JOB SAFETY ANALYSIS

(RISK ASSESSMENT)

Area to be Access and/or Equipment Tag No. (KKS No.) : Ash Disposal (see attached drawings)

Work to be Done : PAVING FACTORY

LOW HIGH Underwater Work Confined Space Excavation Hot Work

Risk Category Job :
Refer to Paiton Instruction : PI-05-03-01 Complex Lifting Work Working at High On Line Low & High Voltage
Work Order No. : Priority No. PAS Application No.
Work Period Date & Time Start Date & Time Finish
Operation
Applicant Health & Safety Work Parties Engineer
Supervisor
Signature :

Date : Time :

Work sequence Hazards Risk Control Measures

A. Prepartion

Ref. PI-05-03-01-F01 Page 1

 Work sequence Hazards
Mobilization tools,
equipment and materials
to the work place
Manual handling
Electrical applies for
Electrical Shock
equipment & lighting
B. Foundation (1,5 x 1,5m)
Beaten by working tools
Sharps material laydown on the
ground
Land clearance
Manual handling : lifting &
carrying
Venomous insect & reptile
Sharps material lay down on the
ground
Excavate as deep as ± 1,7
meter (dimension 2,0x2,0 Hazardous Substance
meter)
Poor Planing
Ref. PI-05-03-01-F01
Risk
Musculoskeletal injuries
Personal injury or death
Personal injury
Personal injury
Injury to muscles, nerves, disc and
ligaments of the low back
Low back stain, ligament sprain
Bite wounds, Cut from sharp
material
Personal injury
Personal injury
Control Measures
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
 Use mechanical aids where required
 Ensure all electrical equipment in good condition and
knowing how to use properly
 Ensure all electrical equipment has been checked before use
and has valid tagging
The excavation must be planned before work commences to
identify hazards and assess risk (refer to PP-09-19 Control of
Excavation and PI09-19-01 Excavation). Sufficient equipment
and materials must be made available throughout the works.
 Ensure working tools in good condition and knowing how to
use properly
 Wear safety Shoes or safety boots
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
 Use mechanical aids where required
 Wearing safety shoes or safety boots, and gloves
 Identify and assess any hazardous substance likely to be
encountered or used
 The excavation work must be planned before work commences to
identify hazards and assess risk (Refer to pp-09-19 Control of
Excavation and PI09-19-01 Excavation).
 Sufficient equipment and materials must be made available |
throughout the works
 Appoint a temporary works supervisor (or responsible person), to
supervise the whole of the works, ensuring that the co-ordinator is
Page 2
 Work sequence
Due to boulder type soil
condition,the types of ground
collapse risk control
depending on how deep can
be excavate. If the deep is
more than ankle used
benching and shoring
(multiplex 20mm and struts)
Bar bending and
arragement rebar
Install formwork for
pedestal (450 x 450 mm)
Placing concrete
C. Sloof (200 x 300 cm)
Ref. PI-05-03-01-F01
Hazards Risk Control Measures
fully briefed and conversant with equipment, installation method &
scheme layout.
 Appoint a temporary works designer when excavations are deemed
to require a support system
 Plans, drawings, etc. must be conveyed to the excavation
supervisor.
Unauthorised access Personal injury  Provide adequate barriers, signs and warning lights to
prevent unauthorized person entering the site
 Identify confined space and deal with them inaccordance
Confined space Trapped inside the excavation
with the confined space procedur erfer to PP-05-03, Confine
space procedure and PI-05-03-02 Testing of Confine space
 Make sure spoil storage areas must be clearly identified
Spoil Storage Overturning
these should be minimum 2 meter away from the excavation
 Access to excavation must be by suitably safe method
(ladder)
 Personnel must not use the trench support system as a
Access/Egress Fall inside the excavation
climbing frame
 Provide suitable ladder – to be fixed at 75 degrees to the
horizontal ( 1 in 4). Tie securely at the top
 Rebar end and tie wire must turned down into reinforcement
Sharp edge. Cut from reinforcement bar end or
cage
tie wire

Bending rebar Stains and sprains  Sufficient rest periode between jobs and avoid repetitious
twisting
 Provide adequate shoring to hold wet concrete when pouring
Collapse formwork cause by
Struck down, wedge  Design formwork must be based on calculation from
improper shoring /stager
engineering
 Wearing rubber safety shoes; avoid walking backwards and
Wet concrete cover
Slip, fall, trip or twist ankle or knee make sure steel reinforcement not sags/give way because
reinforcement bar
not enough ties
 Worm eye protection and prepare water source near work
Wet concrete splashes in eyes Eyes injury
area to flush concrete from eye/s
Page 3
 Work sequence Hazards
Cutting rebar
Install rebar
Setting and tying rebar
Collapse formwork cause by
Install formwork
improper shoring /stager
Wet concrete cover
reinforcement bar
Placing concrete
Wet concrete splashes in eyes
D. Slab /Floor
Cutting rebar
Install rebar
Setting and tying rebar
Collapse formwork cause by
Install formwork
improper shoring /stager
Wet concrete cover
reinforcement bar
Placing concrete
Wet concrete splashes in eyes
E. Install PPE pipe
diam.50 for Sanitary
Ref. PI-05-03-01-F01
Risk
Grinder wheel throws off sparks
and hot bits of metal
Mill scale, sharp/sheared ends of
tie wire can injure hands
Struck down, wedge
Slip, fall, trip or twist ankle or knee
Eyes injury
Grinder wheel throws off sparks
and hot bits of metal
Mill scale, sharp/sheared ends of
tie wire can injure hands
Struck down, wedge
Slip, fall, trip or twist ankle or knee
Eyes injury
Control Measures
 Rebar cutters will wear safety glasses, gloves, hearing
protection, and hardhats.
 Workers tying rebar will wear safety gloves.
 Provide adequate shoring to hold wet concrete when pouring
 Design formwork must be based on calculation from
engineering
 Wearing rubber safety shoes; avoid walking backwards and
make sure steel reinforcement not sags/give way because
not enough ties
 Worm eye protection and prepare water source near work
area to flush concrete from eye/s
 Rebar cutters will wear safety glasses, gloves, hearing
protection, and hardhats.
 Workers tying rebar will wear safety gloves.
 Provide adequate shoring to hold wet concrete when pouring
 Design formwork must be based on calculation from
engineering
 Wearing rubber safety shoes; avoid walking backwards and
make sure steel reinforcement not sags/give way because
not enough ties
 Worm eye protection and prepare water source near work
area to flush concrete from eye/s
Page 4
 Work sequence Hazards
Beaten by working tools
Excavate as deep as 0,5
meter
Unauthorised access
For PPE pipe installation
under ground
Spoil Storage
Access/Egress
Beaten by working tools
Welding PPE pipe dim.50
Burn
Beaten by working tools
Laydown PPE pipe dim.50
Manual handling : lifting &
carrying
Beaten by working tools
Backfill Soil slide
Manual handling : lifting &
carrying
E. Mansonry
Ref. PI-05-03-01-F01
Risk
Personal injury
Personal injury, fall inside
excavation
Overturning
Fall inside the excavation
Personal injury
Skin injury
Personal injury
Injury to muscles, nerves, disc and
ligaments of the low back
Low back stain, ligament sprain
Personal injury
Buried, personal injury
Injury to muscles, nerves, disc and
ligaments of the low back
Low back stain, ligament sprain
Control Measures
 Ensure working tools in good condition and knowing how to
use properly
 Provide adequate barriers, signs and warning lights to
prevent unauthorized person entering the site
 Make sure spoil storage areas must be clearly identified
(minimum 2 meter away from the excavation)
 Access to excavation must be by suitably safe method
 Ensure working tools in good condition and knowing how to
use properly
 Ensure working tool in good condition and knowing how to
use properly
 Use lether glove
 Ensure working tools in good condition and knowing how to
use properly
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
 Use mechanical aids where required
 Ensure working tools in good condition and knowing how to
use properly
 Make sure spoil storage areas must be clearly identified
(minimum 2 meter away from the excavation)
 Wearing of the requiredPPE’s
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
Use mechanical aids where required
Page 5
 Work sequence Hazards Risk Control Measures

Manual handling : lifting &
carrying
Install lightweight concrete
block
Wet wall collapse
Plaster Skin & Eyes irritation
Injury to muscles, nerves, disc and
ligaments of the low back
Low back stain, ligament sprain
Personal Injury
Skin & Eyes injury
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
 Use mechanical aids where required
 Installation of concrete block with step. Each step is limited
to 1 meter after the mortar dries.
 Make sure the straightness concrete block installation
 Worm safety glove
 Worm eye protection and prepare water source near work
area to flush concrete from eye/s

F. Steel Structure
Fabrication (At
Workshop)

 Ensure the worker already got training

Grinder wheel throws off sparks  Put barricade around work area to prevent entry by
and hot bits of metal Skin & eyes injury unauthorized person
 Ensure fire extinguisher has been prepare
Cutting steel  Worm Safety gloves and eye protection

Accidental contact with grinder  Workers will ensure the grinder’s guard is in place and fully
Can cause bad cuts
wheel operational before use.

 Put barricade and safety sign

 Remove any flammable materials from hot work area,
relocate or protect (fire proof blanket)
Fire Burns
 Ensure fir extinguisher has been prepared
Welding  Ensure competent person undertakes all welding task
 Provide fire watcher

Welding screens to be used where appropriate: use face

Weld Flash Eyes injury
shield (welding cap)

Ref. PI-05-03-01-F01 Page 6

 Work sequence Hazards Risk Control Measures

 Put barricade and safety sign

Sparks of fire and fumes
 Remove any flammable materials from hot work area,
relocate or protect (fire proof blanket)
Skin injury
 Ensure fir extinguisher has been prepared
 Wear appropriate PPE while welding
Ensure surrounding work crews area aware of hot work

 Painter shall be provided with standard PPE

Hazard to health : Accidentally
inhaled, ingseted, eyes & skin
Painting irritation
Flammable material
Personal injury  No Hot work allowed. (at immediate area)
 Flammable liquids shall be stored and dispensed only from
approved type containers
 No bulk storage of paint material at site (designated area
Fire only)
 MSDS for the paint need to be place prior to work starting

G. Steel Structure
Installation
Transport steel structure
Unloading Work
Arranging temporary
storage, installing sleepers,
etc
Touch Up Painting
Load fall from vehicle
Falling / overturning of load
Struct in between loads
Tripping to object & material
Falling / overturning of load
Hazard to health : Accidentally
inhaled, ingseted, eyes & skin
irritation
Flammable material
Damage to the material brought
Personal injury
Damage to the material brought
Worker hit / crushed material
brought
Personal injury
Trip, slips, falls
Damage to the material brought
Worker hit / crushed material
brought
Personal injury
Fire
 Ensure to fixed with adequate lashing, prior to transport
 Follow on site transportation procedure and maintain speed
limit
 Provide escort during transport
 Identify restricted area, install barricade & provide watchman
 Designated a lifting supervisor to check load condition
 Ensure that load are properly positioned before installing
 Identify restricted area, install barricade & provide watchman
 Ensure that load are properly positioned before unlashing
 Install tag lines
 Maintain House Keeping
 Identify restricted area, install barricade & provide watchman
 Designated a lifting supervisor to check load condition
 Ensure sleepers are properly installing
 Identify restricted area, install barricade & provide watchman
 Painter shall be provided with standard PPE
 No Hot work allowed. (at immediate area)
 Flammable liquids shall be stored and dispensed only from
approved type containers
 No bulk storage of paint material at site (designated area
only)

