Hal : 1 / 6

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Revision: 05 Date : 23 Feb 15

Matrix without
Matrix with Control
Control
Activity
(Routine/

Probability

Probability
No. Location/Activity Source of hazard Hazard Risk Legal Current control Action plan

Severity

Severity
Non- Risk Risk
Routine) level level

ENGINEERING DEPARTMENT
OFFICE ACTIVITY

1 Use of air conditioning Poor maintenance of AC Dust Interfere of work Permenaker No.13 / 2011 1 5 LR Periodical cleaning 1 5 LR

Periodical cleaning &

maintenance, observation
R Water spill from AC Slip fall injury UU No. 1 / 1970 3 3 MR 2 3 MR
program / Behaviour Based
Safety Program
Respiratory Periodical cleaning &
Indoor Air Quality Disease transmission (influenza) Permenaker No.13 / 2011 1 5 LR 1 5 LR
disorders maintenance
Soft radiation monitor / flat
2 Use of computer Computer monitor Monitor radiation Eye disorders Permenaker No.13 / 2011 1 5 LR 1 5 LR
screen monitor
Use of Mini Circuit Breaker, HSE
Bad electrical wire condition Electric shock Human death UU No. 1 / 1970 5 1 HR 4 1 MR
Inspection
R
Lumbago, Low
Workstation condition Uncomfortable position UU No.36 / 2009 1 5 LR Use of ergonomic workstation 1 5 LR
Back Pain (LBP)

Working position Body Position Fatigue UU No.36 / 2009 1 5 LR Use of Ergonomic chair 1 5 LR

Per.Men.Perburuhan No. 7/
3 Administration Lighting system Bad lighting system Eye disorders 1 5 LR Lighting maintenance 1 5 LR
1964

R Organized the files in the

The files falls and hit the reachable cupboard, HSE
Filling system Injury UU No. 1 / 1970 2 3 MR 2 2 LR
personnel Inspection, Provide additional
small chair/stairs
Review the human resource availability
5 4 Overtime NR Over time Human health Stress UU No.36 / 2009 2 5 HR Monitoring of Overtime 2 4 MR
with the incoming project order
Observation Card / Behavior
5 Use of cutter paper NR Cutter Cutter can injured the finger Injury UU No. 1 / 1970 2 3 MR 2 2 LR
Base Safety Program (BBS)
Place the copy machine in
6 Use of copy machine Toner of copy machine Inhalling of tonner Lung cancer UU No.36 / 2009 4 1 MR 3 1 MR
proper area, HSE Inspection
Use of Mini Circuit Breaker, HSE
Bad electrical wire condition Electric shock Human death UU No. 1 / 1970 5 1 HR 4 1 MR
Inspection
R Using of cover machine, HSE
Radiation UV lighting from the machine Eye disorders UU No. 1 / 1970 2 3 MR 2 2 LR
Inspection

The machine can injured the Use gloves, Using signage 'under
Paper Jam Injury UU No. 1 / 1970 2 3 MR 2 2 LR
finger maintenance'

Use of Safety catch on the

7 Pantry Use of hot water Scalded Injury UU No. 1 / 1970 2 2 LR 2 2 LR
dispenser
Use of Mini Circuit Breaker, HSE
Bad electrical wire condition Electric shock Human death UU No. 1 / 1970 5 1 HR 4 1 MR
Inspection

Water drink Poisoned Diarrhea UU No.36 / 2009 2 1 LR Use of SNI water drink 2 1 LR
R
Water spill slip fall injury UU No. 1 / 1970 3 3 MR Regularly cleaning on every hour 2 1 LR
 Hal : 2 / 6

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Revision: 05 Date : 23 Feb 15

Matrix without
Matrix with Control
Control
Activity
(Routine/

Probability

Probability
No. Location/Activity Source of hazard Hazard Risk Legal Current control Action plan

Severity

Severity
Non- Risk Risk
Routine) level level

ENGINEERING DEPARTMENT
The door is modified using
Entrance door Hit people near dispenser Injury UU No. 1 / 1970 2 4 MR 2 3 MR
transparant glass
Observation Card / Behavior
Kitchen set Hit people's head Injury UU No. 1 / 1970 2 2 LR 2 2 LR
Base Safety Program (BBS)
Using step-to at the stair ,
8 Use of stairs Slippery stairs Slip fall Injury UU No. 1 / 1970 3 3 MR 3 2 MR
holding handrail

