You are on page 1of 7

JOB SAFETY ANALYSIS (JSA)

Project Name: Cirebon 2, 1x1000MW Coal Fired Power Plant Project, Indonesia Company:
Nama Project: Perusahaan: PT. KOIN KONSTRUKSI

Work Activity:
Pekerjaan: BOILER HYDROSTATIC TEST JSA No: KOIN/HSE/JSA/20-16 Rev 0

Work Location: Date Developed:


Lokasi Kerja: BOILER AREA Dibuat Tanggal: 16 October 2020

JSA Participants / Preparation & Review. Peserta pembuat JSA Approval/ Persetujuan
(incl. personnel consulted: e.g. workers, supervisors, foremen, HSE personnel, external parties)
Name Position Company Signature Name Date Signature

ANGGA Safety Officer PT. KOIN KONSTRUKSI

Remarks / Notes, Keterangan/ Catatan:

Type of Permit Required Additional PPE Requirements Special tools or equipment required:
JenisPerizinanygDiperlukan: TambahanAlatPelindungDiri yang diperlukan Alat-alatKhusus yang Diperlukan:

Excavation/ Penggalian
Hot work/ PekerjaanPanas
Confined space/Ruang terbatas
Other/ Lainnya: General Permit

Page 1of 7
JOB SAFETY ANALYSIS (JSA)

Risk Matrix:
CONSEQUENCE
Disciplines will review likelihood and consequences in 1 = Negligible 2 = Slight 3 = Moderate 4 = High 5 = Very High
line with their specific parameters as noted
No injuries requiring any First aid treatment. Medical treatment required, Injuries resulting in; lost Single or multiple fatalities.
treatment. Restricted Work Case. time,permanent disability,
amputation, or surgery.

5=Very Likely Is expected to occur M-5 H -10 VH-15 VH-20 VH-25


LIKELIHOOD

Will probably occur in most


4=Likely
circumstances
M-4 H-8 H-12 VH-16 VH-20

3=Possible Should occur at some time L-3 M-6 H-9 H-12 VH-15

2=Unlikely Could occur at some time L-2 M-4 M-6 H-8 H-10

1=Very Unlikely May occur only in exceptional L-1 L-2 L-3 M-4 M-5
circumstances
Likelihood (L) 1 = Very Unlikely, 2 = Unlikely, 3 = Possible, 4 = Likely, 5 =Very Likely Consequence (C) 1 = Negligible, 2 = Slight, 3 = Moderate, 4 = High, 5 = Very High
Risk Rating (R) LOW [ 1-3 ]Broadly acceptable - MODERATE [ 4-6 ] Tolerable – With identified HIGH [ 8-12 ] Undesirable - Additional VERY HIGH [ 15- 25 ]Intolerable - Do
Manage by routine procedures controls fully implemented controls required to reduce risk not start activity

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

Preparation Work  The work does not match the


 Conduct risk assessment first prior to
permit that already submitted 2 2 4 Supervisor
Create work permit & JSA make JSA and work permit
 Unidentified risk
 Workers who involve the work, do  Supervisors are required to provide
Toolbox meeting not understand the work plan and an explanation of potential hazards 2 2 4 Supervisor
its hazards every step of work and how to prevent them.

Page 2of 7
JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

 Socialize and ensure to comply with


 Non-compliance of HSE HSE Procedure prior to work
Planning procedure  Install safety sign and barricade the 4 3 12 All personnel
 Unauthorized personnel area where the hydrostatic test is
being carried out

