Class #1 Risk Register 2017

UNITEDA ARKATO CLASS #1 POTENTIAL RISKS REGISTER
A PIT B DISPOSAL C PLANT D TRAFFIC MANAGEMENT E ROAD WORK F GENERIC

1. Land Clearing 6. Tipping the Load 9. Workshop Daily Servicing 14. Road Traffic Design 15. Constructing New Road 17. Vehicle Interaction
1 Cutting trees using excavator or dozer 1 Truck entering disposal area 1 In / out heavy equipment at bays 1 Intersection design 1 Tip good material on the road 1 LV / medium vehicle traveling in the pit
2 Logging 2 Truck reversed into tip head 2 Stored energy 2 T Junction design 2 Dozing road material 2 LV / medium vehicle traveling in the dump
3 Chainsaw operation 3 Tipping the load 3 Pressurize vessels 3 Y Junction design 3 Grade the road 3 Vehicle approaching intersections
4 Trimming and Barking 4 Truck leaving tipping head 4 Compressed air 4 Traffic signs 4 Build windrow / road devider 4 Vehicle / Equipment servicability
5 Clear up surface 5 Hot works 5 Windrows / road devider design 5 Fatigue / Fitness for work
7. Dump Support 6 Engine remove and install 6 Road design at the disposal 16. Roads Maintaining 6 Unskilled operator / driver
2. Loading and Floor Works 1 Dozer pushes the dumped load 7 Speed limit 1 Ripping / grading 7 Heavy haulage with low boy
1 Loading preparation (clean up, leveling, windrow) 2 Dozer build tip head windrow 10. Traffic Management 8 Roadway width 2 Back fill pot holes 8 Equipment catch fire
2 1 9 Superelevation 3 Drainage
Truck, other mobile equipment and LV are entering and out of loading point Vehicle enter / exit workshop yard
3 Loading the truck 8. Sloping Works 2 Vehicle enter / exit wash bay 18. Parking
4 Loading the truck under high wall 1 Smoothing 3 Parking area and reversing 1 LV parking in the pit
5 Truck queueing to be loaded 2 Spreading top soil 2 LV parking at the disposal
6 Floor clean up 3 Contour drainage 11. Excavator Maintenance
1 Bucket change 19. Equipment Recovery / Towing
3. Hauling 2 Hydraulic repair 1 Truck rolled over recovery
1 Trucks traveling on steep ramp 3 Welding and Cutting 2 Towing broken down equipment
2 Truck traveling on wet ramp 4 Hydraulic cylinder change 3 Towing lighting plant / Lighting tower
3 Truck traveling on intersection 5 Undercarriege change 4 Setting up lighting plant
4 Truck travelling on sharp corner 6 Engine remove and install
5 Traveling on dusty road 20. Working Near or Over Water
6 General travel 12. Tyre Management 1 Sediment pond
1 Inflate tyre 2 River / lake
4. Battering / Sloping 2 Stripping tyre 3 Port / jetty
1 Excavator travelling to the designated area 3 Change tyre
2 Excavator cutting butter and sloping high wall 4 Hot tyre inspection
3 Cutting batter adjacent to haul road 5 Branding rim 21. Fueling at Fuel Farm
6 Load / unload tyre from / to truck 1 Truck entering fuel farm
5. Dewatering in the Sump 2 Truck exiting fuel farm
1 Towing pump to the sump 13. Electrical Works 3 Fuel transfer
2 Slide pump pontton into the sump 1 Replace bulb lighting tower 4 Truck inspection
3 Connect HDPE to the pump over the sump 2 Power genset termination
4 Connect HDPE at the wall (High wall / low wall) 3 Working on life electrical circuit 22. Working at Height
5 Refueling pump in the sump (Working near or over water) 4 Temporary electrical splicing 1 Scaffolding / work platform
6 Pump inspection and repair 2 Deep excavation / unprotected edge
7 Using crew boat from edge to pump back and forth 3 Descending / accending ladders
4 Suspended work platform
23. Lifting and Rigging

1 Complex lifting
2 Routine lifting
24. Welding and Cutting

1 Hot works adjacent to fuel storage
2 Hot works in confined spaces
25. Hazardous Waste Disposal

1 Scrap metal
2 Chemical waste disposal
26. Security
1 Personnel entering site
2 Security patrol
3 Security gate check
DAFTAR CLASS 1 RISK UP-DATE UNITEDA ARKATO
NO PROCESS / ACTIVITY APPROVAL DATE LAST UPDATE NEXT UPDATE
A.1 A.1.PIT-Land Clearing'!A1 10-Jan-17 10-Jan-18
A.2 A.2.PIT-LoadingAndFloorWorks'!A1 10-Jan-17 10-Jan-18
A.3 A.3 PIT-Hauling'!A1 10-Jan-17 10-Jan-18
A.4 A.4.PIT-Battering_Sloping'!A1 10-Jan-17 10-Jan-18
A.5 A.5.PIT-Dewatering'!A1 10-Jan-17 10-Jan-18
B.6 B.6.DISP-Tipping'!A1 10-Jan-17 10-Jan-18
B.7 B.7.DISP-DumpSupport'!A1 10-Jan-17 10-Jan-18
B.8 B.8.DISP-Sloping'!A1 10-Jan-17 10-Jan-18
C.9 C.9.PLANT-WSDaily'!A1 10-Jan-17 10-Jan-18
C.10 C.10.PLANT-Traffic'!A1 10-Jan-17 10-Jan-18
C.11 C.11.PLANT-ExcMaint'!A1 10-Jan-17 10-Jan-18
C.12 C.12.PLANT-TyreMgt'!A1 10-Jan-17 10-Jan-18
C.13 C.19.PLANT-Electrical'!A1 10-Jan-17 10-Jan-18
D.14 D.14.TRAFFIC-Design'!A1 10-Jan-17 10-Jan-18
E.15 E.15.ROAD-ConstRoad'!A1 10-Jan-17 10-Jan-18
E.16 E.16.ROAD-Maintenance'!A1 10-Jan-17 10-Jan-18
F.17 F.17.GEN-Vehicleinteraction (2'!A1 10-Jan-17 10-Jan-18
F.18 F.18.GEN-Parking (2)'!A1 10-Jan-17 10-Jan-18
F.19 F.19.GEN-EquipRecovery (2)'!A1 10-Jan-17 10-Jan-18
F.20 H.31.GEN-NearWater (2)'!A1 10-Jan-17 10-Jan-18
F.21 F.21.GEN-Fueling (2)'!A1 10-Jan-17 10-Jan-18
F.22 F.22.GEN-WAH (2)'!A1 10-Jan-17 10-Jan-18
F.23 F.23.GEN-Lifting (2)'!A1 10-Jan-17 10-Jan-18
F.24 F.24.GEN-Welding (2)'!A1 10-Jan-17 10-Jan-18
F.25 F.25.GEN-WasteDisposal (2)'!A1 10-Jan-17 10-Jan-18
F.26 F.26.GEN-Security (2)'!A1 10-Jan-17 10-Jan-18
RESPONSIBLE DEPT STATUS REMARK
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Mining Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Plant Routine HSE
Admin & HR Routine HSE
PT. UNITEDA ARKATO
RISK ASSESSMENT REPORT
Risk Assessment Team

Business Unit / Project : UA/HSE-HO/BSI Gold Mine Project
Names Dept - Position Sign Off
Date : 10-Jan-17
Team Leader : Prod Manager Team Members :

Reference Number : A.1.PIT-Land Clearing
Facilitator : HSE Supt :
Process/Activity : Team Members : Mining Supt

Land Clearing
Mining Supt Approved By :
(PM/Delegated)
Note: Attach meeting attandance if more.
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Required
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact
A.1.1. 4 4 16 ENG/S ROPs installed in the excavator and 1 4 4 Using excavator for clearing to be
Cutting trees using excavator or dozer Operator in the cabin Equipment in the radius Tree falls over the EG dozer. ADM included in the UA-HSE-SOP-020
of equipment of falling tree. equipment
Rev.01 Clearing
ADM Dozer/Excavator stand on the safe
side while pushing /breaking tree
ADM Operator to check the tree & wind

direction before cutting the tree. Do
not push the tree when oblique
toward the dozer or wind direction
toward the dozer
ADM Operator must has been trained &

has valid SIMPER
ADM Pre-Start Inspection on equipment

& Work Location
ADM Pre start meeting prior to

commencing the tasks
All personnel near Complaint from villager Demonstration / 4 3 12 ADM Client to conform the area is 'clear' 1 3 3
cutting activity disturbance by villager to be cleared before commencing
the task.
ADM Client representative and policeman
must be present during cutting
activity where necessary.
BHV All personnel never fighting back

agains the villager.
Uncontrolled Document When Printed 7 of 142 LCI-HSE-FM-001A(02)
Feb 2010
Supervisor, People in the radius of Tree falls over the people 4 4 16 ENG/S No one should stay in the 60m 1 4 4
personnel, villager on falling tree. on the ground. EG radius of falling tree.
ground
ADM Pre start meeting prior to
commencing the tasks
ADM Radio communication available for

heavy equipment operator and the
supervisor.
PPE Always wear standard PPE, safety
boots, helmet, safety glass and high
visibility clothes / vest.
ADM Fully supervised by an experience

supervisor
Blind spot of equipment Unit run over or struck 4 5 20 ENG/S No personnel should stand behind 1 5 5
personnel on the ground EG or in 30m radius of working
equipment.
has valid SIMPER

