JOB SAFETY ANALISYS Revision 0

Ref. N° : Participants Name Job Title Signature

Activity/Task
MECHANICAL RUN TEST OF COOLING
concerned and
TOWER WITH WATER CIRCULATION
its location

 Minimum (at
Required level 
start and end of  Other:
of Supervision: Permanent
task)

Risk Rating (RR) guideline:

IMPORTANT NOTE : By signing this document, it is acknowledged by

each person involved in this risk assessment that all reasonable
attempts have been made as a first priority to identify any potential to
eliminate all the significant hazards listed, e.g. by preventing working
at height or entering into a confined space.

Likelihood (L): Probability of the undesired event to happen (shall consider the frequency and Severity (S): Importance of harm, damage or impact caused by the event.
duration of exposure and the potential for the undesired event to happen).
Definition Severity Definition
Value
Value
Negligible the occurrence is extremely unlikely to happen and has never Minor None or very limited consequences on people (e.g. first aid injury), property (e.g. scratch on equipment
(1) happened according to our knowledge (1) painting) or the environment (e.g. small quantity of biodegradable waste dispersed)
Low the occurrence is unlikely to happen in the foreseeable future but Moderate Injury requiring medical treatment without lost work days, reversible environmental negative impact or
(2) has already been experienced (2) property damage / business interruption below 50 k€ of cost involved
Moderate the occurrence is predictable to happen in the mid-term High Lost Time Injuries, with full recovery, or reversible environmental negative impact or property
(3) (3) damage/business interruption below 200 k€ of cost involved
High the occurrence is predictable to happen in the short term Major Severe Accident as per Alstom e-book definition
(4) (4)
Definite the occurrence is certain and immediate. Catastrophic Potential for several fatalities (or other type of severe accident)
Page 1 of 8
(5) (5)

APPROVED BY
Competent Discipline Engineer EHS Representative (Name,
(Name, Signature and Date) Signature and Date)

Risk assessment reference number: Page 2 of 8

Activity Hazard Risk and affected Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
Step Persons

PTW tidak Pastikan PTW telah disetujui

Koordinasi Pekerjaan di stop 1 1 1 NONE Dimas
ada sbelum memulai pekerjaan

Pastikan dokumen wajib proses

Pekerjaan illegal 1 1 1 NONE Dimas
energi tersedia

Pengetesan batal Pastikan PTW telah di realesed 1 1 1 NONE Dimas

Miss Sebelum bekerja disempatkan

Kesalahan pekerjaan 1 1 1 NONE Dimas
komunikasi untuk TBM

Persiapan Gagal Kehilangan waktu Pengecekan normal atau

1 2 2 NONE Dimas
alat peralatan kerja tidaknya alat

Kehilangan waktu Pasang pengikat peralatan agar

Alat Jatuh 1 1 1 NONE Dimas
kerja tidak jatuh

Merugikan diri sendiri Bekerja sesuai prosedur dan

Alat hilang 1 1 1 NONE Dimas
dan perusahaan disiplin

Risk assessment reference number: Page 3 of 8

 Activity Hazard Risk and affected Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
Step Persons

Observasi Tempat Melakukan house keeping sebelum

Tidak nyaman bekerja 1 1 1 NONE Dimas
lapangan kerja kotor dan sesudah bekerja

Cuaca
Hujan Berhenti kerja 1 1 1 NONE Dimas
buruk

Kabut Berhenti kerja 1 1 1 NONE Dimas

Angin kencang Berhenti kerja 1 1 1 NONE Dimas

Tempat
kerja
Jatuh kedalam lubang Baricade area berlubang 1 2 2 NONE Dimas
banyak
lubang

Tempat
kerja
Baricade matrial yang berpotensi
banyak Tertusuk matrial 1 2 2 NONE Dimas
menciderai
matrial
berserak

Mechanical
run test with Equipment Cidera berat ataupun Mengecek keseluruhan
1 2 2 NONE Dimas
water rusak ringan equipment sebelum bekerja
circulation

Risk assessment reference number: Page 4 of 8

 Activity Hazard Risk and affected Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
Step Persons

Distribution Cidera berat maupun

Tersiram air Mengecek aman tidaknya semua
system ringan pada anggota 1 2 2 NONE Dimas
bertekanan pipa yang teraliri air
checking badan

Melakukan observasi lapangan 1 2 2 NONE Dimas

Melakukan house keeping pada

1 1 1 NONE Dimas
system

Distribution
Melakukan flushing pipa pada
systempipe 1 2 2 NONE Dimas
sistem
menghantam orang

Operate Luka terkena rotating Mengecek equipment sebelum

Baut kendor 1 2 2 NONE Dimas
motor equipment bekerja

Gearbox
Pemborosan waktu Mengecek equipment sebelum
kehabisan 1 1 1 NONE Dimas
kerja bekerja
oli

Cidera pada anggota Menempatkan posisi monitoring

Fan putus 2 2 4 NONE Dimas
badan pada tempat yang aman

Risk assessment reference number: Page 5 of 8

 Activity Hazard Risk and affected Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
Step Persons

Mengecek Menempatkan posisi monitoring

Fan putus Kematian 2 2 4 NONE Dimas
rotasi Fan pada tempat yang aman

Drive shaft Kematian / cidera Menempatkan posisi monitoring

2 2 4 NONE Dimas
putus berat pada tempat yang aman

Badan tertancap Menempatkan posisi monitoring

2 2 4 NONE Dimas
potongan matrial pada tempat yang aman

Pengeceka Tersengat Memastikan semua grounding telah

Luka bakar 2 1 2 NONE Dimas
n instrument listrik terpasang

Memastikan semua koneksi

2 1 2 NONE Dimas
terproteksi

Pengukuran Memastikan arean berlubang

Terpeleset Cidera berat 2 1 2 NONE Dimas
data telah di baricade

Tersengat Melakukan pengukuran pada

Luka bakar 2 1 2 NONE Dimas
listrik tempat yang benar

Risk assessment reference number: Page 6 of 8

 Activity Hazard Risk and affected Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
Step Persons

Menyebabkan
Confined Terkena Mengecek area menggunakan gas
kercunan pada 1 1 1 NONE Dimas
space racun H2S detector
sakluran pernafasan

Menyediakan anggota untuk

mengawasi area keluar dan masuk 1 1 1 NONE Dimas
confined space

Mencatat anggota yang masuk dan

1 1 1 NONE Dimas
keluar area confined space

House Membersihkan area kerja setelah

Terpeleset Cidera anggota badan NONE Dimas
keeping bekerja

Membersihkan area kerja setelah

Patah Tulang NONE Dimas
bekerja

Terkena Memberi tanda pada material

Tangan putus NONE Dimas
benda tajam yang berbahaya

Risk assessment reference number: Page 7 of 8

 Anggota badan Memberi tanda pada material
NONE Dimas
tetanus yang berbahaya

Risk assessment reference number: Page 8 of 8