RISK ASSESSMENT REGISTER

Project/Location : JAKARTA and Project Site

Date of Assessment : 1 June 2012

HAZARD IDENTIFICATION RISK A

Initial Risk
Rating
Condition Applicable Law and
No Process/Activity/Product H/S/E Potential Hazard Potential Risk
(R,NR,N,A,E) Regulation
L S RFN

Wound, back injury, Kep Menaker No. 187

1 Receiving hazardous liquid material S 1.1 Injury R 2 3 6
broken bone, slice Tahun 1999
Death, wound, broken Kep Menaker No. 187
S 1.2 Struck down R 2 4 8
bone Tahun 1999
Kep Menaker No. 187
H 1.3 inhale R Unconcious 4 4 16
Tahun 1999
Breathing problem,
headache, unconcious, Keputusan Presiden No.
H 1.4 Poisoning R 2 4 8
22 Tahun 1993
death

Burn skin, breathing Kep Menaker No. 187

H 1.5 Leakage of liquid material R problem, headache, 2 4 8
Tahun 1999
unconcious

Wound, back injury, Kep Menaker No. 187

2 Hazardous liquid material storage S 2.1 Injury R 2 3 6
broken bone, slice Tahun 1999
 Death, wound, broken Kep Menaker No. 187
S 2.2 Struck down R 2 4 8
bone Tahun 1999
Kep Menaker No. 187
H 2.3 Inhale R Unconcious 4 4 16
Tahun 1999
Breathing problem,
headache, unconcious, Keputusan Presiden No.
H 2.4 Poisoning R 2 4 8
22 Tahun 1993
death

Burn skin, breathing Kep Menaker No. 187

H 2.5 Leakage of liquid material R problem, headache, 2 4 8
Tahun 1999
unconcious

Wound, back injury, Kep Menaker No. 187

3 Delivering hazardous liquid material S 3.1 Injury R 2 3 6
broken bone, slice Tahun 1999

Death, wound, broken Kep Menaker No. 187

S 3.2 Struck down R 2 4 8
bone Tahun 1999
Kep Menaker No. 187
H 3.3 Inhale R Unconcious 4 4 16
Tahun 1999
Breathing problem,
headache, unconcious, Keputusan Presiden No.
H 3.4 Poisoning R 2 4 8
22 Tahun 1993
death

Burn skin, breathing Kep Menaker No. 187

H 3.5 Leakage of liquid material R problem, headache, 2 4 8
Tahun 1999
unconcious

Wound, broken bone, Peraturan Menaker No.

4 Forklift operation S 4.1 Crash R 2 4 8
death 5 Tahun 1985
Wound, broken bone, Peraturan Menaker No.
S 4.2 Collapse R 2 4 8
death 5 Tahun 1985

Peraturan Menaker No.

5 Lifting up container S 5.1 Struck down R Death 2 5 10
5 Tahun 1985
 Wound, broken bone, Peraturan Menaker No.
6 Crane operation S 6.1 Crash R 2 4 8
death 5 Tahun 1985
Wound, broken bone, Peraturan Menaker No.
S 6.2 Collapse R 2 4 8
death 5 Tahun 1985

Peraturan Menaker No.

7 Genset operation S 7.1 Electricution R Unconcious, death 3 4 12
4 Tahun 1985
Human health
disturbance, air and land Peraturan Menaker No.
S 7.2 Fire explotion E 4 5 20
4 Tahun 1985
pollution

Wound, broken bone, Peraturan Menaker No.

8 Transporter operation S 8.1 Crash R 4 4 16
death 5 Tahun 1985

Wound, slice, back Peraturan Menaker No.

9 Welding S 9.1 Injury R 3 4 12
injury, broken bone 2 Tahun 1982

Peraturan Menaker No.

