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HAZARD IDENTIFICATION RISK ASSESMENT & CONTROL (HIRAC)

HIRA Registration No. : RDMP BALIKPAPAN PROJECT Prepared by: Reviewed by: Reviewed by: Approved by : Risk Category
Revision No. : 004
Revision Purpose : Change to activity wise High 15 - 25
Moderate to High 10 – 12
Node (Unit) : Piping (PIP) Moderate 5–9
Date : 30-May-20 Low to Moderate 4

Total Page Number : 21


I Wayan Sanbudi Nata John P Simanjuntak Yun Youngman M. Yuzar Virza Low 1–3
(JO HSE Engineer) (JO DHSEM) (JO DHSEM) (JO HSEM)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

1 Welding and cutting activities A Work process reviews/task- 1 Fire hazard OS 1 - Fire hazard caused by sparks contact - Injury 1 Safety (SA) PIP-SA-1.1.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination Eliminate combustible material from hot work area 1 1 1 L Elimination N/A SM/CM
based risk assessment to combustible material / 1980 Isolation Provide partition from non-combustible material at least 1.5 meters high to Isolation N/A
- Fire hazard caused by sparks contact separate flammable agent with oxidizing agent.
to flammable gas ( acetylene ) that Risk Reduction - N/A Risk Reduction - N/A
might be leak. Substitution Substitution
- Fire hazard caused by sparks contact Risk Reduction - - Provide habitat Risk Reduction - N/A
to oxidizing gas ( oxigen ) that migt be Engineering - Use Fire blanket Engineering
leak. - Flash back arrestor installation
- Fire protection system ( such as : Fire extinguishers )
- Provide Gas detector
- Keep oxygen cylinders at least 20 feet from Acetylene gas cylinders
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - Competency certification ( welder, fitter ) Administrative
- Method statement, JSA, PTW, Daily TBM
- Pre-use inspection for cutting tools & equipment
- Conduct gas monitoring
- MSDS pressurized Gas Cylinder
- Gas Lable
- Trained Fire watcher
- Trained Authorized Gas Tester
- Install warning / safety sign at hork work area

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves ( PPE N/A
Apron )
A Hazard identification 2 Gas bottle pressurized OS 1 Explosion hazard caused by wrong - Injury to fatality 1 Safety (SA) PIP-SA-1.2.1.2 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed hazard handling pressurize gas cylinder ( / 1980 Isolation N/A Isolation N/A
dropping, hitting, rolling ) might hit the Risk Reduction - N/A Risk Reduction - N/A
workers Substitution Substitution
Risk Reduction - - Use hand truck and chain Risk Reduction - N/A
Engineering - Keep upright position with secure rack and chain. Engineering
- Use proper cradles, nets or platforms if using a crane.
- Avoid lifting cylinders by their caps or guards or with magnets or slings, which
can damage the valves.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
- 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
- Hydrotest gas cylinder certificate Administrative
Risk Reduction - - Method statement, JSA, PTW, Daily TBM
Administrative - Pre use inpection of cylinder valve

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves PPE N/A
A OS 2 Explosion hazard caused by wrong Property damage 1 Financial (F) PIP-F-1.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
handling pressurize gas cylinder ( / 1980 Isolation N/A Isolation N/A
dropping, hitting, rolling ) might hit the Risk Reduction - N/A Risk Reduction - N/A
property around Substitution Substitution
Risk Reduction - - Use hand truck and chain Risk Reduction - N/A
Engineering - Keep upright position with secure rack and chain. Engineering
- Use proper cradles, nets or platforms if using a crane.
- Avoid lifting cylinders by their caps or guards or with magnets or slings, which
can damage the valves.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
- 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
- Hydrotest gas cylinder certificate Administrative
- Method statement, JSA, PTW, Daily TBM
Risk Reduction -
- Pre use inpection of cylinder valve
Administrative

PPE N/A PPE N/A

N Hazard identification 3 Chemical hazard H 1 Metal fume - Short-term exposure can 1 Health ( H ) PIP-H-1.3.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed result in nausea, dizziness, / 1980 Isolation N/A Isolation N/A
or eye, nose and throat Risk Reduction - N/A Risk Reduction - N/A
irritation. Substitution Substitution
- Prolonged exposure to Risk Reduction - - Provide blower / exhaust Risk Reduction - N/A
welding fumes can lead to Engineering Engineering
cancer of the lung, larynx Risk Reduction - Process N/A Risk Reduction - Process N/A
and urinary tract, as well as change change
nervous system and kidney Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
damage Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, JSA,PTW, Daily TBM
- Install warning sign

PPE Use specific PPE: face shield, respirator mask PPE N/A
N Hazard identification H 2 Carbon Monoxide ( CO ) gas come out 1 Health ( H ) PIP-H-1.3.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed form welding machine muffler / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide blower / exhaust ( for indoor activity ) Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - Carbon Monoxide poisonous
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative awareness
- Method statement, JSA,PTW, Daily TBM
- Install warning sign CO gas poisonous

PPE Use specific PPE: respirator mask PPE N/A


N Hazard identification 4 Radiation hazard H 1 Ultra violet & infra red - Skin irritation 1 Health ( H ) PIP-H-1.4.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - Eyes irritatiton ( / 1980 Isolation Install Shields/insulation between heat and employees Isolation N/A
conjunctivity ) Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
80_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - Ventilation system Risk Reduction - N/A


Engineering - Provide cool rest area Engineering
- Provide sufficient drinking water.
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00005-001 Health Management Plan Risk Reduction - N/A
Administrative - Method statement, JSA,PTW, Daily TBM. Administrative
- Heat stress awareness

PPE Use specific PPE: face shield, PPE N/A


N Hazard identification 5 Electrical hazard OS 1 - Electrical shock Electrocuted to fatality 1 Safety (SA) PIP-SA-1.5.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - insulation cable damage / 1980 Isolation N/A Isolation N/A
Risk Reduction - - Using standard type of cable (outdoor/indoor) type. Risk Reduction - N/A
Substitution - Proper cable thickness according to the power used. Substitution
Risk Reduction - - Grounding system installation Risk Reduction - N/A
Engineering - ELCB Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative - Pre use inpection of cable and accessories Administrative
- Color code inspection
PPE Use specific PPE: Electrical gloves PPE N/A
N Area risk 6 Slip, trip, falls hazard OS 1 Poor cable arrangement Injury 1 Safety (SA) PIP-SA-1.6.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use cable hanging. Risk Reduction - N/A
Engineering - No cable immersed in the water. Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative Administrative
PPE N/A PPE N/A
N Hazard identification 7 Noise hazard H 1 Exposed to noise from welding Hearing loss : 1 Health (H) PIP-H-1.7.1.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed machine - Accoustic trauma 2018 Isolation N/A Isolation N/A
- Noise-Induced Hearing - Manpower Minister Regulation 2 / Risk Reduction - Select equipment according to recommended standards for noise Risk Reduction - N/A
Loss (NIHL) 1980 Substitution output. Substitution
- Permanent treshold shift - Manpower Minister Regulation 8 / Risk Reduction - - Temporary silencer installation Risk Reduction - N/A
2011 Engineering - Temporary partition or shielding installation Engineering
- Manpower Minister Regulation No. Risk Reduction - Process N/A Risk Reduction - Process N/A
02 / 1980 change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring noise level and sign posting high noise areas
- Periodic inspection of hearing protection devices
- Baseline and periodic hearing tests: (Audiometric tests include hearing testing
at intervals between 500 and 8000 Hz)
- Health bulletin (noise awareness)
- review medical checkup (MCU) result

Specific PPE Ear muff or ear plug Specific PPE N/A


N Work process reviews/task- E 2 Noise expose to outside project fence Hearing loss 1 Enviromental ( EN ) PIP-EN-1.7.2.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment and impacted to the community around 2018 Isolation N/A Isolation N/A
the project area - Manpower Minister Regulation 2 / Risk Reduction - Install temporary silencer if possible Risk Reduction - N/A
1980 Substitution Substitution
- Manpower Minister Regulation 8 / Risk Reduction - N/A Risk Reduction - N/A
2011 Engineering Engineering
- Manpower Minister Regulation No. Risk Reduction - Process N/A Risk Reduction - Process N/A
02 / 1980 change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - -Close coordination with
Administrative - RKL-RPL Pertamina RU-V Administrative communite development
- Method statement, JSA, PTW, Daily TBM regarding Noise program
- Monitoring noise level at project battery limit maximum 65 dB(A)

Specific PPE N/A Specific PPE N/A

N Work process reviews/task- 8 Ergonomic hazard H 1 Awkward posture and repetitive Chronic health effect ( 1 Health (H) PIP-H-1.8.1.1 Y Manpower Minister Regulation No. 1 3 2 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment Musculoskeletal disorders) / 1982 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Customization of workstations with anthropometry worker/modifying Risk Reduction - N/A
Engineering workstations (if possible) Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - Ergonomic awareness
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, PTW, JSA, Daily TBM
- Variation posture at work
- Health bulletin topic (ergonomic)

Specific PPE N/A Specific PPE N/A


A Hazard identification 9 Hazardous waste hazard E 1 Spill come out from welding machine Impact to Flora and Fauna 1 Enviromental ( EN ) PIP-EN-1.9.1.1 Y Government Regulation No 11 Thn 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed that might be leak or handling during 1979 Isolation N/A Isolation N/A
refuel Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Secondary containment Risk Reduction - N/A
Engineering - Spill kit available Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - Oil spill awareness
Administrative - 26071-100-G01-GHX-00006 (Spill Prevent Aand Response Plan) Administrative
- Method statement, JSA, PTW, Daily TBM

PPE N/A PPE N/A

N Hazard identification 10 Self working hazard OS 1 Scratched, pinched during cutting Injury 1 Safety (SA) PIP-SA-1.10.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative - Buddy system. Administrative
- Monitoring and supervision.

