JOB SAFETY ANALYSIS

(RISK ASSESSMENT)

Area to be Access and/or Equipment Tag No. (KKS No.) : CCH-CNVR-800B (E3 Conveyor)

Work to be Done : Insert belt E3 conveyor with hot splicing

LOW √ HIGH : Underwater Work Confined Space Excavation √ Hot Work

Risk Category Job :
Refer to Paiton Instruction : PI-05-03-01 Complex Lifting Work Working at High On Line Low & High Voltage
Work Order No. : 1602191002 Priority No. 1 PAS Application No.
Work Period Date & Time Start Date & Time Finish
Applicant

Signature
:
(Work Parties)
Indah Budiar p Bagus J
RIC FA Supervisor HSE Section
Date : 19 February 2016 Time : 13.00

Ref. PI-05-03-01-F01 Page 1

Ref. PI-05-03-01-F01 Page 2
 Work sequence Hazards Risk Control Measures
A. Work Preparation/ Persiapan Kerja
1. Inspect the existing belt, idler, scrapper and overall of E3 Dust during visual check Respiratory Use dust mask (PPE-N95)
conveyor on conveyor Eyes irritation Use safety glasses (PPE)
2. Prepare new belt BW 60” (C-C100m) with specification Ergonomic-manual back pain Briefing for ergonomic concern and stretching before
NN800/4Px5mmx2.0mm. transport and positioning under lifting/handling tools and work, work procedure and JSA
bend pulley area (100 meter) scaffolding (belt, lifting Team handling when move scaffold material & positive
Prepare platen for hot splicing at machine shop. Transport tools and splicing tools) communication during manual lifting
to E3 conveyor area Proper body position during handling loading pipe,
Prepare lifting tools, hot splicing kit & all hand tools as clamp, timber, wrench, etc
required to do belt replacement work Ensure good communication during handling
Marking the dust tray and cutting the dust tray Pitched point during Hand injury Use hand gloves and take care during material
handling scaffold and mobilization (work party awareness)
material (belt, lifting Positive communication between each personnel during
tools and splicing tools) handling
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Sharp object cut from Hand pinched injury Use hand gloves and take care during material
(belt, lifting tools and mobilization (work party awareness)
splicing tools) Wear proper cloth (long sleeve)
Dust/coal dust from coal Respiratory Use dust mask (PPE-N95)
pile Eyes irritation Use safety glasses (PPE)
B. Work Process/ Proses Kerja
3. Install lifting tools (Chain block 5 ton) at counterweight Ergonomic-manual back pain Briefing for ergonomic concern and stretching before
and lifting the counterweight (4 meter) lifting/handling tools and work, work procedure and JSA
scaffolding (pipe, wrench, Team lifting counterweight
clamp, etc) Ensure good communication during handling
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Sharp object cut from Hand pinched injury Use hand gloves and take care during material
lifting tools mobilization (work party awareness)
Wear proper cloth (long sleeve)
Dust/coal dust from coal respiratory Use dust mask (PPE-N95)
pile
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle

Ref. PI-05-03-01-F01 Page 3

 Work sequence Hazards Risk Control Measures
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
Change weather rain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
stop the work during the rain (light rain)
4. Dismantle scrapper, rubber skirt, and any skirt board Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
(carrying roller and belt work, work procedure and JSA
conveyor) Isolation for breaker motor
Use hand gloves and take care during dismantle material
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
5. Reposition ripped off belt, Cutting existing belt at tail Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
pulley, joint the existing belt at carrying with the new belt (carrying roller and belt work, work procedure and JSA
with mechanical joint belt (Supers crew or flexco) conveyor) Isolation for breaker motor
Loosen clamp belt, attract existing belt, insert the new belt Use hand gloves and take care during dismantle material
up the roll out
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Pitched point (belt, lifting Hand injury Use hand gloves and take care during material
tools and splicing tools) mobilization (work party awareness)
Positive communication between each personnel during
handling
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth

Ref. PI-05-03-01-F01 Page 4

 Work sequence Hazards Risk Control Measures
Sharp object cut from Hand pinched injury Use hand gloves and take care during material
(belt, lifting tools and mobilization (work party awareness)
splicing tools) Wear proper cloth (long sleeve)
Potential gravitation falling Install barricade
Handling using handling falling Install barricade
tools Handling tools must be good and have tagging
Operator must be certified
Lifting to SWL
6. Dismantle some carrying roller (4set) to make space for Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
belt splicing table. Clamp belt (2 set) at position as needed (carrying roller and belt work, work procedure and JSA
conveyor) Isolation for breaker motor
Use hand gloves and take care during dismantle material
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
7. Install clamp belt, positioning roll new belt and pull with Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
tripod so wear both ends of the new belt met. (carrying roller and belt work, work procedure and JSA
Centring belt 2 meters length at both side and overlap and conveyor) Isolation for breaker motor
step splice the lower part of the new belt. Use hand gloves and take care during dismantle material
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Potential gravitation falling Install barricade
Handling using handling falling Install barricade
tools Handling tools must be good and have tagging
Lifting to SWL
Mechanical hazard from Hand injury used the PPE (cotton gloves)
8. Joint of splice (install platen and vulcanizing the splice). rotating equipment isolation breaker for conveyor motor
Cleaning with solvent and STL RF
electricity have PPE (leather gloves, faceshield, dusk mask)
Fire
flammable tagging for electricity tools and good condition
reduction and remove the coal spillage with manual
dust for grinding the belt respiratory
cleaning or service water
Noise Hear loss PPE (ear plugh)
Ref. PI-05-03-01-F01 Page 5
 Work sequence Hazards Risk Control Measures
flammable on A, B and C tagging on electricity tools
fire
type fire watcher, APAR, and fire blanket
spark for grinding belt skin irritation PPE ( faceshield and leather gloves)
Refers to MSDS
chemical hazard skin irritation
PPE (rubber gloves)
respiratory PPE (dust mask-N95)
Ergonomic hazard Back pain Briefing for ergonomic concern and stretching
Lifting on SWL
9. Finishing new belt joint, protecting belt joint surface Mechanical hazard from Hand injury PPE (cotton gloves)
sharpening surface isolation breaker for conveyor motor
dust for grinding the belt reduction and remove the coal spillage with manual
respiratory
and super screw cleaning or service water
flammable on A and C tagging on electricity tools
Fire
type fire watcher, APAR
spark for grinding belt skin irritation PPE ( faceshield and leather gloves)
10. Remove splicing table, belt clamp, lifting tools & other Mechanical hazard from Hand injury used the PPE (cotton gloves)
material sharpening surface isolation breaker for conveyor motor
Handling using handling Falling Install barricade
tools Handling tools must be good and have tagging
Operator must be certified
Lifting to SWL
11. Reinstall carrying idler set, reinstall & adjust scrapper as Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
required, reinstall & adjust rubber skirt (carrying roller and belt work, work procedure and JSA
conveyor) Isolation for breaker motor
Use hand gloves and take care during dismantle material
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
12. Release counterweight (4 meter) Ergonomic-manual back pain Briefing for ergonomic concern and stretching before
lifting/handling tools and work, work procedure and JSA
scaffolding (pipe, wrench, Team lifting counterweight
clamp, etc) Ensure good communication during handling
Ref. PI-05-03-01-F01 Page 6
 Work sequence Hazards Risk Control Measures
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Sharp object cut from Hand pinched injury Use hand gloves and take care during material
lifting tools mobilization (work party awareness)
Wear proper cloth (long sleeve)
Dust/coal dust from coal respiratory Use dust mask (PPE-N95)
pile
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
Change weather rain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
stop the work during the rain (light rain)
C. Work Completion/ Demob/ Penyelesaian
13. Running test and House keeping and mobilization Ergonomic-manual back pain Briefing for ergonomic concern and stretching before
tools/material to Machine shop and Supra Container lifting/handling tools and work, work procedure and JSA
scaffolding (belt, lifting Team handling when move scaffold material & positive
tools and splicing tools) communication during manual lifting
Proper body position during handling loading pipe,
clamp, timber, wrench, etc
Ensure good communication during handling
Pitched point during Hand injury Use hand gloves and take care during material
handling scaffold and mobilization (work party awareness)
material (belt, lifting Positive communication between each personnel during
tools and splicing tools) handling
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Sharp object cut from Hand pinched injury Use hand gloves and take care during material
(belt, lifting tools and mobilization (work party awareness)
splicing tools) Wear proper cloth (long sleeve)
Dust/coal dust from coal Respiratory Use dust mask (PPE-N95)
pile Eyes irritation Use safety glasses (PPE)

Ref. PI-05-03-01-F01 Page 7

 Additional Control Measures (please specify : state the other measures such as special work procedures, special emergency procedures etc) :
1. Isolation point at:
CCH-CNVR-800B (M) VARIABLE RACKED OUT AND LOCKED
2. Keep Communicate with CHCB OIS Operator
3. For prepare haven’t isolation
4. Install barricade for replacement belt process

The following test are required to assess the atmospheric conditions in the nominated space :
TEST REQUIRED
TEST FOR Permissible Exposure Limit (PEL)
YES NO
Ammonia Less than 25 ppm √
Carbon Dioxide Less than 5000 ppm √
Carbon Monoxide Less than 25 ppm √
Chlorine Less than 0.5 ppm √
Hydrogen Sulfide Less than 10 ppm √
Oxygen Greater than 19.5% & Less than 23.5% √
Ozone Less than 0.1 ppm √
Sulphur Dioxide Less than 2 ppm √
Hydrogen LEL = 4% & UEL = 75.6% √
LEL Less than/ ≤ 4% √
Note :
1. Reference (OSHA PEL – 2013)
2. For clarification on the test required to be carried out refer PI-05-03-02 (Testing of Confined Space)

Ref. PI-05-03-01-F01 Page 8