No lighting Slip fall Injury UU No. 1 / 1970 3 1 MR Automatic lighting with battery 2 1 LR
R

Holding handrail, Observation

Person in a rush Slip fall, hit people Injury UU No. 1 / 1971 3 3 MR Card / Behavior Base Safety 3 2 MR
Program (BBS)
Back-Up Genset, regular
9 Use of elevator Electrical shutdown Trapped in elevator Lack of oxigen UU No. 1 / 1970 2 3 MR 2 3 MR
maintenance & inspection
Using authomatic sensor in
elevator, Observation Card /
Person in a rush Hit Elevator door injury UU No. 1 / 1970 2 3 MR 2 2 LR
R Behavior Base Safety Program
(BBS)

Certification of elevator,
Break of sling cable elevator of fall down Human death UU No. 1 / 1970 5 1 HR 4 1 MR
maintenance routine for elevator

Personnel trapped in emergency

10 Use of emergency exit NR Obstacle on the escape route Human death UU No. 1 / 1970 5 1 HR HSE Inspection 4 1 MR Alternative route for escape route
situation

11 Prayer room R Slippery Slip fall Injury UU No. 1 / 1970 2 2 LR Cleaned every hour 2 2 LR
5
Food sample monitoring,
12 Lunch process Food Poisoned Diarrhea UU No.36 / 2009 5 1 HR Catering certification, Catering 2 1 LR
Inspection

Catering operator Food contamination Diarrhea UU No.36 / 2009 2 3 MR Catering staff use PPE 2 2 LR

R
Water drink Poisoned Diarrhea UU No.36 / 2009 2 1 LR Use of SNI water drink 2 1 LR

Water spill slip fall injury UU No. 1 / 1970 3 3 MR Regularly cleaning on every hour 2 1 LR

Insect, Mouse Food contamination Illness UU No.36 / 2009 2 1 LR Pest Control, Regular Fogging 2 1 LR

13 Parking activity Vehicle speed Hit by vehicle Human death UU No. 1 / 1970 5 1 HR Security control 4 1 MR

R Motorcycle position fall injury UU No. 1 / 1970 2 3 MR Security control 2 2 LR

Construction materials Falling object Injury UU No. 1 / 1970 2 5 HR HSE Inspection, Signage 2 4 MR
 Hal : 3 / 6

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Revision: 05 Date : 23 Feb 15

Matrix without
Matrix with Control
Control
Activity
(Routine/

Probability

Probability
No. Location/Activity Source of hazard Hazard Risk Legal Current control Action plan

Severity

Severity
Non- Risk Risk
Routine) level level

ENGINEERING DEPARTMENT
Emergency Alarm,Fire
Workplace & environmental Human death,
14 All activity R Fire UU No. 1 / 1970 5 1 HR extinguisher, hydrant, HSE 4 1 MR
condition Asset breakdown
Inspection
Human death, Emergency Alarm,Fire
15 West, South, East R Environmental condition Fire UU No. 1 / 1970 5 1 HR 4 1 MR
Asset breakdown extinguisher, hydrant

16 Smoking Area Cigarette smoke Inhalling of smoke Lung cancer PP No. 19 / 2003 3 3 MR Provide a smoking area 3 3 MR

NR Emergency Alarm,Fire
Human death, extinguisher, hydrant,
Lit Cigarette Fires UU No. 1 / 1970 5 1 HR 4 1 MR
Asset breakdown Observation Card / Behavior
Base Safety Program (BBS)

17 Use of toilet Slippery floor Slip fall Injury UU No. 1 / 1970 2 2 LR Cleaned every hour 2 2 LR

Per.Men.Perburuhan No. 7/
R Dirty condition Bad smell Interfere of work 1 3 LR Cleaned every hour 1 3 LR
1964

Cleaning Process skin contamination iritation UU No. 1 / 1970 1 5 LR Use PPE (Hand gloves) 1 5 LR

