Confined Space

Rescue
 •Operasi penyelamatan pasien/korban yang terjebak didalam
Introduction sebuah ruang terbatas ketika akan melakukan sebuah kegiatan
di ruang terbatas tersebut.

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Agenda
• Definisi

• Contoh

• Jenis Pekerjaan

• Persyaratan dan Kewajiban

• Bahaya

• Pre-caution

• Langkah Operasi Penyelamatan

• Tekhnik Menurunkan Korban

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DEFINISI
1 Ruang yang cukup besar dan
sedemikian rupa sehingga
manusia bisa masuk kedalamnya
dan melakukan aktifitas.
2 Memiliki akses terbatas untuk
masuk ataupun keluar.
3 Tidak dirancang untuk dihuni
secara terus menerus.

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CONTOH

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JENIS PEKERJAAN
• Pengecatan
• Inspeksi
• Perbaikan
(pengelasan)
• Perawatan
• Pembersihan
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PERSYARATAN
1. Memilikikompetensi melaksanakan pekerjaan dalam ruang terbatas.
2. Memastikan sudah mendapat briefing pekerjaan dari pengawas pekerjaan.
3. Memastikan SIKA di area confined space telah disetujui dan disosialisasikan
4. Memastikan ada system pengukuran gas dan isolasi energi
5. Memastikan terdapat rambu/safety sign di area kerja.

6. Menggunakan APD sesuai jenis pekerjaan & layak pakai.

7. Membawa peralatan komunikasi selama di dalam confined space dan sistem komunikasi yang telah disepakati.

8. Memastikan penerapan buddy system saat pelaksanaan pekerjaan.

9. Memastikan ada sistem pengaturan lama pekerja berada dalam confined space.
10. Memastikan terdapat alat keselamatan dan tim rescue saat kondisi darurat.
11. Memastikan terdapat SCBA/BA, alat hisap udara dan atau membantu sirkulasi udara.
12. Mematuhi prosedur, JSA & dapat persetujuan dari PengawasPekerjaan.

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PERSYARATAN

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KEWAJIBAN
1. Memastikan kompetensi pekerja terpenuhi.
2. Memastikan JSA dan izin kerja sudah t ersedia dan telahditandatangani pejabat berwenang dan telah di
sosialisasikan ke semua pihak terkait sebelum memulai pekerjaan.
3. Memastikan ada Entry Watcher & Entry Supervisor sebelum masuk ke Confined Space.
4. Memastikan nama personil & pengendalian waktu masuk tercatat.
5. Memastikan peralatan penyelamatan (rescue) untuk penyelamatan di ruang terbatas telah disiagakan.
6. Mengkomunikasikan kepada pekerja tentang prosedur pekerjaan confined space dan identifikasi risikonya.
7. Memastikan isolasi energi berbahaya dan lokasi pekerjaan dinyatakan aman sebelum masuk.

8. Memastikan gas testing sudah dilaksanakan, dan lakukan pengukuran gas secara rutin.

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BAHAYA
Kekurangan dan Kelebihan Oksigen

Bahan Mudah Terbakar dan Meledak

Bahan Beracun (Gas, Uap dan Fumes)

Terperangkap
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BAHAYA
Tertimbun

Sumber Energi (mekanis dan Elektrik) yang tak terkendali

Binatang Buas

Keterbatasan Komunikasi

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KLASIFIKASI RUANG TERBATAS
Space large enough to enter and
Limited or restricted entry or exit and NO
Not designed for continuous worker occupancy. Not a Confined Space

YES
Confined Space

Permit-
Hazardous Atmosphere
Non
or
Required Engulfment Hazard Permit-
YES or NO
Confined Configuration Hazard Required
or
Space Space
Any other recognized serious
hazard

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KLASIFIKASI RUANG TERBATAS
 Immediately dangerous confined
space (Ruang terbatas yang memiliki
bahaya langsung)

 Not immediately dangerous confined Immediately dangerous if meet

space (ruang terbatas yang bahayanya one of condition below O2
telah dimitigasi sebagian) <19.5 % OR >23.5% LEL >5 %
Toxic > TLV
 Confined space not requiring entry
permit (ruang terbatas yang tidak
membutuhkan izin masuk)

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PRE-CAUTION

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SAFE CONDITION
 Physical Entrant Condition

 Oxygen Concentration Level (19.5 %-23.5%)

 Flammable level
• Naked flame activity: LEL <5%
• Non Naked Flame or cold work: LEL < 10%
• Entry with BA : LEL < 20 %

 Toxicity Level
• BA used when 50% IDLH of toxic gas)
• Permissible toxic concentration using respiratory cartridge filter shall not exceed Short Term
Exposure Limit (STEL).

