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LOCATION :
FRANKY SIAGIAN
1 Day
Task Risk
Assessment
NORMA
(Normal)
L
Isolation Risk
Assessment (IRA)
RISK
ASSESSMENT
TYPE :
AAAAAA
Operating Risk
Assessment (ORA)
POSITION
SIGNATURE
...................
RIGGING FOREMAN
.........................
RIGGER
Aaaaaa
Franky S.
Task Description :
Ensure enough level of detail is
provided list all major/critical tasks.
TRA Team Leader confirms that the risks for the task described have been reviewed
and the controls which are recommended reduce the risk to ALARP and I consider it
is safe so the task can proceed.
NAME
AAAAAA
SIGNATURE
Aaaaaa
DATE
I am satisfied that the controls identified when put into place will reduce the risk
level to ALARP. The task/action/change is permitted to proceed.
CONFIRMED & APPROVED BY:
SC
NAME :
SIGNATUR
E:
DATE :
Respective
Technical
Authority
Manag
Sr.
er
Manag
er
(TIER2)
6. INITIAL
RISK
E
pengecekan peralatan
angkat yang akan
digunakan pada TORO
Bahaya mekanis
3 Pemindahan /
pengiriman personil
dengan menggunakan
TORO
Tritment medis
karena cidera
N/A
Tritment medis
karena cidera
N/A
cidera
N/A
E
Cidera & Fatality
N/A
9. RESIDUAL
RISK
E
PA
PA
PA
PA
PA
Fatality
- Sertifikat TORO
- Inspeksi harian
TORO
Pemindahan /
pengiriman personil
dengan menggunakan
TORO/FROG
Cuaca buruk
Fatality
- Monitoring cuaca
- Kecepatan angin
Fatality
Lifting Operation
Policy & Standard
PHEONWJ-U-SOP0100
STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency
Radop
PA
PA
Page 2 of 10
11. ACTIONS
CLOSED?
4. HAZARD
EFFECT
10. ALARP
3. HAZARD
DESCRIPTION
8. PERSON /
ROLE
REPSONSIBLE
1. SUB-TASK
NO.
1
2. SUB-TASK ACTIVITY /
DESCRIPTION
Drop object
Fatality due to
crane failure
Fatality
injury
Lifting Operation
Policy & Standard
PHEONWJ-U-SOP0100
Cargo Manifest
rigging equipment
certificate
9. RESIDUAL
RISK
E
PA
PA
PA
PA
Fatality
- Sling Certification
- Jumping rope
Inspection
- Weather Forecast
- Win Speed
7
B
Radop
L
7
STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency
PA
Page 3 of 10
11. ACTIONS
CLOSED?
5. EXISTING
CONTROL
MEASURES
E
TORO Stuck the Deck
4. HAZARD
EFFECT
10. ALARP
3. HAZARD
DESCRIPTION
8. PERSON /
ROLE
REPSONSIBLE
1. SUB-TASK
NO.
2. SUB-TASK ACTIVITY /
DESCRIPTION
A Catastrophi 3
c
Fatalities
B Major
C Serious
D Moderate
E Minor
F Slight
Risk Matrix
1-2
Fatalities
Environmen Equipment
tal
Damage
and
Business
Value
Business
Almost Impossible Very Low (VL)
Reputation (AI)
Extensive/
Massive
Damage
Extensive/
Massive
Effect
Extensive/
Massive
Impact
Major
Damage
Permanent Serious
Disability
Damage
Serious
Effect
Serious
Impact
Moderate
Effect
Moderate
Impact
Slight
Injury or
Health
Effect
Slight
Damage
Rare or never
heard of in the
industry
Heard of in the
industry
<10-6per year
Likelihood
Low (L)
Medium (M)
High (H)
Has occurred
more than once
per year on PHE
ONWJ OR event
can reasonably be
expected to occur
more than once
per year on PHE
ONWJ
>1 per year
10
4 of 10
Environmental
Equipment Damage
and Business Value
Business Reputation
Catastrophic 3 Fatalities
- Accident / illness
resulting 3 or more than
3 fatalities
- Outbreak to
neighbourhood
- Agents with the
potential to cause
multiple fatalities eg.
