Risk Assessment Title: Scaffolding System
R/A Number: - Revision:
Item Task (Steps) Potential Hazard Potential Incident
Attachment #1. Risk Assessment.
Slipping and Tripping
Preparation - Personnel injury
1 Terpeleset dan
Persiapan - Pekerja terluka
tersandung
Dust hazard - Personnel injury
- Strengthen foundation by
using ground compaction,
deck, and steel material
- Maintain distance between
columns 1.5~1.8m toward
ledger direction, and 1.5m
toward putlog direction
- Make a plan for scaffolding,
and train on work procedure
- Manager stays at the site
Scaffold - Perkuat pondasi dengan
installation and Column installation menggunakan pemadatan
dismantling tanah, dek, dan material
baja - Pertahankan jarak
antara kolom 1,5 ~ 1,8m ke
arah buku besar, dan 1,5m
ke arah putlog - Buat
rencana untuk perancah,
dan latih prosedur kerja -
Manajer tetap dilapangan
Work platform - Fall through space in the
B
Risk Assessment
Current Risk Final Risk
Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk
Travel path is free of - To place safety signage at work place.
obstruction. - Clearance area from Obstacles
2 2 4 2 1 2
Jalur jalan bebas dari - Tempatkan rambu ditempat kerja
hambatan - Bersihkan area dari kendala
- Brief tool box talk with all involved personnel
prior to commence works.
Using mandatory PPE including - Spray road by water if needed
1 4 4 1 1 1
ear plug and dust mask. - Lakukan TBM singkat dengan semua personel
yang terlibat sebelum mulai bekerja.
- Semprotkan jalan dengan air jika perlu
-
- Strengthen foundation by
using ground compaction,
deck, and steel material
- Maintain distance
between columns
1.5~1.8m toward ledger
direction, and 1.5m toward
putlog direction
- Make a plan for
scaffolding, and train on
work procedure
- Manager stays at the site Check on gound condition, and measures to
prevent columns from sinking
- Perkuat pondasi dengan 3 2 6 Periksa kondisi gound, dan langkah-langkah 3 1 3
menggunakan pemadatan untuk mencegah kolom tidak tenggelam
tanah, dek, dan material baja
- Pertahankan jarak antara
kolom 1,5 ~ 1,8m ke arah
buku besar, dan 1,5m ke
arah putlog - Buat rencana
untuk perancah, dan latih
prosedur kerja - Manajer
tetap dilapangan
- Space needs to be 3cm 3 2 6 - Check on lifeline and blocks during installation 3 1 3
Risk Assessment Title: Scaffolding System
R/A Number: - Revision:
Item Task (Steps) Potential Hazard Potential Incident
work platform
- Fall due to losing balance
during work platform
installation
- Fall caused by poorly fixed
work platform during
scaffold dismantling and
repair work
installation - Jatuh melalui ruang di
platform kerja
- Jatuh karena kehilangan
keseimbangan selama
instalasi platform kerja -
Jatuh disebabkan oleh
platform kerja yang tidak
diperbaiki dengan baik saat
pembongkaran perancah
dan perbaikan
'- Fall due to no passage
during installation and
dismantling
- Fall due to not wearing safety
harness stepping on scaffold
Passage installation
Jatuh karena tidak ada bagian
selama instalasi dan
pembongkaran - Jatuh karena
tidak memakai safety harness
menginjak perancah
Fall and collapse due to poorly
installed scaffold
End of work Jatuh dan runtuh karena
perancah yang diinstal buruk
2 Loading/ Lifting gear failure - Personnel injury
B
Risk Assessment
Current Risk Final Risk
Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk
or less
- Install upper platform
after installing wale or
safety railing
(Ban installing work
platform stepping on
horizontal struts)
Check work platform is fixed
and dismantling
before dismantling or repairing
- Check manager is assigned to confirm fall arrest
scaffold
safety equipment is used during work
- Ruang harus 3cm atau
-
kurang - Periksa garis hidup dan blok selama instalasi
- Pasang platform atas dan pembongkaran - Periksa manajer
setelah menginstal wale atau ditugaskan untuk mengkonfirmasi peralatan
pagar pengaman keselamatan penangkapan jatuh digunakan
(Larangan menginstal selama bekerja
platform kerja menginjak
struts horizontal)
Periksa platform kerja sudah
diperbaiki sebelum
membongkar atau
memperbaiki perancah
- Install stairs and ladder
(along with work platform)
Install lifeline and wear safety - Check installation of passage
harness to move around during
- (When dismantling passage, keep one for
scaffold installation and
workers, and when assembly is done, check
dismantling
installed state of passage)
3 2 6 - 3 1 3
- Pasang tangga dan tangga
- Periksa pemasangan bagian - (Ketika
(bersama dengan platform
membongkar bagian, simpan satu untuk pekerja,
kerja)  Pasang tali pengaman
dan ketika perakitan dilakukan, periksa keadaan
dan pakailah safety harness
bagian terpasang)
untuk bergerak selama
pemasangan dan
pembongkaran perancah
- Fall and collapse due to
- Check installed and fixed state of work platform
poor safety railing, work
and safety railing
platform, wall joint, and
- Check standards of wall joint installation and
brace
dismantling are complied with
Jatuh dan runtuh karena pagar
3 2 6 - Periksa keadaan platform kerja dan pagar 3 1 3
pengaman yang buruk, pengaman yang diinstal dan diperbaiki
- Periksa standar pemasangan dan pembongkaran
platform kerja, sambungan
sambungan dinding telah dipenuhi
dinding, dan brace
-
-
- Competent crane operator. 3 2 6 - Rigger to be trained and competent. 3 1 3
Risk Assessment Title: Scaffolding System

