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PT.

Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Parking of equipment Operator, Interaction with people / Fatality, Permanent 3 4 12 ADM 1. Use spotter 2 4 8 Take-5
Mechanic, equipment disability, Long term ADM
Supervisor. absence due to treatment
EL/SUB 2. Park on level safe area

EL/SUB 3. Ensure sufficient space around


equipment to move

Lock out of equipment Operator, Moving equipment Fatality, Permanent 2 4 8 ADM 1. Lock out & tag out 1 2 2 JSEA
Mechanic, sudden movement disability, Long term ADM
Supervisor. running away equipment absence due to treatment
EL/SUB 2. Use three contact point when
climbing equipment steps

ADM 3. Lock out at correct place

EL/SUB 4. Use multiple lock if needed

Lifting equipment Mechanic, Faulty lanyard Permanent disability, Long 2 3 6 ADM 1. Inspect lanyard lift prior to use 1 3 3
Supervisor. term absence due to
treatment
ADM 2. Test lanyard lift

EL/SUB 3. Place in correct position to lift

Uncontrolled Document When Printed 1 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Support equipment at the back Mechanic, Slippery equipment and Permanent disability, Long 2 3 6 ADM 1. Use correct stands 2 3 6 1. Inspect stand prior to use
Supervisor. Falling equipment term absence due to ADM
treatment
ADM 2. Check SWL in OEM 2. Monthly inspection
ADM

EL/SUB 3. Place stand in correct position to ADM 3. Test certificate


support equipment

Remove wheels Mechanic, Interaction with people & Permanent disability, Long 3 2 6 ADM 1. Inspect impact / tools 1 3 3 SIMPER
Supervisor. equipment term absence due to ADM
treatment
ENG/SEG 2. Use correct tools to remove nuts

EL/SUB 3. Good house keeping

PPE 4. Use PPE

ADM 5. Spotter when using tyre handle

EL/SUB 6. Suffecient space to maneuver

ADM 7. Use roster to work

Uncontrolled Document When Printed 2 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Remove cover and side shaft Mechanic, Cover and ride fall & slip Fatality, Permanent 2 2 4 ADM 1. Ask help to remove cover & shaft 1 2 2
Supervisor. disability, Long term
absence due to treatment
ADM 2. Ensure firm grip to remove safely

EL/SUB 3. Use nylon sling to corny sling

EL/SUB 4. Clean oil off to avoid slipping

Remove final drive Mechanic, supervisor Falling final drive Permanent disability, Long 2 3 6 ADM 1. Drain oil in dril tray 2 3 6 ADM SWL a chain & monthly regis
term absence due to
treatment
ADM 2. Secure chain to final drive and at
correct position

EL/SUB 3. Clear all workers in area

Using crane to remove final drive Mechanic, Interaction between Permanent disability, Long 3 3 9 ADM 1. Crane operator SIMPER 1 3 3 Monthly inspect & monthly re
Superintendent, people & moving term absence due to ADM
Crane Operator. equipment treatment
ADM 2. Crane checklist

EL/SUB 3. Sufficient space to moving with


crane

Uncontrolled Document When Printed 3 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :
9 3
(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

ADM 4. Good communication between


worker & crane operator

ADM 5. Use spotter to warn when moving


crane

ADM 6. Use spotter with required

ADM 7. Don't make any worker moves


with crane

Crane move & carry final drive Crane operator, Final drive slip & fall, Permanent disability, Long 3 3 9 EL/SUB 1. Drive slow with crane 2 3 6
Mechanic, interaction with people term absence due to
Superintendent. treatment
ADM 2. Don't drive over object

EL/SUB 3. Clear the area prior to moving

EL/SUB 4. Place & secure final drive flat an


floor / stored

Lifting new final drive Crane operator, Final drive not secure & Fatality, Permanent 3 3 9 ADM 1. Hook chain an correct position an 2 3 6 SWL of chain monthly reg
Mechanic, slip disability, Long term final drive ADM inspection
Supervisor. absence due to treatment
EL/SUB 2. All stand clear when lifting with
crane

Uncontrolled Document When Printed 4 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified 9 6

People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

EL/SUB 3. Drive slow toward the dump truck

ADM 4. No worker between crane &


dump truck

Fit new final drive Crane operator, Pinch and pinched hand Fatality, Permanent 2 2 4 ADM 1. Good communication 1 3 3
Mechanic, or worker disability, Long term
Supervisor absence due to treatment
ENG/SEG 2. Don't use finger to line final drive

ENG/SEG 3. Stay out of the line of fire

EL/SUB 4. Clear of moving crane operator

ADM 5. Be visible to crew operator to


communicate

Secure final drive to lift Mechanic, Falling final drive Permanent disability, Long 2 3 6 EL/SUB 1. Come that bolts are tighter before 1 3 3
Supervisor term absence due to removing chain
treatment
ADM 2. Tighter all bolts as per EOM

Fit drive shaft Meqchanic, Slip & fall Permanent disability, Long 1 2 2 ADM 1. Ask for assisting if shaft to heavy 1 2 2
Supervisor term absence due to
treatment

Uncontrolled Document When Printed 5 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental 2 2
Environmental Aspect Impact

ENG/SEG 2. Use nylon sling to carry shaft

ENG/SEG 3. Hand must be free of oil / gloves


to avoid slippery

Fit cover onto final drive Mechanic, Slip onto feet Permanent disability, Long 1 2 2 ADM 1. Ask for assisting if come to heavy 1 2 2
Supervisor. term absence due to
treatment
ENG/SEG 2. Use pinch far to guide cover into
place

ENG/SEG 3. Don't place finger between cover


& final drive

ADM 4. Secure all bolts firmly as OEM

ADM 5. Fill up with oil and inspect for


leaks

Fit wheels (nuts) Mechanic, Interaction between Permanent disability, Long 1 3 3 BHV 1. All work stand clear 1 3 3 Manitou / tyre handle checklis
Supervisor, works / equipment term absence due to ADM
Tyreman treatment
EL/SUB 2. Use rooter to warn SIMPER
ADM

BHV 3. Good communication

Uncontrolled Document When Printed 6 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :
3 3
(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

PPE 4. Wear PPE (reflective)

Uncontrolled Document When Printed 7 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number :
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

Lifting equipment and remove stands Mechanic, Hard / head injury Permanent disability, Long 2 3 6 ADM 1. SWL of jack 1 3 3
Supervisor, term absence due to
Tyreman treatment
EL/SUB 2. Lift slow & steady

EL/SUB 3. Lift equipment at correct position


an equipment

EL/SUB 4. Pull stand out of under


equipment and remove to safe
location
EL/SUB 5. Lower equipment to floor and
remove jack

Remove log out & tags Mechanic, Slip & fall Permanent disability, Long 2 3 6 EL/SUB 1. Ensure all workers are safe 1 3 3
Supervisor, term absence due to position
Tyreman treatment
EL/SUB 2. Ensure all parts are secured and
safe for wear

BHV 3. Walk around equipment to


ensure all is safe

ADM 4. Inspect for oil leakes

BHV 5. All guard in place

Uncontrolled Document When Printed 8 of 18 LCI-HSE-FM-001A(02)

Feb 2010
PT. Leighton Contractors Indonesia

RISK ASSESSMENT REPORT

Risk Assessment Team


Business Unit / Project : BU3/ID205/Wahana Coal Mine Project
Names Dept - Position Sign Off
Date : 2-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :


Reference Number : 6 3
Facilitator : :

Process/Activity : Team Members :


Changing Final Drive

Approved By :

(PM/Delegated)
Note: Attach meeting attandance if more.

Hirarchy Control

Hirarchy Control
Risk Identified
People /
Process / Activity / Task Environment at Hazard / Cause of Incident / Adverse L1 C1 RFN ** Current Mitigating Controls L2 C2 RRN * Additional Controls Requ
Risk Adverse Effect / Effect / Environmental
Environmental Aspect Impact

ADM 6. All hyd / oil / coolent levels in


checked

Stand of equipment & remove from workshop Mechanic, Run over by Fatality, Permanent 3 4 12 ADM 1. Use spotter 2 4 8
area Supervisor. disability, Long term
absence due to treatment
BHV 2. Be visible to operator

EL/SUB 3. Use rooter to warn

BHV 4. Good communication between


workers

BHV 5. Clear are around equipment

BHV 6. All tools clear

Uncontrolled Document When Printed 9 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 10 of 18 LCI-HSE-FM-001A(02)

Feb 2010
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Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

r to use

Uncontrolled Document When Printed 11 of 18 LCI-HSE-FM-001A(02)

Feb 2010
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Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

thly register

onthly register

Uncontrolled Document When Printed 12 of 18 LCI-HSE-FM-001A(02)

Feb 2010
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Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

ly reg

Uncontrolled Document When Printed 13 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 14 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

e checklist

Uncontrolled Document When Printed 15 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 16 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 17 of 18 LCI-HSE-FM-001A(02)

Feb 2010
am

Names Dept. - Position Sign Off

ols Required By whom By When Status Legal and Other Requirements Reference

Uncontrolled Document When Printed 18 of 18 LCI-HSE-FM-001A(02)

Feb 2010

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