f 001 risk assessmentrev 02 010610

No. : EHS/005-FM-001 Revision : 02 Application Date : 01/ 06/10 Page 1 of 1 Working Unit : EHS Secretariat Last Review Date : Next Review Date : Revision Status : Date : Date : * : Please add remarks in the act ivity wit h (R) for rout ine, (NR) for non-routine, and (E) for emergency sit uation ** : If "Y", please add remar ks with the number of legal, refer to OHS identi fication and evaluati on of compliance (PLJ/EHS/ 006-FM-001) *** : Fill with working area code and number of hazard. Working area code for ID number refer to Table I I. Process Owner Code System in SOP Control of Document page 11 Example : for IPA1, ID number will be 01-1, 01-02, 01-3, etc. Risk Rating (SxL) Department Head Date : Additional Risk Control Seve rity (S) Likeli hood (L) PT xxxx yyyyyy zzzzzzzz 1. Hazard Identification 3. Risk Control No. Work Station/ Process H&S Representative Residual Risk Division Head 2. Risk Evaluation Existing Risk Control Seve rity (S) Likelih ood (L) Risk Rating (SxL) Date : Possible accident / ill health Person-at-risk Description of Activity* Legal Aspect (Y/N)** Hazard ID No.*** FORM PENILAIAN RESIKO RISK ASSESSMENT

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form RA-(REV)PT xxxx yyyyyy zzzzzzzzNo.: EHS/005-FM-001FORMRevision: 02PENILAIAN RESIKOApplication Date: 01/06/10RISK ASSESSMENTPage 1 of 1Working Unit:EHS SecretariatDivision HeadDepartment HeadH&S RepresentativeLast Review Date:Next Review Date:Revision Status:Date :Date :Date :Date :Water Pump1. Hazard Identification2. Risk Evaluation3. Risk ControlAudioNo.Work Station/ProcessDescription of Activity*Legal Aspect (Y/N)**HazardID No.***Possible accident / ill healthPerson-at-riskExisting Risk ControlSeve rity (S)Likelihood (L)Risk Rating (SxL)Additional Risk ControlResidual RiskACSeve rity (S)Likelihood (L)Risk Rating (SxL)Fan000Mi0000Tabel 5.Mo0000LikelihoodRarelyOccasionalFrequentMa0000R0000O0000F00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Minor (Mi)LLM0000H = High Risk, M = Medium Risk, L = Low Risk000000000000200000000000*: Please add remarks in the activity with (R) for routine, (NR) for non-routine, and (E) for emergency situation**: If "Y", please add remarks with the number of legal, refer to OHS identification and evaluation of compliance (PLJ/EHS/006-FM-001)***: Fill with working area code and number of hazard. Working area code for ID number refer to Table II. Process Owner Code System in SOP Control of Document page 11Example : for IPA1, ID number will be 01-1, 01-02, 01-3, etc.

Water Pump

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