EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement (SWMS)

JHA Number: JHA M- 182 Workplace: General Area Company: RUI Date: 23 – 02 -2018

Plant Number: Job Description: Working at Height / Bekerja di ketinggian

Plant Location: Maleo Platform

JHA Team LeaderName: Signature:

High Risk Construction Work (tick all that apply)

Risk of a person falling more than 2 metres
(note: in some jurisdictions this is 3 metres)
Likely to involve disturbing asbestos
Work in or near a shaft or trench deeper than 1.5
m or a tunnel
Work on or near chemical, fuel or refrigerant lines
Work in an area that may have a contaminated or
flammable atmosphere
Work in an area with movement of powered mobile plant
Work on a telecommunication tower
Temporary load-bearing support for structural alterations
or repairs
Work on, in or adjacent to a road, railway, shipping lane or
other traffic corridor in use by traffic other than pedestrians
Work in or near water or other liquid that involves a risk of
drowning
Demolition of load-bearing structure
Work in or near a confined space

Tilt-up or precast concrete elements Use of explosives Work on or near pressurised gas mains or piping

Work in areas with artificial extremes of Work on or near energised electrical installations or
Diving work
temperature services

EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement(SWMS) – Revision 0
Date of last revision: 11-Jul-2014
 EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement (SWMS)
Have you identified and implemented control measures for the Have you considered the Hierarchy of Control to manage the risks?
Top 5 Causes of Injury? Top 2 Causes of HiPo’s? Most Effective Eliminate
Manual Tasks  Vehicles Substitute
Pinch Points Dropped Objects Isolate
 Falls / Working at Height Engineering
Slips and Trips Administration
Struck by Object
Least Effective Personal Protective Equipment/clothing (PPE)

Hazard Checklist
Motion Radiation Chemical Pressure Temperature Environmental
 Moving Objects  Radiant Heat  Hazardous substances  Pressured piping  Open Flame  Hot/cold weather
 Plant/equipment  Sun – UV radiation  Dangerous goods  Pressurised line  Ignition Source  Windy
 Vehicles  X-rays  Poisons  Compressed cylinders  Hot or Cold Surfaces  Wet / Water
 Vibration  Lasers  Harmful gases  Tanks  Liquid s or gases  Boggy /uneven ground
 Awkward Body Posture  NORMS  Fibres/dust  Hoses  Steam  Storm
 Welding Arcs  Fumes  Pumps  Friction  Lighting (dark, sun glare)
 Exerting force
 Repetitive movements
Mechanical Gravity Biological Electrical Noise Psychological
 Rotating/moving  Falls  Animals  AC/DC Power  Equipment Noise  Stress
equipment/parts  Falling Objects  Insects  Static electricity  Impact noise  Fatigue
 Pinch Point  Dropped Loads  Viruses  Lightning  Impact of noise on  Rushing
 Bacteria communication  Trained for task
 Slips  Power lines
 Trips  Powered equipment  Mind on the job

EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement(SWMS) – Revision 0
Date of last revision: 11-Jul-2014

KEY JOB STEPS
Prepare all equipment , Hand Tools, Full
Body Harness/ Siapkan semua peralatan
yang dibutuhkan perkakas tangan, Full
Body Harness
Working at Height/ Bekerja di ketinggian
EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement(SWMS) – Revision 0
Date of last revision: 11-Jul-2014
EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement (SWMS)
WHAT ARE THE
HAZARDS?
Pinch point, Slip, trip and fall
/ Titik jepit, terpeleset,
tersandung dan jatuh
Falling from height, Pinch
point/ Jatuh dari ketinggian,
Titik jepit
Dizzy, dehydration, fatiq,
muscle Cramp / pusing,
dehidrasi (haus) / kelelahan,
kram otot
Dropped Object
PERSON
WHAT COULD GO
WHAT CONTROLS WILL BE IMPLEMENTED? RESPONSIBLE
WRONG?
Name Initial
Personal injury / cedera Prepare JHA, PTW, good communication, PPE / Siapkan JHA, PTW, komunikasi yang baik,
perseorangan APD
Personal injury / cedera Ensure site visit work place before workcommencement, Ensure STAP BACK available and
perseorangan during personnel climb or descending from heights with smoothly and carfully (tripoint
contact),
Pastikan kunjungan lapangan sebelum memulai pekerjaan, STAP BACK Pastikan ada dan
selama naik turun dari ketinggian secara perlahan dan hati hati (Tiga titik temu).
Attached your hook at permanent structures for hold your body harness.
Gunakan/ cantolkan hook pada permanen struktur untuk berpegangan/bertahan
(menahan badan anda)
Use Ladder safety or scaffolding if requirements (consideration duration time, equipment
placed on height or working at height more than 2 meters or working more 2 personnel),
Gunakan tangga aman atau perancah jika diperlukan/persyaratkan (pertimbangkan lama
pekerjaan, barang yang dibawa, kondisi ketinggian, dan jumlah pekerja yang ada di
ketinggian)
Scaffolding aready green tag or (Inspec by scaffold inpector) do not work alone (supervise)
stand by personal at below with radio,
Scaffolding telah di beri tag hijau atau di inspection oleh pengawas perancah yang
berwenang, satu orang berjaga dibawah diluar barikade menggunkan radio.
personnel competent, experience and certified,the below Install barricade when on the top
working live.
Pekerja memiliki kemampuan yang baik, berpengalaman dan memiliki kewenangan,
pasang tanda keselamatan di bawah orang yang sedang bekerja.
Good communication , proper Full Body Harness & PPE.
Komunikasi yang baik, Gunakan body harness 2 lanyards yang tepat dan APD
Personal injury / cedera Check condition personnel involved working at height before work commencing by HSEM,
perseorangan Check kondisi personnel yang bekerja diketinggian sebelum pekerjaan dimulai oleh HSEM.
provide optimal water drink / sediakan air minum yang cukup.
Sediakan air minum yang cukup.
Personal injury, property Ensure goods secure at height and using tag line when goods material or tools move up or
damage / cedera move down, esnure tools using box with closure, do not attempt putting goods more then
perseorangan, kerusakan capacity structer's (portable ladder, Portable Scaffolding or Scaffold semipermanent) Install
barang safety sign and barricade at below work at height.
Pastikan barang aman di ketinggian dan gunakan tali bilamana barang matrial naik turun
dan gunakan wadah tertutup agar aman, jangan mencoba menyimpan barang yang
melebihi kapasitas kekuatan structure (tangga Portable, Perancah portable, atau
perancahsemi permanent)
 EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement (SWMS)
Clean work site after completed the job / Slip, trip and fall / terpeleset, Personal injury / cedera Good housekeeping and proper manual handling / pembersihan yang bagus dan manual
membersihkan tempat kerja setelah tersandung dan terjatuh perseorangan handling yang tepat
menyelesaikan pekerjaan

Remember: EVERYONE has both the authority and responsibility to STOP THE JOB if there is any doubt about the safety of the operation.

Complete the following section only whereHigh Risk Construction Workis being carried out.
Person responsible for ensuring Person responsible for reviewing
compliance with SWMS: SWMS control measures:
What measures are in place to Certified welder, standby fire watcher, fire How will the SWMS control JHA Check form
ensure compliance with the SWMS? extinguisher inplace, welding habitat and Risk measures be reviewed?
Assesment provided
Reviewed by (Supervisor / JHA Team Review Date:
Leader):

Names and Signatures of all team members involved at start of job

(certifying they understand the details of the JHA and their personal responsibility in implementing assigned controls)
Name Signature Name: ________________________ Signature ________________________
Name: Signature Name: ________________________ Signature ________________________
Name: Signature Name: ________________________ Signature ________________________
Name: Signature Name: ________________________ Signature ________________________

Names and Signatures of all team members joining the job or change of work team
(certifying they understand the details of the JHA and their personal responsibility in implementing assigned controls)
Name ________________________ Signature ________________________ Name: ________________________ Signature ________________________
Name: ________________________ Signature ________________________ Name: ________________________ Signature ________________________

Supervisor (or Permit Holder for remote work conducted under a Work Permit) approving the use of this JHA:
Name: DUDUNG ANDRIANA Position: MAINT.SPV Signature: ________________________

EHSMS09 Job Hazard Analysis (JHA) Formand Safe Work Method Statement(SWMS) – Revision 0
Date of last revision: 11-Jul-2014