Wild animal (bee, snake, Animal attacks 5 4 20 BHV Never disturb wild animals. It's 1 4 4
etc.) better leave them or wait until they
run away.
ADM Carry out work prestart briefing.
PPE Wear appropriate PPE such safety

boot, safety glass, Face net cover (if
necessary)
Feb 2010
Operator in the cabin Working near cliff Dozer / excavator rolled 4 4 16 ENG/S Build a bund 10 meters from the 1 4 4
of equipment over the cliff EG face before dozer / excavator
commences clearing operation.
has valid SIMPER
A.1.2. Drivers, operators, Uncontrolled movement Log fall from lifting 3 4 12 ENG/S Only use good sling condition and 1 4 4
Logging Chainsaw Crew of log when lifted; broken equipment and hit people EG attach tag line to control log
sling. movement.
ENG/S Never perform lifting above
EG personnel.
ENG/S DO NOT use excavator teeth

EG bucket as ancorage to lift logs. Use
only eye bolt attached on the
bucket.
ADM Competent rigger

boots, helmet, safety glass, hand
gloves and high visibility clothes /
vest.
A.1.3. Chainsaw operator Kick back, sharp and Cut or hit by chainsaw 4 4 16 ENG/S All safety guards/devices must be in 1 4 4
Chainsaw operation rotating object EG place and in working order.
ADM Only competent chainsaw crew may

operate the chainsaw
ADM Do a pre-start check to components

of chainsaw & the area free from
falling branch prior to commencing
the task
ADM Deadman switch active and working

order
BHV Do not force chainsaw to cut deep

cutst

vest.
Chainsaw operator Personnel in the radius of Tree / branch falls over the 4 5 20 ENG/S No personnel should stay in the 1 5 5
and personnel on falling tree, excessive personnel on the ground. EG 60m radius of falling tree. Barricade
ground wind or rain, leaning trees the area when necessary (e.g near
or large branches road).
ADM Only trained / competent person

shall operate chainsaw
ADM No chainsaw activities when there is

excessive wind or rain; No night
chainsaw activities
ADM Carry out work prestart briefing.
Feb 2010
vest.
A.1.4. Chainsaw operator Uncontrolled movement Log hit personnel; 4 3 12 ENG/S No unauthorized personnel in the 1 3 3
Trimming and Barking and personnel on of log when trimming and sawdust entering EG 15m radius from trimming and
ground barking; sawdust. personnel's eye. barking operation.
ADM Only competent chainsaw crew may
operate the chainsaw

vest.
Fuel leak Chainsaw burned; soil / 3 2 6 ENG/S Chainsaw fuel tank and fuel 1 2 2
water contamination EG container in good condition. No leak
or modification that may lead to fuel
leak and burnt.
ENG/S Use funnel when refueling chainsaw

EG fuel tank.
BHV DO NOT smoking when working

with fuel.
ADM First aid kits must be available all

the time in the workplace
A.1.5. Operators Uncontrolled movement Wood stump hit cabin 3 4 12 ENG/S Protect the cabs windows by guards 1 4 4
Clear up surface of wood stump when EG (FOPs)
clearing
ENG/S Cut the timber into smaller sections
EG
Supervisor, Blind spot of equipment Unit run over or struck 4 5 20 ENG/S No personnel should stand behind 1 5 5
personnel on ground personnel on the ground EG or in 30m radius of working
equipment.
has valid SIMPER

Feb 2010
Names Dept. - Position Sign Off
Project Manager
ols Required By whom By When Status Legal and Other Requirements Reference
clearing to be KEPMEN 555.K/26/M.PE/1995 - Article

HSE-SOP-020 255 - Bulldozers
UA-HSE-SOP-020-Clearing
UA-SOP-402- Dozer Operation

IDI212-DEP-SOP-404-Rev.01 Excavator
Operation
UA-PRO-028(02) Equipment Pre Use

Inspection
Feb 2010
UA-HSE-SOP-004-Rev.01 Personal protective Equipment
Feb 2010
UA-HSE-SOP-021-Rev.01 Safe Operation of Chainsaw
Feb 2010
PER.15/MEN/VII/2008 - First Aid Treatment
UA-PRO-024(02) Specification of Assets
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17
Team Leader : Team Members

Reference Number : A.2.PIT-Loading And Floor Works
Facilitator :
Process/Activity : Team Members :

Loading and Floor Works
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Re
A.2.1 Operators or Blind spot Excavator swings and hit 4 4 16 ENG/S All Heavy Equipment have closed 1 4 4
Loading preparation (clean up, leveling, personnel on the equipment or personnel EG cabin with ROPS installed.
windrow) ground. on the ground nearby.
ENG/S All working lamp and rotary are
EG on all the time.
ADM Competent operator and has
valid simper
BHV Stop activity while personnel on
the ground have to work close to
the Excavator, such as survey.
BHV Maintain positive contact between

excavator operator and personnel
on the ground.
BHV Maintain safe working distance

between mobile equipment and
personnel on the ground.
PPE Mandatory PPE to be worn by

personnel on the ground.
Unstable ground / work Land slide, Excavator tip 4 4 16 ENG/S Bench / slope is constructed 1 4 4
pad / slope over EG based on Kepmen 555 / 1995
article 241.
ENG/S Install land slide monitoring

EG device where required.
ENG/S Excavator working pad must be
EG level and strong enough to
supprot excavator weight.
ENG/S Adequate tower lamp available to

EG monitor land movement during
night shift.
Feb 2010
ENG/S All Heavy Equipment have closed
EG cabin with ROPS installed.
ADM Competent excavator operator
and has valid simper
ADM Supervision on location.
A.2.2 Operators / driver Blind spot, confined area. Collision 4 4 16 ENG/S Maintain area level and wide 1 4 4
Truck, other mobile equipment and LV are EG enough for trucks to maneouver.
entering and out of loading point
ENG/S Safety berm to be constructed

EG min. half of the larger truck wheel
along the edge of bench.
ENG/S Provide designated parking area

EG for LV and manhaul separate
from heavy mobile equipment.

valid simper
BHV Radio contact prior approach the

loading point
BHV Drive to conditions
BHV Never reversing while queuing.
BHV Digger use horn to stop/warn DT
Access near edge of cliff Equipment / LV run over 4 5 20 ENG/S Safety berm to be constructed 1 5 5
the cliff EG min. half of the larger truck wheel
along the edge of cliff.
ENG/S Adequate tower lamp available to

EG illuminate the edge of cliff during
night shift.
Feb 2010
valid simper
BHV Drive to conditions
A.2.3 Operators Bench too high; unstable Excavator slides down and 4 4 16 ENG/S Select a correct size of excavator 1 4 4
Loading the truck ground fall onto truck. EG at a suitable ground condition.
ENG/S Excavator working pad must be

EG level and strong enough to
supprot excavator weight.
valid simper
Soft ground; hollow Truck or excavator bogged 3 3 9 ENG/S Dozer to prepare loading pad 1 3 3
ground EG before truck being loaded.
ADM Mark the soft / hollow ground to

be avoided or improved.
BHV Area supervisor to inspect the

area before loading activity
began.
Operators Incompetent operator During top loading digger 4 4 16 ENG/S Position the truck to a suitable 1 4 4
swing and bucket and hit EG location to be loaded
the truck
ENG/S All Heavy Equipment have closed
EG cabin with ROPS installed.
valid simper
BHV Digger lift and swing the bucket

high enough to avoid contact with
the DT
BHV Do not over reach to prevent
digger rolled over/toppled
BHV Do not over load the bucket to
avoid coal falling and hitting the
DT
BHV Do not overlaod the DT bucket to
avoid coal spills
BHV No person allowed within 50 m of

loading zone
BHV Production Supervisor to ensure
that highwall is safe and stable-
pre shift inspection
A.2.4 Operators Wall failures Land slide; rock fall 3 5 15 ENG/S Slopping / benching high wall 1 5 5
Loading the truck under EG
high wall
ENG/S Install prisma to monitor land
EG movement
ENG/S All equipment has closed cabin

EG
Feb 2010
ADM High wall warning signs
ADM Supervision on location.
A.2.5 Operators Blind spot Truck reversed and struck 4 4 16 ENG/S Maintain 10 m distance with the 1 4 4
Truck queueing to be loaded another truck behind him EG other truck in the front.
ENG/S Clock wise scheme to approach

EG the excavator
ADM Traffic signs

valid simper
BHV Maintain positive communication
by means of radio.
BHV Apply park brakes of DT
BHV Park/Wait on left side of loading

area Low wall side
A.2.6 Operators Blind spot, confined area Collision 4 4 16 ENG/S Closed cabin as OEM 1 4 4
Floor clean up and leveling EG
ENG/S Usegrid box to keep loading area

EG level at all times
ENG/S All trucks are parked outside

EG loading area while floor being
cleaned.
ENG/S Provide designated parking area
EG for LV and manhaul
BHV Maintain positive contact between

equipment operator
BHV Maintain safe working distance

between mobile equipment
Feb 2010
t Team
: Project Manager
Legal and Other Requirements

ional Controls Required By whom By When Status
Reference
UA-HSE-HO-SOP-043 Radio Procedure
UA-OPR-SOP-403 Haul Truck Operations
UA-HSE-HO-PR.01 Simper System Policy
UA-HSE-HO-SOP-004(01) Personal
Protective Equipment
Feb 2010
Feb 2010
KEPMEN.555.K/26/M.PE/1995 Article
241 The height of working faces & the
width of working benches.
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : A.3 PIT-Hauling
Facilitator :

Hauling
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls R
A.3.1 Operators Steep ramp; engine / Roll over, fall to lower 3 4 12 ENG/SEG Maximum 10% gradient of road. 1 4 4
Trucks traveling on steep ramp brake failure level, overtaking
ENG/SEG Safety berm on both sides of the
road
ENG/SEG Road maintenance
ADM 40 m tail gating
ADM Maximum speed 40 km/h
ADM Traffic sign
ADM SIMPER
ADM No overtaking
BHV Drive to condition
BHV Use correct gear selection as per

area / condition and trainer
instruction
A.3.2 Operators Slippery; steep ramp; Collision 3 4 12 ENG/SEG Maximum 10% gradient of road. 1 4 4
Truck traveling on wet ramp engine / brake failure
ENG/SEG Safety berm on both sides of the
road
ENG/SEG Spot water spray only
ADM 40 m tail gating
Feb 2010
ADM Maximum speed 40 km/h
ADM Traffic sign
ADM SIMPER
ADM No overtaking
A.3.3 Operators Uncontrol intersection; Collision 3 4 12 ENG/SEG "T" intersection constructed. 1 4 4

Truck traveling on intersection blind spot Avoid "Y" intersection.
ENG/SEG Good lighting
ADM SIMPER
ADM Traffic sign
A.3.4 Operators Blind spot Collision 3 4 12 EL/SUB Cut all materials on the corner 1 4 4
Truck travelling on sharp corner that may cause blind spot
ADM Traffic sign
ADM SIMPER
A.3.5 Operators Low visibility Collision 4 4 16 ENG/SEG Water spray 1 4 4

Traveling on dusty road
ENG/SEG Ensure all working and head
lights on
ADM Traffic sign
ADM SIMPER
A.3.6 Operators Use mobile phone Collision 4 4 16 ADM Prohibited to bring mobile phone 1 1 1
General travel
ADM Socialized , Supervisor control
Operators Fatigue Collision 4 4 16 ADM Fatigue management training 3 3 9
ADM Mid Shift Fatigue Check
ADM Rotating operator
Operators Overspeed Collision 4 4 16 ADM SIMPER Process 3 2 6
ADM Safety Induction
ADM Max speed 40 Kph
Feb 2010
Team
: Project manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : A.4.PIT-Battering/Sloping
Facilitator :

Battering or Sloping
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls
A.4.1 Excavator Operator Poor visibility; busy traffic Collision 3 4 12 ENG/SEG Travel on Slow Moving 1 4 4
Excavator travelling to the designated area Equipment lane
ENG/SEG Rotary lamp and other light are

on.
ADM Valid SIMPER
ADM Radio communication
ADM Prestart checklist
Operators Use mobile phone Collision 4 4 16 ADM Prohibited to bring mobile phone 1 1 1
Feb 2010
A.4.2 Excavator Operator flaying rocks hit front glass cabin broken 3 4 12 ENG/SEG Stable pad 1 4 4
Excavator cutting butter and sloping high wall excavator
ADM Continuously high wall monitoring
ADM Supervision
ADM Competent operator with valid

SIMPER
A.4.3 Truck Operator Blind spot; swing radius; Excavator swing into truck 3 4 12 ENG/SEG Block the road if possible 1 4 4
Cutting batter adjacent to haul road working close to busy travelling in side of the
road exclusion zone
ENG/SEG Stable pad
ADM Continuously high wall monitoring
ADM Supervision
ADM Competent operator with valid

SIMPER
Feb 2010
Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17
Team Leader : Team Members :

Reference Number : A.5.PIT-Dewatering
Facilitator : :

Dewatering in the Sump
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Req
A.5.1 Pumpman, driver, Broken sling, unstandart Sling snapped, falling 4 3 12 ENG/S Stay away while pump being 1 3 3
Towing pump to the sump operator towing gear/attachement object EG towed by dozer
ADM Pull sling / chain slowly to avoid

snapped
ADM Inspect all rigging equipment

(chain, shakle, sling) prior towing
the pump
ADM Secure the chain onto
grader/dozer and pump with lock
pins
ADM Plan route to travel and time to
move pump
A.5.2 Operator Soft material Excavator or dozer fall into 4 4 16 ENG/S Build a level and firm bench or 1 4 4
Slide pump pontton into the sump sump and drown the EG deck for excavator or dozer.
operator
PPE All crew within 5 meter from the
edge wearing life jacket
ENG/S No one entering the sump area

EG without supervision /
authorization
A.5.3 Pumpman, Pinch point, work near Drowning, crushed by 4 4 16 PPE Glove shall be worn while 1 4 4
Connect HDPE to the pump over the sump supervisor water heavy pipe connecting the pipe.
PPE Life jacket shall be worn by all

people within 5 meters from the
edge.
ADM Pipe in absolute straight position
Feb 2010
ADM HDPE pipe not under tension
A.5.4 Operator, pumpman, unlevel ground/activity at Excavator roll over, pipe 3 4 12 ADM Excavator in level ground. 1 4 4
Connect HDPE at the wall (High wall / low wall) other people at the toe of wall loose and fall to the lower
lower level level, rock fall, wall failure
ENG/S Connection done at least 2

EG meters from toe of the wall or
inside of bunded area.
ADM Spotter and supervision while
connection taking place
ADM Use correct tools for the job
A.5.5 Pumpman Drowning, slips, trips and Fatality, Permanent 4 4 16 PPE All personnel wear life jacket. 1 4 4
Refueling pump in the sump (Working near or falls Disability, Long term
over water) absence due to treatment
BHV Eyes on path to avoid slip and trip
hazards
ENG/S Ensure fuel hose long enough to

EG reach pontoon
A.5.6 Mechanic, pump Working near water, Trip, Slip and Fall to the 4 4 16 PPE Wear life jacket while near or over 1 4 4
Pump inspection and repair supervisor, safety stored energy pump deck and drowning water.
personnel
BHV Eyes on path and identify slip, trip
and fall potential
ADM Life ring and rope attached to the

pontoon
ENG/S All guards in place around

EG moving / rotating parts
ADM Apply LOTO correctly
A.5.7 Mechanic, pump Overcapacity of the boat, Boat capsized and 4 4 16 ADM Do not over capacity of the boat. 1 4 4
Using crew boat from edge to pump back and crew, supervisor, boat was broken drawning
forth ERT
ADM Boat equipped with emergency
equipment such as rope, life
jacket.
PPE All crew on the boat wearing life
jacket
Mechanic, pump Poor ilumination/no Trip, Slip, Fall and 4 4 16 PPE Pump crew or person who going 1 4 4
supervisor, safety lighting drowning to pump preparing light torch,
personnel
BHV Bring radio, never work alone
near water
Feb 2010
ADM If can prepare / positioning
lighting tower or lighting plant to
pump area
Feb 2010
am
Project Manager

al Controls Required By whom By When Status
Reference
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17
Team Leader :
Reference Number : B.6.DISP-Tipping
Facilitator :

Tipping the load
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls
B.6.1 Operators & Confined area, Crowded Collision 4 4 16 ADM Supervisor pre inspection 1 4 4
Truck entering disposal area. personnel on the traffic and low illumination
ground
ADM Pre start checklist
ADM Commisioning and re-

comissioning of DT
ADM Maintenance on DT as per

schedule
BHV No cell phones may be use while

operating equipment
ADM No overtaking on ramp
ADM Correct gear selection by

operator
ADM Maintain ramp to waste dump
ADM Do not over spray ramp with

water
ENG/SEG Ramp design
ENG/SEG Safety berm in place on ramp
Feb 2010
ADM Waste dump identified with sign
to ensure tipping on correct dump
BHV Always wear seatbelt while

operating equipment
B.6.2 Operators Working near water, on Truck bogged, tilted, run 4 4 16 ENG/SEG Reverse alarm on the truck 1 4 4
Truck reversed into tip head soft soil, cracked area. over windrow, tipped over
or drowning into water.
ENG/SEG Safety berms at least 1.5 m high
on edges of waste dump
ENG/SEG Standard haul road/ramp design
ADM Tipping done in sequence on

waste dump
ADM Tipping as per clockwise
ADM Use mirrors to reverse into

position
BHV Use horn before reversing

backwards
ADM Ensure the area is safe before

moving backwards
B.6.3 Operators, Superviro Interaction with people Truck tipped over, load 3 4 12 ADM Supervisor pre inspection 1 4 4
Tipping the load and other unit / Slide tipped over personnel on
material the ground
ADM Standard waste dump design
ADM Do not tip load over the edge,tip

on the inside of safety berm
ENG/SEG No person may stand 50 m from

load being tipped
ADM Tipping area must be identified
ADM Tipping done in sequence from

left to right
ENG/SEG Dozer at least 50 m form tipping

area
B.6.4 Operators Interaction with people Collision 3 4 12 ADM Supervisor pre inspection 1 4 4
Truck leaving tipping head and other unit
Feb 2010
ADM Lower bucket before driving off.
ADM Gear interlock if bucket in tipping

position
ADM Use horn before moving forward
Feb 2010
Team Members :
Approved By : Project Manager
(PM/Delegated)

Additional Controls Required By whom By When Status
Reference
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Business Unit / Project : UA-HSE-HO-BSI Gold Mine Project
Date : 10-Jan-17

Reference Number : B.7.DISP-DumpSupport
Facilitator :

Dump Support
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
B.7.1 Operators Truck reversed into Fatality, Permanent 4 4 16 ADM Dozer operator trained and 1 4 4
Dozer pushes the dumped load working dozer Disability, Long term competend
absence due to treatment
ADM Do not push waste with open

dozer blade ,use waste to push
over berm.
ENG/S No DT 50 m form dozing
EG
ADM Pre use checklist L Plant at waste

dump
B.7.2 Operators Inadequate windrow Fatality, Permanent 4 4 16 ENG/S Safety berm must always be 1 4 4
Dozer build tip head windrow height, truck impacting Disability, Long term EG maintained and 1.5 m high
working dozer absence due to treatment
ENG/S The dumping area must have a

EG 2% positive slope
ADM Dozing always in 1st gear
ENG/S No moving equipment within 50

EG m from dozer while dozing waste
material
Feb 2010
Team
: Project Manager

Reference
Feb 2010
PT. UNITEDA ARKATO

Business Unit / Project : UA-HSE-HO-BSI Gold Coal Mine Project
Date : 10-Jan-17

Reference Number : B.8.DISP-Sloping
Facilitator : :

Sloping Work on Disposal
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
B.8.1 Operator Unlevel ground Dozer rolled over on the 3 4 12 ADM Dozer operator trained 1 4 4
Dozer smoothing the slope surface slope
ADM Maximum angle for dozing
ADM Supervision
ADM Pre shift instructions
ENG/S Planning
EG
ADM Closed off area for dozer work
ADM Survey identified areawith pegs
BHV Look behind / area before

reversing
Low ilumination Dozer rolled over on the 3 4 12 ADM L Plant at night time 1 4 4
slope
B.8.2 Operator Interaction with other unit Dozer working side ways 3 4 12 ENG/S No DT closer that 50 form dozing 1 4 4
Dozer spreading top soil and rolled over EG work
Feb 2010
ADM Survey pegs placed out
ADM Supervision
ADM Planning
B.8.3 Operator Misscommunication Small digger impacted by 3 4 12 ADM Supervision indicate where 1 4 4
Contour drainage working dozer, digger drainage should be done
rolled over on the slope
Feb 2010
m
Project Manager

Reference
Feb 2010
Feb 2010
PT. Leighton Contractors Indonesia
Business Unit / Project : BU3/ID212/MSJ Coal Mine Project Risk Assessment Team
Date : 9-Nov-15 (Rev 01) Names Dept - Position Sign Off
Reference Number : C.11.COAL-Loading Team Leader : Subani Prod Manager
Facilitator : Y. Danie Fikalana HSE Supt
Process/Activity : Coal Loading Team Members : Budiyanto Mining Supt
Elia Ingan Mining Supt
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Contro
Hazard / Cause of Adverse Incident / Adverse Effect /
Risk
Effect / Environmental Aspect Environmental Impact
C.11.1 Driver Interaction with other unit DT collision with OB truck, 4 4 16 ADM Radio contact prior approach the LP, 1 4 4
DT maneuver into loading position impacted by moving dozer Eye contact with the digger opt (if
or working grader due to possible)
poor visibility or
congestion, DT roll over,
coal digger swing and hit
cabin
ADM Skill operator with appropriate

authorization
ADM Ensure LP flate and adequate for

maneuvering
ADM Make sure Supervisor already checked

floor of loading point to make sure truck
not bogged or problem around loading
point
C.11.2 Driver Rock fall onto driver cabin, Falling rock, bucket hit DT 4 4 16 ADM Position the digger at a suitable location 1 4 4
Digger loading coal into DT bucket swing into truck cabin, hit DT, digger rolled over
Unstable ground and fall onto DT
ADM Position the truck at a suitable location to

be loaded
ADM Maintain positive communication
ADM Simpered driver

ADM Digger lift and swing the backet high
enough to avoid contact with the cabin
ADM Do not over reach to prevent digger rolle

over / toppled
ADM Do not over load the bucket to prevent

rock fall and hit the cabin
C.11.3 Driver Interaction with other unit Reversed and impacted 4 4 16 ENG/ Maintain 10 meters distance with the 1 4 4
Coal DT queueing at loading point each other due to blind SEG other DT in the front
spot or narrow loading
point
ADM Always facing the digger or DT being

loaded if possible
ADM Maneuver clock wise to approach the

digger
ADM Each loading point must provide parking

area and separate between LV & Truck
to control colision between vehicle
ADM Maintain positive communication
k Assessment Team
Team Members : I Ketut Arta Mining Supt
: M Bismark HSE Officer
Approved By :
(PM/Delegated)
Legal and Other

Additional Controls Required By whom By When Status
Requirements Reference
PT. UNITEDA ARKATO

Business Unit / Project : UA-HSE-HO- BSI Gold Mine Project
Date : 10-Jan-17

Reference Number : C.9.PLANT-WSDaily
Facilitator : :

Workshop Daily Servicing
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
D.9.1 Mechanics Interaction with other Personnel impacted by 4 4 16 ADM Assign competent spotters to 1 4 4
Bring large equipment IN and OUT of service object and people moving equipment while guide the truck while in and out
bays being positioned the service bays
ADM Ensure area clear and clean from
spillage or parts on the floor
ADM Review risk assessment such as

Take 5 conducted in the
beginning of the shift
ADM Good housekeeping
ADM Clear communication between

spotter and driver.
ADM Use horn to warm bystanders

Clear area/service bay of all
workers
D.9.2 Mechanics Store energy, LOTO not Equipment energized 4 4 16 ADM Apply energy isolation (lock out 1 4 4
Servicing energized equipment / stored energy completed while being serviced due tag out)
to improper energy
isolation
ADM Competent mechanics only and
under full supervision
ADM Risk assessment prior isolate the

energy
ADM Full time supervision
Feb 2010
D.9.3 Mechanics Hydroulic pressure High pressure released 3 4 12 ADM Apply energy isolation (lock out 1 4 4
Servicing pressurized vessels due to improper energy tag out)
isolation

energy
D.9.4 Mechanics Hydroulic pressure High pressure released 3 4 12 ADM Ensure correct tools for the job 1 4 4
Servicing equipment using compressed air / due to improper energy
compressed gas cylinders isolation
ADM Authorized / competent
mechanics only
ADM Apply correct pressure
ADM Inspect tools prior used
D.9.5 Mechanics Hot work/flame Equipment catch on fire 3 4 12 ADM Hot Work Permit 1 4 4
Hot works on heavy equipment other than on it's
buckets or boom
ADM Competent persons only
ADM Inspect tools and equipment used
ENG/S Keep all flammable resources

EG away from naked flame
D.9.6 Mechanics Heavy part Dropped object, crushed 4 4 16 ADM Risk assessment (Take 5) 1 4 4
Engine remove and install by moving parts, sharp
objects
ADM Avoid pinch point
ADM Use correct tools for the job
ADM Inspect all tools before used
ADM Ensure floor clear and clean to

prevent trip and slip and fall
Feb 2010
am
Shidieq Setiawan Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : C.10.PLANT-Workshop Traffic Management
Facilitator : :

Workshop Traffic Management
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
C.10.1 People Interaction with other Run over by moving large 4 4 16 ADM Low gear prior entering the yard 1 4 4
Large equipment entering workshop yard object and people equipment, imapcting
each other
ADM Follow the direction or traffic

signs
ADM Ensure clear visibility
ADM Communicate thru two way radio
ADM Spotter needed prior entering

tight space and reversing
C.10.2 Wash bay crew Interaction with other Run over by moving large 3 4 12 ADM Engage low gear 1 4 4
Large equipment entering wash bay object and people equipment
ADM Spotter assigned
ADM Ensure wash bay clear of mud to

avoid skidded while entering bay
ADM Engage low gear
ADM Spotter assigned
Feb 2010
ADM Ensure wash bay clear of mud to
avoid skidded while entering bay
PPE Use visible PPE
ENG/S Handrails at washbay

EG
ADM No person to enter water sum
C.10.3 People Blind spot and interaction Tray impacting cabin while 4 4 16 ADM No reversing without assistance 1 4 4
Reversing large equipment / truck for parking with other object and reversing blind spot, of spotters
people people run over truck due
to congested space
ADM Blast 3x horn for reversing
ADM Ensure clear visibility before

move / reverse the truck
ADM No parking behind equipment at

wash bay
Feb 2010
am
Shidieq Setiawan Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : C.11.PLANT-ExcMaint
Facilitator : :

Excavator Maintenance
Approved By :
(PM/Delegated)
Risk Identified
People /
c.11.1 Mechanics, Unlevel ground and Crane tipped over, 4 4 16 ADM Set up crane on a stable ground 1 4 4
Bucket change Supervisor unstable ground overturned, collapsed,
ADM Review available risk assesement
Interaction with people Collision 4 4 16 ENG/S Clear lifting radius from un- 1 4 4
EG authorized personnel
Unstandart lifting gear Sling snapped, dropped 4 4 16 ADM Ensure all lifting gear and 1 4 4
load equipment inspected and color
coded correctly
Working at height Fall from height, Falling 4 4 16 ENG/S Fall protection for work at height 1 4 4
object EG or man basket
C.11.2 Mechanics, Hot work Arc welding injury, hot 4 4 16 PPE Welding personnal protective 1 4 4
Welding and Cutting Supervisor metals, fire and explosion equipment
of compressed gas cyl
ENG/S Keep combustible or flamable
EG away from the affected area
ADM Treat compressed gas cylinder

correctly
ADM Inspect all welsing and cutting

line before used
ADM Fit flash back arrestors at the

regulator
Feb 2010
C.11.3 Mechanics, Hyrdoulic pressure High pressure released 3 4 12 ENG/S Apply energy isolation (lock out 1 4 4
Hydraulic repair / stored energy Supervisor EG tag out)


energy
C.11.4 Mechanics, Uncontroled movement of load dropped, crushed by 4 4 16 ADM Set up crane on a stable ground 1 4 4
Hydraulic cylinders change Supervisor suspended load, mis moving objects
communication during
installation
ADM Review available risk assesement
ENG/S Clear lifting radius from un-

EG authorized personnel
ADM Ensure all lifting gear and

equipment inspected and color
coded correctly
ENG/S Fall protection for work at height
EG or man basket
EL/SUB No one under suspended load
ADM Assign one signalman to direct

the lifting equipment
C.11.5 Mechanics, Heavy parts Hit object and people 4 4 16 ADM Lift plan required for complex 1 4 4
Under carriage change Supervisor lifting
ADM Risk assessment reviewed or

create specific one for engine R&I
C.11.6 Mechanics, Heavy parts Hit object and people 3 4 12 ADM Lift plan required for complex 1 4 4
Engine remove and Install Supervisor lifting
ADM Risk assessment reviewed or

create specific one for engine R&I
Feb 2010
am
Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : C.12.PLANT-TyreMgt
Facilitator : :

Tyre Management
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
C.12.1 Tyreman Fatigue / defect material, Tyre burst 4 4 16 ENG/S Tyres should be inflated only in a 1 4 4
Inflate tyre over pressure. EG restraining device (e.g. tyre
cage), which will contain flying
parts should a blow off occur
ENG/S Inflate the tyre to the

EG manufactures recommended air
pressure
ENG/S Tyre pressure gauge calibration
EG
ENG/S Restraining area special for

EG heavy equipment.
ADM JSEA and SOP
ADM Tyre handling training for tyreman
ADM Tyre use management to control

the tyre life time, stock, etc.
BHV Any tyre undergoing an inflation

must never be left unattended
ADM Use inline gauge
ADM Use final gauge to check tyre

pressure
Feb 2010
BHV No person stand next to tyre
while inflating
BHV Set compressor at maks working

pressure, dont over inflated tyre
BHV Air pipes connected and not

tripping hazard
PPE Helmet, hand gloves, safety

glass, safety shoes.
C.12.2 Tyreman Equipment movement, Struck by moving 4 4 16 ENG/S Parking break is on, wheel chock 1 4 4
Stripping tyre improper tools used, equipment, hit by bead EG in place and put the padlock &
incompetent personnel, breaker, hit by hammer, danger tag on isolation point.
fatigue, wrong work flying objects, hearing
method used, Execive loss.
noise.
ENG/S Put the certified and correct size

EG stand underneath the equipment.
ENG/S Replace any component that may

EG be suspect to any abnormalities
ENG/S Use tyre handler to grab the tyre

EG
ENG/S Isolate the working area from

EG unauthorized people.
ADM SIMPER of Manitou Telehandler
ADM JSEA & SOP
ADM Prestart checklist of Manitou

telehandler
BHV Fit to work & fatigue management
BHV Remove or repair defect tools if

necessary. DO NOT use defect
tools.
BHV Supervision or spotter to control
Manitou movement.
Feb 2010
PPE Helmet, ear plug, hand gloves,
safety glass, safety shoes.
C.12.3 Tyreman, Opt Tyre Equipment movement, Struck by moving 4 4 16 ENG/S Parking break is on, wheel chock 1 4 4
Change tyre Handler improper tools used, equipment, falling tyre EG in place and put the padlock &
incompetent personnel, danger tag on isolation point.
fatigue, wrong work
method used. ENG/S Put the certified and correct size
EG stand underneath the equipment.
ENG/S Replace any component that may

EG be suspect to any abnormalities
ENG/S Use tyre handler to grab the tyre

EG
ENG/S Isolate the working area from

EG unauthorized people.
ADM SIMPER of Manitou Telehandler
ADM JSEA & SOP
ADM Prestart checklist of Manitou

telehandler
BHV Fit to work & fatigue management
BHV Remove or repair defect tools if

necessary. DO NOT use defect
tools.
BHV Supervision or spotter to control
Manitou movement.
PPE Helmet, hand gloves, safety

glass, safety shoes.
C.12.4 Tyreman Hot tyre Tyre burst 3 4 12 ENG/S Stop DT at safe place, stay away 1 4 4
Hot tyre inspection EG from any moving equipment.
PPE Visible PPE
ADM Tyre report
ADM Calibrated pressure gauge
ADM Pressure temperature check
ADM Monthly trad depth check
C.12.5 Tyreman, pedestrian Metal splinters, hit by hammer 4 3 12 ADM Use standart tool 1 3 3
Branding rim
ADM Identified line of fire and pinch

point
Feb 2010
C.12.6 Tyreman, truck crew Uncontroll movement Fall from height, crushed 4 4 16 ENG/S Use tyre handler to grab the tyre 1 4 4
Load/unload tyre from/to truck by falling tyre EG
ENG/S Use chock on the ground to

EG prevent tyre roll
Feb 2010
am
Project Manager

Reference
Feb 2010
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : C.13.PLANT-Electrical
Facilitator : :

Electrical Works
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
C.13.1 Electricians Working at height, electric Fall from height, 4 4 16 ADM Qualified electrician to perform 1 4 4 Nil
Replace bulb on lighting tower current electrocuted task
ADM Wroker already had training

working at heght training
ENG/S Using full fall protection / body

EG harness, complete with
suspension trauma self rescue
leg strap
ENG/S Conduct three contact point

EG
ADM Inspect ladder/ step before using
ADM Test for energy
ADM Only use approved multitesters

provide by company
ADM Select correct multiple tester for

task
ADM Fill working at height permit
ADM Do not carry a cell phone while

working at height
Feb 2010
C.13.2 Electricians Electrical shock Electrocuted 4 4 16 ADM Qualified electrician to perform 1 4 4 Nil
Power Genset termination task
ADM Competent person traineed
ENG/S Energy isolation

EG
ADM Test for energy
ADM Take 5
C.13.3 Electricians Electrical shock Electrocuted 4 4 16 ADM Isolate work area from unececary 1 4 4 Nil
Working on life electrical circuit people
ADM Standby person on isolation

point, in case of emergency,
stand by person shut down power
ADM Qualified electrician to perform
task
ENG/S Energy isolation (ELCB)

EG
ADM Test for energy
ADM Take 5
ADM Emergency eye wash station

available
ADM Provide low voltage rescue kit,

and standby person / observer
had electric rescue training or
equivalent
C.13.4 Electricians Electrical shock Electrocuted 4 4 16 ADM Qualified electrician to perform 1 4 4 Nil
Temporary electrical splicing task

EG
ADM Test for energy
Feb 2010
ADM Take 5
Feb 2010
am
Project Manager

Reference
Nil N/A N/A N/A
Feb 2010
Nil N/A N/A N/A
Nil N/A N/A N/A
Nil N/A N/A N/A
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : D.14 TRAFFIC-Design
Facilitator : :

