JHA Number : - Workplace : Meter System Company: PT PERTAMINA GAS Date: 26/04/2021

ONSA AREA
Plant Number : - Job Jasa Inspeksi & Re-Sertifikasi Peralatan PT PERTAMINA GAS ONSA AREA
Plant Location : FIELD PT Description :
PERTAMINA
GAS ONSA
AREA
JHA Team Name : M Rizky Signature:
Leader

Hazard Checklist
Motion Radiation Chemical Pressure Temperature Environmental
 Moving objects  Radiant heat  Hazardous substances  Pressured piping  Open flame  Hot/cold weather
 Plant/equipment  Sun – UV radiation  Dangerous goods  Pressurised line  Ignition source  Windy
 Vehicles  X-rays  Poisons  Compressed cylinders  Hot or cold surfaces  Wet / Water
 Vibration  Lasers  Harmful gases  Tanks  Liquid s or gases  Boggy /uneven ground
 Awkward body posture  NORMS  Fibres/dust  Hoses  Steam  Storm
 Exerting force  Welding arcs  Fumes  Pumps  Friction  Lighting (dark, sun glare)
 Repetitive movements
Mechanical Gravity Biological Electrical Noise Psychological
 Rotating/moving  Falls  Animals  AC/DC power  Equipment noise  Stress
equipment/parts  Falling objects  Insects  Static electricity  Impact noise  Fatigue
 Pinch points  Dropped loads  Viruses  Lightning  Impact of noise on  Rushing
 Slips  Bacteria  Power lines communication  Trained for task
 Trips  Powered equipment  Mind on the job

PERSON
RESPONSIB
WHAT ARE THE WHAT COULD GO WHAT CONTROLS WILL BE
KEY JOB STEPS LE
HAZARDS? WRONG? IMPLEMENTED?
Initia
Name
l
Persiapan Kerja
Mempersiapkan peralatan grounding, alat UT & Terpeleset, tersandung, jatuh
kamera.
Memasuki Wilayah Kerja
- Wilayah kerja yang mudah terjadi kebakaran Terjadi Kebakaran
- Wilayah kerja yang mengandung gas release
Terkena dampak gas release
- Wilayah kerja yang bising
Terkena dampak kebisingan
Pemeriksaan Visual dan Pengujian Terkena benda tajam
Meter System
Tertimpa material / peralatan
kerja
Terjepit material / peralatan
kerja
Penggunaan bahan kimia
Jatuh dari ketinggian
Remember: EVERYONE has both the authority and responsibility to STOP THE JOB if there is any doubt about the safety of the operation.
Prepared By :
Name: Signature
________________________
Luka tangan, cidera kaki, Membuat ijin kerja (Permit) yang
bahaya personil. sesuai dengan peruntukannya,
Lakukan sesuai prosedur dan gunakan
PPE standard.
Terjebak dalam situasi Hindari tindakan yang dapat
darurat menimbulkan percikan / bunga api
tanpa izin
Pingsan Gunakan gas detector (PPE Standar)
Gunakan Ear Protection Standar (PPE
Pendengaran terganggu Standar)
Tergores, terluka Menggunakan coverall dan safety
gloves
Cidera, luka, kematian Memperhatikan posisi tubuh dan
beban yang diangkat
Terluka Menggunakan coverall dan safety
gloves
Terluka, melepuh, iritasi Menggunakan masker, safety gloves,
memahami MSDS bahan
Kematian, luka berat Menggunakan full body harness
Approved By
Name Signature
________________________ ________________________