ANALISA KESELAMATANKERJA&LINGKUNGAN(JSEA)
Department & Section or Contractor / Departemen& Section atauKontraktor: PT TRIMITRA WISESA ABADI Date of JSEA / TanggalJSEA: 13-01-2020
Location of work / LokasiKerja : subang
Description of job / UraianPekerjaan: Pekerjaan Instalasi pembesian
1. JSEA
RESIDUAL
RISK
RISK
RATING /
No RATING/
JOB STEPS / LANGKAH KERJA HAZARDS / BAHAYA NILAIRESI CONTROLS / PENGENDALIAN NILAI
RESIKO
KO
YANG
TERSISA
1 Persiapan 1.1. Cidera Tulang Belakang 17 1.1.1 Pastikan pekerja memahami prosedur manual
handling
1.1.2 Pastikan pekerja dengan pegalaman
1.1.3 Gunakan APD Standar dan sesuai area kerja
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
RESIDUAL
RISK
RISK
RATING /
No RATING/
JOB STEPS / LANGKAH KERJA HAZARDS / BAHAYA NILAIRESI CONTROLS / PENGENDALIAN NILAI
RESIKO
KO
YANG
TERSISA
2.2 Terluka Gores 12 2.2.1 Pekerja harus menggunakan baju lengan Panjang
2.2.2 Gunakan APD Standar
3 Pemotongan Besi 3.1 Terkena Percikan 12 3.1.1 Menggunakan APD, Face Shield, Sarung Tangan
3.1.2 Pekerja kompeten dan berbadan sehat
3.1.3 Peralatan dan mata gerinda layak pakai
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
2. COMMON SAFETY & HEALTH HAZARDS/ BAHAYA UMUM KESELAMATAN & KESEHATAN
List indicates examples of hazards. List these or other detailed hazards in the appropriate column of the JSEA. / Daftar berikutinimenunjukkancontoh–contohbahaya.
Masukkan bahaya–bahayainiataubahayaterperincilainnya pada kolom yang sesuaidarilembaranJSEA.
Work at height / Bekerja pada Working with Loads / Working with Electricity / Pekerjaan
Hot Work / PekerjaanPanas
Ketinggian BekerjaMengangkat Beban Listrik
❑ Lifting equipment / ❑ Molten metal / Metal meleleh ❑ Faulty electrical equipment /
❑ Fall from height / Jatuhdariketinggian
Mengangkatperalatan ❑ Peralatanlistrikrusak
❑ Workers above or below / Pekerja ❑ Manual lifting / Pengangkatan
❑ Heat radiation / Radiasipanas ❑ Worn cables / Kabel terkelupas
❑ diatasataudibawah ❑ manual
❑ Hit by falling object/ Tertimpa oleh ❑ Suspended loads / Beban ❑ Fire or explosion / ❑ Power lines (within 10m)/ Jalurtegangan
benda yang jatuh menggantung Terbakarataumeledak (dalam 10 m)
❑ High voltage equipment /
❑ Open holes / Lubangterbuka ❑ Supported loads / Beban didukung ❑ Sparks / Percikanapi
Peralatanlistriktegangantinggi
❑ ❑ Rigging loads / Beban Rigging ❑ Intense light / Cahayatajam ❑ Lightning / Kilat
Working with Equipment / Working in Trenches / Contact with Chemicals / Work in Confined Spaces / Bekerja di
BekerjaMenggunakanPeralatan PekerjaanPenggalian PenggunaanBahan Kimia RuangTerbatas
❑ Release of Stored energy / Pelepasan ❑ Buried services / Tertimbun ❑ Toxic gases / Gas beracun ❑ Release of Stored energy /
energy yang tersimpan ❑ Pelepasanenergitersimpan
❑ Solvents, paints etc / Bahanpelarut,
❑ Loss of control / Lepas kendali ❑ Excavator Proximity / Jarak Excavator ❑ Contaminants / Gas beracun
❑ cat, dll
❑ Pinched/crushed/caught / ❑ Loss of control by operator / Operator ❑ Pesticides, herbicides etc/ Pestisida,
❑ Lack of oxygen / Kurangoksigen
Terjepit/terlindas/terperangkap lepaskendali herbisida, dll
❑ Exposed to cutting edges / ❑ Buried by collapse / Operator ❑ Fuels, oils and greases / Bahanbakar, ❑ Limited access for rescue /
