PCJL/BSP/HSE/JSA/07-2019/39 PetroChina International Jabung Ltd. o & SkKMIGAS teommetane Dat 20 JULI 2019 Job Safety Analysis Set JOB: LOADING UNLOADING AND MOBIFIZATION MATERIAL AND EQUPMENT WITH | Title of person “analyzed by TMC / LIGHT VEHICLE AT CPS who does the job: Work Craw Work Crew Leader BONGKAR MUAT DAN MOBILISASI MATERIAL DAN PERALATAN MENGGUNAKAN TMC / KENDERAAN RINGAN DI CPS | { x See Reviewed by Approved br PT. Bina Sarana Putra Work Crew Supy/Delegate: Work Grew supp/Delegate: ‘Area Supy/! 4 $ Ef Personal protective equipment (PPE): Put 1 On PPE required fora saejob, 1 Safety hat / helmet 6. Face shield 11, SCBA 16. Safety shoes / boots | ¥) 2. Safety glasses 7. Far plugs /mufis 12. Gloves ~ Ordinary 3. Goggles ~ ordinary 13, Gloves “Chemicals ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA 4. Goggles = tinted 14. Gloves = The 5. Goggles = Chemicals 15. Rubber gloves Sequence of Basic Job Steps Potential Hazards Protective Equipment | Safe Procedures 7. Team Work & Communication > Miscommunication Pre-job safety meeting, > Misunderstanding Discuss JSA to workers before > Failure job. > Discuss emergency response prepared emergency situa » Good co | __ personnel | > Everyone has permission to | stop the job 1. Kerjasama &komunikasi > Miskomunikasi > Melakukan pembicaraan > Kesalahpahaman keselamatar sebelum bekerja > Terjadt kegagalan | % Membicaraian SA kepada pekerja sebelum bekerja > Membicaralan tanggap darurat ke pokerja jika terjadi_situasi 1darurat.— Komunikasi yang baik antar ersonil Setiap orang mendapatkan hak untuk menghentikan pekerjaan Gika dapat membahayakan pekerja dan plant). 2. Prepare Document, Tools, and Equipment Pinch point ‘Miscommunication inderstanding vvvy| Use hand gloves Be careful when pick up tools. Watch body position, Everyone must pay attention at alltimes. Stay focused, Ensure tools ready to use. Ensure all document already accepted and reviewed. 2 Mempersiapkan dokumen dan alat- alat Terjepit Miskomunikasi Kesalahpahaman Terjadi kegagalan vvvy “Menggunakan sarung tangan Berhatihati peralatan. ‘Memperhatican posisi tubuh. Setiap orang harus ‘memperhatkan pekerjaannya dan lingkungannya setiap waktu. Tetap focus. ‘Memastikan semua peralatan slap untuk éigunakan, ‘Memastikan semua dokumen telah disetujus dan ditinjau kembali. ka mengambil 3. Secure area > Unauthorized personnel > Other activity in the same area Barricade tape / Safety line ‘Warning sign Supervisor must know area for work, To ensure wea safe for work. Barricade area with tag line and give waming sign for ‘unauthorized personnel. 3. Mengamankan area kerja > Personilyang tidak berkepentingan Kegiatan lain di area yang soma v ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA. Garis barikade Tanda bahaya ‘Supervisor harus mengetahui ‘area kerja yang akan dikerjakan.untuk bekera, Barikade area dengan garis barikade don warning sign yang tidak berkepentingan dilarang masuk. “Mobilization and demobilization with TMC / light vehicle to work area Hitby pipe existing / broken bridge Tip / vanish Burn Crush Slipping into trench vvvvy| v| Survey Medical check Warning sign Barricade Spark arrester Gas test Fire Extinghuiser Inspection vyvvy vy v e vy Do a survey of the road that wil be passed Make sure the driver is in goo health Measure the height of pipe rack Checking of the bridge that wi be passed. Coordination with PCL. Make sure the road enough t maneuver the TMC/light vehicle. Given barricade/warning sign 0 dangerous area, Make sure the TMC is equipped spark arrester in plant Perform testing of gas to the road tobe traversed Porvide a fire extinguisher. Adhere to existing signs Make sure there is alway Flagman ata crossroad. Make sure there are escort safetyman, Make sure the speed does not exceed 10 km/h atthe plant. Ensure all vehicle in goo condition and have been inspected property Make sure the trench clos enough sandbags (ifnecessary). Use a plateto cover the trench (i necessary). % Mobilisasi dan demobilisasi ‘menggunakan TMC /kenderaan > Terkena pipa existing /Jembatan rusak > Terguling/Amblas > Survey > Pemeriksaan kesehatan ¥| Takukan sirvey terhadap jalan Se EET enP np rer nrpreneeee nee RERUN ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA‘ringan ke area kerja > Kebakaran > Tanda bahaya > Pastikan sopir dalam keadaan > Tabrakan > Bares sehat > Teryelincr kedolam part > Sparcarester > kur inggidor pine rack > castes > Pengecekan terhadap Jembatad > aan yang akan tat > inspelt > “Koordnas dengan PCL > Pastkan elon culup unt rmanuver TWC/kenderaanringan, > Pasang barketanda bahay pada area yang bahay, > Peston THC diengkop! spar arrester dilam plan > Latukn pengetesan gs terhad Jalan yong eka dau > Sediakan’ elt. pemadam op ringa > Patan! ramberambu yong oda > Pasttan gman sella ada simpang jain > Pastkan eda sofeyman yon mengawel > Pastkan kecepaton tidak melebi 10m/jam i dalem plant > Pastton enue kendaraan dolar} ond bath don layak dgunak serta telah dinspekst > Pastkan hantorg postr cue menutup parit (jika perlu). > Pergunator plat untuk menue parit (jika perlu). 5 Loading unloading materialand > Wand pinched / jared > Tiber Make sure band postion do not equipment with TMC /lightvehicle | > Hitby material and equlpment > Usehand gloves under the material and > Swing TMC hit by pie rack > Tagline equipment > Broken of material and equipment > Waring sign > Usewood t backs. > Tumbled of TMC > arcade > Usehand goves, > Workers dehydration > sw > Usete rope to gude equipment > Stink bett and mater > Water drink > Make sure the condl ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA operator isgood.¥ a e Ensure the operator instructed by rigger have certification Ensure workers position not under the material and equipment. Ensure the workers are in safe warning signif TMC/light ehicle on operation. Workers unauthorized are not wed inthe work area Make sure the slinkbelts. in accordance with SWL and do inspection before use. Make sure the TMC is at a safe distance with the pipe rack. Make sure the material and ‘equipment to ted in correctly. Used the sink belt for tied the material and equipment. Make sure the slink long enough, Ensure the position of TMC is not tlt ané stable, install base plate necessary. ‘Make sure the TMC position on ahard land, Make sure the load is lifted does not exceed the SWL and the radius corresponding to the load chart, Make sure there is enough water in the work area. 5. Memuat dan membongkar peralatan dan material menggunakan TMC / kenderaan ringan. > > Tangan terjepit/terluka Tertimpa/ terbentur peralatan dan material Swing TMC menabrak pipe rack Peralatan dan material jatuh vyvvy Timber Gunakan sarung tangan lipandu Tanda bahaya Bariket ¥ > Pastikan posisitangan tidak di bawah perdatan an material. Gunakan balok kayu sebagal ganjal. Gunakan sarung tangan. ST ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA 5> TMC terbalik > Pekerja dehidrasi > SWE > Stink bele > Airminum + v “Gunakan tal untuk mengarahkan peralatan dan material Pastikan operator dalam keadaan| sehat. Pastikan operator diarahkan oleh rigger yang bersercfikat. Pastikan pekerja tidak berada dibawah peralatan dan material Pekerja berada dalam jarak yang aman, Pasang tanda bahaya bila TMC/ kenderaan ringan sedang beroperasi Pekerja yang tidak berkepentingan tidak diperbolehlan berada di area kerja. Pastikan sing belt sesuat dengan ‘SWLnya dan lakukan inspekst Pastikan TMC di pandu oleh juru ‘kat yang bersertfikat. astikan TMC berada pada jarak ‘aman dengan pipe rack Pastikan peralatan dan material ditkat dengon benar. Gunakan slink belt untuk ‘mengikat peralatan dan material. astikan parjang sling cukup. TMC tidak miring dan stabi, tila dipertukan pasang base plate. Pasttkan poss! TMC dl tanah yang| eras. Pastikan besan yang diangkat tidak melebihi SWL dan dalam radius yangsesuai dengan load chart Pastikan tersedia air minum yang cukupdi area kerja. _—_——_ ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA 66. Housekeeping > Pinch Points Use hand gloves > Usehand gloves > Ensure no waste at work area > Ensure area clean before finish the workers safety performance work — loca and. immediately corrected them if any found substandard action/condition. 6 Membersihkan area kerja > Terjepie > Gunakan sorung tangan > Menggunalan sarung tangan. > Memastikan tidak ada sompah di ‘area kerja. > Memastikan area kerja. bersih ssebelum mengakkhiri pekerjaan. > Supervisor harus — memantau ksealamatan pekerja di daerah pekerjaan mereka dan langsung ‘membetulkan kesalahan pekerja jk terdapat perilaku tidak ‘aman ataypun kondisi yang tidak aman. Remarks: ‘SB-WB PERMANENT FACILITIES CPS MODIFIFATION / BCD -518-CA