Alstom Grid - HSV - Customer Site - （lndonesian language）

• HSV Title - what area of work is being inspected?

• External Hierarchal Safety Visit

• Country

• State

• Direct Customer

• End Customer

• Location

• Conducted on

  Date

• Prepared by

• Alstom Site Manager/Supervisor

• GUIDELINES:
  
  Engagement is key, we are not safety police, this is an opportunity to improve and help each other.
  
  TALK TO AS MANY PEOPLE AS YOU CAN, INCLUDE THE LOCATION HSE REPRESENTATIVE
  
  Safety talk focus questions;
  - Tell me about your job, what do you do?
  - What could go wrong?
  - What are the greatest dangers you face?
  - Do you think we have these dangers sufficiently controlled?
  - Do you think there are any safety issues here that we are not dealing with adequately?
  - Are there times when workers feel they need to take short cuts?
  
  

GENERAL OVERVIEW

• Is the area supervisory prepared for your visit? Apakah SM/Site Spv sudah dipersiapkan untuk kunjungan Anda?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have the items from the last HSV been closed out? (If not why not?) Apakah item temuan dari HSV terakhir telah ditutup?(jika tidak mengapa tidak?)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

EHS MANAGEMENT EHS

• Is the EHS information posted in the area up to date? <br>Apakah informasi EHS yang diposting di site adalah info yang up-to-date?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

DEVIATION / INCIDENT / ACCIDENT

• Has the site been free of serious near misses since the last HSV, or since the start of he job? <br>Apakah Site tidak mengalami kejadian near miss yang serius sejak HSV yang terakhir atau sejak awal pekerjaan dimulai?

  Yes

  No

  N/A

• Have corrective &/or preventative actions been carried out? Action required & who is responsible?

• Action completion date

  Date

WORK AREA INSPECTION

• Is the Alstom Supervisors name and contact number displayed? Apakah nama pengawas Alstom dan nomor kontak tercatat di info board?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is the Alstom work area been clearly demarcated and entry controlled? Apakah area kerja Alstom telah jelas ditentukan dan jalan/pintu masuk dikendalikan/dijaga?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all people in the area wearing the required PPE, as shown on site safety notices and risk analysis? Apakah semua orang mengenakan PPE yang diperlukan, seperti yang ditunjukkan pada EHS board dan sesuai dengan analisa risiko?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is the general housekeeping at an acceptable level for a working site? Apakah kebersihan secara umum pada tingkat yang dapat diterima untuk site?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all gas bottles secured and stored correctly? Apakah semua botol gas disimpan dengan benar?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all chemicals drums / barrels stored in containment bunding? Apakah semua drum bahan kimia disimpan dengan wadah penampung?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

RISK MANAGEMENT (Dir LSR 1 - assess & control risk before starting work)

• Are risk assessments up to date and signed off by all persons in the area? (Alstom, contractors, customers, visitors) Apakah penilaian risiko up to date dan ditandatangani pada oleh semua pihak?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is there a daily toolbox meeting record covering the work area? (Signed by all persons accessing the work area) Apakah ada file toolbox meeting yang meliputi area kerja?(Ditandatangani oleh semua orang di area kerija)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

CONTROL OF CONTRACTORS (Dir LSR 2 - contractors shall apply Alstom safety rules)

• Are contractors signed onto the risk analysis and toolbox records? Apakah kontraktor menandatangani analisa risiko dan catatan toolbox meeting?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have licenses and training been checked prior to starting work? Apakah lisensi dan pelatihan telah diperiksa sebelum mulai bekerja?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Have the contractors supplied their own risk analysis? Apakah kontraktor menyiapkan analisia risiko mereka sendiri?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are contractors wearing the minimum PPE for the area? Apakah kontrakor mengenakan PPE minimum untuk area kerja?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Was ALL Work observed by the contractor done in a safe manner? (If not what did you do about it?) Apakah Semua pekerjaan dilakukan dengan cara yang aman?(Jika tidak apa yang Anda lakukan?)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

LOCKOUT TAGOUT (LOTO) - (Dir LSR 3 - one person, one lock, one kek)

• Is there evidence of a daily check for isolations prior to starting work? Apakah ada bukti cek harian untuk isolasi setiap sebelum mulai bekerja?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are locks in place to prevent re-energies action? Apakah kunci loto ada untuk mencegah tindakan re-energi?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