S 9.2 Electricution R Unconcious, death 3 4 12
2 Tahun 1982
Human health
disturbance, air and land Peraturan Menaker No.
S 9.3 Fire due to short circuit E 4 5 20
2 Tahun 1982
pollution

Breathing problem,
headache, unconcious, Keputusan Presiden No.
10 Painting H 10.1 Poisoning A 3 3 9
22 Tahun 1993
death

Human health
disturbance, air and land SE Menaker No. 01
S 10.2 11.3 Fire R 4 5 20
Tahun 1997
pollution

11 Office
Undang Undang No. 1
a. Replace water drinking bottle S 11.1 Struck down bottle R Human health, injury 3 2 6
Tahun 1970
Undang Undang No. 1
S 11.2 Slippery R Human health, injury 3 3 9
Tahun 1970
 Undang Undang No. 1
b. Replace lamp on the roof S 11.3 Fall down R Human health, injury 3 3 9
Tahun 1970
Undang Undang No. 1
c. Washing machine S 11.4 Electrocution A Unconcious, death 3 3 9
Tahun 1970
Human health
disturbance, air and land Undang Undang No. 1
d. Cooking using LPG S 11.5 Fire explotion E 4 3 12
Tahun 1970
pollution
Undang Undang No. 1
e. Toilet S 11.6 Slippery R Human health, injury 3 3 9
Tahun 1970
Undang Undang No. 1
f. Up and down from stairs S 11.7 Slippery R Human health, injury 2 3 6
Tahun 1970
Keputusan Presiden No.
h. Meals H 11.8 Poisoning R Unconcious, death 2 3 6
22 Tahun 1993
Undang Undang No. 1
i. Room cleaning S 11.9 Slippery R Unconcious, death 3 3 9
Tahun 1970
Undang Undang No. 1
j. Working with computer S 11.10 Radiation form monitor R Eye problem 3 3 9
Tahun 1970
Undang Undang No. 1
S 11.11 Electricution R Unconcious, death 3 3 9
Tahun 1970
Keputusan Presiden No.
H 11.12 Sitting for long time R Back pain 4 3 12
22 Tahun 1993

Peraturan Menaker No.

12 Grinding S 12.1 13.1 Metal dust spark to eye R Eye problem 3 3 9
4 Tahun 1985

Kepmen LH No. 48
Air pollution, ear problemTahun 1996
SE 12.2 13.3 Noise R,N 4 3 12
Peraturan Menaker No.
4 Tahun 1985

Peraturan Menaker No.

13 Drilling S 13.1 14.2 Metal dust spark to eye R Eye problem 4 3 12
4 Tahun 1985
 Kepmen LH No. 48
Air pollution, ear problemTahun 1996
SE 13.2 14.3 Noise R 4 3 12
Peraturan Menaker No.
4 Tahun 1985

14 Maintenance
Keputusan Presiden No.
S,H 14.1 Long standing R Health problem 4 3 12
22 Tahun 1993
Keputusan Presiden No.
S,H 14.2 Sun burn R Health problem 4 1 4
22 Tahun 1993

Kepmen LH No. 35
15 Pest Control H,E 15.1 17.1 Odour N Air pollution 5 2 10
Tahun 1993
Peraturan Pemerintah
No. 7 Tahun 1973,
H,E 15.2 17.2 Poisoned material spillage A Soil contamination Keputusan Menteri 3 2 6
Tenaga Kerja No. 187
Tahun 1999
Human health problem Keputusan Presiden No.
H,E 15.3 17.2 Poisoned pets N 3 2 6
22 Tahun 1993
Peraturan Menaker No.
16 Brazing S 16 19.3 Injury R Skin Burn 3 2 6
2 Tahun 1982

Back injury,struck down Peraturan Menaker No.

17 Digging Hole S 17.1 20.1 Injury R 2 2 4
2 Tahun 1982
Wound, broken bone, Peraturan Menaker No.
S 17.2 21.2 Collapse R 2 2 4
death 5 Tahun 1985

Back injury,struck down Peraturan Menaker No.

18 Pole Installation S 18.1 20.1 Injury R 2 2 4
2 Tahun 1982

Wound, broken bone, Peraturan Menaker No.

