Leighton International Limited

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

Country Office / Project: MHU COAL MINING PROJECT Tools and or Equipment required: JSA No: ID 204-JSEA-WS-010

PPE standard, unit Manitou, Sling belt, Lever block, Toolbox kit, jack/ Stand, Out of Service
Job Location & Details: Workshop. (Change Under carriage, Equalizer Bar unit D9R ) tag and Personal Danger tag, Barricade tape, Oil tray, MSDS Date Prepared:

JSA Participants: Mujiko (Plant Superintendent), Stevi Sandra (Safety Officer) 09 March 2008

      Approved by PM:

Responsible Supervisor: Superintendent/Supervisor/ Foreman/ Leading Hand Bambang Nuryono

      Date:

JOB STEP HAZARDS IDENTIFIED (Eg. Electrocution from 11Kv Cables)

CONTROLS REQUIRED (Eg. Remove overhead cable or isolate/sheath overhead or monitor with ACTION BY/RECORD
(Eg. Set Up Crane) spotter) Training PPE Needs (Eg. Supervisor)
1.1.1 Pastikan spotter mengarahkan alat/ unit masuk area workshop/ Ensure have spotter to direct unit into
workshop
1.1.2 Pastikan operator harus melihat pada spotter/ Ensure the operator just looking at spotter 1.1.1.1
1.1 Tergilas/ tertabrak oleh unit/ crushed/ hit by unit 1.1.3 Pastikan pekerja menjaga jarak aman 30 meter dengan unit yang masuk workshop/ Ensure the workers Spotter/Operator(mechanic)
1.2 Kerusakan unit/ unit fault kept safe distance 30 meter with unit into workshop area 1.1.2.1 Operator (Mechanic)
1. Parkir unit/ Parking unit
1.3 unit Tidak isolasi/ No isolation tag 1.2.1 Pastikan hanya mechanic yang kompeten mengoperasikan unit ketika masuk area workshop/ Ensure 1.1.3.1 Mechanics
only mechanic have competent to operating unit into workshop 1.2.1.1 Mechanic Supv
1.3.1 Pasang Out of service tag, pad lock dan personnel danger tag pada isolation main switch and stand/ jack 1.3.1.1 Mechanics
unit/ Ensure Install Out of service tag, pad lock and Personnel danger tag at main switch isolation and stand/
jack unit
2.1 Terjepit/ tertindih/ impacted
2. Memasang stand/ Jack/ Install 2.1.1 Pastikan gunakan stand sesuai dengan beban unit/ Ensure use stand/ jack agreeable with load unit
2.1.1.1 Mechanic
2.1.2 Pastikan posisi semua stand dengan benar pada unit/ Ensure correct position all stand at unit.
stand/ jack 2.1.2.1 Mechanic

3.1.1. Pastikan menggunakan alat penampung oli / Ensure use oil tray 3.1.1.1 Mechanic
3.1.2 Berhati – hari saat membuka plug/ Becareful while open the plug 3.1.2.1 Mechanic
3.1. Tumpahan oli/ tersembur/ oil spillage
3. Mengeluarkan semua oli vipot 3.1.3 Pastikan gunakan Alat pelindung diri yang standard/ Ensure wearing PPE as standard 3.1.3.1 Mechanic
shaft / Drain oil 3.1.4 Membaca MSDS/ Read MSDS 3.1.4.1 Mechanic

3.1.4.1 Mechanic
3.2.1 Pastikan segera bersihkan, jika terjadi ceceran oli di area. Ensure clean area if have oil spilled at the area
3.2.1.1 mechanic
3.2 Terpeleset/ slip Pastikan hanya 1 pemandu dan mengerti

Mar 2008 Page 1 of 2 LIL-HSE-FM001B(01)

Leighton International Limited

JOB SAFETY AND ENVIRONMENTAL ANALYSIS WORKSHEET

4.1.1 Pastikan baca buku manual perbaikan unit dozer/ Ensure read manual book maintenance of unit
4.1.2 Pastikan menggunakan tools dan alat bantu yang benar/ Ensure use correct tools and support equipment
4.1.1.1 Mechanic
4.1.3 Pastikan selalu antisipasi bahaya yang teridentifikasi jsa system / Ensure anticipation hazard identification
4. Melepaskan & memasangan 4.1 Pekerja terluka/ tertindih/ terjepit/ tergilas / tertimpa/Workers injury/ 4.1.2.1 Mechanic
as JSA system
Equalizer Bar/ Remove & install impacted/ crushed 4.1.3.1 Mechanic
4.1.4 pastikan berkomunikasi dengan baik dan benar/ Ensure good and correct communication
equalizer bar 4.1.4.1 mechanic
4.1.5 Pastikan pekerja jangan berdiri dan selalu menjaga jarak dekan alat ketika kegiatan pengangkatan
berlangsung dan/ Ensure the workers not standing near equipment and kept distance during lifting acvitity.

4.2.1.1 Supv/ Foreman /

4.2 Jack hydraulic rusak/ Jack hydraulic fault 4.2.1 Pastikan jack hydraulic dalam kondisi baik/ Ensure jack hydraulic good condition
mechanic
4.3 Operator Unit Crane/ Manitou tidak competen/ tidak punya simper/ 4.3.1 Pastikan Operator harus kompeten dan punya simper/ Ensure operator have simper licence and
4.3.1.1 Supv
Operator unit Crane/ manitou not competen & not have licence company competent.
4.4.1 Pastikan ada pemandu pada kegiatan pengangkatan, dan hanya 1 pemandu untuk memberikan signal
4.4 Tidak ada pemandu/ No rigger/ signal man 4.4.1.1 Supv
pada operator/ Ensure have rigger for lifting activity and only 1 rigger direct signal to operator
4.5 Tidak melaksanan prosedur pengangkatan yang benar/ incorrect lifting 4.5.1 Pastikan pekerja mengerti prosedur kegiatan pengangkatan yang benar/ Ensure workers understand
4.5.1.1 Supv
activity procedure about lifting activity procedure
5.1 Tidak melepaskan isolasi / tanda bahaya dari unit/ no remove isolation
5. Pekerjaan selesai 5.1.1 Pastikan melepaskan isolation tag dari unit/ Ensure remove isolation tag from unit 5.1.1.1 Mechanic
tag from unit
5.2 poor housekeeping/ kebersihan kurang 5.2.1 Pasitkan kebersihan area kerja/ Ensure good housekeeping at work area 5.2.1.1 Mechanic
5.3 Alat-alat hilang atau tidak rapih/ tools lost or dirty 5.3 .1 Pastikan alat-alat lengkap dan bersih/ Ensure tools complete and clean 5.3.1.1 Mechanic
                 

Mar 2008 Page 2 of 2 LIL-HSE-FM001B(01)