PT.

Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Service equipment in workshop

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 Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Service equipment in workshop Operator, Interaction with people Fatality, Permanent 3 4 12 ADM 1. Speed limit 1 4 4 ADM Traffic management plan
Mechanic disability, Long term
absence due to treatment
ADM 2. Completed checklist ADM Road / speed signs
EL/SUB 3. Wear safety belt ADM SIMPER

EL/SUB 4. Clear vision from cab

ADM 5. Eye on path

ADM 6. No distraction while driving

Spotting equipment into workshop Spotter, Blind spot and than Fatality, Permanent 3 4 12 ADM 1. Spotter be visible for operation 1 4 4
Operator, Collision / interaction with disability, Long term
Mechanic people absence due to treatment
ENG/SEG 2. Clear bay of tools

ADM 3. Sufficient space to part

ADM 4. Good communication between
spotter / operator
ADM 5. Sufficient lighting at night time
BHV 6. Don't climb onto equipment while
in motion
Lock out & tag Mechanic, Unauthorized start Fatality, Permanent 3 4 12 ADM 1. Multiple lock out & tag 1 4 4
Supervisor disability, Long term
absence due to treatment

ADM 2. JSEA communicated with all

EL/SUB 3. Place stop block behind wheels

Uncontrolled Document When Printed 1 of 8 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Service equipment in workshop

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified 12 4
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

EL/SUB 4. Ensure all components are

lowered or supported
BHV 5. Realize all start energy

Uncontrolled Document When Printed 2 of 8 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Service equipment in workshop

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 Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Service equipment Mechanic, Hot parts and liquids Permanent disability, Long 2 2 4 ADM 1. Only are OEM parts / oil / coolent 2 2 4
Supervisor term absence due to
treatment
EL/SUB 2. Use drip trap to drain liquid
(Exct / coolant)
EL/SUB 3. Allow components to cool off
before working
EL/SUB 4. Release pleasure in cooling
system before working
EL/SUB 5. Release hyd presure before
removing any components
PPE 6. Use PPE
EL/SUB 7. Use ladder if required to work an
efficient level
ADM 8. Inspect all tools / hand tools or
equipment before use
BHV 9. Good communication and
planning between works to ensure
all task are done safety
ADM 10. Good house keeping
BHV 11. Keep walk areas around
equipment clear of clean up oil / any
tripping hazard
EL/SUB 12. Use three contact point when
embark / disembark
ADM 13. Ensure all gourds / covers in
place
EL/SUB 14. All levels are toped up as
required

Uncontrolled Document When Printed 3 of 8 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team

Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Service equipment in workshop

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 Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

BHV 15. All tools, components taken

away and safe place
BHV 16. All persons are clear from
equipment and at safe area
Filling up oil levels in units Mechanic, Drive over worker Permanent disability, Long 2 3 6 EL/SUB 1. Use spotter / stand in front of 1 3 3
Supervisor term absence due to equipment
treatment
ADM 2. Good communication between
operator of equipment and workers
ADM 3. Spotter be visible when giving
instruction to operator
4. Workers ensure to work in team
and good communication
5. Tighter all plug / check for oil
leaks
Driving equipment out of workshop Mechanic, Collision or interaction Fatality, Permanent 3 4 12 ADM 1. Use spotter 1 4 4
Supervisor between equipment & disability, Long term
people absence due to treatment
ADM 2. Clear area prior to reverse

BHV 3. Good communication between

spotter & operator
ADM 4. Use rooter ro worn people /
reverse rooter
EL/SUB 5. Drive slowly and use mirrors

ADM 6. Ensure a clear vision from cab

Uncontrolled Document When Printed 4 of 8 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

plan

Uncontrolled Document When Printed 5 of 8 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 6 of 8 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 7 of 8 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

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

Feb 2010