JOB SAFETY ANALYSIS

(RISK ASSESSMENT)

Area to be Access and/or Equipment Tag No. (KKS No.) : CCH-CNVR-800B (E3 Conveyor)

Work to be Done : Insert belt E3 conveyor with hot splicing

LOW √ HIGH : Underwater Work Confined Space Excavation √ Hot Work

Risk Category Job :
Refer to Paiton Instruction : PI-05-03-01 Complex Lifting Work Working at High On Line Low & High Voltage
Work Order No. : 1602191002 Priority No. 1 PAS Application No.
Work Period Date & Time Start Date & Time Finish
Applicant

Signature
:
(Work Parties)
Indah Budiar p Bagus J
RIC FA Supervisor HSE Section
Date : 19 February 2016 Time : 13.00

Ref. PI-05-03-01-F01 Page 1

Ref. PI-05-03-01-F01 Page 2
 Work sequence Hazards
A. Work Preparation/ Persiapan Kerja
1. Inspect the existing belt, idler, scrapper and overall of E3 Dust during visual check
conveyor on conveyor
2. Prepare new belt BW 60” (C-C100m) with specification Ergonomic-manual
NN800/4Px5mmx2.0mm. transport and positioning under lifting/handling tools and
bend pulley area (100 meter) scaffolding (belt, lifting
Prepare platen for hot splicing at machine shop. Transport tools and splicing tools)
to E3 conveyor area
Prepare lifting tools, hot splicing kit & all hand tools as
required to do belt replacement work
Marking the dust tray and cutting the dust tray Pitched point during
handling scaffold and
material (belt, lifting
tools and splicing tools)
Sun exposure
outdoor heat cram/rash
Sharp object cut from
(belt, lifting tools and
splicing tools)
Dust/coal dust from coal
pile
B. Work Process/ Proses Kerja
3. Install lifting tools (Chain block 5 ton) at counterweight Ergonomic-manual
and lifting the counterweight (4 meter) lifting/handling tools and
scaffolding (pipe, wrench,
clamp, etc)
Sun exposure
outdoor heat cram/rash
Sharp object cut from
lifting tools
Dust/coal dust from coal
pile
Ergonomic-static
postures
Ref. PI-05-03-01-F01
Risk Control Measures
Respiratory Use dust mask (PPE-N95)
Eyes irritation Use safety glasses (PPE)
back pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Team handling when move scaffold material & positive
communication during manual lifting
Proper body position during handling loading pipe,
clamp, timber, wrench, etc
Ensure good communication during handling
Hand injury Use hand gloves and take care during material
mobilization (work party awareness)
Positive communication between each personnel during
handling
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Hand pinched injury Use hand gloves and take care during material
mobilization (work party awareness)
Wear proper cloth (long sleeve)
Respiratory Use dust mask (PPE-N95)
Eyes irritation Use safety glasses (PPE)
back pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Team lifting counterweight
Ensure good communication during handling
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Hand pinched injury Use hand gloves and take care during material
mobilization (work party awareness)
Wear proper cloth (long sleeve)
respiratory Use dust mask (PPE-N95)
Muscle pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Page 3
 Work sequence Hazards Risk Control Measures
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
Change weather rain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
stop the work during the rain (light rain)
4. Dismantle scrapper, rubber skirt, and any skirt board Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
(carrying roller and belt work, work procedure and JSA
conveyor) Isolation for breaker motor
Use hand gloves and take care during dismantle material
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
Height elevation area
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
5. Reposition ripped off belt, Cutting existing belt at tail Rotating equipment Serious injury Briefing for ergonomic concern and stretching before
pulley, joint the existing belt at carrying with the new belt (carrying roller and belt work, work procedure and JSA
with mechanical joint belt (Supers crew or flexco) conveyor) Isolation for breaker motor
Loosen clamp belt, attract existing belt, insert the new belt Use hand gloves and take care during dismantle material
up the roll out
Ergonomic-static Muscle pain Briefing for ergonomic concern and stretching before
postures work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Pitched point (belt, lifting Hand injury Use hand gloves and take care during material
tools and splicing tools) mobilization (work party awareness)
Positive communication between each personnel during
handling
Sun exposure Dehydration caused Work party rotation
outdoor heat cram/rash Provide adequate drinking water and electrolyte
Wear proper cloth

