PT.

Biro Nusaprima 25 JUNE 2010

Revision Date:
HSE Aspects and Hazards Register 18 April 2016
Rev. 02

Effectiveness of Controls
Development of Process
A Fully developed
Activity: CTC/B&I B Substantially developed
C Partially developed
Approval: Ardhi F D Limited development
E No Process
Implementation of Process
Date: 18-Apr-16 A Fully Implemented
B Substantially Implemented
C Partially Implemented
D Limited Implementation
E No Implementation

Ref No. Tasks Operational Condition Potential Risks / Control Measures in Document Current Control Relevancy
Hazards Initial Risk Analysis Place Reference/s Effectiveness Current Risk Analysis Legal and
Worst Foreseeable Other
Legislation Opportunities
Outcome Requirements
D of P I of P
F S R F S R Y / N

Collision due to
Fatigue / Other Driving motor vehicles
Parties/ Slippery procedure, Safety PHS-BN 08 - UU No 22 Tahun 2009
Normal pavement/ Travel - Fatality 4 3 12 Driving Training, 2 Driving motor A D 2 3 6 Y Lalu Lintas dan -
Long Distance / minutes for my safe vehicle Angkutan Jalan
Extended Time / driving
Fatigue/Travel safely

HRA ID: Travelling, driving,

04.01 cycling to and from

Info New Updating

Strike and terrorist PHS-BN 23-Travel
Emergency Condition Fatality 2 4 8 Travel Security in A A 2 3 6 N - -
attack during travelling & Security
Indonesia from SOS

KepMen LH No.05
PHS-BN 08 - Tahun 2006 Ambang
Normal CO2 Emissions Environmental Impact 3 2 6 Eco driving tips Driving motor A E 3 2 6 Y Batas Emisi Gas Buang -
vehicle Kendaraan Bermotor
Lama

HSE Induction Induction A A

Unaware of site
HRA ID: Entry / Exit to conditions /
Customer Facility
Abnormal
unauthorised site
Lost Time Injury 2 3 6 Induction by client Customer 2 2 4 N - -
04.02 safety/emergency Emergency A D
access
briefing procedure

PPE Standard PPE Matrix A C Permenakertran

Permenakertrans s
Incorrect PPE / No.PER.08/MEN/VII/201 No.PER.08/ME
Normal Lost Time Injury 2 3 6 Induction by client 2 2 4 Y
Clothing 0 Tentang Alat N/VII/2010
safety/emergency Customer specific A A
Pelindung Diri Tentang Alat
briefing
Pelindung Diri
Others working in area
Induction by client
– Mobile equipment
Normal Lost Time Injury 2 4 8 safety/emergency Customer specific A A 2 3 6 N - -
/overhead cranes,
briefing
Welding, Grinding, etc.

Slip, Trip & Fall PHS-BN 19 - Slip,

Normal Slips, Trips, Falls Lost Time Injury 2 2 4 Housekeeping Trip & Fall A E 2 1 2 N - -
Procedure Housekeeping

PHS-BN 17 -
Working at heights
Working at A D Kepdirjen Binwasker
procedure
Heights No.Kep.45/DJPPK/IX/20
08 Pedoman K3 Bekerja
Normal Working at Heights Fatality 2 4 8 2 3 6 Y -
Induction by client pada ketinggian dengan
safety/emergency Customer specific A D menggunakan Akses
briefing Tali (Rope Access)

Permenakertrans
PPE - Ear plugs, PHS-BN 10 - Use No.PER.08/MEN/VII/201
Normal Noise Long term Illness 1 3 3 A E 1 2 2 Y -
mufflers PPE 0 Tentang Alat
Pelindung Diri

Induction by client
Abnormal Unauthorised access Lost Time Injury 2 3 6 safety/emergency Customer specific A A 2 2 4 N - -
briefing

Establish good
relationship with the
HRA ID: Abnormal Violence Lost Time Injury 1 3 3
communities around
Customer Survey C C 1 2 2 N - -
Access work area
04.03 workplace

PHS-BN 13 -
Emergency Response
Emergency
& Prepadness, A A
Response &
Training
Earthquake/Tsunami/Fl Prepadness
Emergency Condition ooding/Volcano Fatality 2 4 8 2 3 6 N - -
eruption/Haze
Induction by client Customer
safety/emergency Emergency A A
briefing procedure

PHS-BN 13 -
Emergency Response
Emergency
& Prepadness, A A
Response &
Training
Prepadness
Emergency Condition Fire Fatality 2 4 8 2 3 6 N - -
Induction by client Customer
safety/emergency Emergency A A
briefing procedure

