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IPMOMI , PLTU PAITON 7 & 8HAZARD RISK ASSESMENT FOR ACCESS TO PLANT
FOR: 28/02/2012
Equipment (to be accessed) : 8CW-CRN-100GANTRY CRANE UNIT 8 Shut down In service
Work To Be Done : CHECK AND DISMANTLE TRAVELLING BEARING
Confined Space Access? Yes No ( refer to Paiton Instruction PP-05-03 and PI-05-02-01)
Work Order No: 1202281025 Permit No:
Assessor Name: Work Period: 8 Hours
1. BAGUS 3. Date & Time Start : 28/02/2012– 08:00
2. Shift SPV 4. Date & Time Finish : 28/03/2013– 16:00
Range of methods by which work could be done:Method 1 SHUTDOWN GANTRY CRANE, DISMANTLING TRAVELLING BEARING.
Selected Method
Detail any work to be performed outside the work area/space that may create a risk to personnel whilst they are within the work area/space e.g. vehicle/stationary engine fumes, maintenance activities. N/A
Emergency procedures: Station Emergency Procedures Special Procedures as attached
HAZARDS IDENTIFIED Tick appropriate Selections
HAZARDS RISK HAZARDS RISKHazardous Substances YES NO Flammable Contaminants YES NO
Chemical Contaminant Coal Chlorine Hydrogen gas Ammonia Fuel Oil Ozone Lube Oil Carbon Monoxide Carbon dioxide Hydrogen Sulfide Plant Process Hazards YES NO
Dust Hot Water Sulfur dioxide Steam
Pressurized Air Electrical Shock
Unsafe Oxygen Levels YES NO Pressurized Water Oxygen Deficiency Fumes/Vapors
HAZARDS IDENTIFIED Tick appropriate Selections
HAZARDS RISK HAZARDS RISK
PI-05-03-01-F01 Uncontrolled Copy if printed or copied
IPMOMI , PLTU PAITON 7 & 8HAZARD RISK ASSESMENT FOR ACCESS TO PLANT
FOR: 28/02/2012
Work Process Hazards YES NO Fire Class YES NO
Welding Class A: common combustible ( wood, paper, etc ) Cutting Class B: Flame able liquid and gas (gasoline,
propane & solvent )
Grinding Class C: Live Electrical Equipment (computer, Fax Machine etc)
Falling Material Class D: Combustible metals (Magnesium, Lithium, Titanium)
Ignition Sources Class K :Cooking Media (Cooking oils and Fats)
Electrical applies for lighting & power Work Environment YES NO
Lighting Heat Humidity Cold
Other YES NO Slippery Surfaces Manual Handling Traffic (Pedestrian) Environmental Impact Height/Falls Entrapment
CONTROL MEASURES Tick appropriate SelectionsNo Isolation Needed Safety Helmet Gas Tests required Safety Shoes Personal Gas monitor Eye Protection Signs Erected Hearing Protection (ear muff/ear plug) Barricades Erected Welding Mask Empty vessel/draining Leather apron/gauntlet
Clean/purge/flushing Leather gloves Force Logic required Dust Mask Fire Extinguisher prepared Rubber Gloves Remove flammable materials Rubber apron Communication: Radio channel 3 / 08121746209 Safety boot for chemical Standby/watch person _____________________ Safety Goggles Forced venting Safety harness
Self Contain Breathing Apparatus (SCBA)
Additional Control Measures (Please Specify)
VARIABLE ISOLATION CLOSE BREAKERCHECK THE TOOLS TO MAKE SURE IT IN GOOD CONDITION USE STANDART PPE
PI-05-03-01-F01 Uncontrolled Copy if printed or copied
IPMOMI , PLTU PAITON 7 & 8HAZARD RISK ASSESMENT FOR ACCESS TO PLANT
FOR: 28/02/2012
The following tests are required to assess the atmospheric conditions within the nominated space:
Test For Relative Vapor density to air
Station Standard Test Required (thick selection)
Yes No
Ammonia Less than 5 ppm
Carbon Dioxide Less than 5000 ppm (0.5 %)
Carbon Monoxide Less than 25 ppm
Chlorine Less than 0.25 ppm
Hydrogen Sulfide Less than 2 ppm
LEL Less than 5%
Oxygen Greater than 19.5%Less than 23.5%
Ozone Less than 0.1 ppm
Sulfur dioxide Less than 2 ppm
NOTE: For clarification on the test required to be carried out refer PI-05-03-02 (Testing Of Confined Spaces)
Signature:
( BAGUS WS ) ( ) ( ) ( )
Applicant Shift Supervisor
Date : 28/02/2012 Time : 09:00
PI-05-03-01-F01 Uncontrolled Copy if printed or copied
