Job information

  Job activity description: Instalasi electrical Houset [Pembongkaran Scaffolding] Date: / / 2023

Work-order number: ZULU/PO17/HC/027 Job Requestor: A. RAHMAN Work area: Refenery / Water Press
Company: PT. SARITECH PRATAMA MANDIRI

Error Traps: (Check all that apply)

(√ ) Time Pressure, Stress, High Work load ( ) End of Shift or Work Cycle ( ) First time/Infrequent task ( ) Poor Verbal Communication
(√ ) Distractions ( ) First Day Back > 4 days ( √) Vague/poor work guidance ( ) Over-Confidence
( √ ) Simultaneous Tasks/Work in Vicinity ( √ ) Line of Fire
Social Distancing Considerations and Requirements
When work plan calls for individuals to be closer than 6ft (2m) from each other for longer than 15 min, the following requirements should be applied:
( ) Respiratory protection must be worn (facial covering) ( ) Must have a plan to minimize time within 6ft of each other
( ) Face and Eye protection shall be selected and available (glasses, goggles, face shield) ( ) Ensure that all participants are not symptomatic (no cough, fever, shortness of breath, or feeling ill)
( ) Hand and body protection must be selected and available (nitrile gloves, Tyvek suit, etc.) ( ) Post sanitation of equipment and tools as well as doffing plan created
During work, considerations must be taken to limit the potential spread of diseases. Hands should be washed pre & post task. It is also recommended whenever you leave the work zone
Step 1: Describe the job steps Step 2: Identify the Hazards of the Job Step in the field Step 3: Control Measures
(**Identify critical steps with SIFp with an asterisk or highlight** ) (Ensure STRONG control measures are in place to eliminate/mitigate SIFp risks)

1.Pemasangan dan Pembongkaran Scaffolding 1.Terjatuh,Terpeleset,Tersandung 1.Melakukan Toolbox Metting

2.Scaffolding roboh 2.Pemakaian APD wajib dan Khusus / Menggunakan Full Body Harness
3.bagian tubuh tergores pipa,Tangan terjepit 3.Peregangan sebelum melakukan Perkerjaan
4.Terkilir akibat Posisi kerja tidak normal 4.pemasangan Safety Net
5.Tegangan Listrik dari saluran tegangan listrik
6.Overloading
7.Jatuh puing dan Peralatan

Is there any LIFEsaver or SIF precursor involved? ( ) No (Tier 1 - Move to step 8)  ( ) Yes (Tier 2 - Continue filling out the PJHA)
( ) Barge/Ship Operation
( ) Equipment Failure
( ) Machine/Conveyor Guarding
( ) (V) ( ) ( ) ( ) ( ) (v ) ( ) ( ) ( ) (v) () ( ) 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
(What are the conditions to cause ME to STOP that
job?)
1.Tidak Menggunakan APD lengkap dan Full body Pekerja lalai dan bekerja tidak sesuai dengan
Harness
2.Pemasangan Oleh Orang yg tidak kompeten
3.Scaffolding belum di inspeksi dan di Tagging
4.Overloading [melebihi beban yg ditentukan
5.Overhead Lines [saluran Listrik]
Step 5: What is the worst case scenario and its Step 6: Emergency preparedness Step 7: Quality Review
consequences?
(More than one worst case scenario may exist)
1.Cek APD sebelum bekerja
prosedur bisa menyebabkan Bahaya terburuk : 2.Sudah dilakukan TBM
1.Jatuh Dari ketinggian 3. Determining Control
2. Kesetrum/Terkena arus tegangan listrik 4. Membuat SOP Pemasangan Scaffolding yang
3. Terkilir Karena Posisi Kerja tidak argonomik di validasi pimpinan perusahaan Cargill Representative Quality Review
4. Tertimpah Falling Object,Scaffolding roboh 5. Membuat JSA disetiap Pemasangan Scaffolding (Print Name)
karena Overloading

Employees working in the area have been notified of this work?

Yes No
(v) ( )
Step 8: Workers accepting PJHA, and will work according the identified herein:
Task Leader: Name: Name:

Abdul Rahman Dodi Iskandar [EHS] TEGUH WAHYUDI

Name: Name: Name:

SUWANDI DWI

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

(Identify critical steps with SIFp with an asterisk or highlight ) (Ensure STRONG control measures are in place to eliminate/mitigate SIFp risks)
 (Ensure STRONG control measures are in place to eliminate/mitigate SIFp risks)

2.manual Handling 1.Bahaya material terjatuh 1.Gunakan APD yg diperlukan

2. Bahaya Peralatan Terjatuh 2. Gunakan bantuan tali untuk memobilisasimaterial keatas,Hindari melempar material keatas atau kebawah
3.Pastikan peralatan dikaitkan pada lanyar untuk menghindari jatuh

3. House Keeping Bahaya tersandung material,tertimpah material,terpeleset dan 1.Rapikan sisa material Scaffolding
tertusuk 2.Buat rak untuk material sisa Scaffolding
3.kumpulkan clam sisa dalam satu wadah agar tidak tercecer
4.Hindari meletakan kawat pengikat disembarang tempat

Step 7: Quality Review

Employees working in the area have been notified of this work?
Cargill Representative Quality Review
(Name)
( v ) Yes ( ) No

Step 8: Workers accepting PJHA, and will work according the identified herein
Task Name: Name:
Leader:

Name: Name: Name:

Name: Name: Name:

Name: Name: Name:

Name: Name: Name:

Is a PtW needed or any other additional check list? ( ) Yes ( ) No

If Yes, what are they?

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.: