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JSA For Installation of Cable Tray Trucking Duct Pipe Works

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0% found this document useful (0 votes)
32 views6 pages

JSA For Installation of Cable Tray Trucking Duct Pipe Works

Uploaded by

ar5754214
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

Job Safety Analysis

RSG-HS-FRM-0001

RED_SEA_GLOBAL

Instructions for completing Job Safety Analysis (JSA) form

Section I -Enter general information about the site and job task.

Section II - Determine whether any of these operations apply to the job task to be performed. Make note of any special training, permit, certification, and risk assessment requirements.

Section III - Identify any human/organizational factors that could impact the ability to perform the work safely.

Break the job down into steps - Be as specific as possible. Write each job step in a new row of column A (Activity/Step). It’s a good idea to leave an extra row between steps in c a s e you need
1 them later. Add additional rows to the table as needed, or if completing the JSA on paper, print additional copies of the sheet to accommodate all job steps.

Determine the hazards associated with each job step and write them in column B (Hazards). Use the examples of hazards provided below to trigger your thinking about different types of
2 hazards and energy sources.
List any control measures that will be taken to ensure that step is done safely in column C (Control Measures). Use the control measure examples and hierarchy provided to trigger your
thinking about different types of controls and their effectiveness at reducing risk. Controls toward the top of the table tend to be more effective at minimizing the severity and/or likelihood of
3
an event than the controls toward the bottom of the table. If this job involves a Life Crucial Operation, continue to step 4. Otherwise, repeat steps 2-3 for each of the job steps identified, then
Considering the hazards involved and the control measures that will be in place, determine the worst credible severity of an incident that could result from this job step. Use the severity table
4 provided. Write the severity number in column D (Severity).

Considering the hazards involved and the control measures that will be in place, determine the likelihood that an incident will result from this job step. Use the likelihood table provided. Write
5 the likelihood number in column E (Likelihood).

Multiply the severity number by the likelihood number and enter the product in column F (Risk).
6

Consider the risk rating against the thresholds provided in the Overall Risk Ratings.
7

🗸 Very low and low risk ratings of 1-2. This level is generally considered acceptable provided that all control measures are applied.

Medium risk ratings of 3-9. Medium risk requires a planned approach to control the hazard and applies additional controls if required. Action taken must be documented on the risk
🗸
assessment form.
High and Very High-Risk ratings of 10-25. For all high and very high risk, Column G (Additional control measures) must be implemented to further reduce the risk to a medium or low
🗸 level. Such activities shall not be proceeded until applying additional control measures. The Construction Director/Manager or facility Manager must personally review the activities
with a High or Very High residual risk score and approve additional control measures by signing off the JSA
Repeat steps 2-7 for each of the job steps identified.
8
Section IV - Provide the name, company, and title of those who prepared and reviewed/approved this form in the signature box provided. The Construction Director/Manager or facility Manager must review
and approve the additional control measures that have a High or Very High-Risk rating before proceeding the task. Additional space is also provided for crew members to sign the JSA if desired.

Reference Table in completing Section III – Job Safety Analysis (Column B – Hazard)

