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Page 1 646002731.

xls

HAZARD IDENTIFICATION, RISK ASSESMENT AND DETERMINING CONTROL


OCCUPATIONAL HEALTH AND SAFETY

Identification No. : Type Activities :


Work Unit : Location :
CURRENT
RESIDUAL RISK
RISK

CONSEQUENCY

CONSEQUENCY
KONDISI OPERASI/

RISK RANK

RISK RANK
LIKELIHOOD

LIKELIHOOD
BAHAYA POTENSIAL/ OPERATIONAL ADDITIONAL CONTROL /

SCORE

SCORE
PROCESS / FUNCTION / ACTIVITES RISIKO/ RISK LEGAL REFERENCE OLEH/ BY WHO KAPAN/ WHEN
POTENTIAL HAZARDS CONDITION DETERMINING CONTROL IMPROVEMENT
(N/AB/D)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
PEKERJAAN NON RUTIN
Page 2 646002731.xls

CURRENT
RESIDUAL RISK
RISK

CONSEQUENCY

CONSEQUENCY
KONDISI OPERASI/

RISK RANK

RISK RANK
LIKELIHOOD

LIKELIHOOD
BAHAYA POTENSIAL/ OPERATIONAL ADDITIONAL CONTROL /

SCORE

SCORE
PROCESS / FUNCTION / ACTIVITES RISIKO/ RISK LEGAL REFERENCE OLEH/ BY WHO KAPAN/ WHEN
POTENTIAL HAZARDS CONDITION DETERMINING CONTROL IMPROVEMENT
(N/AB/D)

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