Deliberate Risk Assessment Worksheet Template for Indonesia

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Key Requirements PROMPT example:

Deliberate Risk Assessment Worksheet

"I need a Deliberate Risk Assessment Worksheet for a new chemical processing plant in Jakarta, focusing on hazardous material handling and storage processes, to be implemented by March 2025 and compliant with Indonesian SMK3 requirements."

Document background

The Deliberate Risk Assessment Worksheet is a fundamental tool in Indonesian workplace safety management, developed to meet the requirements of the national Occupational Safety and Health Management System (SMK3) and related regulations. This document becomes necessary when organizations need to conduct systematic risk assessments for new operations, changes in existing processes, or periodic safety reviews. It encompasses comprehensive hazard identification, risk evaluation, control measure development, and implementation planning, all aligned with Indonesian safety standards and regulations. The worksheet is designed to facilitate compliance with Government Regulation No. 50 of 2012 and Minister of Manpower Regulation No. 26 of 2014, while providing a structured approach to risk management that can be effectively implemented and monitored across various organizational levels.

Suggested Sections

1. Mission/Task Description: Detailed description of the activity, operation, or task being assessed

2. Date and Timeline: Date of assessment and validity period of the risk assessment

3. Assessment Team: Names and roles of personnel conducting the risk assessment

4. Hazard Identification: Systematic listing of all potential hazards associated with the task

5. Initial Risk Assessment: Assessment of identified risks without control measures, using probability and severity matrices

6. Control Measures: Detailed description of existing and proposed control measures to mitigate identified risks

7. Residual Risk Assessment: Re-evaluation of risks after implementation of control measures

8. Implementation Responsibility: Assignment of responsibilities for implementing control measures

9. Supervision and Monitoring Plan: Details of how the implementation of control measures will be monitored

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

Optional Sections

1. Emergency Response Procedures: Specific emergency procedures related to identified high-risk activities, required when dealing with potentially catastrophic risks

2. Environmental Impact Assessment: Assessment of environmental risks and impacts, required when activities may affect the environment

3. Equipment/Tools Assessment: Detailed assessment of tools and equipment risks, required when task involves specialized equipment

4. Training Requirements: Specific training needs for personnel involved in the task, required when specialized skills are needed

5. PPE Requirements: Detailed Personal Protective Equipment specifications, required when specific PPE is essential for task safety

Suggested Schedules

1. Risk Assessment Matrix: Standard risk assessment matrix used for evaluating probability and severity

2. Control Measures Checklist: Detailed checklist for verification of control measure implementation

3. Hazard Identification Guide: Reference guide for common hazards in the specific work area or industry

4. Incident Response Flowchart: Visual representation of emergency response procedures

5. Review and Update Log: Record of assessment reviews and updates

6. Risk Assessment Forms: Blank templates for conducting additional risk assessments

7. Reference Standards: Applicable Indonesian safety standards and regulations for the specific industry or activity

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Identification and Scope
Assessment Team and Authority
Risk Assessment Methodology
Hazard Identification
Risk Evaluation
Control Measures
Implementation Requirements
Monitoring and Review
Emergency Procedures
Documentation Requirements
Responsibilities and Accountability
Training and Competency
Safety Equipment and PPE
Compliance and Regulatory
Environmental Considerations
Review and Updates
Sign-off and Approval
Record Keeping

Relevant Industries

Manufacturing

Construction

Mining

Oil and Gas

Chemical Processing

Transportation and Logistics

Agriculture

Forestry

Maritime Operations

Infrastructure Development

Heavy Industry

Energy Production

Waste Management

Food Processing

Pharmaceutical Manufacturing

Relevant Teams

Health, Safety and Environment

Operations

Quality Assurance

Risk Management

Production

Maintenance

Project Management

Compliance

Engineering

Emergency Response

Occupational Health

Environmental Management

Relevant Roles

Health and Safety Manager

Risk Assessment Specialist

Operations Director

Plant Manager

Site Safety Coordinator

Compliance Officer

Project Manager

Department Supervisor

Quality Control Manager

Environmental Health Officer

Production Manager

Maintenance Supervisor

Safety Engineer

Process Safety Specialist

Occupational Health Officer

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Let's create your Deliberate Risk Assessment Worksheet

Authors

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