Since ‘Design for Safety’ is one of the key factors in the competition, we would like you to complete the

attached Job Safety Assessment (JSA) Form. Fill in as much data as available. If data are not available,
leave the field blank. The JSA should be sent to us until March 24th, 2021 as the deadline of registration.
Job Safety Assessment Form
10th Indonesia Chem-E-CarCompetition 2021
University: Universitas Islam Indonesia Vehicle Name: Azhar Unisi
JSA Author Contact Name: Windu Heru Suprapto Author Email: 17521149@students.uii.ac.id
Faculty Supervisor: Faculty of Industrial Technology Supervisor Email: Achmad.chafidz@uii.ac.id
Revision #: Revision Date:
Supervisor Signature

Purpose of Experiment / Equipment: Briefly describe your Chem-E-Car’s design, intended mode for
operation (source of power), intended mode for control (stopping), and major hazards and their control.
Describe your car’s design:

Power source:
The power source used in this car is Electrochemical / voltenic cell with copper cathode and
Magnesium Anode with CuS O 4 1 M electrolyte solution

With the following reaction :

Mg(s )+CuS O 4(aq) → MgS O 4(aq )+ Cu(s)

Oxidation : Mg( s) → M g 2+¿

( aq ) + 2e ¿

Reduction:C u2+¿
( aq ) + 2e →Cu (s) ¿

Mg (s )+C u2+¿ 2+¿

( aq ) → Cu ( s ) + M g( aq ) ¿ ¿

The voltage generated by 1.5 volts, CuSO_4 and MgSO_4 is an environmentally friendly
chemical because it is used as an important nutrient fertilizer in the formation of sugars,
chlorophyll, carbohydrates, proteins, fats, and oils, plays an important role in the process of
respiration and photosynthesis, increasing resistance plants against disease and drought and
Preventing the fall of flowers and ovaries.

additional information :

In the journal, the reaction used is the reaction between Zn as an anode and Cu as a cathode,
but during the experiment we experienced some problems so we decided to change the anode
to Mg and still using CuSO4 as the electrolyte solution. the use of Mg as a anode is based on
standard reduction value data, from these data the standard potential value of Cu 2+ | Cu ||
Mg2+ | Mg is 2.71 volts, higher than Cu2+ | Cu || Zn2+ | Zn where the default potential value is
1.1 volts.

Stopping mechanism:
Stopping mechanism of this car uses the reaction of HCl and Magnesium, Magnesium is used as
a link to the flow of electric power, HCl is flowed using a small pipe to magnesium, then let it
react then magnesium will separate, then the electric power dies. To adjust the stop time, the
thickness of the magnesium is made constant and change the concentration of HCl so that the
stop time can be set according to the travel time that will be done.

Reaction:

Mg(s )+2 HCl (Aq ) →Mg Cl 2(Aq) + H 2(g)

to prevent splashes and spills we do not use a syringe but instead use a closed cylinder that has a valve
to enter the HCl solution, and also uses 2 containers

Hazards inherent in design:

The risk of danger will occur if the required travel time is so fast, resulting in high HCl concentrations
needed because high HCl concentrations are very irritating so that special handling is needed.

Safety measures:
 Use personal protective equipment when using irritant chemicals
 cover all electrical components
 to prevent splashes and spills we do not use a syringe but instead use a closed cylinder that has
a valve to enter the HCl solution, and also uses 2 containers
 The box mechanism stops and the battery is closed so as to minimize the risk

Photos of Completed Vehicle:

Please add photos of your vehicle after construction has been completed. These pictures must be current. The
entire car must be visible in at least one picture. Remove the top to expose electrical controls if necessary. You
must include multiple views of the car such as close up photo of PCB section/electricity or the detail of
pneumatic system of your car. A drawing or AutoCAD document will NOT be accepted
Expected Operating Conditions:

Temperature Pressure
Maximum: 450C Maximum : 1,1 atm
Minimum : 200C Minimum : 1 atm
MAWP Design: 1,5 atm

Personal Protective Equipment (PPE) : Check all PPE worn during operation of this ChemE-Car. Do not
list these in the procedure section
Long Pants Safety Glasses Hard Hat Lab-Coat
Long Sleeves Splash Goggles Insulated Gloves Mask
Non-Porous Shoes Face Shield Chemical Gloves Other:

This page applies to your home institution. Please attach a floor diagram of the laboratory where you will
be building and testing your vehicle. List the location of available safety equipment and spill response
supplies on this diagram.

