1

Health & Safety Plan for Treatability Testing

PT. SYNGENTA INDONESIA

1. GENERAL
1.1 Company Profile.
 Company Name : PT. Enviromate Technology International
 Name of President Director : Suriyanto B.Com MTM.
 Name of Supervisor HSE : Muladi
 Company Address : 18th Floor, Jl.Boulevard
Kirana Office Tower 17-18th
Timur No.88 Kelapa Gading, North Jakarta 14240
 Phone / Fax. : 296 29769
021-296 29768 / 021-296
 Email Address : info@envirotechintl.com

1.2 Project Overview

 Job Name : Construction of Waste Water Treatment Plant
 Job Risk : High Risk
 Tender Number : _
 Job Location : PT Syngenta Gunung Putri
 Duration : ± 40 days
 Number of workers : ± 8 people

1.3 Project Scope

Job Procurement of project implementation services completion of the remaining scope
of Jetty Port and Conveyor System Development Work which includes :
1. Preparation work
2. Field Engineering work
3. Procurement, Conctruction dan Instalation
4. Completion Work.
5. Commisioning.

2. LEADERSHIP & COMMITMENT

Management of PT. Enviromate Technology International has a major and ongoing
commitment to protect employees and company property from unwanted losses. Every company
activity has the main goal of achieving value without
with an accident.

The supervisor of each activity is responsible for all aspects of work safety including the
application of company procedures, laws and regulations that apply.

Hazard control is not only carried out as a reaction to an accident or as a result

r of
inspections that have been carried out at work.

Requests for all employees to carry out all of their operations by achieving the highest
standards of work safety with the aim of NON ACCIDENT.
a. Conduct periodic checks to find out and reduce pote potential
ntial hazards. Conduct internal audits in
accordance with the program and follow up on findings to prevent accidents as early as possible.
b. Develop training for all employees and encourage them to provide input by sharing
information through a two-way
way communication
co system.
c. Develop emergency action plans along with effective countermeasures procedures, whether
for Health, Work Safety and Environmental Protection or security. Thus it will reduce the
negative impact on other companies.
d. Ensure that every field activity has an accident / incident reporting procedure and every
accident is thoroughly investigated, documented and recorded costs.
2.1 HSE Policy PT. Enviromate Technology International.
2.2 Policy on the use of illegal drugs and alcohol
 3. Key Performance Indicator (KPI)
3.1 Leading dan Lagging Indicator
Indicator.
No Item Target Satuan Evidence Keterangan
1 Number of workers 8 people Absensi the HSE daily report
Safe
2 Number of safe working days 40 days working HSE monthly report
day data
Working HSE Monthly
3 Safe working hours 320 Hour
hours data Report
LAGGING INDICATOR
No Item Target Actual Evidence Keterangan
0 The total Actual ≤ Terget
4 Fatal accident number of
cases
0 Report Actual ≤ Terget
5 Big Accident

0 Report Actual ≤ Terget

6 Medium accident

7 Light accident 0 Report Actual ≤ Terget

First aid 3≤ Report Actual ≤ Terget

8

3≤ Report Actual ≤ Terget

9 Near Miss Case

LEADING INDICATOR
Safety Talk / Tool box Daily list of Actual ≥ Target
10 Meeting attendees
& Notulen
11 HSE Meeting 1x/ Sunday Report & Actual ≥ Target
 notulen
12 HSE Inspection 1x/ Sunday Report Actual ≥ Target
13 Compliance with PPE 95% Report Actual ≥ Target
Compliance with HSE 95% Report Actual ≥ Target
14
Procedures
HSE Inspection follow-up
up Min 95% Report Actual ≥ Target
15
Closed
16 Managemen Visit Min3 bulan 1x Report Actual ≥ Target
17 Training HSE Min1x Report Actual ≥ Target
18 Safe PPE Min 95% Report Actual = Target
19 Safe PTW Min 95% Report Actual = Target

20 HSE Contractor Report (minimum includes HSE Plan) Every Month to

Client

3.2 Project Objectives & Targets

The targets and targets to be achieved in this project are as follows:
1. Occupational safety and health programs and the environment, Hygiene and Sanitation in
the Company's work environment can be carried out well.
2. The behavior of the workforce can be controlled properly.
3. Zero Accident.
4. Zero Occupational.
5. Zero Polution.
6. Zero Fire.
 4. ORGANIZATIONAL STRUCTURES, DUTIES, AND RESPONSIBILITIES.
4.1 Project Organizational Structure

