JSA Pemasangan Pagar [PDF]

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Part 1



JOB SAFETY ANALYSIS



JSA No. : 04/TWK/2018 Company Name :



Company Address :



PT. TRI WAHANA KARSA



Work Activity :



Jl. Karunrung Asri E No. 21, Makassar



Project : GI 150KV TOPOYO – MAMUJU TENGAH, SULAWESI BARAT



PEMBUATAN DINDING PENAHAN



JSA Prepared by : Rifaldy Abdurrachman



Reviewed by : Charles BP



Approved by : Hendy Pratomo



Signature



Signature



Signature



:



:



:



Task Description : PEMBUATAN GEDUNG CONTROL High Risk Tasks : Working At Height



Start Date : 04 – 12 - 2018



Special precautions must be taken when undertaking non-routine work. Ensure entire team have developed a comprehensive JSA and check requirements for lifting plans; special permits; isolations; services; unexpected hazards; emergency planning and team competencies



Routine task?  Non-routine task?  Permit / Plan Required :  General / Cold Work



Date : 01 – 12 – 2018



Isolation Required : Electricals



PPE Required Above Site Standard :  Helmet / Hard Hat Safety Gloves



Hot Work







Mechanicals



Safety Eye Glasses



Electrical Gloves



Excavation / Penetration







Erection Zone



Oxy Cutting Googles



Full Body Harness



End Date :



Equipment Required : 



Warning / Hazard Signs







Soft Barricades / Hard Barricades Safety Life Lines



Working at Height



Lifting Zone



Chemical Googles



Safety Shoes / Boots







Confined Space



Live Existing Zone



Ear Plug / Ear Muff



Rompi







Electrical / LOTO



Commissioning Zone



Dust Mask / Respirator



Arc Flash



Lifting Gears / Equipments



Lifting Plan / Review



Energizing Zone



Face Shield



Disposable Overalls



Fire Extinghuiser / Spill Kit



First Aid Kit Stretcher / Palanquin (tandu)







Manual Handling



Potential Environmental Hazards



Hazardous Materials / Substances



This item requires continual review to include the specific area or activities requirements. Please Tick Box



(List any chemicals and hazardous materials to be used or present in the work Area. Attach an MSDS for each)



Will Hazardous manual Handling be possible during the job? E.G. Lifting, pushing, pulling, Twisting or bending? If so tick the box that most likely describes the manual handling risk and include the code on each SWMS Job step



Weather







Oil / Flammable Material



None



There will be no Hazardous Manual handling in this job.







Physical







Gas / Compressed Material



MH1



The task may involve high forces.







Ergonomic / Erosion







Corrosive Material



MH2



The task will require repetitive forceful movements







MH3



The task is likely to cause fatigue or soreness due to it’s long duration Environmental factors are likely to increase the chance of injury.



Working at Height / Confined Space







Asbestos Material



Noise / Dust







Electricity Material







MH4



Joggle / Parallel







Moving Particles







MH5



Lift Review Lift review MUST be done on all field and service jobs. For more complex lifts – use a full detailed lift plan.



General



Awkward posture or movements.



  



Maximum lift (static) load KG



Sling Type



CHN



SYN



RND



OTHR



_____ kg _____ kg _____ kg



Lift capacity of sling Crane condition checked & operation tested (yes/no) Protective barrier required for sling, chains (yes/no) Lifting Gear Checked Own Equipment (Yes, No) Tested & Tagged Customer equip. , good Condition Rigging Required (yes/no) Full Lift Plan Required (yes/no) Lifting Operation Zone







MATRIX A



B



C



D



E



1



H



H



H



M



M



2



H



H



M



M



M



3 4 5



H M M



M M M



M M L



M L L



L L L



Probability A – Repeating occurrencehappens on most occasions. common or repeating occurrence B – Common occurrence-happens approx 1 in 10 C – Could occur-infrequent occurrence-happens approx 1 in 100 D – Not likely to occur-unusual occurrence-approx 1in 500 E – Practically impossible-occurs less than 1 in 5000











People 1 – Fatality or Permanent Disability 2 – Lost Time Injury or Illness 3 – Medical Treatment 4 – First Aid Treatment 5 – Incident Report only











Consequences Environment 1 – off site release with major detrimental effect 2 – off site release with minor detrimental effect 3 – on site release contained with outside assistance 4 – on site release immediately contained 5 – no environmental impact







Hierarchy of Control 1 – Eliminate 2 – Substitute 3 – Isolation 4 – Engineering 5 – Administration 6 – PPE Apply in order of preference from 1 to 6 – note control used



