JOB SAFETY ANALYSIS RECORD SHEET

Plant/Equipment Department/Location: Date:

Khobar Elementary School Khobar Elementary School (KHG04) 13th October 2021

Division/Unit: JSA Number:

BI-23-10725 4

Description of Activity:
Concrete Work
Craft / Personnel Involved: Site, Forman, Safety Officer, Work Permit Receiver, Workers
Tools / Equipment Required:
Concrete Mixer, Pump, Vibrator Compactor, Hand Tools, Power Tools, Concrete Mixer Machine and PPE’s, (Hard hat, Safety shoes, Safety Glass, Safety Vest,
Safety Gloves,Face shields, chemical coat, Ear Muff/Plug, Respirator)
PREPARED BY: REVIEWED BY: APPROVED BY:

Name: Nizam Al Madani

Al Falak HSE Supervisor Name: Joseph Boldwin Name: Syed Hussain _ Name: Haroon Rasheed
Safety Representative Project Manager SA Contract Representative
Team of Discussion

Name: Hesham Saleh REFERENCES:  SA CSM Volume 1 CSAR Part I. General Safety Chapter
 Saudi Aramco (SA) GI 2.100 Work Permit System 12. Materials Handling
Al Falak Construction Manager  SA CSM Volume 1 CSAR Part II. Civil Chapter 5. Fall Protection
 SA Safety Handbook- Minimum Safety Rules
 SA G.I. 6.030 - Traffic and Vehicle Safety  SA CSM Volume 1 CSAR Part II. Civil Chapter 3. Ladders
Name: Mohammad Zeyad  SA CSM Volume 1 CSAR Part I. General Safety Chapter 3.
and Stepladders
Al Falak Proj. Manager Personal Protective Equipment (PPE)  SA CSM Volume 2 Chapter III – 2; Mechanical and
Heavy Equipment
 SA CSM Volume 1 CSAR Part I. General Safety Chapter 11.
Hand Tools and Power Tools  SA CSM Volume 2 Chapter I – 13; Heat Stress
 Al Falak Contractor Site Safety Program (CSSP)  SA CSM Volume 2 Chapter I – 7; Fire Prevention
 NFPA 10, Portable Fire Extinguishers
 Al Falak Hazard Identification Plan (HIP)
Item SEQUENCE/ BASIC STEPS POTENTIAL HAZARDS HAZARD CONTROLS ACTION BY

1.  Conduct a joint site inspection

 Missed information between
supervisors and workers  Obtain work permit as outlined in Alfalak Work Permit System
regarding safety factors and  Conduct tool box meeting prior to activity
work instructions  Highlight potential hazard Receiver/
 Highlight precaution required Site
Obtain Work Permit
In-charge
 Warm-up exercises before actual work and follow right procedure in lifting
heavy objects.
 Stress and strain
 Workers should obey strictly the barricades and signs, should also keep away
from reach of swing of equipment.

 Workers shall wear appropriate PPE in the work site.

 The permit issuer and receiver will conduct a joint site inspection to discuss the
hazards and precautions required for conducting the job safely.
 A tool box meeting shall be conducted informing also the location of assembly Site
Site Preparation &  Slip, trip & Fall Hazards- area for emergency & contact numbers to be posted
2. Eng/Sup.
Inspection Injury  In case of any emergency all activities shall be stopped according to In-charge
emergency response plan.
 Non-essential personnel shall be kept out of the work area.

 Sequence of work shall be discussed during pre-task briefing before the work
commence.
 Conduct a joint site inspection
 Accidents by moving  Transporters to be serviced and in good condition Site
equipment results in property  Heavy Equipment to be secured on transporter Eng/Sup.
Mobilization of Heavy damage & potential caught-in  A flagman, equipped with a safety vest, shall be posted In-charge
Equipment to the Site between/ struck by & crush
3.  Only Certified operators shall operate equipment.
(Concrete Pump) injury
 All drivers shall have a valid SAG License.
 All equipment needs to keep 2 meters away from the excavation.

Site
 Failure of equipment might  Perform equipment checklist prior of operating equipment Eng/Sup.
cause accident or damage  Vehicle should be properly maintained and schedule periodic inspection should In-charge
properties and injure worker be followed.
  Location plan and work method statement shall be followed. The surveyor
should survey the area prior to start of marking the lines. Site
 Hit or crash other  Maintain safe distance between facilities and equipment position Eng/Sup.
equipment or workers  Provision of appropriate and sufficient warning sign boards In-charge
 Keep only person involved in the work

 Minor hand injuries  Presence of competent supervision at all times

 All employees shall wear proper PPE and experienced enough to do the job
 Dust may irritate eye and  Use new or good condition tools and be sure to wear appropriate hand gloves.
respiratory.  Wear dust mask
 Apply correct procedure while manual lifting
 Fall while going down the  Provision of good access and egress with complete hand rails. Site
Shuttering and rebar trench  Wear appropriate hand gloves, proper de-nailing of formworks and good Eng/Sup.
4
works stockpiling. In-charge
 Cut or Sharp contact.  Focus and concentrate on job use tools properly and wisely.
 Beware of surroundings, remove protruding steel on working area.
 Struck by hammer.