PPE N/A PPE N/A


N Area risk 11 Extreme temperature H 1 Heat stress - Dehydration 1 Health (H) PIP-H-1.11.1.1 Y 1. Manpower Minister Regulation No. 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys - illness ( Heat stroke, Heat 37 / 2016 Isolation N/A Isolation N/A
ramps, Heat Exhaustion ) 2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution

81_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - Provide shelter (temporary rest area). Risk Reduction - N/A
Engineering - Provide sufficient drinking water. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00008-001 Heat Stress Prevention Management Risk Reduction - N/A
Administrative Procedure Administrative
- MP2-ETP-HSE-GP-0005-00-2019 - Project HSSE Plan
- Method statement, PTW, JSA, Daily TBM
- Reguler break and change with the other workers
- Daily checkup (DCU)
PPE N/A PPE N/A

2 Welding & cutting at Refer to above for welding & cutting


brownfield area
N Area risk 1 Chemical hazards OS 1 Workers Exposed to flammable or toxic Serious injury to Fatality 1 Safety (SA) PIP-SA-2.1.1.1 Y 1. Manpower Minister Decision 5 2 10 M-H N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys gas. E.g. due to leakage 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Provide habitat Risk Reduction - N/A
Engineering - Use Fire blanket Engineering
- Flash back arrestor installation
- Fire protection system ( such as : Fire extinguishers, Fire truck )
- Provide Gas detector
- Keep oxygen cylinders at least 20 feet from Acetylene gas cylinders
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00002 (Project Emergency Handling Procedure) Administrative
- 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL
'- Competency certification ( welder, fitter )
- Method statement, JSA, PTW, Daily TBM
- Pre-use inspection for cutting tools & equipment
- Conduct gas monitoring
- MSDS pressurized Gas Cylinder
- Gas Lable
- Trained Fire watcher
- Trained Authorized Gas Tester
- Install warning / safety sign at hork work area
- Close communication with RU V authority

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-2.2.1.1 N 5 2 10 M-H N Elimination Remove flammable and combustible material at surrounding workplace. 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere can caused Isolation N/A Isolation N/A
extremme fire & explosion Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide habitat Risk Reduction - N/A
Engineering - Use Fire blanket Engineering
- Flash back arrestor installation
- Fire protection system ( such as : Fire extinguishers, Fire truck )
- Provide Gas detector
- Keep oxygen cylinders at least 20 feet from Acetylene gas cylinders

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
'- Competency certification ( welder, fitter )
- Method statement, JSA, PTW, Daily TBM
- Pre-use inspection for cutting tools & equipment
- Conduct gas monitoring
- MSDS pressurized Gas Cylinder
- Gas Lable
- Trained Fire watcher
- Trained Authorized Gas Tester
- Install warning / safety sign at hork work area
- Close communication with RU V authority

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-2.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

3 Welding & cutting at off shore Refer to above for welding & cutting
area
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-3.1.1.1 N 4 2 8 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-3.2.1.1 Y 1.Health Minister Regulation No. 48 3 2 6 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


4 Grinding activities N Hazard identification 1 Flying objects OS 1 - Grinding disc loose hurt the workers - Serious injury 1 Safety (SA) PIP-SA-4.1.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
82_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

continually reviewed body part - Eyes injury / 1980 Isolation N/A Isolation N/A
- Grinding flake contact to eyes Risk Reduction - Subsitution the grinding disc if the RPM Risk Reduction - N/A
Substitution exceed the strength of the fastenings. Substitution
Risk Reduction - - Install machine guarding Risk Reduction - N/A
Engineering - Emergency eye wash and shower available Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - ETSP Engineering Guideline Emergency Eyewash and Shower Administrative
- Method statement, JSA, PTW, Daily TBM
- Pre use inpection of grinding disc, portable machine etc

PPE Use specific PPE: face shield, dust mask PPE N/A
N Hazard identification 2 Vibration hazard H 1 Hand and arm vibration from activities illness 1 Health ( H ) PIP-H-4.2.1.1 Y 1. Manpower Minister Regulation No. 2 3 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed 1 / 1980 Isolation N/A Isolation N/A
2. Environment Minister Decision No Risk Reduction - N/A Risk Reduction - N/A
49/1996 Substitution Substitution
Risk Reduction - - Provide additional layer ( such as adsorbent ) at tool's handle Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00005-001 Health Management Plan Risk Reduction - N/A
Administrative - Method statement, JSA, PTW, Daily TBM Administrative
- Work rotation
- Regular break

PPE Use specific PPE: face shield, dust mask and adsorbent vibration gloves. PPE N/A

N Hazard identification 3 Ergonomic hazard H 1 Awkward position during grinding and illness ( Musculoskeletal 1 Health (H) PIP-H-4.3.1.1 Y Manpower Minister Regulation No. 1 2 3 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed repetitive. disorder ) / 1982 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00005-001 Health Management Plan Risk Reduction - N/A
Administrative - Method statement, JSA, PTW, Daily TBM Administrative
- Work rotation
- Regular break

PPE N/A PPE N/A


5 HOT WORK IN CONFINED SPACE ( UNDERGROUND ) Refer above
A Area risk 1 Confined space Hazard ( OS 1 - Oxygen defiency ( Lack of oxygen, - Asphyxiation 1 Safety (SA) PIP-SA-5.1.1.1 Y - Manpower Minister Regulation No. 4 3 12 M-H N Elimination Depressurizing and remove gases in the confined space, Flushing 3 1 3 L Elimination N/A SM/CM
assessment/surveys Chemical hazard ) Below 19.5% ) - Unconscious to Fatality 1 / 1980
- Exposed to Toxic gas ( such as : H2S - Manpower Minister Regulation No
) 113/DJPPK/IX/2006 Isolation Implementation of LOTO Isolation N/A
Risk Reduction - Substitute atmosphere inside confined space with fresh air Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide multigas detector Risk Reduction - N/A
Engineering - Provide blower for fresh air circulation inside confined space Engineering
- Buddy system
- Continue gas monitoring

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00010-001 Lock Out Tag Out (LOTO) Procedure Risk Reduction - Provide site specific procedure for
Administrative - MP2-ETSP-HSE-GP-0004-00-2019 LOTO Administrative confined space
- Method statement, JSA, PTW, Daily TBM.
- Caution sign: confined space, Do not enter, Authorize person only
- Competence authorize gas detector.
- Trained standby man / Entry watcher
- Trained confined space entrant
- Barricade or close the man hole when not occupied
- Confined space rescue plan for inert confined space
- Dedicated ERT and equipment for the confined space rescue

PPE - Breathing apparatus such as SCBA set for rescue PPE N/A
- Work unit breathing apparatus such as airline for working at inert confined
space
- Half mask with specific respirator (if required)

A Area risk 2 Confined space Hazard OS 1 Lack of access to get immediate - Serious injury 1 Safety (SA) PIP-SA-5.2.1.1 Y - Manpower Minister Regulation No. 4 3 12 M-H N Elimination Lone working not allowed inside the confined space 3 1 3 L Elimination N/A SM/CM
assessment/surveys (Lone working hazard) response during emergency condition, - fatality 1 / 1980
will loose the rescue golden time. - Manpower Minister Regulation No
113/DJPPK/IX/2006 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - Provide site specific procedure for
Administrative - Method statement, JSA, PTW, Daily TBM. Administrative confined space
- Standby man
- Buddy system

PPE N/A PPE N/A


A Area risk 3 Fire & explosion OS 1 - Excess of Oxygen ( > 23.5 % ) can Serious Injury to Fatality ( 1 Safety (SA) PIP-SA-5.3.1.1 Y - Manpower Minister Regulation No. 4 3 12 M-H Y Elimination Depressurizing and remove gases in the confined space, Flushing 3 1 3 L Elimination N/A SM/CM
assessment/surveys caused extreme fire and explosion Multiple fatality ) 1 / 1980 Isolation Implementation of LOTO Isolation N/A
- Exposure of flammable gas - Manpower Minister Regulation No Risk Reduction - Substitute flammable atmosphere inside confined space with fresh air Risk Reduction - N/A
113/DJPPK/IX/2006 Substitution Substitution
Risk Reduction - - Provide multigas detector Risk Reduction - N/A
Engineering - Provide blower for fresh air circulation inside confined space Engineering
- Buddy system
- Regular gas checking
- Flammable material and ignition sources are not allowed to bring inside the
confined space
- regular leak check for hose condition
- electrical equipment shall be protected with ELCB
- regular check for cable condition inside confined space
- Use intrinsically safe tools at inside confined space or electrical devices below
50 V AC
- Fire protection sytem ( such as : Fire extinguisher etc )

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change

83_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - 26071-100-GPP-GHX-00010-001 Lock Out Tag Out (LOTO) Procedure Risk Reduction - Provide site specific procedure for
Administrative - MP2-ETSP-HSE-GP-0004-00-2019 LOTO Administrative confined space
- Method statement, JSA, PTW, Daily TBM.
- Caution sign: confined space, Do not enter, Authorize person only
- Competence authorize gas detector.
- Trained stand by man / Entru watcher
- Trained confined space entrant
- Barricade or close the man hole when not occupied
- Dedicated ERT and equipment for the confined space rescue

PPE - Breathing apparatus such as SCBA set for rescue PPE N/A
- Work unit breathing apparatus such as airline for working at inert confined
space
- Half mask with specific respirator (if required)
Work process reviews/task- OS Property damage 2 Financial (F) PIP-F-5.3.1.2 Y 1. Manpower Minister Regulation No. 5 1 5 M N Elimination Depressurizing and remove gases in the confined space, Flushing 2 1 2 L Elimination N/A SM/CM
based risk assessment 1 / 1980
Isolation Implementation of LOTO Isolation N/A
2. Manpower Minister Regulation No
Risk Reduction - Substitute atmosphere inside confined space with fresh air Risk Reduction - N/A
113/DJPPK/IX/2006
Substitution Substitution
Risk Reduction - - Provide multigas detector Risk Reduction - N/A
Engineering - Provide blower for fresh air circulation inside confined space Engineering
- Buddy system
- Flammable material and ignition sources are not allowed to bring inside the
confined space
- electrical equipment shall be protected with ELCB
- Use intrinsically safe tools at inside confined space or electrical devices below
50 V AC
- Fire protection sytem ( such as : Fire extinguisher etc )

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00010-001 Lock Out Tag Out (LOTO) Procedure Risk Reduction - To provide site specific procedure
Administrative - MP2-ETSP-HSE-GP-0004-00-2019 LOTO Administrative for confined space.
- Method statement, JSA, PTW, Daily TBM.
- Caution sign: confined space, Do not enter, Authorize person only
- Competence authorize gas detector.
- Trained stand by man / Entru watcher
- Trained confined space entrant
- Barricade or close the man hole when not occupied
- Dedicated ERT and equipment for the confined space rescue

PPE - Breathing apparatus such as SCBA set for rescue PPE N/A
- Work unit breathing apparatus such as airline for working at inert confined
space
- Half mask with specific respirator (if required)

A Learning from event analysis 4 illumination hazard H 1 Inadequate lighting lead to eye illness 1 Health (H) PIP-H-5.4.1.1 Y 1. Manpower Minister Regulation No. 2 3 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
disorders, headaches and may 1 / 1980
contribute to depression 2. Manpower Minister Regulation No
113/DJPPK/IX/2006 Isolation N/A Isolation N/A

Risk Reduction - N/A Risk Reduction - N/A


Substitution Substitution

Risk Reduction - - Provide adequate explosion proof lighting inside confined space Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - Provide site specific procedure for
Administrative - To carry out regular check and measurement for illumination at workplace Administrative confined space

PPE Specific PPE :clear safety glasses PPE N/A

N Area risk 5 Extreme temperature OS 1 Heat stress Dehydration 1 Health (H) PIP-H-5.5.1.1 Y - Manpower Minister Regulation No. 4 2 8 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
assessment/surveys 1 / 1980
- Manpower Minister Regulation No
113/DJPPK/IX/2006 Isolation N/A Isolation N/A

Risk Reduction - N/A Risk Reduction - N/A


Substitution Substitution

Risk Reduction - N/A Risk Reduction - N/A


Engineering Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00008-001 Heat Stress Prevention Management Risk Reduction - Provide site specific procedure for
Administrative Procedure Administrative confined space
- Method statement, JSA, PTW, Daily TBM.
- Working rotation
- Dedicated ERT and equipment for the confined space rescue

PPE N/A PPE N/A

Area risk 2 Hot temperature in confined space due Fire 1 Safety (SA) PIP-SA-5.5.2.1 Y - Manpower Minister Regulation No. 4 2 8 M N Elimination Remove all combustible material from confine space 3 1 3 L Elimination N/A SM/CM
assessment/surveys to hot work activities can caused e fire 1 / 1980
- Manpower Minister Regulation No
113/DJPPK/IX/2006 Isolation N/A Isolation N/A

Risk Reduction - N/A Risk Reduction - N/A


Substitution Substitution

Risk Reduction - - Provide ventilation (natural and forced ventilation) Risk Reduction - N/A
Engineering - Provide multigas detector Engineering
- Provide blower for fresh air circulation inside confined space
- electrical equipment shall be protected with ELCB
- Use intrinsically safe tools at inside confined space or electrical devices below
50 V AC
- Fire protection sytem ( such as : Fire extinguisher etc )

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - Regular leak check for hose condition Risk Reduction - Provide site specific procedure for
Administrative - Regular check for cable condition inside confined space Administrative confined space

PPE N/A PPE N/A

84_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

A Hazard identification 6 Electrical Hazard OS 1 - insulation cable damage - Electric shock 1 Safety (SA) PIP-SA-5.6.1.1 Y - Manpower Minister Regulation No. 4 2 8 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
continually reviewed - Fatality 1 / 1980
- Manpower Minister Regulation No
113/DJPPK/IX/2006 Isolation N/A Isolation N/A

Risk Reduction - N/A Risk Reduction - N/A


Substitution Substitution

Risk Reduction - N/A Risk Reduction - N/A


Engineering Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - Provide site specific procedure for
Administrative - 26071-100-GPP-GHX-00006-000 Electrical Equipment and Assured Administrative confined space
Grounding Procedure
- Method statement, JSA, PTW, Daily TBM.
- Color code inspection and valid JO pass inspection
- inspection tag
- Warning sign
- Never use an aluminium or steel ladder together with live electrical cable/tools
- Safety bulletin (electrical safety)

PPE N/A PPE N/A

6 Grinding at brownfield area Refer to above for grinding

N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-6.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Control of ignition sources coming from grinding activities
- Gas check using gas detector by authorize gas tester
- Fire water available
- Close communication with Pertamina RU-V area authority
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-6.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere can caused fire surrounding workplace.
& explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Control of ignition sources from drilling activity
- Gas detector to notice flammable atmosphere
- All vehicle shall have spark arrester
- Emergency response team available
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-6.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

7 Grinding at off shore area Refer to above for grinding


N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-7.1.1.1 N 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-7.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


8 Abrasive blasting N Work process reviews/task- 1 Pressurized system hazard OS 1 explosion due to overpressure of Fatality 1 Safety (SA) PIP-SA-8.1.1.1 Y - Manpower Minister Regulation No. 4 3 12 M-H N Elimination N/A 1 1 1 L Elimination N/A SM/CM
85_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

based risk assessment compressed air 09 / 2016 Isolation - use blast rooms/cabinet for smaller blasting operation Isolation N/A
- Manpower Minister Regulation No.
1 / 1980 Risk Reduction - N/A Risk Reduction - N/A
- Manpower Minister Regulation No. Substitution Substitution
5 / 1985 Risk Reduction - - Using whip lock Risk Reduction - N/A
- Manpower Minister Regulation 9 / Engineering - leak test Engineering
2010
- Manpower Minister Regulation No. Risk Reduction - Process - Perform routine cleanup To blasting compressor and accessories Risk Reduction - Process N/A
1 / 1980 change change
- Manpower Minister Regulation No. Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Kep. 113/DJPPK/IX/2006 Administrative - Method statement, JSA, PTW, Daily TBM Administrative
- Manpower Minister Regulation No. - Restrict access to blasting area
3 / 1998 - Keep coworker away from blaster
- premobilization inspection for air compressor and sand blasting accessories
- Ensure integrity of hose and connection from compressor to blsating gun
- if possible to schedule blasting when the least number of workers are at the
site

Specific PPE N/A Specific PPE N/A

N Hazard identification 2 Chemical hazards (sand H 1 Workers exposed to siclica dust Illness ( silicosis, lung 1 Health (H) PIP-H-8.2.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed blasting materials) cancer ) / 1980 Isolation - Use barriers and curtain walls to isolate the blasting operation from other Isolation N/A
worker
- use blast rooms/cabinet for smaller blasting operation
- Restrict access to blasting area
- Keep coworker away from blaster
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - Use exhaust ventilation systems in containment room/cabinet to capture dust Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, JSA, PTW, Daily TBM
- if possible to schedule blasting when the least number of workers are at the
site
- Avoid blasting in windy condition
- Personal hygiene practices
- SDS for blasting material
- Health bulletin (abrasive blasting)
- experience blaster

Specific PPE - Sand blasting eye and face protection Specific PPE N/A
- ear plug/ear muff
- leather gloves to protect full forearm and apron
- Respiratory protection
N Hazard identification 3 Dust (sand blasting dust) E 1 Poor visibility due to dust and Complaint from society 1 Reputation (RE) PIP-RE-8.3.1.1 Y 1. Government Regulation No 41 3 2 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed contaminate to enviromental around Thn 1999 Isolation To assign dedicated place for sand blasting activity which far from community Isolation N/A
site Risk Reduction - Use abrasive materials that can be delivered with water (slurry) to reduce dust Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide exhaust to reduce dust Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - Silicosis awareness
Administrative - RKL-RPL Pertamina RU-V Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring ambient air parameter at project boundary

Specific PPE N/A Specific PPE N/A


N Hazard identification E 2 Disposal of dust to the environment Enviromental pollution 1 Environmental (EN) PIP-EN-8.3.2.1 Y 1. Government Regulation No 41 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed such as water Thn 1999 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Collect sand blasting waste and store at temporary hazardous waste storage Risk Reduction - N/A
Engineering - Disposal of sand blasting material by licensed third party Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - RKL-RPL Pertamina RU-V Administrative
- Method statement, JSA, PTW, Daily TBM
- SDS for blasting material

Specific PPE N/A Specific PPE N/A


N Hazard identification 4 Fire & dust explosion OS 1 Spark can be generated from sand due Property damage 1 Safety (SA) PIP-SA-8.4.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material 1 1 1 L Elimination N/A SM/CM
continually reviewed to electric static 5 / 1985 during blasting operation
2. Manpower Minister Regulation 9 / Isolation N/A Isolation N/A
2011 Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Proper bonding and grounding Risk Reduction - N/A
Engineering - Fire extinguisher Engineering
- Provide exhaust to reduce dust
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00006-000 Electrical Equipment and Assured Administrative
Grounding Procedure
- Method statement, JSA, PTW, Daily TBM

Specific PPE N/A Specific PPE N/A


9 Ditching ( Excavation ) - N Work process reviews/task- 1 Digging hazard OS 1 - Fall to lower level due to substandard injury to fatality 1 Safety (SA) PIP-SA-9.1.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
Underground piping based risk assessment access 09 / 2016 Isolation N/A Isolation N/A
- Dropped object hit people underneath 2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
- Dropped object 1 / 1980 Substitution Substitution
3. Manpower Minister Regulation No. Risk Reduction - - The slope for a depth of more than 2m, for a depth between 2-5 m, slope < Risk Reduction - N/A
5 / 1985 Engineering 75o Engineering
4. Manpower Minister Regulation 9 / - The side of the excavation will be passed by heavy equipment, the length of
2010 the heavy equipment lane must be in the ratio of 2 : 1 (2 depth : 1 the length of
5. Manpower Minister Regulation No. the side of the excavation).
1 / 1980 - The soil reinforcement has been installed before the workers enter the
6. Manpower Minister Regulation No. excavation area
Kep. 113/DJPPK/IX/2006 - The excavation forms a trench and a depth of more than 1.5 m, then a gas
7. Manpower Minister Regulation level inspection must be carried out using a gas detector
No. 3 / 1998

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00024 Excavation & Trenching Procedure Risk Reduction - N/A
Administrative - Method statement, JSA, Daily TBM, Personnel Awareness Administrative
- Periodic inspection and maintenance
- Enforcement of crane and lifting procedure
- Provide signage and barricade

86_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves, PPE N/A
rubber boot, body harness, PGD

OS 2 Open hole or uneven ground condition Personal injury 1 Safety (SA) PIP-SA-9.1.2.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 2 2 L Elimination N/A
from excavation activity / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - Fence / Guard installation Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, Daily TBM, PTW Risk Reduction - N/A
Administrative - Install warnign sign / barricade surrounding area Administrative

PPE Use specific PPE: hand gloves, rubber boot. PPE N/A
Area risk 2 Biological Hazard H 1 Snake bite might found in the hole Fatality 1 Safety (SA) PIP-SA-9.2.1.1 N 4 3 12 M-H N Elimination N/A 3 2 6 M Elimination N/A
assessment/surveys
Isolation N/A Isolation N/A

Risk Reduction - N/A Risk Reduction - N/A


Substitution Substitution

Risk Reduction - - Provide Snake Tongue Risk Reduction - N/A


Engineering - Provide snake trap Engineering
- Provide cover on the hole

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - Method statement, JSA, Daily TBM, PTW Risk Reduction - Develop Specific procedure for
Administrative - Install warnign sign / barricade surrounding area Administrative snake bite management
- Snake bite awareness