Biological & Electrical Chemical Gravity/Height Mechanical & Motion


Environmental Arc Flash Air Emissions Equipment Tipping/Collapsing Being Thrown Off/Under Equipment
Altitude Buried Utilities Chemical Products; Excavation/Trench Disintegration of Moving Components
Animal Bite/Sting Damage to Leads/Cables • □Carcinogenic Falling Objects Driving/Vehicle Traffic
Blood-Borne Pathogens Damage to Switches • □Combustible/Flammable Floor Openings/Edges Ejection of Workpiece/Debris
Contaminated Food/Water Energized Circuits/Conductors • □Explosive Grating Removed Entanglement
Insect-Borne Disease Inadvertent Energization • □Toxic Inadequate Support Friction
Pests Lack of Isolation/Grounding • □Corrosive Lack of Access Ladders/Stairs Movement/Shifting
Poisonous Plants Missing/Damaged Insulation • □Reactive Suspended Load Moving Parts
Precipitation Overhead Lines Client/Process Chemicals Unstable/Insecure Materials Pinch/Crush Points
Temperature/Humidity Overload of Circuits Lack of Containment Work Above/Below Others Projectiles
Unsanitary Conditions Stored Energy (Batteries/Capacitors) Leakage/Spills Work at Height/Fall Hazards Rotating Equipment
Weather Water Near Electrical Conductors Material Incompatibility Walking/Working Surface; Sharp Edges, Corners, or Points
Produced/Disturbed by Work; • □Slippery Shearing
• □Asbestos • □Uneven Stored Energy (Springs/Accumulators)
• □Lead • □Obstructed Striking
• □Silica • □Steep Trapped Between Equipment and Fixed
• □Welding Fumes • □Moving/Swaying/Pitching Structures
• □Dust • □Insufficient/Unstable Unexpected/Uncontrolled Movement
Water Discharges
Wastes Generated;
• □Hazardous
Pressure Work Environment • □Non-Hazardous
Abrasive Blasting Cluttered
Compressed Gases Confined Space
High Pressure Fluid Damaged Tools/Equipment
Pressure Testing Entrapment
Pressure Washing/Blasting Erosion
Hazardous Atmosphere;
• □Oxygen Rich/Deficient
• □Contaminants
Ignition Sources
Inadequate Ventilation
Radiation Poor Lighting/Glare Sound Ergonomic
Intense Light Restricted Access/Egress Continuous Noise Awkward Postures/Movement
Lasers Runoff Intermittent Noise Excessive Force/ Exertion
Microwaves Extreme Noise Heavy/Awkward Load Repetitive
Naturally Occurring Impact Noise Motion
Radioactivity Radioactive Same Position Vibration
Material
X-Rays

Job Safety Analysis


Rev.00, 30 March 2023 Page 1 of 5
Job Safety Analysis
RSG-HS-FRM-0001

RED_SEA_GLOBAL

Reference Table in completing Section III – Job Safety Analysis (Column C – Control Measure)

Controls Examples
Elimination
(Remove the hazard altogether)

Substitution
(Replace the material/process with a less
hazardous one)

Engineering/Isolation
(Design effective control measures to protect
people and the environment)

Warning
(Alert people to the hazards)

Administrative
(Provide training, procedures, etc.)

PPE
Less (Personal Protective Equipment)
Effective

Reference Table in completing Section III – Job Safety Analysis (Column E –


Reference Table in completing Section III – Job Safety Analysis (Column D –Severity)
Likelihood)

Impact On Chances of
Severity Level &Likelihood Level Probability&
Occurrence
People Equipment / Property

Extensive losses of high value


equipment/property Likely to occur within the next 1
Almost year.
Major 5 Single / Multiple fatalities 5 0 in 100
Loses exceeding SAR 3,750,000; or Certain More than 80% chance of
Major unplanned impact on budget and occurring
schedule

Losses of equipment/property that


cannot be readily replaced; or Likely to occur within the next 2
Injury or illness resulting in
years.
Significant 4 permanent total or partial Likely 4 0 in 1,000
Losses exceeding SAR 375,000; or More than 60% and less than 80%
disability
Significant unplanned impact on project chance of occurring
budget

Loss of equipment that can be readily


replaced; or Likely to occur and may do so
Injury or illness resulting in
within the next 3 years.
Modrate 3 medical treatment or temporary Possible 3 1 in 10,000
More than 40% and less than 60%
disability/loss of function Losses exceeding SAR 37,500; or
chance of occurring
Minor impact on the budget

Unlikely to occur and may do so


Loss of equipment that can be readily
Injury or illness requiring first-aid within the next 5 years.
Minor 2 replaced, or Rare 2 1 in 100,000
treatment only More than 20% and less than 40%
Losses less than SAR 37,500
chance of occurring.

Extremely unlikely to occur within


the next 5 years.
Negligible 1 Near Miss/no harm Unlikely 1 1 in 1,000,000
equipment or property Less than 20% chance of
occurring

Reference Table in completing Section III – Job Safety Analysis (Column F – Risk)
Risk Matrix
Very Low Low Medium High Very High
Likelihood Severity 1 2 3-9 10-16 20-25
1-Negligible 2-Minor 3–Moderate 4-Significant 5-Major
Medium Hgh High High High High and Very High-Risk ratings of 10-25.
5 – Almost Certain
(5) (10) (15) (20) (25)
Additional control measures must be implemented to further reduce the High
Medium Medium High High High
4 – Likely and very high risk to acceptable level.
(5) (5) (12) (16) (20)

