HSE RISK MANAGEMENT

OHS RISK ASSESSMENT COVERSHEET/

HALAMAN DEPAN PENILAIAN RESIKO LINGKUNGAN HIDUP

1. Status

X New OHS Risk Assessment /

Penilaian Resiko Baru
Date developed /
Tanggal dibuat:

Revised OHS Risk Assessment / Date reviewed /

Penilaian Resiko yang di revisi Tanggal direvisi:

2. Scope of OHS Risk Assessment / Ruang lingkup Penilaian Resiko

Entity / Entitas PT. Gorontalo Minerals

Area / Area: Blok 1 - Tombulilato

Scope of work /
Exploration Drilling
Ruang lingkup pekerjaan:

3. OHS Risk Assessment Team Members/ Anggota Tim Penilaian Resiko

No Name / Nama Position / Posisi

1 Dinda Nessaretta HSE

10

4. List of Critical Risk Activities / Daftar Resiko Kritis

Activity / Hazard
Action/ Tindakan Who/ Oleh Siapa When/ Kapan
Kegiatan / Bahaya
Land clearing / Sliding SOP land clearing, inspection, PPE Supervisor Jul-11

6. Signatory/ Penandatanganan
Manager/Supt Name: Sign: Date:

BMSA-HSE-FO-2.01e Page 1 of 5 30 July 2011 Revision (First issuing date)

 Risk Assessment/ JSA (RC Drill Sampling activities)
JOB DESCRIPTION/ACTIVITY: RC Drill Sampling activities Participants: Date:
(Supervisor, HSE Manager/Advisor, Other Participants) 6-Aug-11
SITE/ LOCATION: Otoy prospect Binhardi, Deny Papudi, Mark Gabbedy Revision No:
Document Number: (BMSA-HSE-FO-2.01c-RA-Geology-001) …………………………………………………………………… First Issue
"RISK ASSESSMENT SHALL BE AVAILABLE AT WORKPLACE" Risk Category (risk level)
Residual
Hazard e.g. Excavation, mobile equipment, Conse- Proba- Inherent Risk control prior, Respon-
Risk
No. Job sequence / activity electricity, slips/trips/ falls, manual handling, quency bility Risk during and after activities sible
(5A/Low)
confined space, etc (1-5) (A-E) (4D/Low)

- Minimum PPE: Safety Helmet, Safety Shoes, Safety

Unauthorized person working on site. Glasses, Masker and Long pants.
All
Employee received unclear instructions. 3D/ - All employees must be inducted before working at drill site.
1 Prestart Job Preparations. 3 D 4D/ Low employee
Improper tools usage. Lack of drinking water Medium - Pre-start job meeting before working.
Supvs.
supply. - Ensure all working tools are carried to site.
- Ensure to carry enough drinking water stock for all workers.

- Competent driver. Obey all posted speed limits on public

roads.
- Maximum speed limit is 30 Km/hour at public/ village area.
Over passengers inside the man hauls. Turn - Maximum speed limit is 40 Km/hour in the mine operations
Transporting employee All
over vehicle accident. Vehicle hit local area. Where necessary reduce speed further and drive to
from town to site and return 2D/ employee
2 people herd/ pets (such as: donkey, camel, 2 D conditions. 4D/ Low
trip. Mobile equipment Medium Supvs.
gouts, lamb etc). Vehicle got bogged at - Maximum speed limit is 80 Km/hour from public/ village area
operations. Drivers
loose/ wet ground. to Otoy site.
- Do not drive vehicle after heavy rain passing wet area - get
off from vehicle to do visual/ physical check before passing
thru.

- All non essential personnel must move well clear of drill rig
when rig is maneuvering between drilling holes.
- Worker injury hit by maneuvering rigs and - All non essential or personnel transport vehicles must be
vehicle parked well clear of the drilling area.
All
Working near drill rig: - Slips, trip and falls - Be careful when stepping on loose or uneven ground
3D/ employee
3 - Working near - Dehydrations 3 D - Keep work place clean and tidy 4D/ Low
Medium Supvs.
maneuvering rig units - Noise - Drink enough fluid as necessary (yellow urine and
Drivers
- Dust headache are dehydration indicators).
- Snake bite - Wear dust mask when the area dusty.
- Be careful with potential snake bite hazard (do not put hand
inside any holes) beware when you are at any shade area.