Hierarchy of Control When choosing the controls to be used for each of the hazards that exist, it is important to consider the hierarchy of controls in determining the best practicable control. Consider each hazard and whether there exist a way in which the hazard can be eliminated. If such a control is practicable - nominate the control in the “control” column, and circle the number 1 in the hierarchy of control column. If elimination is not practicable - consider substitution to reduce the risk of the hazard. If such a control is practicable put the control in the “control” column then cross out 1 and circle 2 in the hierarchy of control column. Repeat until the best practicable control is determined. Then repeat for each hazard. Part 2



-



semen



-



Pasir



C



5



L



Kaki terjepit material pagar



C



4



M



Kaki tertimpah material pagar



C



4



M



Terpeleset



C



4



L



Terpukul palu



C



5



L



Pemasanan Balok



Nominate the person who will be required to action the control measures Rank (L,M or H)



Persiapan menurunkan material pagar



Jari atau tangan tergores material pagar



RESPONSIBLE PERSON



Consequence (1-5)



Against each step list the potential / risk hazards that could cause injury / damage when the task step is performed



Rank (L,M or H)



2



List the steps required to perform the task in the sequence they are carried out



Consequence (1-5)



1



POTENTIAL HAZARD



Probability (A-E)



NO.



JOB STEP



Risk Assessed with Controls



Probability (A-E)



For each hazard identified list the control measures required to eliminate or minimize the risk of injury



consideredHierarchy of Controls



REQUIRED HAZARD CONTROL



Cross out controls not practicable. Circle control used



Initial Risk Assessment without Controls



- Identifikasi potensi bahaya di area kerja. - Jangan tergesa-gesa dan tahap demi tahap. - Cek peralatan sesuai dengan permintaan. - Persiapkan alat sesuai dengan pekerjaan dan lakukan register.



123 456



E



5



L



Logotic



123 456



E



5



L



Logotic



123 456



E



5



L



Logotic



Identifikasi potensi bahaya diarea kerja. Jangan tergesa-gesa saat melakukan pekerjaan.



123 456



E



5



L



Site supervisor



123 456



E



5



L



Site supervisor



(use hierarchy of controls – at end of this form)



-



C



4



M



Jari atau tangan tergores material pagar



C



4



M



Terkena paku



D



4



M



Terpukul palu



C



4



M



-



Tertimpa material



C



4



M



-



Tergores seng



C



5



L



123 456



E



5



L



Site supervisor



Kordinasikan sebelum 1 2 3 melakukan pekerjaan. 456



E



5



L



Site supervisor



E



5



L



Site supervisor



E



5



L



Site supervisor



E



5



L



Site supervisor



E



5



L



Site supervisor



(use hierarchy of controls – at end of this form)



-



-



Pemasangan Seng



Nominate the person who will be required to action the control measures Rank (L,M or H)



Tertimpa material



RESPONSIBLE PERSON



Consequence (1-5)



Against each step list the potential / risk hazards that could cause injury / damage when the task step is performed



Rank (L,M or H)



List the steps required to perform the task in the sequence they are carried out



Consequence (1-5)



3



POTENTIAL HAZARD



Probability (A-E)



NO.



JOB STEP



Risk Assessed with Controls



Probability (A-E)



For each hazard identified list the control measures required to eliminate or minimize the risk of injury



consideredHierarchy of Controls



REQUIRED HAZARD CONTROL



Cross out controls not practicable. Circle control used



Initial Risk Assessment without Controls



123 Identifikasi potensi bahaya 4 5 6 diarea kerja. 123 Jangan tergesa-gesa saat 456 melakukan pekerjaan. Kordinasikan sebelum 1 2 3 456 melakukan pekerjaan. 123 456



Nominate the person who will be required to action the control measures Rank (L,M or H)



(use hierarchy of controls – at end of this form)



RESPONSIBLE PERSON



Consequence (1-5)



Against each step list the potential / risk hazards that could cause injury / damage when the task step is performed



Risk Assessed with Controls



Probability (A-E)



List the steps required to perform the task in the sequence they are carried out



Rank (L,M or H)



POTENTIAL HAZARD



Consequence (1-5)



NO.



JOB STEP



Probability (A-E)



For each hazard identified list the control measures required to eliminate or minimize the risk of injury



consideredHierarchy of Controls



REQUIRED HAZARD CONTROL



Cross out controls not practicable. Circle control used



Initial Risk Assessment without Controls