JHSEA

( JOB HEALTH, SAFETY AND ENVIRONMENTAL ANALYSIS )

NO. DOK :
Job Title : PEKERJAAN PROCESS SAFETY Location : BELAWAN PERTAMINA PATRA NIAGA Date : 13 Juni 2024 Rev: 0
JHSEA Team Members : LEMBAGA PENELITIAN USU

IDENTIFICATION Mitigasi
No JOB SEQUENCE POTENTIAL HAZARDS POTENTIAL Peralatan Hazardous Prosedur/ Standard Kompetensi Training Ijin Kerja Prosedur Monitoring Pengelolaan APD Good Fire CLSR Perizinan/ Pemenuhan
TAHAPAN PEKERJAAN BAHAYA YANG TERKAIT CONSEQUENCES Material Pekerja Sampah housekeeping Protection Regulasi NAB
DAMPAK KEJADIAN (B3/Non B3)
1

Pra-Kegiatan Survei

a. Proses Kerjasama dan Proses Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory 1. Tools &
Pengadaan melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
Pekerja terpapar panas Kerusakan alat/aset tahun Manual Handling 2. Safe Zone
matahari Safety Induction Position
Pekerja terbentur/tertabrak Sosialisasi 3. Permit to
oleh benda bergerak Metode Kerja / Work
Kegagalan peralatan PJSM 7. Fit to Work

b. Persiapan Kerja Pekerja terjepit tools Cedera ringan, sedang dan Handtool Prosedur Fit to work Pengalaman Basic Safety SIKA Utama Laporan DCU Mandatory Program 5R 1. Tools &
Pekerja tertimpah alat berat Total Station Prosedur APD kerja minimal 1 Training Emergency Route APD Equpment
Pekerja terpapar panas Pekerja cedera berat sampai tahun Manual Handling Checklist Inspeksi Peralatan 2. Safe Zone
matahari fatality Safety Induction JSA & Permit Pengujian Position
Pekerja terpapar gigitan hewan Pekerja Cedera ringan Sosialisasi Checklist APD 3. Permit to
Kegagalan peralatan Pekerja Cedera ringan dan Metode Kerja / Work
sedang PJSM 7. Fit to Work

c. Kunjungan Awal Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Form Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
Pekerja terpapar panas Kerusakan alat/aset Survei tahun Manual Handling 2. Safe Zone
matahari Safety Induction Position
Pekerja terbentur/tertabrak Sosialisasi 3. Permit to
oleh benda bergerak Metode Kerja / Work
Kegagalan peralatan PJSM 7. Fit to Work

d. Pemeriksaan Kesehatan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 1 Training Checklist APD APD Equpment
Medical Equipment tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

e. Penyusunan JHSEA Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling JHSEA 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

Survei Kuantitas Material +B+B18:P18

a. Penyiapan HSSE Plan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling HSSE Plan 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

b. Penyiapan Gambar Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work
c. Kerja Perhitungan Material Pekerja tertimpa material Cedera ringan, sedang dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Inspeksi Mobile Crane Penyediaan 'Mandatory Program 5R 1. Tools & Perizinian pekerja
(Jumlah, Volume Aktual) Pekerja terjepit material berat Total Station Prosedur APD kerja minimal 3 Training Inspeksi Lifting Gear Tempat APD Equpment Perizinan
a) Marine Loading Arm Pekerja terbentur/tertabrak Cedera ringan dan sedang tahun Manual Handling Checklist Inspeksi Peralatan 2. Safe Zone kendaraan
b) Jetty LPG Metering Package oleh benda bergerak Pekerja cedera ringan dan Safety Induction Inspeksi Handtools Position
c) Odorizer Injection Package Pekerja terpleset/tersandung sedang Sosialisasi Checklist APD 3. Permit to
d) LPG Storage Tank Pekerja terpapar gigitan hewan Pekerja cedera berat sampai Metode Kerja / Work
Pekerja terkena bahaya fatality PJSM 7. Fit to Work
e) LPG Truck Filling Pumps
ergonomi saat manual Pekerja cedera ringan / sedang
f) LPG Metering Package
menggali Pekerja cedera ringan / sedang
g) Weight Bridge / berat
h) LPG Vapor Arm Low back pain injury
i) LPG Truck Loading Arm
j) LPG Truck Evacuating
Component
k) Safety Instruments Systems
l) Fire Protection System for
LPG Storage Facility

d. Penyiapan Borang/ Checklist Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
untuk Data Lapangan melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

Evaluasi Kualitas Material

a. Analisis Data Survei Lapangan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

b. Konsultasi Kualitas Material Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
dengan Tenaga Ahli melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

c. Analisis Lanjutan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

d. Penyusunan Rekomendasi, Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Inspeksi Peralatan Mandatory Program 5R 1. Tools & Perizinian pekerja
Kesimpulan, dan Report melayang sedang Total Station Prosedur APD kerja minimal 3 Training Checklist APD APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

Pembuatan Dokumen Tender

a. Penyusunan Dokumen HSSE Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist HSSE Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

b. Konsultasi dengan Konsultan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist HSSE Mandatory Program 5R 1. Tools & Perizinian pekerja
HSSE/ K3 melayang sedang Total Station Prosedur APD kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work
 c. Finalisasi Dokumen HSSE Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist HSSE Mandatory Program 5R 1. Tools & Perizinian pekerja
melayang sedang Total Station Prosedur APD kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

d. Penghitungan Bill of Quantity Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Bill of Quantity Mandatory Program 5R 1. Tools & Perizinian pekerja
(BOQ) melayang sedang Total Station kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

e. Pembuatan Rancangan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Rancangan Anggaran Biaya Mandatory Program 5R 1. Tools & Perizinian pekerja
Anggaran Biaya (RAB) melayang sedang Total Station kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

f. Penghitungan TKDN/ Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist TKDN Mandatory Program 5R 1. Tools & Perizinian pekerja
Pembuatan Form A1 melayang sedang Total Station Form kerja minimal 3 Training APD Equpment
A1 tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

5 Review dan Pembuatan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist Dokumen Engineeing Mandatory Program 5R 1. Tools & Perizinian pekerja
Dokumen Engineering melayang sedang Total Station kerja minimal 3 Training APD Equpment
tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work

Review dan Pembuatan Pekerja tertimpa benda Pekerja cedera ringan dan Handtool Prosedur SOP Pengalaman Basic Safety SIKA Utama Checklist FEED Mandatory Program 5R 1. Tools & Perizinian pekerja
Dokumen FEED Baru untuk melayang sedang Total Station FEED kerja minimal 3 Training APD Equpment
Pengadaan EPC tahun Manual Handling 2. Safe Zone
Safety Induction Position
Sosialisasi 3. Permit to
Metode Kerja / Work
PJSM 7. Fit to Work
*Catatan : Lebar Kolom disesuaikan dengan kebutuhan untuk kejelasan redaksional (Print ukuran A3)

DIBUAT OLEH, DISETUJUI OLEH,

HSE LP USU
Andika Pradana

Mandatory APD: Safety Helmet, Safety Glasses, Coverall, Hand Gloves, Safety Shoes

KETERANGAN CLSR
1 Tools and Equipment
2 Safe Zone Position
3 Permit to Work
4 Isolation
5 Confined Space
6 Lifting Operation
7 Fit To Work
8 Working At Height
9 Personal Flotation Device
10 System Override
11 Asset Integrity
12 Safety Driving
Activities that are not included in
Others
CLSR