RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

1 Transpotatio Over Speed Hit and Crush Equipment Damaged; 4 D T S Driver telah di MCU, Pemeriksaan Kendaraan 3 C M
n Equipment Injury; Fatalty Berkala; Dokumen Kendaraan lengkap; SIM;
dan Material Pelatihan DDC untuk Pengemudi; Dilakukan
Penilaian Risiko; Pemeriksaan Daily Pre-Use
Inspeksi oleh Pengemudi; Ikuti Rambu-rambu lalu
lintas; Mengikuti safety Induction;
Mempersiapkan Traffic safety Sign dan Warning
Sign; Mempersiapkan JMP
Mesin Rusak Traffic Accident; Person injury 4 B M S Pemeriksaan Kendaraan Berkala; Pemeriksaan 3 A R
Stop / Delay Pre-Use Inspeksi oleh Pengemudi; Reguler
aktifitas Maintenance; ERP di tempat
pekerjaan
Over Weight / Overturn; Tire Injury; Property and 4 B M S Mengikuti Kapasitas Berat dan Ukuran 3 A R
Size Cargo blow-out; Crush Material Damage Kendaraan/Truk dan Stay/Stop di Area Aman; ERP
with other facility di tempat
/ people
Intersection and Crush Injury, Fatality; Material 4 D T S Menyediakan Flag Man di Persimpangan/Jalan 2 C M
Crosing Road Damage Keluar masuk; Ikuti tanda keselamatan lalu lintas;
ERP di tempat
ROW Slipery Upside down Fatality & Material 4 D T S Menggunakan mobil 4WD; Jangan beroperasi 2 C M
Damage selama jalanan Licin ;ERP di tempat
2 Loading / Manual Handling Over Weight Sprain 4 B M Ikuti prosedur manual handling; Mengikuti 3 A R
Un-loading Pelatihan HSE; Prepare JSA; Menggunakan APD
Material dan Sarung Tangan; melakukan TBM harian; FAK
& FAR; ERP di tempat
Scrapped Injury 4 B M S Hindari Pitch poin; gunakan baju lengan panjang; 3 A R
Pelatihan HSE; Prepare JSA; Menggunakan APD
dan Sarung Tangan; melakukan TBM harian; FAK
& FAR; ERP di tempat
Crush with InJury 4 B M S Hindari Pitch poin; gunakan baju lengan panjang; 3 A R
material Pelatihan HSE; Prepare JSA; Menggunakan APD
dan Sarung Tangan; melakukan TBM harian; FAK
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

& FAR; ERP di tempat

Manuver Truck Upside down Injury / Fatality 4 D T S Flagman standby di lokasi untuk memantau 3 C M
Truck manuver Truk; Pelatihan DDC untuk Pengemudi;
Ikuti traffic Management Plan;
Crush / hit with Injury & Material Damage 4 B M S Hindari pitch poin; jangan berdiri di line of fire; 3 A R
workers Alarm mundur berfungsi dengan baik untuk Truk /
kendaraan
3 Transportati Over Speed Crush Injury ; Fatalty 4 D T S Driver telah di MCU, Pemeriksaan Kendaraan 3 C M
on Berkala; Dokumen Kendaraan lengkap; SIM;
Personnel Pelatihan DDC untuk Pengemudi; Dilakukan
Penilaian Risiko; Pemeriksaan Daily Pre-Use
Inspeksi oleh Pengemudi; Ikuti Rambu-rambu lalu
lintas; Mengikuti safety Induction;
Mempersiapkan Traffic safety Sign dan Warning
Sign; Mempersiapkan JMP
Over Passenger Bus Terbalik Injury; Damage 4 D T S Ikuti kapasitas penumpang Bus; memakai sabuk 3 C M
pengaman;
Intersection and Crush Injury, Equipment 4 B M S Menyediakan Flag man di Persimpangan/Jalan 3 A R
Crosing Road Damage Persimpangan; Ikuti tanda keselamatan lalu lintas;
sosialisasi JMP kepada seluruh pengemudi;
ROW Slipery Upside down Injury, Fatality; Material 4 D T S Menggunakan Kendaraan 4WD; Menyediakan 3 C M
Damage Flag man di Persimpangan/Jalan Persimpangan;
Ikuti tanda keselamatan lalu lintas; Batas
kecepatan terkendali;
Using Phone and Crush Injury, Fatality; Material 4 D T S Hindari penggunaan Telepon selama berkendara; 3 C M
Line Damage Pengemudi mengikuti Pelatihan DDC dan HSE;
Communication Kampanye keselamatan;
4 Site Snake and bite To be bited by Injury; 3 B M S Menghadiri MCU; Pekerja mengikuti Induksi dan 3 A R
Preparation snake Pelatihan SHE; PTW dan JSA berada di site;
/ Manual menghadiri TBM Pagi; FAK FAR dan ERP di lokasi;
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

Clearing pekerja memakai APD;

Contour Elevation Slip or Trip Personal Injuried 4 B M S Perhatikan langkah; Pasang tanda peringatan 3 A R
keselamatan; PTW dan JSA; Memakai APD;
Heat Over Heat Dehidration 3 B M H Memantau pasokan air minum; waktu istirahat; 2 A R
menyediakan tempat beristirahat yang layak;
Memakai APD; Fak & FAR di site.
Grass punctured Injury 3 C M S Gunakan baju lengan panjang dan APD 2 B R

5 Stack-Out Contour Elevation Slip or Trip Personal Injuried 4 B M S Perhatikan langkah; Pasang tanda peringatan 3 A R
Survey keselamatan; PTW dan JSA; Memakai APD;
Heat Over Heat Dehidration 3 B M H Memantau pasokan air minum; waktu istirahat; 2 A R
menyediakan tempat beristirahat yang layak;
Memakai APD; Fak & FAR di site.
Tools (Hammer, Crush with body Injury 3 B M S Menggunakan alat yang tepat, periksa alat kerja 3 A R
hoe and cleaver) sebelum digunakan
Dush Breathing Personnel respiratory 3 B M H Menggunakan masker debu 3 A R

Community Issue Stop Job Delay Progress 3 C M K Sosialisasi dengan perangkat desa (Kepala Desa) 2 B R
/ disturbance sebelum kegiatan
Road blockade Delay Progress 3 C M K Sosialisasi dengan perangkat desa (Kepala Desa) 2 B R
sebelum kegiatan; Akusisi tanah jelas
Equpment or Not get-out from location; 3 D T S Kegiatan Sosialisasi kepada Kepala Desa (Kecik); 2 C M
Worker hostage Injury to personnel Memperoleh izin dari Pemerintah Daerah;
Sebelum melakukan penjajakan tim meminta izin
kepada pemerintah daerah; sosialisasi rencana
kerja kepada masyarakat setempat; meminta
masyarakat setempat untuk bergabung dengan
tim.
Jika terjadi gangguan maka pekerjaan harus
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

dihentikan, sampai tercapai kondisi yang kondusif.

6 Transportati Over Speed Crush Injury ; Fatalty 4 D T S Driver telah di MCU; Pemeriksaan Kendaraan 3 C M
on Berkala; Dokumen Kendaraan lengkap; SIM;
Personnel Pelatihan DDC untuk Pengemudi; Dilakukan
Penilaian Risiko; Pemeriksaan Daily Pre-Use
Inspeksi oleh Pengemudi; Ikuti Rambu-rambu lalu
lintas; Mengikuti safety Induction;
Mempersiapkan Traffic safety Sign dan Warning
Sign; Mempersiapkan JMP
Over Passenger Bus Terbalik Injury; Damage 4 D T S Ikuti kapasitas penumpang Bus; memakai sabuk 3 C M
pengaman;
Intersection and Crush Injury, Equipment 4 B M S Menyediakan Flag man di Persimpangan/Jalan 3 A R
Crosing Road Damage Persimpangan; Ikuti tanda keselamatan lalu lintas;
sosialisasi JMP kepada seluruh pengemudi;
ROW Slipery Upside down Injury, Fatality; Material 4 D T S Menggunakan Kendaraan 4WD; Menyediakan 3 C M
Damage Flag man di Persimpangan/Jalan Persimpangan;
Ikuti tanda keselamatan lalu lintas; Batas
kecepatan terkendali;
Using Phone and Crush Injury, Fatality; Material 4 D T S Hindari penggunaan Telepon selama berkendara; 3 C M
Line Damage Pengemudi mengikuti Pelatihan DDC dan HSE;
Communication Kampanye keselamatan;
7 Loading / Coordination Miss- Personal Fatality / Injury; 3 D T S Melakukan Tool box meeting sebelum mulai 2 C M
Un-Loading communication Material Damage; bekerja; wajib memakai APD;
Corrugated Team
Steel Pipe
Operator and Un-competent Personal Fatality / 3 D T S Lisensi Operator (MIGAS) untuk operator; 3 B M
Rigger Injury;;Material Damage; Sertifikat Rigger (MIGAS) untuk Rigger;
Kompeten dan berpengalaman untuk bekerja;
Melakukan MCU dengan hasil Fit to work;
Mengikuti Pelatihan HSE
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

Lifting Equipment Crane failure Personal Fatality / Injury;; 3 D T S Pemeriksaan Peralatan HSE Pass (Color code); 2 C M
/ Crane Material Damage; Inspeksi Pre-use inspeksi cren; Alat berat
Damage other facility Sertifikat (MIGAS);
Setting Crane Overturned Personal Fatality / Injury;; 3 D T S Out Rigger keluar penuh; pasang crane mate / 3 C M
Material Damage; base plate; Leveling Crane;
Damage other facility
Rigging device Failure Rigging Personal Fatality / Injury; 3 D T S Inspect rigging equipment prior to use; Use only 2 C M
device Material Damage; certified rigging equipment;
Damage other facility
Over Load Crane Typing Personal Fatality / Injury; 3 D T S Perform Lift analysis (Rigging Plan) before 2 C M
Material Damage; commencement. Always keep crane within safe
Damage other facility radius. Use load-spreading timbers under crane
backs. Restrict crane operations to level ground.
Only licensed, experienced and competent
operators shall be used. Only competent,
experienced riggers shall sling loads.

Over Head Power Hight Voltage Fatality; Equipment 3 D T S Perform location and facility on the over head 2 C M
Liners Electric shocl Damage before commencement. Always keep crane
within boom long with over head facility;
Restrict crane operations to level ground. Only
licensed, experienced and competent operators
shall be used. Only competent, experienced
riggers shall sling loads.
Swing Material Crush with others Personal Fatality / Injury; 3 D T S Banks man to watch swing area of crane; Ensure 2 C M
Load material / facility; Material Damage; crane free swing area.; Personnel are to be kept
Damage other facility clear of pipe swing corridor; Personnel warned
to keep well clear of swing area during tool box
talk; Tag lines are to be attached to the load to
control swing. Only experienced competent
personnel to handle loads.. Pipe handling
personnel to stand well beyond the pipe ends.
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

8 Transport Coordination Miss- Personal Fatality / Injury; 2 D M S Conduct Tool box meeting before start of work ; 1 C R
Corrugated communication Material Damage; wearing PPE Mandatory;
Steel Pipe Team
from
Warehouse
to Site (Field)
Operator / Driver Un-competent Personal Fatality / 2 D M S Operastor / Driver valid Licence; Competent and 1 C R
Injury;;Material Damage; experience to operated the trailer / equipment;
Conducted MCU with Fit conclusion; Attended
HSE Training; ID Badge
Equipment / Truck failure Personal Fatality / Injury;; 2 D M S HSE Pass Equipment Inspection (colour code); 1 C R
Trailer Material Damage; Daily Pre-Use Inspection of Crane; Valid
Damage other facility Equipment Certificate (STNK)
ROW / Road Slipery Injury; Material damage 3 C M S Sosialization and Follow JMP; DDC for Driver; 2 B R
Follow speed Limit; Stop activity during raining
sestion;
Intersection Traffic Accident; Injury 3 C M S Intall traffic sign; Reduce Speed; 2 B R

Public / Village Traffic Accident Injury 2 C M S Floow Spedd Limit; 2 B R

Area
Dust Sosial issue 4 B M K Activity dust control / water spray during dry 3 A R
sesstion
Passing with with Collision / crush Personal Injury; material / 3 C M S Install warning Traffic & Safety Sign; Flagman to 2 B R
other vehicle / property damage monitor traffic;
Equipment
Material Road blockade; Material damage; Sosial 2 C M K Ensure stopper at side position; good & tight 1 C R
Corrugated Steel Corrugated Steel issue lasing;
Pipe falling at Pipe falling down
ROW to block the road,
cause other
vehicle cannot
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

pass the road

9 Stringing Coordination Miss- Personal Fatality / Injury; 2 D M S Conduct Tool box meeting before start of work ; 1 C R
Corrugated communication Material Damage; wearing PPE Mandatory;
Steel Pipe Team
Operator and Un-competent Personal Fatality / 2 D M S Operastor Licence (MIGAS) for operator; Rigger 1 C R
Rigger Injury;;Material Damage; Certificate (MIGAS) for Rigger; Competent and
experience for work; Conducted MCU with Fit
conclusion; Attended HSE Training
Lifting Equipment Crane failure Personal Fatality / Injury;; 3 D T S HSE Pass Equipment Inspection (colour code); 2 C M
/ Crane Material Damage; Daily Pre-Use Inspection of Crane; Equipment
Damage other facility Certificate (MIGAS);
Rigging device Failure Rigging Personal Fatality / Injury; 2 D M S Inspect rigging equipment prior to use; Use only 1 C R
device Material Damage; certified rigging equipment;
Damage other facility
Over Load Crane Typing Personal Fatality / Injury; 2 D M S Perform Lift analysis (Rigging Plan) before 1 C R
Material Damage; commencement. Always keep crane within safe
Damage other facility radius. Use load-spreading timbers under crane
backs. Restrict crane operations to level ground.
Only licensed, experienced and competent
operators shall be used. Only competent,
experienced riggers shall sling loads.

Over Head Power Hight Voltage Fatality; Equipment 3 D T S Perform location and facility on the over head 2 C M
Liners Electric shocl Damage before commencement. Always keep crane
within boom long with over head facility;
Restrict crane operations to level ground. Only
licensed, experienced and competent operators
shall be used. Only competent, experienced
riggers shall sling loads.
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

Material Corrugated Steel Personal Fatality / Injury; 2 D M S Only lifting foreman is to control lifting 1 C R
Corrugated Steel Pipe Falling Material Damage operations; Lift will not commence until all
Pipe slipping down; body personnel are clear of pipe, Pipes in stockpile
caught between are to be wedged to prevent rolling, Gloves to
Aramco, Crushing be worn; Install pipe-stoper on lay-down dan
flat-bad trailer, avoid stand on the line of fire
Swing Material Crush with others Personal Fatality / Injury; 2 D M S Banks man to watch swing area of crane; Ensure 1 C R
Load material / facility; Material Damage; crane free swing area.; Personnel are to be kept
Damage other facility clear of pipe swing corridor; Personnel warned
to keep well clear of swing area during tool box
talk; Tag lines are to be attached to the load to
control swing. Only experienced competent
personnel to handle loads.. Aramco handling
personnel to stand well beyond the Aramco
ends.
Narrow ROW Traffic Jump / Sosial issue 3 D T K Traffic Safety Sign; Sosialization to all Block-A 2 C T
ROW Blockade Project;
10 Cutting, Storage of Gas Gas Leakage Fire / Explosion 3 D T S Only trained, competent person handle gas 2 C T
Bruzing and Cylinders cylinders. Gas cylinders shall be stored vertically
Welding & secured. Cylinders protective caps should be
provided. Cylinders shall be kept well away from
welding or cutting operation. Provide sufficient
fire extinguisher at area. Storage area shall be
well ventilated / shaded.
Gas leak Explosion. Fire 2 D M S Check the equipment before starting, no 1 C R
combustible matter (fuel, rag, paper etc) near the
welding work; All compress gas cylinder shall be
stored properly. put safety sign on the storing
area, no smoking, all cylinders shall be stored up
right. caped and chained
Welding and  Fire, Welding  Personnel injury, 4 C T S Tool box talk shall be conducted at site before 3 B M
Grinding fumes, Sparks / Material Damages due starts of work. Only trained and competent
flying objects to fire, Fire personnel to handle this activity. All new
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

welders / grinders / helpers must undergo

safety briefing before start of test. All personnel
engaged at job shall wear appropriate PPE’s.
Activities shall be closely supervised. Good
housekeeping shall be maintained. Sufficient
number of fire extinguishers shall be made
available at site. Provide blower if the welding
fumes is accumulating at work area
Shattered cutting Flying disch; RPM Personnel injury 4 C T S Check speed of the cutting / grinding disc. 3 B M
/ grinding disch Ensure that grinders are equipped with guards.
Wear the proper PPE.
Electricity Electric Shock Personnel injury 3 D T S Daily / Visual inspection of the welding cable 3 C M
prior to start the work. Ensure that the welding
machine are properly connected to the
grounding system.
11 Excavation Equipment Crawler broken. Production stop 3 C M S Heavy equipment shall be well maintained, 2 C R
the trench Engine broken. inspection before operating shall be done
by operating Hydraulic system thoroughly, all part shall be checked, finding
heavy broken during inspections hall be followed up. Each
equipment. equipment shall have log book; Operator the
machine shall competent person, they shall not
operating the machine beyond its capacity
Storing fuel or oil Oil or fuel spill Land contamination; Spill 4 C T E Always use tray or container underneath the tank 3 B M
I Refueling out of the tank / Oil / container while storing, refueling or repairing
container the engine to catch the oil or fuel spill out
contaminating
the ground
Fire Hazard Inuury, Equipment 4 C T S Always provide fire extinguisher close to the fuel 2 B R
damage store, repair location, provide no smoking sign on
that area
The excavation Wall excavation The excavators turn over 3 C M S The wall slope shall follow the drawing 2 B M
wall too steep, collapse into the trench. Injure the
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

operator. damage the

equipment
11 Trench Equipment When the Injure to person or 3 C M S  Operator shall be competent, well trained and 2 C M
excavation operation machine swing its material damage / lose experienced of his job, has certificate to
on open arm hit H - operate the machine
area by Operator shall be  A tool box meeting shall be performed before
excavator competent, well start the work to identify any hazard during
trained and operation
experienced
people or object
nearby
Hit underground Explosion, Electrocution 3 D T S  Need work permit and complementary permit 2 D M
object (live pipe- before area by excavator I backhoe live
line live electrical electrical underground cable etc) performing the
underground excavation job. If needed to carry out survey of
cable etc) underground object by metal detector,

12 Back filling Open Trench Falling object Injure to people 4 C T S Before operation to ensure that no body inside 3 B M
utilizing inside the trench the trench
excavator
and
reinstateme
nt the of the
trench area
Operation Hit by swing Injure to people 4 C T S Competent operator, the machine shall be well 3 B M
Equipment excavator arm maintained and in good condition, inspected
before operation