Terkenapinggiranpisaupotong lepaskendali ❑ oli dan greas Ruangmasukuntukpenyelamatanterbatas
Natural Environment / Lingkungan Tools / Peralatan Industrial Hygiene / Hygiene Industri Water / Air
❑ Rain / Hujan ❑ Exposed to cutting edges / ❑ Noise & vibration / ❑ Fall into water / Terceburkedalam air
Terkenapinggiranpisaupotong ❑ Kebisingan&getaran
❑ Wind / Angin ❑ Vibration / Getaran ❑ Heat / Panas ❑ Release of water / Pelepasan air
❑ Loss of control while diving / Lepas
❑ Sun-glare / Matahari–Sinar ❑ Pinching / Terjepit ❑ Dust & fumes / Debu& asap
kendalisewaktumenyelam
❑ Malaria ❑ Flying metal / Metal melayang ❑ Infectious materials / Benda menular ❑ Loss of control of boat / Lepas Kendali
❑ Caught clothing or hair / Baju
❑ Snake bite / Gigitanular ❑ Radiation / Radiasi ❑ Sinking / Tenggelam
ataurambuttersangkut
Process Hazards / Proses Bahaya Umum / Housekeeping Other / Lain - lain
❑ Cyanide / Sianida ❑ Gases / Gas ❑ Poor housekeeping / housekeeping ❑ Blasting / Peledakan
buruk
❑ Hydrogen Peroxide /
❑ Diesel ❑ Ergonomics / Ergonomis ❑
❑ HidrogenPeroksida
❑ Manual handling /
❑ Acid / Asam ❑ High Voltage / Tegangan Tinggi ❑
❑ PenangananManual
❑ Lime / Kapur ❑ Oxygen / Oksigen ❑ Lighting / Pencahayaan ❑
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
3. COMMON ENVIRONMENTAL HAZARDS / BAHAYA UMUM LINGKUNGAN
❑ Hydrocarbon spill / ❑ Release of process gases/ ❑ Damage to flora/fauna /
❑ Waste /Sampah
TumpahanHidrokarbon ❑ Pelepasan proses gas ❑ Pengrusakanhewan/tumbuhan
❑ Chemical spill / ❑ Release to a waterway / ❑ Sediment in runoff /
❑ Dust /Debu
❑ Tumpahanbahankimia ❑ Pelepasankealiran air ❑ KebocoranSedimen
❑ ❑ ❑
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
Consequence Table – Safety, Health / TabelKonsekuensi – Keselamatan, Kesehatan
Insignificant / Kecil Minor / Ringan Moderate / Sedang Major / Berat Catastrophic / Bencana
First aid treatment, no lost time. / Medical Aid. / Lost Time Injury. / Permanent disability or Multiple fatalities/Life threatening or
Penangananpertolonganpertama, Pengobatanmedis. Ciderahilangwaktu. fatality. / disabling illness. / Fatality
tidak lost time. Cacatpermanenatau lebihdarisatu/Mengancamnyawaataulumpuh.
fatality.
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
5. JSEA TEAM SIGN-OFF / TANDA TANGAN TEAM JSEA
Name / Nama ID # / No. ID Signature / TandaTangan: Position / Jabatan: Date / Tgl:
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
7. BRIEFING TO WORKERS / BRIEFING UNTUK PEKERJA
I have read (or have been informed) about the controls outlined in this JSEA and I fully understand and will comply. I will report any additional hazards to my Supervisor if they
occur during the work. / Saya telahmembaca (atautelahdiberitahukan) tentangpengendalian–pengendalian yang telahdijelaskan di dalam JSEA dan sayabenar–benarmengerti
dan mematuhinya. Saya akanmelaporkanbahaya-bahayatambahan pada Supervisor sayajikabahaya–bahayatersebutmunculketikamelakukanpekerjaan.
Name / Nama ID # / No. ID Signature / TandaTangan Name / Nama ID # / No. ID Signature / TandaTangan
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020
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OHS-TNS-FRM-00408-IE JSEA FORM Version 1.3
UNCONTROLLED COPY IF PRINTED. VALID ON DAY OF PRINTING ONLY - Printed on: 13 January 2020