ELECTRICAL AWARENESS - (Dir LSR4 - check absence of voltage before working on electrical parts)

• Are trailing earths in place on plant? Apakah grounding terpasang disemua fasilitas/peralatan?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are portable tools used as specified? In good condition (electric cables, leads, connectors......)? used with protection devices, and test and tagged? Apakah power tools digunakan sesuai dengan spesifikasinya? Dalam keadaan baik?(kabel dan konektornya...)? Digunakan dengan alat proteksinya,di test dan di label?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

MACHINE SAFETY - (Dir LSR 5 - prevent access to dangerous parts)

• Are all observed moving machinery parts guarded? Apakah semua bagian bergerak dari mesin diproteksi

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all equipment operators trained to use the equipment? (Show evidence) Apakah semua operator peralatan dilatih untuk menggunakannya?(Bukti/evidence)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

WORKING AT HEIGHT (Dir LSR 6 - hook on when there is a risk of falling)

• Is the area free of ladder use? (No ladders being used in the area) Apakah site bebas dari penggunaan tangga?(Tidak ada tangga yang digunakan di site)

  Yes

  No

  N/A

• Have the ladders been inspected prior to use and tagged within the last 6 months?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are all persons working at height restrained (harnessed) or barriers in place to prevent falling? Apakah semua orang yang bekerja di ketinggian menggunakan body harness dan barrier terpasang untuk mencegah jatuh?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• If scaffolding is used, is there a current, valid scarf tag in place? Jika scaffolding digunakan,apakah ada label atau tag yang berlaku?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Correct PPE, hard hats with chin strap, twin tailed harnesses with date checks? <br>PPE yang tepat,safety helmet dengan tali dagu,double lanyang dengan tanggal pengecekan?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

EXCAVATION WORKS (Dir LSR 7 - A protective system in place to prevent collapse or cave in)

• Is the area free of any trenches or excavations? Apakah daerah bebas dari parit atau penggalian?(Tidak ada penggalian di wilayah kerja)

  Yes

  No

  N/A

• Is everyone in the work area aware of the excavations. ( if not why not?) 该区域的每个人是否都知晓该开挖作业（若不知道，为什么？）

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

LIFTING EQUIPMENT (Dir LSR 8 - Maintain a safe distance from suspended loads)

• Is the area free of any lifting activities? (No lifting activities in the area) Apakah site bebas dari kegiatan pengangkatan?(Tidak ada kegiatan yang pengangkatan di site)

  Yes

  No

  N/A

• Have the following conditions been considered: weather, loads slung correctly, ground conditions, overhead conductors? 是否考虑了下列情况：天气，重物正确悬吊，地面情况，高架电缆？

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

MOBILE PLANT / EQUIPMENT (Dir LSR 9 - Maintain a safe working distance from operating vehicles)

• Is the area free of mobile plant operating during your visit? (No mobile plant operating) Apakah site bebas dari pergerakan kendaraan pada saat kunjungan?(tidak ada kendaraan yang beroperasi)

  Yes

  No

  N/A

• Has a pre-start check been carried out, check details?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Did pedestrians maintain a safe distance (2 meters) from operating plant?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Did the plant operator work in a safe manner? (Too fast, mobile phone, no horn,etc.)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Action required & who is responsible

MANUAL HANDLING / ERGONOMICS

• Were all operators observed using correct manual handling techniques? (Bend knees not backs) Apakah semua pekerja diamati pada saat melakukan pengangkatan manual?(lutut ditekuk-bukan punggung membungkuk)

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Is mechanical lifting equipment used where possible? Apakah peralatan angkat mekanik digunakan di mana memungkinkan?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

ENVIRONMENTAL CONSIDERATIONS

• Have all oil containers been bundled? Apakah semua wadah penampung oli telah terikat?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

• Are spill kits immediately accessible? Apakah peralatan penampung tumpahan dapat segera diakses?

  Yes

  No

  N/A

• Action required & who is responsible

• Action completion date

  Date

Sign Off

• Comments and things done well

• Names of persons involved in the HSV

• Add media

  Media

• On site representative

  Sign

• Auditor's signature

  Sign