TRA Number: Job Name:

McDERMOTT Activity Renovation, Service for building

MDR-BAT-MAS-TRA-064 and Office Construction (Ex Telkom
Building)
TASK RISK ASSESSMENT

Prepared by:
Name Position Date Signature
Dony Putra Almi HSE Officer 11-May- 2022
Ferry Supervisor 11-May- 2022

Reviewed by:
Name Position Date Signature Comments
Dhanu Ibnu Hadiguna HSE Coordinator 13-May- 2022
Nanang Yulianto Project Manager 13-May- 2022

Approved by:
Name Position Date Signature Comments
Franky M Site Engineer 13-May- 2022
Dahlan Facility Manager 13-May- 2022

MDR-GLOBAL-FORMS-HSES-004 1 of 8
 TRA NUMBER:
MDR-BAT-MAS-TRA-064 TASK RISK ASSESSMENT
PROCESS/LOCATION: RISK MANAGER
Batam Facility RESPONSIBLE PERSON CHECK PPE AND CONTROLS REQUIRED
JOB NAME: INITIAL
Renovation, Service for building Coveralls

and Office Construction (Ex Nanang Yulianto NY Hard Hats √ Respirator  Fire Extinguisher  √
Telkom Building)
ASSESSOR: Dhanu Ibnu Hadiguna DN √ No Jewelry
√
Safety Shoes √ Work Vest Lockout/Tagout
allowed
Ferry FY √ Other - List
Safety Glasses √ Safety Harness √ Permit-to-Work

INITIAL DATE: 11-May-2022 Hearing Protection √ Face Shield Stokes Basket √ = Mandatory

LAST REVISION DATE: 13-May-2022 Cotton Gloves √ Goggles Life Rings  = As required
01 √
REVISION NUMBER: Leather Gloves Ventilation Barricades

JOB STEPS/TASKS HAZARD DESCRIPTION RISK TO WHAT? INITIAL RISK REQUIRED CONTROLS RESIDUAL RISK
Separate the job into the main Describe all hazards Classify risk Describe fully all equipment, facility, and/or procedure controls applicable for Classify risk
tasks and record them in identified for each task rating from each hazard (i.e. if PPE is used as a control, it must be specifically described.) rating from
sequence based on observations and matrix for each If a control can only be verified by documentation then it must be available. matrix for each

Environment
experience hazard with no hazard with
All controls must be valid in that they reduce severity, probability, or both.
Operations

Reputation
Personnel

Note: Additional hazards controls in controls in

may be caused by place. place.
interaction with other work

1. Enter the PT McDermott
Indonesia field work area.
1. Masuk ke areal kerja
lapangan PT McDermott
Indonesia.
(No Effected) √ - - - (P2xS1) - Pay attention to the entrance to the area. (P1xS1)
- Make sure to use general standards of PPE for construction
Tidak ada L L
- Memperhatikan jalan masuk ke area.
- Pastikan memakai standar umum APD untuk konstruksi

MDR-GLOBAL-FORMS-HSES-004 2 of 8
 JOB STEPS/TASKS HAZARD DESCRIPTION RISK TO WHAT? INITIAL RISK REQUIRED CONTROLS RESIDUAL RISK
Separate the job into the main Describe all hazards Classify risk Describe fully all equipment, facility, and/or procedure controls applicable for Classify risk
tasks and record them in identified for each task rating from each hazard (i.e. if PPE is used as a control, it must be specifically described.) rating from
sequence based on observations and matrix for each If a control can only be verified by documentation then it must be available. matrix for each

Environment
experience hazard with no hazard with
All controls must be valid in that they reduce severity, probability, or both.

Operations

Reputation
Personnel
Note: Additional hazards controls in controls in
may be caused by place. place.
interaction with other work

2. Loading/offloading
Material and Equipment :
- Load and Unload Material
and Equipment.
- Equipment Storage
Stumbled, Fallen √ √ √ - (P4xS2) - Using Standard PPE for construction (P2xS2)
Tertimpa, Terjepit, M - Pay attention direction of the road L
Tersandung, Terjatuh. - Observing the possible danger
- Menggunakan APD standar untuk konstruksi.

- Temporary space for

- Memperhatikan arah jalan.
storage during work. - Mengamati bahaya yang kemungkinan terjadi.
2. Bongkar Muar Material
dan Alat :
- Muat dan bongkar
material dan peralatan
- Penyimpanan peralatan
- Tempat
sementara/tempor ary
untuk penyimpanan
selama kerja

3. Cut off all electricity Electric shock, Short √ √ √ - (P3xS4) - Coordinate with Electrician from PTMI to apply LOTO. (P3xS2)
related to the ex-Telkom circuit, Burn M - Cut off the flow safely. L
building Tersengat aliran listrik, - Berkoordinasi dengan Elektrician dari PTMI untuk mengaplikasikan LOTO.
3. Pemutusan semua aliran Hubungan arus pendek,
listrik Yang berhubungan Terbakar
- Memutus aliran dengan aman.
dengan gedung ex
Telkom

MDR-GLOBAL-FORMS-HSES-004 3 of 8
 JOB STEPS/TASKS HAZARD DESCRIPTION RISK TO WHAT? INITIAL RISK REQUIRED CONTROLS RESIDUAL RISK
Separate the job into the main Describe all hazards Classify risk Describe fully all equipment, facility, and/or procedure controls applicable for Classify risk
tasks and record them in identified for each task rating from each hazard (i.e. if PPE is used as a control, it must be specifically described.) rating from
sequence based on observations and matrix for each If a control can only be verified by documentation then it must be available. matrix for each

Environment
experience hazard with no hazard with
All controls must be valid in that they reduce severity, probability, or both.

Operations

Reputation
Personnel
Note: Additional hazards controls in controls in
may be caused by place. place.
interaction with other work

4. Non-structural demolition Struck by Material, √ √ √ - (P5xS3) - Ensure that the installation of safety devices such as plywood, scaffolding, (P3xS2)
work: Tripping, Exposure to dust, portable exhaust dust is carried out according to construction standards.
H L
-Demolition n walls Electrocution - Do a double check and cross check on the electrical panel.
-Demolition of tiled floors Tertimpa Material, - Use mist spray when dismantling tiles, concrete walls and ceramics.
-Demolition of concrete floors Tersandung, Terkena
debu, Tersengat aliran
- Pastikan pemasangan pengaman seperti playwood, perancah, portable
-Dismantling of electrical listrik exhaust dust dilakukan sesuai standar konstruksi.
installations - Melakukan double check dan kroscek pada panel listrik.
-Dismantling of the Alarm - Gunakan mist spray saat pembongkaran ubin, beton dinding dan keramik.
Panel installation
4. Pekerjaan Pembongkaran
non struktur :
-Pembongkara n dinding
-Pembongkara n lantai keramik
-Pembongkara n lantai beton
-Pembongkara n installasi
listrik
-Pembongkaran installasi
Alarm Panel

Falling, Stumbling, √ √ - - (P4xS3) - Ensure that the scaffolding is installed according to construction standards. (P3xS2)
Slipping, Getting Dust M - Make sure to use PPE according to construction standards. L
5. Ceiling partner work Terjatuh, Tertimpa, - Use mist spray if the job generates dust.
5. Pekerjaan Pasangan Terpeleset, Terkena debu
plafond - Pastikan pemasangan perancah sesuai dengan standar konstruksi.
- Pastikan menggunakan APD sessuai standar konstruksi.
- Menggunakan mist spray apabila pekerjaan menimbulkan debu.

MDR-GLOBAL-FORMS-HSES-004 4 of 8
 JOB STEPS/TASKS
Separate the job into the main
tasks and record them in
sequence
6. Wall Works:
- Covering the holes in the
walls, plaster bricks and
Finishing wall
6. Pekerjaan Dinding :
-Menutup lubang dinding
berlubang, bata plaster
dan aci
7. Application of mortar and
ceramics:
- Installation of ceramics
on the floor.
- Application of Nad on
ceramics
7. Aplikasi mortar dan
keramik :
-Peasangan keramik pada
lantai.
-Pengaplikasian Nad pada
keramik
8. Painting work:
-Painting exterior and interior
walls
8. Pekerjaan pengecatan :
-Pengecatan dinding bagian
luar dan dalam
MDR-GLOBAL-FORMS-HSES-004
HAZARD DESCRIPTION
Describe all hazards
identified for each task
based on observations and
experience
Note: Additional hazards
may be caused by
interaction with other work
Crushed by material,
Exposure to dust,
Exposure to chemicals
Tertimpa material, Terkena
debu, Terkena bahan kimia
Injured, Exposure to dust,
Exposure to / Inhalation of
chemicals
Terluka, Terkena debu,
Terkena / Terhirup bahan
kimia
Falls, Exposure to /
Inhalation of chemicals,
Exposure to dust
Terjatuh, Terkena /
Terhirup bahan kimia,
Terkena debu
RISK TO WHAT? INITIAL RISK REQUIRED CONTROLS RESIDUAL RISK
Classify risk Describe fully all equipment, facility, and/or procedure controls applicable for Classify risk
rating from each hazard (i.e. if PPE is used as a control, it must be specifically described.) rating from
matrix for each If a control can only be verified by documentation then it must be available. matrix for each
Environment
hazard with no hazard with
All controls must be valid in that they reduce severity, probability, or both.
Operations
Reputation
Personnel
controls in controls in
place. place.
√ √ √ - (P4xS3) - Make sure the work area is clean from the rest of the demolition material. (P3xS3)
M - Using standard PPE construction, installing the handrail correctly. M
- Use Full body hardness when working at height
- Use mist spray if the job generates dust.
- Pastikan area kerja bersih dari sisa material bekas pembongkaran.
- Menggunakan APD standar kontruksi, Memasang handrail dengan benar.
- Mengunakan Full body hardness apabila bekerja pada ketinggian
- Menggunakan mist spray apabila pekerjaan menimbulkan debu.
√ √ √ - (P4xS2) - Use gloves according to construction standards. (P3xS2)
M - Mist when mixing chemicals. L
- Use a mask.
- Doing work in accordance with the correct work method.
- Menggunakan sarung tangan sesuai standar konstruksi.
- Melakukan mist saat pencampuran bahan kimia.
- Menggunakan masker.
- Melakukan pekerjaan sesuai dengan metode kerja yg benar.
√ √ √ - (P4xS3) - Make sure the scaffolding is installed properly (P3xS2)
M - Use a mask. L
- Use gloves.
- Wear PPE according to construction standards.
- Pastikan perancah terpasang dengan benar
- Menggunakan masker.
- Menggunakan sarung tangan.
- Memakai APD sesuai standar Konstruksi.
5 of 8
 JOB STEPS/TASKS HAZARD DESCRIPTION RISK TO WHAT? INITIAL RISK REQUIRED CONTROLS RESIDUAL RISK
Separate the job into the main Describe all hazards Classify risk Describe fully all equipment, facility, and/or procedure controls applicable for Classify risk
tasks and record them in identified for each task rating from each hazard (i.e. if PPE is used as a control, it must be specifically described.) rating from
sequence based on observations and matrix for each If a control can only be verified by documentation then it must be available. matrix for each

Environment
experience hazard with no hazard with
All controls must be valid in that they reduce severity, probability, or both.

Operations

Reputation
Personnel
Note: Additional hazards controls in controls in
may be caused by place. place.
interaction with other work