Road Traffic Design
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
D.14.1 Road users Uncontrol intersection, Collision, hit safety berm, 4 5 20 PPE Install signs + minimum 100 1 5 5
Intersection design inadequate traffic signs rolled over meters away from intersection
posted, inadequate road
devider or island
ENG/S Build 10 meters road devider at
EG each section
ADM Main stream have right of way
ADM Install lighting pole to provide

adequate illumination during the
night
ENG/S Ensure intersection are square to
EG have maximum visibility
D.14.2 Road users Inadequate traffic signs Collision, hit safety berm, 4 5 20 ADM Install signs + minimum 100 1 5 5
T Junction design posted, inadequate road rolled over meters away from intersection
devider or island
ENG/S Build 10 meters road devider at
EG each section
ADM Provide adequate illumination

during the night
ENG/S Ensure T juctions are square to

EG have maximum visibility
Feb 2010
D.14.3 Road users Poor visibility (blind spot) Collision, hit safety berm, 4 5 20 ADM Install signs + minimum 100 1 5 5
Y Junction design (if necessary) rolled over meters away from intersection
ADM Provide adequate illumination

during the night
ENG/S Ensure Y juctions with minimum

EG 70 degree angle to have better
visibility
D.14.4 Road users Inappropriate traffic signs, Collision, hit safety berm, 4 4 16 ADM Standard traffic sign designed 1 4 4
Traffic signs not reflective, small size, rolled over
wrongly located
ADM Reflective
ADM Properly located as per risk

assesment
ADM Weather resistance
ADM Up dated
D.14.5 Road users Substandard windrow Collision, hit safety berm, 4 4 16 ENG/S Windrow built as per standard 1 4 4
Windrows / road devider design design, windrow height rolled over EG length, width along the edges,
road sides, certain location such
as fuel farms, parking area in the
pit and disposal
D.14.6 Road users Inappropriate Collision, rolled over 4 4 16 ADM Road leading to tipping head 1 4 4
Road design at the disposal identification of road delineated or identified by
leading to dump head windrow from grader blade
ADM Road designed from left to right
to ensure in and out of the trucks
safely
ADM Ensure clean from scattered
rocks or rock projection
D.14.7 Road users Poor risk assessment on Collision, hit safety berm, 4 4 16 ADM Speed limit max 40 km for pit and 1 4 4
Speed limit speed limitation rolled over disposal areas
ADM Speed limit max 50 km for

secondary roads / non pit roads
ADM Speed limit max 60 km for coal

haul road
D.14.8 Road users Narrow road access Collision 4 4 16 ENG/SE • Single lane roadways - 1.5 x 1 4 4
Roadway width vehicle operating width
• Double lane roadways - 3.5 x
vehicle operating width
Feb 2010
D.14.9 Road users High superelevation rate Rolled over 4 4 16 ENG/SESuperelevation rates of 2% - 5% 1 4 4
Superelevation
Feb 2010
am
Project Manager

Reference
Feb 2010
TG-H&S-PR-4141-M - TRAFFIC Core
Procedure R11
Feb 2010
TG-H&S-PR-4141-M - TRAFFIC Core
Procedure R11
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : E.15.ROAD-ConstRoad
Facilitator :

Constructing New Road
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls R
E.15.1 Operator, supervisor, Interaction with other unit Run over by truck, truck 4 4 16 ADM Identify road work location 1 4 4
Tip good material on the road spotter & people impacting each other while
maneuvered
ADM Assign spotters to control traffic
ENG/SE Tip the road material , spotter

G step away from tipping point
EL/SUB Tip location level and solid to

avoid roll over whilst tipping
Feb 2010
E.15.2 Operator, supervisor, Interaction with other unit Equipment impacting each 4 4 16 ADM Spotter assigned to control traffic 1 4 4
Dozing road material spotter & people other prior dozing road material
BHV Dozer operator to ensure no

scattered rock on the road
ADM Ensure edge or drop off location

baricaded
ADM park dozer at appropriate location

after finish
ADM Adequate illumination during

night time
ADM Place adequate traffic signs
E.15.3 Operator, supervisor, Interaction with other unit Grader maneuver and 4 3 12 ADM Ensure the overall road condition 1 3 3
Grade the road spotter & people impacting other vehicle is not dusty
ADM Communicate thru the 2 way

radio to all turcks on the route
being grade
ADM Max leght of the road being
graded is 100 meters
ADM Turns all lights on
ADM Adjust blade position

appropriately (especially RH side)
Operators dusty road, low visibility Collision 4 4 16 ENG/SE Water spray 1 4 4

G
ENG/SE Ensure all working and head

G lights on
ADM Traffic sign
ADM SIMPER
E.15.4 Operator, supervisor, Interaction with other unit Equipment impacting each 3 4 12 ADM Safety cone placed at both ends 1 4 4
Build windrow / road devider spotter & people other
ADM Do not swing to the direction of

the road
Feb 2010
ADM Spotter assigned to control traffic
(divert traffic or 2 lanes traffic)
ADM Ensure no rocks scattered on the

road
BHV Informed to all trucks at the area
Feb 2010
Team

Reference
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17 (Rev 03)

Reference Number : E.16.ROAD-Maintenance
Facilitator : :

Maintenance Roads
Approved By :
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
E.16.1 Operator, supervisor, Interaction with other Run over by moving heavy 4 4 16 ADM Graded ripping and grading down 1 4 4
Ripping and Grading spotter equipment equipment, Grader hill and when the condition permit
impacting trucks while (dry and dust properly controlled)
maneuvered
ADM Grade and Ripping short area,

not more than 100 meters
ADM Radio communication with all

trucks affected
Feb 2010
E.16.2 Operator, supervisor, Unlevel ground and Tipped over while tipping 4 4 16 ADM Inform to all trucks in the affected 1 4 4
Back filling pot holes spotter interaction with other the load area
equipment/people
Interaction with other Run over by moving heavy 4 4 16 ADM Spotter assigned to control the 1 4 4
equipment/people equipment, Trucks traffic
impacting each other due
to narrow road,
ADM Safety cones or bariccade to

identify holes being repaired
Operators dusty road, low visibility Collision 4 4 16 ENG/S Water spray 1 4 4

EG
ENG/S Ensure all working and head

EG lights on
ADM Traffic sign
ADM SIMPER
E.16.3 Operator, supervisor, Interaction with other Crushed by moving 4 4 16 ADM inform to all trucks in the affected 1 4 4
Drainage works spotter unit / people / structure equipment, impacted by area
bucket of excavator while
being swung
ADM Traffic signs, spotter assigned to
control the traffic
ADM Safety cones or bariccade to

identify area being worked
ADM Do not swing to direction of traffic

flow
ADM Ensure cross fall gradient as per

minimim standard
E.16.4 Operator, supervisor, Interaction with other Run over by moving heavy 4 4 16 ADM Inform to all vehicle in the 1 4 4
Build windrow / road devider spotter unit / people / structure equipment, Trucks affected area
impacting each other due
to narrow road, Tipped
over while tipping the load,
excavator swing into other
moving equipment nearby
ADM Spotter assigned to control traffic
Feb 2010
ADM Do not swing to direction of traffic
flow
ADM Place traffic signs
ADM Truck tip the load only on the

spotted area
Feb 2010
Team
Project Manager

Reference
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.17.GEN-Vehicle Interaction
Facilitator :

Vehicle Interaction
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.17.1 Driver and Blind spot Struck by heavy 4 5 20 ENG/S Separation lane between heavy 1 5 5
LV/Medium vehicle traveling in the pit passengers equipments EG equipments & Light/medium
vehicle tracks
ENG/S All LVs and Manhauls have

EG ROPS intalled.
ENG/S "T" intersections are constructed

EG in pit. Avoid "Y" intersectin.
ENG/S Haulroad width is constructed to

EG fit 3 times of the largest truck in
pit.
ADM Traffic sign erected

ADM Driver must has valid PIT
SIMPER
BHV Maintain safe distance with heavy

equipment
BHV Maintain two way radio

communication
Slippery road Collision with other 4 5 20 ENG/S Scrap the road using grader 1 5 5
vehicle, hit windrow, roll EG
over
ENG/S Vehicles must have 4x4 FWD
EG
ADM Prestart check

SIMPER
Feb 2010
Speeding Collision with other 4 5 20 ENG/S Standard Safety berm 1 5 5
vehicle, hit windrow, roll EG
over
SIMPER
ADM Speed Limit signs
ADM Traffic Management Training
Fatigue Collision with other 4 5 20 ENG/S Standard Safety berm on haul 1 5 5
vehicle, hit windrow, roll EG road
over
ENG/S All LVs and Manhauls have
EG ROPS intalled.
ADM Work roster (4 weeks on; 2 weeks

off)
ADM Fatigue Management Training
ADM Report to supervisor if fatigue and

STOP the vehicle immediately at
the safe location
F.17.2 Driver and Geting too close with Struck by heavy 4 5 20 ENG/S All LVs and Manhauls have 1 5 5
LV/Medium vehicle traveling at disposal / passengers heavy equipment equipment; Hit by falling EG ROPS intalled.
Loading area rocks
ENG/S Level and wide area constructed

EG
ENG/S Designated LV / Manhaul parking
EG area
ADM Supervisor standby on the area
BHV Maintain safe following distance

with another vehicle

SIMPER
ADM Traffic Management Training
BHV Maintain two way radio

communication
F.17.3 Driver and Uncontrolled intersection Collision with other 4 5 20 ENG/S Provide road divider on 1 5 5
Vehicle approaching intersections passengers vehicle, hit windrow, roll EG intersection
over
ENG/S "T" intersections are constructed

