Leighton International Limited

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

Country Office / Project: Indonesia/ ID 204 MHU Coal Mine Project Tools and or Equipment required: JSA No: ID 204-JSEA-WS-0120

- Helmet, Safety Boot, Reflective

Job Location & Details: MHU, Change Bushing Bucket EX606 Date Prepared: 22 May 2010
Vest, Hand Glove, Ear plug

JSA Participants: - Safety Glasses, Etc

Approved by PM: Sahala

Junaidi, Adam Malik, Hendra Wanto - Ladder/ Tangga
Aritonang

Responsible Supervisor: Junaidi - All Tools/ Semua Peralatan

- Crane Truck/ Manitou

- Lifting Chain/ Webbing sling
- Rope, Safety Harness
- Toolbox set
- Stand/ganjal Date:
JOB STEP HAZARDS IDENTIFIED CONTROLS REQUIRED (Eg. Remove overhead cable or ACTION BY/RECORD
(Eg. Set Up Crane) (Eg. Electrocution from 11Kv Cables) isolate/sheath overhead or monitor with spotter) Training PPE Needs (Eg. Supervisor)
1. Park Machine and isolate 1.1 Worker slip/ Fall down/ 1.1.1 Ensure the woker wearing PPE and becareful while working/ 1.1.1.1 Supervisor, Mechanics
Crushed/ Injury/ Pekerja Pastikan pekerja memakai alat pelindung diri dan berhati-hati
In workshop
disaat bekerja
1.2 Area not level condition 1.2.1 Ensure the area must be level and clean/ Pastikan area 1.2.1.1 Supervisor, Mechanics
harus di ratakan dan bersih
1.3 Equipment
1.3.1 Ensure have spotter fault/unit
to direct when adanya
moving. The operator must look at spotter not in his mirrors. / Pastikan ada 1.3.1.1 Operators
kerusakan unit
spotter pemandu ketika unit bergerak / berpindah. Operator harus melihat kea rah spotter bukan ke kaca spion
1.4 Unit no Isolation/ Unit tidak di 1.4.1 Ensure fit”Out of Service tag” and Personal danger tag pad 1.4.1.1 Mechanics, supervisor
isolasi lock” / Pastikan pasang Out of service tag” and Personal Danger
tag pad lock
1.5 Tools set/ support equipment 1.5.1 Ensure check tools set/ support equipment in good condition/ 1.5.1.1 Supervisor, Mechanics
fault/ Alat-alat atau peralatan Pastikan pemeriksaan alat-alat/ peralatan pembantu dalam kondisi
pembantu rusak baik
2. Change bearing boom 2.1 Worker injury/ Pekerja terluka 2.1.1 Ensure wearing PPE as standard (Hand gloves)/ Pastikan 2.1.1.1 Supervisor and Mechanics
frame /Pengatian bearing pakai alat pelindung diri
boom frame

Mar 2008 Page 1 of 4 LIL-HSE-FM001B(01)

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JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET
2.2 Falling / Impacted/ Terjatuh/
Terjepit
2.3 Tools set/ Support equipment
broken/ Alat-alat /peralatan
pembantu rusak
2.4 Manual handling/ Mengangkat
secara manual
2.5 Missed communication/ salah
pengertian saat berkomunikasi
3.Used liquid nitrogen 3.1 High pressure gas escapes.
charge Hand and eye injury/ Gas
bearing/mengunakan bertekanan tinggi keluar.
liquid nitrogen charge Dapat melukai tangan dan
bearing mata
Mar 2008
2.1.2 Ensure hands correct position when hold pin, boom framer/ 2.1.2.1 Mechanics
Pastikan posisikan tangan dengan tepat ketika memegang
pin,boom frame
2.2.1 The worker must be careful and concentration while working/ 2.2.1.1 Mechanics
Pekerja harus berhati-hati dan konsentrasi ketika bekerja
2.2.2 Ensure working at high more 1,8m use safety harness belt as 2.2.2.1 Supervisor and Mechanics
standard./ Pastikan bekerja di ketinggian lebih dari 1,8m harus
pakai safety harness belt
2.2.3 Ensure use ladder agreeable/ Pastikan menggunakan tangga 2.2.3.1 Mechanics
yang sesuai
2.2.4 Ensure release hydraulic pressure/ Pastikan melepaskan 2.2.4.1 Mechanics
tekanan hidrolik
2.2.5 Ensure the workers not under load / radius lifting activity/
Pastikan pekerja tidak berada di bawah beban / radius
pengangkatan beban
2.3.1 Ensure use correct proper tools and lifting gear set(chain/belt) 2.3.1.1 Mechanics and Crane/
/ Pastikan menggunakan alat-alat dan peralatan bantu angkat- Manitou Operators
mengangkat (rantai/ sabuk) yang benar.
2.4.1 Ensure correct manual handling procedure/ Pastikan 2.4.1.1 Mechanics
melakukan mengangkat manual dengan benar / sesuai prosedur
2.4.2 Ensure use lifting equipment to move stick cylinder/ Pastikan 2.4.2.1 Supervisor, Mechanics,
menggunakan alat angkat untuk memindahkan stick cylinder operator Crane/Manitou
2.4.3 Ensure use webbing sling to tie arm/stick cylinder/ Pastikan 2.4.3.1 Mechanics, Operator Crane/
menggunakan webbing sling untuk mengikat stik cylinder Manitou
2.4.4 Ensure use agreeable lifting chain/ webbing belt with weigh 2.4.4.1 Operator Crane/ Mechanics
stick cylinder/ Pastikan menggunakan rantai/ webbing belt sesuai
dengan berat stick cylinder
2.5.1 Ensure have rigger when lifting activities/ Pastikan ada rigger 2.5.1.1 Supervisor, Operator Crane/
pemandu untuk kegiatan pengangkatan Manitou
2.5.2 Ensure the operator crane/ Manitou must concentration, only 2.5.2.1 Operator Crane/ Manitou
following signal from rigger ./ Pastikan operator crane/Manitou
memperhatikan, mengikuti signal, aba-aba rigger
3.1.1 Ensure read MSDS Nitrogen liquid/ Pastikan membaca 3.1.1.1 Mechanic
Material Safety Data Sheet Nitrogen liquid
3.1.2 Ensure use gloves, face shield, long sleeved shirt & PPE. To 3.1.2.1 Mechanic
safely complete the task./ Pastikan Gunakan sarung tangan,
pelindung muka, baju lengan panjang & APD untuk kerja
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Leighton International Limited

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

aman 3.1.3.1Mechanic
3.1.3 Pastikan All connections must be secure and tight/ Semua
sambungan harus aman dan rapat 3.1.4.1 Mechanic

4.1.4 Ensure the hose in good condition and not twisted when
fitted/ Pastikan hose dalam kondisi bagus dan
pemasangannya jangan berbelitan / tergulung sewaktu
memasang

4.Remove bearing used 4.1 Tangan terkelupas
welding,buka bearing
dengan pengelasan
5. Job Finish/ Pekerjaan 5.1 No remove isolation tags/
selesai Tidak melepaskan tanda isolasi
unit
5.2 Poor housekeeping at the
area/ area kurang bersih
4.1.1 Ensure used hand glove/yakinkan gunakan sarung tangan 5.1.1.1 Mechanics
5.1 Ensure remove isolation tags from machine/ Pastikan 5.1.1 Mechanics
melepaskan tanda isolasi dari unit
5.2.1 Cleaning and tidy up work area/ bersihkan dan rapihkan area 5.2.1.1 Supervisor, Mechanics
kerja

Mar 2008 Page 3 of 4 LIL-HSE-FM001B(01)

 Leighton International Limited

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

Job Description ,
I fully understand this Job Safety Analysis and will work according to it __________________________
__________________________
Saya Sangat mengerti Analisa bekerja aman dan akan melakukan sebaik-baiknya. Date issued , _______________

JOB PARTICIPANT LIST

NO. Name Position Signature

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10

Mar 2008 Page 4 of 4 LIL-HSE-FM001B(01)