RISK

MATRIX C Consequences (C):

P 1 2 3 4 5 1) Insignificant/No injury/No Impact to Environment.

A M H H H H 2)
Minor (Minor accident, resulting in an injury that requires first aid treatment only, Use of easily
available renewable resources, Noise level below 40db (A), Little Impact upon environment /
B M M H H H property / flora / fauna due to minor release of non hazardous / flammable / non toxic
substance / no impact upon neighbors-very minor person injury.
C L M M H H
D L L M M H 3) Moderate (Accidents that require medical treatment, Use of easily available renewable
resources, Noise level above 40db (A) but below 75db, Impact upon environment / property /
E L L L M M flora / fauna due to high release of non hazardous / inflammable / non toxic substance /
minimal upon neighbors-minor person injury.
Probability (P): 4) Major injuries resulting in disability / lost function in total / fatal (requires long treatment).
An event that is bound to happen at 5)
A Catastrophic (Use of hazardous chemicals/Non recyclable materials/Scarcely available-Non
all conditions / every activity renewable Materials-Noise level above 90db (A)/Impact on environment/Property/Flora/Fauna
(Almost Certain)
undertaken. due to High release of toxic substance/Hazardous-Inflammable of substance-High Impact upon
neighbors).
B An event that will occur in almost all
(Likely) conditions.
C An event will occur in certain
(Moderate) conditions.
An event may occur in some
D
circumstances, but less likely to
(Unlikely)
occur.

Perhaps it can be an event that

E
occurs in conditions of special /
(Rare)
exceptional after many years.
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 HSE General Manager President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 3 pages

Department/Work Activity HSE Time of Activity Monday – Saturday (08.00 – 17.00)

Location PT Kamigumi Indonesia Lampung Review Date 2-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Site Visit Routine Slipping & tripping First aid injury • Using PPE • Good Documented 2 D L
• Rubber boots when it Information
rains implementation
• Work permit • Good PPE Inventory
• Good inspection & audit
implementation

Dropped objects First aid injury Keep away from potential • Good Documented 2 D L
drop object location Information
implementation
• Good employees safety
awareness

Falling from height Fracture • Use proper PPE • Good Documented 3 E L

• Hold handrail Information
• Safety harness implementation
• Good inspection & audit
implementation

Sunstroke Dehydration/ heatstroke Drink water & • Good Documented 2 D L

Rest if tired Information
implementation
• Good employees safety
awareness

Overboard First aid injury • Life jacket • Good Documented 2 D L

• BOSIET Information
• Use proper PPE implementation
• Hold handrail • Good PPE Inventory
• Good inspection & audit
implementation

Unsafe act - Play\ing Moderate Injuries - Toolbox Meeting • Good PPE Apply 3 D M Discplinary action, Discplinary • Good Documented 2 D L Occassional HC
Jokes - Inspection and • Good inspection & audit Policy Information
supervision implementation

2 Office Activity Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation
 Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L
- SOPOffice Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor health problems - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

Paperwork Minor environmental - Double side printing • Good Documented 2 E L

impact Information
implementation

3 Emergency Situation Emergency Unknown response Fatality - ERP Procedure • Good Documented 5 D H - Regular Drill - Good employees 3 E L Regular HSE
- Riot / Civil disturbance - Regular Socialization Information - Regular ERP Procedure competency manajemen
- Earthquake implementation Review - Good employees safety
- Bomb Threat • Good employees safety - Competency training awareness
- Fire / Explosion awareness

Unknown evacuation Fatality - ERP Procedure • Good Documented 5 D H - Regular Drill - Good employees safety 3 E L Regular HSE
route - Regular Socialization Information - Regular ERP Procedure awareness
implementation Review
• Good employees safety
awareness

Unknown injuries person Fatality - ERP Procedure • Good Documented 5 D H - Regular Drill - Good employees 3 E L Regular HSE
treatment - Regular Socialization Information - Regular ERP Procedure competency manajemen
implementation Review - Good employees safety
• Good employees safety - Competency training awareness
awareness

Unknown how to use Major Injuries - ERP Procedure • Good Documented 4 C H - Regular Drill - Good employees 2 D L Regular HSE
emergency equipment - Regular Socialization Information - Regular ERP Procedure competency manajemen
implementation Review - Good employees safety
• Good employees safety - Competency training awareness
awareness
 Emergency equipment Fatality - ERP Procedure • Good Documented 5 D H - Regular Drill - Good Maintenance 3 E L Regular HSE
mallfuction Information - Regular equipment Program
implementation maintenance & inspection - Good inspection & audit
• Good employees safety implementation
awareness - Good employees safety
awareness

4 Emergency Situation Emergency Infected Fatality - ERP Procedure • Good Documented 5 D H - Regular Drill - Good Maintenance 3 E L Regular HSE
Pandemic Disease - Regular Socialization Information - Regular ERP Procedure Program
- Provide supporting implementation Review - Good inspection & audit
equipment • Good employees safety - Regular equipment implementation
- Reguler related cleaning awareness maintenance & inspection - Good employees safety
program awareness
- Coordinate with
government health
service

Pandemic Spreading Massive Fatality - ERP Procedure • Good Documented 5 C H - Regular Drill - Good Maintenance 3 E L Regular HSE
- Regular Socialization Information - Regular ERP Procedure Program
- Provide supporting implementation Review - Good inspection & audit
equipment • Good employees safety - Regular equipment implementation
- Quarantine / restriction awareness maintenance & inspection - Good employees safety
rules awareness
- Reguler related cleaning
program
- Provide additional
related PPE
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21
Revision 0
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 5 pages

Department/Work Activity Operational Time of Activity Monday – Saturday

Location PT Kamigumi Indonesia Lampung Review Date 3-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Probabilit Additional Risk Control Support Additional Probabilit Due date PIC
Routine/Emergency Support Existing Control Effect Risk Level Effect Risk Level
y Control y
1 Jetty visit Routine Slipping & tripping First aid injury • Using PPE • Good Documented 2 D L
• Rubber boots when it Information
rains implementation
• Work permit • Good PPE Inventory
• Good inspection & audit
implementation

Dropped objects First aid injury Keep away from potential • Good Documented 2 D L
drop object location Information
implementation
• Good employees safety
awareness

Falling from height Fracture • Use proper PPE • Good Documented 3 E L

• Hold handrail Information
• Safety harness implementation
• Good inspection & audit
implementation

Sunstroke Dehydration/ heatstroke Drink water & • Good Documented 2 D L

Rest if tired Information
implementation
• Good employees safety
awareness

Overboard First aid injury • Life jacket • Good Documented 2 D L

• BOSIET Information
• Use proper PPE implementation
• Hold handrail • Good PPE Inventory
• Good inspection & audit
implementation

2 Work in Confined Routine Lack of oxygen Fatality - Confined space training • Good Documented 5 D H • Toolbox talk is a must • Good inspection & audit 3 E L Regular Operation
space/Restricted area - Use gas detector Information • Healthy Condition implementation
implementation • Good MCU
• Good PPE Inventory implementation
• Good regulation
compliance

3 Office Activity Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation
 Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L
- SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor health problems - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

4 Material checking Routine Slipping & tripping First aid injury • Using PPE • Good Documented 2 D L
• Rubber boots when it Information
rains implementation
• Work permit • Good PPE Inventory
• Good inspection & audit
implementation

Dropped objects First aid injury Keep away from potential • Good Documented 2 D L
drop object location Information
implementation
• Good employees safety
awareness

Falling from height Fracture • Use proper PPE • Good Documented 3 E L

• Hold handrail Information
• Safety harness implementation
• Good inspection & audit
implementation

Sunstroke Dehydration/ heatstroke Drink water & • Good Documented 2 D L

Rest if tired Information
implementation
• Good employees safety
awareness

Pinch point Moderate injuries • Use proper Gloves • Good inspection & audit 3 E L
• Focus on the task implementation
Poor manual handling Slight back pain, sprain, • Follow SOP • Good Documented 3 D M • Trolley • Good employees 2 D L Regular Proj
process strain Information • Fokrlift operation • Safety awareness Coord
implementation
5 Loading & Unloading Routine Exposed to chemicals Medical Treatment • Safety shower • Good Documented 3 E L
• Safety gloves polkadot Information
• Safety glass implementation
• Dust mask • Good employees safety
• Safety shoes awareness
• Follow SOP • Good inspection & audit
implementation
• Good PPE Inventory

Routine Moving object Fracture • 1 person for forklift • Good Documented 3 E L

driver’s license Information
• Forklift operating at implementation
capacity • Good employees safety
• 2 person who perform awareness
loading and unloading • Good inspection & audit
• Follow Procedure implementation
• 1 driver, 1 rigger, 1 • Good OHS Regulation
helper Compliance
• Using PPE • Good PPE Inventory
• No entry sign except
authorized person

6
Warehousing/Storing Routine Falling from height Fracture • Use proper PPE • Good Documented 3 E L
• Hold handrail Information
• Safety harness implementation
• Good inspection & audit
implementation

Falling object Fracture • 1 person for forklift • Good Documented 3 E L

driver’s license Information
• Forklift operating at implementation
capacity • Good employees safety
• 2 person who perform awareness
loading and unloading • Good inspection & audit
• Follow Procedure implementation
• 1 driver, 1 rigger, 1 • Good OHS Regulation
helper Compliance
• Using PPE • Good PPE Inventory
• No entry sign except
authorized person

Falling from height Fracture • Use proper PPE • Good Documented 3 E L

• Hold handrail Information
• Safety harness if implementation
needed • Good inspection & audit
implementation

Sharp surface Injury - Using PPE • Good Documented 2 D L

- Follow SOP Information
implementation
• Good PPE Inventory
• Good inspection & audit
implementation

Physical factors (noise, Employees exposure - Chemical factors lab • Good Documented 3 E L
lux, temperature) tesing Information
- Good air circulation implementation
- Use fan if required • Good inspection & audit
implementation
Chemical reaction Explosive and Fire - Good material • Good Documented 5 E M - Training for Chemical handler • Good Documented 3 E L Regular Chemical
arrangement of Information and storeman about safety Information Sales &
placement implementation chemical handling implementation Storeman
- SDS is available • Good inspection & audit - Maintain pedestrian area W-house
- HSE Inspection implementation around warehouse
- Emergency response
plan implemented
- Fire protections are
available

Slippery floor Minor health problems - Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Forklift fuel Air Pollution - Routine maintenance • Good maintenance 3 E L

- Emission test routine schedule
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 HC & Admin Supv GM President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 1 page

Department/Work Activity Driver Time of Activity Monday - Friday (08.00 - 17.00)

Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Driving (outside) Routine Traffic Accident Fatality - Periodic maintenance • Good maintenance 4 D M • Defence Driving Course • Good Documented 3 E L Regular Driver
- Driving License schedule • No Speeding Information
- Seat Belt • Good regulation • Time Management implementation
compliance • Check wheels every day • Good inspection & audit
• Make 30 minutes stop in every implementation
4 hours driving
• Speed Limit Rules

Fatigue caused by driving Fatality - Driving License • Good regulation 4 D M • Defence Driving Course • Good Documented 3 E L Regular Driver
compliance • No Speeding Information
• Time Management implementation
• Make 30 minutes stop in every • Good inspection & audit
4 hours driving implementation
• Speed Limit Rules

Fuel gas Air Pollution - Routine maintenance • Good maintenance 3 E L

schedule
Fuel Consumption Reducing resources - Car request form • Good Documented 3 D L
- Using car if needed Information
implementation

2 Fire in car Emergency Fire Temp First Aid - APAR is available • Good Documented 3 E L
- Check the radiator Information
- Check battery water implementation
- Regular maintenance • Good inspection & audit
- ERP Procedure implementation

3 Driving & Biking (Inside Routine Traffic Accident First Aid - Pedestrian route • Good Documented 2 E L
Office Area) - Motorcycle route Information
- Car parking area implementation
- Speed limitation signage
- Guidance from security

Routine Fuel gas Air Pollution - Routine maintenance • Good maintenance 3 E L

schedule
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21
Revision 0 HC & Admin Supv General Manager President Director
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 2 pages

Department/Work Activity Office Administration Time of Activity Monday – Friday (08.00 – 17.00)
Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Office Activity Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor health problems - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge usage Minor environmental - Return to vendor • Good employees safety 2 D L
impact awareness
2 Visitor coming Non Routine Virus contamination Fatality - ERP Procedure • Good Documented 5 C H - Regular Drill - Good Maintenance 3 E L Regular HSE
- Regular Socialization Information - Regular ERP Procedure Review Program
- Provide supporting implementation - Regular equipment maintenance & - Good inspection & audit
equipment and PPE • Good employees safety inspection implementation
- Reguler related cleaning awareness - Good employees safety
program awareness
- Coordinate with
government health
service
Non Routine Lack of information Getting Lost - Safety Induction • Good Documented 2 D L
- Safety Sign Information
- Security Procedure for implementation
Visitor • Good employees safety
- Visitor Badge awareness

Non Routine Smoking Fire - Safety Brief • Good Documented 5 D H - Monitor by Security • Good inspection & 2 D L Occasional Receipcionist
- Safety Sign Information - Reminding Smooking area when implementation
- Smoking Area implementation break time is coming

Non Routine Unproper Parking Bloking Escape route - Traffic Cone • Good inspection & 3 C M - Security must arrange vehicle • Good inspection & 2 D L Occasional Security
- Security Personel implementation parking implementation
• Good safety awareness

Non Routine Stealing Lost Asset - Security Personel • Good inspection & 3 D M - Monitor by Security • Good inspection & 2 D L Occasional Security
implementation implementation
• Good safety awareness
 Doc. Nr.QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision0 HC & Admin Supv HC Director President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 3 pages

Department/Work Activity Human Capital & General Affair Time of Activity Monday – Friday (08.00 – 17.00)
Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 General Employee's Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
Office Activity electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor Injuries - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Printer catridge usage Minor environmental - Return to vendor • Good employees safety 2 D L
impact awareness
Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

Paperwork Minor environmental - Double side printing • Good Documented 2 E L

impact Information
implementation

Too Much Power Minor environmental - Turn off while not used • Good Documented 2 E L
consumption impact sticker Information
implementation
 Freon AC Reduce ozon - Provide AC with • Good Documented 3 E L
environmental firendly Information
spec implementation
- AC Maintenance
- Turn off when it not
used SIGN

Electrical used (Lamps, Increase power - Turn off when it not • Good Documented 3 E L
Leptop, PC, Printer, consumption used SIGN Information
Photocopy) - Setting Photocoy, PC implementation
and leptop to
automatically sleep
whenever it is not used

Chemical and physical Inconvenience and illness Physical and chemical • Good Documented 3 D M Testing should be carried out • Good Documented 3 E L Regular HSE
factors exposures related work of factors testing around Information twice per year Information
employees office area implementation implementation

Bullying Employee suffers stress Company rules, company • Good Documented 2 E L

policy, discplinary policy Information
implementation

2 Office Renovation Non Routine Dust expossure Minor health problems - OHS Socialization • Good Documented 2 D L
- Induction for contractor Information
- Entry restriction implementation
program for employees • Good employees safety
awareness

Noise expossure Minor health problems - OHS Socialization • Good Documented 2 D L

- Induction for contractor Information
- Entry restriction implementation
program for employees • Good employees safety
awareness

Untidy tools Minor Injuries - Contractor supervision • Good Documented 2 D L

- Induction for contractor Information
- Unauthorized entry implementation
restriction
- Safety barrier

Mosquito bites Minor health problems Pest Control • Good Documented 2 D L

Information
implementation

3 Fogging and disinfectant Routine Chemical inhalation and Minor health problems - Contractor supervision • Good Documented 2 D L
spraying expossure - Induction for contractor Information
- Unauthorized entry implementation
restriction
- Information distribution

Chemical gases air pollution - use chemical per MSDS • Good Documented 2 D L
Information
implementation

4 AC Maintenance Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L

electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Dust expossure Minor health problems - OHS Socialization • Good Documented 2 D L

- Induction for contractor Information
- Entry restriction implementation
program for employees • Good employees safety
awareness
5 Medical Check Up (in Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
office) electricity networks Information
- SOP Office Safety implementation
- Induction delivery and • Good Maintenance
short brief Program
- Vendor supervision • Good inspection & audit
implementation

Medical waste Minor health problems - Induction delivery and • Good Documented 3 E L
short brief Information
- Waste segregation implementation
- Supervision on Vendor • Good inspection & audit
implementation

Xray / UV leakage High health illness - Induction delivery and • Good Documented 5 C H - Place the LV away from people • Good inspection & audit 3 E L Onsite HC
short brief Information implementation
- UV permit review implementation
- Using special light • Good inspection & audit
vehicle implementation
- Supervision on vendor

Covid-19 infection Medical Treatment - Covid-19 health • Good Documented 3 E L

protocol Information
- Mask wearing implementation
- Disinfection and hand • Good inspection & audit
sanitizer implementation
- Latex gloves • Good PPE usage

6 Electricity Maintenance Non Routine Sparking Fire - Work permit system • Good information 5 D H - Maintenance by PLN • Good maintenance 3 D L Regular HC
- Fire Extinguisher implementation - Riksa Test by licensed third program
- ERP procedure • Good inspection & party vendor from Kemnaker
- Electrical procedure impelementation

Electrocuted Fatality - Work permit system • Good information 5 D H - Maintenance by PLN • Good maintenance 3 D L Regular HC
- Additional PPE implementation - Riksa Test by licensed third program
- Amphere test • Good inspection & party vendor from Kemnaker
impelementation
• Good maintenance
program

Short Circuit Raise Temperature - MCB • Good inspection & 3 B L

impelementation
7 Power Disruption Non Routine No Electricity Lost data in server - UPS is available • Good inspection & 3 D M - Back-up procedure • Good documented 3 B L Regular IT
- Distribute "power off" impelementation - Back-up socialization information
to employees if there is • Good maintenance implementation
information from PLN program
before.

Rising temperature inside - Open the door • Good safety awareness 3 B L

workplace instruction
- Communicate to PLN
immediately
- Distribute "power off"
to employees if there is
information from PLN
before.

Reduction of lighting - Communicate to PLN • Good safety awareness 3 B L

immediately • Good maintenance
- Distribute "power off" program
to employees if there is
information from PLN
before.
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 HC & Admin Supv General Manager President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 2 pages

Department/Work Activity Office Boy Time of Activity Monday – Friday (08.00 – 17.00)
Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Operating Photocopy Non Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
Machine electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Too Much Power Minor environmental - Turn off while not used • Good Documented 2 E L
consumption impact sticker Information
- Provide photocopy implementation
which has sleep
adjusment

Printer catridge usage Minor environmental - Return to vendor • Good employees safety 2 D L
impact awareness
2 Pantry activity Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Gas Leak Medical Treatment • Using SNI Regulator • Good Documented 3 E L

• Periodic checks Information
• 1 hose + regulator implementation
replaced once a year • Good Maintenance
• Safety sign Program
• Good inspection & audit
implementation
 Hot Surface Injury - OHS Socialization • Good Documented 2 D L
- Follow SOP Information
implementation
• Good employees safety
awareness

Sharp Surface Injury - OHS Socialization • Good Documented 2 D L

- Follow SOP Information
implementation
• Good employees safety
awareness

3 Cleaning / housekeeping Routine Slippery floor Minor health problems - OHS Socialization • Good Documented 2 D L
activity - Follow SOP Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Chemical exposure Minor health problems - OHS Socialization • Good Documented 2 D L

- Follow SOP Information
- Using PPE implementation
• Good PPE Inventory
• Good employees safety
awareness

4 Gardening Routine Sharp Surface Injury - Using PPE • Good Documented 2 D L

- Follow SOP Information
implementation
• Good PPE Inventory
• Good inspection & audit
implementation

Hot Temperature Minor health problems - OHS Socialization • Good Documented 2 D L

(dehydration) - Follow SOP Information
- Provide drinking water implementation
• Good employees safety
awareness

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- Follow SOP Information
implementation
• Good employees safety
awareness
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 HC & Admin Supv HC Director President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 1 page

Department/Work Activity Security Time of Activity Everyday based on shift

Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Guide the parking Non Routine Hit by a vehicle Medical Treatment • Traffic lights • Good PPE inventories 3 E L
• Whistle • Good employees safety
• When it rains provided awareness
raincoats, rubber shoes

Hot Temperature Minor health problems - OHS Socialization • Good Documented 2 D L

(dehydration) - Follow SOP Information
- Provide drinking water implementation
• Good employees safety
awareness

2 Patrolling Routine Hot Temperature Minor health problems - OHS Socialization • Good Documented 2 D L
(dehydration) - Follow SOP Information
- Provide drinking water implementation
• Good employees safety
awareness

Tripping at warehouse First Aid • Safety shoes • Good PPE inventories 2 D L

• Flashlight • Good employees safety
• OHS Socialization awareness

Slipped when it rains First Aid • Safety shoes • Good PPE inventories 2 D L
• Flashlight • Good employees safety
• OHS Socialization awareness

Cold Temperature Minor health problems • Wear a jacket if it's cold • Good employees safety 2 D L
• Do not eat late awareness
• OHS Socialization

3 Communicating with Routine Illness or Covid-19 Medical Treatment Cov-19 health protocol, • Good PPE inventories 3 E L
outsider infection mask and physical • Good employees safety
distancing awareness

4 Body temperature Routine Covid-19 infection Medical Treatment Cov-19 health protocol, • Good PPE inventories 3 E L
checking mask and physical • Good employees safety
distancing awareness
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 Senior IT General Manager President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 2 pages

Department/Work Activity Information Technology Time of Activity Monday – Friday (08.00 – 17.00)
Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Probability Risk Level Effect Probability Risk Level
Control
1 Office Activity Routine Electricity Current Major Injuries - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor health problems - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

Printer catridge usage Minor environmental - Return to vendor • Good employees safety 2 D L
impact awareness
Paperwork Minor environmental - Double side printing • Good Documented 2 E L
impact Information
implementation
 Too Much Power Minor environmental - Turn off while not used • Good Documented 2 E L
consumption impact sticker Information
implementation

Freon AC Reduce ozon - Provide AC with • Good Documented 3 E L

environmental firendly Information
spec implementation
- AC Maintenance

2 Cable installation Non Routine Potential fall from height Medical Treatment - Using PPE • Good Documented 3 E L
- SOP Office Safety Information
implementation
• Good PPE Inventory

Sharp surface Medical Treatment - Using PPE • Good Documented 3 E L

- SOP Office Safety Information
implementation
• Good PPE Inventory

Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L

electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Dust expossure Minor health problems - OHS Socialization • Good Documented 2 D L

- Induction for contractor Information
- Entry restriction implementation
program for employees • Good employees safety
awareness
 Doc. Nr. QHSF-OHS-11-01 Prepared by, Reviewed by, Approved by,
PT KAMIGUMI INDONESIA LAMPUNG BRANCH
Date 1-Aug-21

Revision 0 Sales Mgr (For) General Manager President Director

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL
Page 2 pages

Department/Work Activity Finance & Accounting Time of Activity Monday – Friday (08.00 – 17.00)
Location PT Kamigumi Indonesia Lampung Review Date 1-Aug-21

Risk Assessment Org Opportunity To Risk Residual

Routine/Non Org Opportunity To
No Activity Hazard Identification Consequences Existing control Probabilit Additional Risk Control Support Additional Due date PIC
Routine/Emergency Support Existing Control Effect Risk Level Effect Probability Risk Level
y Control
1 Site visit Routine Slipping & tripping First aid injury • Using PPE • Good Documented 2 D L
• Rubber boots when it Information
rains implementation
• Work permit • Good PPE Inventory
• Good inspection & audit
implementation

Dropped objects First aid injury Keep away from potential • Good Documented 2 D L
drop object location Information
implementation
• Good employees safety
awareness

Falling from height Fracture • Use proper PPE • Good Documented 3 E L

• Hold handrail Information
• Safety harness implementation
• Good inspection & audit
implementation

Sunstroke Dehydration/ heatstroke Drink water & • Good Documented 2 D L

Rest if tired Information
implementation
• Good employees safety
awareness

Overboard First aid injury • Life jacket • Good Documented 2 D L

• BOSIET Information
• Use proper PPE implementation
• Hold handrail • Good PPE Inventory
• Good inspection & audit
implementation

2 Office Activity Routine Electricity Current Medical Treatment - Maintenance of • Good Documented 3 E L
electricity networks Information
- SOP Office Safety implementation
• Good Maintenance
Program
• Good inspection & audit
implementation

Ergonomic Minor Injuries - OHS Socialization • Good Documented 2 D L

- SOPOffice Safety Information
implementation
• Good employees safety
awareness
Printer catridge dust Medical Treatment - OHS Socialization • Good Documented 3 E L
- SOP Office Safety Information
implementation
• Good employees safety
awareness

Room temperature Minor health problems - OHS Socialization • Good Documented 2 D L

- SOP Office Safety Information
implementation
• Good employees safety
awareness

Slippery floor Minor health problems - Toilet Housekeeping • Good Documented 2 D L

Information
implementation
• Good employees safety
awareness
• Good inspection & audit
implementation

Computer monitor light Minor health problems - OHS Socialization • Good Documented 2 D L
exposure - SOP Office Safety Information
implementation
• Good employees safety
awareness

Paperwork Minor environmental - Double side printing • Good Documented 2 E L

impact Information
implementation

Too Much Power Minor environmental - Turn off while not used • Good Documented 2 E L
consumption impact sticker Information
implementation

Freon AC Reduce ozon - Provide AC with • Good Documented 3 E L

environmental firendly Information
spec implementation
- AC Maintenance