Job Safety Analysis

CONTRACTOR LOGO
Doc Ref: Revision No: 00
Date: 28 December 2022 MANYAR SMELTER DESALINATION Date of Revision: -

JSA PREPARATION
Inherant
fatality Hold
Existing What must be in place to prevent harm? Residual
Step TASK: What am I HAZARD: What could hurt me / risk? point Impact What harm
Risk Include Rating specific responsibilities Risk Comments
# going to do? others or impact the environment If 'yes' ? could occur?
Rating where required Rating
FRM Y/N?
required
Cidera 1. Pemeriksaan peralatan
Persiapan (tersandung, sebelum digunakan.
1 Alat tidak tersusun rapi 2 No N 1
perlatan tergores, tersayat, 2. Penggunaan APD
dan terjatuh) 3. Housekeeping
1. Pengawasan terhadap
pergerakan perputaran
alat/mesin dan material
yang diangkat.
2. Posisi anggota badan pada
Cidera (tertusuk,
Pemeriksaan posisi aman untuk
2 Pergerakan material 2 No N terjepit, terpelintir, 1
Crawler Crane bekerja.
tergores)
3. Penggunaan alat bantu
untuk mengangkat lifting
tools.
4. Penggunaan APD.

3 Pengoperasian 1. Salah pengoperasian 2 Yes Y - Cidera (tertimpa, 1. Peralatan (winch, support 1

Crawler Crane Crawler Crane. terpeleset, winch, dan lifting tools)
2. Boom crawler crane jatuh). dalam kondisi aman dan
patah. - Kerusakan layak digunakan serta
3. Landasan tidak peralatan dilakukan inspeksi dan
stabil. (wire/webbing sertifikasi secara rutin.
4. Bahaya Listrik. sling putus, 2. Permukaan/landasan
5. Penggunaan sumber material jatuh). dalam kondisi aman dan
daya (bahan bakar). - Cidera kuat.
(terhempas 3. Pengikatan material
sling). dilakukan oleh petugas

HSE-FRM-9006_Rev.1
 Job Safety Analysis
CONTRACTOR LOGO
Doc Ref: Revision No: 00
Date: 28 December 2022 MANYAR SMELTER DESALINATION Date of Revision: -

alat angkat angkut yang

berkompeten dan
berwenang.
4. Petugas alat angkat
angkut dan operator
winch adalah orang yang
- Cidera
berkompeten dan
(tersengat arus
memiliki lisensi/SIO.
listrik, luka
5. Penggunaan tambang/tag
bakar).
line untuk menurunkan
- Cidera,
peralatan (lifting tools)
kerusakan
dari ketinggian.
peralatan, dan
6. Tidak diperbolehkan
dampak
melakukan pekerjaan saat
lingkungan
hujan.
(kebakaran
7. Pemeriksaan instalasi
akibat konsleting
listrik dan kabel listrik
listrik).
secara berkala untuk
memastikan listrik aman
digunakan (tidak ada kabel
yang terkelupas dan tidak
ada beban berlebih pada
arus).

1. Lakukan perapihan alat

- Pencemaran dan tools selesai
5 Housekeeping Oil spill 2 No Y Lingkungan. melakukan pekerjaan.
2. Sediakan spill Kit.

HSE-FRM-9006_Rev.1
 Job Safety Analysis
CONTRACTOR LOGO
Doc Ref: Revision No: 00
Date: 28 December 2022 MANYAR SMELTER DESALINATION Date of Revision: -

JSA APPROVAL AND REVIEW

All personnel involved in the creation of the JSA shall enter their names below, sign, and date. The SUBCONTRACTOR Supervisor responsible for the work must ensure all names and signatures are detailed.
Team Member Name Signature Date Team Member Name Signature Date

JSA Team Name Signature Date CONTRACTOR Name Signature Date

Construction Manager

JSA AMENDMENTS AND REVIEWS

The JSA is to be reviewed on a weekly basis or when a change in the work activity occurs. Upon each review and/or amendment of the JSA the JSA Team Supervisor shall name, sign, and date the below section. Changes to the JSA shall
be countersigned by the CONTRACTOR Construction Manager (or delegate) and SHES supervision. All changes shall be communicated to the Work Crew who shall sign on to the next page to acknowledge and accept the changes.
Key Changes / New Hazards Controls Residual JSA Team Signature Date CONTRACTOR Construction
Risk Supervisor Manager

JSA WORKCREW SIGN ON

By signing below, you acknowledge that you have read and understood this JSA and will comply with the hazard control measures described within this document.
Date Name Signature Date Name Signature

HSE-FRM-9006_Rev.1