Pengoperasian Compressor Ingersoll Rand P90CWIR

PT.
AKURA BINA CITRA HAZARD IDENTIFICATION, RIS
Department Personnel
Field Department participated
& consulted: Assessors name
Area
Workshop Name
Designation
1) Asep Sudrajat
Activity pengoperasian Compressor Ingersoll Rand Willy

P90CWIR 2) Elvandi
3)
Type*)
No Activity Description Hazard/Aspect R/O Consequence (Risk/ Impact)
Pengoperasian Compressor Ingersoll Rand P90WIR
Persiapan
PT. AKURA BINA CITRA HAZARD IDENTIFICATION, RIS
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
1 Persiapan Penempatan unit pada posisi miring R S

pengoperasian
Compressor
Ingersoll Rand
P90CWIR
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
Sumber listrik yang dibutuhkan tidak sesuai R S Kabel bisa terbakar akibat
kabel terbakar
menyebabakan luka bakar
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
Sambungan selang bocor R S Cedera badan

Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
Oli mesin berlebih R S - Terpleset akibat ceceran oli

- Pencemaran tanah
akibat ceceran oli
Pengoperasian Alat
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
2 Pengoperasian Kebisingan berlebih R S Gangguan pendengaran

Compressor
Ingersoll Rand
P90CWIR
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
Paparan debu R S Gangguan pernafasan
Is the scenario enough to cover the significant risk? £ YES £ NO

Ext/Int
Responsibility of
Planned Date Recipient / Receiver Related Documented Inform
Communication
Area
Workshop Name
Designation
1) Asep Sudrajat

P90CWIR 2) Elvandi
3)
Type*)
Ext/Int
Responsibility of
Planned Date Recipient / Receiver Related Documented Inform
Communication
Is the action taken (still) effective to control the risk? Last Review By :
£ YES £ NO. Refer to Risk Assessment No:
Doc No.
DENTIFICATION, RISK ASSESSMENT, AND RISK CONTROL
Ref Code / Rev
Prepared by: Reviewed by: Approved by:

Assessors name
Name: Elvandi Name: Asep Sudrajat Name:
Signature: Signature: Signature:
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Significan Action to Take
Likelihood
Verifcation
Closed Out
Related
Severity
Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Documented
Open
Situation Risk Hazard ? Mitigation to Authority Date Date Date
Rating (Y/N) Information
reduce Risk
L S
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
Memastikan kabel gerinda 1 2 2/L N - - - - - V -
sudah dilakukan marking n layak
digunakan
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
Memastikan sumber listrik 2 2 4/L N - - - - - V
sesuai dengan kabel pada gerin
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
Memastikan sumber listrik 2 2 4/L N - ` - - - V
sesuai dengan kabel pada gerin
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
Memastikan level oli sebelum 2 2 4/L N - ` - - - V
mesin compressor digunakan
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
- Gunakan ear plug dan ikuti 2 2 4/L N - - - - - V
petunjuk pengoperasian mesin
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
- Gunakan masker saat 2 2 4/L N - - - - - V
mengoperasian Compressor
0 CONTINGENCY PLAN FOR RISK NO :
Verifcation
Closed Out
lated Documented Information Status Optional Related
Open
Responsibility / Planned Target Closing
Action to Documented
Authority Date Date Date
Mitigate Risk Information
Doc No.
Ref Code / Rev

Assessors name
Date: 3/4/2018 Date: 3/4/2018 Date:

Initial Risk Status
Likelihood
Verifcation
Closed Out
Related
Severity

Documented
Open
reduce Risk
L S
Verifcation
Closed Out
lated Documented Information Status Optional Related
Open
Responsibility / Planned Target Closing
Action to Documented
Authority Date Date Date
Mitigate Risk Information
Date: Sign
NOTE *) B = Business C = Cost D = Delivery E = Environment H = Health Q=
Form ABC/HSE/01
00
Approved by:
Name: Andi Setyo Budianto
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Risk Acceptable Review
Rating Date
L S Yes No
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
1 2 2/L Y
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
2 2 4/L Y
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
2 2 4/L Y
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
2 2 4/L Y
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
4/L Y
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihood
Next
Severity
Risk
Rating Date
L S Yes No
2 2 4/L Y
Likelihoo
Severity
Residual
Risk Next
Risk
d
Acceptable Review
Rating
Date
Form ABC/HSE/01
00
Approved by:
Signature:
Date: 3/4/2018
Residual Risk
Residual
Likelihoo Likelihood
Next
Severity Severity
Risk
Rating Date
L S Yes No
Residual
Risk Next
Risk
d
Acceptable Review
Rating
Date
L S Yes No
= Cost D = Delivery E = Environment H = Health Q = Quality S = Safety Page of

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PT.

AKURA BINA CITRA HAZARD IDENTIFICATION, RIS

Activity pengoperasian Compressor Ingersoll Rand Willy

Pengoperasian Compressor Ingersoll Rand P90WIR

Activity pengoperasian Compressor Ingersoll Rand Willy

1 Persiapan Penempatan unit pada posisi miring R S

Activity pengoperasian Compressor Ingersoll Rand Willy

Activity pengoperasian Compressor Ingersoll Rand Willy

Sambungan selang bocor R S Cedera badan

Activity pengoperasian Compressor Ingersoll Rand Willy

Oli mesin berlebih R S - Terpleset akibat ceceran oli

Activity pengoperasian Compressor Ingersoll Rand Willy

2 Pengoperasian Kebisingan berlebih R S Gangguan pendengaran

Activity pengoperasian Compressor Ingersoll Rand Willy

Paparan debu R S Gangguan pernafasan

Is the scenario enough to cover the significant risk? £ YES £ NO

Activity pengoperasian Compressor Ingersoll Rand Willy

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

0 CONTINGENCY PLAN FOR RISK NO :

Prepared by: Reviewed by: Approved by:

Name: Elvandi Name: Asep Sudrajat Name:

Signature: Signature: Signature:

Date: 3/4/2018 Date: 3/4/2018 Date:

Current Control / Existing t Opportunity / Responsibility / Planned Target Closing

Name: Andi Setyo Budianto

Name: Andi Setyo Budianto

Name: Andi Setyo Budianto

Name: Andi Setyo Budianto

Name: Andi Setyo Budianto

Name: Andi Setyo Budianto