No.

Dokumen FM/BPJ-HR/62

No. Versi 0
Tanggal Terbit 04-Sep-19

RISK ASSESSMENT Tanggal Berlaku 04-Sep-19

Tanggal Revisi -
Pemilik dokumen HR-ES Manager

Dokumen disetujui oleh General Manager

Departement

Fiscal Year

PROCESS IDENTIFICATION RISK ANALYSIS & EVALUATION RISK TREATMENT

CURRENT RISK RESIDUAL RISK

Consequence Likelihood Detection Risk

Condition (Note 2)
External / Internal

(note
Significant? ( Y / N )
(N/A/E/SU/SD)

Remaks

Consequence ( C )
ROPN ( C x L x D )

ROPN ( C x L x D )
( Prevention + Detection )
Process Potential Failure Mode – ASPECT Potential Failure Effect – IMPACT ACTION

Likelihood ( L )

Detection ( D )
Requirements / Activity /

Risk Victim (note 6)

Category (Q/E/H/S)
No. CODE

Prevetion Rank

Detection Rank

(note 4)
Product / Service Potential Cause(s) /
(note 1) NO.

(E / V / P)
Impact

(note 3)
Mechanism(s) of Current Control

Rank
Rank

Rank
(potensi/dampak kegagalan - change, whether, Current Control Detection Risk and Opportunities (note 7)

5)
(potensi / aspek kegagalan - issue that Failure Prevention

Category (R/O)
harmful or beneficial usually or partially resulting
interacts or can't interact with each other - (potensi penyebab)
from aspect - perubahan, baik merugikan atau
isu yang berinteraksi atau tidak saling
menguntungkan , semua atau sebagian dari
berinteraksi satu sama lain)
aspek)

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0
 No. Dokumen FM/BPJ-HR/62

No. Versi 0
Tanggal Terbit 04-Sep-19

RISK ASSESSMENT Tanggal Berlaku 04-Sep-19

Tanggal Revisi -
Pemilik dokumen HR-ES Manager

Dokumen disetujui oleh General Manager

Departement

Fiscal Year

PROCESS IDENTIFICATION RISK ANALYSIS & EVALUATION RISK TREATMENT

CURRENT RISK RESIDUAL RISK

Consequence Likelihood Detection Risk

Condition (Note 2)
External / Internal

(note
Significant? ( Y / N )
(N/A/E/SU/SD)

Remaks

Consequence ( C )
ROPN ( C x L x D )

ROPN ( C x L x D )
( Prevention + Detection )
Process Potential Failure Mode – ASPECT Potential Failure Effect – IMPACT ACTION

Likelihood ( L )

Detection ( D )
Requirements / Activity /

Risk Victim (note 6)

Category (Q/E/H/S)
No. CODE

Prevetion Rank

Detection Rank

(note 4)
Product / Service Potential Cause(s) /
(note 1) NO.

(E / V / P)
Impact

(note 3)
Mechanism(s) of Current Control

Rank
Rank

Rank
(potensi/dampak kegagalan - change, whether, Current Control Detection Risk and Opportunities (note 7)

5)
(potensi / aspek kegagalan - issue that Failure Prevention

Category (R/O)
harmful or beneficial usually or partially resulting
interacts or can't interact with each other - (potensi penyebab)
from aspect - perubahan, baik merugikan atau
isu yang berinteraksi atau tidak saling
menguntungkan , semua atau sebagian dari
berinteraksi satu sama lain)
aspek)

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

0 0 N 0

Prepared Checked Acknowledge

Note :

1. Refer to Bussiner Flow Process when determine the proses 5. Category ( Risk / Opportunities )
2. Condition ( Normal / Abnormal / Emergency / Start Up / Shut Down ) ( Risk - Consequences can be if there is no improvement )
3. Impact Category ( Quality / Enviroment / Health / Safety ) ( Opportunities - Opportunities to improve existing systems to prevent risk)
Manager Deputy Chairman Management Respresentative Chairman / GM Operations
4. Risk Evaluation is significant if ROPN over than 80 6. Risk Victim ( Employee / Visitor / Public )