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 :

Changing an engine

Approved By :

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

Hirarchy Control

Hirarchy Control
Risk Identified

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

Changing an engine Helper Crew, Run away Fatality,Permanent 3 4 12 2 2 4

Mechanic Crew, equipment,Falling disability, Long term
Foreman, objects,Chain/sling absence due to treatment 1. TAKE 5 & daily pre start briefing
Supervisor, brakes for clear instruction
Environement
EL/SUB EL/SUB
ENG/SEG 2. Energy Isolation (LOTO) ENG/SE
G
ADM 3. Follow OEM ADM
BHV 4. Mechanical training/refresh BHV
training for mechanic
5. Use correct tools for purpose

6. Inspected lifting equipment/tools

first before use
7. Park equipment on safe level

8. Place stop block behind wheels

9. Lower all components and

release stored energy
10. Support components that is
elevated and lock
11. Allow engine/hydraulic
oil/colllant to the cool off before
removing
12. Palce drip trays in place for any
spillage
13. Block fuel pipes off (no open
flames/smoking)
14. Block/plug all hydraulic
pipes/lines

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 : 28-Jul-12

Team Leader : Soni Wowiling HSE Supt Team Members :

Reference Number :
Facilitator : Richard Douglas HSE General Supt :

Process/Activity : Team Members :

Changing an engine

Approved By :

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

Hirarchy Control

Hirarchy Control
Risk Identified

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

15. All parts taken off must be

placed into containes provided
Removing radiator Helper Crew, Falling from, falling Fatality,Permanent 3 3 9 1. Use ladder to undo bolts on grid 2 3 6
Mechanic Crew, objects disability, Long term
Foreman, absence due to treatment, EL/SUB EL/SUB
Supervisor, Soil/water contaminated
Environement

ENG/SEG 2. Do not stand an front bumper of ENG/SE

dump truck G
ADM 3. Secure chan at correct position ADM
an radiator
BHV 4.Good communication between BHV
crane operator and spotter
5.Do not carry radiator over workers

6. Place radiator flat on ground

surface

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 : 28-Jul-12

Team Leader : Soni Wowiling HSE Supt Team Members :

Reference Number :
Facilitator : Richard Douglas HSE General Supt :

Process/Activity : Team Members :

Changing an engine

Approved By :

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

Hirarchy Control

Hirarchy Control
Risk Identified

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

Lifting engine with crane Helper Crew, Falling objects, pinned Fatality,Permanent 3 4 12 1. Inspect crane prior to use 2 2 4
Mechanic Crew, by,crached by disability, Long term
Foreman, absence due to treatment, EL/SUB EL/SUB
Supervisor, Soil/water contaminated
Environement

ENG/SEG 2. Crane operator must have ENG/SE

SIMPER G
ADM 3. Inspect lifting ADM
chain,crane,complete checklist
ADM 4. Use correct lifting chain (OEM) ADM
for weight to be lifted
5. Secure chain at correct position
on engine
6. Ensure all workers are in safe
position before lifting engine
7. Good communication between
crane operator and rigger
8. No person between/under load
9. Place/lower engine onto stand
and secure with bolts

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