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 : 28-Jul-12

Team Leader : Soni Wowiling HSE Supt Team Members :

Reference Number :
Facilitator : Richard Douglas HSE General Supt :

Process/Activity : Team Members :

Remove radiator cap / Working an coolant system

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 radiator cap / Working an coolant Helper Crew, Radiator coolant sprayed Permanent disability, Long 3 2 6 1. TAKE 5 & daily pre start briefing 1 2 2
system Mechanic Crew, into face, arms, hands term absence due to for clear instruction
Foreman, body treatment EL/SUB EL/SUB 1. Regular safety talk
Supervisor.
ENG/SEG 2. Energy Isolation (LOTO) ENG/SEG 2. Use correct PPE(Face
shield,PVC gloves,PVC apro
ADM 3. Parking place level surface ADM
BHV 3. Stop block behind wheel BHV
4. Stop engine PPE
5. Parking brake to use
6. Use three point contact to
embark or disembark equipment
7. Lift bonned secure / support
8. Don't open cap radiator when
engine still hot
9. Wear gloves, face shield/long
gloves
10. Allow radiator to cool
11. Press down the pressure realize
valve on cap to realize pressure in
radiator
12. Turn cap very slow to open
13. Don't remove any pipe/sensor
on coolent system unless it is safe
to work(cool)

Uncontrolled Document When Printed 1 of 2 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

Face
VC apron)

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

Feb 2010