Job information

  Job activity description: Instalasi Electrical Hoist Date: 27/ 06 / 2023

Work-order number: ZULU/PO17/HC/028 Job Requestor: A. RAHMAN Work area: Refenery, warehouse and WTP
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. instal braket and Panel Hoist diatas ketinggian 1.1. Bahaya Jatuh [falling down] 1. Clear area dari pekerjaan lain di bawah instalasi
1.2. Terpeleset [Slips] 2. Pastikan FBH dan perlindungan jatuh digunakan
1.3. Tersandung {trips] 3. Pastikan ada akses kerja
1.3. Kejatuhan material dari atas
2.Pengelas/Welding,Cutting and grinding [Hot Work] 1. Gunakan APD yg sesuai,Safety Glass,Safety soes,safety Helmet
2.1. Kebakaran ,welding glove,flame retardant/ Apron,cap las
2.2. Cidera pada mata 2. Siapkan Fire Blangket jika arah percikan api tak dapat dihindari
2.3. Dehidrasi karena Lingkungan panas 3. Pastikan tersedianya APAR
2.4. Terkena gram dan pecahan grinda 4. lakukan Tools Box Metting setiap akan memulai kerja

3. Painting Dapat menyebabkan iritasii mata,hidung dan tenggorokan Menggunakan Respirator / Masker
Pusing,hilang keseimbangan dan mual
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 Step 5: What is the worst case scenario and its Step 6: Emergency preparedness Step 7: Quality Review
consequences?
(What are the conditions to cause ME to STOP that (More than one worst case scenario may exist)
job?)
1. APD tidak lengkap 1. Bahaya terjatuh dari ketinggian 1. Cek APD sebelum bekerja
2. Man Power tidak berlisensi untuk pekerjaan ahli 2. Bahaya Ketinggian 2.Sudah dilakukan TBM
3. akse kerja di ketringgian tidak prover 3.Bahaya terbakar dan kebakaran 3. Determining Control
4. Alat kerja tidak layak Pakai 4. Bahaya cidera mata
5. Bahaya zat kimia Cargill Representative Quality Review
(Print Name)

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]

Name: 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

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

1.Pengelasan dan instal support power Conductor 1. Bahaya Material terjatuh 1.Gunakan Apd yg diperlukan seperty,Safety Glass/ Cap las ,safety sh
2.House Keeping 2. Bahaya peralatan terjatuh 2.Gunakan fire Blanket untuk menghindari percikan api
3.Bahaya debu dan asap pengelasan 3.Gunakan bantuan tali untuk memobilisasi matedrial keatas dan
hindari melempar material ke bawah atau keatas
4. Bahaya percikan bunga api 4.Pastikan peralatan dikaitkan pada lanyarduntuk menghindari jatuh
5.Gunakan masker
Step 7: Quality Review
Employees working in the area have been notified of this work?
Cargill Representative Quality Review
(Name)
( ) 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.: