Professional Documents
Culture Documents
2. Persiapan personil 2.1. Personil dalam keadaan tidak fit 2.1.1. Pastikan personil dalam keadaan fit untuk bekerja di
ketinggian
3. Persiapan alat / matrial 3.1. Lowback pain 3.1.1. Pekerja sudah terlatih manual handling
( Kunci pas dan matrial scaffolding ) 3.2. Alat / matrial jatuh 3.2.1. Ikat kunci dengan tali / lanyard
3.2.2. Jika diperlukan, gunakan alat bantu pully dan ikat dengan
benar
Is there any LIFEsaver or SIF precursor involved? ( ) No (Tier 1 - Move to step 8) ( )
( ) Barge/Ship Operation
( ) Equipment Failure
( ) Machine/Conveyor Guarding
( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Mining Operation
Motor Vehicle Working at Lockout Tagout Mobile Ralicar Safety Electrical Work Hazardous Bulk Material Confined Excavation and Hot Work Lifting and ( ) Animal/Biological
Traffic Safety Height Equipment Materiais Handling/ Space Entry Trench Work Rigging
Storage ( ) Other
Is a PtW (Permit to Work) needed or any other additional check list? ( ) Yes ( ) No
If Yes, what are they?
Step 4: Define task specifics STOP criteria Step 5: What is the worst case scenario and its Step 6: Emergency preparedness Step 7: Quality Review
consequences?
1. Hujan/petir 1.1. Tersambar petir 1.1.1. Stop pekerjaan, evakuasi korban ketempat
aman, berikan perawatan oleh tim paramedic
dan larikan kerumah sakit / klinik terdekat
jika diperlukan
1.2. Terpeleset, tergores 1.2.1. Siapkan P3K, lakukan pertolongan pertama
Cargill Representative Quality Review
2. Dipasang oleh orang tidak kompetent 2.1. Terjatuh saat install scaffolding 2.1.1. Evakuasi korban, lakukan perawatan oleh tim (Print Name)
paramedic
3. APD tidak standart 3.1. Terjepit, tergores, terbentur 3.1.1. Siapkan P3K, lakukan pertolangan pertama
4. Perancah tidak standart 4.1. Scaffolding roboh 4.1.1. Lakukan evakuasi, dan berikan perawatan
oleh tim paramedic
Employees working in the area have
5. Tangga akses tidak standart 5.1 Tertimpa tangga 5.1.1. Siapkan P3K, lakukan pertolangan pertama been notified of this work?
Yes No
( ) ( )
Step 8: Workers accepting PJHA, and will work according the identified herein:
Task Leader: Name: Name:
Teams quickly debrief the task they planned and consider anything that they missed, would change, or even assumed correctly after the task is complete:
( ) Yes ( ) No
( ) 2nd shift Revalidation ( ) 3rd shift Revalidation ( ) 4th shift Revalidation ( ) 5th shift Revalidation
Have tools and equipment used during the
__/__/____ __/__/____ __/__/____ __/__/____
task been removed and accounted for as well
as the area being cleaned and debris Starts at: Starts at: Starts at: Starts at:
removed upon completion? Finishes at: Finishes at: Finishes at: Finishes at:
( ) Yes ( ) No Cargill Rep.: Cargill Rep.: Cargill Rep.: Cargill Rep.:
Task Team Lead: Task Team Lead: Task Team Lead: Task Team Lead:
If additional steps. Hazards and controls are needed for the task, use the area below labeled Annex
Step 1: Describe the job steps Step 2: Identify the Hazards of the Job Step in the field Step 3: Control Measures
1. Memindahkan matrial dengan manual handling 1.1. Cidera otot 1.1.1. Gunakan alat bantu pully jika diperlukan
1.1.2. Gunakan sarung tangan
1.1.3. Dilakukan oleh kompetent persons
1.1.4. Komunikasi yang baik antar pekerja
2. Install / dismentle scaffollding 2.1. Alat / matrial jatuh dari atas 2.1.1. Ikat kunci dengan tali / lanyard
2.1.2. Pastikan asiba terikat
2.2. Terjatuh dari ketinggian 2.2.1. Posisi pekerja saat memasang harus berada didalam
handrail / lifeline
2.2.2. Gunakan FBH, kaitkan 100% keachor point
2.2.3. Pastikan FBH dicek terlebih dahulu sebelum digunakan
2.4. Pekerjaan bersinggungan dengan kontraktor lain 2.4.1. Lakukan koordinasi dengan kontraktor lain
2.4.2. Baricade area kerja dan diberi sign
2.5. Perbedaan level 2.5.1. Pastikan dilakukan oleh kompetent persons dan ditandai
dengan arm band
3. Housekeeping 3.1. Tersandung matrial scaffolding 3.1.1. Rapihkan matrial scaffolding yang belum digunakan
dan diberi baricade
Teams quickly debrief the task they planned and consider anything that they missed, would change, or even assumed correctly after the task is complete:
( ) Yes ( ) No
Have tools and equipment used during the ( ) 2nd shift Revalidation ( ) 3rd shift Revalidation ( ) 4th shift Revalidation ( ) 5th shift Revalidation
task been removed and accounted for as well __/__/____ __/__/____ __/__/____ __/__/____
as the area being cleaned and debris Starts at: Starts at: Starts at: Starts at:
removed upon completion? Finishes at: Finishes at: Finishes at: Finishes at:
( ) Yes ( ) No Cargill Rep.: Cargill Rep.: Cargill Rep.: Cargill Rep.: