JOB SAFETY ANALISYS FORM

Activity Marking ,Transfer, and Instal Vertical Ladder Work Marking ,Transfer, and Instal Vertical Ladder

Work Area : Romp 02 South Dahu

Tools & Equipment : Manual Tools, Welding Machine, Grinding Machine, Scaffolding, APAR
Mandatory PPE : Safety Helmet, Safety Shoes, Safety HandGloves,Safety Glass, Mask, Safety Ear Plug,Safety Harness, Welder’s Gloves, Welding
Cap, Apron
Prepared by Reviewed by : Approved by :
Nama TTD Nama TTD Nama TTD

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2. 2. 2.

Step of Work Hazard Identification Preventive Actions or Procedures

recommended
Describe the step of work Identification of hazards associated with each of these Determine what actions need to be taken to eliminate or minimize
work steps against the possibility of an accident hazards that can cause accidents, injuries or occupational diseases

Preparation (permit and supporting document)
Persiapan permit dan documen pendukung
 Misunderstanding  Describe the work to be done clearly and communicate to all workers
Kesalah pahaman involved.
 Document missing or not complete Penjelasan yg terang kepada semua crew pekerja yg terlibat
Documen terselip dan hilang  Get all the necessary document and d implement the standard practice
in accordance with rules.
Siapkan semua data yg penting dan lakukan pekerjaan sesuai dengan
peraturan dan procedure yg berlaku

 Equipment failure  Toolbox meeting before starting the work.Toolbox sebelum mulai
Equipment and Personnel Preparation Kesalahan alat kerja.
Persiapan alat dan personnel  Human Error  Only the competent person will deployed .Hanya personnel yg
Kesalahan pada personel berkompeten yg boleh mengerjakan
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Step of Work
Describe the step of work
Marking Area
Penandaan Area
Vertical Ladder Transfer Process
Pemindahan Tangga Vertikal
Instal Vertical Ladder
Pasang Tangga Vertikall
JOB SAFETY ANALISYS FORM
Hazard Identification
Identification of hazards associated with each of these
work steps against the possibility of an accident
 Mechanical hazard (Pinch,Cough In,Trapped,Stratched)
Bahaya Mekanik (Terjepit,tersangkut,terjebak,tergores)
 Work at height. Bekerja diketinggian
 Dropped Object. Benda Jatuh
 Mechanical hazard (Pinch,Cough In,Trapped,Stratched)
Bahaya Mekanik (Terjepit,tersangkut,terjebak,tergores)
 Back Strain / Low Back Pain. Cidera pinggang
 Mechanical hazard (Pinch,Cough In,Trapped,Stratched)
Bahaya Mekanik (Terjepit,tersangkut,terjebak,tergores)
 Back Strain. Cidera pinggang
 Work at height. Bekerja diketinggian
 Dropped Object. Benda Jatuh
 Portable Electric Equipment. Peralatan bertenaga listrik
 Noise and dust. Kebisingan dan debu
 Spark / Flame (Welding and Cutting). Percikan / Api
terbuka (Las dan Gerinda)
Preventive Actions or Procedures
recommended
Determine what actions need to be taken to eliminate or minimize
hazards that can cause accidents, injuries or occupational diseases
 Make sure all the required tools available at working area. Pastikan
semua peralatan disiapkan di area kerja.
 Use the right tools for the right job. Penggunaan alat yg tepat untuk
peruntukannya.
 Make sure all personnel are fit to work. Pastikan semua personil bugar
untuk bekerja.
 Keep potential hazards away from work area. Jauhkan potensi bahaya
dari area kerja
 Only the competent person will deployed. Hanya personnel yg
berkompeten yg boleh mengerjakan
 Use the right tools for the right job. Penggunaan alat yg tepat untuk
peruntukannya.
 Wearing Full PPE. Memakai APD lengkap.
 Keep potential hazards away from work area. Jauhkan potensi bahaya
dari area kerja
 Only the competent person will deployed. Hanya personnel yg
berkompeten yg boleh mengerjakan
 Use the right tools for the right job. Penggunaan alat yg tepat untuk
peruntukannya.
 Wearing Full PPE. Memakai APD lengkap.
 Keep potential hazards away from work area. Jauhkan potensi
bahaya dari area kerja
 Only the competent person will deployed. Hanya personnel yg
berkompeten yg boleh mengerjakan
 Use the right tools for the right job. Penggunaan alat yg tepat untuk
peruntukannya.
 Wearing Full PPE. Memakai APD lengkap.
 Lifting device. Pergunakan Alat Bantu Angkat.
 Tools inspection. Inspeksi Alat Kerja
 APAR. Alat Pemadam Api
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 JOB SAFETY ANALISYS FORM
Step of Work Hazard Identification Preventive Actions or Procedures
recommended
Describe the step of work Identification of hazards associated with each of these Determine what actions need to be taken to eliminate or minimize
work steps against the possibility of an accident hazards that can cause accidents, injuries or occupational diseases

Finishing Process  Mechanical hazard (Pinch,Cough In,Trapped,Stratched)  Keep potential hazards away from work area. Jauhkan potensi
Proses Penyelesaian Bahaya Mekanik(Terjepit,tersangkut,terjebak,tergores) bahaya dari area kerja
 Only the competent person will deployed. Hanya personnel yg
berkompeten yg boleh mengerjakan
 Use the right tools for the right job. Penggunaan alat yg tepat untuk
peruntukannya.
 Wearing Full PPE. Memakai APD lengkap.

Housekeeping  Trip and fall hazard  Make sure the area is cleared after completion of the activity. Pastikan
Pembenahan / Ketatarapihan Bahaya tersandung dan jatuh area bersih kembali setelah pekerjaan selesia
 Always be aware with any potential hazard on work area. Selalu
waspada terhadap kemungkinan bahaya yg terdapat di area kerja
 Put all the tools in to their proper place. Simpan kembali peralatan pd
tempatnya

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