Tittle

HAZARD IDENTIFICATION RISK ASSESSMENT AND DETERMINING

CONTROL
No SMA-RA-WBN-001

MINE OPERATION

Date Created Revision Date Of Revision Doc Holder

13-Sep-20 HSE Department

APPLICABLE FOR

WEDA BAY NIKEL PROJECT

Pengasahan Dokumen
Department/
Nama Posisi Tanda Tangan Tanggal
Perusahaan

Team Leader Riki Rikmawan Mining Superintendent PT. SMA

Yoseph Hardin Mining Superintendent PT. SMA

Bahri Jainudin Mining Superintendent PT. SMA

Fasilitator Syah Uq Barin QHSE Supervisor PT. SMA

Diketahui Oleh Joko Santoso Project Manager PT. SMA

Participants Yohanes Lawing QHSE Superintendent PT. SMA

Iwan Potaboga Mining Supervisor PT. SMA

Mahdi Talib Mining Supervisor PT. SMA

Okada Robot Mining Supervisor PT. SMA

Abdullah Komdan Mining Supervisor PT. SMA

Winarno Survey Superintendent PT. SMA

Mantria TP Engineer PT. SMA

Diperiksa Oleh Muhammad Fauzi HSE Superintendent PT. WBN

Disetujui Oleh Iwan Kurniawan KTT PT. WBN

 Department : PT. SAMUDERA MULIA ABADI

Location : MINING
Area Responsible Person/
: SEB HAM LANTANG
Team Leader
Facilitator : SYAHUQ BARIN

Participants : MIFTACHUDDIN, ABDUL WAHID, HERRYBERTUS, YUDIANSYAH, LIONG A. KONTU, YOHANES LAWING

Reference Num : SMA-RA-WBN-001 Rev (00)

Date Of Developed & Update : 13 September 2021

TO BE REVIEWED INHERENT RISK - NO CONTROLS IN PLACE RESIDUAL RISK - WITH CONTROLS YEARLY EVALUATION

Sub Department/Work
No Core Activities/Process/Material Products Hazards Event/Potential Incidents Likelihood Consequence Risk Score Risk Rank Current Control Measures Likelihood Consequence Risk Score Risk Ranking Further Controls/Actions By When By Whom Likelihood Consequence Risk Score Risk Ranking Completed
Station/Crews

1 Land clearing 1. Tidak melakukan identifikasi bahaya sebelum bekerja 1. Terjepit antara alat kerja dan pohon Adm;
2. Pergerakan tubuh terbatas karena area sempit. 2. Penyakit akibat kerja (ergonomi), terbentur. 1. JSEA Pemotomngan Pohon menggunakan chain saw 1. Review JSEA dan memasukkan poin
3. Menginjak atau berposisi pada tempat yang licin. 3. Terjatuh/ terpeleset/ terperosok. 2. Sosialisasi JSEA Pemotongan Pohon menggunakan chain saw pekerjaan disaat hujan.
4. Tidak menggunakan APD saat pekerjaan berlangsung 4. Luka gores terkena sisi tajam pohon yang ada 2. SMA-QHSE-SOP-001(00)_ Risk Management 2. Komunikasi 2 arah
5. Bekerja saat kondisi hujan disekitarnya 3. SMA-MIN-SOP-002 (01)_ Land Clearing
6. Tidak melakukan pegecekan peralatan sebelum digunakan 5. Luka sobek karena terkena mesin chain saw 4. SMA-QHSE-SOP-013 (01) - Alat Pelindung Diri
7. Tertimpa pohon yang di robohkan 6. Kebisingan yang dikeluarkan dari alat kerja 5. SMA-QHSE-42 (00)_ Ergonomy
8. Gigitan/sengatan binatang 7. Cidera anggota tubuh karena terkena atau 6. SMA-MT-SOP-007 (00)_ Critical Lifts
tertimpa pohon 7. Perhatikan arah angin atau arah robohnya pohon
8. Tubuh karena penggunaan tools yang salah 8. SMA-QHSE-SOP-069 (00)_ Fatique check
Penebangan pohon dengan menggunakan chain
9. Kerusakan alat kerja C 3 13 H 9. SMA-MIN-SOP-001 (00)_ Radio Communication C 2 8 M Supt. & Spv
saw
10. Terpapar air hujan, petir (menyebabkan
gangguan kesehatan)

PPE;
1. Safety shoes, helmet, safety glass, gloves 1. Jas hujan dengan reflector, sepaty boot
(long) saat bekerja cuaca hujan

1. Tidak melakukan identifikasi bahaya sebelum bekerja 1. Kerusakan alat kerja Adm; 1. Review JSEA dan memasukkan poin
2. Pergerakan alat berat yang terbatas 2. Penyakit akibat kerja (ergonomi), terbentur. 1. JSEA Land Clearing dengan menggunakan unit Dozer atau pekerjaan disaat hujan.
3. Melakukan shortcut turun dari unit dengan cara lompat 3. Terjatuh/ terpeleset/ terperosok. Excavator 2. Komunikasi 2 arah
4. Bekerja saat kondisi hujan 4. Terhantam alat berat 2. Sosialisasi JSEA Land Clearing dengan menggunakan unit Dozer
5. Unit tidah dilakukan pre-start check 5. Pencemaran lingkungan atau Excavator
6. Operator tidak berpengalaman 3. Jaga jarak aman dari unit yang sedang beroperasi
7. Alat berat rusak 4. Pre-start check sebelum menggunakan peralatan
8. Alat berat yang sedang bekerja 5. SMA-MIN-SOP-002 (01)_ Land Clearing
6. SMA-QHSE-SOP-051 (00)_ Hazard Report
7. SMA-QHSE-SOP-013 (01)_ Alat Pelindung Diri
8. SMA-MIN-SOP-006 (00)_ Dozer Operation
9. SMA-MIN-SOP-003 (00)_ Excavator Operation
Penebangan pohon dengan menggunakan 10. SMA-QHSE-42 (00)_ Ergonomy
C 4 9 M C 2 5 L Supt. & Spv
excavator / dozer 11. SMA-QHSE-SOP-069 (00)_ Fatique check
12. SMA-MIN-SOP-001 (00)_ Radio Communication

