‘Company / Department : RISK A: PT Arina Veritas Nusantara Process/ Loc Repair of Pipe Joints that Failed Radiography Test (Workshop) NONI e aoa RA Leader: Mahmud Efendi (HSE Supervisor) RA Member 1 : Noldy Pijoh (HSE Officer) RA Member 2: Taulik Roman (Engineering Original Assessment Dat 2203/2019 noe Last Review Date : NA RA Member 3: Ahmad Do Hamid (Supervisor) [Next Review Dat [a2057200 Ta 1b Te 1d 2a 2b | 2e | 2d 3a 3b “etion »| 3 Officer, Possible Accident / 2| 2| 2 Designation, No | Work Scope / Work Health & #] 2) 5 Due date aciniy’ sop aciny | "9 | permeate | Implemented Risk Control | $) |] Addon nik Control HSE impact *) £) a | Gouge out weldment Tre Burn FIwaystem = Gear workarea From Provision of fre extinguishing | | , | g | combustblematerals ping tools / re prevention tools Supervisor Teareat |= eleeroaation Parodie checking of elec Daly presse checks 7 ols ining tool sy a)s ‘Supervisor 7__| Eage preparation Five spare | Fire PIwayatem = Constant reminder and 7 beveling enforcement of safety rule ad % 2| 2 | 9 | enforcement of safety eu nn Sake bysharp |= Finger /hand/face | PPE, such as face shed, hand 7 Constant reminder and object injury glove, goggles a}2/6 ‘enforcement of safety rule Piping Supervisor 3 | Feandjoint realignment | > Caughtin Finger juries ‘Use the correct tool [Morning arejob being ns yeen Ise of (saf loves) ‘ping betwe Use of PPE (safety gloves) 2/3)6 Supervisor Sinks by fiving |= Fre (worker FIWaystem [Tear workarea rom particles environmen’) Provision of fre exingusher /| |, |g | combustiblematerais Piping prevention system supervisor‘Company / Department : RISK A: PT Arina Veritas Nusantara Process/ Loc Repair of Pipe Joints that Failed Radiography Test (Workshop) NONI e aoa RA Leader: Mahmud Efendi (HSE Supervisor) RA Member 1 : Noldy Pijoh (HSE Officer) RA Member 2: Taulik Roman (Engineering Original Assessment Dat 2203/2019 noe Last Review Date : NA RA Member 3: Ahmad Do Hamid (Supervisor) [Next Review Dat [a2057200 Ta 1b Te 1d 2a 2b | 2e | 2d 3a 3b “etion »| 3 Officer, Possible Accident / 2| 2| 2 Designation, No | Work Scope / Work Health & #] 2) 5 Due date aciniy’ sop aciny | "9 | permeate | Implemented Risk Control | $) |] Addon nik Control HSE impact *) £) a | Preheating using eating | > Fre Suratinureson [= Use of PPE > Barricade torch hand Provision om ample ssace for! | , | , |- sign boardinforming Piping heating passersby Supervisor 3 waiaine Ske by Tying |e Tse of proper PPE (waldng mare —Sgnboard toring particle welding gloves) passersoy Proper ventilation = Barricade covered with re Piping PTW system ay ays cloth ‘Supervisor safety cues = eeteal |= leeroaution Periodic checking of elecicl 7 ols inne tool sy; a)s ‘Supervisor Radiation wee ‘Use of proper PPE = Remind on the morning pre= Piping elding shield job biting Welding 2| a | 6 | jobbrieting ene Metal fume ‘Metal fever ‘Use of proper PPE welding mask) [se forced vetiaton stole Piping Supervisor‘Company / Department : PT Arina Veritas Nusantara NONI e aoa Process/ Location : Rej ir of Pipe Joints that Failed Radiography Test (Workshop) RA Leader: Mahmud Efendi (HSE Supervisor) RA Member 1 : Noldy Pijoh (HSE Officer) RA Member 2 Taufik Roman (Engineering Original Assessment Date: | 22/03/2019 noe Last Review Date : NA RA Member 3: Ahmad Do Hamid (Supervisor) [Next Review Date? [a20572030 [ [Doc No.+ [AVN-MAR-PIP-RA.006 Ta 1b Te 1d 2a 2b | 2e | 2d 3a 3b “etion | 3 Officer, Possible Accident / 2| 2 i Designation, No | Work Scope / Work Health & =| 2 . Due date Activity’ Sub Activity | 9784) Persons-at-Risk/ | Implemented E| 2] g] Additonal Risk Controt HSE impact £) &| a © [Surface power brushing | Stike By Tying | Fie (wore), — Use oF proper PPE (aust mask, = Sgnboard informing srincing particle face sie) passersby 3 | 3 | 9 | - Barricade covered with fire Piping. Supervisor oth Dat Dutinhalaion [Use of reper PPE [aust mas = Reming on te morning pre a | a | 9] jobbrieting wontCompany / Department : PT Aina Veritas Nusantara ‘Approved by : Romapsvaip RA Leader: Mahmud Efendi (HSE Supervisor) | Designation ; r Repair of Pipe Joints that Failed si 7 Process! Location : Signature Radiography Test (Workshop) RA Member 1 : Noldy Pijoh (HSE Officer) VN wei RA Member 2 Taufik Roman (Engineeri ommend Original Assessment Date: | 22/03/2019 BA Men Engineering pate cpa Last Review Date: NA RA Member 3: Ahmad Do Hamid (Supervisor) Next Review Date : 2270372020 Doe No.: [AVN-MAR-PIP-RA-006_| Ta 1b Te 1d 2a 2b | 2 [24 3a 3b “Action | 3 Officer, Possible Accident 2| 2] 2 Designation, No | Work Scope / Work Ill Health & . =| 2| 5 tional Ri Due date S| Asinty’sen acinay | "94 | periment Rinks | Wplemented Ris Contr |G] |G] Adaona Risk Cone HSE impact =| §| 4 RISK MATRIX Probability (P) [Severity (S) S| st T=Rare T=Negigile > Z=Unikely | 2=Minor P55 3=Possble | 3=Moderate a=Lkely -é=Major 1 S=Almost Certan |5=Catastophio] | PS | g 2g Pp | of