PPE Use specific PPE: hand gloves, rubber boot and long sleeve PPE N/A

N Hazard identification 3 Manual Handling H 1 - Lift up material more than 25 kg, illness ( Musculoskeletal 1 Health (H) PIP-H-9.3.1.1 Y 1. Manpower Minister Regulation 5 / 2 3 6 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
continually reviewed repeated Disorders ) 2018
2. Health Minister Regulation 70 /
2016 Isolation N/A Isolation N/A
3. Health Minister Regulation 48 /
2016
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution

Risk Reduction - Using liting tools if possible Risk Reduction - N/A


Engineering Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change

Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A


Administrative - Method statement, JSA, Daily TBM, Personnel Awareness Administrative
- Work rotation
- Mini break

PPE Use specific PPE: leather/ combination gloves, rubber boot. PPE N/A

N Work process reviews/task- OS 2 Slips, trips and falls during working Injury 1 Safety (SA) PIP-SA-9.3.2.1 Y - Health Minister Regulation No. 48 2 2 4 L-M N Elimination - Good housekeeping 1 1 1 L Elimination N/A SM/CM
based risk assessment /2016 - Maintain surface condition flat and non slippery
- Health Minister Regulation No 10 / Isolation N/A Isolation N/A
2018 Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- MP2-ETP-HSE-GP-0005-00-2019 Project HSSE Plan
- Method statement, PTW, JSA, Daily TBM
- Health bulletin (Manual Lifting technique)
- work rotation (mini break)

Specific PPE N/A Specific PPE N/A


10 Stringing N Work process reviews/task- 1 Falling object hazard OS 1 - Improper loading due to the process Personal injury, damage of 1 Safety (SA) PIP-SA-10.1.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
based risk assessment of decline equipment & tools, gravity. / 1980 Isolation N/A Isolation N/A
- Improper placement Risk Reduction - N/A Risk Reduction - N/A
- Improper lifting Substitution Substitution
- Inadequate guards or barriers Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00011 Crane & Lifting Procedure for chain blocks and Risk Reduction - N/A
Administrative come a-longs Administrative
- Method statement, JSA, Daily TBM, Personnel Awareness
- Periodic inspection and maintenance
- Enforcement of TMC and lifting procedure
- Provide signage and barricade
- Enforcement of pre-use checklist by TMC operator

PPE Use specific PPE: leather/ combination gloves, rubber boot. PPE N/A
11 Stringing at brownfield area Refer to above for stringing
N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-11.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-11.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change

87_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A


Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training.
- Control of ignition sources from drilling activity
- Gas detector to notice flammable atmosphere
- Emergency response team available
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-11.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

12 Stringing at off shore area Refer to above for stringing


N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-12.1.1.1 N 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-12.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Provide Anemometer Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


13 Welding spool pipe N Work process reviews/task- 1 Fire hzard OS 1 Open flame and sparks could trigger eye injury, body injury 1 Safety (SA) PIP-SA-13.1.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination All compressed cylinder gas shall not be located inside of confined space. 2 1 2 L Elimination N/A SM/CM
based risk assessment fire and exposure to temperature 1 / 1980 Proper extension with hose shall be put into consideration.
extremes 2. Manpower Minister Regulation No. Isolation - Proper gas cylider storage, segregarion between oxygen and flammable gas Isolation N/A
Kep. 113/DJPPK/IX/2006 cylinder
- Keep Cylinders safe distance from The hot work work location

Risk Reduction - Risk Reduction - N/A


Substitution Substitution
Risk Reduction - - Provide welding habitat as per each welding point Risk Reduction - N/A
Engineering - It is ensured that The flash back arrestor is in place between oxy-acetylene Engineering
hose & gas regulator

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00005 Fire Prevention and Protection Procedure Administrative
- Competency certification ( Welder, fitter )
- Enforcement of Procedure related with hot work and ignition source control
- Good practice of housekeeping
- Provide tools and equipment To response with fire
- Pre-use inspection for welding and grinding tools & equipment
- Personnel Awareness, PTW, Toolbox Meeting, MS, JSA
- Isolation valve of cylinder is kept closed when not in use
- To Provide fire extingusiher near To gas cylinder location
- Daily leak check on gas cylinder parts and hose prior To use
- Good maintenance and handling of gas cylinder

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves, PPE N/A
rubber boot, body harness, PGD
14 Phassed Array Ultrasonic N Hazard identification 1 Electrical hazard OS 1 Electrocution - Burns injury 1 Safety (SA) PIP-SA-14.1.1.1 Y Manpower Minister Regulation No. 2 3 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
Testing ( PAUT ) continually reviewed - Electric shock 12 / 2015 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process - Good cable management at work area Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Premobilization inspection for the electrical appliances
- To Provide fire extingusiher
- Work carry out by PAUT specialist

PPE Electrical hand gloves PPE N/A


N Hazard identification OS 2 Fire Property damage 1 Financial (F) PIP-F-14.1.2.1 Y Manpower Minister Regulation No. 1 3 3 L N Elimination Housekeeping to remove flammable and combustible material 1 1 1 L Elimination N/A SM/CM
continually reviewed 12 / 2015 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process - Good cable management at work area Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Premobilization inspection for the electrical appliances
- To Provide fire extingusiher
- Work carry out by PAUT specialist

PPE N/A PPE N/A


N Work process reviews/task- 2 Dust hazard H 1 Clean the test object with wire brush ilness ( Eyes and inhalation 1 Health (H) PIP-H-14.2.1.1 Y Government Regulation No 41 Thn 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
88_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

based risk assessment and potential to exposed with particle ) 1999 Isolation N/A Isolation N/A
dust Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - Provide eye wash/shower station Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Health bulletin (dust effect to health)

Specific PPE Dust mask, googles Specific PPE N/A


N Work process reviews/task- 3 Chemical hazards H 1 Irritation to the skin Illness 1 Health (H) PIP-H-14.3.1.1 N 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment (grease/glycerin) Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - Provide eye wash/shower station Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- grease/glycerin waste shall be treated as hazardous waste

Specific PPE Coverall, hand gloves Specific PPE N/A


15 Pipe Testing N Work process reviews/task- 1 Pressurized system hazard OS 1 pressure (stored energy), human Body injury, pinch point, slip 1 Safety (SA) PIP-SA-15.1.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M Y Elimination N/A 2 1 2 L Elimination N/A SM/CM
based risk assessment mechanic (manual handling), gravity and trip 09 / 2016 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
3. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
5 / 1985 Engineering Engineering
4. Manpower Minister Regulation 9 / Risk Reduction - Process N/A Risk Reduction - Process N/A
2010 change change
5. Manpower Minister Regulation No. Risk Reduction - - Barricade and sign to be installed at surrounding area affected by hydrotest Risk Reduction - N/A
1 / 1980 Administrative activity. Administrative
6. Manpower Minister Regulation No. - Personnel Awareness, PTW, Toolbox Meeting, MS, JSA.
Kep. 113/DJPPK/IX/2006 Pre-use inspection for hydrotest tools, such as manifold, hose, fitting
7. Manpower Minister Regulation connection, PSV, Pressure gauge, blind flange.
No. 3 / 1998

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves, PPE N/A
rubber boot, body harness, PGD
A E 2 Leak of water Environmental pollution 1 Environment (EN) PIP-EN-15.1.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 2 2 L Elimination N/A SM/CM
/ 1980 Isolation N/A Isolation N/A
Risk Reduction - - Only use certified equipment Risk Reduction - N/A
Substitution - Utilize competent operator Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - Personnel Awareness, PTW, Toolbox Meeting, MS, JSA. Risk Reduction - N/A
Administrative - Pre-use inspection for hydrotest tools, such as manifold, hose, fitting Administrative
connection, PSV, Pressure gauge, blind flange.
- Barricade and sign to be installed at surrounding area affected by hydrotest
activity.

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves, PPE N/A
rubber boot, body harness, PGD
N Area risk 2 Radiation non pengion H 1 Exposed to radioactive source Mutagen, Carcinogenic 1 Health (H) PIP-H-15.2.1.1 Y 1. Act No. 10/ 1997 regarding 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
assessment/surveys hazard Nuclear Power Isolation Clear area for the activity in certain distance (refer to procedure), completed Isolation N/A
2. Government Regulation No. 63/ with clear sign board, TOA, rotary lamp
2000 regarding Safety and Health in Risk Reduction - N/A Risk Reduction - N/A
the Use of Ionizing Radiation Substitution Substitution
3. Government Regulation No. 64/ Risk Reduction - N/A Risk Reduction - N/A
2000 regarding Permission for Engineering Engineering
Nuclear Power Utilization Risk Reduction - Process N/A Risk Reduction - Process N/A
4. Decree of Head of BAPETEN No. change change
01/Ka-BAPETEN/V-99 regarding Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Occupational Safety provisions for Administrative - Only use certified equipment Administrative
radiation - Utilize competent AR, OR, PPR
5. Regulation of The Head of Nuclear - Barricade and sign to be installed at surrounding area affected by NDE
Power Management (BAPETAN) No. - Personnel Awareness, PTW, Toolbox Meeting, MS, JSA
15/ 2015 regarding Safety of
Radiation in The Production of
Diagnostic and Interventional
PPE Use specific PPE: lead cover apron, film badge as per Procedure PPE N/A
Radiological Aircraft Products
E 2 Radioactive waste - Impact to community 1 Environment (EN) PIP-EN-15.2.2.1 Y 1. Act No. 10/ 1997 regarding 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
- Impact to flora and fauna Nuclear Power Isolation N/A Isolation N/A
2. Government Regulation No. 63/ Risk Reduction - N/A Risk Reduction - N/A
2000 regarding Safety and Health in Substitution Substitution
the Use of Ionizing Radiation Risk Reduction - Provide bunker as government regulation if contractor will keep radioactive Risk Reduction - N/A
3. Government Regulation No. 64/ Engineering source at contractor premises Engineering
2000 regarding Permission for
Risk Reduction - Process Radioactive sources handling and storage responsibilities shall be under Risk Reduction - Process N/A
Nuclear Power Utilization
change subcontractor for radiagraphy activities (outside contractor premises) change
4. Decree of Head of BAPETEN No.
01/Ka-BAPETEN/V-99 regarding
Occupational Safety provisions for Risk Reduction - PTW, Toolbox Meeting, MS, JSA
radiation Administrative
5. Regulation of The Head of Nuclear PPE N/A PPE N/A
Power Management (BAPETAN) No.
15/ 2015 regarding Safety of
Radiation in The Production of
Diagnostic and Interventional
Radiological Aircraft Products.

