GAYA HSE - Poultry Foundation JSA RA GAYA R1 Updated 20200520

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JOB SAFETY ANALYSIS (JSA)

POULTRY FOUNDATION WORK AND RISK ASSESMENT
PT. Universal Agri Bisnisindo / De Heus Indonesia Form No. 041 HSE Job No. : 26020 Revision: 0/0
Jalan Raya Narogong, Bantar Gebang, Bekasi, West Java, Indonesia JSA Nbr. : …. / JSA / GAYA–DEHEUS /…… /…. Eff. Date :
GAYA RISK ASSESMENT FORM
: Prepared By Review by Approved by

Project / Jobsite : Poultry Foundation Work SPV Chief/MGR HSE CM
Person in charge name : NAME
Position/ Title job : SIGNATURE
Job activity :
Date : DATE
Sequence of Basic Consequence / Risk Assessment* Result Risk*)

Hazard Risk Recommendation action
No. Job Steps Severity
Bahaya Resiko PR SV RR Tindakan Pengendalian PR’ SV’ RR’
Tahapan pekerjaan Akibat
PT. GUNUNG GAYA PERSADA GAYA HSE Department 1

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Sequence of Basic Consequence / Risk Assessment* Result Risk*)

Hazard Risk Recommendation action
No. Job Steps Severity
Bahaya Resiko PR SV RR Tindakan Pengendalian PR’ SV’ RR’
Tahapan pekerjaan Akibat

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GAYA OVERALL RISK ASSESSMENT
No. Risk Activities Risks Prevention
- Using PPE properly

Buried by excavation or stockpiles
- Barricade the working area
1 Excavation & Ground work failures, unsupported ground,
- Provide the sufficient signage
geotechnical failures.
- Safety briefing before commence work

- Completation of safety traffic sign
Impact incident from vehicles moving
- Provide signalman
2 Working Near Roadways alongside works area or vehicles
- Install rotary lamp
entering or leaving works
Muscular & skeletal sprains, strains and

injuries from repetitive works or over - Using PPE properly
3 Manual Handling
reliance on manual handling heavy - Safety briefing before commence work
materials.

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Collapse of cranes, hit by suspended - Checking all equipments thightly
- Provide qualified Rigger and Signalman
4 Lifting & Supporting Loads loads/falling objects, crushed by,
- Using communication tools such as
pinched between.
whistle, handy talkie etc

Collisions, being hit by heavy mobile
- Always barricade the working area
5 Plant, Vehicles & Mobile Equipment Operations plant & equipment, public road
- Provide sufficient safety signage
accidents, failure of critical equipment.

Fire, explosive and health effects from
- Provide Fire Extinguisher
6 Working with Hazardous Materials / Substances gases, chemical substances, dust,
- Provide proper masker
fumes etc.

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- Checking the quality of electric materials
- Check all the box panel and electric
Electrical shock/Electrocution from
7 Electrical Work connection
using unsafe electrical equipment.
- Make sure all electrical equipment is
reliable to use

Collapse, asphyxiation or overcome by - Sufficient lighting
- Sufficient air supply
8 Working in Confined Space heat, toxic fumes, gases whilst working
- Sufficient special signsge for working at
in confined areas.
confined space
Working at Height
- Using full body harness
- Install safety handrail and covered with
Collapse of support/access safety net
9 platforms/scaffolding/man lifts, falling - Install safety net for falling object
from heights & hit by falling objects. - Install for the proper access
- Install safety line
- Install rope line
- Safety briefing
Rev 00

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GAYA ENVIRONMENTAL IMPACT ASSESSMENT
No. Risk Activities Risks Prevention

- Install fire extinguisher
1 Fuel Storage Fire, spillage - Provide sand
- Install sign board

2 Gases tube storage Fire, explosive - Install fire extinguisher
- Install sign board
- Sufficient ventilation

3 Clean working area Dust, air pollution, irritation
- air pollution control
- Dust control

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Dust, air pollution, irritation, concrete - Safety briefing before commence work
4 Concrete
spillage - air pollution control
- Dust control
Rev 0
Prepared by, Acknowledged by, Approved by,
Twinagung DS Harvan t.b.a.

SPV HSE Manager CM

GAYA HSE - Poultry Foundation JSA RA GAYA R1 Updated 20200520

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GAYA HSE - Poultry Foundation JSA RA GAYA R1 Updated 20200520

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C75 M68 Y67 K70 C60 M51 Y51 K20 C19 M15 Y16 K0

R0 G0 B0 R102 G102 B102 R204 G204 B204

JOB SAFETY ANALYSIS (JSA)

GAYA RISK ASSESMENT FORM

: Prepared By Review by Approved by

Sequence of Basic Consequence / Risk Assessment* Result Risk*)

PT. GUNUNG GAYA PERSADA GAYA HSE Department 1

JOB SAFETY ANALYSIS (JSA)

Sequence of Basic Consequence / Risk Assessment* Result Risk*)

PT. GUNUNG GAYA PERSADA GAYA HSE Department 2

JOB SAFETY ANALYSIS (JSA)

GAYA OVERALL RISK ASSESSMENT

No. Risk Activities Risks Prevention

- Using PPE properly

- Using PPE properly

Muscular & skeletal sprains, strains and

PT. GUNUNG GAYA PERSADA GAYA HSE Department 3

JOB SAFETY ANALYSIS (JSA)

- Using PPE properly

- Using PPE properly

- Using PPE properly

PT. GUNUNG GAYA PERSADA GAYA HSE Department 4

JOB SAFETY ANALYSIS (JSA)

- Using PPE properly

- Using PPE properly

PT. GUNUNG GAYA PERSADA GAYA HSE Department 5

JOB SAFETY ANALYSIS (JSA)

GAYA ENVIRONMENTAL IMPACT ASSESSMENT

No. Risk Activities Risks Prevention

- Using PPE properly

- Using PPE properly

- Using PPE properly

PT. GUNUNG GAYA PERSADA GAYA HSE Department 6

JOB SAFETY ANALYSIS (JSA)

- Using PPE properly

Prepared by, Acknowledged by, Approved by,

Twinagung DS Harvan t.b.a.

PT. GUNUNG GAYA PERSADA GAYA HSE Department 7

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