Doc.

No SHE-SIS-JSA-001
TERMINAL BULKING LAND II PROJECT
Rev : A Date: 01-11-2013

JOB SAFETY & ENVIRONMENTAL ANALYSIS

(JSEA) Page 1
PT. SINAR INTIBERKAH SEJAHTERA

ATTACHMENT - A JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

TERMINAL BULKING LAND II PROJECT – PT. ISAB & PT. LDC INDONESIA LAMPUNG
CONSTRUCTION OF TANK CAP 6500, 5100, 4000 MT & FACILITIES
JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET
TASK: CONFINED SPACES DATE : 01-11-2013 JSEA No : RW – 022 – Rev. A
JSEA TEAM : FABRICATION DEPT Elwin Salamuddin Indra M.Dian Abadi
Putra Ilham Faisil Bambang
Type of Work Related: (please indicate by ticking yes / no box)
YES NO YES NO YES NO YES NO YES NO
General Work  Electrical Isolation √ Scaffolding  Gas Test Required  Solid/Liquid Waste √

Hot Work  Excavation  Radiation  Explosives  Transporting √

Isolation  Personnel Cage  Confined Space  Air/Water Emissions 

PPE Requirements: (please indicate by ticking yes / no box) Other Requirements :
YES NO YES NO YES NO YES NO YES NO
Mono goggles √ Dust Masks √ Barricading/Signs √ Height Safety  Emergency √
Response
Face shield √ Safety Harness  Fire Blankets/ Spark  Electrical Safety √ Plant & Equipment 
Containment Condition
Respirator √ Leather Gloves √ Extinguishers  Material Safety Data  Specific Training 
Sheets Induction
Details of Extra PPE Requirements:
Environmental Requirements: (is there a possibility of the following - indicate by ticking yes / no box)
YES NO YES NO YE NO YE NO
S S
Air Pollution (dust, √ Noise Pollution √ Spills to Storm water  Damage to Flora 
fumes) or Fauna
Soil Pollution  Storm water  Hazardous Materials (oils, 
Pollution chemicals)

Water Pollution  Spills to Ground  Soil Erosion 

Note: Issue copy to CONTRACTOR Safety Representative for information
Supervisor: Elwin SHES: Saban Saputra
Reviewed by Site Manager: M. Krisna DATE: 01-11-2013 To be completed for review 24 h previously to task
NOTE: 1) This checklist is a guide only and does not seek to identify all potential hazards.
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TERMINAL BULKING LAND II PROJECT
Rev : A Date: 01-11-2013

JOB SAFETY & ENVIRONMENTAL ANALYSIS

(JSEA) Page 2
PT. SINAR INTIBERKAH SEJAHTERA

JOB STEP RESPONSIBILITY

JOB STEP HAZARD JOB STEP CONTROL
STEP List the steps required to perform the Nominate the person who will be
Against each step list the potential hazards that could For each hazard identified list the control measures required
NO. task in the sequence they are carried required to action the control
cause injury/damage when the task is performed. to eliminate or minimise the risk of injury.
out. measures.

1. Tool box meeting 1. Personnel unfamiliar with the 1. All personnel shall attend company - Supervisor
working environment – new induction prior to working on site - Foreman
employee 1a. New employees shall be closed
2. Lack of competency and monitoring and supervised
experience personnel 2. Fitter and cutter shall be properly
3. Miss understanding and miss trained (Confined Space Training) and
communication lead by superior
3. Working instruction shall be clear and
understandable by all personnel
3a. Maintain a proper communication is
in place to avoid miss
communication
2 Preparation of works 1. Employee may not be suitable 1. Supervision will select experienced - Supervisor
physically or psychologically for competent person, health checks, test - Foreman
task. May not be able to turn to confirm ability to turn around in - Team
around inside pipe to make a safe pipe will be conducted.
exit 2. Supervision to inform HSE Dept prior
2. Team may not be aware of task or to commence the work in confined
prepared to address a worst case space
rescue scenario. 3. Supervision with employee to review
3. Suitability of each item required all equipment.
 Doc. No SHE-SIS-JSA-001
TERMINAL BULKING LAND II PROJECT
Rev : A Date: 01-11-2013

JOB SAFETY & ENVIRONMENTAL ANALYSIS

(JSEA) Page 3
PT. SINAR INTIBERKAH SEJAHTERA

for task or rescue may not be 4. Lighting and torch to be checked.

