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PAITON 7 & 8

HAZARD RISK ASSESMENT FOR ACCESS TO PLANT

FOR:
27/02/2004

Equipment (to be accessed): 8TB-ELEV-100


TURBINE.BUILDING
EquipmentStatus:
ShutdownInservice

WorkToBeDone:
1YEARLYAnnuallyElevatorInspection&
Certification)

Confined Space Access?

( refer to Paiton Instruction PI-01-04-01 and PI-01-03-01)

Yes No

Work Order No: WK040218.0254

WK Permit No:

AssessorName:

WorkPeriod:1hour

1.Bagus WS

3.

Date&TimeStart

:27/02/2004

2.Shift Spv.

4.

Date&TimeFinish

:27/02/2004

Rangeofmethodsbywhichworkcouldbedone:
Method1. Test of Emergency power supply unit , stop and emergency exit contact , safety edge and

photo cell , alarm and intercom system , door drive contacts and switches , and certification
Method2.
SelectedMethod

Detailanyworktobeperformedoutsidetheworkarea/spacethatmaycreateariskto
personnelwhilsttheyarewithintheworkarea/spacee.g.vehicle/stationaryenginefumes,
maintenanceactivities.
Emergency procedures:
Station Emergency Procedures
Special Procedures as attached

HAZARDS IDENTIFIED

Tick appropriate Selections


HAZARDS

RISK

Hazardous Substances
Chemical Contaminant
Chlorine
Ammonia
Ozone
Carbon Monoxide
Carbon dioxide
Hydrogen Sulfide
Dust
Sulfur dioxide

YES

NO

Unsafe Oxygen Levels


Oxygen Deficiency
Fumes/Vapors

YES

NO

HAZARDS

Flammable Contaminants
Coal
Hydrogen gas
Fuel Oil
Lube Oil

Plant Process Hazards


Hot Water
Steam
Pressurized Air
Electrical Shock
Pressurized Water

RISK
YES

NO

YES

NO

PAITON 7 & 8
HAZARD RISK ASSESMENT FOR ACCESS TO PLANT

FOR:
27/02/2004

HAZARDS IDENTIFIED

Tick appropriate Selections


HAZARDS

RISK

Work Process Hazards


Welding
Cutting
Grinding
Falling Material
Ignition Sources
Electrical applies for lighting & power

YES

NO

Other
Manual Handling
Environmental Impact
Entrapment

YES

NO

HAZARDS

Fire Risk
Class A
Class B
Class C
Work Environment
Lighting
Heat
Humidity
Cold
Slippery Surfaces
Traffic (Pedestrian)
Height/Falls

RISK
YES

NO

YES

NO

CONTROL MEASURES

Tick appropriate Selections


No Isolation Needed
Gas Tests required
Personal Gas monitor
Signs Erected
Barricades Erected
Empty vessel/draining
Clean/purge/flushing
Force Logic required
Fire Extinguisher prepared
Remove flammable materials
Communication: Radio channel 3 / Telp no 7123
Standby/watch person
Forced venting

Safety Helmet
Safety Shoes
Eye Protection
Hearing Protection (ear muff/ear plug)
Welding Mask
Leather apron/gauntlet
Leather gloves
Dust Mask
Rubber Gloves
Rubber apron
Safety boot for chemical
Safety Goggles
Safety harness
Self Contain Breathing Apparatus (SCBA)

Additional Control Measures (Please Specify)

VARIABLE ISOLATION

PAITON 7 & 8
HAZARD RISK ASSESMENT FOR ACCESS TO PLANT

FOR:
27/02/2004

The following tests are required to assess the atmospheric conditions within the nominated space:
Test For

Relative Vapor
density to air

Station Standard

Test Required
(thick selection)
Yes

No

Ammonia

0.59

Less than 5 ppm

Carbon Dioxide

1.53

Less than 5000 ppm (0.5 %)

Carbon Monoxide

0.97

Less than 25 ppm

Chlorine

2.47

Less than 0.25 ppm

Hydrogen Sulfide

1.19

Less than 2 ppm

Lessthan5%

Greater than 19.5%

LEL
Oxygen

1.1

Lessthan23.5%
Ozone

1.66

Less than 0.1 ppm

Sulfur dioxide

2.26

Less than 2 ppm

NOTE:

For clarification on the test required to be carried out refer PI-01-04-03 (Testing Of
Confined Spaces)

Signature:

( Bagus WS )
Applicant
Date :25/02/2004

) (
Shift Supervisor

Time :15.00

) (

PAITON 7 & 8
HAZARD RISK ASSESMENT FOR ACCESS TO PLANT

FOR:
27/02/2004

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