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JHSEA Document NO. :

JOB HEALTH, SAFETY, ENVIRONMENT ANALYSIS [JHSEA]
Revisi :
Job Description : DATE ISSUED :
Deskripsi Pekerjaan LAST REVIEWED DATE :
Area/Unit : Reviewed by Approval by
Equipment Involved :
Peralatan yang digunakan
Job References :
Referensi pekerjaan
PPE Required to do this Job:
APD yang diperlukan:
 Safety glasses £ Dust/ welding mask Coveralls Safety harness/lifelines  Hard hats £ Goggles/face shield £ Cartridge-filter mask
£ Chemical clothing £ Life vest £ Welding helmet Earplug/Earmuff £ SCBA/SABA Leather/chemical (rubber) gloves £ Leather / chemical (rubber) Safety boots / shoes
 Others:

IF YOU DON’T MEET THE REQUIREMENTS AS STATED IN THIS PROCEDURE. DO NOT PROCEED WITH PERFORMING THE JOB
JIKA ANDA TIDAK MEMENUHI PERSYARATAN YANG DINYATAKAN DI PROSEDUR INI. JANGAN MELAKUKAN PEKERJAAN

JOB STEP Machine/Equipment/Tool involved in Risk Level before Risk Level after
each step Potential Hazard/Loss/Environmental Impact Mitigate (H,M,L)* Control Statement Mitigate
Langkah Kerja
Mesin/Peralatan/Alat Bantu yang Potensi Bahaya/Kerugian/Dampak Lingkungan Level Risiko Sebelum Tindakan Pengendalian Level Risiko Setelah
Digunakan dalam setiap langkah Kerja Mitigasi (H,M,L)* Mitigasi (H,M,L)

Ket:
H : High = Tinggi
M : Medium = Medium/Menengah
L : Low = Rendah
F.020.QH.002, Rev.0