Scaffolding, Use of PPE, use of

18 Building Construction Working in Height Condition Fall Human death UU No. 1 / 1970 5 1 HR 4 1 MR
body harness
NR
Equipment and Materials Falling object Injury UU No. 1 / 1970 5 1 HR Use of net, HSE Inspection 4 1 MR

OUTSIDE OFFICE ACTIVITY

Injury, Human Defensive driving training, Life Follow HSE Induction and Follow all Client's
1 Travelling : Use of vehicle NR Vehicle speed Hit by vehicle, Vehicle collision UU No. 1 / 1970 5 1 HR 5 1 HR
death insurance for workers procedure

Routine Maintenance, Daily Follow HSE Induction and Follow all Client's
NR Vehicle bad condition Hit by vehicle, Vehicle collision Human death UU No. 1 / 1970 5 1 HR 5 1 HR
vehicle inspection procedure
5
Travel arrangement, life Follow HSE Induction and Follow all Client's
2 Travelling : Use of aircraft NR Aircraft condition Plane crash Human death UU No.1 / 1970 5 1 HR 5 1 HR
insurance for workers procedure

Travel arrangement, life Follow HSE Induction and Follow all Client's
3 Travelling : Lunch/Dinner NR Food/Drink Food Poisoning Human death UU No.36/2009 5 1 HR 4 1 MR
insurance for workers procedure

Infrastructure and Travel arrangement, life Follow HSE Induction and Follow all Client's
4 Travelling : Hotel NR Hotel condition Human death UU No.1 / 1970 5 1 HR 4 1 MR
environmental condition insurance for workers procedure

Travel arrangement, life Follow HSE Induction and Follow all Client's
Food/drink Poisoned Human health UU No.36/2009 5 1 HR 4 1 MR
insurance for workers procedure

Using live vest, Sea survival Follow HSE Induction and Follow all Client's
5 Travelling : Trip to offshore NR Boat condition Drowning in the sea Human Death UU No. 1 / 1970 5 1 HR 5 1 HR
training procedure

Using live vest, Sea survival Follow HSE Induction and Follow all Client's
Ocean waves Drowning in the sea Human Death UU No. 1 / 1970 5 1 HR 5 1 HR
training procedure
 Hal : 4 / 6

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Revision: 05 Date : 23 Feb 15

Matrix without
Matrix with Control
Control
Activity
(Routine/

Probability

Probability
No. Location/Activity Source of hazard Hazard Risk Legal Current control Action plan

Severity

Severity
Non- Risk Risk
Routine) level level

ENGINEERING DEPARTMENT
HUET training, Follow Client's Follow HSE Induction and Follow all Client's
Chopper Fall and Crash Human Death UU No. 1 / 1970 5 1 HR 5 1 HR
procedure procedure

Using live vest, using FROG, Sea Follow HSE Induction and Follow all Client's
Boat to platform/boat transfer Fall Human Death UU No. 1 / 1970 5 1 HR 5 1 HR
survival training procedure

Using live vest, Sea survival Follow HSE Induction and Follow all Client's
6 Working in offshore NR Platform condition Drowning in the sea Human Death UU No. 1 / 1970 5 1 HR 5 1 HR
training procedure
Follow HSE Induction and Follow all Client's
Gas leakage Fire, Inhalation of toxic gases Human Death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure
Follow HSE Induction and Follow all Client's
Working at height condition Fall Human death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure

Follow HSE Induction and Follow all Client's

Falling object Head collide Injury UU No. 1 / 1970 3 1 MR Using PPE 3 1 MR
procedure

Follow HSE Induction and Follow all Client's

Pipe condition Pipe Stumble Injury UU No. 1 / 1970 3 1 MR Using PPE 3 1 MR
procedure

Follow HSE Induction and Follow all Client's

Pipe leakage oil douse Human Death UU No. 1 / 1970 5 1 HR Using PPE 4 1 MR
procedure

Follow HSE Induction and Follow all Client's

Storm Seasick Human Health UU No. 1 / 1970 5 1 HR Medicine supply 4 1 MR
procedure

Follow HSE Induction and Follow all Client's

Infrastructure condition Graze Injury UU No. 1 / 1970 5 1 HR Using PPE 4 1 MR
procedure