Available Safety Equipment – Provide the location of each item shown below at your home institution
where your vehicle will be operated and tested. Show the location of this equipment on your provided
floor plan. If not available, type “NA” in the field.
Item Location
Fire Extinguisher: Available on every floor
Eyewash: Available on every floor
Safety Shower: Available on the ceiling
Telephone: Available on every laboratory
First Aid Kit: Available on every laboratory
Spill Containment:
Other:
Spill Response Supplies - Provide the location of each item shown below at your home institution where
your vehicle will be operated and tested. Show the location of this equipment on the attached floor plan. If
not available, type “NA” in the field.
Item Location
Spill Kit: Available on every laboratory
Floor-Dri: Available on every laboratory
Sodium Bicarbonate: Available on every laboratory
Drain Plugs: Available on every laboratory
Spill Pillows: Available on every laboratory
Mercury Spill Kit: Available on every laboratory
Other:

Please attach a floor diagram of the site where you will be doing the race competition. List the location of
available safety equipment and spill response supplies on this diagram.

Available Safety Equipment – Provide the location of each item shown below at your home institution
where your vehicle will be operated and tested. Show the location of this equipment on your provided
floor plan. If not available, type “NA” in the field.
Item Location
Fire Extinguisher:
Eyewash:
Safety Shower:
Telephone:
First Aid Kit:
Spill Containment:
Other:
Spill Response Supplies - Provide the location of each item shown below at your home institution where
your vehicle will be operated and tested. Show the location of this equipment on the attached floor plan. If
not available, type “NA” in the field.
Item Location
Spill Kit:
Floor-Dri:
Sodium Bicarbonate:
Drain Plugs:
Spill Pillows:
Mercury Spill Kit:
Other:
Fabrication & Operation Additional Hazard Detail CheckList: Check all hazards that are likely to be encountered during your Chem.-Car construction and
operation. List the major source(s) of the hazard and describe how the hazard(s) will be controlled. If both construction and hazard columns are checked in an
individual row, then the hazards should be identified separately for both the construction and operation

Hazard Present During Control Method(s)1 PPE Required1

Construction Operation
Pressure
Toxicity
Flammability
Reactivity / Instability keep the material away from contact with Long pants,safety glasses,masker ,lab-
other material and always use personal coat and chemical gloves
protection during the process
Hot Surfaces/ High
Temp > 150 0F
Cold Surfaces/ Low
Temp < 0 0C
Electrical
Arc welding
Gas welding
Lathe
Milling machine
Handheld power tools
Drill press
Other mechanical hazards
Paint spraying
Ionizing radiation
Laser radiation
Asphyxiates
Open flames
Potential Spills Avoid spilled chemicals, use injector Long pants,safety glasses,lab-coat and
chemical gloves
Biohazards
Other
 Disallowed Activities: All activities listed below are not allowed.
Item
(a) No transport of chemicals in private, university or rental vehicles either to or from the competition.

(b) No improper disposal of chemicals at the conclusion of the competition. All chemicals shipped to the competition site must
be disposed of in a safe and environmental fashion following all local, state and national regulatory measures. Chemical
disposal should not pollute the environment

Disallowed Vehicles: All of the items listed below are not allowed.

Item Explanation
(a) Flames and/or smoke Both inside and outside the vehicle, including commercial internal combustion engines.
See Chem-E-Car Rules for using commercial internal combustion engines.

(b) Liquid Discharge Liquid may not be discharged under normal operating conditions.
(c) Open and/or Containing chemicals having an NFPA rating of 2 or greater.
improperlysecured
containers No open containers allowed at the starting line or during the operation of your vehicle. All
containers with these chemicals must have secure lids and must be secured to the vehicle.
All containers brought to the starting line must have lids, be properly labeled, and proper
personal protective equipment must be used.

(d) Chemical pouring atstarting Any chemicals with an NFPA rating of 2 or greater. Use a holding vessel on vehicle, with
line valve, to load starting chemicals.

(e) Regulated Chemicals A number of chemicals are listed by OSHA as a special hazard. See list below. OSHA has
a special regulation for each chemical. See www.osha.gov for details.

(f) Highly Reactive / Unstable Any chemical, raw material, intermediate or product with an NFPA reactivity / instability
Chemicals rating of 4.

(g) Hydrogen peroxide Hydrogen peroxide at concentrations of greater than 30% are not allowed.
Vehicle Primary Hazards Checklist: Check the left hand column box if the hazards listed below exist on
the vehicle. Then check the applicable means of control for each hazard.

Hazard
Control
(check if present)

(a) Pressure Anything greater than 1 psig? Must meet all requirements below:

Pressure gauge (must read to 2x max. operating pressure)

Emergency relief device set to no more than 1.1 times max. operating
pressure. Relief sizing calculations must be provided.

Emergency relief device in proper location.

Pressure certification – see Pressure Vessel Testing Protocol

Proper management system to prevent over or mis-charging.

All car components exposed to pressure must be certified to operate at that

pressure. Provide manufacturer’s pressure specifications.

NoPVC, cPVC or polyethylene terephthalate (PETE or PET) plastics in

pressure service

Must have measurements or calculations to prove maximum operating

pressure.

See Chem-E-Car Rules for more details on these requirements.

(b) Toxic Any chemicals with an NFPA toxicity of 2 or greater?

Doubly contained and handled properly.

(c) Flammable Any chemicals with an NFPA flammability rating of 2 or higher?

Doubly contained and handled properly

(d) Reactive Any chemicals with an NFPA instability / reactivity rating of 2 or 3?

Chemicals with a 4 rating are not allowed.

Doubly contained and handled properly.

(e) Temperature Any exposed surface greater than 150 deg. F or under 32°F?

Insulation or barrier to prevent contact.

(f) Electrical Exposed wiring and electrically energized components are ignition,
electrocution, and a shorting / fire hazard. Alligator clips and twisted wire
connections are not allowed – use binding posts or banana plugs for a more
secure connection.

Proper electrical insulation and connections provided.

(g) Mechanical Any fast moving parts (meshing gears, belts or chains) that are pinch hazards?

Guards present and adequate.

(h) Oxygen All components exposed to oxygen must be

Certified for oxygen service.

 Thoroughly cleaned of contaminants as per instructions in rules.

Not used previously for other types of service.

(i) Biohazards No biohazards greater than biohazard level 1 either during the design,
development, preparation or competition phases of your car.
 Chemical Information Page

Fill in as much data below as available. If data are not available, leave the field blank.

Description of Chemistry/Chemical Reactions: Provide details below on any chemical

reaction(s) that occur in your system. Please show the reactants involved, the stoichiometry
and the heat of reaction, if available. Also list side reactions and any other reactions that
may impact safety.

Power Source

Mg+ CuSO 4 → MgS O4 + Cu

Oxidation : Mg ( s ) → M g 2+¿ ( aq)+2 e ¿

Reduction:C u2+¿ ( aq) +2e →Cu(s )¿

2+ ¿ (aq )¿

Mg ( s ) +C u 2+¿ ( aq) →Cu (s )+ M g ¿

During the electrochemical reaction takes place Mg will be oxidation because it has a lower
reduction potential than copper, in the presence of S042- from the electrolyte solution and
the oxidation results from Mg in the form of Mg 2+, the two ions will bind to form Mgso4 and
Cu 2+ from the electrolyte solution will capture the electrons released from the anode
(magnesium) and form a Cu solid then stick to the cathode (copper)
Stopping Mechanisme
Mg+ 2 HCl→ Mg Cl 2+ H 2

because the concentration used is a maximum of 0.25 M so that the amount of hydrogen
and heat production becomes small and slow (safe to do)

Chemical Quantities: List below the chemical names, concentrations, and total quantity of chemical
required for the competition.

