PT.

Supreme Energy Muara Laboh

RISK ASSESSMENT RESUME Date 14-Aug-2020
For Geothermal Works Originating Dept. Project
User’s Reps. Wahyu Mulyana
Work Title: Provision of Construction of Medical Clinic
Building at Power Plant Office Area
Project Company / Work Location: Muara Laboh

Period: Aug 2020 – Nov 2020

Risk Category (Tick one) : L (Low) M (Medium) H (High)

 Category refers to Geothermal Work Matrix Table (attached)

 If the risk is Medium or High, user is requires to fill in the Risk Assesment Matrix (attached)

Explanation :

The risk associated with the safety issues survey services can be categorized as medium risk.

Assessed by:

(Elga Riska Moya)

Acknowledged by:

(____Fikry Rhidany_____)
SHE Representative
 RISK ASSESSMENT MATRIX
Note: Applicable only for Medium / High Risk services
Title of Work :
Provision of Construction of Medical Clinic
Building at Power Plant Office Area
No Risk Area What
1 Nature of work 4 (six) months work
duration (estimated)
2 Work location Muara Laboh Site
3 Material / Hot work equipment,
Equipment used cutting, grinding, liffting
equipment, etc.
4 Potential for Potential exposure if
exposure to work working on site, which
site hazards can be electricity
shocked, falling
equipment, noise, fire,
traffic, etc.
5 Personnel exposure Single injury
to hazard
6 Simultaneous work Multiple overlapping
by different tasks will take place at
contractors the same time at some
locations.
7 Work duration Daily including weekend,
with working hours max.
10 hours/day.
8 Potential incident Improper procedures
could result any
incident, e.g. electric
shocked, falling object,
fire, cuts, etc.
Type of Work: Construction
Consequences
L/M/H Remarks
Environm
People Assets
ent
M M M This service purpose is to
construct Medical Clinic
Building at Power Plant Office
Area
M M M
H M M Medium to high safety hazards
to personnel when in use
H H M Contractor shall maintain
proper procedures for dealing
with any emergencies that may
arise if on site. Immediately
investigate accidents, identify
their cause and maintain a
register of accidents and
serious harm.
H M M Contractor shall send a
properly trained personnel and
safety awareness training when
the job on site do and provide
MCU report prior to mobilize to
site.
M M M Currently there is interference
work with other Contractor
especially with EPC contractor
Contractor shall manage and
monitor all activities based on
the construction programme
and coordinate with other
Parties and appointed
Company’s Representative for
this work.
M M M All necessary deviation from
normal working hours shall be
reported and obtain approval
from appointed Company’s
Representative.
H M M  Contractor’s personnel must
comply with Company’s
safety procedure and attend
a safety induction by
Company before start the
works at site.
 The use of appropriate
personnel protective
equipment is a must.
Title of Work :
Provision of Construction of Medical Clinic Type of Work: Construction
Building at Power Plant Office Area
9 Contractor Contractor shall have H M M  Contractor experience can
experience demonstrated expertise lead to safe and effective
and resource necessary works.
to do the works
Overall Assessment Result MEDIUM
 GEOTHERMAL WORK MATRIX TABLE
TYPE OF WORKS DETAIL WORKS RISK
LEVEL
Welding, Hot Tapping H
Hot Work
Cutting, Grinding, PWHT L/M
Transportation Heavy Vehicle – Trailer, Earth moving
H
equipment on steep terrain
Transportation Ordinary cars and trucks M
Well-pad Opening, Land Clearing, Large M
Building Construction
Civil Works
Trenching, Digging, Road Maintenance, L
Small Building Construction
Turbine & Generator overhaul, pipe H
installation, maintenance work during
machine in operation or SAGS in operation
Mechanical Works
Maintenance Works, Equipment Repair, L/M
Equipment Installation, Mechanical
Construction, SAGS Pipe Works
Construction, commissioning and H
Electrical Medium and High voltage
maintenance
Construction, commissioning and M
Electrical Low voltage
maintenance
Commisioning, Online Repair M
Instrumentation Equipment Installation, Repair during L/M
shutdown or construction phase
NDT (Radiation), Hydrostatic Test, Gas Test H
Pressure vessel works during equipment in operation
Installation or general Technical Inspection L/M
or maintenance during shutdown
Consulting, Technical Assistant, Training L
Medical Services L
Confined Space activities H
Food Catering and Camp Services L
Office Administration Services Office Support and Cleaning Services L
Site Survey, MT survey, MEQ survey at H
Site Survey Forestry Area / Green-Field Area
Site Survey at Tea Plantation Area L/M
Ground Maintenance Grass Cutting, Landscapping, Gardening L
Drilling operation H
Well Testing Activities Pressure and Temperature Survey, Flow H
Test, Down-Hole Activities
EPC Project Engineering, Procurement, and L/M
Construction Project
Manpower Supply L
Heavy Equipment Rental Heavy Equipment, Heavy Lifting Operation H
Note : H – Need medical check-up and clearance from physician