Page 3of 7
JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

 Commissioning team should verify


and check the approval prior carry
out the test
 Socialize and ensure to comply with
HSE Procedure prior to work
 Install safety sign and barricade the
area where the air leak test is being
carried out
 Daily inspection and pre use
inspection should be carried out to
ensure the engine oil, relief and
 Non-compliance of HSE valve condition are good
procedure  Check the abnormal sound and
 Unauthorized personnel quality of hoses to withstand the
 Test limit and wrong document specified pressure
 Compressor is not running well  All the couplings on the pressure
and endanger the user hoses should be clipped with safety
Air leak test 3 2 6 All personnel
 Air hoses damage clip
 Drain and vent valves are open  Line must be checked and LOTO or
 Abnormal noise closed and tagged as per valve list
 Safety valve in operative  Check the sound by audio meter, if
 Communication failure more than 80 dbA. System should be
 Gas cutting and welding depressurized
 Hearing protection to be provided for
the person who are involving the job
 Verification of calibration certificate
 Control the pressure if necessary
 Alarm and alert the personnel
 System should be stopped until
communication system is normalized
 Stop work order for hot work and
inform the supervisor the importance
and the hazards of the test

Page 4of 7
JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

 Commissioning team should verify


and check the approval prior carry
out the test
 Socialize and ensure to comply with
HSE Procedure prior to work
 Install safety sign and barricade the
 Non-compliance of HSE area where the Hydrostatic test is
procedure being carried out
 Unauthorized personnel  Check for the proper support
 Pipe line gets more/high vibration  Check and inspect the tools
 Improper tools inventory that will be used during the
Water filling 3 2 6 All personnel
 Pump failure test
 Flanges leak  The electrician and mechanic should
 Flow meter failure inspect the pump prior to use and
 Water spillage standby to repair if any broken part
 Verification and check for proper
tightness, gasket should be changed
if necessary
 Calibration certificate verification and
remedial action shall be taken
 All leaks shall be arrested during
initial start of pump
 Socialize the MSDS of its chemical
to all workers who involve the
handling
 Wear the PPE and refer to MSDS
Chemical handling  Spillage chemical contamination 3 2 6 All personnel
 The chemical storage must be
barricaded and install safety sign
 Emergency eye wash and shower
should be provided

Page 5of 7
JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

 The electrician and mechanic


should inspect the pump prior to use
and standby to repair if any broken
part
 Test limit identification and area
cordoned off
 Brief and give awareness of test
hazards to people who involved the
test
 Use only proper tools for valve
operation
 Provide good access for valve
 Pump failure operation
 Leaks on join welded  During pressurizing time the area
 Valve failure should be closed for unauthorized
 Heavy leaks boiler water wall person entry completed with all signs
panels  Upon the observation of heavy leaks
Pressurizing 3 2 6 All personnel
 Exceeding the test pressure the boiler will be depressurized
 Injury to workers  The water shall be collected through
 Damage to equipment/system flash tank
 Unattended pressurizing  Ensure that relief valve at the pump
pump/pressure regulator is set at the same pressure
 Keep away when the pressurizing
segment of the boiler to be hydro
tested
 Monitor the pressure gauge of safe
distance away to potential source of
high pressure jet such as coupling
 Ensure the workers are wearing
required PPE
 Do not leave the pressurizing pump
unattended when carry out the hydro
test is in going

Page 6of 7
JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Activity Potential Hazards /Consequences [L x C=R]
Persons Responsible
(Basic job steps) (What can go wrong) Control Measures/ Tindakan perbaikan
Penanggung jawab
Aktivitas (Langkah kerja) Potensi bahaya/ konsekwensi (Apa yang bisa salah?)
L C R

 Ensure the system is depressurize


Finishing  Pressurize tools/systems are left 3 2 6 All personnel
before leaving the area

Sign On: I confirm that the JSA has been explained and its contents are clearly understood. I clearly understand the controls in this JSA must be
applied; otherwise work is to cease immediately.

Saya mengkonfirmasi bahwa JSA telah dijelaskan dan isinya dipahami dengan jelas. Saya memahami dengan jelas kontrol dalam JSA ini harus diterapkan; jika
tidak, pekerjaan akan segera dihentikan

Name Position Signature Date Company

Page 7of 7

You might also like