BMSA-HSE-FO-2.01c Page 2 of 5 30 July 11, Rev 0 (First issuing date)

 Risk Assessment/ JSA (RC Drill Sampling activities)
JOB DESCRIPTION/ACTIVITY: RC Drill Sampling activities Participants: Date:
(Supervisor, HSE Manager/Advisor, Other Participants) 6-Aug-11
SITE/ LOCATION: Otoy prospect Binhardi, Deny Papudi, Mark Gabbedy Revision No:
Document Number: (BMSA-HSE-FO-2.01c-RA-Geology-001) …………………………………………………………………… First Issue
"RISK ASSESSMENT SHALL BE AVAILABLE AT WORKPLACE" Risk Category (risk level)
Residual
Hazard e.g. Excavation, mobile equipment, Conse- Proba- Inherent Risk control prior, Respon-
Risk
No. Job sequence / activity electricity, slips/trips/ falls, manual handling, quency bility Risk during and after activities sible
(5A/Low)
confined space, etc (1-5) (A-E) (4D/Low)

- Follow all instructions given by the Driller -Work only in the

- Injury from flying chips. designated area for sampling activities All
- Approaching rig (collecting 2D/
4 - Injury hit by drill pipe. 2 D - Be careful with potential moving object and falling drill pipe. 4D/ Low employee
sample) Medium
- Injury hit by moving object - Do not touch/ stand/ seat close to drill rig except for Supvs.
authorized persons .

- Carrying sample with

5 - All non essential personnel must move well clear of drill rig
wheel barrow
when rig is maneuvering between drilling holes
- Placement of waste All
6 - Slips, trip and falls. Ergonomic injury due to 3D/ - be careful when stepping on loose or uneven ground.
sampling 3 D 4D/ Low employee
repetitive body movement. Medium - Ensure All workers understand the correct location of
Supvs.
sampling, and know to do proper manual handling technique
7 - Placement of ore sampling (to be trained)

- Clear and tidy up all tools and placed in their designated

- Slips, trip and falls All
- Housekeeping before 3D/ area.
8 - Missing tools 3 D 4D/ Low employee
leaving the work site. Medium - Recounting all tools and handed over to the next shift
- Missing sample Supvs.
foreman

BMSA-HSE-FO-2.01c Page 3 of 5 30 July 11, Rev 0 (First issuing date)

 HSE RISK MANAGEMENT

Probability (probable recurrence rate in the

company)
E D C B A

6 months -
1 - 5 years

< 14 days
> 5 years

6 months
Plant/

14 days -
1 year
Injury/ Illness Environment Property Reputation
Damage

Serious off-site impact, significant

1 USD International H H H E E
Fatality remediation required, oil spill >
> 500k media coverage
5000 liters

Serious with Significant off-site impact, some

2 USD National media H H H
permanent remediation required, spill > 1000 M M
100k-500k coverage
disamblement/ Illness liters
Consequence

Serious with Release significantly above

3 USD Regional media
temporary reportable limit or some local L M M M M
50-100k coverage
disablement/ Illness impact, spill > 100 liters

Restricted Work Case/

4 Release above reportable limit or USD Local media
Medical Treatment L L L M M
minor impact, spill > 50 liters 10k-50k coverage
Case

5 Small release contained onsite USD No media

First Aid L L L L L
and no impact < 10 k coverage
 HSE RISK MANAGEMENT

TRAINING ATTENDANCE RECORD

INSTRUCTOR:

SUBJECT:

DATE: HOURS:

DATE NAME (Block Letter)/ SIGNATURE POSITION COMPANY

BMSA-HSE-FO-2.01d Page 5 of 5 30 July 2011 Revision (First issuing date)