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JOB SAFETY ANALYSIS (JSA)

Project Name: Cirebon 2, 1x1000MW Coal Fired Power Plant Project, Indonesia Company:
Nama Project: Perusahaan: PT. KOIN KONSTRUKSI

Work Activity:
Pekerjaan: Erection Using Spreader Bar JSA No: KOIN/HSE/JSA/19-054 Rev 00

Work Location: Date Developed:


Lokasi Kerja: All Area Dibuat Tanggal: 19 NOVEMBER 2019

JSA Participants / Preparation & Review. Peserta pembuat JSA Approval/ Persetujuan
(incl. personnel consulted: e.g. workers, supervisors, foremen, HSE personnel, external parties)
Name Position Company Signature Name Date Signature

DADANG H Safety Officer Pt. Koin Konstruksi

Remarks / Notes, Keterangan/ Catatan:

STOP the work if rain comes

Type of Permit Required Additional PPE Requirements Special tools or equipment required:
Jenis Perizinan yg Diperlukan: Tambahan Alat Pelindung Diri yang diperlukan Alat-alat Khusus yang Diperlukan:

Excavation/ Penggalian
Hot work/ Pekerjaan Panas
Confined space/ Ruang terbatas
Other/ Lainnya: General Permit

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JOB SAFETY ANALYSIS (JSA)

Risk Matrix:
CONSEQUENCE
Disciplines will review likelihood and consequences in 1 = Negligible 2 = Slight 3 = Moderate 4 = High 5 = Very High
line with their specific parameters as noted
No injuries requiring any First aid treatment. Medical treatment required, Injuries resulting in; lost time, Single or multiple fatalities.
treatment. Restricted Work Case. permanent disability,
amputation, or surgery.

5 =Very Likely Is expected to occur M-5 H -10 VH-15 VH-20 VH-25


LIKELIHOOD

Will probably occur in most


4=Likely
circumstances
M-4 H-8 H-12 VH-16 VH-20

3=Possible Should occur at some time L-3 M-6 H-9 H-12 VH-15

2=Unlikely Could occur at some time L-2 M-4 M-6 H-8 H-10

1=Very Unlikely May occur only in exceptional L-1 L-2 L-3 M-4 M-5
circumstances
Likelihood (L) 1 = Very Unlikely, 2 = Unlikely, 3 = Possible, 4 = Likely, 5 =Very Likely Consequence (C) 1 = Negligible, 2 = Slight, 3 = Moderate, 4 = High, 5 = Very High
Risk Rating (R) LOW [ 1-3 ] Broadly acceptable - MODERATE [ 4-6 ] Tolerable – With identified HIGH [ 8-12 ] Undesirable - Additional VERY HIGH [ 15- 25 ] Intolerable -
Manage by routine procedures controls fully implemented controls required to reduce risk Do not start activity

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 The work does not match


Preparation Work the permit that already  Conduct risk assessment first prior to make
2 2 4 Supervisor
Create work permit & JSA submitted JSA and work permit
 Unidentified risk
 Workers who involve the
 Supervisors are required to provide an
work, do not understand the
Toolbox meeting explanation of potential hazards and how 2 2 4 Supervisor
work plan and its hazards
to prevent them.
every step of work

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JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Use Radio for communication between


signalman and operator tower crane
 Make sure use proper crane
 Conduct daily checklist for the crane
 Ensure inspection for lifting gear by third
party
 Only competent/certified crew (Opt &
Rigger) who conduct the work
 Make sure the personnel are fit to work
 Use tag lines
 Improper lifting equipment  Use full body harness when height more
 Unskilled crew than 1,8 m
 Improper lifting gear  Provide proper walking platform, including Supervisor, Scaffolder,
Lifting equipment preparation 2 2 4
 Spreader Bar Placement standard for handrail Rigger and opt
 Personnel Fall  Make sure to clip on the hook body
harness to strong structure
 Proper placement for the lifting equipment
make sure access is free from material
placement
• Use leather gloves
• Install handrail to protect void area near
spreader bar installation( if any void)
• Make sure supervision function
• Make sure to install hard barricade
and clearance radius when lifting

