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A B C D E
Nihil kecelakaan atau efek kesehatan Tidak ada kerusakan; tanpa biaya
0 pemulihan yang signifikan Tidak ada efek ke lingkungan Tidak ada dampak 1 1 1 1 1
Asset* Not credible; team Conceivable but Below average; can Above average: team Likely to occur and
has no direct
People Environment Reputation has not heard of would require postulate a scenario knowledge but event the team have
* Cost of event excluding consequential event occurring in multiple failures of for incident but knowledge of similar
production loss or third party damages industry systems and controls considered unlikely represents credible
scenario event
A rare combination of A combination of Could happen with Not certain to happen Almost inevitable that
an incident would
factors would be factors would be additional factors but an additional
required for an required for an present, otherwise factor may result in occur if previous
incident to result incident to result unlikely to occur an incident learning was not
applied
Slight Injury
<$100K Temporary effect Slight impact
1 - First Aid treatment
Slight damage; system remains safe to Local mention only; freedom to operate 1 1 2 2 2
- single or multiple exposure causing irritation but no operate Remediation possible in days/weeks unaffected
significant health effects
Operations Manager
Catogorisation Level of
Category
identified Residual Risk
HSE Co-ordinator
General Manager
Line Supervisor*
Field Manager
LOW RISK
1 Manage through identified C/I R/A
controls
MEDIUM RISK
2 Reduce risks through C R A I
internal verification
HIGH RISK
3 Reduce risks through C C R A C I
independent verification
INTOLERABLE
Do not take risk
4 Develop controls to reach C C C C C R A
ALARP region or Terminate
activity
Top Event. The incident prevent the occurrence of a top event once the hazard is
which occurs as a result of and injury, damage to property, events that results includes thermal, biological,
the hazard products or the from the hazard electrical, chemical, kinetic,
released - Critical Task Risk
being released. Example: environment, production losses S L R recommendation or barriers may be physical or non - physical. S L R
being released. climatic,
Lifting or Confined Space) or increase liabilities. Example: Example: Fatality) Example: Lifting plan. Two kind of Barrier i.e. PRO ACTIVE &
radiation or human factors. REACTIVE)
Oxygen deficiency) Example: Excessive lifting)
DEPT / ACTIVITY / WORK Renovasi Dapur DATE 7-Apr-18
TEAM MEMBER : Donald Trump, Tukul Arwana, Bismi B4.
1 2 3 4 5 6 7 8 9 15 10 11 12
RESIDUAL
INITIAL RISK RISK
Hazard (Anything that has the Causes or Threat (A possible
cause that will release the Recommendation or Barrier (A measure which is put in to
ACTIVITIES (Equal with potential to cause harm, ill Consequence (An
hazard to become a top event- prevent the release of a hazard or to
health event or chain of
Line No
Top Event. The incident prevent the occurrence of a top event once the hazard is
which occurs as a result of and injury, damage to property, events that results includes thermal, biological,
the hazard products or the from the hazard electrical, chemical, kinetic,
released - Critical Task Risk
being released. Example: environment, production losses S L R recommendation or barriers may be physical or non - physical. S L R
being released. climatic,
Lifting or Confined Space) or increase liabilities. Example: Example: Fatality) Example: Lifting plan. Two kind of Barrier i.e. PRO ACTIVE &
radiation or human factors. REACTIVE)
Oxygen deficiency) Example: Excessive lifting)
1 Menyiapkan terjepit, tersetrum, People ; tidak fokus, terburu buru, 5 E 4 1. Pro Active ;. A. Pro Active ; 0 A 1
mobil, tergores, terpeleset, - multiple menutup cap mobil tidak 1. periksa kendaraan sebelum di gunakan 1. sertifikat DDT
tersandung, terjatuh, Fatality pas, housekeeping kurang, 2. drver harus berkompeten 2. pre use checklist kendaraan
3. tidak terburu buru 3. membawa surat" lengkap (SIM, STNK)
2 Mengendarai tepapar oli dan air aki, Equipment : kabel mesin terkelupas,
4. harus fokus 4. di lakukan supervisi dan pengawasan
mobil kerumah pusing, terbentur cap major pencahayaan kurang, tidak 4. tidak melakukan aktivitas lain saat mengendarai saat pekerjaan berlangsung
bos, mobil, 'tertabrak, Material : fit, surat" tidak lengkap, 5. membawa surat" yang masih aktif ( SIM, STNK) 5. PTW
terbentur, ditilang, minor menerobos lalu lintas, 6. memakai sabuk pengaman saat mengendarai 6. toolbox meeting
3 mengantar bos tergelincir, menabrak, Environment: kondisi jalan yang rusak, 7. mematuhi lalu lintas
ke bandara, mogok, ban bocor', minor tidak memakai sabuk 8. driver cukup istirahat
9. kondisi driver harus fit B. Reactive ;
backpain, stress Proses : pengaman, kondisi 10. mencari jalan alternatif
4 pulang ke kendaran tidak layak,tidak 1. Menyediakan kotak P3K
11. mengetahui rute yang akan d tempuh
rumah , mengatur jarak aman, 2. Menyediakan nomor darurat
12. melakukan housekeeping
cuaca buruk, pengguna 13. mengatur jarak aman 3. menyediakan pekakas tangan
5 memasukkan jalan lain ugal ugalan driver 14. pencahayaan garasi yang cukup
mobil ke garasi tidak kompeten, jalanan 15. mengatur kecepatan
16. menyiapkan GPS
macet, posisi duduk yang 17. melakukan toolbox meeting sebelum bekerja
salah
'2. Reactive.;
1. Menyediakan kotak P3K
2. Menyediakan nomor darurat
3. menyediakan pekakas tangan
13
Risk Owner
14
Acceptable/ Not Acceptable
13
Risk Owner
14
Acceptable/ Not Acceptable
PT. Angin Ribut Bogor.
HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINATION CONTROL
Top Event. The incident prevent the occurrence of a top event once the hazard is
which occurs as a result of and injury, damage to property, events that results includes thermal, biological,
the hazard products or the from the hazard electrical, chemical, kinetic,
released - Critical Task Risk
being released. Example: environment, production losses S L R recommendation or barriers may be physical or non - physical. S L R
being released. climatic,
Lifting or Confined Space) or increase liabilities. Example: Example: Fatality) Example: Lifting plan. Two kind of Barrier i.e. PRO ACTIVE &
radiation or human factors. REACTIVE)
Oxygen deficiency) Example: Excessive lifting)
Menyiapkan Terpeleset, People ; tidak fokus, terburu buru, , 4 d 4 1. Pro Active ;. A. Pro Active ; 0 A 1
peralatan tersandung, terbentur, - Fatality housekeeping kurang, 1. Melakukan toolbox meeting 1. PTW
(penggalian tertimpa peralatan, Equipment : pencahayaan kurang, tidak 2. Bekerja Sesuai Prosedur 2. Sertifikat WAH
1 sumur, confine 3. tidak terburu buru 3. Sertifikat Confine Space
Terjatuh, di gigiti Material : fit, tidak sesuai prosedur,
4. harus fokus 4. di lakukan supervisi dan pengawasan
space, work at binatang, keracunan minor tidak melakukan 4. Di lakukan ketika cuaca tidak buruk saat pekerjaan berlangsung
hight), gas berbahaya, Environment: pengecekan gas 5. Melakukan Pengecekan gas berbahaya 5. Bukti form dan Photo Tollbox meeting
terkena cangkul, ispa, Proses : berbahaya, tidak 6. Memerikasa APD
kekurangan oksigen, optimalnya sirkulasi udara, 7. Memakai APD
tersambar petir, tidak menyediakan air 8. Mengatur jam operator
9. Memberikan sirkulasi udara dengan blower B. Reactive ;
Membuka tutup dehidrasi 'Terjepit, cicin minum, tidak 10. Menyediakan Air minum
sumur, jatuh 'tertimpa material menggunakan apd, 1. Menyediakan kotak P3K
11. melakukan housekeeping
galian, iritasi mata, bekerja pada cuaca 2. Menyediakan nomor darurat
12. Pencahayaan Gudang cukup
Menggali sumur, terpeleset ekstrem, pekerja tidak 13.Pekerja yang kompeten
kompeten
Mengangkut '2. Reactive.;
1. Menyediakan kotak P3K
material galian, 2. Menyediakan nomor darurat
Memasang
cincin sumur,
Kembalikan alat
dan
merapikannya
13
Risk Owner
14
Acceptable/ Not Acceptable