JOB SAFETY ANALYSIS
WORK ACTIVITY (JOB) TITLE: GROUTING Date Submission:
JSA PREPARED BY: REVIEWED BY: ACCEPTED BY:
DANNY SANTOSO RIFQI RAZAQI RAJAB
CONSTRUCTION SUPERVISOR HSE IKM HSE - MK (PROSYS)
REQUIRED SAFETY EQUIPMENT
LANGKAH KERJA POTENSI BAHAYA PENGENDALIAN BAHAYA PIC
Hard Hats Respirator/ Dust Safety Harness Hearing Protection Tools Lanyard Other
Safety Shoes mask Safety Gloves( electrical Gloves ) Barricades PSV (List):___________________________
Safety Glasses Electrical Stick Dosimeter Gás Detector _______________________________
Goggles Life Vest / PFD Flame Resistant Clothing Life Line / Yoyo _______________________________
Face Shield Blower Fire Extinguisher Radio ____________________________
Chemicals suit SCBA - EEBA Spill Kit / SOPEP Extraction Device
APPLICABLE SAFE WORK PRACTICES/SPECIAL PRECAUTIONS
PTW - (CS/HOT/COLD/ CREATED TBT – STARRT Card Ground Scan (underground utilities) WASTE and SPILL Measurement
OPENING / EXCAVATE) Drop Object -Created opening Safety Net – Catch Net Redundant Protection Measures
Energy Isolation / LOTO Checklist. Compressed Gas Cylinder / Toxic gas Control SIMOPS :
Written Procedure (MoS/ SOP) Confined Space Identification Commissioning authorization -Access Control Lighting / Illumination Plan
PSSR Doc /Line Checklist Emergency Rescue Plan Chemicals Handling (SDS DOC, etc ) other :
POTENTIAL HAZARDS
Lifting Hazards New Employees Elec. Shock/ Flash (includes utility lines) Dropped Objects Low Lighting Other : Chemical
Fall Potential Water/Drowning Hazard Haz. Chemical Exposure (N2, H2S,CO2 ) Tripping - Slipping Breathing Hazard spillage
Skin Irritants Mech. Equip. Hazards Sharp Edge, Hot - Cold surfaces Excavation Hazard Environmental Haz
Confined Spaces Fire/Explosion Potential Pinch/Crush/Striking Hazards Low Level hazard Ionizing Radiation
Elev. Load/Work Foreign Body in the eye Potential Release of Energy ( Mooring Fatigue/Biology Vehicle Operations
Heat stress High Noise Levels /tensioning sling / Pneumatic test) Hazard
LANGKAH KERJA POTENSI BAHAYA PENGENDALIAN BAHAYA PIC
PERSIAPAN DAN 1. TANGAN TERJEPIT a. MENGGUNAKAN APD DASAR LENGKAP (HELM,SARUNG SUPERVISOR
PEMBERSIHAN AREA 2. TERGORES MATERIAL TANGAN,BAJU LENGAN PANJANG DAN SEPATU CONSTRUCTION
KOLOM 3. TERSETRUM ALAT LISTRIK SAFETY) PEKERJA
b. MEMERIKSA SISI TAJAM KOLOM & MATERIAL HSE
c. MEMERIKSA PERALATAN KERJA DAN KABEL
PENGADUKAN SEMEN 1. KULIT TERKENA BAHAN a. MENGGUNAKAN APD TAMBAHAN (SARUNG TANGAN & SUPERVISOR
KIMIA(SEMEN) LANGSUNG KACAMATA) CONSTRUCTION
2. MATA TERKENA CIPRATAN b. DILARANG MENGADUK DENGAN TANGAN LANGSUNG PEKERJA
BAHAN KIMIA (SEMEN) c. MEMERIKSA SISI TAJAM KOLOM & MATERIAL HSE
3. TERGORES MATERIAL d. MEMERIKSA MESIN ADUK SEBELUM DIGUNAKAN
4. MESIN ADUK RUSAK
PENGISIAN SEMEN 1. KULIT TERKENA BAHAN a. MENGGUNAKAN APD TAMBAHAN (SARUNG TANGAN & SUPERVISOR
KEBAWAH KOLOM KIMIA(SEMEN) LANGSUNG KACAMATA) CONSTRUCTION
2. MATA TERKENA CIPRATAN b. DILARANG MENGADUK DENGAN TANGAN LANGSUNG PEKERJA
BAHAN KIMIA (SEMEN) c. MEMERIKSA SISI TAJAM KOLOM & MATERIAL HSE
3. TERGORES MATERIAL
SELESAI PEKERJAAN 1. TERPELESET a. MELAKUKAN HOUSEKEEPING / PEMBERSIHAN AREA SUPERVISOR
GROUTING KERJA SETELAH SELESAI PEKERJAAN CONSTRUCTION
PEKERJA
HSE