Direktur

Project Manager
Ridwan S. Raya
+62 813-1961-3448
ridwan@envirotechintl.com

Admin Control Finance & Accounting

WWTP Engineer HSE Officer Engineer Analys

M. Irbiyan Muladi Rien S. Wahyuni
+62 858-8398-0563 +62 813-2809-9317 081374291075
irbiyan@envirotechintl.com muladi@envirotechintl.com Rien.mm92@gmail.com

Supervisor
Dadang s. putra Laboran
+62 896-3685-0510 1. Rizkho Agustian
dadang@lumbingtektama.com 2. Ocky Dwi tama
4.2 Worker's Duties and Responsibilities

 Project Manager
- Responsible for the implementation of HSE at the site
- Organize and schedule work at the site
- Support and implement all HSE programs in the field
- Make work safety instructions at the site
- Ensure all staff have received work instructions and have been implemented
- Providing all facilities and infrastructure support for the work description
descript and safety

 Admin Control
- Ensure that all project data is inputted to the computer
- Ensure that the documentation of project activities goes well and smoothly
- Ensure that all office inventory is maintained
- Ensure road document documentation runs smoothly
- Ensure attendance and overtime reports are available
- Ensure that monthly reports are available
- Ensure that all documents are duplicated and maintained properly.

 Finance & Accounting

- Performing the preparation of the company's finances
- Enter all financial transactions into the program
- Carry out corporate financial transactions
- Make payments to suppliers
- Connect with internal or external parties related to the company's financial activities

 WWTP Engineer
- Carry out Technical Supervision
- Maintaining the Smooth Production Process of the Company.
- Able to Work Effectively and Efficiently
Efficiently.
 - Periodically Check the Machine.
- Works According to the Field.

 HSE
- Helping to arrange a work permit
- Socialize and promote the HSE system at the site
- Implement the HSE program at the site
- Supervise HSE implementation at the site
- Making HSE implementation reports on the site
- Provide first aid when there is an accident or illness site
- Provide advice and technical issues related
relate to HSE site.

 Supervisor
- Delivering the policy conveyed by the position above to all subordinates and their groups
- Carry out tasks, projects, and jobs directly
- Control and evaluate team performance
- Providing information to management regarding the conditions of the field team, or
becoming an intermediary between workers and management.
- Solve routine daily problems
term plan for a task that has been determined by the supervisor.
- Make a short-term

 Engineer Analys
- Coordinating laboratory analysts
-. Distribute
ribute test samples for testing
- Prepare and test the test sample
- Supervise the implementation of testing
- Managing a work environment that meets the occupational health and safety requirements
of Laboratory personnel
- Do supervision of all laboratory
aboratory analyst activities
 - Do the data analysis aliditas

 Laboran
- Maintain laboratory cleanliness to ensure proper safety and working conditions for
laboratory users and maintenance.
- Prepare the Lab activity schedule.
- Provide sper part / backup equipment (hardware / software)

5. RISK MANAGEMENT
5.1 Risk Management Methods
Every job is having a risk in accordance with the level of danger that exists in the area
and the nature of the work. These risks must be assessed in such a way as to determine what
steps should be taken so that each risk can be minimized. Risk assessment needs to be carried out
on each type of work. Consequences and consequences (consequency & probality) are assessed
objectively and carefully so that they can produce a level of risk as a guide in determining the
control of these risks. Control measures must be carried out SMART (suitable, measurable,
acceptable, reasonable, timeable).
JSA (Job Safety Analysis), HIRADC (Hazard Identification Risk Assessment And
Determine Control) and environmental impact aspects are made together before the work is
carried out. This activity covers all potentially hazardous activities during the execution of work.
JSA is the identification of hazards, risk assessment and monitoring of controls that
tha must
be carried out to determine the type of activities carried out, the source of danger from the work,
the impacts and risks faced, preventive actions and improvements according to the value of the
risk of the job.
analysis can be in the form of preventive and corrective
The results of identification and analysis
actions, providing PPE according to occupational risk. Job risks and mitigation actions must be
socialized, understood and followed by all workers.
Environmental aspects are elements of activities, prod ucts or services related to the
products
environment. Environmental impact is any change to the environment, whether it is detrimental
or beneficial, in whole or in part resulting from activities, products or services.
consider the impact on the environment
Every aspect of work at the work site must consider
caused to take measures to prevent pollution of air, water and land.
PT. ETI does not tolerate a condition that is dangerous, unsafe, unhealthy or that is not
found, including violations of HSE
environmentally sound. If such conditions or activities are found,
standards that must be adhered to, then PT ETI Management will immediately take the necessary
actions to eliminate, stop, mitigate, or improve the condition or activity.

5.2 Job Health Safety And Environment Analysis.

In the commitment to implement HSE aspects in every project of PT. Enviromate
Technology International performs risk identification in this case the Job Health Safety and
Environment for each job that will be carried out. This is an effort to identify potenti
potential hazards
that may arise early on the potential - potential hazards in work activities. As a first step
Management encourages and requires the Field Coordinator / Supervisor to understand and
socialize the Job Health Safety and Environment before each typ
type of work
With the introduction of potential hazards, PT. Enviromate Technology International can
determine the control techniques that will be implemented in the project area
All unsafe or unhealthy working conditions or practices will be evaluated and if
necessary corrected at any time necessary given the potential hazards and risks of the work. The
results of the identification of Job Health Safety and Environment Analysis are as follow
 Hazard identification

R: Rutin; NR: Non-rutin; P: Probabilitas / Kemungkinan; S: Severity / Keparahan; H: Health /Kesehatan; S: Safety /Keselamatan E :
Environment, R : Resiko
PPL:: Peraturan dan Persyaratan Lain yang terkait
ELI: Eliminasi; SUB: Substitusi; KTS:: Kendali Teknis; ADM: Administratif; APD: Alat pelindung diri

Penilaian Risiko
Kendali
Aktifitas / Alat / Operasional S Penting
R/ PPL Ya/Tdk Pengendalian / Mitigasi
No Material / Produk / Bahaya Kerja Risiko Kerja yang saat ini
NR P R
Layanan
H S E ELI SUB KTS ADM APD Sisa
Resiko
1 Work preparation

Personnel preparation R Personnel are not fit / Sick worker Health check of workers 3 3 1 1 M Permenakertras RI no2 th 1980 Ya Health check of workers L
unhealthy
Personnel are less competent Wrong workmanship Worker competency 3 1 3 1 M Prosedur Pelatihan dan ya Personnel are competent L
in their fields kompetensi according to their fields
Work Equipment R Nonstandard work equipment Work equipment is Equipment checking 2 1 3 1 M Equipment Inspection Procedure Ya Inspection of work equipment to be L
Preparation damaged used
Work equipment is not Work is hampered Equipment checking 3 1 3 1 M Equipment Inspection Procedure ya Inspection of work equipment to be L
suitable used

Worker PPE preparation R PPE is not appropriate PPE not standard Data PPE 3 3 2 1 M Permenakertrans Ri no ya Prepare PPE according to the L
08/MEN/VII/2010 standards of the client
Amount of PPE is not in PPE less arrange Amount PPE 3 1 3 1 M ya Record the number of workers L
accordance with the data involved
Data Preparation R Work permit has not been work accident Work permit procedure 3 2 2 1 M Work permit procedure ya Make sure the work data has been L
approved approved by authorized people

Mobilization of Tools and NR Operate the car Accident during the trip SIM Operator / Driver 3 1 3 1 M Driving procedure Ya Make sure the driver is competent. L
2
Materials

SIM is appropriate and still valid

Broken car during the trip Mobilization is Equipment Inspection 3 1 3 1 M Driving procedure ya Car Check before mobilization L
hampered Procedure
 The car got a ticket Mobilization is Data Mobil 2 1 3 1 M Driving procedure ya Make sure the car document is L
hampered complete

3 Work Area Cleaning R Personnel slipped, scratched, Injury personnel Prosedur PPE 3 1 2 1 M Safe Work Procedure ya Using standard PPE L
dropped etc.
Trash scattered Environmental pollution Procedure for handling 3 2 2 3 M Kepmenaker Ri No.Kep- ya Disposal of waste / waste according to L
waste 187/MEN/1999 tentang B3 the type and character

Insufficient trash can Environmental pollution Procedure for handling 2 2 1 2 L Waste Handling Procedure ya Providing sufficient trash bins L
waste

