Occupational Health and Safety

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Persetujuan dan Pernyataan Pemenuhan Evaluasi Metode Kerja (Risk Assessment)

Kontraktor/Sub.Kont / Supplier
Alamat
Nama Penanggung Jawab
Jabatan

Diterima Ya / Tidak
Tanggal
Tanda Tangan
..............................................................

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Pekerjaan di Area Hot Work Kebakaran FRH 2 5 1 3 30 Pengadaan APAR
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )
  Tertimpa Material / Alat FLH 2 1 1 2 4 Penggunaan APD ( Helm, Safety shoes )
Pekerjaan di Area High
Kebakaran FRH 4 5 1 3 60 Pengadaan APAR , Hot Work Permit
Hazzard
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )
No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 1 dr 12
Classified - Public Use
 Occupational Health and Safety
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Task (Routine & Non
Desciption of the Potential
Routine; also consider
Accident/Injury/Loss
different groups of people)
  Terkena Ledakan
Mata & bagian tubuh lainnya
 
terkena chemical
Mata & bagian tubuh lainnya
 
terkena paparan gas
  Kesetrum arus listrik
Pekerjaan di area Ruang
Terjatuh dalam compartemen
Tertutup (Confined Space)
Terpeleset karena compartemen
 
licin
Terluka akibat terkena benda
 
tajam
  Terjepit
  Sesak Napas
Kepala tersandung Tangki /
 
compartemen
Mata & bagian tubuh lainnya
 
terkena chemical
  Luka Bakar
  Terkena paparan uap steam
No. Doc. : CMS-ORG-D-F-005.17
Number Exposed
Hazard Code
Risk Rating
Frequency
Likelihood
Severity
Factors tending to reduce risk
Penggunaan APD ( Safety Helm, Rompi, Sarung Tangan, Safety
MEH 2 5 1 3 30
Shoes )
CEH 2 4 1 3 24 Penngunaan APD ( Eye Protection, Sarung Tangan Karet )
CEH 2 4 1 3 24 Penngunaan APD ( Eye Protection, Sarung Tangan Karet )
ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
FLH 3 4 1 3 36
Safety Shoes )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
FLH 2 4 1 4 32
Safety Shoes )
MEH 2 2 1 2 8 Penggunaan APD ( Sarung Tangan, safety shoes )
MEH 2 4 1 3 24 Penggunaan APD ( Sarung Tangan )
Pengecekan kondisi ruang terbatas dengan explosimeter
LVH 3 5 1 5 75 Penggunakan Exhaust Fan untuk memperlancar sirkulasi udara
dalam ruang terbatas
FLH 3 1 1 3 9 Pemakaian APD ( Helm )
CEH 2 4 1 3 24 Penngunaan APD ( Eye Protection, Sarung Tangan Karet )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
FRH 2 2 1 3 12
Shoes )
ENH 2 4 1 3 24 Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 2 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Hearing Protection )
Pekerjaan di ketinggian Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
Terjatuh FLH 3 5 1 4 60
(Work at Height) Safety Shoes )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  Terpeleset FLH 2 5 1 3 30
Safety Shoes )
  Tertimpa Material / Alat FLH 2 3 1 3 18 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )

Pekerjaan dengan api (Hot Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
Terjatuh dalam compartemen FLH 3 2 1 4 24
Work) di Ruang tertutup Safety Shoes )
Terpeleset karena compartemen Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  FLH 2 4 1 4 32
licin Safety Shoes )
Terluka akibat terkena benda
  MEH 2 2 1 2 8 Penggunaan APD ( Sarung Tangan, safety shoes )
tajam
  Terjepit MEH 2 4 1 3 24 Penggunaan APD ( Sarung Tangan )

  Sesak Napas LVH 3 5 1 5 75 Penggunaan Tabung Udara untuk Supply tambahan Pernafasan
Kepala tersandung Tangki /
  FLH 3 1 1 3 9 Pemakaian APD ( Helm )
compartemen
Mata & bagian tubuh lainnya
  CEH 2 4 1 3 24 Penngunaan APD ( Eye Protection, Sarung Tangan Karet )
terkena chemical
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 3 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena paparan uap Las ENH 5 4 1 5 100
Hearing Protection )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena paparan uap steam ENH 2 4 1 3 24
Hearing Protection )