3 – Possible
Medium Medium High High Note: The Construction Director/Manager or Facility Manager must personally
-5
(5) (5) (12) (15)
review the activities with a High or Very High residual Risk score and approve
Low Medium Medium Medium High
2- Rare suitable additional control measures by signing the JSA.
(2) (5) (5) (8) (10)
Very Low Low Medium Medium Medium
1 – Unlikely
(1) (2) (5) (4) (5)

Job Safety Analysis


Rev.00, 30 March 2023 Page 2 of 5
Section I – General Information
Emergency Procedure

Emergency Contact Name Emergency Contact Phone Number

Primary Contact: Engr. Ashraf Primary Contact 0568274275


Zeid
Secondary Contact Ali Raza Secondary Contact 0595771013

Details

Company Name
Program / Facility / Operations Program 03 - Coastal Village Economic Homes Contracting Co

Project Name / Facility Details Date


C08C01 EHC - Turtle Bay Training Center and Admin Facility Buildings
• Mechanical (installation of Cable tray, trucking and cable ladder) Category
JSA /Risk Assessment Title New

Specific Location All over the project Building

• Earth tester: Fluke 1625-2 Earth/Ground Tester (with valid calibration certificate) Area
Plant Tools & Equipment Require • Torque Wrench
• Electric Drill
• Electric Grinder
• Measuring Tape
• Screw drivers
• Hammering Tools
• Ladders
• Complete Spanner Set

Work Scope/Description installation of Cable tray, trucking and cable ladder OAF & TC project

Section II – Does this job require any of the following operations?

✓ Requires formal/special training ◼ Requires certification or Competent/Qualified Person designations


Requires a permit/form/report ∆ Life Crucial Operations = Requires full Risk Assessment

Details YES Details YES

Aerial Lifts ✓ ∆ Cranes - Critical lift ✓ ◼ ∆

Confined Space ✓ ◼ ∆ Hot Work ✓

Dismantling and Demolition ◼ Loading/Unloading Material ∆

Electrical Hazards ✓ ◼ ∆ Noise Exposure ✓

Excavation/Trenching ✓ ◼ ∆ Powered Industrial Trucks ✓ ◼ ∆

First Line Breaks ✓ ◼ ∆ Radiation Area Work ✓ ◼


Grating/Floor Plate/ Guardrail
∆ Respiratory Hazards ✓
Removal
Hazardous Energy Control ✓ ◼ ∆ Roof Work ✓ ◼ ∆
Hazardous Materials
✓ ◼ Scaffolding ✓ ◼ ∆
Asbestos & Lead Work
Hazardous Materials
✓ ◼ Site/Vehicle Traffic ∆
Crystalline Silica & Cadmium
Hazardous Waste Operations ✓ Steel Erection ◼ ∆

Heavy Equipment ✓ ◼ ∆ Work at Height (> 6 ft) ✓ ◼ ∆

Rigging, & Cranes ✓ ◼ ∆ Other

Section III– Job Safety Analysis

(D) (E) (F) (G) (H) (I) (J)


