Page 1 of 2

TABEL IDENTIFIKASI BAHAYA, PENILAIAN RESIKO & PENGENDALIAN RESIKO NO:.......

ORGANISASI
HAZARD IDENTIFICATION , RISK ASSESSMENT & RISK CONTROL (HIRARC) TABEL Date :

Unit / Departemen : Disiapkan : Tim Implementasi SMK3

Area : Diperiksa : TN

Criteria Risk Control

Legal Requirement
Before contact In contact situation Post Contact - after
No. Activity/Proses/Mesin Hazard Impact / Risk Prevention Correction accident,

Consequent
Frequency

Significant
(Kegiatan/Proses/Mesin) (Bahaya) (Dampak/Risiko) (Pencegahan Awal) (Perbaikan) emergency situation

SCORE
(Setelah terjadi )
 Page 2 of 2

TABEL IDENTIFIKASI BAHAYA, PENILAIAN RESIKO & PENGENDALIAN RESIKO NO:.......

ORGANISASI
HAZARD IDENTIFICATION , RISK ASSESSMENT & RISK CONTROL (HIRARC) TABEL Date :

Unit / Departemen : Disiapkan : Tim Implementasi SMK3

Area : Diperiksa : TN

Criteria Risk Control

Legal Requirement
Before contact In contact situation Post Contact - after
No. Activity/Proses/Mesin Hazard Impact / Risk Prevention Correction accident,

Consequent
Frequency

Significant
(Kegiatan/Proses/Mesin) (Bahaya) (Dampak/Risiko) (Pencegahan Awal) (Perbaikan) emergency situation

SCORE
(Setelah terjadi )