JSA Format
JSA Format
JSA Format
Insert Logo
HEALTH, SAFETY & ENVIRONMENT Date: Contractor
JOB SAFETY ANALYSIS PROCEDURE Here
No. Pages
Company: ZADCO
Contractor:
Sub-Contractor:
Site/Location:
Unit/Process:
Project #/ Job :
Description of the work:
Date:
JSA Ref No: Method statement Ref #
HSE Engineer:
Steps/Activities Tools/Equipment
STEP #1:Working on outdoors
Hazards / Risk Ranking after
Risk Matrix
Potential Mitigation
Consequences S Current Controls Recommended Control Responsibility
Incidents P RR
S P RR
Serious
injuries or Local Local Considerable 3
MEDIUM MEDIUM MEDIUM MEDIUM HIGH
health Damage effect impact Critical
effects
Minor
injuries or Minor Minor Minor 2
LOW MEDIUM MEDIUM MEDIUM MEDIUM
health Damage effect impact Marginal
effects
Slight
injuries or Slight Slight 1
Slight impact LOW LOW LOW MEDIUM MEDIUM
health Damage effect Negligible
effects
Probability should be based in order of preference upon data/experience of Company, Group, Country Industry, and Global Industry.
HIGH Unacceptably High: This level of risk exposes the Company to intolerable losses to People, Assets, Environment or reputation. The hazard should be
eliminated or its risk reduced to tolerable level immediately. ACTION MUST BE TAKEN IMMEDIATELY TO LOWER THE RISK.
MEDIUM Acceptable but must be reduced to ALARP: The hazard(s) must be managed to reduce the frequency and or the severity of the hazardous event to ALARP.
Risk reduction measures must be planned and documented.
LOW Acceptable without requiring any further action: Corrections may be applied as resources allow.
ZADCO RISK MATRIX