Job Safety & Environmental Analysis - JSEA
Site/ Project name
6961 - Whangarei's Civic Centre BC02
Date
Work location
Rust Ave, Whangarei
JSEA number
Brief description of work
activity
Installing Beams
Rib Raft Floor
Associated docs
e.g. Work plan, Lift plan
Responsible supervisor(s)
Gary Blackwood
Reviewed
by
JSEA prepared by
Signature
Approved by
Shayne Summers
27/07/2021
Hours of work
WCC -001
Working at heights permit
Signature
Signature
Paul Bonetti
Personnel consulted on development of JSEA
Name
Position
Signature
Name
Position
Signature
It is a legal and United Civil requirement to consult & co-ordinate with other persons. Consultation on this JSEA is required with employees, subcontractors and
suppliers. Persons preparing JSEAs should have experience in the types of task being conducted in order to fully understand the risks and required controls.
Personal protective clothing and equipment required (tick applicable boxes after completing task descriptions and hazard control measures)
Hard hat /Hi-vis vest
Safety boots
JSEA 000 (x.x)
Month 20xx
Eye
protection
Hand
protection
Ear protection
Life jacket
Protective
clothing
Dust mask
Fall protection
Face
protection
Respirator
Gas
detector
Tripod
(Confined
pace)
Page 1 of 11
Job Safety & Environmental Analysis - JSEA
EMERGENCY RESPONSE
Assembly / muster point:
MSDS
Powered plant and equipment
to be used
Emergency signal:
Chemicals to be used
immediately
available (Y/N)
First aider:
First aid kit location: In utes
Extinguisher location: In utes
1.
Spill kit location: Ute
Other:
Insignificant
Risk Matrix
LIKELIHOOD
Is expected to occur in most
circumstances, occurs every month
Moderate
Major
PEOPLE
PEOPLE
PEOPLE
PEOPLE
 No treatment
 Pain & discomfort
 First aid treatment
 Medical Treatment (MTI).
 Lost Time Injury (LTI)
 Serious injury
ENVIRONMENT
 On/Off Site release
ENVIRONMENT
 On/Off Site release
ENVIRONMENT
ENVIRONMENT
contained in controls
Almost
certain
Minor
cleaned up with internal
resources
Catastrophic
PEOPLE
 Fatality(s)
ENVIRONMENT
 On/Off Site release cleaned  On/Off Site release with
 Toxic release on/off site
up with specialist
Major short term negative
with detrimental long term
assistance
effects
effects
 Damage to items of
 Major damage to items of
ecological or culture
ecological or culture
significance
significance
Medium (8)
High (13)
Very High (20)
Very High (23)
Very High (25)
Likely
Will probably occur in most
circumstances, occurs every 3 months
Low (6)
Medium (11)
High (17)
Very High (21)
Very High (24)
Possibl
e
Might occur at some time, every year
Low (4)
Medium (9)
High (12)
Very High (18)
Very High (22)
Unlikel
y
Could occur at some time, known to
happen in industry
Low (2)
Low (5)
Medium (10)
High (15)
Very High (18)
Rare
May occur only in exceptional
circumstances, no known experience
Low (1)
Low (3)
Low (7)
High (14)
High (16)
JSEA 000 (x.x)
Month 20xx
Page 2 of 11
Job Safety & Environmental Analysis - JSEA
STEPS OF
THE TASK
POTENTIAL
HAZARDS
Break into
sections of
work
What could go
wrong at each
step? What if?
Site
establishm
ent
Not meeting
safety
requirements
of site
POTENTIAL
CONSEQUE
NCE
UNCONTRO
LLED
RISK
CONTROLS
RESIDU
How do we control the hazard?
AL RISK
What contingency plans if it goes wrong?
1 – 25
1 – 25
personal
injury,
property
damage
&/or
environmen
tal incident.
WHO WILL DO
IT?
Be specific use
names /titles
e.g. ‘foreman’
Assess conditions at site on arrival. Ensure:


17





Site-specific induction is undertaken (include location of amenities, first aid facilities,
emergency plans, evacuation points, incident reporting, communication, contact
persons etc.)
Assess mobile phone reception (alternative emergency communications procedures
in place if no reception available)
Suitable access for all equipment required
Site access requirements
Suitable lighting if necessary.
Consult with the person you are carrying out the work for on the potential hazards
and risks associated with the task
Any other persons on site who are affected by the same matter are consulted and
co-operative arrangements are made
5
Conduct risk assessment to identify potential hazards e.g.
SLIPS, TRIPS
AND FALLS
JSEA 000 (x.x)
Month 20xx
o
Changes in levels
o
overhead electrical services
o
Mobile plant (EWP)
o
Hot/Cold conditions
o
o
o
o
Be aware of ground condition including changes in level
Wear appropriate thick soled, steel capped and covered footwear
Use high visibility string lines (to avoid tripping hazards)
Do not climb or jump over loose building material
Page 3 of 11
Job Safety & Environmental Analysis - JSEA
o
Do not jump from elevated edges >180mm (concrete slabs etc.)- step carefully and
or use prepared access area
o Obey any barriers & signage - Be aware of excavations
o Follow clearly defined detours for pedestrians around hazards
o maintain safe distance from edges, voids & pits.
Working outdoors. Ensure:
ENVIRONMEN
Manual
handling
of
equipment
&
materials
JSEA 000 (x.x)
Month 20xx
TAL
CONDITIONS
o
o
o
o
o
o
o
Cuts,
abrasions

Slips and
trips
Fall from
height
causing
severe injury
or death
Falling
objects
possibly
injuring
Suitable protective clothing
Safety glasses – AS/NZS 1337.1:2010 – Personal eye protection
Adequate drinking water
Access to shade during breaks
Adequate breaks
Check weather conditions – do not work in extreme weather
If temperatures extreme (very hot or very cold) undertake risk assessment and
establish protocols e.g. frequent rest periods
o Ensure sufficient lighting and visibility.
personal
injury
Wear gloves when handling sharp tools, rocks and other materials
-- Do not work alone
-- Only trained/competent personnel to work at heights
-- Barricade a No Go Zone below the area of manual handling preventing unauthorised
access
-- Avoid manual handling of equipment in inclement weather
17
-- Workmen to be fully protected from accessing beyond the fall edge
5
-- Avoid man handling of equipment by hoisting
-- Crane lift or use mechanical hoisting device preferentially
Page 4 of 11
Job Safety & Environmental Analysis - JSEA
persons
below
Ensure safe-lifting techniques used. E.g.
Plan travel pathway
Ensure individual physically ready for lift (muscles warmed up /stretches etc.)
Sprains &
Strains
Face the load and stand close to load
Lift smoothly, do not jerk or throw load upwards
Avoid any twisting and side-bending during lift
When placing load onto ground, follow instructions as above, bend knees, not back.
Avoid long periods of repetitive movements:
Avoid awkward and sustained positions
Use two or more people for lifting and moving heavy / awkward items
Take Regular breaks
JSEA 000 (x.x)
Month 20xx
Page 5 of 11
Job Safety & Environmental Analysis - JSEA
Operation
of EWP
Failure of
equipment
while being
used
Incorrect use
Falls from
height
Death
Personal
Injuries
Death
25



Proper training and competency for the equipment
Conduct a visual inspection of the EWP and complete the EWP logbook prior to
operation.
Any faults identified need to be reported to the Site Manager and the EWP NOT used
until all faults have been repaired.
Person responsible to identify / install an anchor point must do so without risk of
falling. Elevated work platforms, ladders or scaffold must be used to access the
anchor point.
Only approved anchor points and slings can be used as an anchor point or
attachment to the anchor point.
The anchorage point of the fall arrest system should be positioned to ensure that the
static restraint line does not allow the person wearing the system to free-fall.
Fall prevention to be used when working under 6.4M.

Do not work alone


Damage to
reputation


10
Inspections should check for;


1. General wear and tear

2. Cuts and tears to webbing

3. Signs of damage to stitching

4. Stretching of the lanyard.

5. Welding burns to webbing
Do not use if equipment is out of date or damaged
Always work in fall restraint where possible (no access beyond fall edge)
-- Rope line lanyard slack to be kept to a minimum
-- A rescue plan must be in place
JSEA 000 (x.x)
Month 20xx
Page 6 of 11
Job Safety & Environmental Analysis - JSEA
Tools and
materials
falling from
basket/platfor
m, potential
struck by
injuries to
other
workers.
basket floor and cannot fall from the basket.
barricades and signage must be erected around the work area.
during operation and not simply laid over hand rails of EWP
Using
crane
(Supplied
and
operated
by another
contractor)
Pipe
Bracing
Erection
(Temporary
Formwork)
Refer Canam JSEA, Lift Plan and Rescue Plan
Sop for removing rigging of beams
Struck by
equipment
25
•
Barricade the area and pictogram /signboard where necessary around the area
covered with the activity
10
Death
Collapse
JSEA 000 (x.x)
Month 20xx
Personal
Injuries
Damage to
reputation
Personal
Injuries
Damage to
plant
Damage to
other
assets
Death
25
•
Proper base plate and every surface at ground
•
Wear recommended PPE and Safety harness all time.
•
Proper work platform and access means are to be secured
•
All scaffolding material should be confirmed to standard.

Brace design certified by engineer and inspected
10
Page 7 of 11
Job Safety & Environmental Analysis - JSEA
Install Ribs
Heavy lifting
Pinch points
Damage to
reputation
Personal
Injuries
Sharp
objects
Dropping
materials /
tools, crush
injuries
17
Caught
between
surfaces,
crush injuries
to
hand/fingers

Use legs to lift, do not bend at the waist

Keep hands clear of closing objects

Use cut resistant gloves

Ensure no one is working below the work area and if necessary barricades /
signage must be erected around the work area. A spotter maybe necessary if items
could fall.







Operate
power
tools
JSEA 000 (x.x)
Month 20xx
Electricity,
potential
electrocution
Damage to
reputation
Personal
Injuries
Damage to
plant
Damage to
other
assets


25




5
Stand as close to the load / object as possible to avoid reaching or over stretching.
Ensure a good grip before exerting force to lift, push or pull the object / tool.
Keep the lo ad as close to the body as possible, this will reduce the strain on the
lower back.
When turning, use the full body, rather then twisting at the waist.
Steel capped footwear must be worn at all times.
Gloves should be worn where hand injuries are possible from hot, sharp or rough
surfaces.
Rotate tasks within
Ensure all tool and extension leads have a current (within 3 months) test tag fitted to
each lead.
Conduct a visual inspection of the leads and tool prior to each use. If any defects
are identified, do not use the tool and hand it to the site manager for repair.
Ensure power tool is turned off prior to connecting power.
Ensure a residual current device (RCD) is fitted to the electrical distribution board
where the power lead is inserted. If not, use a portable RCD unit.
If using a portable RCD unit, test to ensure it is working and then reset.
Ensure all guards are fitted to the power, DO NOT use if guards are missing.
10
Page 8 of 11
Job Safety & Environmental Analysis - JSEA
High speed
moving parts,
potential
laceration
and
entanglemen
t risks
Flying
particles
Death

Ensure all clothing is tucked in to avoid entanglement with any moving parts.
necessary gloves should be worn to protect the hands from flying particles and hot
materials.
, position
screens to contain flying particles.
Fire,
potential
burns
JSEA 000 (x.x)
Month 20xx
if necessary, ensure a fire extinguisher is available.
Page 9 of 11
Job Safety & Environmental Analysis - JSEA
MINOR TASK CHANGE
Steps of the task
Break into sections of
work
DATE
POTENTIAL HAZARDS
What could go wrong at
each step?
What if?
UNCONTROLLE
D RISK
1 – 25
ELIMINATE
(E)
SUBSTITUTI
ON (S)
ENGINEERIN
CONTROLS
How do we control the
hazard?
What contingency plans if
it goes wrong?
RESIDUAL
RISK
1 – 25
WHO WILL DO IT?
Be specific use
names /titles e.g.
‘foreman’
G
CONTROLS
(EC)
ADMINISTRA
TIVE
CONTROLS
(AC)
PPE
Name:
Signature:
Date:
Workers must always be given the opportunity to comment and make suggestions to improve controls. Use visual aids (e.g. drawings, photos) or
complete in work areas wherever possible. Brief in small working teams to encourage them to speak up if they don’t understand.
Record any changes to the JSA (handwrite) and have each worker sign below.
JSEA 000 (x.x)
Month 20xx
Page 10 of 11
Job Safety & Environmental Analysis - JSEA
Person responsible for explaining this JSEA must have experience in the types of task being conducted in order to fully communicate the risks and required controls.
Name
JSEA 000 (x.x)
Month 20xx
Signature
Date
Employer
Page 11 of 11