Professional Documents
Culture Documents
Risk Matrix:
CONSEQUENCE
Disciplines will review likelihood and consequences in 1 = Negligible 2 = Slight 3 = Moderate 4 = High 5 = Very High
line with their specific parameters as noted
No injuries requiring any First aid treatment. Medical treatment required, Injuries resulting in; lost time, Single or multiple fatalities.
treatment. Restricted Work Case. permanent disability,
amputation, or surgery.
3=Possible Should occur at some time L-3 M-6 H-9 H-12 VH-15
2=Unlikely Could occur at some time L-2 M-4 M-6 H-8 H-10
1=Very Unlikely May occur only in exceptional L-1 L-2 L-3 M-4 M-5
circumstances
Likelihood (L) 1 = Very Unlikely, 2 = Unlikely, 3 = Possible, 4 = Likely, 5 =Very Likely Consequence (C) 1 = Negligible, 2 = Slight, 3 = Moderate, 4 = High, 5 = Very High
Risk Rating (R) LOW [ 1-3 ] Broadly acceptable - MODERATE [ 4-6 ] Tolerable – With identified HIGH [ 8-12 ] Undesirable - Additional VERY HIGH [ 15- 25 ] Intolerable -
Manage by routine procedures controls fully implemented controls required to reduce risk Do not start activity
Page 1 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Supervisors are
Involving workers Violating Procedures and required to explain work
(Pekerja yang melibatka)
endangering oneself steps and preventive
work, not understanding the
(Menyalahi Prosedur measures for a job
work plan and the dangers
dan membahayakan diri) (Supervisor
Toolbox meeting of each step of work 2 2 4 Supervisor
diharuskan
( pekerjaan, tidak
menjelasakan langkah-
memahami rencana kerja
langkah kerja serta
dan bahayanya setiap
langkah pencegahan
langkah kerja)
suatu pekerjaan)
Page 2 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 3 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Manage traffic
3 2 6
(Atur Lalu Lintas)
Page 4 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Ensure excavator
movement guidance by
flagman
(Pastikan panduan
pergerakan excavatot
oleh flagman
Page 5 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Only personnel
involved in excavation
work can tribal the
excavation area
(Hanya personelyang
terlibat dalam
pekerjaan penggalian
yang bisa memasuku
area excavation)
Only licensed operators
are boleg operating the
appliance
(Hanya operator yang
Excavation Proses Hit by an excavator Seriously injured and
even died berlisensi yang boleg 2 3 6 SPV & Safety
( Proses Penggalian) Tertabrak excavator
(Luka berat bahkan mengoperasikan alat)
meninggal) Use full PPE
(Gunakan APD
lengkap)
Install Barricade
(Pasang Barricade)
Page 6 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 7 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Ensure a working
position
(Pastikan posisi kerja)
Use proper work tools
(Gunakan alat kerja
Install / disassemble the formwork Injured Limbs (Minor
yang proper)
(Pasang / bongkar begisting) Hit Body Part (Hand) Injuries )
Communication when
(Bagian Tubuh (Anggota Tubuh Terluka 3 3 9
performing work
Terpukul (Tangan) (Luka ringan )
(Komunikasi saat
melakukan pekerjaan)
Use appropriate PPE
(Gunakan APD yang
sesuai)
Page 8 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Communication with
workers
(Komunikasi dengan
pekerja)
Injured Hands and Feet Identification of the
Pinched In The Hands and ( Minor Injuries )Tangan clamp points
Feet dan Kaki Terluka ( Luka (Identifikasi titik jepit) 3 3 9
(Terjepit Dibagian Tangan ringan / Minor ) Use PPE according to
Dan Kaki)
your job (Gloves)
(Gunakan APD sesuai
pekerjaanya(Sarung
Tangan)
Page 9 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 10 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 11 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Use good
communication when
( Gunakan komunikasi
yang baik saat )
Provide clean water to
Eye and Skin Irritation, wash limbs
Got Splashed By Concrete
Minor Injuries (Sediakan air bersih
(Terkena Cipratan 3 1 3
(Iritasi mata dan untuk membasuh
Concrete) kulit,Luka ringan) anggota tubuh)
Use Mandatory PPE &
Gloves
(Gunakan APD
Mandatory & Sarung
Tangan)
Page 12 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Wear a Faceshield
(Gunakan Pelindung
Wajah)
Avoid slippery areas
(Hindari area licin)
Ensure access is not
matrial obstructed
(Pastikan akses tidak
Stumbling ,Missed Injured Body Part terhalang matrial) 3 1 3
(Tersandung ,Terpleset) (Bagian Tubuh Terluka) Matrial placement is not
cluttered
(Penempatan matrial
tidak berantakan )
Use appropriate PPE
(Safety Shoes)
(Gunakan APD yang
sesuai(Sepatu Safety)
Page 13 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 14 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Pay Attention to
Footsteps
(Perhatikan Langkah
kaki)
Ensure unobstructed
access
Injured Leg, Muscle injury (Pastikan akses tidak
/ Minor injury terhalang)
Stumble (Kaki Terluka, Cedera Make sure the Matrial is
(Tersandung) otot / Luka ringan ) neatly arranged
(Pastikan Matrial
tersusun rapih)
House Keeping Work
Area
(House Keeping Area
Bekerja)
Page 15 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Page 16 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Monitored by
Holewatcher & using
hole watcher vest
identity
(Termonitor oleh
Holewatcher &
Workers Fainting, Gas menggunakan identitas
Poisoning Rompi hole watcher)
(Pekerja Pingsan,
Do a gas test to make
Keracunan Gas)
sure the oxygen
content is at the rank of
19.5 - 23.5%
Exposure to Gas/O2
(Lakukan gas test
Deficiency
pastikan oxygen 2 2 4
(Terpapar Gas/Kekurangan
content di rank 19.5 -
O2)
23.5 %)
Worker monitor boards
available in the
excavation
(Tersedia papan
monitor pekerja di
dalam galian)
Make sure the sign is
installed
(Pastikan sign
terpasang )
Page 18 of 20
JOB SAFETY ANALYSIS (JSA)
Residual
Risk
[L x C=R]
Impact of hazard (Dampak bahaya)
Potential Hazards / Consequences
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R
Respiratory Disorders,
VisionGangguan Use a Mask
Pernafasan, Peglihatan (Gunakan Masker)
Sign On: I confirm that the JSA has been explained and its contents are clearly understood. I clearly understand the controls in this JSA must be
applied; otherwise work is to cease immediately.
Saya mengkonfirmasi bahwa JSA telah dijelaskan dan isinya dipahami dengan jelas. Saya memahami dengan jelas kontrol dalam JSA ini harus diterapkan; jika
tidak, pekerjaan akan segera dihentikan
Name : HILMI Name : NAM UN DONG Name : MEI TOTOK Name : Name :
Position : HSE MANAGER Position : SITE MANAGER Position : ENGINEER Position : Position :
Page 20 of 20