JOB SAFETY ANALYSIS
VESSEL /WORK-SITE                           DATE                       TIME                                                 RESPONSIBLE PERSON/ COMPANY                                                           JSA NO.
BARGE KCN 7/ TUJ - PLTU
                                                                                                  NAME:       LIN YUN FAT / PT. KAI                                     SIGN:
          JOB/TASK BEING ASSESSED                                                    TABLE 1 – RISK RATING                                                                              TABLE 2 – RISK CLASSIFICATION
                                                                                                                                        Highly
                                                    SEVERITY                         LIKELIHOOD     Un-likely             Likely                               RISK RATING                                    RESULT
                                                                                                                                        Likely
        LOADING CRANE
         ONSHORE AND                                      NO Injury/Damage/Pollution                      L                  L            M                L         LOW        Acceptable to commence task, but control measures may be needed.
          OFFSHORE                                      MINOR Injury/Damage/Pollution                     L                  M            H               M        MEDIUM       Task should only proceed once control measures are implemented.
                                                                                                                                                                                Do not proceed. Task must be redefined, further control measures
                                                        MAJOR Injury/Damage/Pollution                  M                     H            H               H         HIGH
                                                                                                                                                                                must be implemented to further reduce risk.
              WEATHER (If weather criteria is out of working limits, exercise SWA)                                                               ATTACHED CHECKLISTS/PROCEDURES (Circle either Yes of No)
       Sea State:                                      Direction:                                                     500m Zone:      Yes / No                                   Pre-Lift:   Yes / No                         PTW:    Yes / No
    Wind Force:                                        Direction:                                                   Toolbox Talk:     Yes / No                     Pre-Arrival/Departure:    Yes / No                   Bunkering:    Yes / No
       Visibility:                                          Rain:                                               Hand Protection:      Yes / No                           Fitness for Duty:   Yes / No                   Procedure:    Yes / No
                                                                                                                                                                                                                                           RISK
STEP                          DESCRIPTION                             HAZARD ID.                              HAZARD DESCRIPTION                                                CONTROL MEASURES (MITIGATION)
                                                                                                                                                                                                                                          RATING
1        Prepare                                                    Mechanical          - Hand injury by engine movement.                                       - Follow Hand Safety checklist, TIF, Proper PPE                              L
          - machinery                                               Electrical          - Electric chock from generator.                                        - Post the Hazard sign at area, Proper PPE
         - equipment                                                pressure            - Pressure from oil pipe line leak.                                     - Follow PMS for check equipment.
                                                                    chemical            - Chemical from during charge battery                                   - Proper PPE
                                                                    Sound
                                                                                        - Noise sound from engine.                                              - Proper PPE, wear ear plug.
                                                                    Motion              - Head crash with pipe during walking in                                - Proper PPE, wear bump cap.
                                                                                        engine room.
                                                                    Gravity             - Toll equipment fall hit foot.                                         - TIF, Proper PPE.
                                                                    Temp.               - Hot temperature in engine room.                                       - Check ventilation system are in good condition,
                                                                                                                                                                Follow PMS.
                                                                                                                                                                - SWA to exercise in danger
                                                                                                                                                                                                                                       1
                                                                                                                                                                       RISK
STEP                   DESCRIPTION      HAZARD I.D.                   HAZARD DESCRIPTION                                   CONTROL MEASURES (MITIGATION)
                                                                                                                                                                      RATING
2      During Approaching              Mechanical     - Engine failure.                                     - Monitoring all engine are in good condition by engine      L
                                       Electrical     - Generator & Bow thuster failure.                    watch, follow PMS from check equipment.
                                       Temp.          - Hot temp. from sun light.                           - Wear proper PPE and equipment for protection sun
                                       chemical       - Smoke from engine.                                  light.
                                       Radiation      - Sun light.                                          - Wear mask.
                                       Sound          - Noise sound from engine.                            - Wear complete cover all.
                                       Motion         - Ship rolling due to swell.                          - Proper PPE, wear ear plug.
                                                                                                            - Follow 500 m. zone checklist, check weather
                                                                                                            report, TIF.
                                                                                                            - SWA to exercise in danger or risk.
3      During load – discharge cargo   Mechanical     - Engine failure.                                     - Monitoring all engine are in good condition by engine       L
                                       Electrical     - Generator & Bow thruster failure.                   watch, follow PMS from check equipment.
                                                      - Electrical cable connection containers spark        - Completely checked/observed electrical cable
                                                      or ground if loading onboard                          connection between food containers and electrical
                                                                                                            receptacle station before switch on/off
                                                      - Pressure from oil pipe line leak.                   - Always check and maintain temperature
                                                      - Hot temp. from sun light.                           - Always exercise SWA if unsafe conditions
                                       pressure       - Smoke from engine.                                  - Follow PMS for checking equipment.
                                       Temp.          - Sun light.                                          - Wear proper PPE and equipment for protection sun
                                       chemical       - Noise sound from engine.                            light.
                                       Radiation      - Cargo fall to crews on deck.                        - Wear mask.
                                       Sound          - Cargo hit crews.                                    - Wear complete cover all.
                                       Gravity        - Tagline entangled deck crew.                        - Proper PPE, wear ear plug.
                                       Motion         - Tagline swing hit crews.                            - Do not stand in line of fire.
                                                      - Tagline poor condition broken during pulling then   - Follow JSA ,
                                                      slip.                                                 -, check tagline condition
                                                                                                            - SWA to exercise in danger or risk.
                                                                                                                                                                      2
4   Securing of Cargo and Leave station            Mechanical   - Engine failure.                                      - Monitoring all engine are in good condition by engine          L
                                                   Electrical   - Generator failure.                                   watch, follow PMS from check equipment.
                                                   pressure     - Pressure from oil pipe line leak.                    - Follow PMS for check equipment.
                                                   Temp.        - Hot temp. from sun light.                            - Wear proper PPE and equipment for protection sun
                                                   chemical     - Smoke from engine.                                   light.
                                                   Radiation    - Sun light.                                           - Wear mask.
                                                   Sound        - Noise sound from engine.                             - Wear complete cover all.
                                                   Gravity      - Lashing gear fall to crews.                          - Proper PPE, wear ear plug.
                                                   Motion       - Ship rolling due to swell.                           - Follow Hand off, checklist, TIF, Proper   PPE
                                                                                                                       - SWA to exercise in danger or risk.
5   During Approach Jetty TUJ /facility            Mechanical   - - Engine failure. maybe crash with LQ, Platform or   - Monitoring all engine are in good condition by engine          L
                                                   Electrical   Jetty                                                  watch, follow PMS from check equipment.
                                                                - Electric shock or generator shutdown                 - Wear proper PPE and equipment for protection sun light.
                                                   Temp.                                                               - Wear mask.
                                                   chemical     - Hot temp. from engine.                               - Wear complete cover all.
                                                   Radiation    - Smoke from engine.                                   - Proper PPE, wear ear plug.
                                                   Sound        - Radiation from the sun.(UV)                          - Follow 500 m. zone checklist, check weather report, TIF.
                                                   Motion       - Noise sound from engine running.                     - SWA to exercise in danger or risk.
                                                   Gravity      - Ship rolling ,Body movement
                                                                - Falling down
6   During mooring operation (made fast and cast   Mechanical   - Engine failure. maybe crash with LQ, Platform or     - Monitoring all engine are in good condition by engine          L
    off)                                           Electrical   Jetty                                                  watch, follow PMS from check equipment.
                                                   pressure     - Electric shock or generator shutdown                 - Follow PMS for check equipment.
                                                   Temp.        - Pressure from oil pipe line leak.                    - Wear proper PPE and equipment for protection sun light.
                                                   chemical     - Hot temp. from sun light.                            - Wear mask.
                                                   Radiation    - Smoke from engine.                                   - Wear complete cover all.
                                                   Sound        - Radiation from the sun.(UV)                          - Proper PPE, wear ear plug.
                                                   Gravity      - Noise sound from engine running.                     - Keep an eye while walk on deck and work area.
                                                   Motion       - Fall down on deck.                                   - Follow JSA ,
                                                                - Ship rolling ,Body movement Cargo hit crews.         - Follow PMS , check tagline condition
                                                                - Tagline entangled deck crew.
                                                                - Tagline swing hit crews.                             - SWA to exercise in danger or risk.
                                                                - Tagline poor condition broken during pulling then
                                                                slip.
                                                                                                                                                                                    3
    7       Securing all lines and leave station                  Mechanical      - Engine failure. maybe crash with LQ, Platform or          - Monitoring all engine are in good condition by engine            L
                                                                  Electrical      Jetty                                                       watch, follow PMS from check equipment.
                                                                  pressure        - Electric shock or generator shutdown                      - Follow PMS for check equipment.
                                                                  Temp.           - Pressure from oil pipe line leak.                         - Wear proper PPE and equipment for protection sun light.
                                                                  chemical        - Hot temp. from sun light.                                 - Wear mask.
                                                                  Radiation       - Smoke from engine.                                        - Wear complete cover all.
                                                                  Sound           - Radiation from the sun.(UV)                               - Proper PPE, wear ear plug.
                                                                  Gravity         - Noise sound from engine running.                          - Follow Hand off, checklist, TIF, Proper PPE
                                                                  Motion          - Lashing gear fall to crews. Slip &trip                    - Check weather report, TIF
                                                                                  - Ship rolling ,Body movement,pinchpoint                    - SWA to exercise in danger or risk.
                                              If any conditions change during the task, all staffs are responsible for calling a time out and allowing a re-assessment to be made.
                         All staff involved in the JSA process should sign below, stating that they have participated in the process and agree to the risks identified & control measures required.
No.                        NAME                            RANK                        SIGN                    No.                        NAME                             RANK                       SIGN
                                                                                                                      ABDULLAH                                        WINCH
1       LIN YUN FAT                                     REP. PT. KAI                                            7
                                                                                                                                                                      OPERATOR
                                                                                                                      RONISIUS K.                                     WINCH
2       PIPIT                                           REP. PT. KAI                                            8
                                                                                                                                                                      OPERATOR
                                                          MASTER                                                      ALBERSON S.                                     WINCH
3       CAPT. KAMSUL                                                                                            9
                                                           KCN7                                                                                                       OPERATOR
                                                          CRANE                                                       SASTENIS L.                                     WINCH
4       K.ARIYANTO                                                                                              10
                                                          OPRTR                                                                                                       OPERATOR
                                                          CRANE
5       IMRAN YAHYA                                                                                             11
                                                         OPERATOR
                                                          WINCH
6       SARMAN                                                                                                  12
                                                          OPRTR
                                                                                                       JSA reviewed
                                                                                                                                                        Signature
                                                                                                                       JSA closeout
                                                                                                                                                        Name
                                                                                                                                                        Position