EG in pit. Avoid "Y" intersectin.
ADM Provide proper safety sign on

each intersection
ADM Ensure clear visibility and safe

before crossing
ADM Give way to trucks or working

equipment
Feb 2010
ADM Accelerate while crossing the
intersection
F.17.4 Trainee & Trainer Unskilled operator Collision with other 4 4 16 ENG/S All LVs and Manhauls have 1 4 4
Vehicle operated by Trainee vehicle, hit windrow, roll EG ROPS intalled.
over
ADM Don’t drive solo, trainer shall
accompany the trainee at all time
ADM Put mark "T" or "L" on vehicle

being used for training
ADM Avoid busy routes for learning

purposes
F.17.5 Driver or operator Uncontrolled low boy Collision with other 4 4 16 ENG/S Escort the low boy 1 4 4
Heavy haulage with low boy movement; blind spot. vehicle, impacting other EG
vehicle while maneuvering
ADM Maintain two way radio

communication
ADM Travel only through permanent

roads

SIMPER
ADM Head lights on

Driver or operator Low boy stall on the ramp Reversing into other 4 5 20 ENG/S Wheel chock and parking brake 1 5 5
vehicle, hit widrow, roll EG
over
SIMPER
ADM Pre start check completed by the
assigned driver / operator at the
ADM Make sure load doesn't exceed
the maximum load capacity
Low boy crew Broken / Loosen sling Sling snapped while 4 4 16 ENG/S Use correct sling and in good 1 4 4
securing the load and fall EG condition.
onto people, load fall while
crawling to the bed
ADM Inspect all sling by competent
person and make sure all the
sling have been tagged
ADM Only competent persons to rig up

the load
ADM Secure the load using inspected

sling, chain block and shakles
ADM Spotters assigned during up and

down the ramp
Feb 2010
ADM Clear away un-necessary
personnel from the area while
load and un-load
F.17.6 Driver and Uncontrolled unit/ vehicle Collision with other 3 3 9 ENG/S Vehicles must have 4x4 FWD 1 3 3
Service vehicle in pit passengers movement. vehicle, hit windrow, roll EG
over
ENG/S Road maintenance

EG
ADM Safety cones in front and behind
serviced vehicle.
ADM Pre start check completed by the
assigned driver / operator at the
ADM Routine service schedule
BHV Treat vehicle appropriately
BHV Report to supervisor / radio

room / dispatch / workshop if
items found broken
Driver and Overheat unit/ vehicle Unit on fire 3 3 9 ADM Pre-start check at the beginning 1 3 3
passengers of the shift shall cover spillage
potential on the hot parts of the
equipment
ADM Ensure engines do not over
heated by ensuring coolent
system properly
ADM Train driver on basic fire fighting
BHV No smoking in the cabin
ADM Ensure adequate fire protection in

the unit as well as ERT and water
canon
Feb 2010
t Team
: Mining Supt
: Project Manager

Reference
ID212-HSE-PLN-001 Project Traffic

Management Plan
IAM-ASP-PRO-024(02) Specification of
assets
IAM-OEU-PR.008(01) Simper System Policy
Feb 2010
Feb 2010
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.18.GEN-Parking
Facilitator :

Parking
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.18.1 Driver and Parking at the hauling Run over by moving truck, 4 5 20 ENG/S Provide fundamentally stable 1 4 4
Vehicle parking in the pit due to breakdown passengers road impacted by working dozer EG parking area
or grader
ADM Installed wheel chock
ADM Turn on the hazard lights
F.18.2 Driver and Close interaction with Run over by moving truck, 4 5 20 ENG/S Provide LV parking area, drive 1 5 4
LV/Medium vehicle parking at disposal / Loading passengers heavy equipment impacted by working dozer EG through parking fundamentaly
area or grader stable
ENG/S Parked up at safe place such as
EG near lighting plant or lighting
tower and bundwall as barricade
ADM Supervise on the disposal

communication if required to
approach trucks or support
equipment
Feb 2010
t Team
: Mining Supt
: Project Manager

Reference
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.19.GEN-EquipRecovery
Facilitator :

Equipment recovery and Towing
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.19.1 Rescue team, Rescue equipment fingers pinched 4 4 16 ENG All rigging equipment inspected 1 4 4
Install Sling supervisor failures, mis-
communication
ENG Use suitable equipment to
recover the rolled over equipment
BHV keep hand and fingers away from

pinch point

communication
ADM Competent person to rig up
F.19.2 4 4 16 ENG All rigging equipment inspected 1 4 4

Towing unit Rescue team, Collision with other vehicle
rescue equipment failur
supervisor, operators on the road
ENG Use suitable equipment to

recover the rolled over equipment
ENG Ensure brake function properly

communication
ADM Competent person to rig up
Feb 2010
4 4 16 ADM competent operator and has 1 4 4
Collision with other vehicle Simper
Operator incompetent
on the road
Spotters to control affected traffic
F.19.3 4 4 16 ADM Ensure sling or chain in good 1 4 4

Towing lighting plant or lighting tower condition
Tower collapsed while
Operator fall onto people / workers
being towed
ADM Attached the sling onto grader or

dozer rear hook/lifting lugs
ADM Drag the lighting tower or plant

slowly
ADM Ensure no one around the lighting

plant / tower being towed
ADM Spotter / radio communication

prior crossing the road or
intersections
F.19.4 Operator Lighting plant fell onto Serious injury 4 3 12 ADM Understand the instruction 1 3 3
Setting up lighting plant people manual and risk involve
ENG/S Set lighting plant on level ground

EG and protected by appropriate
windrow
ADM Competent persons
ADM Avoid pinch points
ADM Positive communication with

other people involve
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.20.GEN-NearWater
Facilitator :

Working near or over water
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.20.1 Dewatering crew Fall into pond and 4 4 16 PPE Life jacket shall be worn if 1 4 4
Working on sediment ponds Slippery drowning working inside of the bund wall
ENG/S Standard bund wall constructed

EG
ADM Clear warning signs posted on

the bund wall around the sed
pond
F.20.2 Pit service crew, excavator work area Fall into pond and 4 4 16 ENG/S Maintain exclusion zone for 1 4 4
Constructing sediment ponds supervisor restricted drowning EG excavator
ENG/S Water management to avoid

EG flooded while heavy rain
ADM competent operator and has

Simper
ADM Spotters to control traffic in and

out the pond.
F.20.2 Dewatering crew, Fall into deep river / lake 4 4 16 ADM Fill the water cart only from 1 4 4
Pumping water from river or lake water cart driver Slippery and drowning designated water filling point,
ENG/S construct the adequate bund

EG around the stand pipe,
ADM At least two people working at the

fill point,
PPE wear life jacket adjacent to the

water edge.
Feb 2010
H.31.3 Supervisor, survey Slippery Fall into the sea and 4 4 16 PPE Crew wearing life jacket. 1 4 4
Working at port or jetty crew, operators drowning
ADM Identify risk associated prior

commencing the task,
ADM Working only at the designated

working area,
ADM Full time supervision,
PPE Ring buoys avilable and equipped

with suitable leght of rope
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Business Unit / Project : UA-HSE-HO-BSI Gol Mine Project
Date : 10-Jan-17

Reference Number : F.21.GEN-Fueling
Facilitator :

Fueling at Fuel Farms
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.21.1 Fuel farm crew Blind spot Truck run over fuel farm 4 4 16 ENG/S Bund wall around the fuel 1 4 4
Trucks entering fuel farm crew EG tankAuthorized operator
ADM Speed limit 10km.
ADM Engage 1st gear.
ADM Spotter
Speeding Truck run over fuel farm ENG/S Speed limit 10km
crew EG

night time
ADM Follow sign posted
ADM Appropriate traffic management
F.21.2 Operator Blind spot Truck run over fuel farm 4 4 16 ADM Bund wall around the fuel tank 1 4 4
Truck exiting fuel farm crew
ADM Speed limit 10km.
ADM Engage 1st gear.
Feb 2010
ADM Spotter
Speeding Truck run over fuel farm ENG/S Speed limit 10km
crew EG

night time
ADM Follow sign posted (STOP)
ADM Appropriate traffic management
F.21.3 Fuel farm crew Tangki / hose fuel leaking Truck fire, run over, Oil 3 4 12 ADM Wheel chocked 1 4 4
Fuel transfer from tank to truck spilled into ground
BHV Operator get off the cabin
ADM Turn the engine off
ADM Apply LOTO prior truck walk

around inspection
ADM Inpection and Ensure no leak or

flame within the perimeter of the
fuel farm bay
F.21.4 Tyreman, operator Brake function Tyreman run over due tp 4 4 16 ADM Ensure brake function properly 1 4 4
Truck inspection while being fueling truck improperly braked, and using Wheel chocked
truck moving before
inspection completed
BHV Operator get off the cabin
ADM Turn the engine off
ADM Apply LOTO prior truck walk

around inspection
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.22.GEN-WAH
Facilitator :

