PT.

Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 28-Jul-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Spray Painting Team Members :

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Spray Painting Helper Crew, Splashes into eyes Permanent disability, Long 2 2 4 1. TAKE 5 & daily pre start briefing 1 2 2
Mechanic Crew, term absence due to for clear instruction
Foreman, treatment, Soil/water EL/SUB EL/SUB
Supervisor, contaminated
Environment
ENG/SEG 2. Inspect all tools before use (spray ENG/SEG
gun,nozzle, air compressor
machine, hose)
ADM 3. Parked the equipment on safe ADM
position in a separate place with
good air circulation
BHV 4. Lower all component on into BHV
ground
PPE 5. Release all hydraulic pressure, PPE
place wheel chock behind of wheel
6. Barricade work area work
7. Isolation Energy (LOTO)
8. MSDS available and
communicated
9. Mixing paint adequate container
for purpose
10. No smoking in area while spray
painting
11. Forbidden to dispose of paint or
paint thinner to the public drainage
12. Thinner / paint spill is cleaned
with cotton waste and dumped into
special bins
13. Use protective goggles,
helmets, gloves and chemical
masks

Uncontrolled Document When Printed 1 of 4 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 28-Jul-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Spray Painting Team Members :

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

14. Clean the work area after

painting, all tools into the store
15. Ensure good ventilation while
doing spray painting
16. Secure the air lose with proper
claps
17. Set correct air pressure
18. Filter an air line to remove water
19. Ensure correct pressure gauge
that indicatev make pressure
20. All workers must wear PPE
21. Control flammable liquid and
store correctly

Uncontrolled Document When Printed 2 of 4 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 3 of 4 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 4 of 4 LCI-HSE-FM-001A(02)

Feb 2010