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 : 3-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Changing turbo on equipment

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

Changing turbo on equipment Mechanic, Run over by / struck by Fatality, Permanent 4 4 16 ADM 1. Use spotter to guid equipment 1 4 4 Take-5
Supervisor, disability, Long term into position ADM
Operator absence due to treatment
ENG/SEG 2. Use hooter to worn workers SIMPER
ADM

EL/SUB 3. Clear area of tools

EL/SUB 4. Park equipment an safe area to

work on

ADM 5. Barricade area off if required

EL/SUB 6. Select neutral park brakes

applied

Lock out & tag Mechanic, Unauthorized start, Fatality, Permanent 4 4 16 ADM 1. Multiple log out & tag 1 4 4
Supervisor moving equipment disability, Long term
absence due to treatment
ADM 2. Test for energy

ADM 3. Test for energy prior to start

working

EL/SUB 4. All component lower onto ground

Uncontrolled Document When Printed 1 of 6 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 : 3-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members : 16 4

Changing turbo on equipment

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

EL/SUB 5. Place stop blocks behind wheels

Opening bonnet Mechanic., Fall onto pinned by Permanent disability, Long 2 2 4 EL/SUB 1. Support with bonnet stand 1 2 2
Supervisor term absence due to
treatment
EL/SUB 2. Ensure bonnet is presured and
stable

Removing turbo Mechanic, Slipping tools Permanent disability, Long 2 2 4 EL/SUB 1. Allow equipment too cool off 1 2 2
Supervisor term absence due to
treatment
PPE 2. Use PPE (hand gloves)

ADM 3. Determine temperatur with

heatgun

ENG/SEG 4. Use correct tools to remove turbo

ADM 5. Use OEM as guide

BHV 6. Keep all parts together

EL/SUB 7. Good house keeping when

working

Uncontrolled Document When Printed 2 of 6 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 : 3-Aug-12

Team Leader : Richard Douglas HSE General Supt Team Members :

Reference Number :
Facilitator : :

Process/Activity : Team Members :

Changing turbo on equipment

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

Replace turbo Mechanic, Confined space Permanent disability, Long 1 2 2 PPE 1. Use PPE (gloves) 1 2 2
Supervisor term absence due to
treatment
ADM 2. Ensure all gaskets and part all
place back as OEM

EL/SUB 3. Secure turbo and ensure all bolts

/ nuts are in place

Start up of equipment and testing Mechanic, Moving parts Permanent disability, Long 2 3 6 EL/SUB 1. Clear area from tools 1 3 3
Supervisor term absence due to
treatment
BHV 2. Workers in safe position

BHV 3. Worker stand on safe position

ADM 4. Follow OEM procedure to test

turbo function

Uncontrolled Document When Printed 3 of 6 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 4 of 6 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 5 of 6 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 6 of 6 LCI-HSE-FM-001A(02)

Feb 2010