Ref. PI-05-03-01-F01 Page 7

 Work sequence
Assembly of platform &
scaffold on the ground
Working on the scaffolding
Lifting/erection steel
structure :
1. Setting crane
2. Slinging work
3. Inching up
(By mobile crane)
Tighten bolt and nut
connecting the steel frame
F. Install roofing &
cladding
Lifting and install roofing
and cladding
Ref. PI-05-03-01-F01
Hazards
Scaffolding crumple
slip, fall or stepping through
open door hatch
getting hit in the head from tools
or equipment dropped from
above
Dropped items
Slip, Stumble
Struck in between loads
Jamming / hitting
Beaten by working tools
Strains and sprains
Manual handling : lifting &
carrying
Risk
Damage to exsisting facilities/
equipment , personal injury
Personal injury or dead
Personal injury
Damage the installed equipment or
component below
Damage to the crane / structure
near
Damage to the material brought
Worker hit / crushed material
brought
Damage to the material brought
Worker hit / crushed material
brought
Damage to the structure near
Personal injury
Injury to muscles, nerves, disc and
ligaments of the low back
Low back stain, ligament sprain
Control Measures
 MSDS for the paint need to be place prior to work starting
 Cans/bottles for storage paint/thinner must be labeled from
IMPOMI
 Install scaffolding by certificate scaffolder & tag by IPMOMI
safety officer. Always check regularly
 Secure exsisting facilities/equipment
 Do not climb scaffold frame. Do not remove rails or bracing,
do not move scaffolding. Always close the hatch when
entering new level
 Wear full body harness double lanyard
 Know what is below and above you at all time. Use standard
safety helmet. Use safety rope where necessary to secure
items
 There is a dropping hazard. Take a minimum of equipment
and secure loose item. Use pocket, buckets, rope, or bags to
keep item secure
 Conduct Tool Box meeting, wear proper PPE, Explanation
safety standard and procedure installation before
commencing each activity
 Ensure that loads are properly positioned before unlashing
 Install tag lines
 Give a clear & signal after checking that it is safe
 Ensure working tools in a good condition and knowing how
to use properly
 Sufficient rest period between jobs and avoid repetitious
twisting
 Good manual handling practices to be used (min. 2 person
lift); Use hand gloves
 Use mechanical aids where required
Page 8
 Work sequence Hazards Risk Control Measures
 Provide static line to which lanyard can be attached when
woring on roof
Fall overboard Personal injury or dead
 Wear full body harness double lanyard when working install
cladding from scaffolding

Ref. PI-05-03-01-F01 Page 9

 Work sequence Hazards Risk Control Measures
 Ensure the worker already got training
Grinder wheel throws off sparks  Put barricade around work area to prevent entry by
and hot bits of metal Skin & eyes injury unauthorized person
Cutting roofing and  Ensure fire extinguisher has been prepare
cladding  Worm Safety gloves and eye protection
Accidental contact with grinder  Workers will ensure the grinder’s guard is in place and fully
wheel
Can cause bad cuts operational before use.

 Sufficient rest period between jobs and avoid repetitious

Strains and sprains Musculoskeletal injuries
Roofing and cladding twisting
fastener using tap screw
 Ensure working tools in good condition and knowing how to
Beaten by working tools Personal injury
use properly
G. Electrical Installation
(lightning arrester,
lighting, and
receptacle)
 Use full body harness properly
Work at heights Fall from height
Pulling cable and install  All scaffolding must be taging by IPMOMI safety officer
lighting (under & above
ground)  Make sure spoil storage areas must be clearly identified
Spoil Storage Overturning
(minimum 2 meter away from the excavation)
In-appropriate tools & PPE
 Ensure the correct tools & required PPEs are ready to use
cause hit by material & Personal injury
prior to carriying electrical isolation
equipment
Electrical isolation
Personal injury
Unintendend shutdown of other  Identifity the equipment to be isolated and the safety
Damage to exsisting facilities/
equipment / system overide to be carried out prior to isolation
equipment
 Identify & confirm the switchgear feeding electrical power to
the equipment; isolate safety electrical isolation through
Energized Unauthorized energizing Electrical shock proper tools
 install sign and do not operated without the permission from
engineering
 Dust mask for housekeeping crew when necessary
Dust dispersion Respiration system injury
 Bundles bind or contained securely to prevent slippage
H. Housekeeping
 Keep tools, equipment, extension cords, ropes etc. Out of
Disorganized tool & material Trip, slips, falls
walk ways

Ref. PI-05-03-01-F01 Page 10

 Additional Note :
1. No isolation.
2. Normal work hour.
3.
4.
5.

The following test are required to assess the atmospheric conditions in the nominated space :
TEST REQUIRED
TEST FOR Permissible Exposure Limit (PEL)
YES NO
Ammonia Less than 25 ppm √
Carbon Dioxide Less than 5000 ppm √
Carbon Monoxide Less than 25 ppm √
Chlorine Less than 0.5 ppm √
Hydrogen Sulfide Less than 10 ppm √
Oxygen Greater than 19.5% & Less than 23.5% √
Ozone Less than 0.1 ppm √
Sulphur Dioxide Less than 2 ppm √
Hydrogen LEL = 4% & UEL = 75.6% √
LEL Less than/ ≤ 4% √
Ref. PI-05-03-01-F01 Page 11
Note :
1. Reference (OSHA PEL – 2013)
2. For clarification on the test required to be carried out refer PI-05-03-02 (Testing of Confined Space)

Ref. PI-05-03-01-F01 Page 12