Jsa - Rig Up_rig Down Scaffolding

Job Risk Assessment Form

JOB SAFETY ANALYSIS JSA Full Scale

Task Risk Assessment (TRA) INSTALLED&DISMANTLING

OFSCAFFOLDINGJobtitle/task: JRA:....../JRA.IADS/III/13

NO. JobSequences1 PJSM(PreJobSafetyMeeting)(Penjabaranlangkah/tahapankerjasebelummemulaipekerjaan)2 ToolsandEquipmentpreparation(Persiapanperlengkapan&peralatan)3 RigUp/installedofscaffolds(Pemasanganperancah)4 Remove/dismantleofscaffolds(Pembongkaranperancah)5 Scaffoldsmaterialshandling(Penataanmaterialperancah)6 HouseKeeping(PembersihanArea)



Task Risk Assessment (TRA) INSTALLED&DISMANTLING

OFSCAFFOLDINGJobtitle/task: JRA:....../JRA.IADS/III/13

No AssessmentTeam MeetingDate Signature ReviewTeamReviewDate Signature

NOTE:MinimalRequirementMembertoConductJSAis3(Three)Parties,ex:Maintenance,ProductionandEHSReferenceDocumentsrequired:RiskAssessmentInputsandReferenceDocuments:



Task Risk Assessment (TRA)

JOBTITLE/TASK:

INSTALLED&DISMANTLINGOFSCAFFOLDING

Date:March7th,2013

SECTION:

1.Engineering

SUPERVISOR:

ANALYSISBY:ENG/PROD/EHS NEW REVISED

S:SeverityL: LikelihoodR:Risk

PLANT/LOCATION:

DEPARTMENT:Engineering

REVIEWEDBY:

REQUIREDANDRECOMMENDEDPERSONALPROTECTIVEEQUIPMENT(PPE)FULLBODYHARNESS

APPROVEDBYNote:LOWResidualrisktobeapprovedbyProd.SuperintendentHIGH or MEDIUM Residual risk to be approved by Prod.Manager/OIM

N0 TASKSTEP HAZARD HAZARDEFFECT CONTROLInitialRisk

ACTIONSResidualRisk

S L Risk S L Risk

1 PJSM(PreJobSafetyMeeting)(Penjabaranlangkah/tahapankerjasebelummemulaipekerjaan)

NA

NA

PermitToWork(PTW)(SuratIzinMemulaiPekerjaan)

JobSafetyAnalysis(JSA)(AnalisaKeselamatanKerja)

1

A

L

MakesureallManPowerhavegivensafetybriefingaboutjobandhowtominimizeriskof accident at each step of work beforestarttowork.(Pastikan bahwa semua pekerja telahmendapatkan pengarahan tentangpekerjaan dan bagaimana meminimalisirresiko dari bahaya sebelum memulaipekerjaan)

1

B

L



ACTIONSResidualRisk

S L Risk S L Risk

2

ToolsandEquipmentpreparation(Persiapanperlengkapan&peralatan)

SlipandTrip(Terpeleset,dantersandung)

Pinchpointandimpactinjury(Terjepitdanmegakibatkanluka)

Ergonomicissue(Salahposisibekerjadanpengangkatanmanual)

Personalinjury(Lukapadaorang/pekerja)


Backinjury(Lukadansakittulangbelakang)



ManualHandlingProcedure(ProsedurPenangananManual)

2 C M

ObtainedPTWandJSAinplace(PermitdanJSAtersediadilapangan)

Propermanualhandlingpractice(Melakukandengantatacarapengangkatanyangbenar)

ProperPPEMandatoryisrequired(Alatpelindungdiriyangwajib

dipersyaratkan)

2 B L

3 Slip,Trip,andfall(Terpeleset,tersandung,danterjatuh)

Pinchpoint(Terjepit)

Ergonomicissue(Salahpengangkatan)

Scratchbysharpobject(Tertusukbendatajam)


Equipmentdamage(Peralatanrusak)







Personalcertificationasascaffolder(Personilbersertifikat

2 C M

ObtainedPTW,JSAinplace(Permit,PTW&JSAtersediadilapangan)

Ensuretheworksiteisfreefromtriphazardbeforethejobsstart.(Pastikanareakerjaamandaribahayatersadungdanterpelesetsebelumpekerjaandimualai)

Makesurepersonalinrightpositionduringdismantlingofscaffolds(Pastikansemuapersoneldalamposisiyangbenarselamapembongkaranperancah)

Propermanualhandlingpractice(Melakukandengantatacarapengangkatabyangbenar) ProperPPEMandatoryisrequired

(Alatpelindungdiriwajibdipersyaratkan)

1 B L



ACTIONSResidualRisk

S L Risk S L Risk

sebagaiscaffolder)

4 Remove/dismantleofscaffolds(Pembongkaranperancah)

Slip,Trip,andfall(Terpeleset,tersandung,danterjatuh)


Ergonomicissue(Salahpengangkatan)

Scratchbysharpobject(Tertusukbendatajam)









Personalcertificationasascaffolder(Personilbersertifikatsebagaiscaffolder)

2 C M



Makesurepersonalinrightpositionduringdismantlingofscaffolds(Pastikansemuapersoneldalamposisiyangbenarselamapembongkaranperancah)



1 B L

5 Scaffoldsmaterialshandling(Penataanmaterialperancah)

Slip,Trip,andfall(Terpeleset,tersandung,danterjatuh)


Ergonomicissue(Salah




Personalinjury(Lukapada



ManualHandling

2 B L



Makesurepersonalinrightpositionduringhandlingmaterial(Pastikansemuapersoneldalamposisiyangbenarselamamenanganimaterial)

1 B L



ACTIONSResidualRisk

S L Risk S L Risk

pengangkatan) Scratchbysharpobject(Tertusukbendatajam)

orang/pekerja)


Procedure(ProsedurPenangananManual)



6 Housekeepinganddemobilizationalltoolsandequipment.(Kebersihandankerapihan,sertamengembalikansemuaperalatanyangdigunakan)

Slip,Trip,andfallhazards(Bahayatersandungdanterpeleset)

Pinchpointandimpactinjury.(Terjepitdanmengakibatkanluka)

Personal&backpaininjury(Lukadansakittulangbelakang/keseleo)

PersonalInjury(Personalcidera/terluka)

PermitToWork(PTW)(Suratijinkerja)

JobSafetyAnalysis(JSA)(Analisakeselamatankerja)

ManualHandlingProcedure(Tatacarapengangkatanmanual)

2 B L

ObtainedPTW,JRA,androadmapinplace

(Permit,JRA,danjalurkendaraantersediadilapangan) Ensuretheworksiteisfreefromtriphazardbeforethejobsstart.(Pastikanareakerjaamandaribahayatersandungdanterpelesetsebelumpekerjaandimualai)

ProperPPEMandatoryisrequired(Alat pelindung diri yang wajibdipersyaratkan)

1 B L


LowHigh

Yes

Medium

No

Assign a JSA Team Leader

User invite the JSA Team

Identify the Step Required (Task Step)

Identify hazards for all steps of the task

Identify hazards Effect

Evaluate the Initial Risk

Describe the Existing control

Determine the action for Risk Reduction measure :

Reduce likelihood of event occurring Reduce severity of consequences

Evaluate the Residual Risk (i.e. the risk assuming all controls and Action

are in place and effective)

Is the Residual Risk High,

Medium or Low?

Are additional control measures

required?

Complete any actions before starting work

Ensure the JSA results are communicated to those doing the work

Proceed with work once actions have been closed-out

Note: JSA Pictograms can be used in Safety Toolbox Talks