OHS Risk Assessment

T: Total Score Low [1 - 3] Medium [4 - 6] High [8 - 12] Extreme [15 - 25] RA Date: RA Ver. No.:
Evaluation Criteria: 1: Condition Assessed : 2: Control / Influence Status 3: Legal Status
[ LP: Likelihood - Probability / SV: Severity ] [ PC: Past Condition / NR: Normal / AB: Abnormal / EM: Emergency / NP: New Planned Activity ] [C/I] [ N: No; Y: Regulated ]

Inherent Risk [Before Control] Current Controls and/or Current Risk [After Control] Additional Controls and/or
No Activity Hazards Risk 1 2 4 Applicable Regulation
LP SV T Recommended Practice LP SV T Recommended Practice

1.0 Aktifitas Utama

1 Jaw Crusher Kebisingan yang Gangguan Pendengaran 3 3 9 Menggunakan Ear Plug 2 2 4 Y
dihasilkan oleh mesin
Tangan Terjepit Cacat pada tangan 2 4 8 Tidak Kontak Langsung Dengan 1 2 2
Material

Tertimpa Material Luka Berat Hingga fatality 1 5 5 Menjaga Jarak Dengan Tumpukan 1 2 2
Material
2 Blasting Kebisingan yang Gangguan Pendengaran 3 3 9 Menggunakan Ear Plug 2 2 4
ditimbulkan oleh mesin

Debu proses blasting Gangguan Saluran 3 3 9 Sosialisasi pentingnya penggunaan 2 2 4

terpapar ke pekerja Pernafasan, sesak nafas, respirator
iritasi mata
Panas yang dihasilkan Pekerja mengalami dehidrasi 3 3 9 Penyediaan Minuman dan 2 2 4
oleh mesin hingga Heat Stress Pengaturan jam kerja sesuai NAB

3 Land Opening bulldozer terguling operator luka ringan hingga 3 4 12 Operator memiliki SIO dan 3 3 9
fatality memastikan mesin yang akan
digunakan dalam kondisi baik

Debu proses pembukaan Gangguan Saluran 3 3 9 Sosialisasi pentingnya penggunaan 2 2 4

lahan terpapar ke pekerja Pernafasan, sesak nafas, respirator
iritasi mata

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Issue Date 01/11/16
OHS Risk Assessment
T: Total Score Low [1 - 3] Medium [4 - 6] High [8 - 12] Extreme [15 - 25] RA Date: RA Ver. No.:
Evaluation Criteria: 1: Condition Assessed : 2: Control / Influence Status 3: Legal Status
[ LP: Likelihood - Probability / SV: Severity ] [ PC: Past Condition / NR: Normal / AB: Abnormal / EM: Emergency / NP: New Planned Activity ] [C/I] [ N: No; Y: Regulated ]

Inherent Risk [Before Control] Current Controls and/or Current Risk [After Control] Additional Controls and/or
No Activity Hazards Risk 1 2 4 Applicable Regulation
LP SV T Recommended Practice LP SV T Recommended Practice

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Rev. 0 Page 2 of 2
Issue Date 01/11/16