  Terpapar sinar UV las ENH 5 4 1 5 100 Penggunaan APD (Eye Protection, Face Hearing Protection )

  Kebakaran FRH 2 5 1 3 30 Pengadaan APAR

Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan api FRH 2 4 1 3 24
Hearing Protection )
  Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan gram besi FRH 2 4 1 3 24
Hearing Protection )
Pekerjaan dengan api (Hot Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
Terjatuh FLH 3 5 1 4 60
Work) di Ketinggian Safety Shoes )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  Terpeleset FLH 3 5 1 4 60
Safety Shoes )

  Tertimpa Material / Alat FLH 2 3 1 3 18 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )

  Kebakaran FRH 2 5 1 3 30 Pengadaan APAR

Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 4 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena paparan uap Las ENH 5 4 1 5 100
Hearing Protection )
  Terpapar sinar UV las ENH 5 4 1 5 100 Penggunaan APD (Eye Protection, Face Hearing Protection )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan api FRH 2 4 1 3 24
Hearing Protection )
  Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan gram besi LEH 2 4 1 3 24
Hearing Protection )
Pekerjaan dengan Material Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
Terkena paparan asbestos fiber CEH 5 4 1 5 100
Asbestos Hearing Protection )
Pekerjaan dengan Listrik
Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
Tegangan Tinggi
Pekerjaan dengan Steam / Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
Luka Bakar FRH 2 4 1 3 24
Temperatur Tinggi Shoes )
Pengoperasian Las Listrik
Terpapar sinar UV las CEH 5 4 1 5 100 Penggunaan APD (Eye Protection, Face Hearing Protection )
(AC Stick Welding)
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan api LVH 2 4 1 3 24
Hearing Protection )
  Kebakaran FRH 2 5 1 3 30 Pengadaan APAR
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )
  Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 5 dr 12
Classified - Public Use
 Occupational Health and Safety
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Task (Routine & Non
Desciption of the Potential
Routine; also consider
Accident/Injury/Loss
different groups of people)
  Terhirup uap las
Pengoperasian Mesin
Bubut (Bench Lathe Tangan Terjepit
Machine)
  Luka terkena material tajam
  Kontak dengan Tubuh
  Terkena percikan gram besi
  Kesetrum arus listrik
  Luka Bakar
Pengoperasian Gerinda
Kontak dengan Tubuh
Potong (Cut Off Machines)
  Tersayat, terpotong
  Terganggunya pendengaran
  Terkena percikan gram besi
  Luka Bakar
No. Doc. : CMS-ORG-D-F-005.17
Number Exposed
Hazard Code
Risk Rating
Frequency
Likelihood
Severity
Factors tending to reduce risk
LVH 5 1 2 5 50 Penggunaan APD ( Masker, Chemical Cartridge, Respirator )
MEH 2 1 1 3 6 Penggunaan APD ( Sarung Tangan )
MEH 2 2 1 2 8  
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
MEH 2 3 1 3 18
Shoes )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
LVH 2 4 1 3 24
Hearing Protection )
ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
FRH 2 2 1 2 8  
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
MEH 2 4 1 3 24
Shoes )
MEH 2 4 1 2 16 Penggunaan APD ( Sarung Tangan, Safety Shoes )
NSH 5 4 1 5 100 Penggunaan APD ( Ear Plug, Ear Muf )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
LVH 2 4 1 3 24
Hearing Protection )
FRH 2 4 1 3 24 Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 6 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Shoes )

  Kesetrum Arus Listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )

  Tertimpa Material FLH 2 1 1 3 6 Menggunakan APD ( Sepatu boot, sarung tangan )

Pengoperasian Gerinda Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
Kontak dengan Tubuh MEH 2 3 1 3 18
Duduk (Bench Grinder) Shoes )

  Tersayat, terpotong MEH 2 4 1 2 16 Penggunaan APD ( Sarung Tangan, Safety Shoes )

Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan gram besi LVH 2 4 1 3 24
Hearing Protection )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )
  Kesetrum Arus Listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
  Tertimpa Material FLH 2 1 1 3 6 Menggunakan APD ( Sepatu boot, sarung tangan )
Pengoperasian Gerinda Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
Kontak dengan Tubuh MEH 2 4 1 3 24
Tangan (Grinder) Shoes )
  Tersayat, terpotong MEH 2 4 1 2 16 Penggunaan APD ( Sarung Tangan, Safety Shoes )
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
  Terkena percikan gram besi LVH 2 4 1 3 24
Hearing Protection )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 2 4 1 3 24
Shoes )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 7 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju
Task (Routine & Non
Desciption of the Potential
Routine; also consider
Accident/Injury/Loss
different groups of people)
  Kesetrum Arus Listrik
  Tertimpa Material
Pengoperasian Bor Duduk
Kontak dengan Tubuh
(Drill Press Machines)
  Terluka
  Terkena percikan gram besi
  Luka Bakar
  Kesetrum Arus Listrik
  Tertimpa Material
Pengoperasian Bor Tangan
Tangan terkilir
(Hand Drill)
  Terluka
  Terkena percikan gram besi
  Kesetrum Arus Listrik
Penggunaan Mesin Potong
Kontak dengan Tubuh
(Jig Saw)
  Tersayat, terpotong
No. Doc. : CMS-ORG-D-F-005.17
Number Exposed
Hazard Code
Risk Rating
Frequency
Likelihood
Severity
Factors tending to reduce risk
ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
FLH 2 1 1 3 6 Menggunakan APD ( Sepatu boot, sarung tangan )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
MEH 2 3 1 3 18
Shoes )
MEH 2 2 1 2 8  
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
LVH 2 4 1 3 24
Hearing Protection )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
FRH 1 4 1 3 12
Shoes )
ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
FLH 2 1 1 3 6 Menggunakan APD ( Sepatu boot, sarung tangan )
MHH 2 2 1 3 12 P
Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
MEH 2 2 1 2 8
penjepit
Penggunaan APD ( Masker, Chemical Cartridge, Respirator, Face
LVH 2 4 1 3 24
Hearing Protection )
ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
MEH 2 4 1 3 24
Shoes )
MEH 2 4 1 2 16 Penggunaan APD ( Sarung Tangan, Safety Shoes )
Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 8 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Penggunaan Mesin Press Penggunaan APD ( Sarung Tangan ) dan pelaksanaan WI dengan
Kontak dengan Tubuh MEH 2 1 1 3 6
(Manual Hydraulic Press) benar
Penggunaan APD ( Sarung Tangan ) dan pelaksanaan WI dengan
  Tangan Terjepit MEH 2 2 1 3 12
benar
  Tertimpa Material FLH 2 2 1 3 12 Penggunaan APD ( Safety Shoes, Sarung Tangan )
Penggunaan Enerpac
Tertimpa Material / Alat FLH 2 1 1 3 6 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )
(Hydraulic Crimping Tools)
  Tangan Terjepit MEH 2 2 1 3 12 Penggunaan APD ( Sarung Tangan )

  Terpeleset karena lantai licin FLH 2 1 1 2 4 Pemakaian APD ( safety shoes )

Tangan terkilir akibat pegangan
  FLH 2 2 1 3 12 Penggunaan APD ( Sarung Tangan )
yang kurang kuat
Penggunaan Kunci Pipa
Tertimpa Material / Alat FLH 2 1 1 3 6 Penggunaan APD ( Safety Shoes, Sarung Tangan )
(Pipe Wrench)
  Tangan Terjepit MEH 3 1 1 3 9 Penggunaan APD ( Sarung Tangan )
Tangan terkilir akibat pegangan
  MHH 2 2 1 3 12 Penggunaan APD ( Sarung Tangan )
yang kurang kuat
Penggunaan Palu
Tertimpa Material / Alat FLH 2 1 1 3 6 Penggunaan APD ( Safety Shoes, Sarung Tangan )
(Hammer)
Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
  Terluka MEH 2 2 1 2 8
penjepit
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Kontak dengan tubuh MEH 2 2 1 3 12
Shoes )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 9 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
Penggunaan Obeng Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
Terluka MEH 2 2 1 2 8
(Screwdriver) penjepit
Tangan terkilir akibat pegangan
  MHH 2 2 1 3 12  
yang kurang kuat
Penggunaan Tang
Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
Kombinasi (Combination Terluka MEH 2 2 1 2 8
penjepit
Pliers)
  Tangan Terjepit MEH 2 1 1 3 6 Penggunaan APD ( Sarung Tangan )
Penggunaan Kunci Pas Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
Terluka MEH 2 2 1 2 8
(Wrench Set) penjepit
Tangan terkilir akibat pegangan
  MHH 2 2 1 3 12 Pemahaman tentang teknik angkat dan angkut
yang kurang kuat
Penggunaan Kunci Sock
Terluka MEH 2 2 1 2 8 Penggunaan APD ( Sarung Tangan, Safety Shoes )
(Socket Set)
Tangan terkilir akibat pegangan
  MHH 2 2 1 3 12 Pemahaman tentang teknik angkat dan angkut
yang kurang kuat
Penggunaan Ragum
Tangan Terjepit MEH 2 1 1 3 6 Penggunaan APD ( Sarung Tangan )
(Bench Vise)
Pemakaian APD ( sarung tangan, gogless ), pemakaian alat bantu
  Terluka MEH 2 2 1 2 8
penjepit
Tangan terkilir akibat pegangan
  MHH 2 2 1 3 12 Pemahaman tentang teknik angkat dan angkut
yang kurang kuat
Penggunaan Crane (Chain
Tangan terkilir MHH 2 1 1 3 6 Pemahaman tentang teknik angkat dan angkut
Hoist)

