communication radio is available at
Miscommunication the area
Ensure that designated traffic man shall manage
the transit mixer movement and testing piece
sample preparation
No unauthorised person shall not allowed at the
testing area
Eye irritation/skin irritation Ensure workers are wearing hand gloves
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Ensure potable water/sufficient shelter is
available each area where workers are doing the
job. First aid kit available at site.
Ensure that equipment was inspected by
equipment supervisor & equipment inspection
Personnel & equipment interface
was in the equipment

Ensure that workers accessing the right walkway

and watch your steps.
Ensure that area was physically barricaded &
banks person was in place
Ensure that area for equipment & workers are
Ergonomics hazard separated & vehicle access are identified

Ensure that workers are being oriented about the

proper positioning
3. Concrete pouring using crane Personnel & equipment interface Ensure that equipment and workers movement
includes transit mixer concrete will be observed no other workers shall stay on
unloading to concrete bucket near the machine during pouring
SIMOPS Ensure that proper distance of workers to the
boom arm pipe
Trips/falls Ensure a nylon rope was provided at the pump
hose to control the boom arm movement
Ensure good communication between the rigger
and the operator
Ensure that a standby banks person shall be place
for transit mixer set up prior to the concrete
pouring to the concrete pump.
Ensure that sufficient lighting is in place.
Ensure that workers shall not stand underneath the
suspended boom arm of concrete pump especially
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
during transferring position from one place to
another.
Ensure that gum shoes was provided for worker
during concrete pouring
Ensure that enough man power was provided to
control the hose movement c/w nylon rope
Ensure that whenever a concrete pump equipment
failure, the operation must be stop unless
otherwise that the equipment shall
operate/function smoothly.
Ensure that area have been provided with proper
access & egress
Ensure slow movement of workers while
accessing the area
Ensure that area secured & barricaded
Heat Stress/Exhaustion Ensure potable water/sufficient shelter is available
each area where workers are doing the job. First
aid kit available at site.
Ensure that equipment shall not position in the
unstable condition and banks man should be
Equipment fall over
available at all times in the area
Ensure daily equipment inspection and any
Equipment failure
defects found informed immediately the
equipment supervisor for repair.
Ensure that only designated access shall be used
going down and up the embankment
Workers might fall over the working area Ensure that no worker shall work without
sufficient light.
Ensure that wearing of clear glass is a must after
dark.
Ensure proper tools are use for the job
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Ensure that full supervision are in place
Ensure that excess materials shall removed far
way from the area
Ensure that excess materials after finishing the
pouring shall be return again to the transit mixer
to eliminate concrete debris in the area and
designated area for debris must be identified
Load might drop from from person(content of Ensure that the bucket will not fill over its
bucket up & down or in mid air capacity
Eye injury Ensure workers must not stand under the load
during up and down and wearing prescribe clear
glass
Backing of equipment Ensure access is clear and properly lit with full
time banks person and standby man in the
unloading.
4. Night working Poor visibility Ensure sufficient amount of lighting in the area
No work shall be performed if there if not enough
lighting
Trips/falls/waking over wet concrete/steel bar If access is not properly lit then a designated
assembly point shall be established with sufficient
light.
Ensure all excavations adjacent to the work area is
taped off with high visibility tape prior to
commencement of works.
A standby vehicle should be present at the area
A charge radio must be present at all times at the
Miscommunication area and any incident must be reported
immediately to BHPB personnel
Doctor will be on call in any case
Person working alone Employees will assure a buddy system
No worker shall work alone at the site
JSA No: JOB TITLE:
Step Describe Job Step Potential Hazards Hazard Controls
No (Copy from part 2 of form) (Use Hazard Checklist)
Snake bite Ensure that no workers shall work more than 14
hours and have 7 hours enough sleep
Ensure that special attention will be done for the
presence of snake in the area

5. Demobilization Poor Housekeeping Ensure that area was left clean and tidy