Professional Documents
Culture Documents
Hot Work Mechanicals Safety Eye Glasses Electrical Gloves Soft Barricades / Hard Barricades
Excavation / Penetration Erection Zone Oxy Cutting Googles Full Body Harness Safety Life Lines
Working at Height Lifting Zone Chemical Googles Safety Shoes / Boots First Aid Kit
Confined Space Live Existing Zone Ear Plug / Ear Muff Rompi Stretcher / Palanquin (tandu)
Dust Mask /
Electrical / LOTO Commissioning Zone Arc Flash Lifting Gears / Equipments
Respirator
Lifting Plan / Review Energizing Zone Face Shield Disposable Overalls Fire Extinghuiser / Spill Kit
Hierarchy of Control
When choosing the controls to be used for each of the hazards that exist, it is important to consider the hierarchy of controls in determining the best practicable control.
Consider each hazard and whether there exist a way in which the hazard can be eliminated. If such a control is practicable - nominate the control in the “control” column,
and circle the number 1 in the hierarchy of control column. If elimination is not practicable - consider substitution to reduce the risk of the hazard. If such a control is
practicable put the control in the “control” column then cross out 1 and circle 2 in the hierarchy of control column. Repeat until the best practicable control is determined.
Then repeat for each hazard.
Part 2
consideredHierarchy of Controls
Initial Risk
Assessment
without REQUIRED HAZARD
Controls
CONTROL
For each hazard identified list the Risk Assessed
control measures required to with Controls
eliminate or minimize the risk of
injury
Consequence (1-5)
Consequence (1-5)
carried out performed
Probability (A-E)
Probability (A-E)
Rank (L,M or H)
Rank (L,M or H)
(use hierarchy of controls – at end of
this form)
Consequence (1-5)
Consequence (1-5)
carried out performed
Probability (A-E)
Probability (A-E)
Rank (L,M or H)
Rank (L,M or H)
(use hierarchy of controls – at end of
this form)
123
Tertimpa material C 4 M E 5 L Site supervisor
456
Jari atau tangan tergores - Kordinasikan sebelum 1 2 3
C 4 M melakukan pekerjaan. E 5 L Site supervisor
material pagar 456
123
Terkena paku D 4 M E 5 L Site supervisor
- Identifikasi potensi bahaya 4 5 6
diarea kerja.
123
Terpukul palu C 4 M - Jangan tergesa-gesa saat E 5 L Site supervisor
456
3 Pemasangan Seng melakukan pekerjaan.
Tertimpa material C 4 M - Kordinasikan sebelum 1 2 3 E 5 L Site supervisor
melakukan pekerjaan. 456
123
Tergores seng C 5 L E 5 L Site supervisor
456
consideredHierarchy of Controls
Initial Risk
Assessment
without REQUIRED HAZARD
Controls
CONTROL
For each hazard identified list the Risk Assessed
control measures required to with Controls
eliminate or minimize the risk of
injury
Consequence (1-5)
Consequence (1-5)
carried out performed
Probability (A-E)
Probability (A-E)
Rank (L,M or H)
Rank (L,M or H)
(use hierarchy of controls – at end of
this form)