& MGU-FRIV-KG-010 bal JSA (Job Safety Analysis) Tans ss LAGER (uo lee alts data | [Date (02 Februari 2017 = ISA No: (O1/ISAITP/I/2017 a tia taeda : + roti ae = ane aes — | ore eS Fa — 7 ——] (Hard Hat =a [Fire Extinguisher rx [[Safety shoes E Lock Out/Tag Out al [Safety Glasses FaceShield z Work Permit Required 7 Coverall Goggles x [other ae es Pema Pa on PrvZU Ly reread pee Co eR Nerd eee 1. Cutting touch "a. Equipment/tools rusak telayak-pakaian equipment/tool__| _ SPV Pematik api be. Izin kerja tidak valid . Dapatkan jin kerja yang panas Foreman |] sebelum memulai pekerjaan nl 2 [1 Je Dapatian zin yang dhalidast untuk | Foreman hari tertentu [ 3. Cylinder botol O2/C2H2 | c Personel kurang kompeten 4. Hose, Reglbtor, Nozze, Flash | d uranghmiskin Komunikasl Ma T_ Back Arestor dilakukan oleh personel yang _ Kompeten . Lakukan Toolbox Meeting, tinjau metodenya dan analisa keselamatan kerja untuk semua personel = | [Spear [ea atmos eTergesa-gesa e [2m f. Lakukan pemeriksaan, pantau aktivitas kerja dan harus memastikan standar dan prosedur keselamatan ditaati___|ra) 2_| Cutting Pr MARGSEA ANA Pero Co Mae Nerd 1. Cutting touch 2. Material (pipa/piat) Drang ey en eg Venta mas Wie doe [MUA Nio.Rev [0 [ails —[a/ii7ie [al So 2a, Isolasi sistem dengan benar M1300 2. Terbakar c M T Foreman “|b. Bahaya kebakaran ye |_| b.Semua cylinder harus dipastikan aman | Foreman ___|[&-Gangguan permafasan | | Foreman _| 4. Ledakan a E Mm “Foreman . Tersandung c L_[e. Gunakan APO yangtepat [nse] [[f. Cynder atau selang rusak/bocor [p31 | retakan Gas Monitor dengan tepat Foreman = = at rs jengan balk 7 HSE “[h.Siapkan Fire blanket [Hse selang sebelum m pekerjaan, 2. Equipment: Grinding machine ‘a. Gunakan APD yang tepat ». Pastikan ‘guard terpasang pada gerinda_ | c. Pastikan mata gerinda yang digunakan sesual dengan equipmentnya 4 Pastikan pemasangan mata gerinda sudah_ Foreman ‘SPV “Foreman — .Pastikan personil yar m SPV ‘yang menggunakan equipment tersebut = a rt S Pastikan tempat cuci muka tersedia SPV L.Sapu 2. Bak sampah 3. Serokan sampah 4. Terjatuh | a. Personal injury a for ngkah dengan hati-hati | For |b. Batuk berdeou D 'b. Gunakan masker dust HSE ‘. Pencemaran partikel ‘¢ Ditempatkan pada bak sampah yang sesuai | SPV ‘Aknowiedge by: Ts Officer ae | LAnch SoPutraM. DOCUMENT NUMBER : REVISION 4 BM rr ancasera urama Maun a HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 1. INTRODUCTION 1a 12 13 14 Scope This procedure describes the requirements and various method of Risk Assessment techniques used and applicable within PT. Margaseta Utama operations. Objectives To describe in detail the method of identi ing Hazard and performing Risk ‘Assessment using the range of techniques available in a standard manner, and which meets regulatory requirements. Responsibilities All Managers and Supervisors assisted with HSE Responsible Person are responsible for ensuring that this procedure is implemented within their areas. Definitions The terms in this document are used in accordance with the definitions given in the PT. Margaseta Utama Management System. Other specific terms are defined as follow: Risk Management in Health and Safety is the process of identifying Hazards, asses: Risk, taking action to eliminate, monitor and continuously reduce Risk. Health, Safety & Environment Management is a system of defining policy for Health, Safety and Environment organizing and planning, implementing plans, measuring performance, reviewing and auditing the management system to achieve the objective of the policy. Risk Assessment is the process of analyzing the level of Risk, considering those in Danger, and evaluating whether Hazards are adequately controlled, taking into account any measures already in place. A Hazard is a sources or potential sources to cause harm (this can be a substance, part of a machine, form of energy, method of work or a situation) Harm includes death, injury, physical or mental ill-health, damage to property, loss of production or any combination of these (Cost of Loss). The definition given here includes damage to property and other losses.M. = DOCUMENT NUMBER : REVISION MM | PT. MARGASETA UTAMA. MGU-HSE-002 4 vest aan DATE: 22-10-2016 SHEET: 2 of 11 HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 2. RISI 21 2.2 Risk, means the measure of the probability that the Harm from a particular Hazard will occur. It also takes into account the possible Consequence or Impact and is usually