Risk Assessment Summary Report On Work Road Crossing at WPA

Banyu Urip Project
Risk Assessment Summary Report on

Working at Height
Work Road Crossing at WPA
10 05
A JunFeb Issued for Review AUT BHW RJH
2013
Rev Rev Date Description Prepared By Checked By Endorsed By Approved By
Charter For Night Time Works at Site Risk
Assessment Risk Assessment Summary 10 05
Report on Working at Height Risk
BANYU URIP Assessment Summary Report on Work
JunFeb 2013
Rev A
PROJECT Road Crossing at WPA
MPI: Not Classified Page 2 of 35
REVISION MODIFICATION LOG
Revisio
Section Description
n
A All Issued For Internal Review
513377731.docRisk a Assessment Working Road Crossing at

WPAWorking at Height
JunFeb 2013
Rev A

JunFeb 2013
Rev A
TABLE OF CONTENTS
1. Executive Summary 4
2. Risk and action items summary 5
3. Individual Scenario 6
Appendices 9
Appendix 1 – Risk Matrix 10
Appendix 2 – Attendance list 11
Appendix 3 – Method Statement 12
1. Executive Summary 4
2. Risk and action items summary 5
3. Individual Scenario 6
Appendices 11
Appendix 1 – Risk Matrix 12
Appendix 2 – Charter 13
Appendix 3 – Attendance list 23
Appendix 4 - Brain Storming (Identify Hazard) 24
TABLE OF FIGURES
Figure 1. 2 General Sequence of Work Road Crossing 13

Figure 1. 3 Alternative 1 of Excavation Work Road Crossing 13
Figure 1. 4 Alternative 2 of Excavation Work Road Crossing 13
Figure 1.5 Pouring Concrete LC 14
Figure 1.6 Siquence 1 14
Figure 1.7 Sequence 2 14
Figure 1.10 Traffic Management System 16

JunFeb 2013
Rev A
1. EXECUTIVE SUMMARY
A Risk Assessment was held in purpose of re-identification the risk possibly occur during work road
crossing working at height in EPC1 Banyu Urip Project. The Risk Assessment covered the EMDC
working at height expectation. The actions were determined to ensure coverage all the expectation
that able to minimize the risks as low as reasonably practicable.
The meeting was held on SundayThursday, 010 4 FebruaryJune 2013 at 1316:330 to 168.00 hrs.
The objectives of this Risk Assessment are to:
 Identify hazard and project risk issues associated with the project common activity in working at
height. work road crossing.
 Identify mitigations (if any) to achieve acceptable risk.
Propose the mitigation plan to be used for improving the safety working methods for any activity
deal with work road crossingworking at height.
As a result some actions need to be taken to allow risk as low as reasonable practicable
1.1 Work Process Summary

The risk assessment was initiated by MCL in response to the input given by Exxon CRR team,
where work road crossing working at height is one of the big concerns right now.
The work process was started with brain storming and continued with determining the critical
scenarios that lead to the incident. All participant were actively contribute and many ideas were
captured in this process
The team then developed the risk scenario worksheets. The risk scenario worksheet identify
potential scenarios and document the potential scenario causes, consequences, assumed
safeguards and proposed action items. The risk scenario worksheet also document the assessed
risk in terms of health and safety, environment, public disruption, direct financial impact and
business impact; both before and after the proposed action items. The risk scenario worksheets
are presented in section 3 of this report.
The risk ranking is based on the information available during the risk assessment and assumes
that the identified safeguards are in place and effective.
1.2 Result of Summary

A total twenty-fivethree (153) hazards and concerns were identified during the risk assessment.
All hazards were consolidated into three two (32) risk scenarios.
The assessed risk level before mitigation action items was
 Two(2) in Zone 1 risk
 ThreeTwo (32) in Zone 2 risk
 OneTwo (2) (1) in Zone 3 risk
The assessed risk level after proposed mitigations are put in place are
 Two (2) in Zone 2 risk
JunFeb 2013
Rev A
 Four ( 4) in Zone 3 risk

The role of the Risk Assessment team ends after submission of the report. The PIC will be
assigned to resolve the assessment finding.
It is important to recognized that although the proposed action items may provide adequate
safeguards for the identified hazards. Tthe parties responsible for developing the action plans
should not restrict their planning to the actions or methods presented if additional or other
measures are deemed appropriate.
2. RISK AND ACTION ITEMS SUMMARY

Risk Profile before implementation of action items
A B C D E
I 2HS
II 2HS
III HS,2F
IV F 2F
Risk Ranking Zone 1: 20, Zone 2: 32, Zone 3: 12
Risk Profile after implementation of action items

A B C D E
I 2HS
II 2HS
III HS,2F
IV 2F,F
HS = Health & Safety
E = Environmental
P = Public Disruption
F = Financial
The numbers in the above risk matrix reflects the number of occurencesoccurrences of the referenced
consequences category ( HS, P, E, F) for all scenarios in the indicated risk cells.
Risk Summary by Scenario

Risk Zone Risk Zone
No Scenario
before before after after
Worker trapped in collapsed trenchWorkers/ rigger fall
1 II CD 12 II DI D 22
from height during steel erection
Worker struck by equipment in the night Worker struck II DIII

2 II DIII C 22 23
by dropped tool or material D
Worker slipped through open scaffold boards
3 IC 1 ID DF

JunFeb 2013
Rev A
Action item summary

No Scenario Action PIC Responsible Date
1 1,3 Proper working at height training including Fachrudin Done
demonstration of fall from height
consequences (small group, meet EMDC
WAH Expectations )
2 1,2,3 Consequences management (disciplinary SAR 18 Feb 2013

action) system establishment
NoScenario Action PIC dateResponsible

3 1,3 Training to ensure supervisor is understand
EMDC expectation
4 1,3 Assign dedicated safety advisor to see the AUT 21 Feb 2013
overall working at height operation
5 2 Barricade training for all workers AUT 18 -19 Feb 2013
3.
4. INDIVIDUAL SCENARIO
SCENARIO 1
Risk Matrix
A B C D E Legend
I HS = Health &
II HS Safety
III E = Environmental
P= Public
IV F Disruption
F = Financial
Scenario Description:
Worker trapped in collapsed trenchWorkers/ rigger fall from height during steel erection
Potential Causes:
JunFeb 2013
Rev A
Soil slide Incorrect tie off

No tie off
Walking backwards
Unsafe platform
Unfit worker
Unplanned lifting work
Dehydration
Factors affecting Consequence or Probability:
Incorrect slopping
Rainy
Poor planning
Ineffective supervision
Risk tolerance is high
Lack of supervision
no training
in experience worker
uncertified lifting equipment and gears and tools
uninspected platform
incorrect PPE
heat environment condition
water not available
Consequences:
Serious Injury
medical treatment
equipment damage
schedule impact
Reputation (media attention)
Fatality / serious injury
Assumed Safeguards
Excavation that meet the requirement (correct sloping)

Trained personnel
Correct JSA
PTW in place
PPE in place
Sufficient access egress
Supervision is in place
Safety personnel is present
Entry and exit access is manage properly
Inspected scaffolding by competent inspector
Scaffolding is erected by certified personnel
Regulation for working at height : PPE, etc
Equipment and lifting gear inspection
Certified rigger
Certified equipment and operator
Adequate supervision (but not familiar with EMDC expectation)
Medical check
Proper work planning: lifting plan, PTW and JSA
Safety personnel on site dedicated to area
Correct PPE is available
JunFeb 2013
Rev A
Rest shelter is available
Risk Before
HS= II DI E=E NAN/ P=P NAN/ F=F IV DIII
HS= C = A = A = C
Action Items Actione

e
 Proper working at height training including demonstration of fall from

height consequences (small group, meet EMDC WAH Expectations )
 Consequences management (disciplinary action)
 Training to ensure supervisor is understand EMDC expectation
 Assign dedicated safety advisor to see the overall working at height
operation
Risk After
HS= II DI E=E P=P F=F IV DIII
NANA NANA
HS= D = = = D
Comments:
No comment
SCENARIO 2
Risk Matrix
A B C D E Legend
I HS = Health &
II HS Safety
P= Public
IV F Disruption
F = Financial
Worker struck by equipment in the night
Worker struck by dropped tool or material
Potential Causes:
Worker in the line of fire and stand at blind spot area

Equipment failure
Unauthorized worker
fatigue
Poor lighting
tools are not secured
no kick board on the scaffold
poor house keeping
no barricade
open holes
unplanned task
JunFeb 2013
Rev A
confined work area

lack of barricade and signage
carrying tools on the ladder
tools or materials are not contained
Improper lifting of material
No signalman
No Pre start inspection
Unqualified operator
No barricade to restrict the area
No supervisor in area
Poor planning Risk tolerance is high
Lack of supervision
Lack of training
uncertified lifting equipment
untethered tools
inappropriate barricading
Consequences:
Serious injury
Medical treatment
Schedule impact
Medical Treatment
First Aid
Damage equipment
Near Miss
Assumed Safeguards
Qualified Signalman in area

Qualified operator
DDC for driver
Barricade and signage
JSA , PTW, risk assessment and method statement in place
PPE in place
Proper plan including lighting arrangement and proper implementation
Supervision is in place
Safety personnel in place
Kick off meeting to communicate risk assessment result

Regulation for working at height : PPE, drop object
Equipment and lifting gear inspection
Adequate supervision
Proper work planning: lifting plan, PTW and JSA
Barricading and signage in place

JunFeb 2013
Rev A
Risk Before
II
HS= E=E NAN/ P=P NAN/ F=F IV
DIII
HS= = A = A = DIVC
C
e
 Barricade training
Risk After
II
HS= E=E P=P F=F IV DIV
DIII NANA NANA
HS= = = = D
D
Comments:
No comment
SCENARIO 3
Risk Matrix
A B C D E Legend
I HS = Health &
II Safety
P= Public
IV Disruption
F = Financial
Pipe fitter slipped through open scaffold boards
Potential Causes:
Unqualified personnel modifying scaffolding
Poor Planning
Lack of barricading
Incomplete scaffold was used

JunFeb 2013
Rev A
No tie off

Risk tolerance is high
Lack of supervision
no training
Poor Lighting
No sign board and barricading
Unfit
Consequences:
Fatality / serious injury
Assumed Safeguards
Adequate supervision
Medical check
Proper work planning: PTW and JSA
Proper Barricade and signage
Risk Before
HS= IC E= N/A P= N/A F= III C

e
 Proper working at height training including demonstration of fall from

height consequences (small group, meet EMDC WAH Expectations ).
include the risk of removing scaffold board /grating
 Training to ensure supervisor is understand EMDC expectation
 Assign dedicated safety advisor to see the overall working at height
operation
Risk After
HS= ID E= NA P= NA F= III D
Comments:
No comment
5.

Appendices
Appendix 1 Risk Matrix
Appendix 2 Charter
Appendix 32 Attendance List
Appendix 4 Brain Stroming session Appendix 3 Methode Statement
JunFeb 2013
Rev A
Appendix 1 – RISK MATRIX

PROBABILITY Probability Definitions
A B C D E Category Definition Working Definition
C A Possibility of 20 or more times per facility life

O I 1 1 1 2 2 Repeated or 5 or more times during
N Incidents PROJECT/D&C
S B Possibility of 5 times in facility life or once
E II 1 1 2 2 2 Isolated during PROJECT/D&C
Q
U Incidents
E C Possibility of Once in facility life cycle or 10%
N III 1 2 2 3 3 Occurring likelihood during
C Sometime PROJECT/D&C
E D Not Likely to 10% likelihood of occurring once
S IV 2 3 3 3 3 Occur in facility life or 1% likelihood
during PROJECT/D&C
E Practically Once in 100 or more facility lives
Impossible or 0.1% likelihood during
PROJECT/D&C
Consequence Health/Safety Environmental Public Disruption Financial Impact

Category
I Fatalities/Serious Potential Widespread, Significant Public Corporate
Impact on Public Long Term, Significant Disruption More than 50 USMD loss
One or more fatality Adverse Effect. Impact on a large scale of assets or 4 month
and communicated by delay
national/international
media.
II Serious Injury to Potential Localized, Small Public Disruption Region/Affiliate
Personnel/Limited Medium Term, Impact on public is Between 2 and 50
Impact on Public Significant Adverse limited, attracts national USMD, or 2 month delay
Severe but non-fatal Effect. media.
III Medical Treatment for Potential Short Term Public complaint. Division/Site
Personnel/No Impact Minor Adverse Effect. Isolated impact, one time Between 2 USMD and
on Public local media coverage. 500 USKD, or 2 week
Lost Time Incident delay
(LTI)
IV Minor Impact on Inconsequential or No Public Compliant without Other

Personnel adverse Effect. local media coverage. Less than 500 USKD or
First aid only less than a week delay

JunFeb 2013
Rev A
APPENDIX 2 – ATTENDANCE LIST

CHARTER

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Appendix 3 – Method StatementAttendance list

JunFeb 2013
Rev A
Appendix 4 - Brain Storming (Identify Hazard)

JunFeb 2013
Rev A
Risk Assessment for working at height (EPC1)