Probability (P)
Resiko (R) 3 1
5 4 2
VH;Sangat Tinggi, H:Tinggi, M:Sedang, L:Rendah, Kadan Tidak
Sering Sering Jarang
VL:Sangat rendah g pernah
sekali Terjadi Terjadi
kadang Terjadi
4 : Fatal VH VH H M M
3 : Serious VH H M M L
Severity (S)
2 : Light H M M L VL
1 : First aid M M L VL VL
6. RISK CONTROL PROGRAM
6.1 Entry Control / Access Control
Every employee who enters and works in the project work area must follow the
procedures set by the Client. Every employee who works must report to the Regional Controller
as information that there are employees working in the area.
6.2 Orientation and Induction
ction of HSE
Induction (direction) is carried out by PT.ETI to every employee, new worker, and
subcontractor by relevant personnel to ensure that everyone and the equipment used and enter the
induction must have understood
work area are safe and secure. Everyone who has been given induction
and obeyed the rules and requirements that have been determined.
Employees are the most valuable asset for PT ETI. Quality and safety will not be
achieved if it is not supported by sufficient capacity of each personnel.
The development
pment of personnel capabilities is carried out through continuous training and
refreshment.
Internal and external training is carried out according to needs. Every person involved in
the training is required to follow and understand the training. Relevant training is held / carried
out before starting work for all people who carry out work in the field.

6.3 JSA (Job Safety Analysis)

Hazard Identification is efforts to find out early, recognize and estimate the risk of
giving early warnings and knowing the existing hazard risks,
possible harm. This is useful for giving
potentials and consequences of hazards. For this reason, as a first step, Management encourages
and requires Coordinators and supervisors in the field to understand and socialize the Job Safety
sis (JSA) before the start of each type of work. JSA is filled in the JSA form. Job Safety
Analysis
Analysis (JSA) is a tool used to identify potential hazards from work / activities to be carried out
to control risks that might occur.
ach job involving medium and high hazards and must be
JSA must be carried out for eeach
reviewed regularly because new hazards may arise from operations at the new workplace,
changes in work or personnel duty procedures, and from a combination of hazards.
structured approach to identifying potential hazards in the
Job Safety Analysis (JSA) is a structured
work and designing preventative measures.
All unsafe or unhealthy working conditions or practices will be evaluated and if
necessary corrected. These conditions will be corrected at any time needed given
g the risk /
danger of the hazard.
6.4 SIKA / Work Permit (Secure Work Permit)
A work permit system must be carried out on this project before carrying out a work
activity aimed at ensuring that all work activities are known and ready for work / execution.
From a work permit we can recognize the source of the danger / risk that exists and the
prevention step, also we know what kind of work will be done, so everything is done according
to the plan systematically and thoroughly.
rdinator and supervisor must prepare an application for work permits
In this case the Coordinator
submitted to the Project Manager and be examined by HSE. Work permit system for all work
activities such as:
a. Cold work
b. Confined space
c. Hot work (welding, cutting, grinding)
d. Pekerjan excavation
e. Altitude work
f. Radiographic and other work
All of the work activities above must have their work permits made every time they do their
work and attach Job Safety Analysis (JSA).
The underlying philosophy for the work permit system is that the implementation of work
in the field receives permission after being reviewed by the field coordinator regarding this work
and approved by the Project Manager and ensuring safe work to be carried out by HSE.
Furthermore, the work permit is a form of of work statement, which explains the work method and
identification of the preventive actions that will be carried out by the employee.
For this project a Safe Work Permit (SIKA) will refer to the SIKA Client Procedure.
6.5 MSDS
maintained by the HSE department to provide employees with
MSDS must be stored and maintained
up-to-date
date information about the material or material.
The following are steps taken to deal with hazardous or mixed chemicals in the workplace.
nd is available to employees.
- Every hazardous chemical must have an MSDS at work aand
- Save MSDS for future use and reference
- Train workers about hazards and safeguards in accordance with the instructions of the MSDS.
6.6 Waste / Waste Management and Management
In general, all waste is handled in three steps
ste as follows:
a. Collect waste / waste according to its type before sending it to the disposal area or waste
processor.
b. Receive authorization / instructions for further handling of waste.
c. Sending waste from waste collected at a temporary shelter to the disposal site or final shelter,
unless B3 waste will be handed over to the B3 waste collector / destroyer who has official
permission from KLH
Especially for areas for B3 waste storage, we will prohibit anyone who is not authorized to enter
the area. The
he place / location must be equipped with a sign to remind you of the danger of the
area.
Waste and food waste will be collected in the rubbish bin provided according to the categories,
namely organic, non-organic
organic in a number of strategic places, namely in the office / office area,
and others.
The trash can will be cleaned every day by the cleaning crew. For the B3 waste generated we
will ask permission from the client to use the B3 Waste temporary shelter that has been owned
by the Client.

