Hal : 1 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

PT. TIRTAMAS BERKAH MAKMUR

TEMPORARY OFFICE ACTIVITY

using freon which is not frienly decreased in the

1 Use of Air Conditioning (AC) Using of AC replece with friendly environment 1 3 LR
environment ozon layer

Periodical cleaning
Water spill Slip fall Injury Reguler Maintenance 2 1 LR
R HSE Inspection, Office Boy / HSE

shut off if not use,

Electrical consumption reduced energy reserves global warming install sign in stop contact 2 2 LR
using AC with eco friendly

Disease transmission (influenza, Respiratory Periodical cleaning Workplace Environment Monitoring, open
Indoor Air Quality 2 4 MR 1 4 LR
Diphtheria, Cough) disorders maintenance window regularly for air circulation

Soft radiation monitor

2 Use of computer/Laptop Computer/Laptop monitor Monitor radiation Eye disorders 1 5 LR
flat screen monitor,

Use of Mini Circuit Breaker Limit the use extention cord, repair/replace
Poor electrical wire condition Electric shock Fatality, Injury 5 1 HR 2 2 LR
HSE Inspection damage of electrical wire

Shut off if not use, install sign in

Electrical consumption Reduced energy reserves global warming stop contact, using AC with eco 2 2 LR
friendly

Musculoskletal Use of ergonomic workstation,

Uncomfortable position
Workstation condition disorders (MSDs), Archiving document, HSE 2 2 LR
Pile of Document, fall from chair
R lowback pain Inspection GS/Logistic

minus/reduced eye Replace flourescent light with

Poor lightning Eye problem 2 2 LR
function good light, using eyeglasses

Use of Ergonomic chair, Health

Alert right body posture in front
Fatigue,
Working position improper ergonomic position of computer, HSE Inspection, 2 2 LR
lowback pain
Safety talk and health promotion
about ergonomic

Lighting maintenance,
Eye disorders,
3 Administration Lighting system Bad lighting system environment measurement and 2 2 LR
Interfere of work
monitoring

AC maintenance, environment
Temperature Hot/cold temperature Interfere of work 2 2 LR
measurement and monitoring

NR Logistic, HSE
 Hal : 2 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

NR AC maintenance, environment Logistic, HSE

Humidity Biological exposure Interfere of work 2 2 LR
measurement and monitoring

Organized the files in the

The files falls and hit the reachable cupboard, HSE
Filling system Injury 2 1 LR
personnel, Inspection, Provide additional
small chair/stairs, HSE Inspection

Routine maintanance, make sure

ink spill, ink waste, dust carbon, environment right document before start
4 Printiing NR Printing proces, 2 3 LR All
noisy, peper use polution printing document, make sure
not any ink leak

electrical consumtion

Routine maintanance, make sure

Photo copy proces, electrical ink spill, ink waste, dust carbon, environment right document before start phot
5 Photo Copy NR 2 3 LR All
consumtion noisy, peper use polution copy document, make sure not
any ink leak

6 Using stapler NR Strapler a peper pricked hand, Hand injury Ensure strapler in good condition, 2 2 LR All

Organized the files in the

The files falls and hit the reachable cupboard, HSE
7 Filling document NR Filling system Injury 2 1 LR All
personnel Inspection, Provide additional
small chair/stairs, HSE Inspection

Workload control by Spv,

Stress
work overload , poor lightning Monitoring of Overtime, Permit to Company Regulation, extra fooding to
8 Overtime NR Night Work Fatigue, limited 2 3 MR 2 2 LR Site Supervisor
night work, install good lightning increase stamina
vision of worker
all working area

9 Prayer room R Slippery Slip fall Injury Cleaned regularly 2 2 LR Office Boy

Security control, Traffic

Hit by vehicle, Spill fuel/oil, Injury, property Manegeemnt procedure, safety Resocialization by Basic Safety/Motor vehicle
10 Parking activity Vehicle speed 3 3 MR 2 1 LR
damage glass, burn damage Alert, Safety sign, defensive drive Training
training

R Security
Injury, property
Motorcycle position fall Security control, Safety sign 2 2 LR
damage
 Hal : 3 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity R Source of hazard Hazard Risk Current control Action plan Security

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

injury, property
Slippery, pool rain water fall Maintain drainage system 1 2 LR
damage
provide a cigarette ahtray,
cigarette butt fire from butt fire provide adequate fire 2 2 LR
extinguisher
environment
11 Smoking Area NR wasted litteriting the surrounding area provide waste bin 2 2 LR
polution

Provide a smoking area, QHSE

Smoking activity Inhalling of smoke, fired/burn Lung cancer 4 2 MR HSE
Alert, Health promotion

Working instruction, 'Regular

inspection and maintenance,
skin rash, soil is
12 Hazardous waste Handling & Storage R Hazardous waste hazardous spill, fired, Signage, Use PPE, provide 2 3 MR Provide spillkit, use of tray 2 2 LR Warehouseman
pollluted,
adequate fire extinguisher, waste
handling training

Working instruction, 'Regular

inspection and maintenance,
skin rash, soil is
Hazardous material hazardous spill Signage, Use PPE, provide 2 3 MR Provide spillkit, use of tray 2 2 LR Warehouseman
pollluted,
adequate fire extinguisher, waste
handling training

13 All location NR Water leak, cleaning slip, trip, fall injury Signage, HSE inspection 2 2 LR

Signage, HSE inspection, Regular

Electric shock Fatality, injury 5 3 HR Use PPE prperly 2 2 LR
maintenance

HSE inspection, good Provide Snake Stick, housekeeping leaf trash

NR Animal hazard Snake bite Fatality, Injury 5 2 HR 2 2 LR
housekeeping, use of PPE regularly

Aedes aegypti and Anopheles Fatality, DBD and collaboration with Doctor/local health office,
NR Endemic Illness MCU, good hoesekeeping 5 3 HR 2 2 LR
mosquito Malaria fogging every week, pest control

Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
NR Pandemic ilness Sars-CoV-2 virus 5 2 HR 2 2 LR
transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.

contuct with secutiry, find the Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
14 Covid-19 protocol R Temperatur Check 5 2 HR 2 2 LR
worker with 37,5 C transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.

contuct with medic, find the

Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
Health Check by medic worker with 37,5 C/ covid-19 5 3 HR 2 2 LR HSE
transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.
symotoms
contuct with medic, find the
Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
Flu like sympton worker with 37,5 C/ covid-19 5 3 HR 2 2 LR
transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.
symotoms
contuct with medic, find the
Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
Contact tracing worker with 37,5 C/ covid-19 5 3 HR 2 2 LR
transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.
symotoms
contuct with medic, find the
Fatality, disese MCU, conduct health protokol at collaboration with Doctor/ local health office,
Busines trip worker with 37,5 C/ covid-19 5 3 HR 2 2 LR
transmision site, rapid test/SWAB provide hand sanitizer, disinfectan, safety talk.
symotoms
 Hal : 4 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement HSE
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

make sure the projector setting

projector light is too sharp, Fatality, Injury, eye
15 Meeting and training R Using proyektor are right, the light is not too 5 3 HR Make sure no cable leakage 2 2 LR
electirc shock minus/damage
sharp

Ftality, injury, Make sure no cable leakage,

16 Genset Operational R Electric from genset Electric shock, fire 5 2 HR make sure genset operator is have experinese 2 2 LR
property damage routine inspection, PPE

Ftality, injury, Make sure no cable leakage,

Genset Trouble Electric shock, fire 5 2 HR make sure genset operator is have experinese 2 2 LR
property damage routine inspection, PPE

