LEVEL 2 RISK ASSESSMENT FRONT SHEET

INSTALLATION: PERTAMINA PHE ONWJ

WCC No.:

DEPARTMENT/SYSTEM/LOCATION:

Operations/WJ West Asset

LOCATION/AREA

MMC U/D

Front sheet: 1 of
DATE:

TRA REF No.

RISK ASSESSMENT TEAM (FIRS NAMED - TRA TEAM LEADER)
NAME

SIGNATURE

POSITION/JOB TITLE
TRA TL

DESCRIPTION:

REASON FOR ASSESSMENT:

Penggantian internal vessel VI-BX menggunakan

Hot Work

CSE

EXPECTED DURATION OF THE TASK

7 Days

DRAWING NUMBERS:

N/A

TASK RISK ASSESSMENT (NORMAL)

RISK
ASSESSMENT
TYPE
ISOLATION RISK ASSESSMENT (IRA)

OPERATIONS RISK ASSESSMENT (ORA)

REFERENCES AND OTHER RELEVANT INFORMATION:

e.g. Emergency provision required, Competency requierement, Tool & Equipment, Additional PPE, P&IDs,
Drawings, PTW, Procedures, Certificates, other Risk Assessment

SOP CSE, Drawing Internal Vessel VI-BX

I TRA Team Leader confirm that the risk for the task described have been
reviewed and the controls which are recommended reduce the risk to ALARP
and I it is safe so the task can proceed
NAME (PRINT):
SIGNATURE:

TASK DESCRIPTION: Ensure enough level of detail is provided - list all major/critical tasks
Penggantian internal vessel VI-BX menggunakan Hot Work
'- Persiapan alat dan material
- Pemasangan tali pengaman material yang dipotong
- Cutting dan Grinding dengan Hot Work didalam vessel

DATE:
I am satisfied that the controls identified when in place will reduce the risk level
to ALARP. The task / action / change is permitted to proceed.
CONFIRMED AND APPROVED BY:
OIM/SC

Ops TA/
Wells TA

Ops/Drilling
Manager

NAME
(PRINT):
SIGNATURE:
DATE:
STOP THE TASK & REPORT TO AA - If see something unsafe, unsure what is going on and work condition is significantly changing/emergency

Ops Director

Task Risk Assessment

TASK DESCRIPTION SUMMARY: Penggantian internal MMC VI-BX menggunakan Hot Work

4. HAZARD
EFFECT

5. EXISTING
CONTROL
MEASURES

6. INITIAL
RISK

Falling object
Persiapan alat &
material
Manual
handling

Medical
Treatment

terkilir / back
pain (hospital
stay)

Kompetensi
pekerja (rigger)

HSE Handbook,
chapter 2.6

Cutting dan
Grinding

Sisa Flam.
Gas / Vapour

Fatality

N/A

CSE Permit &

ICC

Perencanaan dan Pelaksanaan

pekerjaan dengan baik dan
benar
Personnel yang terlibat mengerti
& menandatangani kolom
declaration

9. RESIDUAL
RISK

R
Y

PA

2
Y

Pastikan personnel yang

10 bekerja mem-follow up HSE
Handbook

PA

- Valid certificate personnel and

equipment
- Pastikan area pemanjatan
bebas dari obstacle
- Pasang hook lanyard tidak
lebih rendah dari posisi bahu
12 pekerja
- Pasang hook Lanyard di
struktur yang kuat
- Gunakan Full Body harness
with two point contact
- WAH Rescuer siaga di lokasi
kerja sampai pekerjaan selesai

PA

" - Pastikan isolasi energi sudah

dilakukan
- Pemeriksaan Flam. Gas di
dalam CS (periodik / continue)
dan setelah istirahat

AGT

Memasang tali
MT karena
pengaman material Orang Terjatuh
cedera
yang dipotong

7. LIST ALL CONTROL

MEASURES REQUIRED

Page 2 of 12

10. ALARP

3. HAZARD
DESCRIPTIO
N

8. PERSON OR
ROLE
REPSONSIBLE

1. No.

2. SUB TASK
ACTIVITY /
DESCRIPTION

Task Risk Assessment

TASK DESCRIPTION SUMMARY: Penggantian internal MMC VI-BX menggunakan Hot Work

4. HAZARD
EFFECT

5. EXISTING
CONTROL
MEASURES

6. INITIAL
RISK

E
Spark gerinda Fatality
& pengelasan

Electric shock /
Fatality

Noise

Injury/Hospital
stay

Hospital stay

- Pastikan WCC Hot Work

sudah disetujui dan diikuti
- Stand by Fire Extinguisher &
Spray water (hose reel)
- Pasang fire blanket / habitat
- Pastikan area kerja sudah
diperiksa periodik oleh AGT
(flam. Gas)

9. RESIDUAL
RISK

PA

- Pastikan kabel grinding

machine bagus dan tidak
terkelupas
- Pastikan area kerja tidak
12 basah dan saat hujan pekerjaan
dihentikan
- Pastikan pekerja tidak
memakai alat yg basah

PA

- Pastikan peralatan dalam

kondisi baik dan aman
(pelindung terpasang)
- Pastikan batu gerinda kering
10 dan sesuai spesifikasi (RPM)
- Pastikan pekerja memakai
PPE yang sesuai (safety glass,
Face Shield)

