HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO

(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Crane dan Boom lift

membentur bangunan existing
Kerusakan properti
atau pagar seng ( hit existing 2 4 8 MODERATE NA
(Property Damage)
building or zinc fence because
of wrong control)

Pengaturan Telescopic
PENGATURAN POSISI
1 IF Formulation project NR N Crane and Boom Lift
CRANE DAN BOOM LIFT
di posisi
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Membentur orang yang berada

Pengaturan Telescopic di belakang crane atau boom
PENGATURAN POSISI
1 IF Formulation project NR N Crane and Boom Lift lift karena blind spot ( Hit Seious injury & Fatality 4 4 16 HIGH NA
CRANE DAN BOOM LIFT people who are behind are
di posisi
crane or boom lift because of
blind spot )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE

Pengaturan Telescopic Date reviewed : 03 Januari 2019
PENGATURAN POSISI
1 Unit of work : PEB
IF Building
Formulation project NR N Crane and Boom Lift Next reviewed : TBA
CRANE DAN BOOM LIFT
di posisi
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Cover Sewer Pecah saat Crane

masuk ke area saat melintasi
drainase ( Crane or Fuso car
Kerusakan properti
Mired drainage when it heavy 3 2 6 MODERATE NA
(Property damage )
rain suddenly . And boom crane
crashing into an existing
building )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Anggota tubuh Terjepit material

saat pemindahan material Luka parah atau fatality
4 3 12 HIGH NA
(Limbs pinched during material (Serious injury or fatality)
transfer )

PENGATURAN MATERIAL
PERSIAPAN ERECTION Telescopic Crane and
2. IF Formulation project NR N
(ERECTION PREPARATION Boom Lift
MATERIAL SETTINGS)
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

PENGATURAN MATERIAL
PERSIAPAN ERECTION Telescopic Crane and Anggota tubuh tersayat
2. IF Formulation project NR N material saat swing Luka sayat ( Cut ) 2 4 8 MODERATE A
(ERECTION PREPARATION Boom Lift
MATERIAL SETTINGS) ( Limbs cut while swing )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work MATERIAL
PENGATURAN : PEB Building Next reviewed : TBA
PERSIAPAN ERECTION Telescopic Crane and
2. Sub Unit
(ERECTION PREPARATION
: INSTALL
IF FormulationSTEEL
project STRUCTURE
NR N
Boom Lift
MATERIAL SETTINGS) Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Anggota tubuh terbentur

Material saat pemindahan Patah tulang atau
posisi material( Limbs bumped Fatality ( Fracture or 4 2 8 MODERATE A
in to the material when moving Fatality )
material position )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Orang tertimpa material

Fatality atau patah tulang
( People affected by material 4 3 12 HIGH NA
( Fatlity or Fracture )
because intermitten broken )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

membentur bangunan existing

( hit building existing or column
Properti damage 3 3 9 MODERATE NA
when swing because of wrong
control )

LIFTING MATERIAL
3. COLUMN AND Area IF formulation project NR N Telescopic Crane
INSTALLATION
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)
LIFTING MATERIAL
3.
1 COLUMN AND2 Area IF formulation
3 project NR
4 N5 6 Telescopic 7Crane 8 9 10 11 12 13 14
INSTALLATION

Jalan atau beton lantai kerja

rusak karena tidak mampu
menahan beban crane ( Road Property damage 2 2 4 LOW NA
or concrete floor work unable
whistand the load crane )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Orang terbentur material saat

lifting karena swing ( People to Luka robek atau fatality
3 4 12 HIGH A
hit material when lifting ( Abraded or Fatality )
because swing )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Crane terguling / Tumbang saat

loading. (Crane collapse /
Fatality and property
fallen down when loading 4 3 12 HIGH NA
damage
because radius boom crane
violating the load chart )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Rafter jatuh menimpa pekerja

karena seling putus
E ( Rafter fell on workers Fatality 4 3 12 HIGH NA
beacause of intermitten
interuption )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

terguling atau Tumbang

menimpa orang saat loading
dan swing karena menyalahi
Kerusakan properti
load chart ( collapse or fell 4 4 16 HIGH NA
( Properi Damage )
down when loading and swing
because breaking the load
chart )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

lantai beton remuk atau retak

tidak mampu menahan beban
crane ( a broken or cracked Property Damage 1 4 4 LOW NA
concrete floor is unable to
whistand a crane,s load )

LIFTING RAFTER AND Telescopic Crane and

4. IF Formulation project NR N
INSTALLATION Boom Lift
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2
LIFTING RAFTER AND 3 4 5 6 Telescopic 7Crane and 8 9 10 11 12 13 14
4. IF Formulation project NR N
INSTALLATION Boom Lift