Working at Height
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.22.1 People The workers not use body Fall from height 4 4 16 ADM Trained people only to work at 1 4 4
Working on scaffold or work platform harness height
Competent person only to erect
scaffold.
ADM Competent person only to erect
scaffold.
PPE Full body harnesses to be worn
F.22.2 People Ladders broken, ladders Fall from height 4 4 16 ADM Inspect ladders from cracks, 1 4 4
Descending / accending ladders non standart damaged
ADM Apply three points contact
ADM Ensure steps clean and free from

grease, oil
ADM Secure ladders, placed on level

and firm ground
F.22.3 People The workers not use body Fall from height, platform 4 4 16 PPE Full body harnesses 1 4 4
Suspended work platforms harness collapsed, crane
overturned
ADM Competent person only
ADM Fitness for work
ADM Platform inspected
Feb 2010
ADM Within rated capacity
Feb 2010
Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.23.GEN-Lifting
Facilitator :

Lifting and Rigging
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.23.1 Crane crew Miscommunication Load fall and crush 4 5 20 ADM Risk assessment completed prior 1 5 5
Lifting the load using more than one crane or between the operator and people, crane tipped over, lifting (JSEA, Lift Plan)
lifting the load with unknown weight or center of rigger crane collapsed due to
grafity improperly set up on well
compacted ground
ADM Competent riggers and signalman
ADM All lifting gears inspected and

certified
ADM Lifting Procedure
ADM ERP understood and prepared
ADM Work fully supervised
ADM Traffic management, barricade

the affected area
F.23.2 Crane crew Miscommunication Load fall and crush 4 5 20 ADM Risk assessment completed prior 1 5 5
Routine lifting using single crane / lifting between the operator and people, crane tipped over, lifting (Take 5, ref to JSEA)
equipment rigger crane collapsed due to
improperly set up on well
compacted ground
ADM Competent riggers and signalman
Feb 2010
ADM All lifting gears inspected and
certified
ADM Lifting Procedure
ADM Traffic management, barricade

the affected area
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.24.GEN-Hot Work
Facilitator :

Hot Work at Fuel Storage or Confined Space
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.24.1 Welding crew Flammable gas or liquid Explosion, 3rd degree 4 5 20 ENG/S Energy isolation, Clear the area 1 5 5
Hot work adjacent to fuel storage leaking, spark burns EG from combustible / flammable
materials.
ENG/S Fire extinguisher available nearby
EG
ENG/S Welding Screen

EG
ADM Isolation the work area with

barricade tape or hard barrier if
available.
ADM Hot work permit (hot work
procedure)
ADM Competent persons only
ADM Emergency Response Plan
PPE Correct welding PPE to be worn
F.24.2 Welding crew Flammable / combustable Explosion, 3rd degree 4 5 20 Eliminat Remove the flammable / 1 5 5
Hot work in a confined spaces materials, Ventilation burns, toxicated, ion combustable materials out from
deficient asphexiated confined space
Eliminat Wash the fuel/oil tank out with
ion water and dispensant if available
to remove the flammable material.
EG
Feb 2010
ENG/S Adequate Ventilation / Exhaust fan
EG
ENG/S Clear access in and out the space

EG
ENG/S Authorized gas tester to check the

EG air condition
ENG/S Fire extinguisher available nearby

EG
ENG/S Rotation time for working inside

EG confined space
ENG/S Low voltage hand tools

EG
ADM Emergency Response Plan
ADM Entry Permit and Competent

Person
ADM Full time supervisison
PPE Additional PPE such as full body

harnesses and gas mask to be
worn
Feb 2010
Team
: Project Manager

Reference
TCI-H&S-PR-067 Hot work permit
TCI-H&S-PR-067 Hot work permit
TCI-H&S-PR-058 Entry and work in

confined space
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.25.GEN-WasteDisposal
Facilitator :

Waste Disposal
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.25.1 Crane crew Overcapacity Crane tipped over, 4 4 16 ADM All lifting equipment inspected 1 4 4
Lifting steel scraps dropped objects, sling before used
snapped, slip, trip and fall,
serious cuts
ADM Rigging and lifting done by
competent persons
EL/SUB Never under suspended load
ADM Fully supervised
ADM Risk assesment prior lifting
ADM SIMPERED crane operator
ADM Hand glove to prevent sharp

object
ADM Manual lifting techniques
F.25.2 Corrosive, burn, toxic, 3 5 15 ADM Identify the the source of waste 1 5 5
Chemical hazardous waste disposal bacteria, inhalation,
Environmental crew Did not have a landfill ingestion, absorbtion
through the skin
ADM Folllow instruction from MSDS
Feb 2010
PPE PPE worn properly
ADM Ensure approved transporter
ADM Manual lifting techniques
ADM Transporter escorted
ADM Drive to condition
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Feb 2010
PT. UNITEDA ARKATO

Date : 10-Jan-17

Reference Number : F.26.GEN-Security
Facilitator :

Security
Approved By
(PM/Delegated)
Hirarchy Control
Hirarchy Control
Risk Identified
People /
F.26.1 Paassengers, Lost, entering restricted Vehicle roll over, new 4 4 16 ADM Complete pre start check 1 4 4
Personnel entering site driver,Visitor, areas personnel, wrong route
unauthorized
personnel
ADM Travel through assigned route

(haul road)
BHV Obey speed limit and drive to

condition
PPE Wear seat belt all the time, Do

not over capacity
ADM Authorized driver
ADM Non rotine driver shall be

escorted from the main gate
ADM Complete the induction and

clearence processes at the main
gate
ADM Escort required from the gate all
way to the destination
Feb 2010
t Team
: Project Manager

Reference
Feb 2010
Risk Evaluation
Legend
Likelihood Consequence Risk Factor Number (RFN)

1 : Rare 1 : Very Low 1-2: Negligible
2 : Unlikely 2 : Low 3-5: Minor
3 : Possible 3 : Moderate 6-9: Moderate
4 : Likely 4 : High 10-15: Major
5 : Almost certain 5 : Very High 16-25: Substantial
Hirarchy control
EL/SUB Elimination/Subtitution
ENG/SEG Engineering/Segregation
ADM Administration
BHV Behaviour
PPE Personal Protective Equipment
Residual Risk Number (RRN)
1-2: Negligible
3-5: Minor L1 Likelihood as is
6-9: Moderate L2 Likelihood with mitigating controls in place
10-15: Major C1 Consequence as is
16-25: Substantial C2 Consequence with mitigating controls in place
ing controls in place
igating controls in place

Class #1 Risk Register 2017

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Class #1 Risk Register 2017

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UNITEDA ARKATO CLASS #1 POTENTIAL RISKS REGISTER

A PIT B DISPOSAL C PLANT D TRAFFIC MANAGEMENT E ROAD WORK F GENERIC

23. Lifting and Rigging

24. Welding and Cutting

25. Hazardous Waste Disposal

RISK ASSESSMENT REPORT

Risk Assessment Team

Team Leader : Prod Manager Team Members :

Process/Activity : Team Members : Mining Supt

Mining Supt Approved By :

ADM Operator to check the tree & wind

ADM Operator must has been trained &

ADM Pre-Start Inspection on equipment

ADM Pre start meeting prior to

BHV All personnel never fighting back

Uncontrolled Document When Printed 7 of 142 LCI-HSE-FM-001A(02)

ADM Radio communication available for

ADM Fully supervised by an experience

PPE Always wear standard PPE, safety

PPE Wear appropriate PPE such safety

Uncontrolled Document When Printed 8 of 142 LCI-HSE-FM-001A(02)

ENG/S DO NOT use excavator teeth

ADM Competent rigger

PPE Always wear standard PPE, safety

ADM Only competent chainsaw crew may

ADM Do a pre-start check to components

ADM Deadman switch active and working

BHV Do not force chainsaw to cut deep

PPE Always wear standard PPE, safety

ADM Only trained / competent person

ADM No chainsaw activities when there is

ADM Carry out work prestart briefing.

Uncontrolled Document When Printed 9 of 142 LCI-HSE-FM-001A(02)

PPE Always wear standard PPE, safety

ENG/S Use funnel when refueling chainsaw

BHV DO NOT smoking when working

ADM First aid kits must be available all

PPE Always wear standard PPE, safety

Uncontrolled Document When Printed 10 of 142 LCI-HSE-FM-001A(02)

clearing to be KEPMEN 555.K/26/M.PE/1995 - Article

UA-SOP-402- Dozer Operation

UA-PRO-028(02) Equipment Pre Use

Uncontrolled Document When Printed 11 of 142 LCI-HSE-FM-001A(02)

Uncontrolled Document When Printed 12 of 142 LCI-HSE-FM-001A(02)

Uncontrolled Document When Printed 13 of 142 LCI-HSE-FM-001A(02)

UA-PRO-024(02) Specification of Assets

Uncontrolled Document When Printed 14 of 142 LCI-HSE-FM-001A(02)

RISK ASSESSMENT REPORT

Risk Assessment Team

Team Leader : Team Members

Process/Activity : Team Members :

BHV Maintain positive contact between

BHV Maintain safe working distance

PPE Mandatory PPE to be worn by

ENG/S Install land slide monitoring

ENG/S Adequate tower lamp available to

Uncontrolled Document When Printed 15 of 142 LCI-HSE-FM-001A(01)

ENG/S Safety berm to be constructed

ENG/S Provide designated parking area

ADM Competent operator and has

BHV Radio contact prior approach the

BHV Never reversing while queuing.

BHV Digger use horn to stop/warn DT