expressed by a Risk Level Rating on a scale described later in this procedure. Danger is a state where are when there is exposure to a hazard an is the opposite of Safe or Safety. Safe is a state where or when exposure to hazards has been controlled to an adequate level and is the opposite of Danger. Acceptance Criteria is used to express an acceptable risk level in the acti ies being carried out. Probable Recurrence is the likelihood of an recurrence of Harm from the Hazard 1K ASSESSMENT General Requirements Risk Assessment shall be performed by all Superintendent and Worksite Supervisor on all work-over and operation site before work in commence. This is various methods at our disposal with a similar objective or identifying potential Hazards and assessing the Risk of People, Plant, Equipment and the Environment. PT. Margaseta Utama use a specific Job Safety Analysis (JSA) for operations activities. The purposes of the JSA procedure is to give the responsible Line Managers to apply the techniques which would be acceptable for Risk Management. Key Element of Risk Assessment The elements to be addressed and the sequences of events to perform Risk Assessment are indicate on the following flowchart:DOCUMENT NUMBER : REVISION BE rremancasea ura mana DEPARTMENT PREPARED BY Ronitua OR Identifikasi Bahaya dan Resiko Flowchart 2.1 : Key Element & Sequences of Event of Risk Assessment Likelinood and EPERIENCE FEED BACK LIBRARY IDENTIFY and [ANALYSIS TASKS. 1 IDENTIFY PERSONS, ENVIRONMENT, MATERIAL IN DANGER 3 ANALYSIS 4 5.6 EVALUATE RISK Consider Existing Measures RISK Consequences ACCEPTANCE CRITERIA MINIMAL RISK REVIEW AND FEEDBACK 9 7 ¥ RISK RISK ADEQUATELY CONTROLLED ‘ADEEQUATELY CONTROLLER CONSIDER FURTHER MEASURES IMPLEMENT FURTHER MEASURESDOCUMENT NUMBER : REVISION 4 PT.MARGASETA UTAMA ane EET aot HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 2.3, Organi The Risk Assessment Team shall consist of relevant experienced personnel. The team ing Risk Assessment Teams leader shall have the necessary experience and training in performing Risk ‘Assessment. Included in the team shall be Managers and Supervisors who have responsible to perform. They are responsible for the task in terms of production, quality, cost safety and other factors and they will know more than an outsider about the way the task is actually carried out, Each team member shall be given the opportunity to prepare themselves in advance, and shall further be provided with the relevant procedure, drawings, design and lay- out. Prior to the performance of and assessment the HSE Department shall be notified and informed of the full scope for the assessment. The HSE Department, can if deemed necessary, attend the assessment. 3, ACCEPTANCE CRITERIA Acceptance Criteria expresses the level of Risk for the work task. The Risk Levels are calculated by utilizing the consequences and likelihood = Risk Rating (Level) using the following ratings. 3.1. Qualitative Measures of Consequence or Impact Level1: Insignificant. No injuries, low financial loss. Level 2: Minor. Fist aid treatment, on-site release immediately contained, medium financial loss. Level 3: Moderate. Medical treatment required, on-site release contained with outside assistance high financial loss. Level4: Major. Extensive injuries, loss production capability, off-site release with no detrimental effects, major financial loss. Level: Catastrophic. Death, toxic release off-site detrimental effect, huge financial loss.DOCUMENT NUMBER: REVISION 4 iM PT. MARGASETA UTAMA. MGU-HSE-002 4 DATE: 22-10-2016 SHEET: 5 of 11 HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 3.2 Qualitative Measures of Likelihood The following levels shall be used when calculating Risks LevelA: Almost certain. The event is expected to occur in most circumstances. LevelB: Likely. The event will probably occur in most circumstances. LevelC: Moderate. The vent should occur at some time. LevelD: Unlikely. The event could occur at some time. LevelE: Rare. The event may occur only in exceptional circumstances, 3.3 Determining the Risk Level Rating Table 3.1 below summarizes the Qualitative Measures of Consequences/Impacts and Likelihood and definitions as described in paragraph 3.1 and 3.2 above. Table 3.1 PT. Margaseta Utama Qualitative Risk Analysis Matrix — Level of Risk. Moderate | Major | Catastrophic 3 4 5 Insignificant 1 A (almost certain) B (likely) M C (moderate) L D (unlikely) L E (rare) L Lee