Luka , Fatality and

Alat - alat kerja jatuh menimpa
property damage (a
orang ( Work tools fell on
wound , Fatality and 4 3 12 HIGH NA
people because of
property damage )
misplacement)
damage
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Cuaca buruk ( Bad weather)
tidak controlnya
operator , incident atau
accident ( no operator 4 4 16 HIGH NA
control , incident or
accident )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

salah posisi , orang

Komunikasi yang tidak sampai
terjepit , terangkat , Atau
karena kerusakan alat
membentur sesuatu yang
komunikasi radio
ada di sekitarnya ( wrong 3 4 12 HIGH NA
(Communication that did not
position , pinched people
arrive due to damage to radio
, lifted up , or hit
communication equipment )
something around it )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

terpleset karena licin

.Kerusakan lingkungan .
Terjadi kebocoran oli atau atau
Atau Kebakaran
minyak solar ( any leakage 3 3 9 MODERATE NA
( Sippery because slip .
lube oil and gasoline )
Environmental damage ,
and fire )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

anggota tubuh tersayat ruas

purlin karena swing ( limb Luka sayat ( Cut ) 1 4 4 LOW NA
sliced purlin due to swing )

LIFTING AND INSTALL Telescopic Crane and

5. IF Formulation project NR N
PURLIN Boom Lift
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2
LIFTING AND INSTALL 3 4 5 6 Telescopic 7Crane and 8 9 10 11 12 13 14
5. IF Formulation project NR N
PURLIN Boom Lift

merosot menimpa orang

karena salah pengikatan Luka atau fatality ( A
2 2 4 LOW A
( Degenarate on people wound or fatality )
because of wrong binding )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

anngota tubuh tertusuk cross

brace karena swing ( Cross Luka tusuk ( Stab
2 3 6 MODERATE A
Limb pierced limb due to wound )
swing )

Telescopic Crane and

6. Lifting Cross Bressing IF Formulation project NR N
Boom Lift
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 Telescopic 7Crane and 8 9 10 11 12 13 14

6. Lifting Cross Bressing IF Formulation project NR N
Boom Lift

Cross brace merosot menusuk

orang karena salah pengikatan Luka atau fatality ( A
4 2 8 MODERATE A
( Cross brace rub stab people wound or fatality )
because of wrong binding )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Material Jatuh ( Falling

Property damage 3 4 12 HIGH A
materials )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Terjatuh dari ketinggian

Fatality or fracture 3 4 12 HIGH A
( Fell from a height)
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Boom lift macet karena rusak

(The boom lift is stuck due to Emergency 3 3 9 MODERATE A
damage)

WORK AT HEIGHT Telescopic Crane and

IF Formulation project NR N
ELEVATION Boom Lift
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

WORK AT HEIGHT Telescopic Crane and Kejatuhan Material ( falling Luka atau fatality (A
6 IF Formulation project NR N 4 4 16 HIGH A
ELEVATION Boom Lift materials) wound or fatality )
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub
WORKUnit
AT HEIGHT :IFINSTALL
FormulationSTEEL
project STRUCTURE
NR N
Telescopic Crane and
ELEVATION Boom Lift
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Lemas . Hilang
konsentrasi , Ngantuk
Kelelahan (Fatigue) 3 4 12 HIGH A
( Limp, lost
concentration, sleepy
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

lemas . Pingsan ,
Pusing . Kelelahan
Dehidrasi (Dehydration) 3 4 12 HIGH A
(weakness, fainting,
dizziness, fatigue
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Pingsan ( Sinkop ) shut

Kondisi pekerja tidak fit down death .terjatuh
4 3 12 HIGH A
(Worker's condition is not fit) (Fainting (syncope) shut
down death. Fall)
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14

tangan tersayat material tajam

Luka ( a wound ) 1 4 4 LOW NA
( Hand Cut sharp material )

7. Houskeeping IF Formulation project NR N Manual

 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/ Impact Risk value
NR AN
E Equipment used Aspect Severity Likelihood Risk level A/NA
(Dampak resiko (S X L)
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14
7. Houskeeping IF Formulation project NR N Manual

Terandung material yang

berserakan ( tripping over keseleo ( Sprain ) 2 4 8 MODERATE A
scattered material )

Kondisi RN (Risk Number) = LxS

- R = Routine < 5 : Low
- NR = Non-Routine 5 - 9 : Moderate
- N = Normal 10 - 16 : High
- AN = Abnormal > 16 : Extreme Risk
- E = Emergency

Severity Likelihood
If Risk Rack RN > 9 (Over High) the control measures must be stated in the
1 - Insignificant 1 - Unlikely
GOP (Goals, Objectives and Programs HSE), and if necessary made JSEA.
2 - Minor 2 - Rarely
3 - Moderate 3 - Possible
4 - Major 4 - Probable
 HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CO
(HIRAD

Field : MEDAN PLANT CORTEVA AGRISCIENCE Date reviewed : 03 Januari 2019

Unit of work : PEB Building Next reviewed : TBA
Sub Unit : INSTALL STEEL STRUCTURE
Risk and Impact Assessment
Condition Hazard identification
Initial Risk Status

Activities Location Risk / Environmental

No Hazard sources/ Environment
(Tahapan pekerjaan) (Lokasi pekerjaan) R/ N/
E Equipment used Aspect If RiskImpact
Rack RN > 9 (Over High) the control
Severity measures Risk
Likelihood mustvalue
be stated in level
Risk the A/NA
NR AN (Dampak
GOP resiko
(Goals, (S X L) made JSEA.
Objectives and Programs HSE), and if necessary
(Bahaya pekerjaan)
bahaya)

1 2 3 4 5 6 7 8 9 10 11 12 13 14
5 - Catastropic 5 - Almost certain

Risk and Impact Assessment :

A = Acceptable =non - significant
NA = Not Acceptable = significant
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

UU No. 22 Tahun 2009 &
UU No. 1 Tahun 1997
Permenaker No. untuk sementara ( Move
Per.05/MEN/1985 PP.No. 50 the zinc fence to a safe
tahun 2012
Siagakan flagman untuk
memandu dan Pasang safety
Pindahkan pagar seng
cone pembatas aman saat
ke tempat yang aman
pengaturan posisi crane atau
boom lift ( standby flagman
Install safety cone limiting safe ,
place for a while )
when adjusting the position of
the crane or boom lift )
dengan semua pekerja
yang terlibat proses install
steel structure sebelum
mulai aktivitas . dan topic
sesuaikan dengan
pekerjaan yang akan di
lakukan dan pastikan Sediakan APD.
operator boom lift dan Sesuai aturan HSE Monitoring by SPV and
crane memiliki SIM dan Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
SIO.( Conduct tool box PPE accord rule of supervision )
meeting all workers which is HSE. Corteva.)
involved install steel
structure , before starts
activity and topic adjust to
the work to be done and
make sure the boom lift and
crane operators have SIM
and SIO )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

cara kerja aman
Hindarkan orang berkendara dengan semua
UU No. 22 Tahun 2009 & Siagakan flagman untuk Sediakan APD.
tersebut dari area pekerja yang terlibat
UU No. 1 Tahun 1997 memandu crane dan boom lift Sesuai aturan HSE Monitoring by SPV and
bahaya blind spot (keep sebelum mulai aktivitas
Permenaker No. setting posisi ( Standby flagman Corteva .( to provide 4 2 8 MODERATE HSE ( Do safe work
the person away from ( Conduct tool box meeting
Per.05/MEN/1985 PP.No. 50 to guide crane and boom lift PPE accord rule of supervision )
the danger area of the safe way of working of
tahun 2012 setting position ) HSE. Corteva.)
blind spot) driving with all workers
involved before starting the
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan safety briefing

dengan operator crane
sebelum masuk ke area
proyek . Pastikan operator
crane memahami isyarat
gerakan bendera dari
flagman untuk memandu
operator crane . Dan
operator crane pastikan
mematuhinya serta
UU No. 22 Tahun 2009 & Sediakan stell plate sebagai Sediakan APD.
pastikan mengikuti traffic
UU No. 1 Tahun 1997 alas dan akses untuk melintasi Sesuai aturan HSE Monitoring by SPV and
management plan ( Carry
Permenaker No. darinase. ( Provide a steel plate Corteva .( to provide 2 1 2 LOW HSE ( Do safe work
out a safety briefing with
Per.05/MEN/1985 PP.No. 50 as a base and access to cross PPE accord rule of supervision ))
the crane operator before
tahun 2012 the drainag HSE. Corteva.)
entering the project area.
Make sure the crane
operator understands the
flag movement gesture
from the flagman to guide
the crane operator. And
crane operators make sure
to obey them and make
sure to follow the traffic
management plan.)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan Toolbox meeting

Gunakan tag line untuk
cara kerja aman sebelum
mengendalikan swing agar
UU No. 22 Tahun 2009 & mulai aktivitas dan pastikan Sediakan APD.
tidak mengayun dan posisikan
UU No. 1 Tahun 1997 operator memiliki SIO. yang Sesuai aturan HSE Monitoring by SPV and
anggota tubuh aman dari
Permenaker No. berlaku (Conduct tool box Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
potensi bahaya ( use tag line
Per.05/MEN/1985 PP.No. 50 meeting how to work safely PPE accord rule of supervision )
for control swing so that not to
tahun 2012 before starting the activity . HSE. Corteva.)
swing and position the limbs
And make sure the operator
safe from potential danger )
has SIO. Of valid )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan Toolbox meeting

cara kerja aman sebelum
Hindarkan anggota
UU No. 22 Tahun 2009 & mulai aktivitas dan pastikan Sediakan APD.
tubuh dari potensi
UU No. 1 Tahun 1997 Lakukan training manual operator memiliki SIO. yang Sesuai aturan HSE Monitoring by SPV and
tersayat saat swing
Permenaker No. handling ( Conduct training berlaku (Conduct tool box Corteva .( to provide 1 2 2 LOW HSE ( Do safe work
(avoid limbs from
Per.05/MEN/1985 PP.No. 50 manual handling ) meeting how to work safely PPE accord rule of supervision )
potential cuts during the
tahun 2012 before starting the activity . HSE. Corteva.)
swing)
And make sure the operator
has SIO. Of valid )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan Toolbox meeting

siagakan rigger untuk cara kerja aman sebelum
UU No. 22 Tahun 2009 & Posisikan tubuh yang memandu dan gunakan tag line mulai aktivitas dan pastikan Sediakan APD.
UU No. 1 Tahun 1997 aman dari potensi untuk mengendalikan swing operator memiliki SIO. yang Sesuai aturan HSE Monitoring by SPV and
Permenaker No. terbentur ( Position the saat pemindahan material berlaku (Conduct tool box Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
Per.05/MEN/1985 PP.No. 50 body safe from potential ( standby for guide and use tag meeting how to work safely PPE accord rule of supervision )
tahun 2012 collision ) line for control swing when before starting the activity . HSE. Corteva.)
moving material ) And make sure the operator
has SIO. Of valid )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Pastikan hanya orang yang Lakukan Toolbox meeting

berkepintangan saja yang boleh cara kerja aman sebelum
Hindarkan orang yang
UU No. 22 Tahun 2009 & berada di area tersebut saat mulai aktivitas dan pastikan Sediakan APD.
berada di area bahaya
UU No. 1 Tahun 1997 proses persiapan operator memiliki SIO. yang Sesuai aturan HSE Monitoring by SPV and
untuk menjauh ke area
Permenaker No. pengangkatan material. berlaku (Conduct tool box Corteva .( to provide 1 1 1 LOW HSE ( Do safe work
yang aman ( Avoid
Per.05/MEN/1985 PP.No. 50 ( Make sure that only people meeting how to work safely PPE accord rule of supervision )
people who are away to
tahun 2012 with stints can be in the area before starting the activity . HSE. Corteva.)
safe areas )
during the preparation process And make sure the operator
for material removal has SIO. Of valid )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

sebelum melakukan
UU No. 22 Tahun 2009 & Sediakan APD.
aktivitas topic sesuaikan
UU No. 1 Tahun 1997 Ikuti petunjuk rigger fokus dan Sesuai aturan HSE Monitoring by SPV and
dengan pekerjaan yang
Permenaker No. pelan pelan ( Follow Instruction Corteva .( to provide 4 4 16 HIGH HSE ( Do safe work
akan dilakukan ( Conduct
Per.05/MEN/1985 PP.No. 50 rigger Focus and slowly) PPE accord rule of supervision )
of tool box meeting before
tahun 2012 HSE. Corteva.)
activity topic adjust to the
work to be done )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

sebelum melakukan
UU No. 22 Tahun 2009 & Pasang base plat untuk Sediakan APD.
aktivitas topic sesuaikan
UU No. 1 Tahun 1997 mengurangi nilai tekanan Sesuai aturan HSE Monitoring by SPV and
dengan pekerjaan yang
Permenaker No. crane( Install base plat for Corteva .( to provide 1 1 1 LOW HSE ( Do safe work
akan dilakukan ( Conduct
Per.05/MEN/1985 PP.No. 50 reduce value pressure the PPE accord rule of supervision )
of tool box meeting before
tahun 2012 crane ) HSE. Corteva.)
activity topic adjust to the
work to be done )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

Hindarkan orang yang
UU No. 22 Tahun 2009 & sebelum memulai aktifitas Sediakan APD.
berada di area bahaya Operator Ikuti petunjuk rigger ,
UU No. 1 Tahun 1997 pemasangan Struktur baja Sesuai aturan HSE Monitoring by SPV and
ke tempat yang aman fokus dan pelan - pelan
Permenaker No. ( Conduct a tool box Corteva .( to provide 2 1 2 LOW HSE ( Do safe work
( Avoid people in (Operator Follow instruction ,
Per.05/MEN/1985 PP.No. 50 meeting before starting the PPE accord rule of supervision )
the area of danger to a focus and slowly)
tahun 2012 install steel structure HSE. Corteva.)
safe place )
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Pastikan crane memiliki Memberikan penjelasan

sertifikat yang tepat dan sistem Ijin Kerja Untuk
diperiksa secara visual sebelum mengangkat (PTW), Untuk
dioperasikan, dasar crane pada memastikan pengaturan
platform solid, dukungan cadik pengangkatan tidak
sepenuhnya digunakan, dan melebihi derek Beban Kerja
UU No. 22 Tahun 2009 & Sediakan APD.
lisensi pengoperasian crane Aman (SWL), dan
UU No. 1 Tahun 1997 Sesuai aturan HSE Monitoring by SPV and
(SIO untuk operator dan SIA Melakukan Boks Alat Bicara
Permenaker No. Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
untuk peralatan(Ensure crane sebelum mengangkat
Per.05/MEN/1985 PP.No. 50 PPE accord rule of supervision )
has proper certificate and (To introduce lifting Permit
tahun 2012 HSE. Corteva.)
visually inspected before being To Work (PTW) system, To
operated, crane base at solid ensure lifting arrangement
platform, outrigger support is not exceeding crane Safe
fully used, and crane operating Working Load (SWL), and
license (SIO for operator and Conduct Tool Box Talk prior
SIA for equipment) on lifting)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

tentang cara kerja aman
UU No. 22 Tahun 2009 & Sediakan APD.
Hindarkan pekerja dari Pasang barricade area Install struktur baja
UU No. 1 Tahun 1997 Sesuai aturan HSE Monitoring by SPV and
area bahaya ( Keep clearance dan pasang safety sebelum memulai aktivitas
Permenaker No. Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
workers away from sign ( Install barricade ( Conduct a tool box
Per.05/MEN/1985 PP.No. 50 PPE accord rule of supervision )
hazard ) clearance area and safety ) meeting about to work
tahun 2012 HSE. Corteva.)
safely install steel structure
before the activity starts )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

tentang cara kerja aman
install struktur baja sebelum
radius boom crane Pastikan radius loading dan memulai aktivitas dan
UU No. 22 Tahun 2009 & Sediakan APD. Meminta pada opeartor
pastikan sesuai dengan swing dalam radius aman pastikan operator memiliki
UU No. 1 Tahun 1997 Sesuai aturan HSE crane untuk mematuhi
load chart ( Radius boom sesuai load chart ( Make sure SIO. Yang Valid ( Conduct
Permenaker No. Corteva .( to provide 4 2 8 MODERATE loard chart . ( Ask the
crane make sure the loading and swing radius is a tool box meeting about to
Per.05/MEN/1985 PP.No. 50 PPE accord rule of crane operator to comply
according to the load within the safe according to the work safely install steel
tahun 2012 HSE. Corteva.) with the load chart )
chart ) load chart ) structure before the activity
starts and make sure
opeartor a have SIO. valid
)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

Pasang bantalan balok kayu tentang cara kerja aman
UU No. 22 Tahun 2009 & Sediakan APD. pastikan semua out
untuk semua outrigger untuk install struktur baja
UU No. 1 Tahun 1997 Sesuai aturan HSE rigger di pasang bantalan
mengurangi nilai tekanan crane sebelum memulai aktivitas
Permenaker No. Corteva .( to provide 1 2 2 LOW balok kayu ( make sure
( Install wooden block bearings ( Conduct a tool box
Per.05/MEN/1985 PP.No. 50 PPE accord rule of all outrigger install
on all outriggers for reduce meeting about to work
tahun 2012 HSE. Corteva.) wooden boom bearings )
value pressure the crane ) safely install steel structure
before the activity starts )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

tentang install material
UU No. 22 Tahun 2009 & Pastikan penempatan alat - alat Sediakan APD.
Hindarkan orang yang struktur baja yang aman
UU No. 1 Tahun 1997 kerja aman dan tidak Sesuai aturan HSE Monitoring by SPV and
berada di bawah area sebelum memualai aktivitas
Permenaker No. berpotensi jatuh ( Make sure Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
kerja ( Avoid people ( Conduct tool box meeting
Per.05/MEN/1985 PP.No. 50 placement tools safe and no PPE accord rule of supervision )
under the work area ) about install material steel
tahun 2012 potential to fall ) HSE. Corteva.)
structure a safe before to
starts activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

UU No. 22 Tahun 2009 & Sediakan APD.

UU No. 1 Tahun 1997 Sesuai aturan HSE Monitoring by SPV and
Cek prakiraan cuaca ,(Check stop aktivitas unloading
Permenaker No. Corteva .( to provide 1 2 2 LOW HSE ( Do safe work
weather for case) ( stop activity unloading)
Per.05/MEN/1985 PP.No. 50 PPE accord rule of supervision )
tahun 2012 HSE. Corteva.)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Stop Aktivitas install steel

ganti alat komunikasi radio test alat komunikasi radio struktur baja untuk
UU No. 22 Tahun 2009 & Sediakan APD.
dengan yang berfungsi sebelum aktivitas install struktur sementara sampai radio
UU No. 1 Tahun 1997 Sesuai aturan HSE Monitoring by SPV and
atau normal ( replace the baja di mulai ( test radio selesai di perbaiki ( Stop
Permenaker No. Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
radio communication communication tool . Before the Installation of steel
Per.05/MEN/1985 PP.No. 50 PPE accord rule of supervision )
device with a working or install steel structure activity structure activity for a while
tahun 2012 HSE. Corteva.)
normal one ) starts ) until the radio finish
repaired )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Bersihkan bocoran oli

atau solar dengan lap
Lakukan tool box meeting
kering masukan kedalam
tentang install material
UU No. 22 Tahun 2009 & ember dan dan dibuang Sediakan APD.
limbah B3 masukan ke dalam struktur baja yang aman
UU No. 1 Tahun 1997 ke tempat khusus limbah Sesuai aturan HSE Monitoring by SPV and
drum khusus ( Waste sebelum memualai aktivitas
Permenaker No. B3 ( Clean oil or diesel Corteva .( to provide 2 1 2 LOW HSE ( Do safe work
Hazardous and toxic materials ( Conduct tool box meeting
Per.05/MEN/1985 PP.No. 50 leaks with a dry cloth PPE accord rule of supervision )
put into special drum ) about install material steel
tahun 2012 .Put into a bucket to be HSE. Corteva.)
structure a safe before to
disposed of in aspecial
starts activity )
place Hazardous and
toxic material waste)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

UU No. 22 Tahun 2009 & Sediakan APD. Lakukan pengawasan dan
Gunakan tag line untuk cara kerja aman sebelum
UU No. 1 Tahun 1997 Sesuai aturan HSE Pastikan semua aktivitas
mengendalikan swing agar memulai aktivitas ( Conduct
Permenaker No. Corteva .( to provide 2 2 4 LOW aman ( Conduct
aman ( Use tag line for control tool box meeting how to
Per.05/MEN/1985 PP.No. 50 PPE accord rule of Supervision and Make
swing so that safe ) work safely before starts
tahun 2012 HSE. Corteva.) sure all activity safe )
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan toolbox meeting Pastikan area bahaya

UU No. 22 Tahun 2009 & sebelum aktivitas tentang Sediakan APD. aman dari orang dan
Pengikatan harus dilakukan
UU No. 1 Tahun 1997 kerja aman pengaturan Sesuai aturan HSE pastikan pengikatan aman
oleh rigger yang bersertifikat
Permenaker No. outrigger crane ( Conduct a Corteva .( to provide 1 2 2 LOW ( Make sure the danger
( Binding must be done by a
Per.05/MEN/1985 PP.No. 50 toolbox meeting before the PPE accord rule of area is safe from people
certified rigger )
tahun 2012 activity about safe work HSE. Corteva.) and make sure the binding
setting outrigger cranes) is safe )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

UU No. 22 Tahun 2009 & Sediakan APD.
Hindarkan orang yang Gunakan tag line untuk cara kerja aman sebelum Sediakan 1 orang untuk
UU No. 1 Tahun 1997 Sesuai aturan HSE
berada di bawah area mengendalikan swing agar memulai aktivitas ( Conduct mengendalikan swing
Permenaker No. Corteva .( to provide 2 2 4 LOW
kerja ( Avoid people aman ( Use tag line for control tool box meeting how to ( Provide one persone for
Per.05/MEN/1985 PP.No. 50 PPE accord rule of
under the work area ) swing so that safe ) work safely before starts control swing )
tahun 2012 HSE. Corteva.)
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

UU No. 22 Tahun 2009 & Sediakan APD. Pastikan tidak ada orang
Pengikatan harus dilakukan cara kerja aman sebelum
UU No. 1 Tahun 1997 Sesuai aturan HSE yang berada di area
oleh rigger yang bersertifikat memulai aktivitas ( Conduct
Permenaker No. Corteva .( to provide 1 1 1 LOW bahaya ( Make sure no
( Binding must be done by a tool box meeting how to
Per.05/MEN/1985 PP.No. 50 PPE accord rule of one is in the area of
certified rigger ) work safely before starts
tahun 2012 HSE. Corteva.) danger )
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting Sediakan APD.