13 Trench Open Trench Vehicle jump I Injury to person or 4 C T S  Before start excavation job, survey of the road 3 B M
excavation turning over into material damage and traffic shall be performed to anticipate all
by side road the trench risk of the job and to prepare traffic
1 heavy management on each of the trench location
traffic  Length of the trench shall be not too long (max
100 mtr) before next excavation, the wide shall
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

not blocked the whole road

 Always use concrete barricade between road
and trench
 On weak soi1 use rigid wall to avoid the soil
collapse Into the trench
 Placed Flagman’s on each end of the excavation
to arrange !he traffic, during night they should
equipped with traffic lamp
14 Lowering Operator and Un-competent Personal Fatality / 4 D T S Operastor Licence (MIGAS) for operator; Rigger 3 D T
Corrugated Rigger Injury;;Material Damage; Certificate (MIGAS) for Rigger; Competent and
Steel Pipe experience for work; Conducted MCU with Fit
into the conclusion; Attended HSE Training
trench by
Heavy
Equipment
Lifting Equipment Equipment Personal Fatality / Injury;; 4 D T S HSE Pass Equipment Inspection (colour code); 3 D T
/ Crane failure Material Damage; Daily Pre-Use Inspection of Crane; Equipment
Damage other facility Certificate (MIGAS);
Open Trench Falling objects. Injury to personnel 4 C T S All workers wear suitable PPE (safety shoes, 3 B M
and confine Helmet hand glove. Before some one go down
space of the into the hole. Trench shall be check by gas
trench detector (L E L. Oxygen deficiency)
Loss of balance Over turn Equipment Damage, 4 D T S Operator shall competent, have certificate to 3 D T
injure to people operate the machine from MIGAS (Surat Ijin
Operator)
The side boom shall have certificate of operation
from MIGAS
In situ stress of the pipeline during lowering
operation shall not exceed (he trench and free
span calculation mention on the design
calculation
 RISK DESCRIPTION INITIAL RISK RISK RESPONSE PLAN RESIDUAL RISK

Impact / Consequences
Urutan Status CLOSE OUT
(Financial, SHE, Sec- Action

Probability

Probability
(A / B / C / D)

(A / B / C / D)
(1 / 2 / 3 / 4)

(1 / 2 / 3 / 4)

Risk Level
No. Bahaya Resiko ACTION & MITIGATION PLAN (Open /

Risk Level

H/S/E/K
Community, Quality, Party

Severity

Severity
pekerjaan Closed)
Schedule

Rigging device Failure Rigging Personal Fatality / Injury; 4 D T S Inspect rigging equipment prior to use; Use only 3 D T
device Material Damage; certified rigging equipment;
Damage other facility
Over Load Crane Typing Personal Fatality / Injury; 4 D T S Perform Lift analysis (Rigging Plan) before 3 D T
Material Damage; commencement. Always keep crane within safe
Damage other facility radius. Use load-spreading timbers under crane
backs. Restrict crane operations to level ground.
Only licensed, experienced and competent
operators shall be used. Only competent,
experienced riggers shall sling loads.

Over Head Power Hight Voltage Fatality; Equipment 3 D T S Perform location and facility on the over head 2 D M
Liners Electric shocl Damage before commencement. Always keep crane
within boom long with over head facility;
Restrict crane operations to level ground. Only
licensed, experienced and competent operators
shall be used. Only competent, experienced
riggers shall sling loads.

Disusun Oleh :

1. Muhammad Dani ( Supervisor ) Disiapkan Oleh : Diperiksa Oleh : DiApprov Oleh :

2. Muslem Marzuki (Site Manager)
3. Hamdani (Paramedis)
4. Samsul Bahri,ST (Safety Officer)
5. Danis Ardiansyah (Logistic)
6. Saiful Hadi, SKM (Safety Manager) Safety Officer Manager HSE HSE Resp'