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 10 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
  Tertimpa Material / Alat FLH 2 3 1 3 18 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  Terpeleset karena lantai licin FLH 2 4 1 4 32
Safety Shoes )
Penggunaan Tangga
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
Alumunium (Alumunium Terjatuh FLH 3 4 1 4 48
Safety Shoes )
Adjustable Ladder)
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  Terpeleset FLH 3 4 1 4 48
Safety Shoes )
  Tertimpa Material / Alat FLH 2 2 1 3 12 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
Penggunaan Scaffolding Terjatuh FLH 3 5 1 4 60
Safety Shoes )
Penggunaan APD ( Safety Belt, Safety Body Hardness, Safety Helm,
  Terpeleset FLH 3 5 1 4 60
Safety Shoes )
  Tertimpa Material / Alat FLH 2 4 1 3 24 Penggunaan APD ( Safety Helm, Safety Shoes, Sarung Tangan )
Penggunaan Dongkrak
Tertimpa Material / Alat FLH 2 2 1 3 12 Penggunaan APD ( Safety Shoes, Sarung Tangan )
(Hydraulic Garage Jack)
  Tangan Terjepit MEH 2 2 1 3 12 Penggunaan APD ( Sarung Tangan )
  Kontak dengan Tubuh MEH 2 1 1 3 6 Penggunaan APD ( Sarung Tangan, Topi, Safety Shoes )
Penggunaan Solder
Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
(Electric Soldering)
Penggunaan APD ( Sarung Tangan, Eye Protection, Topi, Safety
  Luka Bakar FRH 1 4 1 3 12
Shoes )

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 11 dr 12
Classified - Public Use
 Occupational Health and Safety
PT. Safari Karya Maju

Number Exposed
Hazard Code

Risk Rating
Frequency

Likelihood
Task (Routine & Non

Severity
Desciption of the Potential
Routine; also consider Factors tending to reduce risk
Accident/Injury/Loss
different groups of people)

                 
  Kebakaran FRH 2 5 1 3 30 Pengadaan APAR
  Terpapar Uap Solder CEH 1 4 1 1 4 Penggunaan APD (Eye Protection, Face Hearing Protection )
Penggunaan Kabel Rol
Kesetrum arus listrik ELH 2 5 1 4 40 Penggunaan APD ( Safety Shoes Electric, Sarung Tangan Electric )
(Cable Reel)
  Kebakaran FRH 2 5 1 3 30 Pengadaan APAR
Penggunaan APD ( Safety Helm, Rompi, Sarung Tangan, Safety
  Terkena ledakan MEH 2 1 1 3 6
Shoes )
Terhirup uap Bahan Kimia
Penggunaan Bahan Kimia menyebabkan keracunan / LVH 4 1 1 2 8 Pemakaian APD ( masker kimia / kain ) dan awareness K3
gangguan pernapasan
Kontak anggota tubuh Pemakaian APD ( Sarung tangan, gogless, masker kain ) dan
CEH 4 1 1 2 8
menyebabkan iritasi awareness K3

No. Doc. : CMS-ORG-D-F-005.17 Rev. 00 Tgl. 01 Juli 2021 Oleh : OHS Hal. 12 dr 12
Classified - Public Use