JOB SAFETY ANALYSIS (JSA)

Project Name: CIVIL WORK Company:

Nama Project: Perusahaan: PT. DAEAH E&C

Work Activity: P-FRM-JSA-DEC-

Pekerjaan: CUTTING PILE JSA No: Rev 01
005

Work Location: Date Developed:

Lokasi Kerja: LOTTE-KINE PROJECT -WP5 Dibuat Tanggal: 25-05-2022

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.

5 =Very Likely Is expected to occur M-5 H -10 VH-15 VH-20 VH-25

LIKELIHOOD

Will probably occur in most

4=Likely
circumstances
M-4 H-8 H-12 VH-16 VH-20

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

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 JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences Impact of hazard [L x C=R]
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps) (Dampak bahaya)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 The work is not in  criminal punishment

accordance with the work (Hukuman Pidana)  Work does not match
Preparation (permit Pekerjaan tidak  work can't be done the work permit
Making JSA and Work Permit sesuai dengan ijin kerja) (pekerjaan tidak dapat (Lakukan penilaian
2 2 4 Supervisor
(Persiapan  The risk cannot be identified dilaksanakan) resiko terlebih dahulu
Pembuatan JSA dan Ijin Kerja) (Resiko tidak bisa di terhadap suatu
identifikasi) pekerjaan)

 Workers who involve the  wrong standard  Supervisors are

work, do not understand procedure and endanger required to explain
the work plan and its yourself (Menyalahi work steps and
hazards every step of work Prosedur dan preventive measures
Toolbox meeting (Pekerja yang melibatkan membahayakan diri) for a job 2 2 4 Supervisor
pekerjaan, tidak memahami (Supervisor diharuskan
rencana kerja dan menjelasakan langkah-
bahayanya setiap langkah langkah kerja serta
kerja) langkah pencegahan
suatu pekerjaan)
Preparation Tools & Equipment  Damaged working 3 1 3 Electrical Storing
(Persiapan Alat & Peralatan) equipment condition  Work and Progress  Ensure and Inspect dan ware House
(Kondisi Alat kerja Rusak) Stalled (Pekerjaan dan Tool Fit Before Use
Progres Terhambat) (Pastikan dan Inspeksi
Kelayakan Alat
sebelum Digunakan)

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 JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences Impact of hazard [L x C=R]
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps) (Dampak bahaya)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Work and Progress  Make sure the

 Heavy Equipment Stalled (Pekerjaan dan administration of the
Administration Unexplained Progres Terhambat) equipment is
3 1 3
(Administrasi Alat berat completed first
belum Terpenuhi) (Pastikan Administrasi
kelengkapan Alat di
lengkapi terlebih
dahulu)
 Do the Job with the
right SOP (Lakukan
2 3 6 SPV & Safety
Pekerjaan dengan SOP
 Serious Injury yang tepat)
Stake Cutting Using a Cutting Machine  Cut Round Cutting Knife
(Luka Serius)  Use PPE according to
(Pemotongan Pancang Menggunakan (Tersayat Putaran Pisau
Mesin Cutiing) Cutting) the type of job hazard
(Gunakan APD sesuai
dengan janis bahaya
pekerjaan)

 Use a Protective Mask

 Respiratory disorders
 Exposure and sparks and Face Shield
(Gangguan Pernafasan) 3 2 6
(Paparan dan percikan api) (Gunakan Masker
Pelindung dan Face
Shield)

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 JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences Impact of hazard [L x C=R]
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps) (Dampak bahaya)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Disorders of muscles and  Sure the use of cutting

 Work Ergonomics joint
(Ergonomi Pekerjaan) (Gangguan pada otot
dan persendian)
 Noise from the engine
(Bising dari mesin)
 Hearling disorders
(Ganguan Pendengaran)
tools is done
alternately
 (Pastikan penggunaan
3 3 9
alat potong pancang
dilakukan bergantian)
 Use Ear Plug
(Gunakan Ear Plug)

 Make sure no people

pass in the lifting area
(Pastikan tidak ada
orang yang melintas di
Lifting/Removing Remaining Slices
 Materials Overrides area pengangkatan)
Using crane
Workers  Make sure the Operator,Rigger,
(Penganggkatan/Pelepasan sisa 2 4 8
(Materials menimpa  Serious injury even remaining stake dan Safety
potongan pancang menggunakan pekerja) permanent disability
crane) material is tied
(Luka serius bahkan
properly and correctly
cacat permanen)
(Patikan material sisa
pancang diikat baik
dan benar)

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 JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences Impact of hazard [L x C=R]
Activity
(What can go wrong) Control Measures/ Tindakan Persons Responsible
(Basic job steps) (Dampak bahaya)
Potensi bahaya/ konsekwensi (Apa yang bisa perbaikan Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Install Hard Barricade

and flagman available
(Pasang Hard
Barricade dan flagman
tersedia)

 Respiratory disorders  Use a Protective Mask

 Dust Exposure
(Gangguan Pernafasan) (Gunakan Masker
(Papaaran Debu)
Pelindung)

House keeping 3 2 6

 Hit by blunt and sharp  Minor injury (Cedera  Use Full PPE safety
objects (Terbentur Benda Ringan) shoes and gloves
tumpul dan Tajam) (Gunakan APD
Lengkap, Sepatu Safety
dan Sarung Tangan)

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 JOB SAFETY ANALYSIS (JSA)

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

Prepared by : Acknowledge by: Cheked by: Approved by:

Name : HILMI Name : NAM UN DONG Name : MEI TOTOK Name : Name :

Position : HSE MANAGER Position : SITE MANAGER Position : ENGINEER Position : Position :

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