The Risk Assessment Control Form is a crucial document required under Indonesian occupational safety and health regulations, specifically designed to comply with Law No. 1 of 1970 and related governmental regulations. This document should be used whenever new processes are introduced, existing workflows are modified, or as part of regular safety reviews (typically annually or after incidents). It captures detailed information about workplace hazards, risk levels, existing and proposed control measures, and implementation plans. The form serves multiple purposes: ensuring legal compliance, protecting worker safety, documenting risk management efforts, and establishing clear responsibilities for safety measures. It 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, review date, and department/area being assessed
2. Assessment Team: Names and roles of personnel conducting the risk assessment, including their qualifications and signatures
3. Workplace/Activity Description: Detailed description of the workplace, process, or activity being assessed
4. Hazard Identification: Systematic identification and listing of all potential hazards in the workplace or activity
5. Risk Analysis: Assessment of likelihood and severity of identified hazards, including risk rating matrix
6. Existing Control Measures: Documentation of current control measures already in place
7. Risk Evaluation: Evaluation of residual risks after considering existing controls
8. Additional Control Measures: Proposed new or enhanced control measures to further reduce risks
9. Implementation Plan: Timeline and responsibilities for implementing additional control measures
10. Monitoring and Review: Schedule and procedures for monitoring control effectiveness and reviewing the assessment
1. Emergency Procedures: Specific emergency response procedures related to identified risks, required for high-risk activities
2. Training Requirements: Detailed training needs for workers based on identified risks and control measures
3. Cost-Benefit Analysis: Economic evaluation of proposed control measures, useful for large-scale implementations
4. Contractor Management: Additional controls and requirements for contractor work, needed when external workers are involved
5. Environmental Impact: Assessment of environmental risks and controls, required for activities with potential environmental impacts
1. Risk Assessment Matrix: Detailed risk rating matrix showing likelihood and severity criteria
2. Hazard Checklist: Comprehensive checklist of potential hazards by category
3. Control Measure Hierarchy: Hierarchy of controls diagram and explanation
4. Equipment Inventory: List of equipment and machinery involved in assessed activities
5. Reference Standards: Applicable Indonesian standards and regulations referenced in the assessment
6. Risk Assessment Review Log: Record of previous assessments and updates
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