Fatigue, Human Follow HSE Induction and Follow all Client's

7 Trip to onshore NR Working area condition Slip / Trip / Fall UU No. 1 / 1970 3 3 MR Toolbox meeting 3 3 MR
Health procedure

Toolbox Meeting / Safety Talk

Biological hazard (infectious
(Awareness about Social culture Follow HSE Induction and Follow all Client's
Endemic diseases disease such as HIV/AIDS, Human Health UU No. 1 / 1970 4 3 HR 4 3 HR
and biological hazard at site visit procedure
malaria)
area), immunization (if required)

Toolbox meeting / Safety Talk

Follow HSE Induction and Follow all Client's
Security issue culture of local people Riot UU No. 1 / 1970 5 3 HR (Awareness about Social culture 5 3 HR
procedure
at site visit area)

Follow HSE Induction and Follow all Client's

8 Working in onshore NR Gas leakage inhalation of toxic gases Human Death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure
5
Follow HSE Induction and Follow all Client's
hydrocarbon, iginition, O2 Fire Human Death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure

Follow HSE Induction and Follow all Client's

Working at height condition Fall Human death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure
 Hal : 5 / 6

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Revision: 05 Date : 23 Feb 15

Matrix without
Matrix with Control
Control
Activity
(Routine/

Probability

Probability
No. Location/Activity Source of hazard Hazard Risk Legal Current control Action plan

Severity

Severity
Non- Risk Risk
Routine) level level

ENGINEERING DEPARTMENT

Follow HSE Induction and Follow all Client's

Falling object Head collide Injury UU No. 1 / 1970 3 1 MR Using PPE 3 1 MR
procedure

Follow HSE Induction and Follow all Client's

Pipe condition Pipe Stumble Injury UU No. 1 / 1970 3 1 MR Using PPE 3 1 MR
procedure

Follow HSE Induction and Follow all Client's

Pipe leakage oil douse Human Death UU No. 1 / 1970 5 1 HR Using PPE 5 1 HR
procedure

Follow HSE Induction and Follow all Client's

Infrastructure condition Graze Injury UU No. 1 / 1970 5 1 HR Using PPE 4 1 MR
procedure

Toolbox meeting / Safety Talk

Biological hazard : HIV/AIDS,
Endemic diseases Human health UU No. 1 / 1971 4 1 MH (Awareness about Social culture 4 1 MR immunization (if required)
malaria
at site visit area)

Toolbox meeting / Safety Talk

Infrastructure and Follow HSE Induction and Follow all Client's
9 Dormitory (Working Onshore) NR Dormitory condition Human death UU No.1 / 1970 5 1 HR (Awareness about Social culture 4 1 MR
environmental condition procedure
at site visit area)

Toolbox meeting / Safety Talk

Follow HSE Induction and Follow all Client's
Animal bite Poison Human death UU No.1 / 1970 5 1 HR (Awareness about Social culture 4 1 MR
procedure
at site visit area)

Toolbox meeting / Safety Talk

Follow HSE Induction and Follow all Client's
Food/drink Food Poisoning Human death UU No.36/2009 5 1 HR (Awareness about Social culture 4 1 MR
procedure
at site visit area)

SEVERITY PROBABILITY RISK LEVEL

No impact on health and safety of employee, interfere with work 1. Never occurred or does not occurred in period
1 5 L H H E E
Asset damage < Rp. 1 Million above 5 years
Injury/illness that causes employee to need first aid, illness (respiratory problems,

PROBABILITY
2. Occurred in non routine condition or has
2 diarrhea) but employee can continue work 4 L M H H E
occurred once within 1 - 5 year
Asset damage Rp. 1 Million - < Rp. 10 Million

Injury that causes the employee to be unable to continue work, illness (TBC, Poisoned) 3. Occurred in abnormal or emergency condition
3 3 L M M H H
Asset damage Rp.10 Million - < Rp.100 Million on once within 6 - < 12 months

Disability/loss in body function, disease (cancer,HIV,hearing loss, eye disorder)

4 4. Occurred once within 1 month - < 6 months 2 L L M M H
Asset damage Rp. 100 Million - Rp. 500 Million
Human death
5 5. Occurred in routine condition or daily activity 1 L L M M H
Asset damage > Rp. 500 Million

1 2 3 4 5
SCALE
SEVERITY