6.7 HSE Meeting

Safety meetings are held as a means of socialization, discussion, hearing and accommodating
employee aspirations. It must be ensured that the meetings are carried out consistently and
continuously. Meeting notes and attendance lists are stored and reporte
reportedd to the Client.
At this Project Work job communication, participation and consultation, and safety meetings
include:
1. Safety Induction, carried out at least once for new workers or workers placed on the related
project, the duration of time is adjusted to the material to be delivered. In induction safety
information will be explained regarding safety, potential sources of danger that exist at each job
and an explanation of the location of the workplace.
2. The box meeting tool, is carried out every time it starts work, for about 10 minutes. In the
meeting tool box will be discussed about hazard identification and other HSE issues that can
affect the smooth implementation of work.
3. Safety Meeting, conducted regularly weekly or monthly. If required, PT ETI
ET will attend a
safety meeting held by the Client according to the schedule set.
4. Promotion / campaign / socialization of HSE is carried out according to programs that aim as
preventive actions. PT ETI conducts promotional and awareness programs, such as bulletin
boards, posters and banners / banners.

6.8 Routine Health Checks.

Occupational health is considered by PT. ETI. During the selection process our employees will
employ employees who are physically and mentally healthy. This must be proven by a
recommendation letter from the doctor.
Is a periodic medical examination conducted by medical staff appointed by the company. Every
employee who will work in the field must have a health check and get a doctor's
recommendation that he is in good health to work (fit to work).
Employees who are found to be unhealthy and disrupt their health if their work is continued,
wise recommendations will be issued that are oriented to the health welfare of the employees
themselves. MCU (Core Personnel) carried out, such as not limited to:
1. Summary of medical history
2. Physical examination
3. Regular blood tests
4. Routine urine test
5. Routine chest X-ray
6. Laboratory tests
7. Audiogram
8. Teeth
9. Treadmill test
10. Abdominal test
11. Eyes
12. Illegal drugs, etc.
alth consultations with health agencies, for example the nearest health center or hospital must
Health
be carried out to find out the pandemic of frequent outbreaks as well as treatment and prevention
measures.
workerss in the field work in a clean and healthy
The coordinator in the field must ensure that worker
work environment, including food consumed and water sources used.
6.9 HSE Promotion Signs
In addition to the communication meetings above, information media and campaigns
about HSE were also delivered through bulletin boards, banners / banners, posters, pocket books
on occupational safety and health (HSE Handbook) and HSE information boards that would be
given to remind workers to work in ways that safe at all times.
period of time, ie HSE performance statistics will
All media will be updated for a certain period
re arranged every month and
be updated every month; Banners / Posters and Banners will be re-arranged
updated at any time; information board that will be installed in accordance with updated
communication must be documented. Documentation must include
information about HSE. All communication
subject I topic of discussion and attendance level.
This documentation will be reviewed / audited periodically to ensure its implementation.
involved, two languages will be
To provide clear communication between all the workers involved,
chosen, namely the Indonesian language
6.10 House Keeping work area
House keeping is one of the work environment cleaning programs that will be carried out
at the project site. Every once a week there will be general house kkeeping
eeping for all employees
before starting work for.
The HSE division cooperates with general employees to provide plastic bags for garbage
that are cleaned by employees, then the waste is put in the garbage provided according to the
type. And for house keeping
ing in each work area is done every day after the meeting tool box is led
by the Coordinator / supervisor of each. Like the following below:
a. The coordinator of the work area is responsible for the cleanliness of each work area
(workplace, work equipment)
b. Every company personnel who works in the project area must clean the work area and re-work
re
the workplace and equipment after work.
c. Every activity of material work must be ensured not to cause new hazards / disturb access to
workers' traffic, it mustt be placed properly and neatly in accordance with the type of material.
6.11 Personal Protective Equipment
Personal protective equipment is workers' personal protective equipment as a last resort
which aims to reduce the consequences of accidents that occ ur. PPE or PPE identified according
occur.
to the results of JSA / HIRADC. PT.ETI will provide PPE before work in the field begins.
The amount and specifications of the PPE will at least follow Client's requirements.
Every employee must maintain and use PPE maxim ally for his safety. Commitment to the use of
maximally
PPE and conditions for the feasibility of PPE are controlled and inspected on a regular basis.
Training on using PPE is done so that PPE can be used properly and maximally to protect
employees.
The PPE used is not limited to:
1. Safety Helmet (Safety helmet)
2. Safety Shoes (Safety Shoes)
3. Safety Body Harnest
4. Hand glove (gloves)
5. Ear protection (ear protector)
6. Mask Protection (mask)
7. Face Shield
8. Vest
9. Coverall
10. First aid box
11. Gas Detector
12. Etc.

