This document provides information on hazard identification, risk assessment, and risk control (HIRARC). It defines key terms like hazard, risk, danger, and risk assessment. It describes the purposes of HIRARC as identifying hazards, assessing risks, and controlling risks. The basic components of risk management are identified as hazard identification, risk assessment, risk control, and review. The HIRARC process and methods like job safety analysis and HAZOP are also outlined.

1. Hazard Identification, Risk Assessment and Risk
Control (HIRARC)

2. CV Dr. YULIANI SETYANINGSIH,SKM,M.Kes
S1 Kesehatan Masyarakat UNDIP (1994)
S2 Ilmu Kesehatan Kerja UGM (2002)
S3 Ilmu Kedokteran dan Kesehatan UGM
(2016)
• Ketua Prodi S2 Magister Promosi Kesehatan FKM UNDIP (2017-
2022)
• Kepala Bagian Keselamatan dan Kesehatan Kerja FKM UNDIP
(2008-2012)
• Sekretaris Bagian Keselamatan dan Kesehatan Kerja FKM UNDIP
(2004-2008)
• Pengurus AIPTKMI Regional Tengah I
• Pengurus PAKKI Jawa Tengah
• Pengurus IAKMI Jawa Tengah
• Pengurus Komnas UKAKMI
Haki Buku
Riwayat Pendidikan
Work Experience
 Buku Ajar Higiene Lingkungan Industri (2019)
 Buku Pos Upaya Keselamatan Kerja (2019)
 Buku ajar Dasar-Dasar Keselamatan dan Kesehatan
Kerja (2020)
 Buku Panduan Bekerja Aman Pada Pekerja Pelapis
Logam (2020)

3. Definition
•
•
Hazard means a source or a situation with a potential
for harm in terms of human injury or ill health,
damage to property,
Hazad suatu situasi atau sumber ynag berpotensi
untuk terjadinya kecedaraan kepada manusia, sakit
kesihatan, kerosakan harta

4. Definition
•
•
•
•
Danger: Relative exposure to hazard
Bahaya: dedahan kepada hazad
Risk means a combination of the likelihood of an
occurrence of a hazardous event with specified
period
Risiko adalah kombinasi diantara kemungkinan
(kebarangkalian) untuk terjadinya hazad pada masa
tertentu

5. Definition
•
•
Risk assessment means the process of evaluating the
risks to safety and health arising from hazards at
work.
Hazard control means the process of implementing
measures to reduce the risk associated with a hazard.

6. What is Risk?
How to predict the risk?

7. Purpose of HIRARC
a) Legal requirement
b) to identify all the factors that may cause harm to
employees and others (the hazards);
c) to consider what the chances are of that harm actually
be falling anyone in the circumstances of a particular
case and the possible severity that could come from it
(the risks); and
d) to enable employers to plan, introduce and monitor
preventive measures to ensure that the risks are
adequately controlled at all times.

8. When to Carry out Risk Assessment?
•
•
•
Before operation
During operation
After operation

9. When to Review Risk Assessment?
1. Internal Operation
Before modification, changes or introduction of new
- material, machinery or processes, working
procedures
2. External – legal requirement

10. Basic Component of Risk Management
1. Hazard Identification
2. Risk assessment
3. Risk Control
4. Review

11. HIRARC Process

12. Hazard
Identification

13. Sources of Hazard
1 . M a n Unsafeact
2. Machinery Installation, layout
3. Materials Substances such a
s
chemicals, radioactive and gases
4. method The way people carry out their
work
5 . M e d i a Work place condition i.e. a
i
r
quality, ventilation, lighting, noise,
vibration

14. Classification of Hazard
Classification Example
Physical Mechanical ( Sharp point, edges, overload)
Electrical (Electrical cord insulation damaged,
wire cover)
Biological Blood borne, viruses, bacteria and Fungus
Chemical Exposed to carcinogens chemicals
Ergonomic Awkward design of workstation
Psychological Stress, sexual harassment and violent

15. Assessment- Identifying Hazard
• Information Gathering (Area Map, site
plans)
• Review of Documents and publication
• Inspection and observation
• Measurement of the atmosphere, monitor
environment
• Health or medical surveillance
• Previous hazard analysis

