PT.

MATRA BANGUN
TECHNOCONSULT
PENILAIAN R]SIKO bAN PELUNNG

I'()I I\DONtrST:\ I X PIICSJO + 2 X PSA64

odcuhented lnrom.lion (F6rmi

Melhod.Mdhod sldetr16nl Ris[

Job salBry tua iskA.6 APProv€d

L Slunrb s by@* rools or maleila
,aoe, inslall baricades 6id

APproved
Constuctio( PHC 330 2 X
J.b sarery Anallsls,Are l
LTI

P6nnil To Work, Working

Malhod,Method $alem enl Rlsk

Job SefelY Ailalids,&e Approved

LTI

mlerial inspecllon beforo liftlts,

Mel[od Melhod Slalemenr Risk lilfngaccoding loih€ dpadlly d
2! Kg
conslilcrion PHG 330 +2 X
Jdb saf6ly Anarisis Are APProEd 7

Perml Tow.rk, Wo.kng

Merhod Glhod slaLm.ll Risk

V.hicle insFdlo n, d rie/i lonsfu.rion PHG 3& +2 x

Job sarbly Atral sis,Are ApProved
1 TEfic h lhe UOI Sile erea Lll 4

i6hl.l€ inspecllo[ oompleteness aonstuclion PHG 330i2X th€capacily donoreEeed

SOP drving nr lhe lEr Diels I cense

P.rm t ToWork,JsA,neihod
sralemeds.Rigg n! Plai Arc APPrcved ihdcmn6 is in lre pGilioi otihe
li0hl pole dlsmsnlling ,roa
aoiskuclion PHG 330 +2 X
Lrl I )rosedureworkhS Melhod

d.,k area batrcrdes insla I

Pe,nd r!W!*r.An'.rhod
stalemonls R gging Plan.AeApprovsd

c.nstruolionPHGs30+2 x
I M.nuver H€nryEquipmenrs

sisns, drry od fraler al

ircpo.lidn bdore seding haletul Pomil To Work Job sar€ly
Ass6emenl.
Anallels,Risk
P.ir.il T.work Jsa,melhod
.11
slarem€nis,Rilg trs Plan AEAPPTYed
 ri{.monl.,Rlnoloo Pknr,ar6 Apprwd
u6.€randad FP., amid Pinch

--T-ermiil.wo*,rsn,metoo
srar€moilr,Riggino PlaD A16 App'oved
3drst(oii.i PHC 330 t2 X

orw ini wo*rg mema

F;fril To w.rk Job salelv Ana isis,Rlsk and sale way dt working vras
saasrysicn in the foutrdarioi
explain6d by sPVzod SNE
consruorion PHG 330+2 X 6dar, approled ry oienl
2

vaG sure lh6 orcavalor is

Permil ToWo'k,J.b sarbtvAn3l srs Risk
Asaesmenl.melhod *.lem€nls Arc
T elhod,ilelh d Slaleme nl, available ii uNhbl€ Oround
2
-1

Perm[ ToWork Jobssf€ryAnaLisrs RLsk

tarery siOf i! l[6 toundalion
Assesmonl meihod sbleme.ls,Ar6 sd a sale dislanoe al vErk,
aoniru.rior PHc 330 +2; melhod Method silem.il,
LTI H

F;;i w;,k.Johs.lorvAnarl"l",Risk
Ass6s me ni. mel hod slalemenls are

conslruolioil PBGB30+21 nelhod,Melhod slatcmenl,

:oordiEb rilh the unil6ver
4. trtrd€rdblnd o{ble adiv6 LT

Pe,mi T! Work Job sately Ana isis Rlsk

€.rsly sigis h €xc,va1ioil aroa
Ass esm en I n'othod slal emen6,A! e

3onstuchon PHc 330_2 X nelhod,Methol Sialemeni, Sigtr.LMan Hlrdtsari$de

radi€s User (uoD KINRA&

Pennll h Wo* Job saielv Ana isis R sk
dethod,Mdtrod st le'neDl, las pip€lne @ini, Oo a T6r
2 lnd.rground FiPe Nalural Gls Team MBT, Clienl AppBvRd :tfiEt &foE digging uslru

E;;;; ne work qrea. hstqlL

hod slalen on16,AG

6al4 sisns ih axcaval on aroa
Ass66menl ! mel

tronstucli.n PHG 430 r2x mdhodNbthod Salemenl,

r. Fil bY Urlo.d rrq Materia

Eari@de tha work srea, lnsblL

& e4tery signs ln axoavat dn a.-Pa
Assesmenl0elhod slalem€.ls
Snstoclion PHG 330 +2 X tignalMatr HardSarioado

