ENVIRON
MENT
SOCIAL
ENVIRONMENT
PERSON
FAULT OF
PERSON
HAZARD
UNSAFE
ACT /
UNSAFE
CONDITION
ACCIDEN
T
INJURY
Lack of
Control
LACK OF
CONTROL
ORIGIN
BASIC
CAUSES
SYMPTO
M
CONTACT
Loss
IMMEDIATED
INCIDENT /
ACCIDENT
INJURY /
DAMAGE
CAUSES
Lack o
f
Contr
ol
Inade
quate
Progr
am
Inade
quate
Stand
ard
Inade
quate
C om p
liance
Bas i
c
Caus
es
Pers
onal
Fact
ors
Job
Fact
ors
Imm
ed ia
Caus te
es
Subs
tand
Acts ard
Subs
ta
Cond ndard
ition
s
Incide
nt
Conta
ct
With
Energ
y or
Subs
tance
Loss
People
Property
Process
(Proft)
ACCIDENT
KERUGIAN
HAZARD
INSIDEN
SEBAB LANGSUNG
SEBAB DASAR
LEMAH KONTROL
CONSEQUENCY
Lack of
Control
Inadequate
Program
Inadequate
Standard
Inadequate
Compliance
Basic
Causes
Immediate
Causes
Personal
Factors
Substandard
Acts
Job
Factors
Substandard
Conditions
Incident
Contact
With
Energy or
Substance
Loss
People
Property
Process
(Proft)
A.
Akibat
kecelakaan
Loss
People
Property
Process
(Proft)
Korban manusia
Meninggal
Luka berat
Luka ringan
Kerugian Material (Rp)
Bangunan
Peralatan/Mesin
Bahan Baku
Bahan setengah jadi
Bahan jadi
B.
Sumber
Kecelakaan
Incident
Contact
With
Energy or
Substance
1. Mesin produksi
2. Penggerak mula dan pompa
3. Lift
4. Pesawat angkat.
5. Converyor
6. Pesawat angkut
7 Alat transmisi mekanik (rantai, pulley,
dll).
8 Perkakas kerja tangan
9. Pesawat uap dan bejana tekan
10. Peralatan listrik
11. Bahan kimia
12. Debu berbahaya
13. Radiasi dan bahan radioaktif
14. Faktor lingkungan
15. Bahan mudah terbakar dan benda
panas
16. Binatang
17. Permukaan lantai kerja
18. Lain-lain.
C.
C.
1.
2.
Type
Type
Kecelakaan
Kecelakaan 3.
4
Incident
Contact
With
Energy or
Substance
5.
6.
7.
8.
9.
10.
Terbentur
Terpukul
Tertangkap pada, dalam
atau diantara benda
Jatuh dari ketinggian yang
sama.
Jatuh dari ketinggian yang
berbeda.
Tergelincir.
Terpapar
Penghisapan, penyerapan
Tersentuh aliran listrik.
Lain-lain.
D.
D.
E.
E.
Tindakan
Tindakan
berbahaya
berbahaya
Immediate
Causes
Substandard
Acts
Substandard
Conditions