OUTSIDE PROJECT SITE ACTIVITY

Hit by vehicle, Vehicle collision, Fatality, Injury, Defensive driving training, Life Follow HSE Induction and Follow all Client's
1 Travelling : Use of vehicle R Vehicle speed 5 3 HR 2 2 LR
gas emition, fatique property damage insurance for workers, procedure

spill from fuel, oil, coolant routine maintanance, check

R contaminate the surrounding soil soil not productive 2 2 LR
water before use,

make sure driver have SIM, honk

fatality, injury,
R cross on trafic hit with other vehicle the horn, slow down in cross on 5 2 HR obey traffict sign always 2 2 LR
property damage
traffict

fatality, injury, make sure driver have SIM, slow

R traffict jam hit with other vehicle 5 2 HR obey traffict sign always 2 2 LR
property damage down in traffict jam condition

fatality, injury, routine maintanance, check

over heat machine fire, machine broken 5 2 HR make sure vehicle machine in good condition 2 2 LR
property damage before use,

fatality, injury, routine maintanance, check

damage tyre uncontroled vehicle 5 2 HR make sure all tyre in good condition 2 2 LR
property damage before use,

vehilcle position in right position

fire, soil
refueling spill the fuel, fire, when refuling. No smoking while 5 2 HR obey rule and sign in fuel station 2 2 LR
unproductive,
refuling/fuel station

decreased air
quality, repiratory routine maintanance, check
Smoke from vehicle polutte the air 2 2 LR
disorder, eye before use,
irritation
 Hal : 5 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

Fatality, injury,
do not travel too late at night,
Criminal threats on the road Robbery psychological 5 3 HR be careful when someone is suspicious 2 1 LR
avoid areas prone to robbery,
disorder

slow when driving, keep an eye

vehicles buried in the ground, Fatality, injury,
landslide on the conditions around the 5 3 HR Do not driving when rainy 2 1 LR
vehicles enter the ravine property damage
road, obey traffic signs

slow when driving, keep an eye

Fatality, injury,
Stone falls from cliff Hit the vehicle, on the conditions around the 5 3 HR Do not driving when rainy 2 1 LR
property damage
road, obey traffic signs

slow when driving, keep an eye

Fatality, injury,
Fallen tree Hit the vehicle, on the conditions around the 5 3 HR Do not driving when rainy 2 1 LR
property damage
road, obey traffic signs

slow when driving, keep an eye

road wet, road broken, extreme Fatality, injury,
Road condition on the conditions around the 5 3 HR Do not driving when rainy 2 1 LR
uphill and downhill roads property damage
road, obey traffic signs

Routine Maintenance, Daily Follow HSE Induction and Follow all Client's
- Use motor cycle NR motor cycle poor condition Hit by vehicle, Vehicle collision Fatality 5 3 HR 2 2 LR
vehicle inspection procedure

Getting Choose a place to eat clean, life

2 Travelling : Lunch/Dinner NR Food/Drink Food Poisoning 2 2 LR
sick/diarrhea insurance for workers

Complete infrastructure need,

Lack Infrastructure and
3 Dormitory NR Dormitory condition Interfere work Awareness about Social culture 2 2 LR
environmental condition
at dormitory area

make sure all electric system

electrical short circuit, electric fire, property
Electrical system good condition, do not overuse 5 2 HR Routine Maintenance and inspection 2 2 LR
shock damage
the power plug

install AC/fan, any window in a

Temperature weather heat heat stres room, make sure air good 2 2 LR
circulation

install AC/fan, any window in a

humidity weather heat heat stres room, make sure air good 2 2 LR
circulation
 Hal : 6 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

Getting Choose a place to eat clean, life

NR Food/drink Food Poisoning 2 2 LR
sick/diarrhea insurance for workers

WAREHOUSE

Reducing the weigh of the load if possible, do

Injury, propertu Lifting Procedure, Use of safety not exceed the lifting load per person (±20kg),
1 Material receiving R Heavy material handling Material fall, 3 2 MR 2 2 LR
damage proper PPE (safety shoes) Use of lifting tools (hand pallet), methode
stetement for heavy material handling