PA

- Pengaturan waktu kerja

10 - Pakai PPE sesuai noise
mapping

PA

NA

Grinding
Wheel

WCC Hot Work

Electricity

7. LIST ALL CONTROL

MEASURES REQUIRED

10. ALARP

3. HAZARD
DESCRIPTIO
N

8. PERSON OR
ROLE
REPSONSIBLE

1. No.

2. SUB TASK
ACTIVITY /
DESCRIPTION

Certified tools /
equipment

Noise mapping

Page 3 of 12

Task Risk Assessment

TASK DESCRIPTION SUMMARY: Penggantian internal MMC VI-BX menggunakan Hot Work

4. HAZARD
EFFECT

5. EXISTING
CONTROL
MEASURES

6. INITIAL
RISK

E
Fumes / dust

Personnel injury, NA
hospital stay
C

Comm. dificult Personnel Injury NA

/ hospital stay

Penerangan
kurang

Medical
Treatment

suhu panas

medical treatmet NA
/ first ais

7. LIST ALL CONTROL

MEASURES REQUIRED

R
- Pengaturan pekerja di dalam
CS (bergiliran)
- Pastikan pekerja memakai
10 PPE (masker)
- Pemasangan Local exhauster
unntuk menghisap fumes / debu

- Stand by personnel / attendant

dekat man hole
- Persiapan alat komunikasi
10 (HT)
- Gunakan life line sanagi
komunikasi tambahan

NA

Page 4 of 12

- Pemasangan penerangan
yang cukup di dalam vessel
- Gunakan lampu low voltage

- Pengaturan pekerja di dalam

CS (bergiliran)
10 - Pemasangan Local exhauster
untuk sirkulasi udara

9. RESIDUAL
RISK

10. ALARP

3. HAZARD
DESCRIPTIO
N

8. PERSON OR
ROLE
REPSONSIBLE

1. No.

2. SUB TASK
ACTIVITY /
DESCRIPTION

PA

PA

PA

PA

Task Risk Assessment

TASK DESCRIPTION SUMMARY: Penggantian internal MMC VI-BX menggunakan Hot Work

4. HAZARD
EFFECT

5. EXISTING
CONTROL
MEASURES

6. INITIAL
RISK

Oxygen
deficiency,
Sumber
oxygent
Fatality
(compressor
S/D) tidak ada
(lose)

Housekeeping

Deck licin

NA

terpeleset/Medic NA
al Treatment

Manual
handling

terkilir / back
pain (hospital
stay)

sampah /
limbah

pencemaran
lingkungan,

HSE Handbook,
chapter 2.6
NA

7. LIST ALL CONTROL

MEASURES REQUIRED

- Air liner menggunakan filter

- Air liner mempunyai sumber
dengan tabung reservoir
- Pastikan blower inlet dan out
let pada vessel sudah terpasang
dan bekerja dengan baik.
- Attendant man stand by di man
hole.
AGT
-Stand by man di portable air
Stand by
15 compressor.
man /
- Menggunakan lifeline sebagai Attendant
alat komunikasi.
man
-Menyiapkan sumber udara dari
tempat lain (air instrument
station) dengan reservoir.
-Membawa portable gas
detector.
- Menyiapkan BA didekat area
kerja

Bersihkan area kerja dari

material yang menyebabkan
deck licin

Pastikan personnel yang

10 bekerja mem-follow up HSE
Handbook

Page 5 of 12

Ikuti prosedur pembuangan

sampah / limbah (ISO 14000)

9. RESIDUAL
RISK

10. ALARP

3. HAZARD
DESCRIPTIO
N

8. PERSON OR
ROLE
REPSONSIBLE

1. No.

2. SUB TASK
ACTIVITY /
DESCRIPTION

PA

PA

PA

11. ACTIONS
CLOSED?

Page 6 of 12

11. ACTIONS
CLOSED?

Page 7 of 12

11. ACTIONS
CLOSED?

Page 8 of 12

11. ACTIONS
CLOSED?

Page 9 of 12

Hazard Effect Rating

PERSONAL
INJURY
Fatality

PROPERTY
DAMAGE
Major Loss >$5M

ENVIRONMENTAL DAMAGE
Total Loss of Containment

Likely Permanent Disability

Significant Damage Loss $500k Significant Loss of Containment.

to $5M
100bbl, Limited ability to control

Hospital Stay

Moderate Damage Loss $100k

to $500k

Significant Loss of Containment

> 100bbl only Workplace affected

DAFWC / Restricted Work Case /

Medical Treatment

Minor Loss $10k to $100k

Simple First Aid Injury

Loss <$10k

Minor Loss of Containment

< 100bbl only Workplace affected
Slight Loss of Containment < 1bbl

Probability Rating
PROBABILITY GUIDELINES (P)
Will occur more than once per quarter

RATING
HIGH

OR
nearly every time

(H)

Will occur at least once per year, but

less than quarterly

MEDIUM

OR
sometimes

(M)

Will occur less than once per year

OR
hardly ever

LOW
(L)

EFFECT (E) RATING

A
B
C

D
E

Risk Matrix
Hazard Effect (E)
P
r
o
b
a
b
i
l
i
t
y
(
P
)

15

14

13

12

11

10