S 18.2 21.2 Collapse R 2 2 4
death 5 Tahun 1985
 Eye problem, breathing Kep Menaker No. 187
19 Chiselling S,H 19.1 Injury R problem, hand wound, Tahun 1999 4 3 12
back Injury

Eye problem, breathing Kep Menaker No. 187

20 Hammering S,H 20.1 Injury R problem, hand wound, Tahun 1999 4 3 12
back Injury

Kep Menaker No. 187

21 Working with unproper illumination S,H 21.1 Human health problem A Eye problem 2 3 6
light at IT's room Tahun 1999

Working with air conditioner hazards Peraturan Menaker No.

S,H 21.2 Human health problem R Flu, headache 2 3 6
at IT's room 2 Tahun 1982

Likelihood Severity Risk Factor Number - RFN = LxS Note: Prepare JSA when Residual Risk >= 6
1 - Rare 1 - Negligible 1 - 2 : Trivial
2 - Unlikely 2 - Minor 3 - 5 : Acceptable Prepared by,
3 - Moderate 3 - Moderate 6 - 9 : Moderate
4 - Likely 4 - Critical 10 - 15 : Substansial
5 - Almost certain 5 - Catastropic 16 - 25 : unaceptable Date:

Condition:
R = Routine
NR = Non Routine
N = Normal
A = Abnormal
E = Emergency

Date of Issued Revision Revised Item Type of Revision

01.06.2012 A - First edition

 NE-F-HSE-002

RISK ASSESSMENT RISK CONTROL

Residual Or Additional Risk Control

Risk 1. Elimination
Existing Control Measure 2. Substitution
Risk Category
(ECM) 3. Engineering
4. Administrative
L S RFN 5. PPE, Spill Kit

glove, helmet, safety shoes 2 2 4 Acceptable 4-HSE Patrol

glove, helmet, safety shoes 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

glove, helmet, safety shoes 2 2 4 Aceptable 4-HSE Patrol

glove, helmet, safety shoes 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

glove, helmet, safety shoes 2 2 4 Aceptable 4-HSE Patrol

glove, helmet, safety shoes 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

mask, glass and uniform 2 2 4 Aceptable 4-HSE Patrol

safety belt,helmet, safety 2 3 6 Moderate 4-NE-JSA-001

shoes
safety belt,helmet, safety 2 3 6 Moderate 4-NE-JSA-001
shoes

safety belt, helmet, safety 2 3 6 Moderate 4-NE-JSA-002

shoes
safety belt, helmet, safety 3 2 6 Moderate 4-NE-JSA-002
shoes
safety belt, helmet, safety 3 2 6 Moderate 4-NE-JSA-002
shoes

