Job Safety Analysis Sheet
Job: Mechanical Excavation JSA Ref. No. JSA / KOC / 02
Facility: Work Area / Equipment: Permit No.
Date:
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES: Hard Hat, Safety Shoes, Safety
Goggles, Hand Gloves, Dust Mask, Barriers, Ladder, Guardrail, Polling Board
SEQUENCE OF Yes /
POTENTIAL HAZARDS PRECAUTIONS
BASIC JOB STEPS No
Presence of EOD Ensure the area to be excavated is declared EOD
cleared.
Locate underground / aboveground services referring
to the site map / drawing.
Location of Underground /
Aboveground Services (such Endorsements in Excavation Notification from the
Pre - work pipeline, cables etc) concerned Teams for the services in the area to be
excavated.
Hold pre-job safety meeting
Non-compliance of KOC
-HSEMS Procedures, F & S Get authorization for Hot Work Permit
Regulations or Engineering Conduct Toolbox Talk
Standards
Check for underground / aboveground services
Damage to underground /
through metal detectors
aboveground Services (such
pipeline, cables etc) Isolate services as needed through authorized
permit
Cave-in's of excavation Utilize sloping, benching & shoring as needed
Keep excavated material at least 1 meter away from
Collapse of Excavated the edge of the trench.
Excavation Materials Inspection for soil condition before starting
excavation work.
Keep the equipment / mobile plant at least 3 meters
Accidental fall of equipment /
away from the edge of the trench.
mobile plant
Wear appropriate PPE
Possibility of toxic / flammable Carry out gas test before excavating in hazardous
gas area.
Blocking Emergency Ensure the approach to Emergency Equipment is not
Equipment blocked due to open trenches.
Barricade the trenches
Unattended trenches
Use of Warning signs
Post Excavation Close the trench, backfill and compact the area.
Trenches left open for
extended period Close the permit after making the site clean & tidy.
Additional Hazards
(Other than indicated
above)
Name: Designation:
KOC / ID. No. Company:
JSA Done By
Controlling Team: Contract No .(If Applicable):
Signature: Date: