JOB SAFETY ANALYSIS(JSA)
WORK DESCRIPTION:
TILE WORK
COMPANY:
DOCUMENT NO.
HSE/JSA/19-01
PROJECT:
REVISON NO.
1
LOCATION:
DATE
JOB
STEP
1
2
3
4
5
Page 1
DESCRIPTION OF JOB STEP
POTENTIAL HAZARD
POTENTIAL CONSEQUENCES
CONTROL BARRIERS
RECOVERY BARRIERS
ACTION PARTY
Tools inspection
Sharp tools
Falling tools
Finger injury
Property damage
Correct hand placement
Be vigilant
Wear impact glove
Stop work & impact operation
Supervisor/Work Leader
Supervisor/Work Leader
Work area inspection
Leveling of sub floor
Tile installation
Clean-up of job site
Uneven surface
Slip, trip and fall
be vigilant
Stop work
Supervisor/Work Leader
Poor housekeeping
Slip, trip and fall/ Dengue
Set up the housekeeping plan/signage
Supervisor/Work Leader
Worker not using PPE
Cuts and punctures
Do the cleaning activity/housekeeping
after work
Wear proper PPE
Supervisor/Work Leader
Remind worker to wear PPE for their own
safety
Supervisor/Work Leader
Sharp tools/objects
Finger injury
Correct hand placement
Wear impact glove
Slivers from plywood underlay
Cuts and punctures
Wear gloves, knee pads
Wear proper PPE
Supervisor/Work Leader
Manual Handling (Ergonomics)
Sprain & strain
Get first aid
Supervisor/Work Leader
Manual Handling (Ergonomics)
Sharp tools
Sprain & strain
Finger injury
Get first aid
Wear impact glove
Supervisor/Work Leader
Supervisor/Work Leader
Worker not using PPE
Cuts and punctures
Wear proper PPE
Supervisor/Work Leader
Electricity
Shock from electrical hazard
Maintenance periodically
Supervisor/Work Leader
Wear impact glove
Wear proper PPE
Get first aid
Supervisor/Work Leader
Supervisor/Work Leader
Supervisor/Work Leader
Use correct lifting technique
Use correct lifting technique
Correct hand placement
Remind worker to wear PPE for their own
safety
Carry out inspection before use
Sharp object
Finger injury
Correct hand placement
Dust and Fumes
Coughing
Wear a mask/ respirator
Manual Handling (Ergonomics)
Sprain & strain
Use correct lifting technique
JSA APPROVAL DURING PTW APPLICATION
PREPARED BY
APPROVED BY
NAME
NAME
DESIGNATION
DESIGNATION
SIGNATURE
SIGNATURE
DATE
DATE
WORK TEAM (CONFIRMATION THAT JSA HAS BEEN COMMUNICATED TO WORK TEAM AS PART OF PRE-JOB/TOOLBOX MEETING - AFTER PTW HAS BEEN APPROVED)
Please add column/row if required.
Name(s)
Page 2
Designation
Signature&
Date
Signature&
Date
Signature&
Date
Signature&
Date
Signature&
Date
Name(s)
Designation
Signature&
Date
Signature&
Date
Signature&
Date
Signature&
Date
Signature&
Date