The Deliberate Risk Assessment Worksheet is a fundamental tool in Indonesian workplace safety management, developed to meet the requirements of the national Occupational Safety and Health Management System (SMK3) and related regulations. This document becomes necessary when organizations need to conduct systematic risk assessments for new operations, changes in existing processes, or periodic safety reviews. It encompasses comprehensive hazard identification, risk evaluation, control measure development, and implementation planning, all aligned with Indonesian safety standards and regulations. The worksheet is designed to facilitate compliance with Government Regulation No. 50 of 2012 and Minister of Manpower Regulation No. 26 of 2014, while providing a structured approach to risk management that can be effectively implemented and monitored across various organizational levels.
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1. Mission/Task Description: Detailed description of the activity, operation, or task being assessed
2. Date and Timeline: Date of assessment and validity period of the risk assessment
3. Assessment Team: Names and roles of personnel conducting the risk assessment
4. Hazard Identification: Systematic listing of all potential hazards associated with the task
5. Initial Risk Assessment: Assessment of identified risks without control measures, using probability and severity matrices
6. Control Measures: Detailed description of existing and proposed control measures to mitigate identified risks
7. Residual Risk Assessment: Re-evaluation of risks after implementation of control measures
8. Implementation Responsibility: Assignment of responsibilities for implementing control measures
9. Supervision and Monitoring Plan: Details of how the implementation of control measures will be monitored
10. Review and Approval: Sign-off section for relevant authorities and stakeholders
1. Emergency Response Procedures: Specific emergency procedures related to identified high-risk activities, required when dealing with potentially catastrophic risks
2. Environmental Impact Assessment: Assessment of environmental risks and impacts, required when activities may affect the environment
3. Equipment/Tools Assessment: Detailed assessment of tools and equipment risks, required when task involves specialized equipment
4. Training Requirements: Specific training needs for personnel involved in the task, required when specialized skills are needed
5. PPE Requirements: Detailed Personal Protective Equipment specifications, required when specific PPE is essential for task safety
1. Risk Assessment Matrix: Standard risk assessment matrix used for evaluating probability and severity
2. Control Measures Checklist: Detailed checklist for verification of control measure implementation
3. Hazard Identification Guide: Reference guide for common hazards in the specific work area or industry
4. Incident Response Flowchart: Visual representation of emergency response procedures
5. Review and Update Log: Record of assessment reviews and updates
6. Risk Assessment Forms: Blank templates for conducting additional risk assessments
7. Reference Standards: Applicable Indonesian safety standards and regulations for the specific industry or activity
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Construction
Mining
Oil and Gas
Chemical Processing
Transportation and Logistics
Agriculture
Forestry
Maritime Operations
Infrastructure Development
Heavy Industry
Energy Production
Waste Management
Food Processing
Pharmaceutical Manufacturing
Relevant Teams
Health, Safety and Environment
Operations
Quality Assurance
Risk Management
Production
Maintenance
Project Management
Compliance
Engineering
Emergency Response
Occupational Health
Environmental Management
Relevant Roles
Health and Safety Manager
Risk Assessment Specialist
Operations Director
Plant Manager
Site Safety Coordinator
Compliance Officer
Project Manager
Department Supervisor
Quality Control Manager
Environmental Health Officer
Production Manager
Maintenance Supervisor
Safety Engineer
Process Safety Specialist
Occupational Health Officer
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