R/A Number: - Revision: B

Risk Assessment
Current Risk Final Risk
Item Task (Steps) Potential Hazard Potential Incident Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk

- Check Crane registration and Crane operator’s

license are current.
- Use correct slings / lifting equipment with current
tag.
- Place Slings and supports only at the designated
lifting points marked on the sheet pile.
- Use tag line on the load to control the swing.
- Use correct slings / lifting - All workers to stand clear of sheet piles during
equipment with current tag. lifting.
Unloading, using - Rigger untuk dilatih dan kompeten.
- Operator crane yang
mobile crane - Property damage - Periksa pendaftaran Crane dan lisensi operator
Lifting gear yang kompeten
Loading/unloading - Pekerja terluka Crane masih berlaku.
rusak - Gunakan sling yng
menggunakan - Kerusakan alat - Gunakan sling / alat pengangkat yang benar
mobil crane sesuai/alat lifting
dengan tag saat ini.
- Tempatkan Sling dan penyangga hanya pada titik
pengangkatan yang ditunjuk yang ditandai pada
tumpukan lembar.
- Gunakan garis tag pada beban untuk mengontrol
ayunan.
- Semua pekerja harus menjauhi tumpukan
lembaran selama pengangkatan.
-

- Personnel injury - To check all lifting gear on daily basis prior to

- Valid certificates by 3rd
- Fatality start work
party,
falling objects - Property damage - Clearance area under lifting area
- Monthly colour coding 3 2 6 3 1 3
Benda jatuh Pekerja terluka - Cek semua lifting gear harian sebelum
- Sertifikat masih berlaku
Fatality pekerjaan dimulai
- Colour coding bulanan
Kerusakan alat - Area kerja harus clear
- Personnel injury - Barricade work area with
- Fatality warning signs posted.
Hit by swinging load
- Property damage - Flagman must be stay in - Use double tag lines to control the swinging
Terkena beban 3 2 6 3 1 3
Pekerja terluka site - Gunakan TAGline ganda utk control swing.
swing
Fatality - Barikade area kerja dan
- Kerusakan alat pasang sign
- Crane operator to observe - Brief tool box talk with all involved personnel
- Personnel injury soft ground when prior to commence works.
- Fatality reposition. - Check the lifting plan, safe lifting radius
Crane Collapse - Property damage - Certified operator - Lakukan TBM singkat dengan utk semua
3 2 6 3 1 3
Pekerja terluka - Operator haru observasi personel yang terlibat sebelum mulai
Fatality tanah yang lunak ketika bekerja. - Periksa rencana pengangkatan,
- Kerusakan alat mengubah posisi crane radius pengangkatan yang aman..
- Sertifikat operator -
- Brief tool box talk with all involved personnel
- Personnel injury Only designated person to
prior to commence works.
Communication error - Property damage communicate during activity.
2 2 4 - Ensure Handy Talky Works if needed 2 1 2
Error komunikasi Pekerja terluka Hanya orang yang di tunjuk utk
- Lakukan TBM utk semua personel yang terlibat
- Kerusakan alat melakukan komunikasi
sebelum pekerjaan dimulai
Risk Assessment Title: Scaffolding System

R/A Number: - Revision: B

Risk Assessment
Current Risk Final Risk
Item Task (Steps) Potential Hazard Potential Incident Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk

Using mandatory PPE and - Brief tool box talk with all involved personnel
Scaffolding - Personnel injury
Pinch gloves prior to commence works.
3 erection/ Pekerja terluka 2 2 4 2 1 2
Terjepit Gunakn wajid APD dan sarung - Lakukan TBM utk semua personel yang terlibat
dismantling -
tangan sebelum pekerjaan dimulai
- Brief tool box talk with all involved personnel
- Clean area from water or prior to commence works.
oil spill on the platform/ - Watch stepping on.
- Personnel injury walking deck. - Clearance area from small part and small tool on
Slipping/Trip
Pekerja terluka - Bersihkan area dari air 2 2 4 the platform/ walking deck. 2 1 2
Terpeleset
- atau tumpahan oli di - Lakukan TBM utk semua personel yang terlibat
platform sebelum pekerjaan dimulai
- Perhatikan langkah kaki
- Bersihkan area dari alat2 yang tidak digunakan
- Using mandatory PPE
- Brief tool box talk with all involved personnel
- Personnel injury - Competent work at height
prior to commence works.
- Fatality - Wear full body harness
Falls - Lakukan TBM utk semua personel yang terlibat
Pekerja terluka - Gunakan wajib APD 2 2 4 3 1 3
Jatuh sebelum pekerjaan dimulai
Fatality - Pekerja yang kompeten
- Mandatory work at height training for scaffolder
- - Gunakan pelindung
Wajib WAH training utk scaffolder
jatuh/bodyharness
- Brief tool box talk with all involved personnel
prior to commence works.
- Personnel injury
- Clear area from small part and small tool on the
Being struck by - Fatality
Using complete PPE working platform.
falling object Pekerja terluka 2 2 4 2 1 2
Gunakan APD lengkap - Lakukan TBM utk semua personel yang terlibat
Benda jatuh Fatality
sebelum pekerjaan dimulai
-
- Perhatikan langkah kaki
- Bersihkan area dari alat2 yang tidak digunakan
Scaffolding Collapse - Personnel injury - Design should be allow for 3 4 12 - Inspection should be undertaken by qualified 3 1 3
- Fatality loads during construction person.
- Property damage (such as workers, - Selected material/ equipment, using good
Pekerja terluka materials, wind, false condition and separated the broken material/
Fatality decks, rain, water runoff), equipment.
- Kerusakan alat strength, stability and - Inspeksi harus dilakukan oleh orang yang
stiffness of system berkualifikasi. - Material / peralatan terpilih,
- Built scaffolding should be menggunakan kondisi baik dan memisahkan
according the shop
material / peralatan yang rusak.
drawing
- Tagging scaffolding system
- Desain harus
memungkinkan muatan
selama konstruksi
(seperti pekerja, bahan,
angin, geladak palsu,
 Risk Assessment Title: Scaffolding System

R/A Number: - Revision: B

Risk Assessment
Current Risk Final Risk
Item Task (Steps) Potential Hazard Potential Incident Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk

hujan, limpasan air),

kekuatan, stabilitas dan
kekakuan sistem -
Perancah yang
dibangun harus sesuai
dengan gambar toko -
Menandai sistem
perancah

Prepared By:  Severity (S) Frequency (F) Risk Rating (RR) Very High High Medium Low
A - Architect (Architect engaged by Samsung C&T) R=SxF 15-25 8-12 4-6 1-3
PM – Project Manager 1 Minor Injury 1 Improbable
CM – Construction Manager 2 Major Single Injury 2 Possible Unacceptability Limits S 5 4 3 2 1 F
LM – Logistics Manager 3 Major Multiple Injuries 3 Occasional More than 5 is unacceptable re-assess task 5 25 20 15 10 5
PLM – Plant Manager 4 Single Death 4 Frequent and preventative actions. 4 20 16 12 8 4
HSEM – HSE Manager 5 Multiple Deaths 5 Regular 3 15 12 9 6 3
PS – Project Supervisor (Samsung C&T / Subcontractor) S = 0 is deemed to be the limit of practicability 2 10 8 6 4 2
SC – Subcontractor of control measures. 1 5 4 3 2 1

Risk assessment complied by:

Risk Assessor

NAME Position Signature Date

 Risk Assessment Title: Scaffolding System

R/A Number: - Revision: B

Risk Assessment
Current Risk Final Risk
Item Task (Steps) Potential Hazard Potential Incident Existing Control Additional Control Remarks
Seve Freq. Risk Seve. Freq. Risk

Risk assessment approved by:

Construction

NAME Position Signature Date

HSE Department

NAME Position Signature Date

Management

NAME Position Signature Date

 Risk Assessment

Title : Sheet Pile Works

R/A No. :

SCT Construction

Name : Position : Signature : Date :

SCT HSE

Name : Position : Signature : Date :

SCT Site Manager

Name : Position : Signature : Date :