Z. Vehicl6 Lncided (FalLen) LT

sd6 and use the Safery Bod)

Wo*idg al Hiqhl Pemil ToWlrk J.b cm.!s when you wrni b do work :onsrudionPHG 330+2x
2
LTI H Safely Atralisi.,Risk Assesilenr Melhod sthelohi mak6sure lssaG
stalonrenls A.e APproled
 Wo*ln! al HLghl Porm I To Work,Job scsfoldin! isla I by cofr perrnt :oNru.ti!il PH63la 2I
P€Mn, G.een Taggircand
r1\
\o'i\' S laremc dis,A.e AP provod

';,',,((t'\
,l',,.'/
slBlemods Rigging P ar AreApp'ov6d ihe.hhe sii lho pmilion of lhe
ll![t pob dismantLing dea
consrudion PHG a30 f2 x
Pr6educ,W.*ns M€lhod

tuilE F;;r[ To Work,Job

slalenrcnls.Rigsrrg Plan,Arc APProved

consludoi PHG 3S12 X bnmds),slsna kn,saa

Ir.o BD) Merinqro* arca

It.*,a* ,s* *rar

Permr rowoil,Jobsafey kt****nr
Cotrskuclion PHG330+2x anrr sLs Rrs[ABsesomen L*a..- -, n.*a
" rinnu
2
sbrome nls,R igging P lan aG Apprdv6d 'norhodsrarems,i.Fisin0
lr.pory,ru"
Platr M€T l*r"u"" n".po,a."nO
lrne riusersarcl.
t..^ ^.,-^-,-_.^^,"^^
Perm( To wo.k,Jsa m€lhod
slereme nr€,R iggl ns Plan,AD App rcved r.rnril 1! W.d,J.h s,r-"rY
qna isis,Risk Asse$menl
rso 3l6n&d Fpo, avoid pinch lpo.L r."ro, rn. unay ua
M
k;:-'-*'
I

slrlemenls Rlsgihs Plan,Are Appr.ved

splahed bySFVand SHE
nslnrl badcade aid satelysign ronskucrioi PtsG330+2X ,ficor, opprd€d bY Cli€nt
ll

- rtl hld
nsu re the workins
Po,nrTuWorkJSAmelhod
slalem€nls,Riggins PlanAre Apprcvd
d4.ilr& bysPv snd sHE
eisure faslenino do by rigger. :onstuorion PHG 330 +2 X mcer appr.ledbyClionl
6 Tho blndins ollhe Webing sling
LTI 2

Dipeilk!i 4r.hrRaniewed by
PT. MATRA BANGUN
TECHNOCONSULT

W)
 p.lord 5os €vsc
h er3lEu ro stoor {od &.tqunE.€
xz+0e€ 9Hdub!.n$uoa p. oiddv orv srsEuv itaPs qot
nre rcs'dadns& Pau'8dx.
;e,6uur.Ml.lPr alEsprE

oueproleu q.nLapr
3q rsiu' rqD 5q Bqr.^oqr p.^oxtlv arV sruau'arPls
\roil orssa.,v .saur.q
p3ro,d eos rgvs. .lBs sJ -n. qeu lqor€q $ tI1
iNq I3.q oqlqren.plu xJrott cH! uoqri$roa ldrop or ruEd no^ u€qMsee5.!
qorlrom.l iur3d il6,H rP 6ur4oM
prilufl 3En.A s..ureH
\poE ltaEs aur asi ptrP.rds

'fsH
puv rsrodnsNorssEUEtrr
aqmdr p.iorddv .rV'sPausleE
p6rori cos tgvsa
uo t&N^Ed'i88aaduE sr, p.qFwl5u.3ssv rs u srs rr0v s tfr
xz+0$eHd uo{r^$uoa
.d( oqr qu .cu€pi@ce q uoN.N l6d 666EduB El
!is pasr.BEcaqlgctf pus 6daeql qlMeuproaE ul
pa PFur s pued.qreDs
3tE p.lElsur.qFnu e Fuen o{orne qsn paFFll
ourponorosn arotaq o' 6q lsno 6upuidr0',6sn.rolq
Ffl3q rsnu Fr uo padsur

o.our) tE!6Eur poloruo.un'1

,ost€nis ttr. lroles '6urx I x z+ 0€s oHd ro!.n$uoa
lHspueAdS^q pauDtdr3
t.46.sr.u brl FoqFui pa oddvdv 0etd 6(661!'s['.uarBF
6r'+o$ 0ur..ui.{loof

-IsYai_

fqVSJ \ Z + (lftli)ll,l \ I \ lS:l\r(Xl\l l() I

 Pon I To Work, Wo.kng and sale v,ay o, rd kin9 vras
Morhod,Mdhod Stelomdnl Rl6k €xplahed bY SuPeills.rand