UU No. 1 Tahun 1997 PP.No.
Sediakan Riger dan signal man cara kerja aman sebelum Sesuai aturan HSE
50 tahun 2012 & Permenaker Monitoring by SPV and
dalam proses installasi (Provide memulai aktivitas ( Conduct Corteva .
5 / 1996 tentang SMK3 2 1 2 LOW HSE ( Do safe work
Rigger and signalman in the tool box meeting how to ( to provide PPE
Permenaker No. Per. supervision )
installation process ) work safely before starts accord rule of HSE.
05/MEN/1985
activity ) Corteva.)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Pastikan life line terpasang

Lakukan tool box meeting
UU No. 1 Tahun 1997 PP.No. dilengkapi dengan rope grab Sediakan APD.
cara kerja aman sebelum
50 tahun 2012 & Permenaker (bila diperlukan). Akses naik Sesuai aturan HSE Monitoring by SPV and
memulai aktivitas ( Conduct
5 / 1996 tentang SMK3 menggunakan boom lift (Make Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
tool box meeting how to
Permenaker No. Per. sure the installed life line is PPE accord rule of supervision )
work safely before starts
05/MEN/1985 equipped with a rope grab (if HSE. Corteva.)
activity )
needed).
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

UU No. 1 Tahun 1997 PP.No. Pasang tangga darurat Sediakan APD.
cara kerja aman sebelum
50 tahun 2012 & Permenaker emergency ladder dan life line Sesuai aturan HSE Monitoring by SPV and
memulai aktivitas ( Conduct
5 / 1996 tentang SMK3 dilengkapi rope grab (Install Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
tool box meeting how to
Permenaker No. Per. emergency ladder and life line PPE accord rule of supervision )
work safely before starts
05/MEN/1985 with rope grab) HSE. Corteva.)
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Pastikan tidak ada orang

berada di bawah area Lakukan tool box meeting
UU No. 1 Tahun 1997 PP.No. Sediakan APD.
kerja saat dilakukan Ikat , tempatkan material yang cara kerja aman sebelum
50 tahun 2012 & Permenaker Sesuai aturan HSE Monitoring by SPV and
pekerjaan di ketinggian aman atau pasang stopper (Tie, memulai aktivitas ( Conduct
5 / 1996 tentang SMK3 Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
(Make sure no one is place the material safely or tool box meeting how to
Permenaker No. Per. PPE accord rule of supervision )
under the work area attach the stopper) work safely before starts
05/MEN/1985 HSE. Corteva.)
when work is carried out activity )
at height )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan tool box meeting

Istirahatkan pekerja atau Sediakan APD.
cara kerja aman sebelum
UU No. 1 Tahun 1997 PP.No. bergantian dengan yang lain Sesuai aturan HSE Monitoring by SPV and
memulai aktivitas ( Conduct
50 tahun 2012 & Permenaker beri air minum (Rest workers or Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
tool box meeting how to
5 / 1996 tentang SMK3 take turns with others to drink PPE accord rule of supervision )
work safely before starts
water HSE. Corteva.)
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Pastikan pekerja disediakan air

minum secukupnya pada braket
agar pekerja tidak turun naik
UU No. 1 Tahun 1997 PP.No.
(Make sure workers are
50 tahun 2012 & Permenaker
provided with enough drinking
5 / 1996 tentang SMK3
water in the bracket so that
workers do not fluctuate when
working at height
Lakukan tool box meeting
Sediakan APD.
cara kerja aman sebelum
Sesuai aturan HSE Monitoring by SPV and
memulai aktivitas ( Conduct
Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
tool box meeting how to
PPE accord rule of supervision )
work safely before starts
HSE. Corteva.)
activity )
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Lakukan pengecekan tanda

tanda vital, cek tekanan darah,
Lakukan tool box meeting
UU No. 1 Tahun 1997 PP.No. serta pastikan pekerjaan sudah Sediakan APD.
cara kerja aman sebelum
50 tahun 2012 & Permenaker sarapan saat akan mulai Sesuai aturan HSE Monitoring by SPV and
memulai aktivitas ( Conduct
5 / 1996 tentang SMK3 bekerja diketinggian Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
tool box meeting how to
Permenaker No. Per. (Do check vital signs, check PPE accord rule of supervision )
work safely before starts
05/MEN/1985 blood tension, and make sure HSE. Corteva.)
activity )
the work has breakfast when it
will start working at the height)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

UU No. 1 Tahun 1997 PP.No. Sediakan APD.