6.12 LOTO (lock out, Tag out)

Individual Hazard Label (Personal Danger Tag / Do not Operate and Padlock / lock) before
installation:
 Use a guide / Spotter if the unit enters / exits the work area.
 Stop and turn off the engine, and plug it in (Wheel Chock).
 Ensure that there is no energy emerging / left behind in the operating system, by re-re
controlling.
 Complete the clear description on the Padlock label.
 Strongly hang the Padlock label on a positive insulator.
 Clean the work area, and dispose of the leftover material / unused parts after finishing
work.
 Ensure that other employees are in a safe position.
 Remove the hazard label / padlock when finished and restart the energy source.
 Test / restart the equipment, if you are authorized.
 ite Manager or safety supervisor can release the Padlock label, if the first one
Only the Site
is forgotten.
6.13 HSE Training

The development of personnel capabilities is carried out through continuous training and
refreshment. Internal and external training is carried out according to needs. Every person
involved in the training is required to follow and understand the training.
Relevant training is held / carried out before starting work for all people who carry out work in
training and induction provided are not limited to:
the field. standards, competencies, training
a. Legislation related to safety, health and environment; and what is applied in this work.
b. Work procedures and instructions needed in carrying out work in the Client area

7. EMERGENCY CONDITIONS

7.1 Emergency Procedures

PT.ETI will establish an emergency communication channel, which includes Project

Managers and Personnel of PT. ETI, First Aid for Accidents (P3K), referral health services, fire
department and local police. The first information on an emergency should be brief and indicate
the nature and seriousness of the accident, the estimated severity, and the need for assistance
from hospital / referral health services, fire services, and others. Location and emergency
telephone number must be ins talled at the work location. When an accident / emergency situation
installed
occurs, the flow of communication and emergency response organizations must be induced to all
workers.
In cases of injury, first aid must be given to the injured person. When a serious inj injury occurred in
a fire case, the work around the fire site stopped the work and immediately went to a safe
location. Then fire fighting officers put out fires before firefighters from the local fire department
arrived.
When an explosion occurs, because there there is a possibility of another explosion, all the
surrounding workers stop working, turn off all equipment and immediately go to a safe gathering
point, and then wait for further instructions.
damage to equipment such as processes,
If an accident involves death, LTI, or illness or serious damage
facilities or equipment due to a fire explosion or natural disaster, the Site Manager must report to
PT ETI's highest Management and if necessary the local police.

7.1.1 Fire

supervisor instructs all workers (other than fire fighter

a. When a fire occurs, the foreman / field supervisor
and first aider officers) to stop working and go to the designated safety point and be notified in
the meeting toolbox. The location of the fire was isolated, electricity was turned off and other
fuel sources at the work location close to the hotspot had to be kept away.
b. Fire fighter officers do their job to extinguish fires, and first aider officers give first aid if there
are injured victims.
esponsible for the project that a fire had
c. Foreman or other workers notified the Site Manager rresponsible
occurred
d. Site Manager and report incidents and damage that has occurred to the incident commander.
The information provided is in the form of:
• Location of fire
• Actions related to fire
• There are victims or not
• If there is, who is the victim and the injury suffered
• Help that has been given
• Assets that are burned or damaged
e. The Incident Commander ordered the emergency response team to carry out its duties in
handling the emergency situation that occurred.
occu
f. If the fire is out of control, Site Manager contacts the local Fire Department and the police.
g. Incident Commander reports emergency events to the boss / client