High Risk Significant Risk cl cl cl cl ci cl M i M Cc) Moderate Low Risk Risk The likelihood Rating is determined by fist assessing the Likelihood Level (A to E) using the definition quoted in paragraph in paragraph 3.1 above, and presented in tabular from on the left side in Figure 3.1, then addressing the Consequence Level (1 to 5) quoted in paragraph 3.2, and presented in horizontally on top Figure 3.1. The severity Rating may then be read in the box were the two lines meet. Note that we can only derive at a Risk Rating by using the table above. You should also apply Likelihood first and Consequence Last.DOCUMENT NUMBER : REVISION 4 PT.MARGASETA UTAMA ane SHEET? © of HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 3.3.1 Acceptance Criteria’s From Table 1 above the Risk Rating will fall into four categories, as follow: a. High Risk The Risk is unacceptable, that the operation/action must be discontinued, re- igh Risk area, marked in black in table 3.1 above indicates that the engineered and that Risk must _be reduced. Detail research and management planning required at Management Level b. Significant Risk The Significant area, marked in medium light-black in Table 3.1 above indicates that there are Significant Risks involved. Management Level attention needed cc. Moderate Risk The Moderate Risk area, marked in light-black in Table 3.1 above indicates that there still considerable risk involved. Management level attention needed. This risk shall if possible be reduce. Procedures and standards, including use of PPE (as a last resort) shall be implemented to minimize the risk to acceptable level. d. Low Risk The Low Risk area, box without marking in Table 3.1 above indicates that the Risk are acceptable, it does however not preclude anyone from considering and reducing the Risk even further. The Low Risk shall be managed by routine procedures. JOB SAFETY ANALYSIS (JSA) 4.1. Objectives The aim of the Job Safety Analysis is to clearly identify the Hazards that an employee will be exposed to on a daily basis they carry out their duties. The hazards will be rated in such a manner to identify those which are considered the more serious. The employee is to be encouraged to exercise additional caution and vigilance when conducting activities which have highly rated potential Hazards. Projects are required to perform JSA by working through the logical sequence.= DOCUMENT NUMBER : REVISION MM | PT. MARGASETA UTAMA. MGU-HSE-002 4 pnmacn oan DATE: 22-10-2016 SHEET: 7 of 11 HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko 4.2. JSA Identification The first step in JSA involves a systematic identification of the various job functions/disciplines that exist within PT. Margaseta Utama. Typically this would involve identifying the job title of each individual. The next step requires that the normal discipline associated act es are clearly identified and listed under the job title. The identification of activities and their Risk Assessment must be carried out as a joint exercise between a discipline supervisor and one or more employee, who is employed by PT. Margaseta Utama under the job function/discipline being evaluated. Acompleted example of the JSA is shown in Appendix 1. All job functions within PT. Margaseta Utama are to be evaluated using the JSA system, and the completed forms are to be kept at the work-site with copies being forwarded to the HSE Department, as a record On any work-site where the JSA is still active after a period of 6 months the JSA will be reviewed and revised as necessary to reflect changes in work practices or other relevant information. It is the responsibility of the Line Manager(s) to ensure that JSA’s exist for all job functions directly under there are of influence. In this way they will assist as required by supervisory personnel and the HSE Department. Look for hazards which we could reasonably expect to result in significant harm under the conditions in the workplace. Use the following as a guide, and ask our-self “What be prepared to add to this list as new Hazards are identified”. STEP 1 - IDENTIFY THE HAZARD INVOLVED Slip/Trip/Fall Hazards Fire/Explosions v vv Chemicals/Pollution/Contaminants Falling/Moving/Swinging objects Moving Parts of Machinery/Vehicles Ejection of Material (welding/eri Pressure/Vacuum vv v 8) vv Electricity v Working at height (overboard) Noise v > DustDOCUMENT NUMBER : REVISION 4 PT.MIARGASETA UTAMA ane EET Oot HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko > Fumes Loss of Poison vv Manual handling Poor lighting Low/High temperature vvv Asphyxia (Oxygen starvation) Radiation Vibration Repetitive Strain Injuries (RP!) vvvVYv Single Point Failures Posture Collapsing v v Overturning STEP 2 WHO/WHAT MIGHT BE HARMED? Newly hired personnel Office staff Contractors vv v v People sharing your workplace v Operators v Cleaners v Members of the public > Personnel new on board > Assets material, equipment > Environment Pay particular attention t¢ > Staff with disabilities > Visitors > Inexperienced staff v Lone workers STEP 3 IS THE RISK ADEQUATELY CONTROLLED? Are precaution already taken against the Risk from Hazards listed? For example the following provided: Adequate information, instruction, training?| PT, ARGASETA UTA DOCUMENT NUMBER : REVISION | PT. MARGASETA UTAMA MGUHSE-O02 o DATE: 22-10-2016 SHEET: 9 of 11 HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment APPROVED BY AH Hermanu Identifikasi Bahaya dan Resiko STEP 4 STEPS, STEP 6 > Adequate systems or procedures? Do the existing precautions: > Meet the standards set by a legal requirement? > Comply with a recognized industry standard? > Represent good practice? > Reduces Risk as reasonably practicable? If so, the Risks are adequately controlled, but we need to indicate the precaution we have in place. We may refer the procedures, company rule, industry codes of Practices r Guidelines, giving the information. - WHAT FURTHER ACTION IS REQUIRED TO CONTROL RISK? Priority must be given to those Risks which affect large number of people and/or could result in serious Harm. The principles below should be applied when taking further action, if possible in the following order: > Remove the Risk completely Tryaless risky option > Prevent access to the Hazard (e.g. by guarding) > Organize work to reduce exposure to Hazard 5 Issue PPE (as least resort to be reduce the Risk) > Provide equipment/facilities (e.g, washing facilities for removal contamination) - RISK ACCEPTANCE CRITERIA In order to make best use of resources, a method of ranking the Hazard in order of critically is developed Risk Acceptance Criteria is described in section 3. - THE ASSESSMENT MUST BE REVIEWED FROM TIME TO TIME AND REVISED WHEN NECESSARY Sooner or later new machines, substances and procedures will be introduced which could lead to new or increase Hazards. If there is any significant change, the assessment must take account of the new Hazard.= DOCUMENT NUMBER : REVISION BA rretancasern urna Men DEPARTMENT PREPARED BY Ronitua OR Identifikasi Bahaya dan Resiko In any case, itis good practice to review assessments from time to time. This should not be done for every trivial change, or still more, for each new job, but when a new job introduces significant Hazards oe when Personnel previously not involved are being used. 4.3 Reporting and Follow Up 4.3.1 Reporting Before closing a Hazop/Hazard analysis, a written report shall be carried out. This report shall have the following table of content: a. Introduction (PT. Margaseta Utama standard) = Scope - Objective - Responsibility - Definitions - References b. Assessment - The method used = Acceptance criteria - Participants and team leader - Responsibilities and limitations c. Recommendations - Recommendations (including the responsible person and time limits) d. Appendix - Form used - Distribution list The final report shall be copied to the HSE Department. 4.3.2 Follow Up The person responsible for the recommendation shall give suggestions for corrective actions within a time limit. After the final date of time limit, a report including recommendation and suggested corrective action shall be made. The recommendation Close Out Form in specific form shall be used and distributed to all receivers of the assessment report,DOCUMENT NUMBER : REVISION a BA remwscisea urn sae er aa HEALTH, SAFETY AND ENVIRONMENT (HSE) Dasma DEPARTMENT PREPARED BY Ronitua BR HSE PROCEDURES MANUAL Aditi Hozard identification and Risk Assessment approveoey | nate | AH Identifikasi Bahaya dan Resiko ions are Closed Out, the HSE Department shall be given the responsibilities for further follow up. This shall If a project demobilizes before all recommend be done through a formal letter or Memo from the involved Manager, as part of his feed-back report. APPENDIX Job Safety Analysis (SA) Form e en Me JSA (Job Safety Analysis) ene — [ce ‘Weg ve fer vor eat ees ‘ier