Form Ibpr Haul Road PDF

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IDENTIFICATION RISK ASSESSMENT & RISK CONTROL

RISK/ASPECT RISK CONTROL

ADDITIONAL RISK
RISK(YES/NO)
ASSESSMENT

ASSESSMENT

ACCEPTABLE
FREQUENCY

FREQUENCY

CONTROL
SEVERITY

SEVERITY
REFERENSI/P
NO ACTIVITY HAZARD
MAN ENVIRONMENT PROPERTY ELEMINATION SUBSTITUTION ENGINEERING ADMINISTRATION PPE ERATURAN

premob inspection to conduct journey use PPE that


heavy equipment management for proper with
Mobilization
Property Damage before heavy identification blind spot area activity
/Demobilization Low Injures, LTI, equipment UU No
1 vehicle crash that production 4 2 8 4 1 4
Heavy Equipment Fatality mobilization to site to 1/1970
interrupted
and Truck preventive equipment
proper to work
Unsure platform proper unsure competency operator
to loading and tor operation heavy
Property Damage unloading heavy equipment
Loading unloading Low Injures, LTI,
2 Fall down that production 4 3 12 equipment 4 1 4
heavy equipment Fatality
interrupted

conduct journey use PPE that


Property Damage management for proper with
Low Injures, LTI, identification blind spot area activity UU No
3 Survey area Fall down, vehicle crash that production 4 3 12 4 1 4
Fatality 1/1970
interrupted

keep direct safe zone Driver/ Operator Heavy Use Seat Belt
Property Damage
Low Injures, LTI, when heavy equipment Equipment have licency UU No
4 Land Clearing Vehicle Crash that production 4 3 12 4 1 4
Fatality that operation from Minister of Labor 1/1970
interrupted
Indonesia

Provide flag man to install safety sign and


Low Injures, LTI, UU No
Mired 5 3 15 control moving of protection on area blind, 5 1 5
Fatality 1/1971
heavy equipment steep condition

Driver/ Operator Heavy


First Aid Case, Heavy Equipment
Assessment road in site, Equipment have licency UU No
Heavy Equipment/ Vehicle rolled Lose Time broken/ Property 4 3 12 4 1 4
and road repair from Minister of Labor 1/1972
Injures Damage
Indonesia

Driver/ Operator Heavy


Property Damage keep direct safe zone
Low Injures, LTI, Equipment have licency UU No
5 Stripping Vehicle Crash that production 5 2 10 when heavy equipment Use Seat Belt 5 1 5
Fatality from Minister of Labor 1/1970
interrupted that operation
Indonesia

Provide flag man to install safety sign and


Low Injures, LTI, UU No
Mired 5 3 15 control moving of protection on area blind, 5 1 5
Fatality 1/1971
haevy equipment steep condition

Driver/ Operator Heavy


First Aid Case, Heavy Equipment
Assessment road in site, Equipment have licency UU No
Heavy Equipment/ Vehicle rolled Lose Time broken/ Property 4 3 12 4 1 4
and road repair from Minister of Labor 1/1972
Injures Damage
Indonesia
Driver/ Operator Heavy
Property Damage keep direct safe zone
Low Injures, LTI, Equipment have licency UU No
6 Cut & Fill Vehicle Crash that production 4 3 12 when heavy equipment Use Seat Belt 4 1 4
Fatality from Minister of Labor 1/1970
interrupted that operation
Indonesia
IDENTIFICATION RISK ASSESSMENT & RISK CONTROL
RISK/ASPECT RISK CONTROL

ADDITIONAL RISK
RISK(YES/NO)
ASSESSMENT

ASSESSMENT

ACCEPTABLE
FREQUENCY

FREQUENCY

CONTROL
SEVERITY

SEVERITY
REFERENSI/P
NO ACTIVITY HAZARD
MAN ENVIRONMENT PROPERTY ELEMINATION SUBSTITUTION ENGINEERING ADMINISTRATION PPE ERATURAN

Provide flag man to install safety sign and


Low Injures, LTI, UU No
Mired 5 3 15 control moving of protection on area blind, 5 1 5
Fatality 1/1971
haevy equipment steep condition

Driver/ Operator Heavy


First Aid Case, Heavy Equipment
Assessment road in site, Equipment have licency UU No
Heavy Equipment/ Vehicle rolled Lose Time broken/ Property 4 3 12 4 1 4
and road repair from Minister of Labor 1/1972
Injures Damage
Indonesia

clear area for preventive Use PPE Proper


Low Injures, LTI, Property Damage uncontrol explosion for actvity UU No
Explosion Dynamit 5 3 15 5 1 5
Fatality near with red zone (Manpower minimum 500m explosion 1/1970
and heavy equipment 300 m dynamit
5 Blasting

clear area for preventive


Use Respirator
respiratory tract uncontrol explosion UU No
Dust Exposure Air Pollution 4 4 16 and safety 4 1 4
infections (Manpower minimum 500m 1/1973
glasses
and heavy equipment 300 m

Driver/ Operator Heavy


Property Damage keep direct safe zone
Low Injures, LTI, Equipment have licency UU No
6 Compaction Vehicle Crash that production 4 4 16 when heavy equipment Use Seat Belt 4 1 4
Fatality from Minister of Labor 1/1970
interrupted that operation
Indonesia

Provide flag man to install safety sign and


Low Injures, LTI, UU No
Mired 5 3 15 control moving of protection on area blind, Use Seat Belt 5 1 5
Fatality 1/1971
haevy equipment steep condition

Driver/ Operator Heavy


First Aid Case, Heavy Equipment
Assessment road in site, Equipment have licency UU No
Heavy Equipment/ Vehicle rolled Lose Time broken/ Property 4 3 12 Use Seat Belt 4 1 4
and road repair from Minister of Labor 1/1972
Injures Damage
Indonesia

PIC HSE PM

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