HEALTH 

SAFETY ENVIRONMENT QUALITY MANAGEMENT SYSTEM 

FORM 

JOB SAFETY & ENVIRONMENT ANALYSIS (JSEA) 

Scope of Work : JSEA Category New Revision

Topographic Survey
JSEA Number :
Location of Work : Work Supervisor :
Work Estimation : Date : until Duration : Hours Name / Position : Jefry Dwi / Surveyor

Step of Work Hazard Hazard Control

1. Trip from Mess to Site
2. Preparing survey equipment
3. Carry survey equipment to survey area (near
shore)
1. Traffic accident 1. Carry out regular inspection before using the car
2. Wearing seat belt during trip
3. Driver only the one who has driving licence (SIM)
1. Hit/struck down by equipment 1. Wearing personal protective equipment as required
(Safety Shoes, Safety Glases, Safety Helmet, Hand
Gloves)
1. Trip/Slip 1. Walk carefully, always pay attention to the surrounding
2. Heavy weight equipment area, do not walk in a hurry/joke.
3. Equipment fall into the sea 2. Coordinating with others to carry heavy weight
4. Worker fall into the sea equipment
3. Ensure that there are no scattered materials in the work
area
4. Avoid slippery surface
5. Put survey equipment on a safe place
6. Wearing personal protective equipment as required
(Safety Shoes, Wearpack, life jacket, Safety Glases,
Safety Helmet, Hand Gloves)

          FRM.ASM‐HSE.001.04 
 HEALTH SAFETY ENVIRONMENT QUALITY MANAGEMENT SYSTEM 

FORM 

JOB SAFETY & ENVIRONMENT ANALYSIS (JSEA) 

Scope of Work : JSEA Category New Revision

Topographic Survey
JSEA Number :
Location of Work : Work Supervisor :
Work Estimation : Date : until Duration : Hours Name / Position : Jefry Dwi / Surveyor

Step of Work Hazard Hazard Control

4. Set up the equipment on top of BM
5. Survey data acquisition
1. Condition of boat does not meet the
specification and safety standard
1. Worker falls into the sea
2. Equipment falls into the sea
3. Trip/Slip
4. Bad weather (heavy rain, strong wind,
high wave)
5. Miss communication
1. Walk carefully, always pay attention to the surrounding
area, do not walk in a hurry/joke
2. Put equipments on a safe place
3. Wearing personal protective equipment as required
(Safety Shoes, Wearpack, life jacket, Safety Glases,
Safety Helmet, Hand Gloves)
4. Have a good coordination with diver to show which area
to be surveyed
1. Wearing personal protective equipment as required
(Safety Shoes, Wearpack, life jacket, Safety Glases,
Safety Helmet, Hand Gloves)
2. Walk carefully, always pay attention to the surrounding
area, do not walk in a hurry/joke
3. Put equipments on a safe place
4. Analyze weather forecast before start the work
5. Have a good coordination and communication with
teams
6. Put a sign / ring buoy and dangerous sign on near shore
area

          FRM.ASM‐HSE.001.04 
 HEALTH SAFETY ENVIRONMENT QUALITY MANAGEMENT SYSTEM 

FORM 

JOB SAFETY & ENVIRONMENT ANALYSIS (JSEA) 

Scope of Work : JSEA Category New Revision

Topographic Survey
JSEA Number :
Location of Work : Work Supervisor :
Work Estimation : Date : until Duration : Hours Name / Position : Jefry Dwi / Surveyor

Step of Work Hazard Hazard Control

Alat Pelindung Diri / Personal Protective Equipment :
Helmet Welding Suit Clear Face Shield Earplug atau Earmuff
Mask Apron Full Face Shield Safety Shoes
Safety Glass Full Safety Body Harness Life Jacket Hand Gloves
Wearpack With Reflector ..................................................... ..................................................... .....................................................

Prepared by : Evaluated by : Socialized by :

Jefry Dwi 02/11/2022 Lugas Yan Prastowo 03/11/2022

          FRM.ASM‐HSE.001.04