Concentration
ChemicalState Total Quantity Required for
Required
Competition
Chemical Solid, Liquid,
Be sure to list the
Name Gas Be sure to list the units!
units!

CuSO4.5H2O Liqud 1M 1L

Cu Solid 99% 0.202m2

 Mg solid 98% 0.0216m2

2M 100 Ml
1,8 M 100 Ml
HCl liquid 1,6 M 100 Ml
1,4 M 100 Ml
1,2 M 100 Ml

aquadest liquid 100% 1L

Chemical Properties and Hazards for ALL CHEMICALS, including reactants, intermediates and
products.

Incompatible Chemicals
Flash
Physical List chemicals present Point Flammability
State * within the laboratory, Limits
Chemical Name NFPA Ratings
and any others that may Temp.
S, L, G come in contact.

H F S Sp. LFL UFL

CuSO4.5H2O L 2 0 2 - - - - -

Cu S 2 0 0 - - - - -

Mg S 0 1 1 - - - - -

MgSO4 L 1 0 0 - - - - -

Aquadest S 0 0 0 - - - - -

HCl L 3 0 1 - - - - -
MgCl L 0 0 0 - - - - -

*
NFPA Ratings: H – Health, F – Flammability, S – Stability, Sp. – Special

Chemical Toxicology, Regulation and Disposal: List the same chemicals that appear above, in the same
order.

Toxicology Hazardo OSHA

us
Chemical TW Othe Regulated Personal Protective Equipment
PEL Waste
Name A r Specific to this Chemical
Number

CuSO4.5H2 Comply with the Long pants,safety

O legal glasses,masker ,lab-coat and
requirements. chemical gloves
Remove
contaminated
clothing
immediately.
Clean

contaminated
clothing.
Thoroughly
clean/dry the
installation before
use. Do not
discharge the

waste into the

drain. Avoid
raising dust. Keep
away from naked
flames/heat.
Observe strict

hygiene. Keep
container tightly
closed. Measure
the concentration
in the air
regularly. Carry

operations in the
open/under local
exhaust/ventilatio
n or with
respiratory
protection. Wash
hands

and other exposed

areas with mild
soap and water
 before eating,
drinking or
smoking and
when

leaving work.
Provide good
ventilation in
process area to
prevent formation
of vapour

Cu

Mg

MgSO4 Do not use Long pants,safety

tobacco or food in glasses,masker ,lab-coat and
work area. Wash chemical gloves
hands and other
exposed areas
with mild soap
and water before
eating, drinking
or smoking and
when leaving
work. Do not blow
dust off clothing
or skin with
compressed air.

Provide sufficient
ventilation to
maintain
concentration at
or below

threshold limit.

Zn

HCl Do no eat, drink Long pants,safety

or smoke when glasses,masker ,lab-coat and
using this product. chemical gloves
Wash hands and
other exposed
areas with

mild soap and

water before
eating, drinking
or smoking and
when leaving
 work. Wash

contaminated
clothing before
reuse.Remove
contaminated
clothing
immediately.
Clean

contaminated
clothing.
Thoroughly
clean/dry the
installation before
use. Do not
discharge the

waste into the

drain. Keep away
from naked
flames/heat.
Observe strict
hygiene. Keep
container

tightly closed.
Measure the
concentration in
the air regularly.
Carry operations
in the open/under

local
exhaust/ventilatio
n or with
respiratory
protection.