PPE; 1. Jas hujan dengan reflector, sepaty boot

1. Safety shoes, helmet, safety glass, gloves (long) saat bekerja cuaca hujan

1. Tumpahan/ ceceran oli, bahan bakar (kerusakan tidak 1. Pencemaran lingkungan Eng; 1. Sosialisasi environment awareness
teridentifikasi). 1. Menyediakan spill kit dan wadah penampungan
 Likelihood
A Almost Certain

B Likely

C Possible

D Unlikely

E Rare
 Likelihood
Is expected to occur in most circumstances, e.g. once per shift/day.

Will probably occur in most circumstances, e.g. once per month.

Might occur at some time, e.g. once per year.

Could occur at some time, e.g. once every 5 to 10 years

May occur only in exceptional circumstances/have heard it happen

in industry, e.g. may occur in life of mine.
 Consequence
Severity Level Health Safety Environmental Property Damage Production/
Consequence Consequence Consequence Consequence Business
Interruption
Consequence
5 Catastrophic Long term chronic health Fatality, Permanent Large Scale & Long term More than $500k damage. Shutdown of company.
effects to workers or Disability. environmental impact
public with potential for affecting public and
death. neighbors offsite. Legal
breach with prosecution
likely.

4 Major Long term chronic health Partial disability /Serious Large scale & short term Between $100 - 500k Closure of essential
effects to workers or Lost Time Injury (long environmental impact damage services & Departments.
public with major impact term hospitalization and regulation breach
on body treatment). penalties likely.
function/lifestyle.

3 Moderate Chronic health effects Lost Time Injury without Small scale & short term Between $50-100k Closure of non-essential
causing partial impact on disability (short term environmental impact damage Departments and/or
body function of workers. hospitalization and on/offsite & reportable to disruption of utility
treatment). regulators. supply.

2 Minor Reversible health impact Medical Treatment Injury, Minor environmental Between $5-50k damage Momentarily minor
requiring medical requiring out patient impact restricted to lease interruption.
intervention/treatment. treatment with no further area. Breach of internal
follow up. requirement.
1 Negligible Short term reversible Superficial and/or First Negligible impact Under $5k damage Minimal disruption to
health impact. Aid Injury no medication immediate remediation services.
required. possible.
 WBN Risk Score Card
Likelihood of Specified Consequences

Health Safety Environmental Property Production/ A B C D E

Consequence Consequence Consequence Damage Business (5) (4) (3) (2) (1)
Consequence Interruption Almost Certain Likely Possible Unlikely Rare
Consequence
Daily/ during all Daily / weekly monthly yearly
the day punctuelly
5 Long term chronic Fatality, Permanent Large Scale & Long More than $500k Shutdown of 25 Extreme 24 Extreme 22 Extreme 19 High 15 High
Catastrophic

health effects to Disability. term environmental damage. company.

workers or public impact affecting
with potential for public & neighbors.
death. Legal breach with
prosecution likely.
> 100 dBA

4 Long term chronic Partial disability Large scale & short Between $100 - Closure of essential 23 Extreme 21 Extreme 18 High 14 High 10 Medium
health effects to /Serious Lost Time term environmental 500k damage services &
workers or public Injury (long term impact regulation Departments.
with major impact on hospitalization and breach, penalties
Major

body treatment). likely.

function/lifestyle.

Between 90 and 100

dBA

3 Chronic health Lost Time Injury Small scale & short Between $50-100k Closure of non- 20 Extreme 17 High 13 High 9 Medium 6 Medium
effects causing without disability term environmental damage essential
partial impact on (short term impact on/offsite & Departments and/or
Moderate

body function of hospitalization and reportable to disruption of utility

workers. treatment). regulators. supply.

Between 86 and 90
dBA

2 Reversible health Medical Treatment Minor environmental Between $5-50k Momentarily minor 16 High 12 High 8 Medium 5 Low 3 Low
impact requiring Injury, requiring out impact restricted to damage interruption.
medical patient treatment lease area. Breach
intervention/treatmen with no further follow of internal
Minor

t. up. requirement.

Between 80 and 86
dBA

1 Short term reversible Superficial and/or Negligible impact Under $5k damage Minimal disruption to 11 High 7 Medium 4 Low 2 Low 1 Low
health impact. First Aid Injury no immediate services.
Negligible

medication required. remediation

< 80 dBA possible.
Risk Ranking Risk Score Control
Cease activity and implement immediate controls.
General Manager to review controls prior to activity
Extreme 25-20 re-commencing.

Take corrective/preventative actions immediately.

Manager to review controls as soon as practically
High 19-11
possible.

Take corrective and preventative actions within

reasonable timeframe. Control measures to be
Medium 10-6
reviewed through improvement plan.

Review and control as part of ongoing operations.

Low 5-1