Use Proper PPE (i.e cotton

Scratched sharps Injury 2 2 LR
Gloves)
QC and
warehouseman
Intefere with work,
R Environmental condition Dust, temperature dehidration, heat Cotton Mask, prepare water 2 2 LR
stres

Competent person with completed passed

Working at height procedure,
training, use of proper ladders and platform (if
R Working at height Fall from at height Injury PTW&JSA, Use proper PPE (body 4 2 MR 2 2 LR
necessary), use proper PPE (i.e full body
harness)
harness)

Reducing the weigh of the load if possible, do

Injury, propertu Lifting Procedure, Use of safety not exceed the lifting load per person (±20kg),
2 Material Storage R Heavy material handling Material fall, hit by worker 3 2 MR 2 2 LR
damage proper PPE (safety shoes) Use of lifting tools (hand pallet), methode
stetement for heavy material handling

Hazardous material temporary storage for Use of proper PPE (hand gloves),
3 R Hazardous material Doused with hazardous material Skin iritation 2 2 LR
fuel/oil SDS
Warehouseman
Proper storage, Fire Extinguisher,
Injury, Property
Fire, handling material training, 3 2 MR
damage
availability SDS

Add secondary containment,

spill the fuel/oil soil unproductive 2 2 LR
MSDS, spill kit

Injury, property Lifting Procedure, Use of safety

4 Material Small Part R Material handling Material fall, 2 2 LR
damage proper PPE (safety shoes)

Injury, Loss of adequate of access control,

Workplace & environmental Theft, fights, demonstrations, Coordination with neighbor, police officer /
5 Sosial Security R material, Property Security Patrol, Meterial 4 3 HR 2 2 LR Security
condition riots TNI, RT & RW
damage Inpsection
 Hal : 7 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

Manual
handling
training,
6 Loading Unloading Activities NR Manual loading unloading Wrong position, over load lowback pain, injury 3 2 MR supervisi 2 2 LR
handling
with right Site
posistion Supervisor/Operat
or
Crane collaps, fall from crane, Injury/ Human Certifed person and equipment, Flagman/spotter, Signange, complete
NR Use of Crane emision, hazardues spill, hit by Death, Property operate at safet speed , avoid 5 2 HR inspection, follow life saving golden rule of 2 2 LR
crane damage standing in the blindspot area Client's fot lifting activity

CONSTRUCTION ACTIVITY

Check heave equipment before

1 Mobilization & Demobilization
Lift more than body weight,
R Heavy material handling
fatique
use, check licences worker and
Injury heavy equipment, follow manual 2 2 LR
handling & Heavy Lifting
Equipment Procedure, use PPE

Material fall Injury Lifting Procedure 2 2 LR

Site Supervisor
HSE Patrol, HSE Inspection, SIO operator,
Equipment fall Asset damage Heavy equipment used 4 1 MR Heavy Lifting Equipment methode steatment 2 1 LR
work, follow life saving golden rule of Client's

Driver to be trained with Motor

Traffic accident, oil/fuel spill,
R Traffic condition
smoke from vehicle
Fatality, injury, soil
vehicle safety, routine Motor Vehicle Safety and Journey Management
contamination, air 5 2 MR 2 1 LR
maintanance, check before use, Procedure, flagman/traffic man
polluted
respiratory disorder, traffic sign

Muskulosketal
applied manual handling working
2 Material distribution R Manual handling Wrong position, over load disorder, prperty 3 2 LR
instruction
damage

Pedestrian way, flagman, conduct pre use

Use of heavy equpment hit by equipment, oil/ fuel spill, Fatality, Injury, soil Certifed person and equipment,
R 5 3 HR inspection (makse sure reverse alarm in good 2 2 LR Site Supervisor
(excavator/forklift) overload, falling object contamination avoid standing at blind spot area
condition)

Fatigue, provide enough water, provide a

R Weather heat stress, rain 2 2 LR
dehidration, fever shelter

Demontration,
3 Land Clearing NR Local community Riot Socialization to local community 3 3 MR CSR programe, Security control 2 2 LR
intefere of work

Site Supervisor
 Hal : 8 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

Certification operator and

Fatality, injury, soil
equipment, Equipment
NR Heavy equipment Hit by heavy equipment contamination, air 5 2 HR HSE Inspection, Work method procedure, 2 2 LR
inspection, Toolbox meeting,
polluted
PTW and JSA, provide flagman

Routine maintanance, Equipment

soil contamination,
Oil/fuel spill inspection, Toolbox meeting, 3 3 MR Supervisi 2 2 LR
air polluted
PTW and JSA
Site Supervisor

Tool and equipment inspection, Regular maintenance and Inspection, HSE

NR Hand / Electrical Tools Machine/tools breakdown Assets damges 3 2 MR 2 2 LR
PTW and JSA Patrol,

Competence person, use if Regular maintenance and Inspection, HSE

Hit by machine/Tools Injury 3 2 MR 2 2 LR
proper PPE Patrol,

Safety sign, Toolbox meeting,

NR Land condition Hole/digging trench Fall of person 2 2 LR
maintain barricade

The worker Hit by tree (cutting Safety sign, toolbox meeting,

NR Operation mistake Fatality, Injury 5 3 HR Work methode prosedure , HSE Patrol, signage 2 2 LR Site Supervisor
tree) PTW and JSA

fall to the diferent level soil , hit Injury, property consentration when a walking,
4 Topoghraphic survey NR Proses survey 2 2 LR
by survey tools damage avoid dug pits, PPE

Flood/puddle of water around PV Stop Work Athority (SWA),

5 General activity during construction R Bad Weather (Heavy rain) Interfere work 2 2 LR
structures and cable lines making adequate waterways

Site Supervisor &

HSE

Lack of source of potable and Dehydrate,

R Water source Provide sufficient water storage 2 2 LR
service water Interfere work

SEVERITY PROBABILITY RISK LEVEL

No impact on health and safety of employee, interfere with work 1. Never occurred or does not occurred in
1
Asset damage < Rp. 1 Million period above 5 years
5 L H H E E
PROBABILITY
 Hal : 9 / 9

HAZARD IDENTIFICATION,RISK ASSESSMENT AND DETERMINING CONTROL

Sea Water Intake Improvement
PT Rekadaya Elektrika
No Form : FM-HSE-02 Tanggal Terbit : 09.01.2020 Rev : 00

Matrix Curent Control Matrix After Action Plan

Activity
(Routine/ Risk Control
No. Location/Activity Source of hazard Hazard Risk Current control Action plan

Probability

Probability
Non- Risk Risk Owner

Severity

Severity
Routine) level level

Injury/illness that causes employee to need first aid, illness (respiratory problems,
2. Occurred in non routine condition or

PROBABILITY
2 diarrhea) but employee can continue work
has occurred once within 1 - 5 year
4 L M H H E
Asset damage Rp. 1 Million - < Rp. 10 Million
Injury that causes the employee to be unable to continue work, illness (TBC, Poisoned)
Asset damage 3. Occurred in abnormal or emergency
3
Rp.10 Million - < Rp.100 Million condition on once within 6 - < 12 months
3 L M M H H
Disability/loss in body function, disease (cancer,HIV,hearing loss, eye disorder)
4. Occurred once within 1 month - < 6
4 Asset damage Rp. 100
months
2 L L M M H
Million - Rp. 500 Million
Human death
5. Occurred in routine condition or daily
5 Asset damage > Rp. 500 Million
activity
1 L L M M H

1 2 3 4 5
SCALE
SEVERITY

E = Activity shall be stop, reviewed and conduct new action

H = Activity need special control and conduct additional action,

e.g: substitution,re-engineering, work instruction,certification

M = Activity can be implement and conduct additional action

e.g: HSE Inspection, Safety sign, Personnel protective equipment

L = Activity can be implemented without additional action

Prepared by Approved by

Date: 9/9/2022 Date: 9/9/2022