(B)
(A) (C) Severity Likelihood Risk Additional Control Measures Severit Likelihood Risk
Hazards y
Activity Step Control Measures
Not adhering to the project HSE standards while Safety Orientation of the employees.
planning The work area must have full
Not planning for emergency situations supervision by the site supervisor and
Incompetent workers for the activity safety officer.
Lack of awareness about proper procedures Ensure the work zone is barricaded and
the signages have been provided.
Insufficient or unsuitable PPE
Proper welfare facilities and drinking
Improper access egress
water available on site.
Lack of communication 3 4 12 Daily TBT, STA, Pre-Task
All permits for the work system will be
Mobilization of unsuitable or broken Briefing for site workers on daily activities 1 1 1
followed before the start of work.
equipment/tools on site
Job Planning Use of proper manual lifting techniques.
Serious injury due to lack/poor of safety
No one is allowed to work on the live
knowledge at site.
road without TMA/Impact vehicle and
Mishandling of emergency situations and delay in proper supervision.
emergency response
All site workers must have required
Injuries and accidents due to lack of competency trainings.
Lack of knowledge in the execution of the activity Smoking shelters must be provided on
Body pain & muscles strain due to improper site with suitable rest shelters.
handling of materials. Spotters will be Depute to monitor
Slip/trip Visual contact between operator and
ground crew.
Using proper PPEs.
Improper transportation of the material Adhere to the site traffic rules and speed 3 3 9 Ensure proper training on manual handling, 1 1 1
limits store materials at waist height
Movement, transportation, SWL to be clearly marked on any
handling, and storage of material mechanical lifting equipment and no
(manual and mechanical) lifting shall exceed the listed SWL
Uninspected equipment’s Third party inspection to be available for 4 3 12 Conduct regular inspections to ensure 2 1 2
the equipment as per RSG MVA materials are stored securely
procedure requirements RSG-HS-COS-
0004
Mechanical aids and equipment to be
inspected prior to use
Inspect the material for sharp edges
when moving
Third party certificate to be available for
chain block
Trained and certified rigger to operate
chain blocks
Incompetent operators/personnel Third party certificate to be available for 4 3 12 Engage qualified personnel for installation, 2 1 2
the operators as per RSG MVA conduct regular inspections
procedure requirements.
Flammable/hazardous chemicals and
material to be stored in designated
storage areas.
Uncontrolled movement of the load Pre-use checklist and visual inspections 4 4 16 Use tool lanyards, barricade work area to 2 2 2
to be made before using the equipment prevent unauthorized access
Flagman to be used for equipment
movement at site
Segregate pedestrian movement paths
from equipment movement paths
No one to come under the suspended
loads
Assure that workers are fit and healthy
to handle the loads.
Unsecured load Secure the load properly before moving 3 3 9 Secure materials properly, use 1 1 1
and loading/unloading barricades/signage around storage areas
Use taglines
Manual lifting techniques and awareness
material to be posted on site
No manual lifting allowed over 25 KG
Additional help shall be asked for
complicated and heavy loads
Mechanical aids (trolleys, pallet jacks,
chain blocks) to be used wherever
possible
Storage to be built sturdy to withstand
the load as per the manufacturer’s load
ratings
Consider manufacturer’s manual for
stacking guidelines. Over-stacking
strictly prohibited
Installation of cables, cable trays, Hand/finger injuries Use proper tools like screwdrivers and 3 3 9 Full supervision by construction team, Safety 1 1 1
and trunks using hand tools, power Pinching, cuts, abrasions, lacerations spanners; wear gloves; inspect tools officer
tools, cable pulling sock and grip before use to ensure they are in good Provide training on proper tool usage and hand
condition; ensure proper hand safety; ensure tools are maintained and free
placement when using tools. from damage.
Incompetent worker Only competent, trained, and 3 3 9 Daily TBT, Pre-Task Briefing for site workers 1 1 1
authorized. operators to work with on daily activities
power tools
Use face shield when working with
grinders
Uninspected and damaged tools Use right tool for the right job 3 4 12 Assure that equipment is inspected and tested 1 1 1
Electrocution from damaged sockets and Do not use any broken or damaged and test dates are available on the equipment
insulations tools.
Make sure tools are color coded and
visually inspected before usage.
Flying particles Use face masks in dusty conditions 3 3 9 Barricade the area and put caution signages 1 1 1
Eye injury

Moving mechanical parts All the disks and moving parts to be 4 3 12 Moving parts must be guarded 2 1 2
Draw-in, entanglement, punctures. guarded. Appropriately Make sure to keep yourself at a safe distance
Trip and fall No guards shall be removed from moving parts
Drilling Holes for Mounting No safety locks shall be bypassed Permit to work must be obtained and
precautions to be taken before starting the
activity
High noise Use earplugs/earmuffs for high noise 3 3 9 Conduct noise level assessments; implement 2 1 2
Hearing damage/loss works engineering controls such as noise barriers or
Adequate breaks to be given for workers dampening materials.
Do not grip the vibrating tools too
tightly
Poor Housekeeping Always maintain good housekeeping and 2 2 4 Stacked the material properly 1 1 1
Trip and fall keep the access & egress clear Do proper d-nailing

Vibration Use grinders with built-in vibration 3 3 9 Use power tools with vibration control 2 1 2
Hand-arm vibration syndrome (HAVS) dampening; ensure a firm grip; wear features; maintain a proper posture; limit
anti-vibration gloves. exposure duration.
Whole-body vibration from prolonged use of
power tools Use torque wrenches with ergonomic Limit the use of manual torque wrenches
handles; wear anti-vibration gloves; where possible; provide alternative non-
Vibration-induced fatigue and discomfort
ensure correct handling technique. vibrating tools if available.
Circuit overload Industrial grade sockets and plugs to be 3 4 12 Make sure that the appropriately rated power 2 1 2
Short circuits and fires used for connections. supply connections are used.
Check insulations and equipment for
damages and inspect tools thoroughly
Electrical supply must be in accordance
with the manufacturer’s
recommendations
Route the wires appropriately and keep
the accesses clear
Securing Cable Trays and Ladders Pinching, crushing injuries, improper torque Use a torque wrench with a valid 3 3 9 Calibrate torque wrench regularly; train 2 1 2
calibration certificate; follow workers on correct use of torque wrenches.
manufacturer’s instructions for proper
torque; wear gloves.
Cable Laying and Routing Cable damage, tripping hazards, manual handling Inspect cables for damage; secure cables 3 3 9 Regularly inspect cable trays for wear and tear; 1 1 1
properly to prevent tripping; use cable ensure that cables are labeled and routed
trays to organize cables; use mechanical clearly.
aids for heavy cables.
Electrical Testing (Using Earth Electrical shock, improper test results Use Earth tester (Fluke 1625-2) with 4 5 20 Confirm Earth tester’s calibration before use; 2 1 2
Tester) valid calibration; wear insulated gloves; conduct tests in dry conditions; have a
ensure equipment is properly grounded qualified electrician on-site.
before testing.
Hand injuries, labeling errors Use proper tools like screwdrivers and 3 3 9 1 1 1
spanners; wear gloves; double-check
labeling for accuracy.
Working at height using scaffolds Fall of personnel, tools, material Do not place any tools or material at the 4 3 12 If separate ladder required use A type ladder 2 1 2
ladders edges with working platform
Ladders must be extending 3 rungs Permit to work must be obtained and
above the platform (0.9 meters) precautions to be taken as listed before starting
Only competent scaffolders are allowed the activity
to erect and dismantle scaffolds

Uninspected or damaged scaffolds and ladders Scaffolds to be tagged by scaffolding 3 3 9 Always check the tag red green or yellow 2 1 2
inspectors Red tag not allowed to use
No work is allowed to be carried on Certified inspector inspects the scaffolding and
untagged or red tagged scaffolds or place the tag
scaffolds with expired inspection tags
Lack of edge protection Proper guard railing system for work at 5 4 20 Assure that the access areas are clear 2 1 2
height platforms to be available along
with toe boards
Unstable work platform No unauthorized alteration to be made 3 3 9 Full supervision by construction team, Safety 2 1 2
in the scaffold while working officer
Scaffold weight ratings and capacity to
be marked and no overloading is
allowed of scaffold platforms
Loose component of scaffold Make sure that the ladders are secured 4 4 16 No work allowed directly under the area where 2 1 1
by side lock or supports work at height is in progress
Footing shall be proper and on the even
ground
Damaged, broken or defective ladders or
components shall not be used
Untrained personnel All personnel must be trained for work 3 3 9 Barricade the work area and put signages 2 1 2
at height Daily TBT, Pre-Task Briefing for site workers
Safety harness to be worn and on daily activities.
Do not try to overreach 100% tie off to
be maintained
Manual material handling Proper material handling techniques will 3 3 9 Maintain proper housekeeping all the time 1 1 1
be used and, if required, a pulley with
bucket will be installed for handling the
material and tools inspect the tools and
equipment before usage
Do not use and damaged and faulty
tools
Staff engaged in working shall be aware
of Emergency call out procedure.
Fire Immediate help shall be called by Emergency no. posters shall be displayed at
calling EOC number 011 212 7111 sites and rest shelters
Unexpected Event Explosion
considering the emergency situations. 2 1 2
Emergency condition Full supervision by construction team.
First Aiders will be available on site. 3 3 9 Safety supervisor.
Standby emergency vehicles as
Daily TBT, Pre-Task Briefing for site workers
applicable
including drivers on daily activities.
Do not panic in emergency situations
and respond correctly.
All employees must be included in the
emergency drills
The Project Emergency Preparedness
Plan will be communicated and
implemented.
Emergency no. posters shall be displayed at
Employees will be trained how to act in
Uncertainty/ sites and rest shelters.
case of Emergency.
Emergency Response dangerous condition Full supervision by construction team.
Assemble point and direction sign Safety supervisor. 1 2 2
Fatality should be displayed on site. 3
Daily TBT, STA, Pre-Task Briefing for site
injury Suitable emergency communication workers including drivers on daily activities.
Property damage means shall be provided. 9
Emergency contacts to be displayed. 3
Emergency equipment & services shall
be readily available like crane with man
basket, standby dewatering pumps,
tripod with winch as applicable or
sewerage tanker and spill kit with
emergency team.
Full time supervision availability for the
assign tasks at site so that he/she to
minimize the situation of emergency to
occur at site by arranging safe
equipment/safe workplace and monitor
the work and provide required
information/instruction/training to
workforce to minimize the condition to
develop as emergency.
Lone work must be avoided.
Sleeping / resting in unauthorized areas
shall not be permitted, provision of
adequate welfare at designated locations
with good illumination.
Provision of sufficient safe access to
emergency services / ambulance
Provision of full time first aiders / male
nurse
Provision of emergency standby vehicle
at site.

Follow Latest RSG/Ministerial


Resolution for working during hot and
humid conditions, mid-day break in
summer.
Rescheduling work wherever possible so 3 12
the hot tasks are performed during the 4 1 2
cooler part of the day. Emergency no. posters shall be displayed at 2
Heat/Cold Stress sites and rest shelters.
Sandstorm, Rain & Fog Train site staff and supervisors about the
hazard leading to heat stress and ways to Full supervision by construction team.
Lone working
Working in Adverse climate prevent them. Safety supervisor.
Injury
TBT to all employees on different heat Daily TBT, STA, Pre-Task Briefing for site
Ill Health
related illnesses and accompanying workers including drivers on daily activities.
Doziness symptoms for each type and case and
method of prevention and treatments.
Work will be suspended during rain,
sandstorm, foggy weather or in extreme
heat by considering the site condition
and visibility and workers will be
directed to safe areas i.e. rest areas till
the weather gets settled.
Provide adequate cool drinking water
and instruct employees to drink
adequate quantity of water to
compensate losses of water by sweating.
Provide Electrolyte replacement drinks
to operatives.
Wearing light clothing that still provides
adequate protection.
Enough water and shelters be provided/
saline soluble always available.
Rotation of work force / shift working
Always monitor the allowed
temperature in working on outside
work.
Always ensure the “buddy system” to
avoid working alone.
Ensure welfare facilities are available,
rest shelters, rest breaks provided, easy
access to cool water, and toilets available
in work areas.
Establish a schedule for work and rest
periods during hot days.
Train workers to recognize signs and
symptoms of heat stress disorders.
Workers should be advised to drink
water periodically.
Implement Heat Stress Management
Plan.

CESMP must be followed all the time.


250 macron sheets must be placed under
the chutes and concrete area.
Mixers and equipment must be washed
Concrete spillage in the designated area only.
Black Smoke Equipment/Vehicles will be inspected
Hydraulic Oil leakage properly before the job commencement
Environmental Protection and Food/General Waste at site to prevent any excessive
Environmental Induction for workers
Compliance Chemical spillage emissions and hydraulic leakage.
Participation of workers in Environmental drill 2 1 2
Any soil contamination that happened
4 3
Soil contamination Concrete spillage will be reported to RSG as per RSG
12
Air pollution from smoke emissions from applicable reporting procedure.
Equipment/vehicle exhaust. Waste management strategy to be
Soil contamination by vehicle hydraulic oil leakage adopted and waste generation to be
Waste littering minimized to reduce the footprint on
the environment.
Any food waste or garbage generated at
site will be collected into the garbage
bags and disposed of into the skip
through the vehicle every day.

ection IV – Approval and Signatures


Prepared by Company Position
Ali Raza Economics Homes Contracting Company H&S Manager

Initial Review and Approval by Company Position


Ashraf Zseid Economics Homes Contracting Company PM

Note: All High and Very High residual risk ratings (10-25) require review and approval by Construction Director/Manager/Facility or Operations Manager before starting work to ensure that the additional controls are adequate to execute
the task safely.

Final Review and Approval by Company Position Date

Reviewed by Crew Company Position


Job Sa fety Analysis
Rev.0 0, 30 March 2023

Page 6 of 7

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