Job Safety Analysis Interconnection

INTERCONNECTION SYSTEM :JOB SAFETY ANALYSIS FORM SEQUENCE OF BASIC ACTIVITY STEPS/ SCAFFOLD ERECTION

POTENTIAL HAZARD

1. Hold daily total safety task instruction meeting Lack of PPE

2. Dewatering of concrete chamber

3. Established pipe hole on concrete wall

4. Hole drilling on concrete wall

5. Pipe fitting on cocnrete wall opening

6. Install form works, concrete grouting and remove form works

HAZARDS CONTROL Inspect issue and control use of PPE/ Explain daily work activity

RESPONSIBLE PARTY Site Supervisor

Anchor point for safety harness and wearing safety harness, Belt and Tool Holders/ Cordon off the area Worker falling, Trip,Tools falling by hard barricade Site Supervisor

Trip, Falls. Unsafe handling, Tools falling

Safety harness anchored, Belt and Tool Holders/ Provide lookout and emergency safety ladder/ Check oxygen inside chamber/Cordon off the area by hard barricade

Site Supervisor

Trip, Falls. Unsafe handling, Tools falling

Safety harness anchored, Belt and Tool Holders/ Provide lookout and emergency safety ladder/ Check oxygen inside chamber/Cordon off the area by hard barricade

Site Supervisor

Trip, Falls. Unsafe handling, Tools falling

Safety harness anchored, Belt and Tool Holders/ Provide lookout and emergency safety ladder/ Check oxygen inside chamber/Cordon off the area by hard barricade

Site Supervisor

Trip, Falls. Unsafe handling, Tools falling

Safety harness anchored, Belt and Tool Holders/ Provide lookout and emergency safety ladder/ Check oxygen inside chamber/Cordon off the area by hard barricade

Site Supervisor REVISION: 1

Concrete Batching Plant Requirements Description 1) Design Mix 20N/mm2 or 3000 psi ( 28 days ) 2) Design Mix 28N/mm2 or 3500 psi ( 28 days ) 3) Test Certificate a. Cement b. Sand c. Gravel stone d. Water e. Admixture 4) Batching plant calibration certificate 5) Testing equipment calibration certificate 6) Concrete cylinder sample a. 3000 psi ( 28 days ) b. 3500 psi ( 28 days )

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Qty 1 1

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1 1 1 1 1 1 1

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Note: All of the above, need to be submitted today to CTJV

MANHOLES TABULATED DATA Description Manholes # 1 Manholes # 2 Manholes # 3 Manholes # 4 Manholes # 5 Manholes # 6 Manholes # 7 Manholes # 8 Manholes # 9 Manholes # 10 Manholes # 11

SURVEY ORDINATES Northing Easting

Top wall Bottom slab Wall & slab finished elev finished elev. Thickness

Height ( meters )

Width x 2 Width x 2 ( outside-mtrs ( inside ) -mtrs )