16 Pipe testing at brownfield area Refer to above for pipe testing

N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-16.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A

89_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-16.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-16.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

17 Pipe testing at off shore area Refer to above for pipe testing
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-17.11.1 N 4 3 12 M-H N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-17.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


18 Install test gauge & test recorder N Work process reviews/task- 1 Pinch point hazard OS 1 pinch & nip points due to install Personal injury 1 Safety (SA) PIP-SA-18.1.1.1 Y Manpower Minister Regulation No. 1 2 3 6 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment pressure gauge & test recorder on / 1980 Isolation N/A Isolation N/A
nipple Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - Use of Gas Proof Tool (Existing Area), Install Spark Arrestor in oulet Machinery Risk Reduction - N/A
Engineering (Existing Area) and Inappropriate/home made tools not allow Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, JSA, Daily TBM Administrative
PPE Use specific PPE: hand gloves PPE N/A
19 Air leak test for reinforcement N Work process reviews/task- 1 Pressurized system hazard OS 1 Leak of air with pressure or Fatality, personal injury, 1 Safety (SA) PIP-SA-19.1.1.1 Y 1. Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
pads based risk assessment uncontrolled release of pressure and equipment damage 2018 Isolation Clear area from people not concern occur air leak test, completed with clear Isolation N/A
maked tubing broken or blow down of 2. Health Minister Regulation 70 / sign board, TOA
instruments on the line system 2016
3. Health Minister Regulation 48 /
2016 Risk Reduction - - Use tools standardized, not allow using home made tools Risk Reduction - N/A
4. Local Regulation of Balikpapan Substitution - Only use certified equipment (air pump, hose, test pump, pressure gauge) Substitution
No. 13 / 2015 - Utilize competent person

Risk Reduction - N/A Risk Reduction - N/A


Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Method statement, JSA, Daily TBM Administrative
- Enforcement of procedure related with air leak test/ hydrostatic pressure test

PPE Use specific PPE: air muff/ ear plug PPE N/A
20 Hydrotest N Work process reviews/task- 1 Slipped hazard OS 1 pressure (failure system due to head Slip and trip 1 Safety (SA) PIP-SA-20.1.1.1 Y 1. Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 3 3 L Elimination N/A SM/CM
based risk assessment loses during pressurize), usage of 2018 Isolation N/A Isolation N/A
natural resources, gravity 2. Health Minister Regulation 70 / Risk Reduction - - The appropriateness / condition of the equipment to be used (pump, hose, Risk Reduction - N/A
2016 Substitution coupling, compressor) Substitution
3. Health Minister Regulation 48 / - The workers who are not involved are prohibited at the hydrotest
2016 - The safe radius is installed barrier / barricade
4. Local Regulation of Balikpapan
No. 13 / 2015
Risk Reduction - - The pipe connection/ flanges is tight with torque wrench Risk Reduction - N/A
Engineering - Provide signage and barricade Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Hydrotest procedure, lay out, drawing Administrative
- Method statement, JSA, Daily TBM

PPE Use specific PPE: air muff/ ear plug, rubber boot, hand glove PPE N/A
2 Slipped hazard OS 1 pressure (stored energy), human Body injury, pinch point, slip 1 Safety (SA) PIP-SA-20.2.1.1 Y 1. Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 2 2 L Elimination N/A SM/CM
mechanic (manual handling), gravity, and trip 2018 Isolation N/A Isolation N/A
waste water disposal 2. Health Minister Regulation 70 / Risk Reduction - - The appropriateness / condition of the equipment to be used (pump, hose, Risk Reduction - N/A
2016 Substitution coupling, compressor) Substitution
3. Health Minister Regulation 48 / - The workers who are not involved are prohibited at the hydrotest
2016 - The safe radius is installed barrier / barricade
4. Local Regulation of Balikpapan
No. 13 / 2015
Risk Reduction - The pipe connection/ flanges is tight with torque wrench Risk Reduction - N/A
Engineering Engineering
90_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - Hydrotest procedure, lay out, drawing Administrative
- Method statement, JSA, Daily TBM
- Provide signage and barricade

PPE Use specific PPE: air muff/ ear plug, rubber boot, hand glove, lead protection PPE N/A
21 Installation steam tracing N Hazard identification 1 Working at height hazards ( OS 1 - Slips and Trips Injury to Fatality ( Multiple 1 Safety (SA) PIP-SA-21.1.1.1 Y 1. Manpower Minister Regulation No. 4 3 12 M-H N Elimination N/A 2 1 2 L Elimination N/A SM/ CM
continually reviewed by using scaffolding ) - Dropped Object fatality ) 09 / 2016 Isolation N/A Isolation N/A
- Scaffolding collapse 2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
- Fall from height 1 / 1980 Substitution Substitution
- Collided by overhead objects Risk Reduction - - Fall protection sysytem installation ( Safety net, Life line ) Risk Reduction - N/A
- Pinched Engineering -Provide pulley to lift and lowering material and tools Engineering
-Proper storage (secure) of tools and material at elevated arae.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00021-001 Scaffolding Procedure Risk Reduction - To provide site specific procedure
Administrative - 26071-100-GPP-GHX-00017-001 Barricade and Signboard Procedure Administrative for Working At Height
- 26071-100-G01-GHX-00002-002 Project HSE Plan
- Scaffolding material certificate, Scaffolding tag, Scaffoding inspection checklist
- Certified competence ( Scaffolding inspector & scaffolder )
- Method statement, JSA, PTW, Daily TBM
- Install warning sign and barricade at the surrounding area
- Trianed Working At Height
- Emergency respon plan

PPE Mandatory PPE and Sepecific PPE ( Fullbody harness ) PPE N/A
N Hazard identification OS 2 Scaffolding collapse - Property damage 1 Financial (F) PIP-F-21.1.2.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/ CM
continually reviewed - Tools & equipment 09 / 2016 Isolation N/A Isolation N/A
damage 2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Fall protection sysytem installation ( Safety net, Life line ) Risk Reduction - N/A
Engineering - Provide pulley to lift and lowering material and tools Engineering
- Proper storage (secure) of tools and material at elevated arae.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00021-001 Scaffolding Procedure Risk Reduction - To provide site specific procedure
Administrative - 26071-100-GPP-GHX-00017-001 Barricade and Signboard Procedure Administrative for Working At Height
- 26071-100-G01-GHX-00002-002 Project HSE Plan
- Scaffolding material certificate, Scaffolding tag, Scaffoding inspection checklist
- Certified competence ( Scaffolding inspector & scaffolder )
- Method statement, JSA, PTW, Daily TBM
- Install warning sign and barricade at the surrounding area
- Trianed Working At Height
- Emergency respon plan

PPE Mandatory PPE and Sepecific PPE ( Fullbody harness ) PPE N/A
22 Installation steam tracing at brownfield area Refer to above for Installation steam tracing
N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-22.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-22.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-22.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

23 Installation steam tracing at off shore area Refer to above for Installation steam tracing
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-.23.1.1.1 N 4 3 12 M-H N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

91_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-.23.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


24 Pipe tie in - Hot tap (drilling pipe, N Work process reviews/task- 1 Explosion hazard OS 1 - Welding leakage Serious injury to fatality 1 Safety (SA) PIP-SA-24.1.1.1 Y 1. Manpower Minister Regulation No. 5 3 15 H Y Elimination N/A 3 1 3 L Elimination N/A SM/CM
cutting & welding activity) based risk assessment - Pipe burst due to loss of integrity 37 / 2016 Isolation Implementation of LOTO Isolation N/A
- Leakage during leak test 2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
- Existing pipe failure due to hot tap 2018 Substitution Substitution
machine overload Risk Reduction - - block valve leak test Risk Reduction - N/A
Engineering - proper bolt tightening (joint flange management) Engineering
- Fire watcher available
- Fire extinguisher
- Fire blanket
- Blower to divert any H2S gas while execution
- Adequate vent point
- Identify each Tie-in(s) schematic location on P&ID
- Install PG at certain point to ensure pipe not pressurized

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00017 Barricade & Signboard Procedure Administrative
- 26071-100-GPP-GHX-00001 Work Permit Procedure
- 26071-100-GPP-GHX-00033-000 Hot Work Procedure
- Method statement of hot tap & pressure leak test, JSA, Daily TBM, PTW
- Hot tap checklist
- Hot tap contingency plan
- Competence and experience person for hot tap
- Competence and experience welder
- Pre-inspection of Hot Tap machine
- Emergency response team to be stand by
- Emergency response tools and equipment to be ready to use
- Gas check by authorize gas detector
- Multi gas detector
- Maintain good communication with RU-V area authority

Specific PPE - Fire retardant coverall PPE N/A


- face shield
- welding mask, appron and gloves
A Hazard identification 2 Gas bottle pressurized OS 1 Explosion hazard caused by wrong - Injury to fatality 1 Safety (SA) PIP-SA-24.2.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed hazard handling pressurize gas cylinder ( / 1980 Isolation N/A Isolation N/A
dropping, hitting, rolling ) Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use hand truck and chain Risk Reduction - N/A
Engineering - Keep upright position with secure rack and chain. Engineering
- Use proper cradles, nets or platforms if using a crane.
- Avoid lifting cylinders by their caps or guards or with magnets or slings, which
can damage the valves.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
- 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
- Hydrotest gas cylinder certificate Administrative
Risk Reduction - - Method statement, JSA, PTW, Daily TBM
Administrative - Pre use inpection of cylinder valve

PPE N/A PPE N/A


PPE N/A PPE N/A
A Hazard identification OS Property damage 2 Financial (FN ) PIP-FN-24.2.1.2 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use hand truck and chain Risk Reduction - N/A
Engineering - Keep upright position with secure rack and chain. Engineering
- Use proper cradles, nets or platforms if using a crane.
- Avoid lifting cylinders by their caps or guards or with magnets or slings, which
can damage the valves.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
- 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
- Hydrotest gas cylinder certificate Administrative
Risk Reduction - - Method statement, JSA, PTW, Daily TBM
Administrative - Pre use inpection of cylinder valve

PPE N/A PPE N/A


PPE N/A PPE N/A
N Hazard identification 3 Chemical hazard H 1 Metal fume - Short-term exposure can 1 Health ( H ) PIP-H-24.3.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed result in nausea, dizziness, / 1980 Isolation N/A Isolation N/A
or eye, nose and throat Risk Reduction - N/A Risk Reduction - N/A
irritation. Substitution Substitution
- Prolonged exposure to Risk Reduction - - Provide blower / exhaust Risk Reduction - N/A
welding fumes can lead to Engineering Engineering
cancer of the lung, larynx Risk Reduction - Process N/A Risk Reduction - Process N/A
and urinary tract, as well as change change
nervous system and kidney Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
damage Administrative - Method statement, JSA,PTW, Daily TBM Administrative
- Install warning sign

