FRISIAN FLAG INDONESIA

QASHE DEPARTMENT
JOB SAFETY ANALYSIS (JSA)
Doc No : 00-QA-101 Effective Date : 1 Aug 13 Rev No : 01

Nama Project :

Nama Pekerjaan : Dibuat Oleh : Tanggal :

( & tanda tangan )
Area Pekerjaan :
Diperiksa Oleh : Tanggal :

Tanggal Pekerjaan : ( & tanda tangan )

Pengawas Langsung Pekerjaan :

( Contractor ) Disetujui Oleh : Tanggal :

Pengawas Langsung Pekerjaan : ( & tanda tangan )
(FFI)

Prosedur Tahapan Kerja Utama Potensi Bahaya dan Kecelakaan Rekomendasi Kerja Yang Aman
Lembar tambahan Work Permit Doc No. 00-QA-120 Rev.05

JOB SAFETY ANALYSIS (JSA)/ ANALISA KESELAMATAN KERJA

TINDAKAN PENGENDALIAN
PROSEDUR
BAHAYA RISIKO ENGINEERING
KERJA ADMINISTRATIF APD
CONTROL
 FRISIAN FLAG INDONESIA
SHE DEPARTMENT
JOB SAFETY ANALYSIS
Job activities : TEMPORARY BUILDING AND CONTAINER LIFTING PLAN
Doc No : 00-QA-110 Effective Date : Tanggal : 13 August 2021

TINDAKAN PENGENDALIAN
PIC
PROSEDUR KERJA BAHAYA RISIKO ENGINEERING
ADMINISTRATIF APD
CONTROL
1. Persiapan pekerjaan / Job preparation

1.1. Pemasangan pondasi container, genset dan tangki
bahan bakar / Setting out container foundation, genset
and fuel tank
Tersandung, terjepit material pondasi,
tertusuk paku, terpukul palu / tripped,
pinch by the pondation material,Pierced
by a nail, hit by a hammer
Cidera bagian tangan / Hand N/A Surat izin kerja, Brifing, procedure dan Penggunaan sarung tangan / Used
Injury aturan kerja, Inspeksi area & alat kerja, of hand gloves
rambu rambu, Pengawasan / Work permit,
briefing, work procedures and rules, Hanis
inspection of work area & tools, signed,
Supervise

1.2. Pembuatan pondasi menggunakan batu kali / Tertimpa batu kali,Tergores
Foundation making using river stonr terhirup semen,terpukul palu,terkena
pecahan batu, ergonomi / Hit by a stone
Inhaled cement, hit by a hammer, hit by
crushed stone, ergonomic
cidera pada bagian Tubuh
(Mata, Kaki & Tangan),
Gangguan pernafasan, sakit
tulang belakang / Injury to body
parts (eyes, feet & hands),
respiratory problem, back pain
N/A Surat izin kerja, Brifing, procedure dan
aturan kerja, Inspeksi alat kerja, rambu
rambu / Work permit, briefing, work
procedures and rules, inspection of work
tools, signed
Penggunaan alat pelindung diri
sesuai dengan resiko (Sarung
tangan, kacamata, sepatu safety &
masker ) / Use of personal
Hanis
protective equipment according to
risk(Gloves, goggles, safety shoes &
masks)

1.3. Menyiapkan jalan akses untuk masuknya truk trailer Terjatuh, tersandung, terporosok saluran Cidera bagian tubuh / Body N/A Inspeksi area kerja, penempatan material, Penggunaan alat pelidung yang
dan mobile crane ke lokasi penurunan container dan / fell, tripped, got stuck in the drain. parts injury Rambu rambu / Inspection of work areas, disyaratkan (Helm keselamatan,
peralatan / placement of materials, signs rompi dan sepatu keselamatan) /
Hanis
Prepare access roads for trailer trucks and mobile cranes Used of mandatory PPE
to drop off containers and equipment

2. Mobilisasi, Punurunan Material dan Peralatan /

Mobilization, Unloading Material and Equipment /
Mobilization, Material and Equipment Disbursement /
Mobilization, Unloading Material and Equipment

2.1. Mobilisasi Material dan peralatan untuk kantor Lalu lintas, menabrak, tertabrak, Kemacetan, kematian, N/A Sim supir, Inspeksi route perjalanan, penggunaan sabuk keselamatan
sementara / Mobilization of materials and equipment for material terjatuh / Traffic, crash, get hit, tertimpa / Congestion, death, hit inspeksi muatan / Driver sim, Route selama berkendara/ use of seat
Rendi
temporary offices material fall inspection, cargo inspection. belts while driving

2.2. Mobilisasi mobile crane 25T / Mobilization mobile Lalu lintas, menabrak, tertabrak, Crane Kemacetan, kematian, / N/A Sim supir, Inspeksi route perjalanan, jam penggunaan sabuk keselamatan
crane 25T terjatuh dari kendaraan pengangkut / Congestion, death mobilisasi yg sesuai, inspeksi muatan / selama berkendara / use of seat
Traffic, crash, hit, Crane fell off the Driver sim, Route inspection, appropriate belts while driving
transport vehicle mobilization hours, cargo inspection.

2.3. Penurunan Kontainer dan pelalatan lain sesudah Crane roboh, Crane Menabrak orang Kematian, kerusakan fasilitas, Penggunaan alat-alat Surat izin kerja, Brifing, procedure dan Penggunaan alat pelidung yang
sampai di lokasi proyek dari atas truk diturunkan atau fasilitas, sling putus, material tertimpa / Death, facility angkat yang sesuai aturan kerja, Inspeksi alat (SIA), rambu disyaratkan (Helm keselamatan,
menggunakan mobile crane 25T dan ditempatkan diatas terjatuh / Crane collapses, Crane hits a damage, hit kapasitas / Use of lifting rambu, Pengawasan, pemasangan rompi dan sepatu keselamatan) /
pondasi yang sudah disediakan / Dropping Containers and person or facility, sling broken, material equipment according to pembatas area kerja / Work permit, Used of mandatory PPE
Hanis / Putra
other equipment after arriving at the project site from the falls, capacity briefing, SIO Operator, procedures and
top of the truck are lowered using a 25T mobile crane and rules, equipment verification (Equipment
placed on the provided foundation license), signed, Supervise, operator
license), barricade
2.4. Memposisikan mobile crane 25T dan truk trailer Akses lembek dan tidak stabil, menabrak Crane dan kendaraan terperook, N/A Brifing, procedure dan aturan kerja, rambu Penggunaan alat pelidung yang
selama kegiatan / Positioning the 25T mobile crane and / Soft and unstable access, crashing menabrak / Crane and vehicle rambu, Penempatan pengarah kendaraan, disyaratkan (Helm keselamatan,
trailer truck during activities stumble, crash inspeksi lokasi penempatan crane, sio rompi dan sepatu keselamatan) /
operator / Briefings, work procedures and Used of mandatory PPE Hanis / Putra
rules, signs, placement of vehicle guides,
inspection of crane placement locations, sio
operator
2.5. Pemasangan instalasi kabel listrik untuk container
dan grounding / Installation of electrical wiring for
containers and grounding
Kabel sobek, sambungan kabel, kabel
grounding tajam, salah pemasangan dan
installasi / Torn wires, wire connections,
sharp ground wire, wrong connection &
Installation
Tergores, tertusuk, litrik tidak
menyala dan terbakar / Torn
wires, wire connections, sharp
ground wires
N/A Surat izin kerja, Brifing, procedure dan
aturan kerja, Pengawasan, eletrical yang
berpengalaman / Work permit, briefing,
work procedures and rules, supervision,
experienced electrical
Penggunaan alat pelindung diri
yang disyaratkan (Sarung tangan) /
Use of required personal protective
equipment (gloves)
Ranto

Prepared By : Check By : Check By : Approve By :

………………….. ………………………. ……………………………….. ……………………………….

Supervisor Site Manager Project HSE lead Project Manager
 FRISIAN FLAG INDONESIA
SHE DEPARTEMENT
JOB SAFETY ANALYSIS
Doc No : 00-QA-110 Effective Date : 24 Jan 2021 Date :
RisK Estimate actual Action
situation
NO Work Process Activity H&S Hazard
H&S Effect Engginering control Administration APD/PPE