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Logo COMPANY NAME
JOBSAFETYANALYSIS SHEET
JOB DESCRIPTION:  Manual Excavation
Facility: Work Area
Permit No. Date: JSA Ref. No. JSA / ABC / 01
PERSONAL PROTECTIVE EQUIPMENT & TOOLS NEEDED FOR WORK ACTIVITIES:   Hard Hat, Safety Shoes, Safety Goggles, Hand Gloves, Dust Mask, Barriers, Ladder, Guardrail, Polling Board
SEQUENCE OFBASIC JOB STEPS POTENTIAL HAZARDS Yes / No PRECAUTIONS
Pre - work Presence of EOD   Ensure the area to be excavated is declared EOD cleared.
Location of Underground / Aboveground Services (such pipeline, cables etc.)   Locate underground / aboveground services referring to the site map / drawing.Endorsements in Excavation Notification from the concerned Teams for the services in the area to be excavated.Hold pre-job safety meeting
Non-compliance of HSEMS Procedures, F and S Regulations or Engineering Standards   Get authorization for Cold Work PermitConduct Toolbox Talk
Excavation Damage to underground / aboveground Services (such pipeline, cables etc.) Check for underground / aboveground services through metal detectors.

Isolate services as needed through authorized permit.

Cave-in's of excavation   Utilize sloping, benching and shoring as needed
Collapse of Excavated Materials   Keep excavated material at least 1 meter away from the edge of the trench.Inspection for soil condition before starting excavation work.
Accidental fall of equipment   Keep the equipment away from the edge of the trench.Wear appropriate PPE
Possibility of toxic / flammable gas   Carry out gas test before excavating in hazardous area.
Blocking Emergency Equipment   Ensure the approach to Emergency Equipment is not blocked due to open trenches.
Post-Excavation Unattended trenches   Barricade the trenchesUse warning signs & lights
Blocking Emergency Equipment   Close the trench, backfill and compact the area.Close the permit after making the site clean & tidy.
Additional Hazards(Other than indicated above)
JSA Done By Name:
ABC / ID. No.
Controlling Team:
Signature:
Designation:
Company:
Contract No. (If Applicable):
Date:
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