JOB SAFETY ANALYSIS

WORK ACTIVITY JOB TITLE : ELECTRICAL WORK Revision NO.00

PEKERJAAN LISTRIK
REQUIRED SAFETY EQUIPMENT – PERALATAN KESELAMATAN WAJIB
LOCATION / LOKASI KERJA : Area Ninja Grid 1-2 AC-AP JSA NO : ACE/HSE/JSA/XII/2024/a/ PTW NO.
Hard Hats Cut Resistant Gloves Hearing Protection Face Shield Safety Sign Other List :
Area Ninja Grid 1-2 AC-AP
Safety Shoes Chemila Res. Gloves Lifelines Apron Hand Protection (Impact Descender
JSA PREAPARED BY : SIGNATURE : JSA REVIEWED BY : SIGNATURE: JSA APPROVED BY : Ascender
Vest General Gloves Tools Lanyard Weiding Hood resistant)
Name : Muhammad Raihan Ramandhika Name : Teuku Name : Back up
Safety Glasses Electrical Res. Gloves Tools Bag Weiding Gloves
Position : Engineer Position: HSE Lead Position divice
(Shade) Barricades (Soft) First Aid Kit Respiratory (N-
Name : Deni Name : Sudrajat SIGNATURE Foot Tape
Safety Glasses Barricades (Hard) Radio 958515)
Position: Supervisor / Electrical Position: HSE Supervisor Name :
(Clear) Respiratory (N-
Position:
FBH + Lanyard 958210)
SIGNATURE
CRITICAL QUESTION : Everyone Ready / Capable to work? Potential Spill / Gas Release Addresed? Worst Case Discussed?

APPLICABLE SAFE WORK PRACTICES/SPECIAL PRECAUTIONS – PRAKTIK KERJA AMAN YANG BERLAKU / TINDAKAN PENCEGAHAN
PTW – WAH/HOT/COLD/CREATED TBT ( Tool Box Talk ) Water Gallon / Dispenser Lighting Ilumination Plan
OPENING Drop Object – WAH Checklist. Temporary Waste Storage HSE Training Stickers/Passport
Energy Isolation / LOTO Safety Net – Blue Net Chemicals Handling SDSDCC, etc. Other :
Written Procedure MOS Safety Net – Safety Deck Spill Kit
Checklist Emergency Rescue Team Portable Toilet
SIMOPS : Temporary Material Storage Master Point
POTENTIAL HAZARDS – POTENSI BAHAYA - BAHAYA
Lifting Hazards New Employees Elec.Shock/Flash Includes utility lines Tripping Shipping Low Lighting Other :
Fall Potential Water/Drowning Hazard Haz. Chemical Exposure N2, H2S,CO2 Excavation Hazard Breathing Hazard
Skin Irritants Mech.Equip.Hazard Sharp Edges, Hot,Cold surfaes Low Level Hazard Environmental Hazard
Confined Space Fire/Explosion Potential Pinch/Crush/Stiriking Hazards Fat gue Lonzing Radiaction
Elev.Load/Work Foreign Body in the eye Potential Release of Energy/ Tension Sling Biogica Hazard Vehicle Operations
Heat Stress High Noise Levels Drop Objects Line of Fire

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NO BASIC JOB STEPS HAZARDS AND RISKS OR POTENTIAL WAYS TO ELIMINATE OR CONTROL HAZARDS PIC
LANGKAH-LANGKAH PEKERJAAN INCIDENTS CARA MENGHILANGKAN ATAU PENGENDALIAN BAHAYA PENANGGUNG-
BAHAYA-BAHAYA ATAU POTENSI CELAKA JAWAB
A PERSIAPAN UMUM.
Work preparation.  Working without permit.  Ensure work method and JSA approved by TX & LOGOS. Project Manager
1 Persiapan kerja. Bekerja tanpa izin. Metode kerja diajukan dan disetujui TX & LOGOS. (PM) , Site
 Unsafe and/or unclear work  Ensure approval of Safety permit to work (working at height) to Manager (SM),
planning. be applied as per TX & LOGOS format. Engineer, HSE
Rencana kerja kerja tidak Pastikan persetujan izin kerja keselamatan (Kerja di ketinggian) Lead.
aman dan/atau tidak jelas. untuk diaplikaskan sesuai format TX & LOGOS.
 Ensure the work method and JSA are socialized and understood
by all personnel involved prior of work.
Pastikan metode kerja dan JSA disosialisasikan dan dimengerti
oleh seluruh pekerja yang terlibat.
 Ensure competent and certified Supervisor to supervise the work.
(proven by valid certificates). Pastikan Supervisor
yang berkompeten dan bersertifikasi yang melakukan
pengawasan selama pekerjaan berlangsung.
 Ensure certificates with valid license of all personnel involved to
be attached with the permit to work.
Pastikan sertifikat dengan lisesnsi dalam masa berlaku yang sah
terlampir dengan dokumen pendukung lain di izin kerja.
 Ensure to conduct Pre-job safety or tool bax talk (TBT) meeting
prior of work.
Pastikan dilakukan Pre-job safety atau TBT meeting sebelum
eksekusi pekerjaan.
 Ensure to complete all the safety checklist prior of work at work
area prior of work.
 Pastikan dilakukan pengisian semua ceklist keselamatan untuk
memastikan kesesuaian aturan izin kerja di area kerja sebelum
pekerjaan dimulai.

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P
i
c  Workers safety net instaler  Ensure to only allow competent safety net technicians for PM, SM, HSE
t distributors who are not erection Lead.
u competent  Pastikan hanya mengizinkan teknisi yang berkopetensi yang
r
pekerja pemasangan penyalur memasang safety net
e
petir yang tidak kompeten  Ensure valid certificates of all personnel involved to be attached in
1 the permit to work.
Pastikan sertifikat dengan lisesnsi dalam masa berlaku yang sah
. terlampir sebagai dokumen pendukung di izin kerja.
.  Utilization of broken and/or  Ensure all personnel involved receive safety induction minimum 1- PM, SM, HSE
. homemade tools. day prior of work. Lead,
Penggunaan alat kerja yang Pastikan setiap pekerja yang terlibat telah menerima safety Supervisor
rusak atau buatan/fabrikasi induction minimal 1 hari sebelum bekerja.
sendiri.  No homemade or modification of tools and equipment allowed.
Tidak diizinkan untuk menggunakan alat kerja yang difabrikasi
sendiri maupun dimodifikasi.

Mobilization, demobilization of workers  A heavy material was hit during  Make sure all workers receive safety induction, Safety briefing Supervisor, Rollers
and equipment the process of loading and before work starts. All workers use PPE appropriate to the job and Machine Operator and
Worker
Mobilisasi, demobilisasi pekerja dan unloading the material Make sure all lifting equipment (crane/tackel) is in good condition
peralatan Tertimpa material berat dalam and certified
proses loading dan unloading Pastikan semua pekerja mendapat safety induction.
material Safety briefing sebelum pekerjaan dimulai.
Semua pekerja menggunakan APD sesuai dengan pekerjaan.
Pastikan semua peralatan angkat (crane/tackel) dalam kondisi
baik dan bersertifikat
House keeping  Stabbed, tripped, scratched by  All workers use PPE that is appropriate to the job.Sort waste
Pembenahan leftover material according to type. And Restore the equipment used
Tertusuk, tersandung, tergores Semua pekerja menggunakan APD yang sesuai dengan pekerjaan.
material sisa Pilah sampah sesuai jenisnya dan Simpan kembali peralatan yang
digunakan