Job &Ioly AnalisisAB Approvod

LTI
,rce, tr,sbll bail.!des and

P6rmlt IoWork Workns nrcworterc bnrc min€ral

MGthd,Morh& sEleh6nl Risk

Job saf6ry Analisi.,Are APPovd P.osdurc,Wo&ng Melhod

L-TI

ilrmf IoWdk.uroikhs fu;;ird h+clb" bero,e ill's.

lil ig d.cordinq 1o Ihe caPaciqor
aonstruction PHG 3r0 12 X
J.b Safery Anal s s,A.G APPrcvdd Prosedura Wd.king Meh.d

a;;il r" w- k,. ,b sldv

AM isis RlskAsse.meoiM.$.d dark6l U$ lhe .P P roPriale
Sblrm!nls,Toor. lnsP.ksi Are Appr.vEd
-Ha Permil lo work Job sar.ly
analisis R sk Assesment

(.:p fl amnrable haler als amy

A merhod,M.lhod Slale nenl, slandbY,Make sure rhe fl:sh

branker !se the apProPridlo

Pem I lo vE k Job qalcly
aiaLisis RskA.sesmeil
Hol Pemil lo Wo*,Job safely Cdtskucii.n PHG 330-2x
keD llammable halerials ar€Y
,TI H Analisis R sk Ass6menl,M.lhod meihoil.Merhd Sl.ienr.nl
Slalemeilb Tlols lnsP.ksi A.e Appioved
Ftr Walrh€ris o. shndbt,

P-",mil1osro* J.hsardy
anal s s,RiskAssesne.l
AnaLi.is RisI Assasil]eil Melhod
Sralemenls Tools lDsp66i Are &floved consttr.liof PHG 330 12 X nEtod M.lhod slalenred

P.rhr iorork Job srr€ry

rlol Permt ToWork Jab SarelY anJislsRskAss.s'ned,
Aialis s,Rlsk As€sfl cd Melhod 16*area,sraida,dPPE (
Slhl€natrls Too s lisp.ki AG ADpoved aonshu.lonPHG330r2 X m-rthod Morhdd sr:iemenl Mask) srpedrsi and FsE

Faimt lo wrk.Job Qr€ry

analisi6,Rlsk Assesmenl,
Andli.is,Risk Assesh.d reLhod
sa(emonls,Tools lnspeksi Are Approv6d mothod,Melhod slalemenl,
?
LTI a

_---IiiEiirn wo* ror s.t"tv

Aila isis R skAssesilrenl,Mclhod
Staiem€hls T@ls nspeksi AreApProved
:onslucrlon PiG330+2X
Usinssratrdard PPE(Gry*) Uridlng hachinB RPM and
IJ

bef.re dong {o'k insralrlhe

P;i;rl.,o'krobsaiery
aila isis Risk Assdsnrenl
Ara i.is R sk Ais€sm$l,Meilrod
Sr.l.m.nls Too s i,spek5, Ar.ApPr.Yed n'.lhod,MBthod slalenronr
C.nstru.lotr PHc 330 12X
usiushodad PPE( Govee ) aosllio .l lhe body P6ds I
'

Po.mil 1o work Jobs.r€ly

B.a isis Risk Assesmeill
ik ksesr.enl,M.lhod
Aialsis R
slal€meds iools lnsrehi AFApFr.v-'d tronstuclioi FHG 330 +2 X melhod,Merhod slalenreir
Usc F..e Sh eid.Salely co99 es
M
 an, isis R sk Assesmenl

m€l hod.M.{h od slat€ menl ,

{ 2

: occlrs once a year

lnllu6nco on lho quallty r sk ofthe products / 36Nlc€6 produced
= achieved> 2xwithin 6 months
Mod6rat6 lmpad on tha strat€ly or op€rBtlonal activli6s ofih€ organzatlon
otekaholdsrconcernt lniu€ncsonth€ilskofqualjtyofproducts/s€ruic€sproduced'butstill FrequentlY=lxamonth
enry r€qui@m€nts often. occure = 1r Per week
-Low: L@ lmpad on th€ skEtogy or operat onal activities oflhe organization'
Low stat"holdercon"erns Does notsfledth€ quality riskof
products/ services produc€d
l* rl 6 1'
'ii
Probablllty - Rlsk & OPPodunltles
Th€ potontla occurs several times ( moro th a n3 iltes) I n a period of timo (ior oxa mple - rn one
-H lghi

vea0.
-Med[rm: can occur 1-3 iimes lrom once in a period oftlme (for sample a
- year)'
_
-Lowi Never happensd. Will not be possiblg (for oxample a
yea,