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RESCUE OPERATION

General first impression at Re-assess of the source of the

location, early identification, energy, perform LOTO/Try Out 2in 2out system, victim packaging,
briefing and strategy. Procedure evacuation technique

Atmospheric Victim Search

Scene Size Up LOTO Procedure Ventilation
Assessment and Evacuation

Atmospheric around location, Fixing or event modify ventilation

atmospheric at the location, Gas existed to get safe atmospheric
Detector Utilization

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Team

RIT/RIC Utility Medic

Captain Team 4 persons 2 persons 1 person

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RESCUE OPERATION
1. Scene Size Up

• Identify type of incident

• Identify Hazard(s) Involved
• Precautions to be taken
• Tactical Strategy of Approach
• Have a Back-up Plan
• Team Split
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RESCUE OPERATION
2. Atmospheric Assessment

• Pre-check Portable Multi Gas Detection

Unit
• Check atmosphere around location
• Check atmosphere at rescuer access way
• Check atmosphere at entry point
• Check atmosphere at vessel/tank (top,
middle, bottom)

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ATMOSPHERIC CHECK
Cek kondisi udara di setiap level confined space, kondisi
udara yang baik disekitar entry point tidak berarti udara di
bagian bawah juga bagus kondisinya.

Good Air

Poor Air

Deadly Air

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RESCUE OPERATION
3. LOTO Procedure

• Ensure authorized personnel trained to

perform Lo-To procedure
• Identify Energy Sources (include stored
or residual energy)
• Shut Down machines and equipment
• Perform LoTo
• Draw Out
• Try Out
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LOCK OUT / TAG OUT

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RESCUE OPERATION
4. Ventilation

• Identify the openings and a correct

ventilation method
• Ensure authorized personnel trained to
perform ventilation
• Positive Pressure Ventilation. Position
the ducting nearest to the Victim
• Monitoring the air inside
vessel/tank/confined space area
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TYPE OF VENTILATION

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TYPE OF VENTILATION

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RESCUE OPERATION
5. Victim Search and Evacuation

• Rescue Technician use proper PPE include

respiratory protection
• SCBA Control Board in close monitoring
• Two-In Two Out System in place
• Rapid Intervention Team (RIT)/Crew (RIC)
is in place
• locate/identify the last position of the victim
• Define the approaching method (by using
ladder or lowering system), 1 or 2 rescuer
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RESCUE OPERATION
5. Victim Search and Evacuation

• Once victim located, check surrounding for

Danger and Respond to the Victim
• Safely drag victim to nearest exit point
• Perform victim packaging if possible or
necessary
• Prepare evacuation means, connect to hauling
system
• Identify the most effective means to evacuate
victim to the ground
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TWO-IN TWO-OUT
Two-In Two-Out System

2 rescuer yang berada didalam suatu Gedung/ruang terbatas harus dapat melihat langsung atau
mendengar suara diantara keduanya setiap saat, dan serta dapat berkomunikasi dengan radio dengan
rescuer yang berada diluar.

Team of Two Direct Visual Voice Contact Radio Contact

Interior X X
RIT/RIC X X X

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RIT/RIC
“a minimum of two individuals who are properly equipped and trained must be positioned outside the
IDLH atmosphere, account for the interior team(s) and remain capable of rapid rescue of the interior
team. The outside personnel must at all times account for and be available to assist or rescue
members of the interior team”.

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TRIPOD

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LADDER SLIDE
A ladder slide is a very useful tool and can be used with any length of ladder. The ladder serves as a
guide and supports a large portion of the weight of the victim being lowered.

It eliminates the need for elaborate rope rescue systems and turns a high-angle rescue into a low-angle
rescue

A Ladder Slide uses a roof or extension ladder to support the litter as it’s raised or lowered. Ladder
slides should be used when the distance from the victim and the rescuers is within the length of the
ladder and the rope to be used.

Ladder slides are very efficient when several victims need to be moved from one elevation to another

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LADDER HINGE
This is a quick method of rescuing a casualty from an upper floor, when it is desirable to keep the stretcher
horizontal, or the building is so unstable that it cannot be used to assist in the operation.

Patient packaging : Ensure you are not exceeding the devices load rating

The Casualty is blanketed and lashed to a stretcher in the normal way

Ground Team to adjust height of the ladder, raise the ladder top to access point

The ladder is placed vertically against the wall in front of the opening/access point

One rescuer supports the head of the stretcher

Another one lashes the foot of the stretcher to the ladder using a short length of 12mm rope (or webbing)

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LADDER SUSPENSION

Tuesday, February 2, 20XX Sample Footer Text 33

HAULING SYSTEM

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Korban diatas,
diturunkan. Korban
didalam,
dikeluarkan.
Korban di air,
dinaikkan.

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Thank You

Friday, 21 July 2023 Irwansyah 36