Doc No : GMT-SHE-F-03

Company Logo SHE DEPARTMENT Page : Page 1 of 3

Version : 0.0
Approval Date :
ANALISIS KESELAMATAN PEKERJAAN (AKP) Author : Mgr. SHE
JOB SAFETY ANALYSIS (JSA)

Nama Pekerjaan Disusun ENGINEERING AKP No.

RADIOGRAPHY TEST JSA/GMT/DEC/2019/PBL
/Task Title oleh /Developed. by DEPARTEMENT /JSA No.
Departemen/Seksi Persetujuan Dibuat Tanggal
PIPING HSE DEPARTEMENT December 05th, 2019
/Dept/Section /Approval /Issued on
Divisi /Unit Usaha Persetujuan Revisi Tanggal
TEAM RADIOGRAPHY PT. NESTTLE
/Division/BU /Approval /Revision date
Perusahaan PT. GAMMA MANDIRI No AKP Terkait
/Company TEKNIK /Relevant JSA No..
Alat Pelindung Diri (APD) yang harus Dipakai /Required Personal Protective Equipment (PPE)

Safety helmet, safety shoes, face mask/ safety glases, leather hand glove, ear plug/ muff and also standar location APD ( as needed)

URUTAN PEKERJAAN BAHAYA YANG BISA TIMBUL TINDAKAN PENCEGAHAN ATAU PROSEDUR YANG DIREKOMENDASIKAN
SEQUENCE OF TASK POTENTIAL HAZARDS RECCOMMENDED PREVENTION ACTION OR PROCEDURE

1. Pengecekan manpower, alat pelindung diri, a. Pastikan permit untuk pekerjaan panas telah di submit sebelum pekerjaan dimulai.
permit, dan peralatan kerja pekerjaan panas.
Make sure the hot working permit has been submitted before the work begins
Checking manpower, personal protective
equipment, permit, and hot working equipment. b. Pastikan pekerja menggunakan alat pelindung diri dari pekerjaan panas seperti helm, pelindung
wajah, kacamata keselamatan, sarung tangan kulit, penyumbat telinga, sepatu keselamatan, dan
lain-lain.
Make sure the manpower use the personal protective equipment such as helmets, face mask, safety
glasses, leather hand glove, ear plug, safety shoes, etc.
c. Pastikan tambahan alat pelindung diri jika bekerja di ketinggian dan atau tempat terbatas ( full
body harnes, kipas ventilator, masker,etc).
Make sure additional personal protective equipment if working at height and confined space (full
body harness, ventilator fan, mask, etc.
d. Pastikan pekerja sudah terbiasa / paham melakukan pekerjaan hot work ( sertifikasi jika perlu).
Make sure the workers are familiar with the hot work (certification if necessary).
e. Pastikan ketersediaan alat pemadan api ringan dalam jangkauan serta masih dalam keadaan
berfungsi dan terisi.
Make sure there is fire extinguisher within range and still in good working order and fully charged.

f. Pastikan peralatan kerja panas dalam kondisi benar dan aman ( gerinda, kabel las, mesin las,
tabung, electrical, dll)