adequate and condition 5. Supervision to ensure ventilation
unsatisfactory. (Blower fan), gas testing before entry
4. Set up of equipment may not be and during entry.
satisfactory, lighting inadequate. 6. Supervision to ensure no other tasks is
5. Atmosphere may not be conducted on line during entry.
satisfactory 6a. Supervision to check harness &
6. Other activities may commence ensure effective communications &
on the line during employees to stop immediately as required by
entry endangering his safety. employee.
6b. Watchman to be vigilant.
3. Entry in to confined spaces 1. Lost of communication – worker 1. Communications will be ongoing as - Supervisor
may work alone employee work in confined spaces - Foreman
2. Access may be blocked or 2. Keep the access clear from any - Fitter
obstructed by loose material obstruction - Cutter
3. Employee may slip into hole. 3. Maintain the good house keeping
4. Employee may not be able to turn
4. Watchman will be continuously
around to exit.
monitoring situation.

4. Cutting, bevelling and pre- 1. Flash fire might occur due to 1. Fire extinguisher shall be standby - Supervisor
heating in confined spaces leakage on hoses or connection 1a. Only spark lighters shall be used to - Foreman
during process ignite torches, no matches or - Fitter
2. Hot sparks might expose to cigarette lighters shall be utilized. - Cutter

PT. SINAR INTIBERKAH SEJAHTERA
5. Welding and Gouging in
TERMINAL BULKING LAND II PROJECT
JOB SAFETY & ENVIRONMENTAL ANALYSIS
flammable (Paint, thinner) &
combustible material (Paper,
plastic, wood) workers, visitors
and pedestrian
3. Pinched in between material and
machine or object
4. Fumes might be effect and
dangerous health during process
5. Hot metal might burn skin by un-
intentional contact
6. Fire due to hot welding and
Doc. No SHE-SIS-JSA-001
Rev : A Date: 01-11-2013
(JSEA) Page 4
1b. Worker shall be mandatory to wear
complete PPE as process required
such as Long leather glove, long
sleeve, goggle, fume mask and etc
2. Barricade the area and install signage
as appropriate to aware people at
vicinity
2a. Keep away the hot work from
flammable and combustible material
for at least 7 M away and consider
wind direction.
2b. Applied fire blanket as barrier cover
3. Keep away from line of fire of
potential pinched point
3a. Seek an assistance to lift the material
if needed
4. Ensure fumes respirator is worn
during the process of work
5. Maintain proper communication
between group of workers and posted
HOT SURFACE warning sign to
aware worker at surrounding
1. Welder to assess the exposure of - Supervisor

TERMINAL BULKING LAND II PROJECT
JOB SAFETY & ENVIRONMENTAL ANALYSIS
PT. SINAR INTIBERKAH SEJAHTERA
confined space gouging sparks exposed to
flammable / combustible material.
7. Hot sparks might expose to skin
8. Pinched in between material and
machine or object
9. Fumes might be effected and
dangerous to health during
process welding and gouging
10. Noise risk during gouging process
11. Electrical shock from poor
electrical insulation on wire /
electrical cable which damaged or
leakage
Doc. No SHE-SIS-JSA-001
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(JSEA) Page 5
welding sparks away from flammable - Foreman
and combustible material. - Welder
1a. Material shall be covered with fire - Gouger
retardant as appropriate such as fire
blanket
1b. Fire Extinguisher shall be in closure
position where welding takes place
2. Proper PPE shall be worn
3. Keep away from line of fire of
potential pinched point
3a. Seek an assistance to lift the
material if needed
4. Ensure Fumes respirator is worn
during the process of work
5. Particular PPE shall be worn prior to
commence welding / gouging work –
ear plug
6. All electrical connection shall be
checked to detect the poor condition
of insulation of cable electrical
connection
6a.. Electrical works (Repair,
modification of electrical system)
 Doc. No SHE-SIS-JSA-001
TERMINAL BULKING LAND II PROJECT
Rev : A Date: 01-11-2013

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(JSEA) Page 6
PT. SINAR INTIBERKAH SEJAHTERA

shall only be performed by

6. Housekeeping work place 1. Slipped, tripped, pinched and
once the shift finished caught in between during re-
storage of equipments
2. Back pain due to incorrect manual
handling – manual lifting
competent persons (Electricians)
7. PPE shall be mandatory to wear due
to as last control measure
1. Ensure the workplace is clean, clear - Supervisor
from unused materials, tools and - Team
equipment, tidy – good housekeeping.
1a. Keep away from line of fire of
potential pinched point
2. Ergonomic way shall be applied prior
to performing manual lifting handling.