Pastikan posisi anggota tubuh Lakukan toolbox meeting
50 tahun 2012 & Permenaker Sesuai aturan HSE Monitoring by SPV and
pekerja saat di atas aman saat sebelum aktivitas ( Conduct
5 / 1996 tentang SMK3 Corteva .( to provide 2 2 4 LOW HSE ( Do safe work
melakukan instalasi ( Conduct a toolbox meeting before
Permenaker No. Per. PPE accord rule of supervision )
training manual handling ) the activity )
05/MEN/1985 HSE. Corteva.)
ND DETERMINING CONTROL OF SAFETY & HEALTH RISK AND ENVIRONMENT ASPECT IMPACT
(HIRADC & EAIS)

Document Number : 003-GWK -19

Revision : 00
Effective Date : 03 JANUARI 2020
Risk and Impact Assessment
DETERMINATION OF RISK and IMPACT CONTROL
Residual Risk

MONITORING & REVIEW

Elimination RISK CONTROL
Reduksi (LOTO, Signage, Administration and Risk value
HSE Legal and requirements (Engineering control Substitution PPE Severity Likelihood Risk level
barricade, etc) Others Control (SXL)
etc)

15 16 17 18 19 20 21 22 23 24 27

Material yang membuat

orang tersandung Sediakan APD.
Lakukan toolbox meeting
UU No. 1 Tahun 1997 PP.No. pindahkan ke tempat Sesuai aturan HSE Monitoring by SPV and
sebelum aktivitas ( Conduct
50 tahun 2012 UU No.32 tahun yang aman ( Material Corteva .( to provide 1 1 1 LOW HSE ( Do safe work
a toolbox meeting before
2009 that makes people trip PPE accord rule of supervision )
the activity )
over move to a safe HSE. Corteva.)
place)

Prepared By, Checked By, Approved By,

Safety Officer Subcontractor HSE Officer / Ahli K3 PM / HSE Manager

 RISK MATRIX

LIKELIHOOD (L)/ INCREASING PROBABILITY

Ranking 1 2 3 4 5
Unlikely/ Almost certain/
People Rarely/ Remote Possible/ Rare Probable
Improbable Frequent
Rare event of Small like hood of An incident/defect work It tends to be an Incident/defect work
incident/defect work at incident/defect work at may occur at the incident/defect work at always occurred at the
Risk
Environment the workplace of the the workplace of the workplace of the the workplace of the workplace of the
Ranking construction activities construction activities construction activities construction activities construction activities
Safety Health (Eg incident occurred at (Eg; incident to (Eg, 1 case per 3 years (Eg, >1 case per a (Eg, >1 case per a
most 1 case in 10years) occurred 1 case in 5 until 1 case per a year) year) year in the same
years) project)

Contained on site gas

1 Slight First Aid 1/Low 2/Low 3/Low 4/Low 5/Moderate
emission below threshold
SEVERITY (S):

Spills < 50 Liters or gas

Medical
emission below threshold
2 Minor Treatment 2/Low 4/Low 6/Moderate 8/Moderate 10/High
and Impact can be
Case
remediated < 2 Days
Spills 50 liters to 100 Liters
Loss Time or gas emission above
3 Localised 3/Low 6/Moderate 9/Moderate 12/High 15/High
Injury threshold and impact can
be remediated in 3 days
Spills 100 Liters to 200
Liters or gas emission
above threshold and
4 Major Single Fatality 4/Low 8/Moderate 12/High 16/High 20/Extreme
impact can be remediated
within 1 week (significant
impact)
Spills > 200 Liters or gas
emission above threshold
Multiple
5 Catastopic and impact can be 5/Moderate 10/High 15/High 20/Extreme 25/Extreme
Fatalities
remediated > 1 week
(significant impact)
 Risk
Risk Level Corrective Action
Level
CAN NOT BE ACCEPTED. (STOP) Work should not be done until the level of risk reduced. If the risk is
Extreme > 16
probably reduced even with unlimited resources, work stopped and don'ts
Control measures can be done the work to be done to reduce the level of risk. Leadership involvement is
High Risk 10 - 16
needed to control it.
Medium Risk, Acceptrable if ALARP, Additional controls should be done to reduce the level of risk. Additional
Moderate
5-9 controls should be applied within a specific time period. ALARP should be evaluated, as Risk is Acceptable if
Risk
ALARP Demonstrated trought the use of cost effective risk reduction measures
Low risk acceptable, No additional control is needed. Required monitoring to ensure controls are maintained
Low Risk <5
and executed there. Manage to continous improvement