Page 1 of 2
Doc No:007350 JSA Type: TJSA
JOB SAFETY ANALYSIS DATE ISSUED:
RISK ASSESSMENT & MANAGEMENT REVIEW BY
Job Description: POSITION RESP. PERSON WORK LEADER LEADER - 1 LEADER - 2 LEADER - 3 LEADER - 4
SIGN
Area/Unit:
Tag No/Equipment Description: ID-F-BK-FP-76 NAME
References: Page: 1 of
PPE Required to do this Job: Min PPE ;Light duty glove
Potential Hazard
Risk Level
(Physical, Chemical, Control Statement Risk Level after Opportunity
before
No. Job Step Biological, Potential Event (Required to reduce Mitigation
Mitigation
Psychosocial, severity & likelihood) C x L = H/M/L
C x L = H/M/L
Ergonomic)
1 Risk assessment hazard: 1. Physical 1 Keselio / Patah tulang. M 1.Fokus pada line off (L)
Perhatikan kondisi keadaan likungan, licin / benda penghalang. fire / pastikan area 2x1
2x2 kerja aman
2 Jenis Alat Pemadam Kebakaran 1. Physical 1. Terjepit 1. Hindari pich (L)
M
Inspeksi Label/Pengujian Hidro/Petunjuk & Permukaan BUSA point
Data label & Permukaan Silinder Kartrid 2. Terbentur 2x2 2x1
2. Fokus pada line
Kondisi Permukaan Alat Pemadam Kebakaran
of fire
Periksa Kondisi Cat
Periksa dari dan Abrasi / Penyok / Retak atau Kerusakan 3. Think 10
Periksa Kondisi Pengelasan / Persimpangan seconds
Bagian / Komponen Alat Pemadam Kebakaran 4. Fokus
Cincin Pin Pengunci. Cincin O Leher. O Cincin Segel. Katup pengaman 5. Gunakan hand
topi kepala Segel Plastik
glove proper
Pengukur tekanan
Tuas Pelepasan / Penusuk
Carrying Handle / Carriage Wheel / Braket
Selang Pelepasan / Klakson / Nosel
Kartrid Gas
Permukaan Interior Silinder
Medco E&P Offshore
Update: Januari 2021
Page 2 of 2
* Should there be changes in the method of work or tools or changes of job step, then JSA must be revised (with Approval from Responsible Person) or create new JSA.
Point to be considered when developing JSA (Completed by Work Leader)
Work Leader Date: (Name & sign) : Safaruddin
Checklist QUESTIONS (Please mark on the left column)
1. Does the “Job Step” column already cover all its steps that considered as necessary/critical?
Apakah kolom “Job Step” sudah mencakup semua langkah pekerjaan yang dianggap penting/kritikal?
2. Have all the machines, equipment and tools contained/used in each “Job Step” been identified?
Apakah semua mesin, perlengkapan dan peralatan yang terdapat/dipakai di setiap “Job Step” sudah diindentifikasi?
3. Have all the hazards been identified in each “Job Step”?
Apakah semua bahaya sudah teridentifikasi di setiap “Job Step”?
4. Have all the control measures stated in the “Control Statement” column are sufficient/adequate (consider the hierarchy of control consist of: elimination, substitution, engineering control, administrative control,
& PPE)?
Apakah semua pengendalian bahaya yang dinyatakan pada kolom “Control Statement” sudah memadai (pertimbangkan hierarki kontrol yang terdiri dari elminasi, substitusi, control rekayasa, control administrasi,
& APD)?
5. After mitigation is carried out, will the risk level be smaller/lower at each “Job Step”?
Setelah dilakukan mitigasi, apakah tingkat resiko menjadi lebih kecil/turun di setiap “Job Step” nya?
Example of Hazard:
Physical: Machine, Electricity, Noise, Vibration, Heat, Radiation, Gravity, Temperature, Mechanical, Air/Water Pressure, Motion, Ground, Light, Weather, etc.
Chemical: H2S, Mercury, Acid, Benzene, Toluene, Xylene, Gas/Hydraulic/Fuel Pressure, Liquid, etc.
Biological: Virus, Snake, Germ, Microbe, Anthrax, Bacteria, etc.
Psychosocial: Stress, Worker Phobias, Fatigue, etc.
Ergonomic/Manual Handling: Mismatch, Awkward, Overreaching, etc.
Medco E&P Offshore
Update: Januari 2021
