20171122_hazard Report_jpc Power Board 541q59

HAZARD REPORT FORM Formulir Pelaporan Bahaya

FRM-BSI-SHE-006 – Hazard report

Bagian 1 Laporan Bahaya – Temuan Bahaya (Part 1 Hazard Report – Hazard Finding) Nama (Name) Departemen (Department) Tanggal (Date) Jam (time) Lokasi Bahaya (Hazard Location) Rincian identifikasi bahaya (Details of identified hazard)

Tindakan yang telah dilakukan oleh Pelapor (Action has been taken by Observer) Tindakan Perbaikan yang diminta (Action required)

Kresna Yasha OPP/Maintenance 22 Nov 2017 14:00 OPP W/Shop  Substandard Three Phase portable power board ex JPC for hot splicing, found the not equipped with grounding and used cable grounding (yellow green for Neutral – violation to regulation PUIL), cable size from MCCB too small compare to MCCB size (violation).  Three phase extension cord to supply power to the portable power board, both end used male plugs and

Brought the equipment to workshop and band from usage

Replace with standard and safe equipment as per BSI Standard

Dokumen Pendukung Bagian 1 (ing Document Part 1)

JPC’s Power Board for Hot Splicing Machine power

Inside the Power Board, MCB not fixed to the DIN rail and grounding cable used for Neutral

Single Phase output cable not using cable gland.

# Bagian 1 dilengkapi oleh Pelapor (Part 1 completed by Observer) # Bagian 2 dilengkapi oleh Penanggung Jawab Lokasi (Part 2 completed by Area owners)

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HAZARD REPORT FORM Formulir Pelaporan Bahaya

Cable size from the MCCB too small compare to MCCB rating

No cable entry and sharp edge could damage the cable insulation

Grounding cable (yellow green) used as neutral

FRM-BSI-SHE-006 – Hazard report

MCBs not fixed to the DIN rail

Extension Cord male to male, potential hazards of electrocution when not handle properly.

# Bagian 1 dilengkapi oleh Pelapor (Part 1 completed by Observer) # Bagian 2 dilengkapi oleh Penanggung Jawab Lokasi (Part 2 completed by Area owners)

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HAZARD REPORT FORM Formulir Pelaporan Bahaya

FRM-BSI-SHE-006 – Hazard report

Bagian 2 Laporan Bahaya – Perbaikan (Part 2 Hazard Report – Corrective Action) Penanggung Jawab Lokasi Kerja (Area Owner) Nama Manger/Supervisor (Name of Manager/Supervisor) Jenis Pengendalian (Hazard control type)

Status perbaikan (Corrective Action Status) Manager’s signature (tanda tangan

Taggy and Asian Jarrod Taylor

X X

Penghilangan sumber bahaya (Elimination) Penggantian (Substitusion) Perbaikan (Repairs/Maintenance) Pemisahan (Isolation) Pelatihan (Training) Pengadaan alat (Equipment Purchase) Pembuatan prosedur kerja (Procedure Development) Audit - Inspeksi (Audit - Inspection) Kebersihan lingkungan kerja (Housekeeping) Alat Pelindung Diri (APD) Note:

Belum selesai (Incomplete) Sudah selesai (Complete)

Dokumen Pendukung Bagian 2 (ing Document Part 2)

# Bagian 1 dilengkapi oleh Pelapor (Part 1 completed by Observer) # Bagian 2 dilengkapi oleh Penanggung Jawab Lokasi (Part 2 completed by Area owners)

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