The Hazard Identification And Risk Assessment Form is a critical workplace safety document required under Indonesian law, specifically aligned with Law No. 1 of 1970 on Work Safety and Government Regulation No. 50 of 2012 on Occupational Safety and Health Management Systems. This document should be used whenever there are new processes, equipment, or materials introduced to the workplace, when changes occur in existing operations, or during regular safety reviews (typically annually or as specified by industry regulations). The form captures comprehensive information about potential workplace hazards, their associated risks, existing control measures, and planned improvements. It serves as both a legal compliance document and a practical tool for maintaining workplace safety, requiring input from various stakeholders including safety officers, department heads, and workers' representatives. The document must be maintained and updated regularly to reflect changing workplace conditions and new safety requirements under Indonesian law.
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1. Document Information: Basic information including document reference number, date of assessment, revision number, and department/area covered
2. Assessment Team: Details of team members conducting the assessment, including names, positions, and qualifications
3. Scope of Assessment: Clear definition of the workplace area, processes, or activities being assessed
4. Hazard Identification: Systematic listing of identified hazards, including type (physical, chemical, biological, ergonomic, psychological), source, and potential consequences
5. Risk Analysis: Assessment of likelihood and severity of each identified hazard, using defined risk matrix
6. Risk Evaluation: Determination of risk levels (High/Medium/Low) and prioritization of risks
7. Control Measures: Existing and proposed control measures following the hierarchy of controls (Elimination, Substitution, Engineering, Administrative, PPE)
8. Action Plan: Specific actions required, including responsible persons and timeline for implementation
9. Review and Approval: Sign-off section for relevant authorities including safety officer, department head, and management representative
1. Emergency Response Procedures: Specific emergency procedures related to identified high-risk hazards, used when assessment identifies potential emergency scenarios
2. Environmental Impact Assessment: Assessment of environmental impacts of identified hazards, included when activities may affect the environment
3. Cost-Benefit Analysis: Analysis of proposed control measures' costs versus benefits, used for major control measure implementations
4. Training Requirements: Specific training needs identified based on hazards and control measures, included when new procedures or equipment are proposed
5. Contractor Management: Additional considerations for contractor activities, used when assessment covers work involving external contractors
1. Risk Assessment Matrix: Standard risk matrix used for evaluating likelihood and severity of risks
2. Hazard Identification Checklist: Standardized checklist for common workplace hazards by category
3. Control Measure Hierarchy Guide: Detailed guide explaining the hierarchy of controls with examples
4. PPE Requirements Chart: Matrix showing required PPE for different types of hazards
5. Previous Assessment History: Log of previous assessments and changes in risk levels
6. Relevant Photographs/Diagrams: Visual documentation of workplace areas, hazards, and control measures
7. Incident History: Record of relevant incidents and near-misses related to identified hazards
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Construction
Mining
Oil and Gas
Chemical Processing
Agriculture
Transportation and Logistics
Healthcare
Food Processing
Pharmaceuticals
Utilities
Telecommunications
Warehousing
Metallurgy
Automotive
Aerospace
Shipbuilding
Electronics Manufacturing
Relevant Teams
Health and Safety
Operations
Production
Maintenance
Quality Control
Environmental
Facility Management
Project Management
Risk Management
Compliance
Engineering
Human Resources
Emergency Response
Training and Development
Relevant Roles
Health and Safety Manager
Risk Assessment Specialist
Operations Manager
Plant Manager
Production Supervisor
Maintenance Engineer
Quality Control Manager
Environmental Health Officer
Facility Manager
Project Manager
Site Supervisor
Process Engineer
Safety Engineer
Industrial Hygienist
Compliance Officer
Department Head
Line Supervisor
Safety Committee Chairman
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