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Job Safety Assessment Form Template for Indonesia

A comprehensive workplace safety documentation tool designed to comply with Indonesian occupational safety regulations, particularly Law No. 1 of 1970 and Government Regulation No. 50 of 2012. This form facilitates systematic hazard identification, risk assessment, and control measure implementation for specific work tasks or projects. It includes detailed sections for job planning, hazard analysis, required safety equipment, emergency procedures, and proper authorizations, ensuring all work activities meet local safety standards and regulatory requirements.

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What is a Job Safety Assessment Form?

The Job Safety Assessment Form is a crucial document required under Indonesian workplace safety regulations, specifically aligned with Law No. 1 of 1970 on Occupational Safety and Government Regulation No. 50 of 2012 on Safety Management Systems. This form must be completed before undertaking any work that involves potential hazards or risks to worker safety. It serves as both a planning tool and a legal document, demonstrating due diligence in identifying, assessing, and controlling workplace risks. The assessment includes detailed evaluation of work procedures, necessary safety equipment, emergency responses, and required authorizations, ensuring comprehensive safety coverage for all workplace activities in compliance with Indonesian safety standards.

What sections should be included in a Job Safety Assessment Form?

1. Job Details: Basic information about the job including location, date, time, and work description

2. Work Team: Details of all personnel involved in the task, including supervisors and workers

3. Required Permits and Licenses: List of necessary work permits and licenses required for the task

4. Equipment and PPE Requirements: Detailed list of required personal protective equipment and tools

5. Hazard Identification: Systematic identification of all potential hazards associated with the task

6. Risk Assessment Matrix: Assessment of likelihood and consequence for each identified hazard

7. Control Measures: Specific actions and measures to eliminate or minimize identified risks

8. Emergency Procedures: Emergency response plans and evacuation procedures specific to the task

9. Sign-off and Authorization: Approval signatures from relevant supervisors and workers

What sections are optional to include in a Job Safety Assessment Form?

1. Environmental Impact Assessment: Required when work may affect the environment - includes assessment of environmental risks and mitigation measures

2. Working at Heights Assessment: Additional assessment required for any work conducted above 1.8 meters as per Indonesian regulations

3. Confined Space Entry: Specific assessment required for work in confined spaces

4. Hot Work Requirements: Additional controls and permits required for welding, cutting, or other hot work

5. Chemical Handling Assessment: Required when handling hazardous substances or chemicals

6. Noise Assessment: Required when work involves high noise levels or use of loud equipment

What schedules should be included in a Job Safety Assessment Form?

1. Risk Assessment Matrix Reference: Standard risk assessment matrix used for scoring hazards

2. PPE Requirements Chart: Visual guide showing required PPE for different types of work

3. Emergency Contact List: List of emergency numbers and key contacts

4. Incident Report Form: Template for reporting any incidents or near-misses

5. Daily Equipment Inspection Checklist: Checklist for verifying equipment safety before use

6. Relevant Safety Data Sheets: Collection of SDS for any hazardous materials being used

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Indonesia

Cost

Free to use

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