Company Logo SHE DEPARTMENT
ANALISIS KESELAMATAN PEKERJAAN (AKP)
JOB SAFETY ANALYSIS (JSA)
URUTAN PEKERJAAN BAHAYA YANG BISA TIMBUL
SEQUENCE OF TASK POTENTIAL HAZARDS
2. Pemeriksaan area kerja. Terkena percikan api, kontak
dengan listrik, kulit tubuh
Checking the work site. terkena geram, terhirup asap.
Contacted by Sparks, Contact
with Electrical, Absorbing
scrap, inhaling the smoke.
3. Pekerjaan panas dan penyelesaian. Terkena percikan api, kontak
dengan listrik, kulit tubuh
Hot working & finishing. terkena geram, terhirup asap.
Contacted by Sparks, Contact
with Electrical, Absorbing
scrap, inhaling the smoke.
Doc No : GMT-SHE-F-03
Page : Page 2 of 3
Version : 0.0
Approval Date :
Author : Mgr. SHE
TINDAKAN PENCEGAHAN ATAU PROSEDUR YANG DIREKOMENDASIKAN
RECCOMMENDED PREVENTION ACTION OR PROCEDURE
Make sure the hot work equipment in correct conditions and secure (grinding machine, welding
cable, welding machine, bottle, electrical, etc).
g. Pastikan ada pengawasan petugas keselamatan.
Make sure there is supervision of safety officer / safety man.
a. Pastikan area aman dari material mudah terbakar ( kayu , plastik, kardus, kertas, dll).
Make sure the work site secure from combustible material (wooden, plastic, cardboard, paper,
etc).
b. Pastikan aman dari peralatan rentan panas seperti gas, hydraulic, pneumatic dan electric , jika ada
gunakan fire blangket untuk melindunginya.
Make sure the work site secure from heat-prone equipment like gases, hydraulic, pneumatic, and
electrical, if there are use the fire blanket for protective them.
c. Pastikan ventilasi dan penerangan pada area kerja baik dan cukup.
Make sure the ventilation and lighting at work site in good condition and enough.
d. Pastikan ada barikade / sign hot work pada area kerja ( steril ).
Make sure there is barricade / hot work sign at work site (steril).
a. Pastikan pekerja dalam posisi serta jangkauan kerja nyaman dan aman.
Make sure the manpower in position and work range comfortable and secure.
b. Pastikan material dalam posisi / keadaan benar dan aman untuk dilakukan pengelasan.
Make sure the material in right position and secure to do the welding process.
c. Lakukan pengecekan hasil kerja pada material sebelum selesai bekerja.
Checking the work result on material before and after working.
d. Pastikan alat kerja sudah dimatikan & aman setelah pekerjaan.
Make sure the equipment turn off and secure after finish the work.
 Doc No : GMT-SHE-F-03
Company Logo SHE DEPARTMENT Page : Page 3 of 3
Version : 0.0
Approval Date :
ANALISIS KESELAMATAN PEKERJAAN (AKP) Author : Mgr. SHE
JOB SAFETY ANALYSIS (JSA)

URUTAN PEKERJAAN BAHAYA YANG BISA TIMBUL TINDAKAN PENCEGAHAN ATAU PROSEDUR YANG DIREKOMENDASIKAN
SEQUENCE OF TASK POTENTIAL HAZARDS RECCOMMENDED PREVENTION ACTION OR PROCEDURE

e. Bersihkan area setelah bekerja dan Kembalikan alat kerja pada tempat semula.
Cleaning the work site and put back the equipment at initial position after working.

Petunjuk Umum /General Guidelines:

1. Sebutkan secara berurutan hanya langkah-langkah pokok tugas yang harus dikerjakan. Gunakan kalimat aktif secara jelas dan singkat /Describe in sequence only the main steps of the task to be performed. Use
active sentences.

2. Gunakan frasa singkat untuk mendeskripsikan Bahaya-bahaya Potensial, seperti: Terjepit di antara daun pintu dan kerangka mesin, dll. / Use simple phrases to describe identified
potential hazards, such as: Pinched between the door and the machine, etc.
1. Terpukul oleh ... / Struck by ... 6. Terperangkap dalam … / Caught in … 11. Terpapar oleh … / Exposure to …
2. Membentur ... / Struct against ... 7. Terjepit di antara … / Caught between  Menghirup … / Inhaling …
3. Terkena oleh ... / Contacted by ... 8. Terpeleset … / Slip …  Kulit tubuh terkena … /Absorbing
4. Kontak dengan ... (listrik, kimia) ... / 9. Jatuh … / Fall …  Menelan … / Swallowing …
Contact with ... (Electrical, chemical) 10. Terlalu memforsir tenaga / Overexertion
5. Terkait pada … / Caught on …

2. Sebutkan Tindakan atau Prosedur yang Direkomendasikan secara jelas dan singkat, dengan menggunakan kalimat aktif /Describe the recommended action or procedure in brief, using active sentence