PT.

Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 3-Aug-12

Team Leader : Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Using Angle Grinder

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Inspection of angle grinder Boiler maker, user, Not lock out, electrical Permanent disability, Long 2 3 6 EL/SUB 1. Ensure that angle grinder is 1 3 3 Monthly register
shock term absence due to pluged out (no power) ADM
treatment
ADM 2. Inspect for crack / damage / Earth leakage test
faults ADM

EL/SUB 3. Ensure guard in place

ADM 4. Inspect blade for damage / crack

EL/SUB 5. Ensure correct blade to be used

ADM 6. Test on - off switch function

ADM 7. Inspect cble & plug for deviations

Operating / using angle grinder User Broken blade Fatality, Permanent 2 4 8 ADM 1. Inspect before use / use correct 1 4 4
Disability, Long term blade / disc for application
absence due to treatment
EL/SUB 2. Change broken / damage disc /
blade immediately
ADM 3. Barricade area off
Uncontrolled grinder Fatality, Permanent 2 3 6 EL/SUB 1. Do not force grinder 1 3 3
disability, Long term
absence due to treatment

Uncontrolled Document When Printed 1 of 6 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 3-Aug-12

Team Leader : Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Using Angle Grinder

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental 6 3
Environmental Aspect Impact

EL/SUB 2. Keep firm and strong grip on

grinder
EL/SUB 3. Do not palce grinder down
surface which dish rotating
ADM 4. Ensure dish / blade is secure
prior to use
EL/SUB 5. Do not cut / grind copper, lead,
alumunium, plastic on copper (No
soft material as object)
Flying object Eye injury 1 2 2 ENG/SEG 1. Use grinding screen to protect 1 2 2
otther works
PPE 2. Use PPE as required (eye
protection) face shield / safety
specs
Noise Permanent disability, Long 1 1 1 PPE 1. Use hearing protecting (all close 1 1 1
term absence due to to working area)
treatment
Slip and Fall while using Permanent disability, Long 2 3 6 EL/SUB 1. Good housekeeping in area (no 2 2 4
grinder term absence due to tripping hazard)
treatment
EL/SUB 2. Walking area free of oil
Electrical shock Fatality, Permanent 2 4 8 EL/SUB 1. Do not grind into electrical panel 1 4 4
disability, Long term or unknown object / component
absence due to treatment
Electrical flash Fatality, Permanent 4 5 20 EL/SUB 1. Do not cut / grind drum / tank that 2 2 4
disability, Long term are not clean and free of flammable
absence due to treatment hazard liquids
ADM 2. The end complete "Hot Work"
Permit
ADM 3. Test for gas
EL/SUB 4. wash / clear drum / tank

Uncontrolled Document When Printed 2 of 6 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 3-Aug-12

Team Leader : Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Using Angle Grinder

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more. 20 4

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

ENG/SEG 5. Remove all hazard and

flammable material in area

Uncontrolled Document When Printed 3 of 6 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 4 of 6 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 5 of 6 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 6 of 6 LCI-HSE-FM-001A(02)

Feb 2010