Ref: CEER-HSE-TMP-FOR-00001

JSA Rev: A.0

(Job Safety Analysis) Date: 2025/04/07

CEER Project
NO JSA!! NO WORK!! Page: 1/4

Job Details Resources Required Work Permits Required

Location / Department / Job Name: Technicians skills Hot works Confined Space
Electricians Welder Lifting Others Specify
Duct Fabricator Plumber
CEER PROJECT Electrical (LOTO)
Insulator Rigger Suspended Man basket
Pipe fitter Others Formwork (casting/striking)

Specific Location of task Plant / Equipment / Power tools Emergency Contact Numbers:
Paint shop Forklift Peter Black
+966536650876
Task In charge Hazardous materials / chemicals Male Nurse
Ken

Number of technicians Location of First Aid box:

5 Available In Cabin
Description of Works Contact Names & Numbers
Loading and Unloading material by forklift work 0504573025

Before work starts, the following must be in place

Induction Supervision Test Certificates Communication Drinking Water Risk Assessment Permit To Work Area Lighting

X X X X X X X X
SELECT SELECT CONTROLS
HAZARDS ( Tick to identify the controls in place)

Adequate
Fall from Risk Access Edge Secure Guards for
Access Ladder Work Fall Arrestor Life Lines
height Assessment Handrail Protection Ladder Openings
Platform

Manual Risk Mechanical Wrong Right

Check Weight Access Route Training Team Lifting Others
Handling Assessment Aids method Method

Risk Colour code Guards in Proper Proper Cable

Power tools Check Cable Ventilation Dust extraction
Assessment inspection tag place Positioning Scaffold Protection

Risk Permit to Check plug

Electricity Training Tag out Lock out Warning Signs Check Cable Others
Assessment work tops

CEER-HSE-TMP-FOR-00001 Page 1 of 4
 Ref: CEER-HSE-TMP-FOR-00001
JSA Rev: A.0
(Job Safety Analysis) Date:2025/04/07

CEER Project
NO JSA!! NO WORK!! Page: 2/4

SELECT SELECT CONTROLS

HAZARDS ( Tick to identify the controls in place)

Confined Risk Permit to Gas Communicati

Survey Access/egress Monitoring Air supply Rescue System
Space Assessment work Detection on

Use Adequate Jumping

Risk Clean Access House Check oil
Trip and fall Pedestrian Access/egress Work manholes / Others
Assessment route keeping spills
way Platform trenches

Risk Lifting points Check Lifting Examination

SWL Tag Lines Banks man Load stability Packing Pieces
Assessment / hooks gear / Inspection

Loading/unlo Check
Lifting Weather Ground Exclusion Communicati Spreader Check
ading Ground Others
operations condition conditions zone on Beams outriggers
vehicles conditions

Compressed Risk Cylinder Cylinder Permit to Flash Back Hose/pipe Pressure

Warning Signs No smoking
Gas Assessment storage Trolley Work Arrestors check Gauges

Fall from Risk Don’t use in Check Secure Over Ladder anti
Others Others Others
ladder Assessment edges stability Ladder Reaching skid shoe

Risk Check Over Access Edge Weather Ground Adequate

Scaffold Scaffold Tag Out riggers
Assessment head works Ladder Protection condition condition Work Platform

X X X X X X X X X
Industrial Risk Warning Examination /
SWL Load stability Route survey Speed Limits Banks man Secure Load
Vehicles Assessment devices Inspection

Chemical
Risk Controlled Respiratory Fume
Chemical Check Label Training resistant Ventilation Others
Assessment access equipment extraction
Hand Gloves

X
Emergency
Emergency ABC Fire CO2 Fire Assembly
Fire Response Fire Blanket Fire Hose Fire Exit
Plan Extinguisher Extinguisher point
Training

CEER-HSE-TMP-FOR-00001 Page 2 of 4
 Ref: CEER-HSE-TMP-FOR-00001
JSA Rev: A.0
(Job Safety Analysis) Date:2025/04/07

CEER Project
NO JSA!! NO WORK!! Page: 3/4

SELECT SELECT CONTROLS

HAZARDS ( Tick to identify the controls in place)

Risk Check slope / Access /

Excavation Shoring Barricade Others Others Others Others
Assessment repose angle egress

Welding / Risk Permit to Welding Welding face Fume Barricade hot Leather apron
Training Ventilation
Hotworks Assessment Work screens shield extraction work zone / gloves

Risk Permit to Warning Guard shaft Proper Access / Adequate

Fall Arrestor Life Lines
Assessment Work boards openings Scaffold egress Work Platform

Shafts / Floor Overhead Opening

Training Ventilation Task light Others Others Others Others
Openings Protection guards

Waste
Biological Environment Wash rooms Waste
Survey Pest control management Waste Skip Others Others
Hazard Assessment / Toilets removal
/ Recycling

Working over Do not stand Crane Rescue

T - card Life jacket Life buoy Slip trip fall Slip/trip/fall Others
water on edges saddle/clamp response

Others
Others Others Others Others Others Others Others Others Others
(Hazard)

X X X X X X
Eye Ear
Safety Helmet Hand Gloves Coveralls Face Shield Hi vis Jacket Safety Shoe Safety Harness
protection Protection
PPE

Respiratory Breathing
Dust mask Fall Arrestor Life Jacket Others Others Others Others
Equipment Apparatus

Any Others Observations

and actions taken:

Task Hazard Analysis

Name: Signature:
Prepared BY
THIS LIST OF HAZARDS AND CONTROLS ARE NOT EXHAUSTIVE
CEER-HSE-TMP-FOR-00001 Page 3 of 4
 Ref: CEER-HSE-TMP-FOR-00001
JSA Rev: A.0
(Job Safety Analysis) Date:2025/04/07

CEER Project
NO JSA!! NO WORK!! Page: 4/4

Sl. No Name Card Number Signature

1 XIA TIAN 2365015292

2 GONG DANPING DURR-0028

3 NIU ZIHUA 2560554723

4 Shoaib Muhammad 2593592286

5 AUSTIN 2338378348

CEER-HSE-TMP-FOR-00001 Page 4 of 4