9. Installation of other Pinched, Stumbled √ - - - (P4xS2) - Using work tools according to construction standards. (P3xS2)
accessories: Terjepit, Tersandung M - Check the work area and ensure the work area is safe before work. L
- Handrail - Menggunakan alat kerja sesuai standar konstruksi.
- Door lock handle
- Memeriksa area kerja dan memastikan areal kerja aman sebelum bekerja.
- Wall table
9. Pekerjaan Pemasangan
aksesoris lainnya :
-Handrail
-Gagang kunci pintu
-Meja dinding
10. E&M work: Electrocution, Exposure to √ √ - - (P4xS3) - Coordinate with Electrician from PTMI to apply LOTO and cut off the flow (P3xS2)
-Installation of power outlet dust and other small M safely. L
lines particles, Falls - Use gloves, wear PPE according to construction standards.
-Lamp installation Tersengat listrik, Terkena - Use Full body hardness when working at height.
-Installation of air conditioning debu dan partiker kecil
lainnya, Terjatuh
- Berkoordinasi dengan Elektrician dari PTMI untuk mengaplikasikan LOTO
(AC) dan memutus aliran dengan aman.
-Installation of portable alarms - Menggunakan sarung tangan, memakai APD sesuai standar Konstruksi.
10. Pekerjaan E&M :
- Mengunakan Full body hardness apabila bekerja pada ketinggian.
-Pemasangan jalur power
outlet
-Peamasangan lampu
-Pemasangan pendingin udara
(AC)
-Pemasangan portable Alarm
11. Reconnection of electricity Electric shock, Short √ √ √ - (P3xS4) - Coordinate with Electrician from PTMI to apply LOTO. (P3xS2)
from PLN to the ex-telkom circuit, Burn M - Safe reconnection of streams. L
building Tersengat aliran listrik, - Berkoordinasi dengan Elektrician dari PTMI untuk mengaplikasikan LOTO.
11. Penyambungan kembali Hubungan arus pendek,
arus listrik dari PLN ke Terbakar
- Penyambungan kembali aliran dengan aman.
gedung ex-telkom

MDR-GLOBAL-FORMS-HSES-004 6 of 8
 RISK ASSESSMENT MATRIX

SEVERITY CRITERIA PROBABILITY FOR POTENTIAL INCIDENT SEVERITY

Operations (1) Very Unlikely (2) Unlikely (3) Possible (4) Likely (5) Very
but possible under though but unusual not surprising Likely
► Asset damage
extreme conceivable almost no
Personnel ► Downtime Environmental Reputation
circumstances doubt
HSES Project Loss

(1) (1) (1) (1) (1)

First Aid Slight Slight (<$10,000) Slight Local Exposure
(<$10,000) (< 5 Gallons/20 liters)
1 2 3 4 5
8 hours
(8 hours)
(2) (2) (2) (2) (2)
Medical Minor Minor (<$100,000) Minor(< 42 State Exposure
Treatment (<$100,000) Gallons/155 liters)
2 4 6 8 10
<=1 Day
(< = 1 day)
(3) (3) (3) (3) Medium(<420 (3)
Lost Time/ Rest. Medium Medium (<$500,000) Gallons/1550 litres) National Exposure
injury (<$1million)
3 6 9 12 15
>1Day
(> 1 day)
(4) (4) (4) (4) (4)
Single Fatality Major Major Major(<4,200 Regional Exposure
(<$10,million) Gallons/15500 liters) 4 8 12 16 20
(>$500,000)
(> 1 week) >1 Week
(5) (5) (5) (5) Massive (5)
Multiple Fatality Extensive Extensive (>4,200 Gallons15500 International
(> $10,million)) liters) Exposure 5 10 15 20 25
(>$1 million)
(> 1 month) >1 Month

1–6 Low Risk May be acceptable; however, review task to see if risk can be reduced further.

8 – 12 Medium Risk Job should only proceed with appropriate authorization after consultation with HSE and Quality specialist personnel and
assessment team. Where possible, the job shall be redefined to take account of the hazards involved or the risk shall be reduced
further prior starting the job. If applicable, a Permit-to-Work shall be obtained.

15 – 25 High Risk The job must not proceed until it has been redefined or further control measures put in place to reduce risk. The controls shall be
re-assessed for adequacy prior to starting the job.

MDR-GLOBAL-FORMS-HSES-004 7 of 8
 THIS TRA SHOULD BE DISCUSSED WITH ALL PERSONNEL DIRECTLY INVOLVED WITH THE JOB PRIOR TO JOB EXECUTION
(This discussion should be in a group sizes enough so that everyone understands the content of the TRA)

Discussed by: _Dhanu I Hadiguna_ BN:___________________ Signature: _____DN______________ Date: 15-May-2022_

MDR-BAT-MAS-TRA-064
Name Badge Number Signature Name Badge Number Signature
09020422
Dony P Almi
08020118
Ferry
09020620
Siswanto
06020416
Abdul Manaf
06020418
Suherman

“All personnel have the right & responsibility to STOP unsafe work!”

MDR-GLOBAL-FORMS-HSES-004 8 of 8