Job Safety Analisys

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PT.

NUANSA INDAH MANE


General Contractor & Man Power Supply
Puri Pilang Sari II Blok C No.113 RT.003/RW.010 Kedawung Cirebon - Jawa Barat

DATE/JSA No. (TGL./JSA No.) DEPARTMENT : Bagian/Fungsi


SUPERVISOR : Pengawas
JOB (Pekerjaan):
LOCATION : Lokasi

PROTECTIVE EQUIPMENT REQUIRED TO PERFORM THIS JOB (ALAT PELINDUNG YANG DIPERLUKAN UNTUK MELAKSANAKAN PEKERJAAN)

SAFETY HELMET EAR PLUG/EAR MUFF RUBBER GLOVES FIRE EXTINGUISHER


SAFETY SHOES RUBBER BOOT FULL BODY HARNESS LOCK OUT/TAG OUT
SAFETY GLASSES FACE SHIELD CHEMICAL COAT OIL SPILL KIT
COTTON GLOVES APRON RESPIRATOR/SCBA WORK PERMIT REQUIRED
LEATHER GLOVES DUST/GAS MASKER GOOGLES OTHER

SEQUENCE OF BASIC JOB STEPS POTENTIAL ACCIDENT OF HAZARDS RISK LEVEL RECOMMENDED SAFE JOB PROCEDURES RESPONSIBLE PERSONAL
(URUTAN LANGKAH DASAR PEKERJAAN) (POTENTIAL DAPAT TERJADI KECELAKAAN) (TINGKAT RESIKO) (REKOMENDASI PROSEDUR KERJA SECARA AMAN) (PENANGGUNG JAWAB)

2.

PELAKSANA PEKERJAAN PENGAWAS PEKERJAAN FIELD/UBEP/PEMILIK ASSET

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