 Nail splinter may severely

injured eye

 The top edge height of top rails shall not be less than 0.95
m (38 in) and not more than 1.15 m (45 in) above the
walking/working surface of any platform.
 Guardrails at landings and sloping handrails shall be
 Falling Hazard capable of withstanding without failure a minimum force
5 Work at height
of 90 kg (200 lb) applied in any downward or horizontal
direction at any point along the top rail or handrail
 All openings shall have hand rails fixed around or they
shall be securely covered with structurally substantial material.
 Materials Transfer  A full-body harness with a shock-absorbing lanyard or self-
retracting lifeline shall be continuously worn by personnel
working at heights when exposed to a fall hazard of 1.8 m with
open edges.
 All platforms shall be kept free of unnecessary materials.
 Slippery platform shall be cleaned, replaced or removed.
 All workers shall undergo work at height awareness training prior
to work.
 Ladders shall extend at least 1 m (3 ft) above the landing
 Tripping Hazard surface to which the ladder is used to gain access
  Full-body harnesses shall safely support 2,268 kg (5,000
lb) dead weight and shall comply with ANSI Z359.1 or equivalent.
 Workers shall undergo in-house training for Work at Height
hazard awareness and use of FBH & Personnel Fall arrestors.
 Dropped material

 Rotational parts  All hand tools shall be regularly inspected before and after use,
and before storage.
 Slips, trips and falls  If wear or damage is observed, the tool shall be withdrawn from
use for repair or disposal.
6
 Flying objects  Proper racks and boxes shall be provided for the storage of hand
tools.
 Insulation shall be checked at regular intervals bya competent
electrician
 Plugs and cables  It is essential that the correct type, size, and weight of tool shall be
Use Of Hand Tools decided upon before any work is carried out.
& Power Tools  All portable power tools do not exceed 110-125 volts rating, are
 Work Environment manufactured of sound materials, and are free from defects and
(usage in Confined properly grounded.
space /flammable  All portable power tools shall be stored in clean, dry conditions.
storage)  The contractor shall provide a schedule of systematic inspection
and maintenance for all power tools.
 Power tools must not be left lying around the job site where they
 Cartridge operated tools could be damaged.
 Rotating tools shall be switched off and held until rotation has
completely stopped before they are set down.
 Underrated consumables
 Power tools shall be double insulted and Deadman switch shall be
present from the manufacturer
 Tools must be disconnected before changing bits, blades, cutters,
 Ergonomics at work or wheels.
 Power for tools can be supplied by compressed air or electricity.
 Slipping tools  All electrical tools and equipment shall be grounded
 -All operatives to be given instructions in the safe
 use of hand tools as part of their skill training.
 Tools which may deteriorate are to be checked on a regular basis
 Dropped hand tools and maintained or replaced as necessary.
 Supervisor to monitor the use of all hand tools and to make
specific checks for tools.
  Keep the equipment at least 3 meters away from the edge of trench
Site
 Accidental fall of equipment  Provide competent Signal man to give signal to the equipment
Eng/Sup.
/ pump  A Flag man, equipped with a safety vest, shall be posted
In-charge
 Blocking Emergency  Ensure the approach to Emergency Equipment is not blocked due to open
Equipment trenches.
7
 Hand, eye and foot injury  Provision of barricades and warning signs.
Concrete pouring
 Concrete splashes may  Beware of the moving equipment
injure eyes and dirt to  Workers should keep away from danger zone of equipment. Site
nearby structures.  Observe the path or route of hose and keep away from the path. Eng/Sup.
 Operator’s mistake in  Wear safety glass or face shield and disposable coverall In-charge
positioning pressure hose of  Only professional and certified operator will operate concrete
pump Crete may injure pump/equipment.
workers
  Regular disposal of waste, debris and scrap materials shall carried out
 Trash bin for waste, used paper cups, scrap and debris shall be
 Health Hazard provided.
Site
 Drinking containers shall be in good sanitary, tightly capped, and clearly
Eng/Sup.
8 marked for use.
Housekeeping In-charge
 Housekeeping must be done prior to closing of work permit.
 All unused materials must be removed from site on a daily basis and
 Environmental Pollution
disposed of only in an approved dumping area.

 Provide designated rest shelter (100 meters away) to all ground

workers.
 Provide clean cold drinking water to all workers from start to end of
 Sun Burn working shift with disposable paper cups. Site
Working in Hot Weather
 Heat stress  Training and awareness of heat stress illnesses must be given to all Eng/Sup.
9 /Humid / Sandstorm
 Fatigue  worker’s prior for mobilization in site. In-charge
Condition.
 Poor visibility  Display educational information related to heat stress conditions,
 Personal injury illness/symptoms and preventive measures in all key locations.
 Monitor new workers and workers returning from vacation to ensure they
acclimatize at a progressive, controlled rate to the change in
environmental conditions.
 ADDITIONAL PRE – CAUTION

- Accumulation of vehicles in the site is not allowed, designate parking area must be assigned.
- Over – speeding in the Site is prohibited, always follow the posted speed limits.

# Recommendations/Notes Assigned to Remarks

1
Pre – task meeting will be conducted by site supervisor, use the JSA to identify the hazards & list the Site Eng/ Permit
precautions in the work permit Receiver/Site Incharge

2
Explain to the involved workers the purpose of this JSA and enforce implementation of control Site Engineer & Safety

3
If an injury or near miss occurs, the JSA shall be reviewed immediately to determine whether changes
are needed in the job procedures Site Engineer & Safety

4 In case of any emergency, Project ERP shall be followed by all personnel

Site Engineer & Safety