chemicals with acute
toxic effects
Extensive/ Massive
Effect
- Cost > USD 200 M
- Production loss > 75%
of PHE ONWJ Production
- Production loss total
shutdown for > 1
month
Major
Major Damage
- Uncontrolled release of oil spill > 250 to 500 bbls
(exceed statutory limit)
- Severe environmental damage beyond site boundary
- Company is required to take extensive measures to
restore contaminated environment to original
conditions
-
Major Effect
- Cost > USD 100 M to
USD 200 M
- Production loss > 50%
to 75% of PHE ONWJ
Production
- Production loss total
shutdown for > 0.5 up
to 1 month
Major Impact
- Potential regional and/or
international media coverage to
the company and parent company
(Pertamina Persero)
- Potential legal suit by regulator &
affected community
- Potential environmental
remediation demanded by
regulator
1-2 Fatalities
- Accident/ illness
resulting up to 2 fatalities
- Outbreak within facility
leading to potential
shutdown of facility
- Agents capable of
irreversible effects
leading to death
5 of 10
Severity Level
Environmental
Equipment Damage
and Business Value
Business Reputation
Serious
Permanent Disability
- Accident/ illness
resulting permanent
disability
- Agents capable of
irreversible effects
without loss of life but
with serious disability
and prolonged
hospitalization
Serious Damage
- Oil spill > 100 to 250 bbls (exceed statutory limit)
- Severe environmental damage, potentially beyond
site boundary
- Company potentially required to take extensive
measures to restore contaminated environment to
original conditions (Tie
Serious Effect
- Cost > USD 50 M to
USD 100 M
- Production loss > 25%
to 50% of PHE ONWJ
Production
- Production loss total
shutdown for > 1 week
up to 0.5 month
Serious Impact
- Potential national and/or regional
media coverage
- Potential legal suit by regulator &
affected victims
- Potential environmental
remediation demanded by
regulator
Moderate
Moderate Damage
- Oil spill >15 to 100 bbls (exceed statutory limit)
- Contained by PHE Oil Spill Response Team (OSRT)
- Moderate environmental damage that require
cleaning up/ removal and disposal from the company
- Receptors experience short term dif
Moderate Effect
- Cost > USD 10 M to
USD 50 M
- Production loss > 10%
to 25% of PHE ONWJ
Production
- Production loss total
shutdown for > 1 day
up to 1 week
Moderate Impact
- Potential local press exposures
- Potential legal claim by affected
victims
- Potential environmental
remediation needed
Minor
Minor Damage
- Oil spill 1-15 bbls (within statutory limit)
- Contained within the site boundary/ localised
- Able to be controlled/ recovered on site
- Immediate slight impact/ damage to a non-sensitive
environment and can be remediated to original condi
Minor Effect
- Cost > USD 1 M to
USD 10 M
- Production loss > 5%
to 10% of PHE ONWJ
Production
- Production loss total
shutdown for < 1 day
Minor Impact
- Potential press exposures
- Query by regulator
6 of 10
Severity Level
Slight
Environmental
Equipment Damage
and Business Value
7 of 10
Business Reputation
Slight Effect
Slight Impact
- Cost 1M
- No media concern
- Production loss 5%
of PHE ONWJ Production
- Partial shutdown < 1
day
Health & Safety Category Definition based on the Incident Reporting and Investigation Procedure
No. Health & Safety Category
Definition
Fatalities
Accident/ illness
Prolonged Lost Time Incident (LTI) Any Lost Time Incident (LTI) where the number of lost days is
more than three (3) days.
Lost Time Incident (LTI) is any incident severity due to injury if
as the consequences:
The employee could not have worked on any day after the
injury or illness,
Annex A
8 of 10
Definition
First Aid
Annex A
9 of 10
Likelihood Categories
Definition
High
Has occurred more than once per year on facility of PHE ONWJ
OR event can reasonably be expected to occure more than
once per year on typical facility of PHE ONWJ
Medium
Low
Very Low
Almost Impossible