7.1.2 Medical emergency / work accident

a. When an accident occurs that results in the work being injured, the foreman / supervisor of the
work orders first-aide
aide officers to carry out their duties. The location of the work is carried out
isolation.
first time officer, the maa foreman
b. If the injury suffered by the worker cannot be handled by a first-time
/ supervisor of the work contacts the local medical service to send the ambulance, the foreman /
supervisor works immediately to deliver the victim to the location of the medical service that has
been agreed before.
reported the incident to the site manager and site manager
c. Foreman / work supervisor reported
reporting this incident to the incident commander. The information provided is in the form of
• Location of the incident
• Workers who are injured
• Injuries that occur
• First aid given
• Referral medical services

7.1.3 Riot
a. If you see / know riots such as a fight or theft, immediately report it to your supervisor, not to
be vigilant.
b. Report it immediately to the work area security team.
c. If the security team cannot overcome the riots, report it to the authorities from outside.
7.2 Completeness of Emergency Information
List of Emergency Telephone Numbers

Organizations,
No. Name No. Telp
Departments and Personnel
1 Hospital Klinik Trimitra 021 867 2005
2 Police station Polsek Gunung Putri 021 8671405

3 Firefighters Damkar Bogor 0251-313113

4 Direktur Afin 0818 0744 6449
5 Project Manager Ridwan S Raya 0813 1961 3448
6 HSE Manager M.Sofyan 0812 9509 2239
7 Engineer Irbian 0858 8398 0563
8 Insiden Leader Supervisi Muladi 0813 2809 9317

Emergency Matrix Training

Bulan Ke
No. Emergency Training
1 2 3 4 5 6 7 8 9 10 11 12
1 Evacuation Training √ √
2 Fire Fighting Training √ √
3 Medical Evacuation Training √ √
 7.3 EMERGENCY INFORMATION.
Organizational Structure of the Emergency Response Team

Emergency state
Don't panic, stop work, turn
off equipment, handle if you
can,

ERT Supporting
Incident Commander Client
HSE Manager
Site Manager Bantuan dari luar

ERT Leader Supervisi

Safety

Evacuation Team Team First Aider Team Fire Fighthing

1. leader 1. leader 1. leader

2. Member 2. Member 2. Member

3. Member 3. Member 3. Member

4. Member 4. Member 4. Member

7.4 First Aid Equipment:
a. Minimum Standards The list of first aid kit contents refers to minimum Ministerial Regulation
No. 15 of 2018:

No ISI Box A (25 Box B Box C

people or less) (50 people or (100 people or
less) less)
1 Stacked gauze wrapped 20 40 40
2 Bandage (lebar 5 cm) 2 4 6
3 Bandage (lebar 10 cm) 2 4 6
4 Plester (lebar 1,25 cm) 2 4 6
5 Plester cepat 10 15 20
6 Cotton (25 gram) 1 2 3
7 Triangular fabric / mittela 2 4 6
8 Cut 1 1 1
9 Pin 12 12 12
10 Disposable gloves 2 3 4
11 Masker 1 1 1
12 Pinset 1 1 1
13 Flashlight 1 1 1
14 Glass for eye washing 1 2 3
15 Clean plastic bag 1 1 1
16 Aquades (100 ml lar. 1 1 1
Saline)
17 Povidon Iodin )60 ml) 1 1 1
18 Alkohol 70 % 1 1 1
19 First aid manual 1 1 1
20 Notebook Note list of 1 1 1
contents
b. First aid kit type based on number of employees.

Number of first aid kits per

Number of workers / laborers First aid kit type
work unit
<26 workers / laborers A 1 box A
26 d.d 50 workers / laborers B/A 1 box B atau,2 box A
1 box C or,
2 box B or,
51 d.d 100 workers / laborers C/B/A
4 box A or,
1 box B dan 2 box A
1 box C or,
C/B/A 2 box B or,
Every 100 workers / laborers
4 box A or,
1 box B dan 2 box A

8. INCIDENT, ACCIDENT & ACCIDENT INVESTIGATION REPORTING

8.1 Reporting and Accident Investigation Procedures
For first aid injuries, property damage, wildfier / explosion and near miss / other dangerous
events Site manager, Supervisor and Safety Site must:
• Make an accident report at the latest in twenty-four
twenty (24) hours.
• Making the longest accident investigation report (2x24 hours)

ccident time losses (LTA), damage to large and fire / explosion property,
For fatal accidents and accident
must:
• Immediately notify the Project manager and Director by telephone / fax immediately
• Make an accident report within twenty-four
twenty (24) hours.
In case of death, Property damage with impact, fire / explosion, Site manager must immediately
notify the Project Manager and Director by telephone. The site manager must ensure that all
accidents are reported to the client's official representative within 12 hours of the incident. A
copy of all incident reports is submitted to the client's official representative.
representative
8.2 Accident Reporting Flow
ACCIDENT REPORTING SYSTEM

INCIDENT IN LOCATION
Injury or Pain

DO First aid HANDLING

CAN VICTIMS BE TREATED ON

THE SITE?

Ya EVACUATE FINISH

NO
REAPORT FIRST AID
TO CLIEN
C

NEAREST HOSPITAL /
REFERRAL HOSPITAL.

REPORT OF MEDICAL
EVACUATE FINISH
TREATMENT TO CLIENTS
 HAZARD EVENT REPORTING FLOW

IF INSIDENTS HAPPEN WITHOUT

INJURY IMMEDIATELY NOTICE TO
THE FIELD SUPERVISOR

SUPERVISOR OF WORK AND HSE OFFICER

SAFETY
COMPLETE REPORTS
TRY TOGETHER

PROJECT MANAGER RECEIVES ORIGINAL OF

Notify Client COMPLETED INCIDENT
Representative EVALUATION AND INQUIRY REPORT
FINDINGS AND AGREE FOR REPAIR
ACTIONS

REVIEW OF INSIDENTS IN  AT RECORD INCIDENTS

 ACCIDENT STATISTICS
 AT RECORD
HSE TOOLBOX MEETING
ACCIDENTS PER
MONTH
 FOLLOW
FOLLOW-UP AND
REPAIR ACTION

END

END
9. INSPECTION AND AUDIT.
9.1 Inspection Procedure
HSE inspection will be carried out by HSE Supervisors and field Supervisors.
The purpose of the Inspection is to maintain consistency in the application of HSE standards in
the work environment.
Inspections carried out by the HSE Team and Supervisor covering all work areas, especially for
areas that have been identified as having potential hazards, accidents and pollution will be given
more attention.
verbal orders to stop work when
HSE supervisors and supervisors will immediately give verbal
dangerous conditions are found.
9.2 Plan Inspection schedule.
No Types of Inspections and Audits Frekuensi PIC
1 PPE inspection Weekly Safety Officer
Safety Officer,
2 Work area inspection Monthly
Supervisor
Each will be used Safety Officer,
3 Work Equipment Inspection
and weekly Supervisor
Each will be used
4 Machine Inspection Safety dan Klient
and Monthly
5 Inspeksi Vehicle / Mobil Monthly Safety,Supervisor
6 Inspeksi Scafolding Each will be used. Safety, Supervisor
7 First aid inspection Monthly Safety
8 APAR Inspection Monthly Safety
9 Industrial Hygiene Inspection Monthly Safety ,Supervisor

9.3 Audit Procedure

Periodically, PT ETI will evaluate the implementation of the HSE management system and the
environment by means of internal audits. Audit planning in the form of programs and audit
schedules will be determined by the SMHSE committee. The audit will be carr
carried out by
management who has undergone an internal audit training for SMHSE / OHSAS 18001 / ISO
14001.
The internal audit procedure is a procedure for the SMHSE system that describes the internal
audit mechanism from planning, implementing and documenting internal audit records. The
scope of this audit was implemented to implement the HSE Processing System and Environment
at PT ETI.
Schedules and Audit plant
No Type of Audit Plan PIC
Team Managemen
1 Audit Internal Every 6 months
Kontraktor
Mid-project and end of
2 Audit Eksternal Team Audit Client
project or every 6 months

10. SUB CONTRACTOR MANAGEMENT

10.1 Subcontractor Management
In general, prospective contractors before submitting an offer or in the tender / auction stage
have been explained about the HSE system requirements / conditions if later selected as a
subcontractor.
Specifically, selected subcontractors must follow the prescribed rules in carrying out their work.
10.2 Subcontractor Competence
contractor candidates must fulfill competencies in their field of expertise if they are to
Sub-contractor
become subcontractors in this project. Before submitting an offer Subcontractors will submit
company competencies according to their field of expertise.
10.3 HSE Aspects Sub contractors
Subcontractors in the process must fulfill the following requirements:
a. Contractor Evaluation Form
b. Contractor HSE Management System.
c. HSE performance contractor for the past three years.