PPE Standard PPE Matrix A D

Chemical Spills/Oil
Abnormal
Spills
Lost Time Injury 2 3 6 Induction by client Customer 2 2 4 N - -
safety/emergency Emergency A D
briefing procedure

PPE Standard PPE Matrix A D

Leak gases
Abnormal pressure/High Gas Fatality 2 3 6 Induction by client Customer 2 2 4 N - -
Pressure safety/emergency Emergency A D
briefing procedure

PHS-BN 19 - Slip,
Client Induction, 2
Normal Unplanned movement Lost Time Injury 2 2 4 Trip & Fall House A A 2 2 4 N _ _
minutes for my safety
keeping

PHS-BN 19 - Slip,
HRA ID: Client Induction, 2
Equipment access Normal Slip / Trip / Fall Lost Time Injury 2 2 2 Trip & Fall House A B 2 2 2 N _ _
04.04 minutes for my safety
keeping

PHS-BN 19 - Slip,
Client Induction, 2
Normal Pinch Points Lost Time Injury 2 2 4 Trip & Fall House A B 2 2 4 N _ _
minutes for my safety
keeping
Induction by client
Movement or Motion of
Normal
items being inspected
Lost Time Injury 2 4 8 safety/emergency Customer specific A A 2 3 6 N - -
briefing
 Others working in area, Slip, Trip & Fall PHS-BN 19 - Slip,
mobile equipment Housekeeping Trip & Fall A E
Normal movements, slip & trip Fatality 2 4 8 Procedure Housekeeping 2 3 6 N - -
points, poor lighting,
Induction by client
pinch point
safety/emergency Customer specific A A
briefing
Induction by client
Abnormal Electric Shock Fatality 2 4 8 safety/emergency Customer specific 2 3 6 N
briefing
A A - -
PHS-BN 19 - Slip,
Fatigue, manual A A
Normal
handling
Lost Time Injury 2 3 6 Manual Handling Trip & Fall 2 2 4 N - -
Housekeeping

Hazardous sharp PPE: Coverall, 2

Normal Fatality 2 4 8 Induction A A 2 4 8 N
objects minutes for my safety

PHS-BN 10 - Use
Normal Fume / Dust inhalation Long term Illness 2 3 6 PPE - N95 respirator
PPE
A E 2 2 4 N - -

Foreign body in eye / PPE - Goggles, Face PHS-BN 10 - Use

Abnormal
eye injury
Lost Time Injury 2 3 6
shield PPE
A E 2 2 4 N - -

PHS-BN 15 -
Confined Space
Confined space A E
procedure
entry
Bekerja di ruang
Normal Confined Space Fatality 2 4 8 2 3 6 Y terbatas -
Induction by client
Kep/DJPPK/IX/2006
safety/emergency Customer specific A D
briefing

PHS-BN 17 -
Working at heights
Working at A E Kepdirjen Binwasker
procedure
Heights No.Kep.45/DJPPK/IX/20
08 Pedoman K3 Bekerja
Normal Working at Heights Fatality 2 4 8 2 3 6 Y -
Induction by client pada ketinggian dengan
safety/emergency Customer specific A A menggunakan Akses
briefing Tali (Rope Access)
HRA ID: Undertaking Shop
04.05 Inspections
Grinding/ Exposure to
Normal sparks / heat Lost Time Injury 2 3 6 PPE Standard PPE Matrix A D 2 2 4 N _ _
/ultraviolet radiation

PHS-BN 13 -
Emergency Response
Emergency
& Prepadness, A A
Response &
Training
Earthquake/Tsunami/Fl Prepadness
Emergency Condition ooding/Volcano Fatality 2 4 8 2 3 6 N - -
eruption/Haze
Induction by client Customer
safety/emergency Emergency A A
briefing procedure

PHS-BN 13 -
Emergency Response
Emergency
& Prepadness, A A
Response &
Training
Prepadness
Emergency Condition Fire Fatality 2 4 8 2 3 6 N - -
Induction by client Customer
safety/emergency Emergency A A
briefing procedure

2 3 6 PPE Standard PPE Matrix A D

Chemical Spills/Oil
Abnormal
Spills
Lost Time Injury Induction by client Customer 2 2 4 N - -
safety/emergency Emergency A D
briefing procedure

2 3 6 PPE Standard PPE Matrix A D

Leak gases
Abnormal pressure/High Gas Fatality Induction by client Customer 2 2 4 N - -
Pressure safety/emergency Emergency A D
briefing procedure