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JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Conduct PRE JOB SAFETY MEETING


prior to socialize the JSA and Lifting/rigging
plan
 Make sure all lifting gears are inspected by
3rd party and tag safe to use proven by
colour code sticker
 The lifting gears capacity shall refer to the
lifting plan
 All lifting point shall be calculated on the
lifting plan
 All sharp objects must be protected
properly by using cut pipe and cut webbing
sling, cut tire and shall 3 times
 Improper lifting gears
Setting / Connected Lifting gears to widen/thicker.
 Not complied the lifting plan
Spreader Bar and Connected to  Make sure the support platform/scaffolding 3 2 6 Rigger, Lifting SPV
 Hand and finger pinched
lifting material is ready and inspected for rigger team
 Fall down conducting lifting gear installation at height
more than 1.8 and shall wear full body
harness and clip on
 Conduct final check by Lifting supervisor
for its rigging prior to tension
 All rigging team shall wear proper hand
glove for rigger (Heavy duty glove)
 Signal man shall be always remind rigger
to watch out the hands when starting
tension
 HAND FREE when raising up the slings
 Always ensure the slings are installed as
per lifting plan

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JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Make sure the cranes are inspected prior


to use and recorded properly
 Each crane shall refer to lifting plan to
ensure the radius of lifting
 Each signalman and rigger of each crane
shall follow the lifting plan and instructed
by lifting supervisor
 Lifting supervisor shall lead and giving
command to crane
 Each lifting point shall be always checked
for ensuring safe rigging
 Always check the wind speed
 Conduct final inspection for the rigging
before starting flip up
 Clearance the lifting radius and only
authorized person who involve the activity
 Miscommunication
 Install barricade and safety sign
 Lack Rigging inspection Operator, Signalman,
Erection Using Spreader Bar  Provide enough HT/Radio for all involve 3 2 6
 Dropped object Lifting SPV
lifting crew and check the frequency and
 Wind Speed its battery
 Install proper tag lines to control heavy
girder movement
 Rigger who control tag lines shall keep the
safety distance and not in line of fire
 Keep the height at safe(not too high)
 Banks man shall keep control each crane
movement
 Lift the girder and flip up as low as
possible off
 Clear all the obstruction material nearby or
in lifting zone ,pay attention to wind speed.
Do not erection heavy wind

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JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Make sure lifting permit is issued


 Wear mandatory PPE and additional PPE
 Conduct brief prior to work and socialized
the job safety analysis
 Use proper heavy equipment
 Use only inspected lifting gear by third
 Fall party
Erection  Uncontrolled material  Install safety sign or barricade that inform 3 2 6 Supervisor, rigger, opt
 Falling object lifting activity
 Clearance the swing area
 Assign competent signalman
 Do not stand under suspended load
 Use take line both of side to control
material
 Stop the work when rainy is coming
 Make sure the rigging condition and
stability of material prior to get closer to
disconnect the lifting gears
 Do not place their feet or body under
suspended load
 Make sure more the tag line or materials is
under controlled prior to disconnect
 Failure of lifting gear  Wear rigger glove
Disconnect Spreader Bar from lifting  Hit by dropping object  One person lead to always remind watch
material  Hand and finger pinched out the hands, at least 2 persons to 3 2 6 Fitter, Rigger
 Fall from height disconnect shackle/slings
 Provide scaffold or proper aluminium
ladder as access to top girder
 Wear full body harness and 100% clip on
 Ladder must be hold by other workers at
ground site
 Place the ladder in level surface
 Install temporary life line on boiler

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JOB SAFETY ANALYSIS (JSA)

Residual
Risk
Potential Hazards / Consequences [L x C=R]
Activity
(What can go wrong) Persons Responsible
(Basic job steps) Control Measures/ Tindakan perbaikan
Potensi bahaya/ konsekwensi (Apa yang bisa Penanggung jawab
Aktivitas (Langkah kerja)
salah?)
L C R

 Make sure the crane is parked on solid


 Unsafe crane position ground
Finishing  Improper lifting equipment  Install safety sign or barricade under the 2 2 4 Supervisor and worker
storage hook position
 Save the lifting gear properly

Sign On: I confirm that the JSA has been explained and its contents are clearly understood. I clearly understand the controls in this JSA must be
applied; otherwise work is to cease immediately.

Saya mengkonfirmasi bahwa JSA telah dijelaskan dan isinya dipahami dengan jelas. Saya memahami dengan jelas kontrol dalam JSA ini harus diterapkan; jika
tidak, pekerjaan akan segera dihentikan

Name Position Signature Date Company

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JOB SAFETY ANALYSIS (JSA)

Sign On: I confirm that the JSA has been explained and its contents are clearly understood. I clearly understand the controls in this JSA must be
applied; otherwise work is to cease immediately.

Saya mengkonfirmasi bahwa JSA telah dijelaskan dan isinya dipahami dengan jelas. Saya memahami dengan jelas kontrol dalam JSA ini harus diterapkan; jika
tidak, pekerjaan akan segera dihentikan

Name Position Signature Date Company

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