ear plug, safety shoes, uniform 2 2 4 Aceptable 4-HSE Patrol

NE-P-HSE-08 2 2 4 Aceptable 4-HSE Patrol

Safety belt, safety shoes, 3 2 6 Moderate 4-NE-JSA-003

helmet, uniform

mask, gloves, glass, uniform, 2 3 6 Moderate 4-NE-JSA-004

apron, safety shoes, gogles

safety shoes, glass, apron 2 3 6 Moderate 4-NE-JSA-004

mask, gogles

NE-P-HSE-08 2 3 6 Moderate 4-NE-JSA-004

mask, gloves, glass, uniform 2 1 2 Trivial 4-HSE Patrol

mask, gloves, glass, uniform / 2 2 4 Aceptable 4-HSE Patrol

NE-P-HSE-08

sign 2 1 2 Trivial 4-HSE Patrol

sign 3 1 3 Aceptable 4-HSE Patrol

safety belt, stairs 2 2 4 Aceptable 4-HSE Patrol

routine check on electrical 2 2 4 Aceptable 4-HSE Patrol

installation

NE-P-HSE-08 2 2 4 Aceptable 4-HSE Patrol

Cleaning and drying floor, 4-HSE Patrol

3 1 3 Aceptable
signage

Cleaning and drying floor 2 2 4 Aceptable 4-HSE Patrol

Waste container 1 2 2 Trivial 4-HSE Patrol

Cleaning and drying floor, 2 3 6 Moderate 4-HSE Patrol

signage

screen protector 2 3 6 Moderate 4-NE-JSA-007

Protect cable 2 2 4 Aceptable 4-HSE Patrol

Break, correct sitting position 2 3 6 Moderate 4-NE-JSA-007

gogles, mask, glove 3 2 6 Moderate 4-NE-JSA-008

ear plug, helmet 3 2 6 Moderate 4-NE-JSA-008

gogles, mas, glove 3 2 6 Moderate 4-NE-JSA-009

ear plug, helmet 3 2 6 Moderate 4-NE-JSA-009

enough rest 3 1 3 Aceptable 4-HSE Patrol

4-Maximum direct sun

enough rest 2 1 2 Trivial exposure 3 hours

spray with air refreshner 2 2 4 Aceptable 4-HSE Patrol

remove and clean with 2 2 4 Aceptable 4-HSE Patrol

disinfectant

remove and clean with 2 2 4 Aceptable 4-HSE Patrol

disinfectant
Use mask, gloves, glass, 2 1 2 Trivial 4-HSE Patrol
uniform

gloves,helmet, safety shoes 2 1 2 Trivial 4-HSE Patrol

gloves,helmet, safety shoes 2 1 2 Trivial 4-HSE Patrol

safety belt,helmet, safety 2 1 2 Trivial 4-HSE Patrol

shoes

safety belt,helmet, safety 2 1 2 Trivial 4-HSE Patrol

shoes
gloves, gogles, mask 3 2 6 Moderate 4. JSA-010

gloves, gogles, mask 3 2 6 Moderate 4. JSA-011

Change proper light 1 3 3 Aceptable 4-HSE Patrol

Vitamin, enough rest, jacket 1 3 3 Aceptable 4-HSE Patrol

Reviewed by: Approved by:

Date: Date:
 RISK ASSESSMENT REGISTER
Project/Location : CHP Plant Novartis
Date of Assessment : 11 June 2013
Project Name : Troubleshooting Gas Engine Type 320 (Trouble on Jacket Cooling System)
HAZARD IDENTIFICATION RISK A

Initial Risk
Rating
Condition Applicable Law and
No Process/Activity/Product H/S/E Potential Hazard Potential Risk
(R,NR,N,A,E) Regulation
L S RFN

Tuliskan Potensi bahaya yang ada Tuliskan Potensi resiko yang ada
Tuliskan urutan aktivitas pekerjaannya Contoh : terpeleset, kesetrum, (tergores, luka bakar, terluka,meninggal)
tersengat
Likelihood Severity Risk Factor Number - RFN = LxS Note: Prepare JSA when Residual Risk >= 6
1 - Rare 1 - Negligible 1 - 2 : Trivial
2 - Unlikely 2 - Minor 3 - 5 : Acceptable Prepared by,
3 - Moderate 3 - Moderate 6 - 9 : Moderate
4 - Likely 4 - Critical 10 - 15 : Substansial
5 - Almost certain 5 - Catastropic 16 - 25 : unaceptable Date:

Condition:
R = Routine
NR = Non Routine
N = Normal
A = Abnormal
E = Emergency

Date of Issued Revision Revised Item Type of Revision

01.06.2012 A - First edition

 NE-F-HSE-002

RISK ASSESSMENT RISK CONTROL

Residual Or Additional Risk Control

Risk 1. Elimination
Existing Control Measure 2. Substitution
Risk Category
(ECM) 3. Engineering
4. Administrative
L S RFN 5. PPE, Spill Kit

Tuliskan Tindakan yang ada

pengontrolan terhadap resiko yang ada
saat ini ( memakai alat pelindung diri,
SOP, dll)
Reviewed by: Approved by:

Date: Date: