PT.

Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 28-Jul-12

Team Leader : Soni Wowiling HSE Dept Team Members :

Reference Number :
Facilitator : Richard Douglas HSE General Supt :

Process/Activity : Changing Tips Team Members :

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Changing Tips Helper Crew, Flying object when Permanent disability, Long 2 2 4 1. TAKE 5 & daily pre start briefing 1 2 2
Mechanic Crew, grinding and hitty with term absence due to for clear instruction
Foreman, hammer. treatment EL/SUB EL/SUB
Supervisor Object fall onto
feet/hands
ENG/SEG 2. Energy Isolation (LOTO) ENG/SEG
ADM 3. Follow the maintenance manual ADM
book
BHV 4. Mechanical training/refresh BHV
training for mechanic (stored
energy)
PPE 5. Select correct tools for use PPE
6. Select correct stand for use
(SWL)
7. Good communication between
workers / work as a team
8. Ensure body of workers in safe
position to avoid pinched between
component
9. Follow manual handling
instruction
10 Follow the OEM

11. Use safety gloves & PPE

requires
12. Clean up / tidy up work area if
the task is completed
13. Support raised components with
stand (SWL)

14. Use PPE when welding

Uncontrolled Document When Printed 1 of 4 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 28-Jul-12

Team Leader : Soni Wowiling HSE Dept Team Members :

Reference Number :
Facilitator : Richard Douglas HSE General Supt :

Process/Activity : Changing Tips Team Members :

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

15. Install welding shild

16. Allow area to cool off

17. All welder must wear correct

PPE
18. Use correct PPE disc

19. Use correct cylinder disc

20. Use shield

21. Barricade area off

22. Use correct type of hammer

Uncontrolled Document When Printed 2 of 4 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 3 of 4 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 4 of 4 LCI-HSE-FM-001A(02)

Feb 2010