PPE Use specific PPE: face shield, respirator mask PPE N/A
N H 2 Carbon Monoxide ( CO ) gas come out 1 Health ( H ) PIP-H-24.3.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
form welding machine muffler / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide blower / exhaust ( for indoor activity ) Risk Reduction - N/A
Engineering - Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - Method statement, JSA,PTW, Daily TBM Administrative
- Install warning sign CO gas poisonous

PPE Use specific PPE: respirator mask PPE N/A


92_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

N Area risk 4 Radiation hazard H 1 Ultra violet & infra red - Skin irritation 1 Health ( H ) PIP-H-24.4.1.1 Y Manpower Minister Regulation No. 1 1 3 3 L N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys - Eyes irritatiton ( / 1980 Isolation Install Shields/insulation between heat and employees Isolation N/A
conjunctivity ) Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Ventilation system Risk Reduction - N/A
Engineering - Provide cool rest area Engineering
- Provide sufficient drinking water.
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA,PTW, Daily TBM. Risk Reduction - N/A
Administrative - Heat stress awareness Administrative

PPE Use specific PPE: face shield, PPE N/A


A Hazard identification 5 Electrical hazard OS 1 - Short circuit Electrocuted to fatality 1 Safety (SA) PIP-SA-24.5.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - insulation cable damage / 1980 Isolation N/A Isolation N/A
Risk Reduction - - Using standard type of cable (outdoor/indoor) type. Risk Reduction - N/A
Substitution - Proper cable thickness according to the power used. Substitution
Risk Reduction - - Grounding system installation Risk Reduction - N/A
Engineering - ELCB Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative - Pre use inpection of cable and accessories Administrative
- Color code inspection
PPE Use specific PPE: Electrical gloves PPE N/A
A Hazard identification 6 Slip, trip, falls hazard OS 1 Poor cable arrangement Injury 1 Safety (SA) PIP-SA-24.6.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use cable hanging. Risk Reduction - N/A
Engineering - No cable immersed in the water. Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative Administrative
PPE N/A PPE N/A
N Hazard identification 7 Noise hazard H 1 Exposed to noise from welding Hearing loss : 1 Health (H) PIP-H-24.7.1.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed machine - Accoustic trauma 2018 Isolation N/A Isolation N/A
- Noise-Induced Hearing - Manpower Minister Regulation 2 / Risk Reduction - Select equipment according to recommended standards for noise Risk Reduction - N/A
Loss (NIHL) 1980 Substitution output. Substitution
- Permanent treshold shift - Manpower Minister Regulation 8 / Risk Reduction - - Temporary silencer installation Risk Reduction - N/A
2011 Engineering - Temporary partition or shielding installation Engineering
- Manpower Minister Regulation No. Risk Reduction - Process N/A Risk Reduction - Process N/A
02 / 1980 change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring noise level and sign posting high noise areas
- Periodic inspection of hearing protection devices
- Baseline and periodic hearing tests: (Audiometric tests include hearing testing
at intervals between 500 and 8000 Hz)
- Health bulletin (noise awareness)
- review medical checkup (MCU) result

Specific PPE Ear muff or ear plug Specific PPE N/A


N Hazard identification E 2 Noise expose to outside project fence - Physical health 1 Environment (EN) PIP-EN-24.7.2.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed and impacted to the community around - mental health 2018 Isolation N/A Isolation N/A
the project area - Manpower Minister Regulation 2 / Risk Reduction - Select equipment according to recommended standards for noise Risk Reduction - N/A
1980 Substitution output. Substitution
- Manpower Minister Regulation 8 / Risk Reduction - - Install noise mitigation devices on and / or enclosures around construction Risk Reduction - N/A
2011 Engineering equipment Engineering
- Manpower Minister Regulation No. - Temporary silencer installation
02 / 1980 - Temporary partition or shielding installation

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - RKL-RPL Pertamina RU-V Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring noise level at project battery limit maximum 65 dB(A)

Specific PPE N/A Specific PPE N/A


N Work process reviews/task- 8 Ergonomy hazard H 1 - Discomfort at work Chronic health effect 1 Health (H) PIP-H-24.8.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment - Musculoskeletal disorders / 1982 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Customization of workstations with anthropometry worker/modifying Risk Reduction - N/A
Engineering workstations (if possible) Engineering
- Reguler stretching/exercise before start working

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, PTW, JSA, Daily TBM
- Body postur variation at work
- Health bulletin topic (ergonomic)

Specific PPE N/A Specific PPE N/A


A Work process reviews/task- 9 Hazardous waste hazard E 1 Spill come out from welding machine Impact to Flora and Fauna 1 Enviromental ( EN ) PIP-EN-24.9.1.1 Y Government Regulation No 11 Thn 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment that might be leak or handling during 1979 Isolation N/A Isolation N/A
refuel Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Secondary containment Risk Reduction - N/A
Engineering - Spill kit available Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction -
Administrative Administrative
PPE N/A PPE N/A
N Hazard identification 10 Extreme temperature H 1 Heat stress - Dehydration 1 Health (H) PIP-H-24.10.1.1 Y 1. Manpower Minister Regulation No. 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - illness ( Heat stroke, Heat 37 / 2016 Isolation N/A Isolation N/A
ramps, Heat Exhaustion ) 2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide shelter (temporary rest area). Risk Reduction - N/A
Engineering - Provide sufficient drinking water. Engineering
- Reguler break and change with the other workers.
- Daily checkup (DCU).

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change

93_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - 26071-100-GPP-GHX-00008-001 Heat Stress Prevention Management Risk Reduction - N/A
Administrative Procedure Administrative
- MP2-ETP-HSE-GP-0005-00-2019 - Project HSSE Plan
- Method statement, PTW, JSA, Daily TBM

PPE N/A PPE N/A


25 Pipe tie in - Cold tap (welding A Hazard identification 1 Fire hazard OS 1 - Fire hazard caused by sparks contact - Injury 1 Safety (SA) PIP-SA-25.1.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination Eliminate combustible material from hot work area 1 1 1 L Elimination N/A SM/CM
activity) continually reviewed to combustible material - Property damage 37 / 2016
- Fire hazard caused by sparks contact 2. ESDM Minister Regulation No. 18 / Isolation Provide partition from non-combustible material at least 1.5 meters high to Isolation N/A
to flammable gas ( acetylene ) that 2018 separate flammable agent with oxidizing agent.
might be leak. Risk Reduction - N/A Risk Reduction - N/A
- Fire hazard caused by sparks contact Substitution Substitution
to oxidizing gas ( oxigen ) that migt be Risk Reduction - - Provide habitat Risk Reduction - N/A
leak. Engineering - Use Fire blanket Engineering
- Flash back arrestor installation
- Fire protection system ( such as : Fire extinguishers )
- Provide Gas detector
- Keep oxygen cylinders at least 20 feet from Acetylene gas cylinders

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - Certified competence ( welder, fitter ) Administrative
- Method statement, JSA, PTW, Daily TBM
- Pre-use inspection for cutting tools & equipment
- Conduct gas monitoring
- MSDS pressurized Gas Cylinder
- Gas Lable
- Trained Fire watcher
- Trained Authorized Gas Tester
- Install warning / safety sign at hork work area

PPE Use specific PPE: face shield, welding mask, leather/ combination gloves ( PPE N/A
Apron )
A Hazard identification 2 Gas bottle pressurized OS 1 Explosion hazard caused by wrong - Injury to fatality 1 Safety (SA) PIP-SA-25.2.1.1 Y Manpower Minister Regulation No. 1 5 3 15 H Y Elimination N/A 3 1 3 L Elimination N/A SM/CM
continually reviewed hazard handling pressurize gas cylinder ( - Property damage / 1980 Isolation N/A Isolation N/A
dropping, hitting, rolling ) Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use hand truck and chain Risk Reduction - N/A
Engineering - Keep upright position with secure rack and chain. Engineering
- Use proper cradles, nets or platforms if using a crane.
- Avoid lifting cylinders by their caps or guards or with magnets or slings, which
can damage the valves.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
- 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
- Hydrotest gas cylinder certificate Administrative
Risk Reduction - - Method statement, JSA, PTW, Daily TBM
Administrative - Pre use inpection of cylinder valve

PPE N/A PPE N/A


PPE N/A PPE N/A
N Hazard identification 3 Chemical hazard H 1 Metal fume - Short-term exposure can 1 Health ( H ) PIP-H-25.3.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed result in nausea, dizziness, / 1980 Isolation N/A Isolation N/A
or eye, nose and throat Risk Reduction - N/A Risk Reduction - N/A
irritation. Substitution Substitution
- Prolonged exposure to Risk Reduction - - Provide blower / exhaust Risk Reduction - N/A
welding fumes can lead to Engineering Engineering
cancer of the lung, larynx Risk Reduction - Process N/A Risk Reduction - Process N/A
and urinary tract, as well as change change
nervous system and kidney Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
damage Administrative - Method statement, JSA,PTW, Daily TBM Administrative
- Install warning sign

PPE Use specific PPE: face shield, respirator mask PPE N/A
N H 2 Carbon Monoxide ( CO ) gas come out 1 Health ( H ) PIP-H-25.3.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
form welding machine muffler / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide blower / exhaust ( for indoor activity ) Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00013 Cutting, Welding and Grinding Procedure Risk Reduction - N/A
Administrative - Method statement, JSA,PTW, Daily TBM Administrative
- Install warning sign CO gas poisonous

PPE Use specific PPE: respirator mask PPE N/A


N Area risk 4 Radiation hazard H 1 Ultra violet & infra red - Skin irritation 1 Health ( H ) PIP-H-25.4.1.1 Y Manpower Minister Regulation No. 1 1 3 3 L N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys - Eyes irritatiton ( / 1980 Isolation Install Shields/insulation between heat and employees Isolation N/A
conjunctivity ) Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Ventilation system Risk Reduction - N/A
Engineering - Provide cool rest area Engineering
- Provide sufficient drinking water.

