PT. REKAYASA INDUSTRI
ENGINEERING & CONSTRUCTION
JOB SAFETY ANALYSIS AND RISK ASSESSMENT FORM
Doc. Ne. WSETE-AT Rev. No. B
Qc-usE Date: 05709007 Page lof 1
‘Company tH Review By
Projet Chief MGR HSE
Person in Charge Name NE
Position Title of Job
Festa! SIGNATURE
Dai DATE
No | Seavonce of Basi Job Steps pra aa Consoquence | _RiskAssessment | Recommended Action | Result of Risk
‘Tanapan Pekejean Sahara eos ‘stot PR] Sv] Re | “eetenPengendoion [oR TD sv | RR
robaiy etbood PRY EVERY FCONEEQUENCE (57 sk Ranting RY ‘ezamimended eon
___ Kerungton x Kepehen/ At = | trata to Tian
coy Deseigten Serena Descipfon ee
Sreseetiet| Gani __|seseacts | nse Ou eusten atkoneetataiesiahar soe east ene a Pe regnA2 [Fis
‘Prone | Sevate ‘pe ‘relay Sapo selgoyata eerste ee | tie | weaves Ere)
Toma | roempcny castes |__| swan/snnn | Resin reunion rain ia, Det RT Ee ea | wm [wens 3 Rope
2uudy | Semaine int 2 Feeney estat i, TTT BTN 3 [|e |
tinwciie | atin ‘ion | SA ten a ao ewe Ep sea