Client:

Project Name: Oryx Power Line

Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________



Excavation, Trenching
with mechanical

Underground utilities
Oil spillage
Equipment failure
Fire
Excavation collapse (Cave
in)
Construction materials
sliding in to the excavated
area
Slip and fall of equipment
Falling equipments
The excavated earth and
construction material is
storing edge of excavation
Dust
Water (Ex: Rain water)
Traffic
Sound pollution while using
equipments
Hot weather


Valid work permit and Excavation permit
required prior to work
Existing underground utilities areas are not
allowed mechanical (Excavator, Trencher)
excavation
Complete daily inspection before use of all
equipments to be used
Provision of Fire extinguisher with
equipment/vehicle
Drums of oil will be contained on a spill
tray sufficient size to contain contents
Refueling of vehicles/mobile plant will be
done with the engine OFF
All drivers /operators will adhere to the site
speed limit
Clear access (vehicles/pedestrian) will be
maintained around the site at all times
Check soil classification
Excavated soil should be placed 1.5m
away from the excavation area
All loads being removed from site will be
Site
Engineer,
Supervis
or,
Foreman
Client:

Project Name: Oryx Power Line
Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________



covered to prevent spillage during
transportation
Watering on the soil to control dust
Dewatering (Ex: Rain water)
Opening in an excavation site should be
barricaded because this would prevent
workers from falling in to the excavation
Before going down to work in a
trench/excavation you should check and
make sure that the sides of the trench are
properly shored
Before going down to work in a
trench/excavation you should check and
make sure that the trench/excavation are
properly barricaded
If you notice any shift in position of shoring
of an excavation side you should get out
and report to your supervisor immediately
During excavation workers should stay
away from the excavation to prevent any
accident
If work is in or around traffic employees
Client:

Project Name: Oryx Power Line
Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________

must be supplied with and wear hi visible
vests signs and hard barricades must be
utilized to ensure the safety of employees
vehicular traffic and pedestrians
All personnel will wear necessary PPE
including hand gloves, safety glasses,
hard hat and safety shoes
Weekly TBT should be provided
Trainings should be provided if necessary
Providing of ear protection (muffs, ear
plugs)
Providing shelter for protection against the
climate, rain, sandstorm, heat
Disbursing contaminated soil following
RLIC rules
Providing of adequate water supply
Providing safe access and egress
(Ex: ladders or steps)
Providing sign boards
Before going down to work to check store
material in safe manner & proper house
keeping
Client:

Project Name: Oryx Power Line
Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________


Manual Excavation Personnel injuries due to
improper handling of
shovels and other
equipments
Slip and fall of workers
Hot weather
Excavation collapse (Cave
in)
Underground utilities
Water (Ex: Rain water)


Valid work permit and Excavation permit
required prior to work
Excavated soil should be placed 1.5m
away from the excavation area to prevent
falling in to the trench
Proper barricading with sign boards and
safety flash lights to prevent falling in to
the trench/excavation at night time and
wearing Hi visible vest
Providing shelter for protection against the
climate, rain, sandstorm, heat
Providing of adequate water supply
If you notice any shift in position of shoring
of an excavation side you should get out
and report to your supervisor immediately
To prevent injuries providing additional
PPE (face shield and pads for legs) and

Site
Engineer,
Supervis
or,
Foreman
Open cut Underground utilities
Traffic
Falling
Valid work permit and Excavation permit
required prior to work
Required permit for open cut from RLIC
Site
Engineer,
Supervis
or,
Client:

Project Name: Oryx Power Line
Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________

Dust
Equipment failure
Fire

and RLIC security
Protecting with Hard (Concrete) barriers
with sign boards and Hazard flash lights
Providing road diversion sign board before
400m
Complete daily inspection before use of all
equipments to be used
While working full PPE including Hi visible
vest to prevent road accidents
Providing fire extinguisher with equipment
To protect existing underground utilities
with proper support

Foreman
Waste

Environmental pollution Continuous house keeping
Disbursing as per RLIC rules

Supervis
or
Additional Safety Equipment Required To Do This Job:

Safety Shoes? Work Vest? Barricades?
Special Gloves? Safety Harness? Fire Extinguisher?
Respirators? Face Shields? Lock Out/Tag Out?
F.R. Clothing? Goggles? Work Permit
Required?
Disp. Overalls? Others?
Tools Required



Client:

Project Name: Oryx Power Line
Project ID: J220
Contractor:



JOB SAFETY ANALYSIS
Job Title: Trench Excavation
LOCATION: FOREMAN OR SUPERVISOR: Emergency Telephone:
474 8888
Assessed By Loveson Glariyans Assessing Date 08-Feb-2010 Dept. ID: D25 Ref No: J220-5.1-JSA/002
REQUIRED PERSONAL PROTECTIVE EQUIPMENT: Hard hat, safety glass, cover all, safety shoes, Hi visible vest, hand gloves

SEQUENCE OF BASIC
JOB STEPS
POTENTIAL HAZARDS
RECOMMENDED ACTION, PROCEDURE and
PPE
SOFP
OBSERVATION
Safe
Risk
Responsi
bility
NAME & SIGNATURE______________________________




JSA TRAINING ATTENDANCE


PRINT NAME HERE SIGNATURE

1



2



3



4



5



6



7



8



9



10



11



12



13



14



15



16



17



18



19



20




Recommended Improvements in JSA: