Document. No.

: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

Urutan langkah pekerjaan dasar Potensi kecelakaan atau bahaya Direkomendasikan untuk Penanggung Jawab
menghilangkan atau mengurangi
potensi bahaya
1. Matikan Mesin Foto Copy / Cabut Stop  Tersengat aliran listrik pada waktu  Gunakan Sarung tangan GA Spv
Kontak mencabut stop kontak mesin foto copy  Tangan tidak boleh basah
 Pasang plastic / Koran dilantai untuk
menghindari ceceran toner ke lantai

2. Membongkar cover depan mesin foto copy  Terjepit Cover depan mesin foto copy  Gunakan sarung tangan GA Spv
 Bekerja bekerja secara hati-hati
 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

3. Membongkat tabung penampungan toner  Terhirup limbah Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
bekas  Gunakan sarung tangan
 Chemical Suit & Safety Glasses

4. Mengosongkan tabung penampungan  Terhirup limbah Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
toner bekas & menampung toner bekas  Gunakan sarung tangan
kedalam kantong platik  Chemical Suit & Safety Glasses
 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

Urutan langkah pekerjaan dasar
5. Membersihkan tumpahan toner didalam
mesin foto copy
6. Melepas drum fotocopy
Potensi kecelakaan atau bahaya Direkomendasikan untuk Penanggung Jawab
menghilangkan atau mengurangi
potensi bahaya
 Terhirup limbah Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
 Gunakan sarung tangan
 Chemical Suit & Safety Glasses
 Terhirup limbah Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

 Gunakan sarung tangan

 Chemical Suit & Safety Glasses
7. Mengisi toner di drum fotocopy  Terhirup Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
 Gunakan sarung tangan
 Chemical Suit & Safety Glasses
8. Memasang tabung penampungan toner  Terhirup Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
bekas pada tempatnya didalam mesin  Gunakan sarung tangan
fotocopy
 Chemical Suit & Safety Glasses
9. Memasang drum yang telah di isi toner pada  Terhirup Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

tempatnya didalam mesin fotocopy  Gunakan sarung tangan

 Chemical Suit & Safety Glasses

Urutan langkah pekerjaan dasar
10. Memasang kembali cover depan mesin
fotocopy
Potensi kecelakaan atau bahaya Direkomendasikan untuk Penanggung Jawab
menghilangkan atau mengurangi
potensi bahaya
 Terhirup Toner ( Limbah B3)  Gunakan Masker moncong babi GA Spv
 Gunakan sarung tangan
 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

 Chemical Suit & Safety Glasses

11. Sambungkan Stop Kontak mesin fotocopy ke  Terjepit Cover depan mesin foto copy  Gunakan Sarung tangan GA Spv
PLN  Tersengat aliran listrik  Tangan tidak boleh basah

12. Tekan on pada mesin fotocopy  Tersengat aliran listrik  Tangan tidak boleh basah GA Spv

13 Mesin siap digunakan GA Spv

 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)

Dibuat oleh Diperiksa oleh Disetujui oleh Mengetahui

Safety Officer HSE(AK3U) Manager HSE Owner

 Document. No.: FMR-JSA-001
Tgl Terbit : 16 Januari 2024
Revision No.: 0
JOB SAFETY ANALYSIS

Location : Kantor RCJ Team Members : Staff GA

Plant/ Project : - Date of Assessment : 16 Januari 2024
Supervisor : G Revision No. : 00
A

Job No : 0 Job Name : Isi Ulang Toner Mesin Foto

1 Copy
/
0
1

PERSONAL PROTECTIVE EQUIPMENT AND SYSTEM REQUIRED TO PERFORM THIS JOB

Hard Hat Goggles Chemical Prot.Gloves X Fire Extinguisher

Safety Shoes X Face Shield Chemical Suit X Lock Out/ Tag Out
Safety Boots Work Gloves Work Vests Safe Work Permit required
Safety Glasses X Leather Gloves Masker mocong babi X Other …………..

Sequence of basic job Potential hazards & Incident Recommended to eliminate or reduce Responsible
steps potential hazards Person(s)