Pondok Indah Hotel Project

Operation/Task

Repair Smartdeck ( Rusty )

Location/Area

Project pondok indah hotel and residence

Item

Activities/Area

Persiapkan seluruh
material dan
peralatan
Prepare all the
tools and material

Pekerja
aplikasi
memeriksa
permukaan
Smartdeck
Applicator
inspected
the
smartdeck
surfaces

Hazard/Risk Identified

Risk Assessment
Risk Assessment No.
Method Statement
Before
L
S
R

Terpeleset dari area kerja 3

Terkena pentalan material
ke mata
Terpapar dan iritasi cat

Slippery
Hit by material
Irritation by material

Terjatuh dari ketinggian

Pastikan lantai kerja kering

1
Lakukan pengangkatan manual handling
dengan benar
Gunakan google / dan sarung tangan

Make sure floor is dry

Do correct manual handling
Using Google and Hand gloves

Gunakan Scaffolding yang sudah di 1

Inspeksi dan di tagging oleh Scaffolding
Inspector
Gunakan dan cantolkan Full body
harness pada posisi kerja yang
berpotensi jatuh.

Falling from height

Nomor Berdasarkan Nomor Work Methode statement

Control Measures
After
Responsibility
L
S
R

Signature:

Date:

Approved by : Eric Owen

Signature:

Date:

Risk Assessment checked by (Name): Deddy. M

Note: R(Rating) = [(L) x (S)]
L: Likelihood/peluang; S: Severity/keparahan

Site
Manager

Site
Manager

Using Scaffolding after inspected and

tagged by Scaffold Inspector
Using and tie off the Harness in
potential falling position

Prepared by : ...................... ( Dusaspun SM / PM)

( BBSI-JKMP JV CM )

Signature:
Date:
Rating Categories: Green (Low) = 1-4; Amber (Medium) = 5-12; Red (High) = 15-25, Risk Assessment. For R > 15,
make Specific Risk Assessment

Pondok Indah Hotel Project

Operation/Task

Repair Smartdeck ( Rusty )

Location/Area

Project pondok indah hotel and residence

Item

Activities/Area

Hazard/Risk Identified

Daerah yang akan

di diperbaiki harus
Ditandai
dan
dimarking

Terjatuh dari ketinggian

Marking the area

Falling from height

Bersihkan paparan
semen
yang
menempel
dan
diamplas
sampai
bersih
Removed the rest
of the cement

Mata terpapar debu

semen
Gangguan pernafasan

Eye irritation
Respiratory disease

Risk Assessment
Risk Assessment No.
Method Statement
Before
L
S
R

Nomor Berdasarkan Nomor Work Methode statement

Control Measures
After
Responsibility
L
S
R

Pastikan posisi tubuh selalu didalam

pagar lantai kerja yang aman

Ensure working position always

inside working platform

Gunakan Google
Gunakan masker pelindung pernafasan

Gunakan Google / kaca mata safety

Gunakan
masker
pelindung

Prepared by : ...................... ( Dusaspun SM / PM)

Signature:

Date:

Approved by : Eric Owen

Signature:

Date:

( BBSI-JKMP JV CM )

Risk Assessment checked by (Name): Deddy. M

Note: R(Rating) = [(L) x (S)]
L: Likelihood/peluang; S: Severity/keparahan

Site
manager

Chief Spv

Site
Manager

Chief Spv

Signature:
Date:
Rating Categories: Green (Low) = 1-4; Amber (Medium) = 5-12; Red (High) = 15-25, Risk Assessment. For R > 15,
make Specific Risk Assessment

Pondok Indah Hotel Project

Operation/Task

Repair Smartdeck ( Rusty )

Location/Area

Project pondok indah hotel and residence

Item

Activities/Area

plaster
from endstop and
sanding until clean
Process Pengecatan
menggunakan
material anti karat
( CAT )

Perform painting
process by using
the "Rust Bullet"
material

Hazard/Risk Identified

Risk Assessment
Risk Assessment No.
Method Statement
Before
L
S
R

Nomor Berdasarkan Nomor Work Methode statement

Control Measures
After
Responsibility
L
S
R

pernafasan

Kebakaran
Jatuh dari ketinggian

12

Fire
Falling from height

Jangan membuat api terbuka dan tidak

boleh merokok di area kerja.
Pastikan lantai kerja pada posisi yang
cukup dekat dengan posisi titik kerja
Gunakan dan cantolkan harness jika
posisi kerja sulit / masih terdapat resiko
jatuh.

Signature:

Date:

Approved by : Eric Owen

Signature:

Date:

Risk Assessment checked by (Name): Deddy. M

Note: R(Rating) = [(L) x (S)]
L: Likelihood/peluang; S: Severity/keparahan

Site
Manager
Chief Spv

Dont
make
open
flame
and
prohibited to smoke at the work
location.
Ensure the working platform close
enough from the working point
Use and cantolkan harness if the
position is hard work / there is still
the risk of falling.

Prepared by : ...................... ( Dusaspun SM / PM)

( BBSI-JKMP JV CM )

Signature:
Date:
Rating Categories: Green (Low) = 1-4; Amber (Medium) = 5-12; Red (High) = 15-25, Risk Assessment. For R > 15,
make Specific Risk Assessment

Pondok Indah Hotel Project

Operation/Task

Repair Smartdeck ( Rusty )

Location/Area

Project pondok indah hotel and residence

Item

Activities/Area

Hazard/Risk Identified

Risk Assessment
Risk Assessment No.
Method Statement
Before
L
S
R

Nomor Berdasarkan Nomor Work Methode statement

Control Measures
After
Responsibility
L
S
R

Prepared by : ...................... ( Dusaspun SM / PM)

Signature:

Date:

Approved by : Eric Owen

Signature:

Date:

( BBSI-JKMP JV CM )

Risk Assessment checked by (Name): Deddy. M

Note: R(Rating) = [(L) x (S)]
L: Likelihood/peluang; S: Severity/keparahan

Signature:
Date:
Rating Categories: Green (Low) = 1-4; Amber (Medium) = 5-12; Red (High) = 15-25, Risk Assessment. For R > 15,
make Specific Risk Assessment