Doc No : GTP-SHE-F-03

SHE DEPARTMENT Page : Page 1 of 3

Version : 0.0
Approval Date :
ANALISIS KESELAMATAN PEKERJAAN (AKP) Author : Mgr. SHE
JOB SAFETY ANALYSIS (JSA)

Nama Pekerjaan Disusun oleh /Developed. by AKP No.

WORKING AT HEIGHT HSE Department JSA/GTP/29/JUN/2018/BL
/Task Title /JSA No.
Departemen/Seksi Persetujuan Dibuat Tanggal
HSE MULYADI June 29th, 2018
/Dept/Section /Approval /Issued on
Divisi /Unit Usaha Persetujuan PT. LOUIS DREYFUS Revisi Tanggal
SAFETY
/Division/BU /Approval COMPANY - INDONESIA /Revision date
Perusahaan PT. GARUDA TEKNIK No AKP Terkait
/Company PERSADA /Relevant JSA No..
Alat Pelindung Diri (APD) yang harus Dipakai /Required Personal Protective Equipment (PPE)

Safety helmet, safety shoes, fullbody harness double hook, lifeline, tali caramantel, fall arester, scafolding

URUTAN PEKERJAAN BAHAYA YANG BISA TIMBUL TINDAKAN PENCEGAHAN ATAU PROSEDUR YANG DIREKOMENDASIKAN
SEQUENCE OF TASK POTENTIAL HAZARDS RECCOMMENDED PREVENTION ACTION OR PROCEDURE

1. Pengecekan manpower, permit, Alat Pelindung
Diri & Perlengkapan Bekerja di Ketinggian
Checking manpower, permit, Personal Protective
Equipment, & Working at Height Equipment
Tergelincir, jatuh, tersangkut,
terbentur.
Slip, fall, stuck, knocked
a. Pastikan pekerja menggunakan alat pelindung diri seperti helm, full body harness double hook,
sepatu keselamatan, sarung tangan & pastikan dalam keadaan baik ( bebas keretakan & friksi).
Make sure the workers use the personal protective equipment such as helmets, full body harness
double hook, safety shoes, hand glove & make sure in good condition (free from crack & friction).
b. Pastikan pekerja telah terbiasa dan paham akan penggunaan fullbody harnes dan tehnik pengaitan
hook (pekerja ketinggian).
Make sure the workers are used and understood to use the full body harness and hook hooking
techniques (altitude worker).
c. Pastikan permit bekerja di ketinggian telah di submit sebelum pekerjaan dimulai.
Make sure the working at height permit has been submitted before the work begins.
d. Pastikan ada akses permanen dan platform untuk mencapai area kerja.
Make sure there is permanent access and platform to reach the work area.
e. Jika pekerjaan menggantung / vertical, pastikan tali sesuai dan bebas friksi serta gunakan fall
arester / belayer.
If the job is hanging / vertical, make sure the strap is fit and free from friction and use the fall
arrester / belayer.

f. Pastikan ada lifeline & safety net ( jika perlu).

Make sure there is lifelines & safety net (if necessary).
 Doc No : GTP-SHE-F-03
SHE DEPARTMENT Page : Page 2 of 3
Version : 0.0
Approval Date :
ANALISIS KESELAMATAN PEKERJAAN (AKP) Author : Mgr. SHE
JOB SAFETY ANALYSIS (JSA)

URUTAN PEKERJAAN BAHAYA YANG BISA TIMBUL TINDAKAN PENCEGAHAN ATAU PROSEDUR YANG DIREKOMENDASIKAN
SEQUENCE OF TASK POTENTIAL HAZARDS RECCOMMENDED PREVENTION ACTION OR PROCEDURE

g. Pastikan penerangan mencukupi ( jika gelap).

Make sure lighting is sufficient (if dark).
h. Pastikan ada tali pembantu & katrol untuk pengangkatan alat kerja dan material (jika perlu)
Make sure there is a rope helper and pulley for erection of tools work and materials (if necessary).
i. Pastikan ada pengawasan petugas keselamatan.
Make sure there is supervision of safety officer / safety man.

2. Pengecekan area & cuaca Tergelincir, jatuh, tersangkut, a. Perhatikan kondisi cuaca ( hindari cuaca hujan / angin / kabut / petir).
terbentur.
Checking the area and weather Make sure the weather conditions (avoid rainy weather / wind / fog / lightning).
Slip, fall, stuck, knocked
b. Pastikan area kerja bebas dari paparan oli / batuan kecil ( aman & bersih).
Make sure the work site free from spill oil / small rocks (safe & clean).
c. Pastikan ada barikade / safety line / sign di bawah area kerja ketinggian.
Make sure there is barricade / safety line / sign below the working at height area.
d. Pastikan penyangga / anchor lifeline dan perancah kuat & aman ( standar dua titik).
Make sure the support / anchor lifeline and scaffolding strong and secure (two point standard).

3. Penyelesaian pekerjaan Tergelincir, jatuh, tersangkut, a. Hati-hati saat mengembalikan semua peralatan yang dipakai, kembalikan dalam keadaan bersih dan
terbentur. disusun rapi.
Finishing Work
Slip, fall, stuck, knocked Be careful when restoring all used equipment, return it in a clean and neatly arranged.
b. Segera bersihkan segala macam sisa material dan sampah yang ditimbulkan oleh pekerjaan tersebut.
Immediately clean up all sorts of waste materials and waste generated by the work.

Petunjuk Umum /General Guidelines:

1. Sebutkan secara berurutan hanya langkah-langkah pokok tugas yang harus dikerjakan. Gunakan kalimat aktif secara jelas dan singkat /Describe in sequence only the main steps of the task to be performed. Use
active sentences.

2. Gunakan frasa singkat untuk mendeskripsikan Bahaya-bahaya Potensial, seperti: Terjepit di antara daun pintu dan kerangka mesin, dll. / Use simple phrases to describe identified
potential hazards, such as: Pinched between the door and the machine, etc.
 Doc No : GTP-SHE-F-03
SHE DEPARTMENT Page : Page 3 of 3
Version : 0.0
Approval Date :
ANALISIS KESELAMATAN PEKERJAAN (AKP) Author : Mgr. SHE
JOB SAFETY ANALYSIS (JSA)

1. Terpukul oleh ... / Struck by ... 6. Terperangkap dalam … / Caught in … 11. Terpapar oleh … / Exposure to …
2. Membentur ... / Struct against ... 7. Terjepit di antara … / Caught between  Menghirup … / Inhaling …
3. Terkena oleh ... / Contacted by ... 8. Terpeleset … / Slip …  Kulit tubuh terkena … /Absorbing
4. Kontak dengan ... (listrik, kimia) ... / 9. Jatuh … / Fall …  Menelan … / Swallowing …
Contact with ... (Electrical, chemical) 10. Terlalu memforsir tenaga / Overexertion
5. Terkait pada … / Caught on …
2. Sebutkan Tindakan atau Prosedur yang Direkomendasikan secara jelas dan singkat, dengan menggunakan kalimat aktif /Describe the recommended action or procedure in brief, using active sentence