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - Method statement, JSA,PTW, Daily TBM. Risk Reduction - N/A
Administrative - Heat stress awareness Administrative

PPE Use specific PPE: face shield, PPE N/A


N Hazard identification 5 Electrical hazard OS 1 - Short circuit Electrocuted to fatality 1 Safety (SA) PIP-SA-25.5.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - insulation cable damage / 1980 Isolation N/A Isolation N/A
Risk Reduction - - Using standard type of cable (outdoor/indoor) type. Risk Reduction - N/A
Substitution - Proper cable thickness according to the power used. Substitution
Risk Reduction - - Grounding system installation Risk Reduction - N/A
Engineering - ELCB Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative - Pre use inpection of cable and accessories Administrative
- Color code inspection

PPE Use specific PPE: Electrical gloves PPE N/A


N Hazard identification 6 Slip, trip, falls hazard OS 1 Poor cable arrangement Injury 1 Safety (SA) PIP-SA-25.6.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Use cable hanging. Risk Reduction - N/A
Engineering - No cable immersed in the water. Engineering
94_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - Method statement, JSA, PTW, Daily TBM Risk Reduction - N/A
Administrative Administrative
PPE N/A PPE N/A
N Hazard identification 7 Noise hazard H 1 Exposed to noise from welding Hearing loss : 1 Health (H) PIP-H-25.7.1.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed machine - Accoustic trauma 2018 Isolation N/A Isolation N/A
- Noise-Induced Hearing - Manpower Minister Regulation 2 / Risk Reduction - Select equipment according to recommended standards for noise Risk Reduction - N/A
Loss (NIHL) 1980 Substitution output. Substitution
- Permanent treshold shift - Manpower Minister Regulation 8 / Risk Reduction - - Temporary silencer installation Risk Reduction - N/A
2011 Engineering - Temporary partition or shielding installation Engineering
- Manpower Minister Regulation No.
02 / 1980 Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring noise level and sign posting high noise areas
- Periodic inspection of hearing protection devices
- Baseline and periodic hearing tests: (Audiometric tests include hearing testing
at intervals between 500 and 8000 Hz)
- Health bulletin (noise awareness)
- review medical checkup (MCU) result

Specific PPE Ear muff or ear plug Specific PPE N/A


N Hazard identification E 2 Noise expose to outside project fence - Physical health 1 Environment (EN) PIP-EN-25.7.2.1 Y - Manpower Minister Regulation 5 / 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed and impacted to the community around - mental health 2018 Isolation N/A Isolation N/A
the project area - Manpower Minister Regulation 2 / Risk Reduction - Select equipment according to recommended standards for noise Risk Reduction - N/A
1980 Substitution output. Substitution
- Manpower Minister Regulation 8 / Risk Reduction - - Install noise mitigation devices on and / or enclosures around construction Risk Reduction - N/A
2011 Engineering equipment Engineering
- Manpower Minister Regulation No. - Temporary silencer installation
02 / 1980 - Temporary partition or shielding installation

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - RKL-RPL Pertamina RU-V Administrative
- Method statement, JSA, PTW, Daily TBM
- Monitoring noise level at project battery limit maximum 65 dB(A)

Specific PPE N/A Specific PPE N/A


N Work process reviews/task- 8 Ergonomy hazard H 1 - Discomfort at work Chronic health effect 1 Health (H) PIP-H-25.8.1.1 Y Manpower Minister Regulation No. 1 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment - Musculoskeletal disorders / 1982 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Customization of workstations with anthropometry worker/modifying Risk Reduction - N/A
Engineering workstations (if possible) Engineering
- Reguler stretching/exercise before start working

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-G01-GHX-00005-001 Health Management Plan Administrative
- Method statement, PTW, JSA, Daily TBM
- Body postur variation at work
- Health bulletin topic (ergonomic)

Specific PPE N/A Specific PPE N/A


A Work process reviews/task- 9 Hazardous waste hazard E 1 Spill come out from welding machine Impact to Flora and Fauna 1 Enviromental ( EN ) PIP-EN-25.9.1.1 Y Government Regulation No 11 Thn 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
based risk assessment that might be leak or handling during 1979 Isolation N/A Isolation N/A
refuel Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Secondary containment Risk Reduction - N/A
Engineering - Spill kit available Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, JSA, PTW, Daily TBM Risk Reduction -
Administrative Administrative
PPE N/A PPE N/A
N Hazard identification 10 Extreme temperature H 1 Heat stress - Dehydration 1 Health (H) PIP-H-25.10.1.1 Y 1. Manpower Minister Regulation No. 2 2 4 L-M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed - illness ( Heat stroke, Heat 37 / 2016 Isolation N/A Isolation N/A
ramps, Heat Exhaustion ) 2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide shelter (temporary rest area). Risk Reduction - N/A
Engineering - Provide sufficient drinking water. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00008-001 Heat Stress Prevention Management Risk Reduction - N/A
Administrative Procedure Administrative
- MP2-ETP-HSE-GP-0005-00-2019 - Project HSSE Plan
- Method statement, PTW, JSA, Daily TBM
- Worker rotation
- Mini break ( every 2 hrs )
- Daily checkup (DCU)

PPE N/A PPE N/A


26 Pipe tie in at brownfield area Refer to above for Pipe tie in
N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-26.1.1.1 Y 1. Manpower Minister Decision 5 3 15 H Y Elimination N/A 3 1 3 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Control of ignition sources coming from drilling activities
- Gas check using gas detector by authorize gas tester
- Fire watcher available
- Close communication with Pertamina RU-V area authority
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-26.2.1.1 N 5 3 15 H Y Elimination Good housekeeping practice to remove flammable and combustible material at 3 1 3 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering

95_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Control of ignition sources from drilling activity
- Gas detector to notice flammable atmosphere
- All vehicle shall have spark arrester
- Emergency response team available
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-26.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

27 Pipe tie in at off shore area Refer to above for Pipe tie in
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-27.1.1.1 N 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
- Establish coomunication via radio to crew at shore area rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-27.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


N Area risk 3 Working at top of water OS 1 - Open flame and sparks could trigger Fatality, eye injury, body 1 Safety (SA) PIP-SA-27.3.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
assessment/surveys hazard fire and exposure to temperature injury 37 / 2016 Isolation N/A Isolation N/A
extremes 2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
- workers fall into the sea 2018 Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - To provide site specific procedure
Administrative - 26071-100-GPP-GHX-00017 Barricade & Signboard Procedure Administrative for Working Over Water
- 26071-100-GPP-GHX-00001 Work Permit Procedure
- Personnel Awareness, PTW, Toolbox Meeting, JSA
- Enforcement of Procedure related with Hand power tools
- Only use certified equipment
- Periodic inspection and maintenance

PPE Mandatory PPE (helmet, Safety shoes, safety glasses, long sleeve, hand glove, PPE N/A
life jacket.
Use specific PPE: work vest
28 Painting & Coating (working at N Hazard identification 1 Working at height hazard (by OS 1 - Slips and Trips - Serious injury 1 Safety (SA) PIP-SA-28.1.1.1 Y - Manpower Minister Regulation No. 4 3 12 M-H N Elimination N/A 3 1 3 L Elimination N/A SM/CM
height) continually reviewed using scaffolding) - Dropped Object - Fatality 09 / 2016
- Fall from height - Manpower Minister Regulation No. Isolation N/A Isolation N/A
- Collided by overhead objects 1 / 1980 Risk Reduction - N/A Risk Reduction - N/A
- Pinched Substitution Substitution
- Scaffolding collapse Risk Reduction - - Fall protection sysytem installation ( Safety net, Life line ) Risk Reduction - N/A
Engineering - Provide pulley to lift and lowering material and tools Engineering
- Proper storage (secure) of tools and material at elevated arae
- Solid and even surface as scaffolding base
- Provide Tool bag to workers

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00021-001 Scaffolding procedure Administrative
- 26071-100-GPP-GHX-00017-001 Barricade & Signboard Procedure
- Method statement, JSA, PTW, Daily TBM
- Periodic inspection of full body harness and fall prevention devices
- Safety bulletin (WAH with scaffolding awareness)
- Scaffolding material certificate, Scaffolding tag, Scaffoding inspection checklist
-Certified competence ( Scaffolding inspector & scaffolder )
- Install warning sign and barricade at the surrounding area.
- Trained Working At Height
- Emergency respon plan
- Scaffolding JO inspection tag
- Scaffolding periodic inspection

Specific PPE Full body harness Specific PPE N/A


N Hazard identification OS - Property damage 2 Financial (F) PIP-F-28.1.1.2 Y - Manpower Minister Regulation No. 4 3 12 M-H N Elimination N/A 3 1 3 L Elimination N/A SM/CM
continually reviewed - Tools & equipment 09 / 2016 Isolation N/A Isolation N/A
damage - Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Fall protection sysytem installation ( Safety net, Life line ) Risk Reduction - N/A
Engineering - Provide pulley to lift and lowering material and tools Engineering
- Proper storage (secure) of tools and material at elevated arae
- Solid and even surface as scaffolding base

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
96_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - 26071-100-G01-GHX-00002-002 Project HSE Plan Risk Reduction - N/A


Administrative - 26071-100-GPP-GHX-00021-001 Scaffolding procedure Administrative
- 26071-100-GPP-GHX-00017-001 Barricade & Signboard Procedure
- Method statement, JSA, PTW, Daily TBM
- Periodic inspection of full body harness and fall prevention devices
- Safety bulletin (WAH with scaffolding awareness)
- Scaffolding material certificate, Scaffolding tag, Scaffoding inspection checklist
-Certified competence ( Scaffolding inspector & scaffolder )
- Install warning sign and barricade at the surrounding area.
- Trained Working At Height
- Emergency respon plan
- Scaffolding JO inspection tag
- Scaffolding periodic inspection

Specific PPE Full body harness Specific PPE N/A


N Work process reviews/task- 2 Pressurized system hazard OS 1 Uncontrolled release of pressure from Personal injury 1 Health (H) PIP-H-28.2.1.1 Y 1. Government Regulation No. 74 / 2 3 6 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
based risk assessment painting spray gun 2001 Isolation N/A Isolation N/A
2. Environmental Minister Regulation Risk Reduction - N/A Risk Reduction - N/A
No. 14 / 2013 Substitution Substitution
3. Regulation of Indonesian Risk Reduction - - Provide emergency facilities To response with exposure of chemical, such as Risk Reduction - N/A
Government No. 101 / 2014 Engineering fire extinguisher, safety shower. Engineering
- ensure The integrity of fitting and connection. such as use whip lock, use
Proper fitting.
- Eye shower

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00017 Barricade & Signboard Procedure Administrative
- 26071-100-GPP-GHX-00001 Work Permit Procedure
- 26071-100-GPP-GHX-00002 Project Emergency Handling Procedure (PEHP)
- Method statement, PTW,TBM, JSA
- Pre-use inspection of painting tools and hose, fitting, manifold, connection

