JOB SAFETY ANALYSIS

WORK ACTIVITY JOB TITLE : CANOPY REPARATION WORK Revision NO.00

PEKERJAAN PERBAIKAN KANOPI
REQUIRED SAFETY EQUIPMENT – PERALATAN KESELAMATAN WAJIB
LOCATION / LOKASI KERJA : LOADING DOCK 3rd FLOOR GRID AB-AC AP- JSA NO : ACE/HSE/JSA/I/A/21/2025 PTW NO.
Hard Hats Cut Resistant Gloves Hearing Protection Face Shield Safety Sign Other List :
AQ
Safety Shoes Chemical Res. Gloves Lifelines Apron Hand Protection (Impact Descender
LOADING DOCK Lt 3 GRID AB-AC AP-AQ
Vest General Gloves Tools Lanyard Welding Hood resistant) Ascender
JSA PREAPARED BY : SIGNATURE : JSA REVIEWED BY : SIGNATURE: JSA APPROVED BY : Back up
Safety Glasses Electrical Res. Gloves Tools Bag Welding Gloves
Name : Muhammad Raihan Ramandhika Name : Teuku Name : device
(Shade) Barricades (Soft) First Aid Kit Respiratory (N-
Position : Engineer Position: HSE Lead Position Foot Tape
Safety Glasses Barricades (Hard) Radio 958515)
SIGNATURE
(Clear) Respiratory (N-
Name :
FBH + Lanyard 958210)
Position:
SIGNATURE
CRITICAL QUESTION : Everyone Ready / Capable to work? Potential Spill / Gas Release Addresed? Worst Case Discussed?

APPLICABLE SAFE WORK PRACTICES/SPECIAL PRECAUTIONS – PRAKTIK KERJA AMAN YANG BERLAKU / TINDAKAN PENCEGAHAN
PTW – WAH/HOT/COLD/CREATED TBT ( Tool Box Talk ) Water Gallon / Dispenser Lighting Ilumination Plan
OPENING Drop Object – WAH Checklist. Temporary Waste Storage HSE Training Stickers/Passport
Energy Isolation / LOTO Safety Net – Blue Net Chemicals Handling SDSDCC, etc. Other :
Written Procedure MOS Safety Net – Safety Deck Spill Kit
Checklist Emergency Rescue Team Portable Toilet
SIMOPS : Temporary Material Storage Master Point
POTENTIAL HAZARDS – POTENSI BAHAYA - BAHAYA
Lifting Hazards New Employees Elec.Shock/Flash Includes utility lines Tripping Shipping Low Lighting Other :
Fall Potential Water/Drowning Hazard Haz. Chemical Exposure N2, H2S,CO2 Excavation Hazard Breathing Hazard
Skin Irritants Mech.Equip.Hazard Sharp Edges, Hot,Cold surfaes Low Level Hazard Environmental Hazard
Confined Space Fire/Explosion Potential Pinch/Crush/Stiriking Hazards Fatigue Lonzing Radiaction
Elev.Load/Work Foreign Body in the eye Potential Release of Energy/ Tension Sling Biogica Hazard Vehicle Operations
Heat Stress High Noise Levels Drop Objects Line of Fire

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NO BASIC JOB STEPS HAZARDS AND RISKS OR POTENTIAL WAYS TO ELIMINATE OR CONTROL HAZARDS PIC
LANGKAH-LANGKAH PEKERJAAN INCIDENTS CARA MENGHILANGKAN ATAU PENGENDALIAN BAHAYA PENANGGUNG-
BAHAYA-BAHAYA ATAU POTENSI CELAKA JAWAB
A PERSIAPAN UMUM.
Work preparation.  Working without permit.  Ensure work method and JSA approved by TX & LOGOS. Project Manager
1 Persiapan kerja. Bekerja tanpa izin. Metode kerja diajukan dan disetujui TX & LOGOS. (PM) , Site
 Unsafe and/or unclear work  Ensure approval of Safety permit to work (working at height) to Manager (SM),
planning. be applied as per TX & LOGOS format. Engineer, HSE
Rencana kerja kerja tidak Pastikan persetujan izin kerja keselamatan (Kerja di ketinggian) Lead.
aman dan/atau tidak jelas. untuk diaplikaskan sesuai format TX & LOGOS.
 Ensure the work method and JSA are socialized and understood
by all personnel involved prior of work.
Pastikan metode kerja dan JSA disosialisasikan dan dimengerti
oleh seluruh pekerja yang terlibat.
 Ensure competent and certified Supervisor to supervise the work.
(proven by valid certificates). Pastikan Supervisor
yang berkompeten dan bersertifikasi yang melakukan
pengawasan selama pekerjaan berlangsung.
 Ensure certificates with valid license of all personnel involved to
be attached with the permit to work.
Pastikan sertifikat dengan lisesnsi dalam masa berlaku yang sah
terlampir dengan dokumen pendukung lain di izin kerja.
 Ensure to conduct Pre-job safety or tool bax talk (TBT) meeting
prior of work.
Pastikan dilakukan Pre-job safety atau TBT meeting sebelum
eksekusi pekerjaan.
 Ensure to complete all the safety checklist prior of work at work
area prior of work.
Pastikan dilakukan pengisian semua ceklist keselamatan untuk
memastikan kesesuaian aturan izin kerja di area kerja sebelum
pekerjaan dimulai.
 Ensure that lifting equipment and lifting aids have been tested and
evidenced by certificates.
Pastikan alat angkat angkut dan alat bantu angkat telah dilakukan
riksa uji serta dibuktikan dengan sertifikat.

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c  Utilization of broken and/or  Ensure all personnel involved receive safety induction minimum 1- PM, SM, HSE
t homemade tools. day prior of work. Lead,
u Penggunaan alat kerja yang Pastikan setiap pekerja yang terlibat telah menerima safety Supervisor
r
rusak atau buatan/fabrikasi induction minimal 1 hari sebelum bekerja.
e
sendiri.  No homemade or modification of tools and equipment allowed.
Tidak diizinkan untuk menggunakan alat kerja yang difabrikasi
1
sendiri maupun dimodifikasi.
.
. 2 Mobilization, demobilization of workers  The mobilization vehicle hits or  Make sure all workers receive safety induction, Safety briefing Supervisor, Steel Work
. and equipment is hit by another object before work starts. All workers use PPE appropriate to the job and Supervisor and Worker
Mobilisasi, demobilisasi pekerja dan Kendaraan mobilisasi menabrak Pastikan semua pekerja mendapat safety induction.
peralatan atau tertabrak objek lain Safety briefing sebelum pekerjaan dimulai.
Semua pekerja menggunakan APD sesuai dengan pekerjaan.

3 Bolt Installation/tightening  Improper base structure  No personnel allowed to access the scaffolding prior GREEN tag Supervisor, Steel Work
causing collapse of scaffolding and inspection from Scaffolding inspector. Supervisor and Worker
Instalasi/pengencangan baut
tower and hit personnel in the Tidak ada personil yang berhak menggunakan scaffolding tanpa
vicinity. adanya tagging HIJAU dari Scaffolding Inspector.
Rangka scaffolding rubuh  Work area to be barricaded with hard barricade and complete
menimpa pekerja atau orang with signage (SCAFFOLDING ERECTION OR DISMANTLING IN
lain di sekitar. PROGRESS) during erection.
 Scaffolding collapse. Area kerja dibarikade dan dilengkapi dengan peringatan
Rubuhnya scaffolding keselamatan (Pembangunan scaffolding atau Pembongkaran
 Pinched injury to personnel scaffolding sedang berlangsung.
body parts.  Ensure mandatory PPE for scaffolding personnel:
Cidera terjepit ke bagian badan  Eye protection: Safety glasses.
pekerja.  Head protection: Hard hat (Safety Helm) with chinstrap.
 Fall of personnel.  Foot protection: Safety shoes.
Terjatuhnya pekerja.  Hand protection: Hand gloves (Cut-resistant)
 Body: Vest with bright color and reflector stripes.
 Fall of bolt.
 Fall protection: Full Body Harness with double absorbing lanyards.
Terjatuhnya materia bautl.
Pastikan pekerja scaffolding wajib kenakan APD:
 Fall of tools.  Pelindung mata: Safety glasses.
Terjatuhnya alat kerja.  Pelindung kepala: Hard hat (Safety Helm) dengan tali dagu.
 Workers get electrocuted by the  Pelindung kaki: Safety Shoes

