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    Job No.: 26071: Tahapanpekerjaan Bahaya Resiko Akibat Tindakanpengendalian

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    Beriandi Hasan
    The document is a Job Safety Analysis (JSA) and Risk Assessment Form used to identify potential hazards for a job, assess the level of associated risks, and recommend actions to reduce risks. It contains sections to list the sequence of basic job steps, identify potential hazards and their consequences at each step, assess probability and severity of risks numerically, recommend control actions, and re-assess residual risks after controls. The form is used for an engineering, procurement and construction project for refinery development and provides a framework to methodically plan jobs by anticipating hazards and implementing controls to promote safety.

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    Job No.: 26071: Tahapanpekerjaan Bahaya Resiko Akibat Tindakanpengendalian

    Uploaded by

    Beriandi Hasan
    39 views3 pages
    The document is a Job Safety Analysis (JSA) and Risk Assessment Form used to identify potential hazards for a job, assess the level of associated risks, and recommend actions to reduce risks. It contains sections to list the sequence of basic job steps, identify potential hazards and their consequences at each step, assess probability and severity of risks numerically, recommend control actions, and re-assess residual risks after controls. The form is used for an engineering, procurement and construction project for refinery development and provides a framework to methodically plan jobs by anticipating hazards and implementing controls to promote safety.

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    15.5. Template JSA.doc

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    The document is a Job Safety Analysis (JSA) and Risk Assessment Form used to identify potential hazards for a job, assess the level of associated risks, and recommend actions to reduce risks. It contains sections to list the sequence of basic job steps, identify potential hazards and their consequences at each step, assess probability and severity of risks numerically, recommend control actions, and re-assess residual risks after controls. The form is used for an engineering, procurement and construction project for refinery development and provides a framework to methodically plan jobs by anticipating hazards and implementing controls to promote safety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    39 views3 pages

    Job No.: 26071: Tahapanpekerjaan Bahaya Resiko Akibat Tindakanpengendalian

    Uploaded by

    Beriandi Hasan
    The document is a Job Safety Analysis (JSA) and Risk Assessment Form used to identify potential hazards for a job, assess the level of associated risks, and recommend actions to reduce risks. It contains sections to list the sequence of basic job steps, identify potential hazards and their consequences at each step, assess probability and severity of risks numerically, recommend control actions, and re-assess residual risks after controls. The form is used for an engineering, procurement and construction project for refinery development and provides a framework to methodically plan jobs by anticipating hazards and implementing controls to promote safety.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    JOB SAFETY ANALYSIS (JSA) AND RISK ASSESSMENT FORM

    ENGINEERING PROCUREMENT CONSTRUCTION FOR HSE Job No. : 26071


    REFINERY DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-
    V BALIKPAPAN PROJECT JSA Number / NomorJSA : RDMP / JSA / ……………….. / …………………

    Company : Prepared By Review by Approved by


    Project : SPV Chief/MGR HSE CM
    Person in charge name : NAME
    Position/ Title job : SIGNATURE
    Job activity :
    Date : DATE

    Sequence of Basic Consequence / Risk Assessment* Result Risk*)


    Hazard Risk Recommendation action
    NO JobSteps severity
    Bahaya Resiko PR SV RR TindakanPengendalian PR’ SV’ RR’
    Tahapanpekerjaan Akibat
    JOB SAFETY ANALYSIS (JSA) AND RISK ASSESSMENT FORM

    ENGINEERING PROCUREMENT CONSTRUCTION FOR HSE Job No. : 26071


    REFINERY DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-
    V BALIKPAPAN PROJECT JSA Number / NomorJSA : RDMP / JSA / ……………….. / …………………

    Sequence of Basic Consequence / Risk Assessment* Result Risk*)


    Hazard Risk Recommendation action
    NO JobSteps severity
    Bahaya Resiko PR SV RR TindakanPengendalian PR’ SV’ RR’
    Tahapanpekerjaan Akibat
    JOB SAFETY ANALYSIS (JSA) AND RISK ASSESSMENT FORM

    ENGINEERING PROCUREMENT CONSTRUCTION FOR HSE Job No. : 26071


    REFINERY DEVELOPMENT MASTER PLAN (EPC FOR RDMP) RU-
    V BALIKPAPAN PROJECT JSA Number / NomorJSA : RDMP / JSA / ……………….. / …………………

    Sequence of Basic Consequence / Risk Assessment* Result Risk*)


    Hazard Risk Recommendation action
    NO JobSteps severity
    Bahaya Resiko PR SV RR TindakanPengendalian PR’ SV’ RR’
    Tahapanpekerjaan Akibat

    Risk Rangking (RR) Recommendation Action


    Severity / consequence Tingkat Risiko TindakanPengendalian
    Probability (PR) x =
    Keparahan
    Score Level Tingkat pengendalian Hierarchy of Control
    Frequent =5 Catastrophic = 5 19-25 Extreme high E= 1+2+3+4+5 1= Eleminasi
    Probable = 4 Major = 4 13-18 High H= 3+4+5 2= Substitusi
    Occasional = 3 Moderate / serious = 3 6-12 Medium M= 4+5 3= REKIND technik
    Unlikely = 2 Minor = 2 1-5 Low L=5 4= Administrasi
    Improbable = 1 Negligible = 1 5= APD

    Note : * : Without Control / Tanpa control


    *): With Control / Dengan control

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