PPE refer to painting material SDS PPE N/A

N Hazard identification 3 Chemical hazard (paint & H 1 Exposure from paint & thinner Illness 1 Health (H) PIP-H-28.3.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
continually reviewed thinner) - eye, skin & respiratory irritation 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - Provide eye wash/shower station Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00005-001 Health Management Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Health bulletin topic (chemical hazard)
- Safety data sheet (SDS)
- Chemical label
- Warning sign

Specific PPE Refer to SDS Specific PPE N/A


N Hazard identification 4 Fire hazard OS 1 Fire due to Exposure thinner might Property damage 1 Financial (F) PIP-F-28.4.1.1 Y 1. Manpower Minister Regulation No. 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed contat to Ignition sources 37 / 2016 Isolation N/A Isolation N/A
2. ESDM Minister Regulation No. 18 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide fire extinguisher Risk Reduction - N/A
Engineering - Proper storage and segregation with incompatible chemicals Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00022-000 Flammable and Combustible Liquid Storage Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Health bulletin topic (chemical hazard)
- Safety data sheet (SDS)
- Chemical label
- Warning sign

Specific PPE Refer to SDS Specific PPE N/A


N Hazard identification E Impact to flora & fauna 2 Environment (EN) PIP-EN-28.4.1.2 Y Government Regulation No 11 Thn 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
continually reviewed 1979 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide temporary hazardous waste storage Risk Reduction - N/A
Engineering - Disposal by licensed third party Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00007-001 Waste Management Plan Risk Reduction - N/A
Administrative - Method statement, PTW, JSA, Daily TBM Administrative
- Safety data sheet (SDS)
- Chemical label
- Warning sign

Specific PPE N/A Specific PPE N/A


29 Painting & coating at brownfield area Refer to above for painting & coating
N Area risk 1 Toxic gas/Flammable gas PS 1 Exposed to flammable or toxic gas - Injury 1 Safety (SA) PIP-EN-29.1.1.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 2 1 2 L Elimination N/A SM/CM
assessment/surveys leakage hazard release and lead to injury or fire - fatality / 1980 Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide multigas detector Risk Reduction - N/A
Engineering - Fire water available. Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Gas check using gas detector by authorize gas tester
- Control of ignition sources coming from painting activities
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location
- Close communication with Pertamina RU-V area authority

Specific PPE - Fire retardant coverall Specific PPE N/A


- gas mask

N Area risk 2 Ignition sources hazard OS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-29.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 2 1 2 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution

97_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - Gas check using gas detector by authorize gas tester Risk Reduction - N/A
Engineering - Emergency response team available Engineering
- Proper bonding and grounding
- Fire water available

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Control of ignition sources from painting activity
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

Specific PPE Fire retardant coverall Specific PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-29.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

30 Painting & coating at off shore area Refer to above for painting & coating
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-30.1.1.1 N 4 3 12 M-H N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
- establish coomunication via radio to crew at shore area rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-30.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


31 Insulation N Work process reviews/task- 1 Sharp object hazard OS 1 Cut, open wound due contact with Injury 1 Safety (SA) PIP-SA-31.1.1.1 Y 1. Manpower Minister Regulation No. 2 3 6 M N Elimination Good housekeeping practices 1 1 1 L Elimination N/A SM/CM
based risk assessment Sharp Objects and/or Sharp Edges 09 / 2016 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - Good material arrangement Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - Site specific procedurue about
Administrative - 26071-100-GPP-GHX-00001 Work Permit Procedure Administrative hand injury prevention
- Personnel Awareness, PTW, Toolbox Meeting, JSA

PPE Use specific PPE: mechanical protection hand gloves PPE N/A
32 Insulation at brownfield area Refer to above for Insulation
N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-32.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Control of ignition sources coming from drilling activities. Risk Reduction - N/A
Engineering - Gas check using gas detector by authorize gas tester. Engineering
- Fire water available.
- Close communication with Pertamina RU-V area authority.
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-32.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Control of ignition sources from drilling activity. Risk Reduction - N/A
Engineering - Gas detector to notice flammable atmosphere. Engineering
- All vehicle shall have spark arrester.
- Emergency response team available.
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-32.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change

98_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media

PPE N/A PPE N/A

33 Insulation at off shore area Refer to above for Insulation


N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-33.1.1.1 N 4 2 8 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
- establish coomunication via radio to crew at shore area rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-33.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A


34 Pipe demolition N Work process reviews/task- 1 Fire hazard OS 1 Open flame and sparks could trigger Eye injury, body injury 1 Safety (SA) PIP-SA-34.1.1.1 Y 1. Manpower Minister Regulation No. 2 3 6 M N Elimination Multi gas detector, fire extinguisher, fire blanket, blower (to divert any H2S gas 1 2 2 L Elimination N/A SM/CM
based risk assessment fire and exposure to temperature 37 / 2016 while execution), temperature gun, adicuate protection for welding and
extremes 2. ESDM Minister Regulation No. 18 / environment
2018 Isolation N/A Isolation N/A
Risk Reduction - - Additional leak test shall be conducted on The full assembly before start of Risk Reduction - N/A
Substitution The activity Substitution
- To ensure no failure of gasket or seal, pressure test need To be carried out
on several stages during hot tap

Risk Reduction - N/A Risk Reduction - N/A


Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - 26071-100-G01-GHX-00002 Project HSE Plan Risk Reduction - N/A
Administrative - 26071-100-GPP-GHX-00017 Barricade & Signboard Procedure Administrative
- 26071-100-GPP-GHX-00001 Work Permit Procedure
- Method statement, JSA, Daily TBM, PTW
- Third party Certification of The machine is required. or upon acceptance of
inspection department

PPE Use specific PPE: Apron, welding mask PPE N/A


35 Pipe demolition at brownfield area Refer to above for Pipe demolition
N Area risk 1 Chemical hazards OS 1 Exposed to flammable or toxic gas. E.g. - Injury 1 Safety (SA) PIP-SA-35.1.1.1 Y 1. Manpower Minister Decision 3 3 9 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys due to leakage - Fatality 187/1999 Isolation N/A Isolation N/A
2. Manpower Minister Regulation No. Risk Reduction - N/A Risk Reduction - N/A
1 / 1980 Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM
- Emergency response training
- Close communication with Pertamina RU-V area authority
- Gas check using gas detector by authorize gas tester
- Control of ignition sources coming from drilling activities
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall, gas mask. PPE N/A
N Area risk 2 Ignition sources hazard PS 1 Ignition sources introduced to the Fire & explosion 1 Production Loss (PL) PIP-PL-35.2.1.1 N 3 3 9 M N Elimination Good housekeeping practice to remove flammable and combustible material at 1 1 1 L Elimination N/A SM/CM
assessment/surveys flammable atmosphere and resulted in surrounding workplace.
fire & explosion Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide Gas detector to notice flammable atmosphere. Risk Reduction - N/A
Engineering - Fire protection system ( Fire extinguisher, Fire truck etc ) Engineering

Risk Reduction - Process N/A Risk Reduction - Process N/A


change change
Risk Reduction - - 26071-100-GPP-GHX-00033-000 Hot Work Procedure Risk Reduction - N/A
Administrative - 26071-100-GPP-GCC-00004-002 SIMOPS Plan for ISBL-OSBL Administrative
- Method statement, PTW, JHA, Daily TBM.
- Emergency response team available
- Control of ignition sources from drilling activity
- Nearest assembly point and windsock location

PPE Use specific PPE: fire retardant coverall PPE N/A


A Learning from event analysis OS PS 2 Fire incident at brownfield area Bad reputation 1 Reputation (RE) PIP-RE-35.2.2.1 Y Manpower Minister Regulation No. 1 3 3 9 M N Elimination N/A 3 1 3 L Elimination N/A SM/CM
recorded by unauthorize people and / 1980 Isolation N/A Isolation N/A
share in the social media without Risk Reduction - N/A Risk Reduction - N/A
permission Substitution Substitution
Risk Reduction - N/A Risk Reduction - N/A
Engineering Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Have good oordination with local government & client in related with Risk Reduction - N/A
Administrative transportation at public road/area Administrative
- Community development programs
- Establish good relation with local media
PPE N/A PPE N/A

36 Pipe demolition at off shore area Refer to above for Pipe demolition
N Area risk 1 Drowned hazard OS 1 People drown in the water/sea Injury to fatality 1 Safety (SA) PIP-SA-36.1.1.1 N 4 2 8 M N Elimination N/A 1 1 1 L Elimination N/A SM/CM
assessment/surveys Isolation N/A Isolation N/A
Risk Reduction - N/A Risk Reduction - N/A
Substitution Substitution
Risk Reduction - - Provide emergency rescue boat. Risk Reduction - N/A
Engineering - establish coomunication via radio to crew at shore area. Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
99_Piping (PIP)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Initial Risk Value Residual Risk


Risk Identification Potency of Major
Operation Legal S P Tot R S P Tot R
Source of Hazard Incident
No Process / Activities Condition Hazard Category No. Regulation Score Hierarcy of Control Existing Control Score Hierarcy of Control Additional Control Planned PIC
Introduced
(N/A/E) Hazard/Aspect Detail Risk Explanation Consequency Consequency Category Hazard Code
H OS E PS S Y N Y/N

Risk Reduction - - 26071-100-GPP-GHX-00004-001 HSE Training Procedure Risk Reduction - To provide site specific procedure
Administrative - Method statement, PTW, JSA, Daily TBM Administrative for working near or over water
- To follow basic sea survival (BSS) or similar training including the specific emergency
rescue plan.

PPE Specific PPE: life floatation devices PPE N/A


A Area risk 2 Extreme weather OS 1 Heavy rain, storm, tsunami will directly Fatality 1 Safety (SA) PIP-SA-36.2.1.1 Y 1.Health Minister Regulation No. 48 3 3 9 M N Elimination All workers stop work if the weather seems unsupportive 1 1 1 L Elimination N/A SM/CM
assessment/surveys expose to the activity at over or near /2016 Isolation N/A Isolation N/A
water/sea 2. Health Minister Regulation No 10 / Risk Reduction - N/A Risk Reduction - N/A
2018 Substitution Substitution
Risk Reduction - - Provide windsock Risk Reduction - N/A
Engineering - Anemometer provided Engineering
Risk Reduction - Process N/A Risk Reduction - Process N/A
change change
Risk Reduction - - Method statement, PTW, JSA, Daily TBM. Risk Reduction - To provide site specific procedure
Administrative - Weather forecast to be considered. Administrative for working near or over water.

PPE Spesific PPE: Work vest or life vest PPE N/A

100_Piping (PIP)

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