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c existing cables while on the  Pelindung tangan: Sarung tangan
t  Pelindung tubuh : Rompi berwarna cerah dan berpendar
scaffolding or when in contact
u  Pelindung jatuh : Full Body Harness dengan absorbing
with the steel structure.  Ensure good housekeeping at all times on working platform.
r
e Pekerja tersetrum aliran listrik Pastikan dilakukan housekeeping setiap saat di atas landasan
dari kabel eksisting saat berada kerja. TIdak diperbolehkan ada material berserakan tanpa
1 di scaffolding atau saat perlindungan jatuh.
bersentuhan dengan struktur  No scaffolding material shall be kept on working platform unless
. baja. safety precaution already taken i.e. kept in a tools bags away
. from drop possibilities.
. Tidak diperbolehkan ada material di atas landasan kerja kecuali
telah dilakukan pengamanan contohnya dimasukkan ke dalam tas
peralatan dan diikat dan bebas dari kemungkinan jatuh.
 Ensure all tools are using tools lanyards and tied properly to the
 personnel’s body.
Pastikan semua peralatan menggunakan tools lanyard dan
terikat ke badan personil tersebut.
 Make sure workers use full body harnees double hooks
Pastikan pekerja menggunakan full body harness double hook
 During work, workers must hook the hook on the scaffold pipe
point.
Selama bekerja pekerja wajib menghaitkan hook pda titik pipa
perancah
 Ensure that the cables in the work area are checked regularly.
Pastikan kabel di area kerja telah dilakukan pengecekan secara
berkala.
 Ensure that no wires touch the purlin steel or scaffolding directly
Pastikan tidak ada kabel yang menyentuh purlin atau scaffolding
secara langsung
 Ensure the work area is safe from exposed or frayed wires
 Pastikan area kerja aman dari kabel yang terbuka atau terkelupas
4 Hot Works (Welding)  The welding/grinding machine is  Make sure the Welding/Grinding Machine has been checked Supervisor, Steel Work
damaged or not switched off before and after use Supervisor and Worker
Pekerjaan Panas (Pengelasan)
properly Pastikan Mesin Las/Gerinda sudah diperiksa saat sebelum dan
Mesin Las/Gerinda Rusak Atau sesudah digunakan
Tidak Dimatikan Dengan Benar  Make sure the area is protected with a fire blanket
 Fire Sparks Pastikan area tersebut diproteksi dengan fire blanket
Percikan Api  Make sure the surrounding area is kept away from flammable
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c  Eye Injury Due to Weld/Grinding materials
t Rays Pastikan area sekitar dijauhkan dari material mudah terbakar
u Cedera Pada Mata Akibat Sinar  Make sure there are fire extinguishers in the area around the
r
Las/Gerinda work
e
 Inhaled Welding Fumes Pastikan ada apar di area sekitar pekerjaan
1 Terhirup Asap Pengelasan  Use PPE correctly (Welding Mask, Welding Gloves, Apron)
 Fires Menggunakan APD dengan benar (Kedok Las, Sarung Tangan Las,
. Kebakaran Apron)
.  Electrocuted  Use PPE correctly (Mask)
. Tersetrum Menggunakan APD dengan benar (Masker)
 Use exhaust or blower
Diberi penyedot asap
 Follow the work according to the procedure
Mengikuti pekerjaan sesuai prosedur
 Workers must be experienced and have been inspected
Pekerja harus berpengalaman dan sudah di inspeksi
 Firewatchman
Pengawas Api
 Make sure the electrode holder and welding cable are in good
condition
Pastikan stang las dan kabel las dalam kondisi baik
 Check the welding travo regularly
Lakukan pengecekan travo las secara rutin
 Use the appropriate cable type
Gunakan jenis kabel yang sesuai
 Make sure the cable is not chipped or torn
Pastikan kabel tidak terkelupas atau sobek
 Use an outdoor socket
Gunakan stop kontak outdoor
 The socket must have an insulator part on the outer body of the
socket
Stop kontak harus memiliki bagian isolator pada bagian body luar
stop kontak
 Use a socket with a grounding clamp and terminals made of brass
Gunakan stop kontak dengan penjepit arde dan terminal terbuat

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c dari kuningan
t
5 Working at Heights  Improper base structure  No personnel allowed to access the scaffolding prior GREEN tag Supervisor, Lifting
u Supervisor, Steel Work
Pekerjaan di Ketinggian causing collapse of scaffolding and inspection from Scaffolding inspector.
r
e tower and hit personnel in the Tidak ada personil yang berhak menggunakan scaffolding tanpa Supervisor and Worker
vicinity. adanya tagging HIJAU dari Scaffolding Inspector.
1 Rangka scaffolding rubuh  Work area to be barricaded with hard barricade and complete
menimpa pekerja atau orang with signage (SCAFFOLDING ERECTION OR DISMANTLING IN
. lain di sekitar. PROGRESS) during erection.
.  Scaffolding collapse. Area kerja dibarikade dan dilengkapi dengan peringatan
. Rubuhnya scaffolding keselamatan (Pembangunan scaffolding atau Pembongkaran
 Pinched injury to personnel scaffolding sedang berlangsung.
body parts.  Ensure mandatory PPE for scaffolding personnel:
Cidera terjepit ke bagian badan  Eye protection: Safety glasses.
pekerja.  Head protection: Hard hat (Safety Helm) with chinstrap.
 Fall of personnel.  Foot protection: Safety shoes.
Terjatuhnya pekerja.  Hand protection: Hand gloves (Cut-resistant)
 Body: Vest with bright color and reflector stripes.
 Fall of tools.
 Fall protection: Full Body Harness with double absorbing lanyards.
Terjatuhnya alat kerja.
Pastikan pekerja scaffolding wajib kenakan APD:
 Pelindung mata: Safety glasses.
 Pelindung kepala: Hard hat (Safety Helm) dengan tali dagu.
 Pelindung kaki: Safety Shoes
 Pelindung tangan: Sarung tangan
 Pelindung tubuh : Rompi berwarna cerah dan berpendar
 Pelindung jatuh : Full Body Harness dengan absorbing
 Ensure good housekeeping at all times on working platform.
Pastikan dilakukan housekeeping setiap saat di atas landasan
kerja. TIdak diperbolehkan ada material berserakan tanpa
perlindungan jatuh
 No material shall be kept on working platform unless safety
precaution already taken i.e. kept in a tools bags away from drop
possibilities.
Tidak diperbolehkan ada material di atas landasan kerja kecuali
telah dilakukan pengamanan contohnya dimasukkan ke dalam tas
peralatan dan diikat dan bebas dari kemungkinan jatuh.
 Ensure all tools are using tools lanyards and tied properly to the
personnel’s body.
Pastikan semua peralatan menggunakan tools lanyard dan
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i
c terikat ke badan personil tersebut.
t  Make sure workers use full body harnees double hooks
u Pastikan pekerja menggunakan full body harness double hook
r  During work, workers must hook the hook on the scaffold pipe
e point.
Selama bekerja pekerja wajib menghaitkan hook pda titik pipa
1 perancah
6 House keeping  Stabbed, tripped, scratched by  All workers use PPE that is appropriate to the job.Sort waste
.
Pembenahan leftover material according to type. And restore the equipment used
.
. Tertusuk, tersandung, tergores Semua pekerja menggunakan APD yang sesuai dengan pekerjaan.
material sisa Pilah sampah sesuai jenisnya dan Simpan kembali peralatan yang
digunakan