SITE SAFETY PLAN /

JOB SAFETY ANALYSIS

This Site Safety Plan / Job Safety Analysis shall be accomplished as a pre-requisite to the approval of the Work Permit. A copy of this
shall be made available in the worksite. It shall be discussed by the workgroup lead (e.g. Foreman, Construction, Specialist, Contract
` Monitoring, Engineers, Specialist or the Frontline Supervisor) prior to the start of work.

PT.Nur Safety ARC WELDING

Work Group: Work Reference:
(Primary Group Performing Work) (WR, WO, SO, AFE)
Site Organization:(List all personnel working on Site)

: Farikha Nur Azzahroh Bowo,.S.E,.

Crew Lead Asst. Crew Lead :
Crew Member : Zefri indra permana Sandi Ibrohim
Aqil Peradana Prabovo Bernadya
Ilham good Joekowie Nadin Amizah
Aziz trisakti Giebran Baskara Putra
Yogas Pratama Asnawie Beonce

Emergency Response:(List the emergency contact persons and contact numbers)

Name Contact Number
Medical Emergency : KSR UNWIR 911
PT.Nur Safety Emergency Response : Azzahroh +62 878-1117-2067
Safety Officer : Farikha Nur Azzahroh +62 878-1117-2067

Safe Briefing Area:Identify a safe area for be used as a safe briefing area during an emergency)
TBD

Job Safety Analysis:(List all the hazards identified in the implementation of the work. Additional sheets should be attached as necessary. This should be
discussed with all crew members prior to start of work. The hazards should be listed accordingly to their classification starting with High (H) Risk).

Item Hazard Responsible

Activity/Issues/What if… Hazard Mitigation
No. Class Person

Survey Topography
1 `Set-up Work Piece on Fixture Strain/sprain Tinggi Use mechanical hoist or get assistance from Surveyor,
Siapkan Benda Kerja Pada Ketegangan/Keseleo co-worker to set-up or adjust work piece Supervisor
Perlengkapan Gunakan kerekan mekanis atau mintalah
bantuan rekan kerja untuk menyiapkan atau
Attach the electrode rod to the
menyetel benda kerja
welding pliers
Pasang batang elektroda ke tang Physical injury. Tinggi Use complete personal protective equipment
las. Cedera Fisik to reduce the risk and avoid injury
Menggunakan Alat Pelindung Diri secara
Lengkap Untuk Mengurangi resiko Dan
Terhindar Cedera
Tripping hazard Tinggi Wear recommended footwear.
Bahaya Tersandung Kenakan alas kaki yang direkomendasikan.
Falling hazard.
2 Bahaya Jatuh Tinggi Clean/clear work area/surfaces of unused
1) Electric shock Sedang tools/materials.
Sengatan listrik Membersihkan/membersihkan area
2) Burn kerja/permukaan dari alat/bahan yang tidak
terpakai. Surveyor,
Terbakar Supervisor
Ensure arc welding machine power to arc
is electrically de-energize when changing
electrical rod.
Pastikan daya mesin las busur ke busur
dimatikan secara elektrik saat mengganti
batang listrik.
Using gloves is recommended for welding
to avoid electric shock and burns
menggunakan sarung tangan di
rekomendasikan untuk las agar tidak
tersengat listrik dan terbakar

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3 Energize and set Arc Welding Electric shock Tinggi Ensure welding machine is Surveyor,
Machine amperage/current Sengatan listrik properlygrounded. Supervisor
Berikan energi dan atur arus Pastikan mesin las di Pasang dengan
listrik/arus Mesin Las Busur benar
Welder should be insulated from live
electrical parts and dry.
Tukang las harus diisolasi dari bagian
listrik beraliran listrik dan harus kering.

Burn Tinggi Inspect and replace the cables

Terbakar Periksa dan ganti kabel

Damage Sedang plugs and leads that show any signs of

Kerusakan defects.
colokan dan kabel yang menunjukkan
tanda-tanda cacat harus di ganti.
Refer to instructor/teacher or
instructions for correct
amperage/current.
Rujuk ke instruktur/guru atau instruksi
untuk arus listrik/arus yang benar.

4 Weld work piece Eye injury. Tinggi Wear welding helmet with proper grade of Supervisor &
Benda kerja las Cedera mata. filter plate. Field
Kenakan helm las dengan pelat filter yang
sesuai
Coordinator
Ensure flash curtains/barriers are used to
protect bystanders
Pastikan tirai/penghalang kilat digunakan
untuk melindungi orang yang berada di sekitar

Burns Tinggi Wear recommended protective clothing

Terbakar Kenakan pakaian pelindung yang
direkomendasikan
Ensure any exposed skin is covered during
the welding process
Pastikan kulit yang terbuka tertutup selama
proses pengelasa
Do not wear metal jewelry and clothing with
cuffs
Jangan memakai perhiasan logam dan
pakaian dengan manset
Jaga jarak aman dari busur
Stay a safe distance away from arc

Inhalation Sedang Use local exhaust ventilation and a fan to

Penghirupan maintain good air circulation
Gunakan ventilasi pembuangan lokal dan
kipas angin untuk menjaga sirkulasi udara
yang baik

Asphyxiation. Sedang Use local exhaust ventilation and a fan to

Sesak napas. maintain good air circulation
Gunakan ventilasi pembuangan lokal dan
kipas angin untuk menjaga sirkulasi udara
yang baik

Electrical shock hazard Tinggi Do not weld when wet

Bahaya sengatan listrik Jangan mengelas dalam keadaan basah
Welder should be insulated from live
electrical parts and dry
Tukang las harus diisolasi dari bagian listrik
beraliran listrik dan kering

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 Fire Hazard. Tinggi Keep a fire extinguisher
Bahaya Kebakaran. Sediakan alat pemadam api
Remove any combustible material from the
immediate welding site
Singkirkan semua bahan yang mudah
terbakar dari lokasi pengelasan

Prepared by, Reviewed By, Approved by,

PT.Nur Safety HSE PT.Nur Safety PT. Pertamina
Aulia Indriana Putri Irfan Faris

Farikha Nur Azzahroh

Date / Tanggal: Date / Tanggal: Date / Tanggal:

15/10/2024 15/10/2024 15/10/2024

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