HAZARD IDENTIFICATION RISK ASSESSMENT & DETERMINATION

- HEALTH RISK ASSESSMENT -

Department Operation No. HIRADC

Sub Department Production Assessment D

Activity/Facilitas/Process Blending of Polyurethanes Review Date

Lead Assessor Signature

Assessor Signature

IDENTIFICATION

Legal / Other
No Activities/Facilitas/Process Hazard/Aspect Consequences/Risks/Impact Condition S F
Regulation Reff.

Safety 1 A
R : Routine 2 B
NR : Non Routine 3 C
4 D
Environment 5 E
N : Normal F
AN : Abnormal G
H
EM : Emergency

Preparation of Material - Decanting; Melt

I
off Bath
 Bahaya ergonomi dari aktifitas
Penanganan dan perpindahan bahan manual handling (mengangkat, Nyeri tulang belakang,
Permenkes No. 70
kimia untuk ditimbang (Handling and moving mendorong/menarik) (ergonomic tegangan otot (low back pain, R 2 B
Tahun 2016
chemicals for decanting) issue from manual handling, lifting; muscle strain)
pushing/pulling)

Paparan aditif dari golongan

senyawa amin, seperti aditif
Polycat 8, DMAPA, DMEA. Luka bakar pada kulit (Skin Permenaker No.13 R 1 B
(Additives exposure from amine Burn) Tahun 2011
type, such as Polycat 8, DMAPA,
DMEA)

Gangguan sistem pernafasan Permenaker No.13

R 3 C
(Respiratory irritation) Tahun 2011

bisa menyebabkan
glaucopsia (edema kornea)
bila diserap ke dalam Permenaker No.13
jaringan mata (can cause Tahun 2011 R 2 C
glaucopsia (corneal edema) when
absorbed into the tissue of the
eye)

Nyeri tulang belakang,

Tertimpa kemasan bahan kimia Permenkes No. 70
tegangan otot (low back pain, R 2 C
(Hit by chemical container) Tahun 2016
muscle strain)
 Paparan MDI saat memastikan Gangguan pernafasan hingga
Pemanasan material pure MDI di Melt off MDI sudah meleleh sempurna dapat menimbulkan asma Permenaker No.13
R 3 C
Bath (MDI exposure during ensuring (Respiratory sensitizer until Tahun 2011
process inside the drum ) asthma potential occurred)

Bahaya ergonomi dari aktifitas

Nyeri tulang belakang,
Blending and filling polyol, in Flexible and manual handling (mengangkat, Permenkes No. 70
II mendorong/menarik) (ergonomic tegangan otot (low back pain, Tahun 2016 R 2 C
Rigid Blender issue from manual handling, lifting; muscle strain)
pushing/pulling)

bisa menyebabkan
glaucopsia (edema kornea) Permenaker No.13
Paparan aditif dari proses bila diserap ke dalam Tahun 2011
blending poliol (additives exposure jaringan mata (can cause R 3 C
Permenkes No. 70
from polyol blending process) glaucopsia (corneal edema) when
absorbed into the tissue of the Tahun 2016
eye)

Permenaker No.13
Kebisingan dari pompa (Noise Gangguan pendengaran Tahun 2011
R 3 C
from pump equipment) (hearing disorder) Permenkes No. 70
Tahun 2016

Permenaker No.13
Paparan panas dari lingkungan Dehidrasi, Keram, kelelahan,
stroke akibat panas ( heat Tahun 2011
kerja (Heat Stress from work cram, stroke and fatigue, R 2 D
Permenkes No. 70
environment)
dehydration) Tahun 2016
 Paparan MDI saat proses Gangguan pernafasan hingga Permenaker No.13
Blending and filling MDI (isocyanate) in charging; dapat berupa uap dapat menimbulkan asma Tahun 2011
III maupun debu (MDI exposure (Respiratory sensitizer until NIOSH-CDC R 3 C
pre-polymer Blender during charging process; can be in
asthma potential occurred) Isocyanate
vapour or dust )

Pada beberapa kasus dapat Permenaker No.13

menyebabkan iritasi kulit (in Tahun 2011 R 3 C
some cases can cause skin NIOSH-CDC
irritation) Isocyanate

Permenaker No.13
Kebisingan dari pompa dan
Gangguan pendengaran Tahun 2011
kipas angin (Noise from pump R 3 C
(hearing disorder) Permenkes No. 70
equipment and air vent system)
Tahun 2016

Permenaker No.13
Paparan panas dari lingkungan Dehidrasi, Keram, kelelahan,
stroke akibat panas ( heat Tahun 2011
kerja (Heat Stress from work cram, stroke and fatigue, R 2 D
Permenkes No. 70
environment)
dehydration) Tahun 2016

Manual handling pada drum

seperti mendorong/menarik Nyeri tulang belakang,
Permenkes No. 70
diluar jangkauan (Manual handling tegangan otot (low back pain, Tahun 2016 R 1 C
on drums is like pushing / pulling muscle strain)
out of reach)
 Record No. : F - EHS - 01 - 001
Revision : 01

RMINATION CONTROL (HIRADC)

NT -
No. HIRADC

Assessment Date

Review Date

Signature

Signature

ASSESSMENT

Initial Risk Significant Risk Existing Final Risk Acceptability

Risk Control S F Note PIC
Rank (Y/N) safeguards Rank Risk

EHS-4 Consider control hierarchy : * Railing 1 A EHS-4 a. Acceptable

EHS-3 1. Elimination * Emg. Push 2 B EHS-3 b. Acceptable
EHS-2 2. Substitution botton 3 C EHS-2 with note
EHS-1 3. Engineering control * Cover/shield 4 D EHS-1 c. Not
4. Administrative control * Gate/barrier 5 E acceptable
5. PPE * Electrical F
protection G
devices (e.g H
ELCB)
etc
 Familiar with
manual handling
Engineering Control: semi method and
Acceptable
EHS-3 electric drum lifter and Y -- 2 C EHS-2 ensure equipment
with Note under controlled
forklift
equipment of
maintenance

Engineering
Control:pemakaian valve
EHS-2 reducer N -- 1 C EHS-2 Acceptable
PPE: pemakaian coverall
suit - tyvex

Engineering Control: Local LEV control and

Exhaust Ventilation Acceptable validated,
EHS-3 Y -- 3 D EHS-2 personal exposure
PPE: half face organic with Note
catridge monitring control

Engineering
Control:pemakaian valve
EHS-2 reducer untuk kontrol N -- 2 D EHS-2 Acceptable
splashing
PPE: safety spectacles

Familiar with
Engineering Control: Use manual handling
method and
semi-electric drum lifter Acceptable
EHS-2 N -- 2 D EHS-2 ensure equipment
Administrative Control: ergo with Note under controlled
assessment equipment of
maintenance
 PPE Control: Half-face
organic catridge
EHS-3 Y -- 3 D EHS-2 Acceptable
Conducted in open and
good air circulation

Engineering Control: drum

moving and handling using
EHS-2 FLT N -- 2 F EHS-1 Acceptable
Administrative control: ergo
risk assessment

Engineering Control: Local LEV control and

Exhaust Ventilation Acceptable validated,
EHS-3 Y -- 3 E EHS-2 personal exposure
PPE: half face organic with Note
catridge monitring control

PPE Control: Ear plug

available Equipment
Administrative control: Acceptable control by
EHS-3 Y -- 3 D EHS-2
noise monitoring conducted with Note Maintenance in
for environmental condition PM schedule
and personal measurement

Engineering Control: onsite

air circulation and LEV control and
ventilation system Acceptable validated,
EHS-2 N -- 2 E EHS-2 personal exposure
Administrative Control: with Note
Heat Stress air monitoring monitring control
in regular basis
 Engineering control: LEV
available in specific LEV control and
charging booth at Pre- Acceptable validated,
EHS-3 Y -- 3 D EHS-2 personal exposure
polymer with Note
PPE: half-face organic monitring control
catridge

PPE: long sleeve uniform;

EHS-3 Y -- 3 D EHS-2 Acceptable
nitrile gloves

PPE: ear plug

EHS-3 Administrative Control: Y -- 3 D EHS-2 Acceptable
internal noise monitoring

Engineering Control: onsite

air circulation and LEV control and
ventilation system Acceptable validated,
EHS-2 N -- 2 F EHS-1 personal exposure
Administrative Control: with Note
Heat Stress air monitoring monitring control
in regular basis

Administrative control:
EHS-2 manual handling and ergo N -- 1 D EHS-1 Acceptable
assessment
 HAZARD IDENTIFICATION RISK ASSESSMENT & DETERMINATION C
- HEALTH RISK ASSESSMENT -
Department Operation & Technical No. HIRADC

Sub Department Quality Control and Technical Service Assessment Date

Activity/Facilitas/Process Blending of Polyurethanes Review Date

Lead Assessor Signature

Assessor Signature

IDENTIFICATION

Legal / Other Initial Risk

No Activities/Facilitas/Process Hazard/Aspect Consequences/Risks/Impact Condition S F
Regulation Reff. Rank

Safety 1 A EHS-4
R : Routine 2 B EHS-3
NR : Non Routine 3 C EHS-2
4 D EHS-1
Environment 5 E
N : Normal F
AN : Abnormal G
H
EM : Emergency

I Quality Control - Laboratory Area

 MEG Kemungkinan terjadi
kerusakan organ atau organ
dari pemaparan yang terlalu
Proses pengambilan sampel bahan kimia paparan beberapa jenis bahan lama. Sasaran organ: Ginjal;
saat proses penerimaan (taking sample of kimia seperti MEG, DPG, DEG)/ sedikit iritasi pada kulit (MEG 'Permenaker R 3 C EHS-3
chemical exposure such as MEG, is exposed to organ or organ No.13 Tahun 2011
chemicals in receiving process) DPG, DEG disorders from prolonged
exposure. Organ targets:
Kidney; slight irritation to the
skin)

Permenaker No.13
Bahaya ergonomi seperti
Nyeri atau ketegangan otot Tahun 2011
mendorong, menarik (ergonomic R 2 C EHS-2
(Muscle pain or tension) Permenkes No. 70
issue caused by pushing, pulling)
Tahun 2016
 Toluene: dapat
menyebabkan iritasi kulit
atau dermatitis; teratogenik
DBA: Tanda-tanda: iritasi
mukosa, Batuk, Napas
tersengal, Kerusakan yang
mungkin :, kerusakan
saluran pernapasan,
Menghirup zat bisa
Paparan bahan kimia seperti menyebabkan pembentukan
Analisa sampel dari produk MDI (sample Toluen, DBA, Propanol (chemical oedema pada saluran R 3 C EHS-3
analysis from Product) exposure from Toluene, DBA,
pernapasan.Efek sistemik
propanol)
pada ginjal (Toluene: may
cause skin irritation or
dermatitis; teratogenic
DBA: Symptoms: mucosal
irritations, Cough, Shortness of
breath, Possible damages :,
damage of respiratory tract,
Inhalation may lead to the
formation of oedemas in the
respiratory tract.Cystemic
effects on the kidneys)

Gangguan pernafasan Permenaker No.13

hingga dapat menimbulkan Tahun 2011
Paparan MDI R 3 C EHS-3
asma (Respiratory sensitizer NIOSH-CDC
until asthma potential occurred) Isocyanate

Gangguan pernafasan Permenaker No.13

hingga dapat menimbulkan Tahun 2011
II Techical Service - Laboratory Area Paparan MDI R 3 C EHS-3
asma (Respiratory sensitizer NIOSH-CDC
until asthma potential occurred) Isocyanate
 Masalah ergonomi, seperti
mengangkat mold, posisi tubuh Nyeri atau ketegangan otot
R 2 C EHS-2
(ergonomi issue,such as lifting (Muscle pain or tension)
mold, body posture)

Gangguan pernafasan
hingga dapat menimbulkan
Paparan MDI - uap dan debu asma; iritasi
III Techical Service - Machine Hall Area kulit/dermatologis R 3 C EHS-3
(MDI exposure - vapour and dust)
(Respiratory sensitizer until
asthma potential occurred; skin
irritation/dermatologic)

Masalah ergonomi, seperti nyeri tulang belakang,

mendorong, menarik, ketegangan otot, kelelahan
R 2 C EHS-2
mengangkat (ergonomic issue (low back pain, muscle strain,
such as pushing,pulling, lifting) fatigue)

Kebisingan dari high pressure

mesin - Crauss Maffe (noise from gangguan pendengaran
R 3 C EHS-3
high pressure machine - crauss (hearing disorder)
maffe)

Kebisingan dari mesin band saw gangguan pendengaran

R 3 C EHS-3
(noise from band saw machine) (hearing disorder)

Debu dari proses pemotongan gangguan pernafasan;

busa di lokasi band saw (dust pnemokoniosis (respiratory R 3 C EHS-3
from cutting foam in band saw area) disorder)
 Dehidrasi, Keram,
Paparan panas dari lingkungan
kelelahan, stroke akibat
kerja (Heat Stress from work R 2 C EHS-2
panas (heat cram, stroke and
environment)
fatigue, dehydration)

Tertimpa atau terjepit drum (Hit cidera anggota tubuh (body

R 2 C EHS-2
or pinched drum) injury)

Getaran tangan dan lengan saat Hand-Arm Vibration

mixing dengan hand mixer (hand Syndrome (HAVS) atau R 2 C EHS-2
arm vibration - HAV during manual white finger ; Carpal Tunnel
mixing using hand mixer tool) Syndrome (CTS)
 Record No. : F - EHS - 01 - 001
Revision : 01

MINATION CONTROL (HIRADC)

T-
No. HIRADC

Assessment Date

Signature

Signature

ASSESSMENT

Significant Risk Existing Final Risk Acceptability

Risk Control S F Note PIC
(Y/N) safeguards Rank Risk

Consider control hierarchy : * Railing 1 A EHS-4 a. Acceptable

1. Elimination * Emg. Push 2 B EHS-3 b. Acceptable
2. Substitution botton 3 C EHS-2 with note
3. Engineering control * Cover/shield 4 D EHS-1 c. Not
4. Administrative control * Gate/barrier 5 E acceptable
5. PPE * Electrical F
protection G
devices (e.g H
ELCB)
etc
PPE: half-face organic
Y -- 3 D EHS-2 Acceptable
catridge

Engineering Control: drum

moving and handling using
FLT B -- 2 F EHS-1 Acceptable
Administrative control: ergo
risk assessment
Engineering control: close
loop system in Carlfisher
Y -- 3 E EHS-2 Acceptable
unit; LEV available in Lab
PPE: nitrile gloves

Engineering control: LEV

available in specific
charging booth at Pre-
Y -- 3 D EHS-2 Acceptable
polymer
PPE: half-face organic
catridge

Engineering control: LEV

available in Lab (fume
hood) Y -- 3 D EHS-2 Acceptable
PPE: half-face organic
catridge
Administrative control: ergo
assessment and manual N -- 2 F EHS-1 Acceptable
handling technique

Engineering control: close

loop system in Crauss-
Maffe machine Y -- 3 D EHS-2 Acceptable
PPE Control: Half-face
organic catridge

Engineering Control: drum

moving and handling using
FLT N -- 2 F EHS-1 Acceptable
Administrative control: ergo
risk assessment

PPE Control: ear-plug

Administrative control:
personal dosimetri and Y -- 3 D EHS-2 Acceptable
noise location monitoring
*) non-routine process

PPE Control: ear-plug

Administrative control:
Y -- 3 D EHS-2 Acceptable
noise location monitoring
*) non-routine process

Engineering Control: dust

collector system Y -- 3 D EHS-2 Acceptable
PPE: half-face dust mask
Engineering Control: onsite
air circulation and
ventilation system
N -- 2 E EHS-2 Acceptable
Administrative Control:
Heat Stress air monitoring
in regular basis

Engineering Control: drum

moving and handling using
FLT N -- 2 E EHS-2 Acceptable
Administrative control: ergo
risk assessment

Administrative control:
vibration monitoring and
N -- 2 D EHS-2 Acceptable
setting work time (time
interval)
 HAZARD IDENTIFICATION RISK ASSESSMENT & DETERMINATION C
- HEALTH RISK ASSESSMENT -
Department Operation & Technical No. HIRADC

Sub Department Quality Control and Technical Service Assessment Date

Activity/Facilitas/Process Blending of Polyurethanes Review Date

Lead Assessor Signature

Assessor Signature

IDENTIFICATION

Legal / Other Initial Risk

No Activities/Facilitas/Process Hazard/Aspect Consequences/Risks/Impact Condition S F
Regulation Reff. Rank

Safety 1 A EHS-4
R : Routine 2 B EHS-3
NR : Non Routine 3 C EHS-2
4 D EHS-1
Environment 5 E
N : Normal F
AN : Abnormal G
H
EM : Emergency

I Warehouse
 Gangguan pernafasan
Terhirup uap bahan kimia - MDI
hingga dapat menimbulkan
Aktifitas Bongkar - Muat Barang (Inhalation of chemical vapour - EM 3 C EHS-3
asma (Respiratory sensitizer
MDI)
until asthma potential occurred)

sakit punggung bagian

bawah dan mengalami tidak
nyaman di bagian punggung
ketika berjalan; Pada sistem
Getaran seluruh tubuh saat syaraf, yaitu kelainan syaraf
mengendarai forklift (whole sensoris yang menimbulkan
R 1 D EHS-1
body vibration during FLT paraestesia/ kesemutan
driving) ( lower back pain and
uncomfortable on the back
when walking; In the nervous
system, the sensory nerve
disorders that cause
paraestesia / tingling)

Debu kendaraan dari aktifitas gangguan pernafasan;

bongkar-muat (vehicle dust from pnemokoniosis (respiratory R 1 C EHS-2
loading - unloadinng process) disorder)

Dehidrasi, Keram,
Paparan panas dari lingkungan
kelelahan, stroke akibat
kerja (Heat Stress from work R 2 C EHS-2
panas (heat cram, stroke and
environment)
fatigue, dehydration)
Masalah ergonomi, seperti nyeri tulang belakang,
mendorong, menarik, ketegangan otot, kelelahan
R 2 C EHS-2
mengangkat (ergonomic issue (low back pain, muscle strain,
such as pushing,pulling, lifting) fatigue)
 Record No. : F - EHS - 01 - 001
Revision : 01

MINATION CONTROL (HIRADC)

T-
No. HIRADC

Assessment Date

Signature

Signature

ASSESSMENT

Significant Risk Existing Final Risk Acceptability

Risk Control S F Note PIC
(Y/N) safeguards Rank Risk

Consider control hierarchy : * Railing 1 A EHS-4 a. Acceptable

1. Elimination * Emg. Push 2 B EHS-3 b. Acceptable
2. Substitution botton 3 C EHS-2 with note
3. Engineering control * Cover/shield 4 D EHS-1 c. Not
4. Administrative control * Gate/barrier 5 E acceptable
5. PPE * Electrical F
protection G
devices (e.g H
ELCB)
etc
 Potential of
MDI only in
Acceptable
case of
emergency

Acceptable

PPE Control: dust mask 1 D EHS-1 Acceptable

Air circulation onsite N -- 2 E EHS-2 Acceptable

Engineering Control: drum
moving and handling using
FLT N -- 2 F EHS-1 Acceptable
Administrative control: ergo
risk assessment