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Standard Risk Assessment Form for Indonesia

Standard Risk Assessment Form Template for Indonesia

A comprehensive risk assessment document designed to comply with Indonesian workplace safety regulations, particularly Government Regulation No. 50 of 2012 and Law No. 1 of 1970 on Occupational Safety. This form provides a structured approach to identifying, evaluating, and controlling workplace hazards across various operational contexts. It includes detailed sections for hazard identification, risk analysis, control measures, and implementation planning, ensuring alignment with Indonesian safety management system requirements and national safety standards.

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Standard Risk Assessment Form

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What is a Standard Risk Assessment Form?

The Standard Risk Assessment Form is a crucial document required under Indonesian workplace safety regulations, specifically designed to meet the requirements of Government Regulation No. 50 of 2012 and Law No. 1 of 1970 on Occupational Safety. This document serves as a systematic tool for identifying, assessing, and controlling workplace hazards, ensuring organizations maintain compliance with Indonesian safety standards while protecting worker health and safety. The form should be used whenever new processes are introduced, existing processes are modified, or as part of regular safety reviews. It captures essential information about potential hazards, risk levels, existing and proposed control measures, and implementation plans for risk mitigation strategies. Regular updates and reviews of this document are mandatory under Indonesian law, making it an essential component of any organization's safety management system.

What sections should be included in a Standard Risk Assessment Form?

1. Document Information: Form identification number, date of assessment, review date, and document control information

2. Assessment Team: Names and roles of personnel conducting the risk assessment, including relevant qualifications

3. Work Area/Process Description: Detailed description of the workplace, activity, or process being assessed

4. Hazard Identification: Systematic listing of all potential hazards identified in the work area or process

5. Risk Analysis: Assessment of likelihood and consequences for each identified hazard

6. Current Control Measures: Existing safety measures and controls currently in place

7. Risk Rating: Evaluation of risk levels using standardized risk matrix

8. Additional Control Measures: Proposed new or enhanced control measures to reduce risks

9. Implementation Plan: Timeline and responsibilities for implementing additional control measures

10. Monitoring and Review: Schedule and process for monitoring control effectiveness and reviewing the assessment

11. Approval: Sign-off section for relevant authorities and stakeholders

What sections are optional to include in a Standard Risk Assessment Form?

1. Emergency Procedures: Specific emergency response procedures related to identified risks, recommended for high-risk activities

2. Training Requirements: Detailed training needs for workers involved in the assessed activities, recommended when specialized skills are required

3. Environmental Impact Assessment: Assessment of environmental risks and controls, necessary when activities may impact the environment

4. Chemical Risk Assessment: Detailed assessment of chemical hazards and controls, required when handling hazardous substances

5. Equipment-Specific Controls: Detailed controls for specific machinery or equipment, necessary for assessments involving complex machinery

6. Contractor Management: Specific requirements for contractor safety, recommended when external workers are involved

What schedules should be included in a Standard Risk Assessment Form?

1. Risk Matrix: Standard risk assessment matrix used for risk rating calculations

2. Hazard Checklist: Comprehensive checklist of potential hazards by category

3. Control Measure Hierarchy: Hierarchy of controls reference guide

4. PPE Requirements: Detailed list of required Personal Protective Equipment

5. Incident Report Form: Template for reporting incidents related to identified risks

6. Safety Data Sheets: Relevant SDS for any hazardous materials identified in the assessment

7. Risk Assessment Review Log: Record of assessment reviews and updates

8. Reference Standards: List of relevant Indonesian safety standards and regulations applied

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 | Serial Founder & Legal AI Author

Jurisdiction

Indonesia

Cost

Free to use
Relevant legal definitions






























Clauses



















Relevant Industries

Manufacturing

Construction

Mining

Oil and Gas

Chemical Processing

Transportation and Logistics

Agriculture

Healthcare

Warehousing

Food Processing

Automotive

Pharmaceutical

Energy Production

Waste Management

Marine Operations

Relevant Teams

Health and Safety

Operations

Quality Assurance

Production

Maintenance

Environmental

Risk Management

Compliance

Human Resources

Engineering

Facilities Management

Project Management

Training and Development

Relevant Roles

Health and Safety Manager

Risk Assessment Specialist

Operations Manager

Facility Manager

Production Supervisor

Quality Control Manager

Environmental Health Officer

Maintenance Manager

Project Manager

Site Safety Coordinator

Compliance Officer

Industrial Hygienist

Process Safety Engineer

Department Head

Safety Trainer

Technical Director

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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