Date 10 Feb 2013
Drop object tool and material

Fall from height
Hit by drop object
Injured at height
Suspended on harness
Failure of work platform
Open hole
Incorrect anchor point
Slip on slippery surface
Weather : rain/ thunder/lightning/fog
Electric shock from the usage of hand power tools or welding/ lighting system
Lost focus during handphone usage
No tie off
Improper work sequence
Scenario
Worker struck by dropped tool or dropped material
Workers/ rigger fall from height during steel erection
Pipe fitter slipped through open scaffold boards
Method Of Work
Road Crossing
A. Preparation
B. Location
C. Sequence Of Work
D. Traffic Management Plan
A. Preparation
1. Equipment
1.1 Heavy Equipment
- Excavator
- Vibro Compact
2. Material Support
- Pipe Scaffolding + Clem
- U Head
- Jack Base
3. Material
- Wood
JunFeb 2013
Rev A
- Rebar
- Concrete
B. Location
Figure 1. 1 Location of Work Road Crossing
C. Sequence of Work
1. General Sequence
Figure 1.2 General Sequence of Work Road Crossing
2. Detail Sequence
2.1 Excavation Work
a. Alternative 1

JunFeb 2013
Rev A
Figure 1.3 Alternative 1 of Excavation Work Road Crossing
b. Alternative 2
Figure 1.4 Alternative 2 of Excavation Work Road Crossing
2.2 Pouring Concrete LC
Figure 1.5 Pouring Concrete LC

JunFeb 2013
Rev A
2.3 Install Rebar
Sequence 1
Install rebar for slab, pedestal pipe sleeper and install embedded, continue to concrete
Figure 1.6 Siquence 1
Sequence 2
Install rebar for wall (h=1.50 m), Install scaffolding, formwork and concrete
Figure 1.7 Sequence 2
Sequence 3
Install Scaffolding, install rebar (h=1 m), formwork with tie rod (support with scaffolding)
Pouring concrete.

JunFeb 2013
Rev A
Sequence 4
Install scaffolding, formwork, rebar and pouring concrete

JunFeb 2013
Rev A
c. Traffic Management Plan
Figure 1. 10 Traffic Management System


Risk Assessment Summary Report On Work Road Crossing at WPA

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Banyu Urip Project

Risk Assessment Summary Report on

REVISION MODIFICATION LOG

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

Figure 1. 2 General Sequence of Work Road Crossing 13

513377731.docRisk a Assessment Working Road Crossing at

1.1 Work Process Summary

1.2 Result of Summary

 Four ( 4) in Zone 3 risk

2. RISK AND ACTION ITEMS SUMMARY

Risk Profile after implementation of action items

Risk Summary by Scenario

Worker struck by equipment in the night Worker struck II DIII

513377731.docRisk a Assessment Working Road Crossing at

Action item summary

2 1,2,3 Consequences management (disciplinary SAR 18 Feb 2013

NoScenario Action PIC dateResponsible

5 2 Barricade training for all workers AUT 18 -19 Feb 2013

Soil slide Incorrect tie off

Excavation that meet the requirement (correct sloping)

Rest shelter is available

Action Items Actione

 Proper working at height training including demonstration of fall from

Worker in the line of fire and stand at blind spot area

confined work area

Factors affecting Consequence or Probability:

Qualified Signalman in area

Inspected scaffolding by competent inspector

513377731.docRisk a Assessment Working Road Crossing at

Pipe fitter slipped through open scaffold boards

513377731.docRisk a Assessment Working Road Crossing at

Factors affecting Consequence or Probability:

Action Items Actione

 Proper working at height training including demonstration of fall from

513377731.docRisk a Assessment Working Road Crossing at

Appendix 1 – RISK MATRIX

A B C D E Category Definition Working Definition

C A Possibility of 20 or more times per facility life

Consequence Health/Safety Environmental Public Disruption Financial Impact

IV Minor Impact on Inconsequential or No Public Compliant without Other

513377731.docRisk a Assessment Working Road Crossing at

APPENDIX 2 – ATTENDANCE LIST

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

513377731.docRisk a Assessment Working Road Crossing at

Appendix 3 – Method StatementAttendance list

513377731.docRisk a Assessment Working Road Crossing at

Appendix 4 - Brain Storming (Identify Hazard)

513377731.docRisk a Assessment Working Road Crossing at

Risk Assessment for working at height (EPC1)

Drop object tool and material

Figure 1. 1 Location of Work Road Crossing