The Empty Risk Assessment document serves as a critical tool for organizations operating in Indonesia to fulfill their legal obligations under Law No. 1 of 1970 on Work Safety and Government Regulation No. 50 of 2012. This template is designed to be used whenever organizations need to assess new operations, review existing processes, or respond to workplace changes that might affect safety conditions. The Empty Risk Assessment format provides a standardized approach to documenting hazard identification, risk evaluation, and control measures, ensuring compliance with Indonesian regulatory requirements while promoting a systematic approach to workplace safety management. It should be completed by qualified personnel and updated regularly as part of an organization's ongoing safety management system.
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1. Document Information: Basic information including date, location, assessor details, and document control information
2. Scope and Purpose: Defines the scope of the risk assessment, including physical areas, activities, or processes being assessed
3. Assessment Methodology: Explanation of the risk assessment method used, including risk matrix and scoring criteria
4. Area/Process Description: Detailed description of the area, process, or activity being assessed
5. Hazard Identification: Systematic identification of potential hazards in the assessed area/process
6. Risk Analysis: Analysis of identified risks including likelihood and severity ratings
7. Current Control Measures: Documentation of existing control measures and their effectiveness
8. Risk Evaluation: Evaluation of risk levels considering existing controls and determination if risks are acceptable
9. Additional Control Measures: Recommendations for new or improved control measures where needed
10. Action Plan: Detailed plan for implementing recommended control measures, including responsibilities and timeframes
11. Review and Monitoring: Schedule and procedure for reviewing and updating the risk assessment
1. Emergency Procedures: Specific emergency response procedures related to identified risks - include when high-risk activities are identified
2. Training Requirements: Specific training needs identified during the risk assessment - include when specialized skills or knowledge are required
3. Contractor Management: Specific requirements for contractors - include when external workers are involved in assessed activities
4. Environmental Impact: Assessment of environmental risks - include when activities may impact the environment
5. Cost Analysis: Analysis of costs associated with recommended control measures - include when significant investments are required
1. Risk Assessment Matrix: Standard risk matrix used for risk evaluation
2. Hazard Checklist: Comprehensive checklist of potential hazards by category
3. Control Measure Register: Detailed register of all control measures and their status
4. Assessment Forms: Blank forms used during the assessment process
5. Review History: Log of previous assessments and changes made
6. Reference Documents: List of relevant standards, regulations, and guidelines consulted
7. Task Analysis Sheets: Detailed breakdown of high-risk tasks and their specific controls
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Construction
Mining
Oil and Gas
Chemical Processing
Agriculture
Logistics and Warehousing
Healthcare
Food Processing
Automotive
Textile Industry
Pharmaceutical
Energy Production
Transportation
Marine Operations
Relevant Teams
Health and Safety
Operations
Production
Quality Assurance
Maintenance
Facilities Management
Risk Management
Compliance
Human Resources
Environmental
Engineering
Project Management
Industrial Relations
Occupational Health
Relevant Roles
Health and Safety Manager
Risk Assessment Specialist
Operations Manager
Facility Manager
Production Supervisor
Quality Control Manager
Environmental Health Officer
Occupational Health Nurse
Safety Engineer
Compliance Officer
Department Supervisor
Project Manager
Process Safety Engineer
Industrial Hygienist
Maintenance Manager
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