Ref. PI-05-03-01-F01 Page 4

 Work sequence Hazards
Sharp object cut from
(belt, lifting tools and
splicing tools)
Potential gravitation
Handling using handling
tools
6. Dismantle some carrying roller (4set) to make space for Rotating equipment
belt splicing table. Clamp belt (2 set) at position as needed (carrying roller and belt
conveyor)
Sun exposure
outdoor heat cram/rash
Ergonomic-static
postures
7. Install clamp belt, positioning roll new belt and pull with Rotating equipment
tripod so wear both ends of the new belt met. (carrying roller and belt
Centring belt 2 meters length at both side and overlap and conveyor)
step splice the lower part of the new belt.
Ergonomic-static
postures
Sun exposure
outdoor heat cram/rash
Potential gravitation
Handling using handling
tools
Mechanical hazard from
8. Joint of splice (install platen and vulcanizing the splice). rotating equipment
Cleaning with solvent and STL RF
electricity have
flammable
dust for grinding the belt
Noise
Ref. PI-05-03-01-F01
Risk Control Measures
Hand pinched injury Use hand gloves and take care during material
mobilization (work party awareness)
Wear proper cloth (long sleeve)
falling Install barricade
falling Install barricade
Handling tools must be good and have tagging
Operator must be certified
Lifting to SWL
Serious injury Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Isolation for breaker motor
Use hand gloves and take care during dismantle material
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Muscle pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Serious injury Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Isolation for breaker motor
Use hand gloves and take care during dismantle material
Muscle pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
falling Install barricade
falling Install barricade
Handling tools must be good and have tagging
Lifting to SWL
Hand injury used the PPE (cotton gloves)
isolation breaker for conveyor motor
PPE (leather gloves, faceshield, dusk mask)
Fire
tagging for electricity tools and good condition
reduction and remove the coal spillage with manual
respiratory
cleaning or service water
Hear loss PPE (ear plugh)
Page 5
 Work sequence Hazards
flammable on A, B and C
type
spark for grinding belt
chemical hazard
Ergonomic hazard
9. Finishing new belt joint, protecting belt joint surface Mechanical hazard from
sharpening surface
dust for grinding the belt
and super screw
flammable on A and C
type
spark for grinding belt
10. Remove splicing table, belt clamp, lifting tools & other Mechanical hazard from
material sharpening surface
Handling using handling
tools
11. Reinstall carrying idler set, reinstall & adjust scrapper as Rotating equipment
required, reinstall & adjust rubber skirt (carrying roller and belt
conveyor)
Sun exposure
outdoor heat cram/rash
Ergonomic-static
postures
Serious injury due to
Height elevation area
12. Release counterweight (4 meter) Ergonomic-manual
lifting/handling tools and
scaffolding (pipe, wrench,
clamp, etc)
Ref. PI-05-03-01-F01
Risk Control Measures
tagging on electricity tools
fire
fire watcher, APAR, and fire blanket
skin irritation PPE ( faceshield and leather gloves)
Refers to MSDS
skin irritation
PPE (rubber gloves)
respiratory PPE (dust mask-N95)
Back pain Briefing for ergonomic concern and stretching
Lifting on SWL
Hand injury PPE (cotton gloves)
isolation breaker for conveyor motor
reduction and remove the coal spillage with manual
respiratory
cleaning or service water
tagging on electricity tools
Fire
fire watcher, APAR
skin irritation PPE ( faceshield and leather gloves)
Hand injury used the PPE (cotton gloves)
isolation breaker for conveyor motor
Falling Install barricade
Handling tools must be good and have tagging
Operator must be certified
Lifting to SWL
Serious injury Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Isolation for breaker motor
Use hand gloves and take care during dismantle material
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Muscle pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Use body harness and check it by authorize person prior
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
back pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Team lifting counterweight
Ensure good communication during handling
Page 6
 Work sequence Hazards
Sun exposure
outdoor heat cram/rash
Sharp object cut from
lifting tools
Dust/coal dust from coal
pile
Ergonomic-static
postures
Height elevation area
Change weather
C. Work Completion/ Demob/ Penyelesaian
13. Running test and House keeping and mobilization Ergonomic-manual
tools/material to Machine shop and Supra Container lifting/handling tools and
scaffolding (belt, lifting
tools and splicing tools)
Pitched point during
handling scaffold and
material (belt, lifting
tools and splicing tools)
Sun exposure
outdoor heat cram/rash
Sharp object cut from
(belt, lifting tools and
splicing tools)
Dust/coal dust from coal
pile
Ref. PI-05-03-01-F01
Risk Control Measures
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Hand pinched injury Use hand gloves and take care during material
mobilization (work party awareness)
Wear proper cloth (long sleeve)
respiratory Use dust mask (PPE-N95)
Muscle pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Proper body position during dismantle
Ensure good communication during dismantle
Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Serious injury due to Use body harness and check it by authorize person prior
falls from height out work
Not phobia working at high
Install barricade under the dismantle area
rain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
stop the work during the rain (light rain)
back pain Briefing for ergonomic concern and stretching before
work, work procedure and JSA
Team handling when move scaffold material & positive
communication during manual lifting
Proper body position during handling loading pipe,
clamp, timber, wrench, etc
Ensure good communication during handling
Hand injury Use hand gloves and take care during material
mobilization (work party awareness)
Positive communication between each personnel during
handling
Dehydration caused Work party rotation
Provide adequate drinking water and electrolyte
Wear proper cloth
Hand pinched injury Use hand gloves and take care during material
mobilization (work party awareness)
Wear proper cloth (long sleeve)
Respiratory Use dust mask (PPE-N95)
Eyes irritation Use safety glasses (PPE)
Page 7
 Additional Control Measures (please specify : state the other measures such as special work procedures, special emergency procedures etc) :
1. Isolation point at:
CCH-CNVR-800B (M) VARIABLE RACKED OUT AND LOCKED
2. Keep Communicate with CHCB OIS Operator
3. For prepare haven’t isolation
4. Install barricade for replacement belt process

The following test are required to assess the atmospheric conditions in the nominated space :
TEST REQUIRED
TEST FOR Permissible Exposure Limit (PEL)
YES NO
Ammonia Less than 25 ppm √
Carbon Dioxide Less than 5000 ppm √
Carbon Monoxide Less than 25 ppm √
Chlorine Less than 0.5 ppm √
Hydrogen Sulfide Less than 10 ppm √
Oxygen Greater than 19.5% & Less than 23.5% √
Ozone Less than 0.1 ppm √
Sulphur Dioxide Less than 2 ppm √
Hydrogen LEL = 4% & UEL = 75.6% √
LEL Less than/ ≤ 4% √
Note :
1. Reference (OSHA PEL – 2013)
2. For clarification on the test required to be carried out refer PI-05-03-02 (Testing of Confined Space)

Ref. PI-05-03-01-F01 Page 8