Magnesiu -
m
Chloride

Biohazards: Provide details below on any biological hazards that may occur during the design,
development, preparation or competition phases of your car. Please list the biological hazards, the
biohazard level, and a description of how these agents will be safety handled.
The hazardous material used in the manufacture, development, preparation and competition is
copper sulfate pentahydrate which can cause irritation and itching in areas affected by copper
sulfate pentahydrate and Hcl which can makes your hands blister and feel burning.
how to overcome these two materials is to use protective equipment such as gloves made of
plastic / polymer
 Job Safety Assessment Form

Safe Operating Procedures Page

Provide step-by-step details for each of the sections shown below. Identify the hazards, the control
methods and the personal protective equipment (PPE) required. Provide adequate detail so that the
reviewers of this document will have adequate understanding of your procedure to pass judgment on the
safety of your vehicle.

 The Emergency Shutdown section should have only one or two steps required to stop your vehicle
and bring it to a safe state.

 The Start-Up Procedure section should list all the steps required to prepare your chemicals and
vehicle.

 The Run Time Procedure should describe all steps to operate your vehicle at the starting line of the
competition.

 The Shutdown Procedure should describe the steps normally taken to shutdown your vehicle at the
end of your competitive run.

 The Cleanup / Waste Disposal section should list all the steps required to clean your vehicle of all
chemicals and proper chemical disposal.
PPE or Equipment
Required
Sequence of Steps Potential Hazards Procedure to Control
Hazard
Emergency Shutdown
push the button so that no Long pants,safety
electricity occurs, remove glasses,masker ,lab-coat
and chemical gloves
the electrical circuit from
the "cell" and then doused
with water so that the
reaction slows down

Start-up Procedure
prepare materials needed Hcl makes your hands blister keep the material away from Long pants,safety
such as “cells” consisting of and feel burning, contact with other material glasses,masker ,lab-coat
and always use personal and chemical gloves
copper and aluminum
protection during the process
which have been
assembled before,
arranging electricity with
series and parallel series as
needed.

also prepare a stop

mechanism that is adjusted
to the need (distance)
Run Time Procedure
After arranging the "cells" Long pants,safety
in the container, insert the glasses,masker ,lab-
copper(II) sulafate coat and chemical
pentahydrate using gloves
injector into the "cells" .
after all the "cells" are
filled, then just press the
on button

Shutdown Procedure
After stopping due to a
power outage by stopping,
turn off the power by
turning off the button
Long pants,safety
glasses,masker ,lab-
coat and chemical
gloves

Cleanup / Waste
Disposal
separating the "cell" from Long pants,safety
its container then glasses,masker ,lab-
dismantling the "cell", coat and chemical
copper can be reused for gloves
the next "cell" (can be used
continuously), magnesium
can be used to make the
"cell" once again, as long as
it is cleaned properly from
the remaining copper
sulfate pentahydrate
 Equipment List
Please list every piece of equipment on the car. Please include all Equipment
specification documents or specifications for custom-built components in the
EDP Supplement document.

Equipment Manufacturer Operating Operating Incompatible

Limits: Limits: Materials?
Temperature Pressure
 Discharged Hydrogen Calculations

If your car will include a small amount of hydrogen discharge, please use this space to provide
calculations to prove to the reviewer that any discharged hydrogen is well below the Lower
Flammable Limit (LFL)/Lower Explosive Limit (LEL) of hydrogen for the given volume of the
reactor, chamber or fuel cell in which hydrogen is stored. If your car does not use hydrogen, then this
section should be left blank.

Pressure Calculations
For all cars with pressure greater than 1psig, please complete the
following in this section.

 A quantitative design basis for pressure relieving load;

 Sizing calculations for a pressure relief device;

Notes:
Please insert supplement documents as separate documens such as:
- Specific design vessel tank or pressurize tank
- Specific design reactor (if you do not use vessel tank or pressurerize tank, please sketch the
reactor design)
- Specific design safety valve
- MSDS
- Equipment Specification
- Others