16. Hazard Analysis
• Job safety analysis
• HAZOP (Hazard Operational)
• Fault tree

17. Hazard Analysis (Job safety )
• Identify job to be done
• List things that can go wrong

18. Hazop
• To identify and evaluate safety hazards ib
the process plants
• New design or process
• “What if” questionnaire method

19. Fault Tree Analysis

26. Risk Rate
Risk rate = Severity x likelihood
= hazard x exposure
Likelihood = is an event likely to occur within the
specific period or in specified circumstances
@ How much quantities of chemicals enter the body

27. Severity of Hazard
Severity is the outcome of event
Harm to health
Damage to property
Damage to environment
Combination of the above

28. Risk Rate

29. Risk Rate

30. Risk Control
Langkah-Langkah Kawalan Risiko
Elimination
Substitutional
Isolation
Engineering Control
Admin. Control
PPE
&practice
Modified the process
@parameter
Most
Fair
Safe work system
Least

31. HiRARC FORM
Legal
requirement

32. Spot The Hazard

33. Spot The Hazard

34. Spot The Hazard

35. Spot The Hazard

36. Spot The Hazard

37. Hirarc At Hospital

38. Hirarc At Hospital
(Radiant RISK)

39. Hirarc At Hospital

40. Sampah Medis

41. Hospital Risk Management
Backgrounder
What is “RISK”?
What is Hospital Risk Management (HRM)?

42. What is “RISK”?
Risk is a probability or threat of a
damage, injury, liability, loss, or other negative
occurrence that is caused by
external or internal vulnerabilities, and
that may be neutralized through
preemptive action.
http://www.businessdictionary.com/definition/risk.html

43. What is Hospital Risk Management (HRM)?
Hospital risk management (HRM) is
a system or program that
manages the “risks” of a hospital.
•Department Risk Management
•Disaster Risk Management
•Patient Treatment Risk Management (Benefit-Risk; Medical
Malpractice Risk Management)
•Others

44. What are the general goals of HRM?
• Prevent and mitigate all potential risks
• Be prepared in terms of response and recovery
in case the risks become real
• Control resulting damage, injury, liability,
loss, or other negative occurrence to a
minimum level

45. What are the general goals of HRM?
• Avoid loss of and disability in
 People (patients, visitors, staff) in the hospital
 Resources of hospital
 Business of hospital (business discontinuity)
• Avoid complaints related to risk occurrence and
consequences!

46. What are the preventive goals of HRM?
• Promote safety for ALL patients, visitors, and staff in the
hospital
• Provide effective assistance and management during
emergencies (disasters)
• Prevent controllable deaths and disabilities
• Prevent and control losses (business, finances,
properties, and infrastructure).

47. What are the ultimate goals of HRM?
SUSTAINABILITY OF THE HOSPITAL
AS LONG AS POSSIBLE
(target: 100 years)

48. What are the ultimate goals of HRM?
SUSTAINABILITY OF THE HOSPITAL
AS LONG AS POSSIBLE
(target: 100 years)
Sustainable structure-wise
Sustainable financial-wise
Sustainable service-wise

49. Sustainable structure-wise goal of HRM?
Sustainable structure-wise
Will NOT collapse
NOT be burned
NOT be flooded
NOT be destroyed by whatever hazards
and will continue to operate its business as long as
possible (target: 100 years).

50. Sustainable financial-wise goal of HRM?
Sustainable financial-wise
Will NOT go bankrupt
Will have positive income
and will continue to operate its business as long as
possible (target: 100 years).

51. Sustainable service-wise goal of HRM?
Sustainable service-wise
Will continue
to provide adequate and quality services
expected of a hospital for as long as possible, both
during crisis and non-crisis situations

52. Quality parameters of an excellent HRM?
• Systematically and comprehensively formulated
(with document)
• With full support and commitment of top
management and ALL staff
• ALL staff of the hospitals trained and educated
on program

53. Quality parameters of an excellent HRM?
• With testing or exercises done regularly and at
planned intervals and as needed
• Being reviewed regularly at planned intervals
and as needed
• Has been tried and tested and has achieved its
formulated goals and objectives and specified
targets

54. Basic processes in Hospital Risk Management?
• Risk identification and assessment
• Formulation of strategies and action plans to
prevent, mitigate risks and to respond and
recover from the consequences of unavoidable
risk occurrence