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No.

Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :1 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
Section 0 Daftar Isi
List of Content
Section 1 Umum ISM-OS-0101 ProsedurPenilaianResiko ISM-OS-0101 ProsedurPenilaianResiko
General Risk Assessment Procedure Risk Assessment Procedure
ISM-S–0102 PencegahanPencemaranLaut - Catatan harian
Marine Pollution Prevention pembuangan
sampah (SBS-203)
Section 2 KebijakanManajemenKeselamatanda
n Perlindungan Lingkungan
Safety Management Environment
Protection Policy
Section 3 Tanggung Jawab dan Wewenang ISM-O-0301 ManajemenPerubahan
Perusahaan Management of Change
Company Responsibilities and
Authority
Section 4 DPA (Designated Person Ashore)
PetugasDarat yang ditunjuk
Section 5 Tanggung Jawab dan Wewenang
Nahkoda
Master's Responsibility and Authority
Section 6 Sumber Daya dan Tenaga Kerja ISM-O-0601 Persyaratan awak kapal - Kriteria kualifikasi ISM-S-0601 TugasdanTanggungJawabAwakKapal - Catatan serah
Resources and personnel Requirement of crewing awak kapal (O- Duties and Responsibilities Shipboard Personnel terima nakhoda
0601.1) (SBS-201)
Criteria for - Checklist
qualification of crew pergantian
- Checklist untuk nakhoda (SBS-202)
penerimaan awak
kapal
(O-0601.2)
Checklist for
reception of crew

ISM-O-0602 Petunjuk penilaian awak kapal - Penilaian awak kapal ISM-S-0602 KomiteKesehatandanKeselamatanKapal - Briefing
Crew Assessment Guidelines (O-0602) Shipboard Safety and Hygiene Committe Keselamatan (SBS-
Assessment of crew 200)
- Notulen rapat
keselamatan kapal
(Safety Meeting)
(SBS-210)
- Daftar
AlatPelindungDiri
(SBS-316)
- Daftar
PersediaanObat
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :2 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
(SBS-317)
- LaporanKebersihan
(SBS-318)

ISM-O-0603 Catatan Personil - Form Data personil- ISM-S-0603 ProsedurPelatihan di Kapal


Personnel Record Crew (O-0603.1) Shipboard Training
Form data personnel-
Crew
- Daftar isian awak
kapal baru (O-0603.2)
List of new vessel
crew
- Checklist untuk
penjelasan sebelum
bergabung dengan
kapal (O-0603.3)
Checklist for
explanation before
joining the ship
- Catatan pelatihan
sebelum naik ke
kapal (O-0603.4)
Training notes before
boarding the ship

ISM-O-0604 Prosedur Pelatihan Staf Kantor Pusat - Catatan pelatihan


Head Office Staff Training Procedure staff darat (O-0604)
Training records of
ground staff
ISM-O-0605 Pelatihan Awak Kapal Sebelum Bergabung
Ke kapal
Ship Crew Training Before Joining the Ship
ISM-O-0606 KesehatanKerja
Occupational Health
ISM-O-0607 PengendalianSubkontraktor
Subcontractor Control
ISM-OS-0605 PelatihanABK (Crew)SebelumBergabungkeKapal - Familiarisasi ABK
ABK (Crew) Training before join to the ship diatas kapal (SBS-
215)

ISM-OS-0606 TempatKerjaAman& APD


Safe Work Place & PPE

Section 7 Pengoperasian Kapal ISM-S–0701 ProsedurJaga - Jaga pelabuan


Shipboard Operation Watchkeeping Procedure bagian dek (SBS-
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :3 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
302)

ISM-S–0702 ProsedurPenerimaan / PemindahanBahanBakar - Checklist Pengisian


Procedure for Receiving / Transfering Oil BBM (SBS-401)
- ProtesPengisian
BBM (SBS-402)
ISM-S–0703 ProsedurKomunikasi Radio - PemeriksaanNavig
Radio Communication Procedure asi& Radio (SBS-
319)
ISM-S–0704 ProsedurManajemenKeselamatanKapal - Notulen rapat
Shipboard Safety Management Procedure manajemen
keselamatan
(Safety Meeting)
(SBS-210)
- Catatan tamu (SBS-
204)
- Work Permit
(General) (SBS-205)
- Checklist
keselamatan
masuk ruang
tertutup dan tangki
(SBS-206)
- Checklist
perlengkapan
keselamatan
masuk ruang
tertutup dan tangki
(SBS-207)
- Petunjuk
kebakaran (SBS-
210)
- Daftar pemeriksaan
kelancaran operasi
(SBS-301)
- Jarak Pandang
Terbatas (SBS-310)
- Checklist
NavigasiCuacaBuru
k (SBS-311)
- Checklist
SebelumTunda
(SBS-313)
- Pra-
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :4 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
PenangananJangk
ar (SBS-314)
- Koreksi Peta (SBS-
306)

ISM-S–0705 Prosedur Anjungan Kapal - Pengetesan


Bridge Procedure perlengkapan
anjungan (SBS-309)

ISM-S–0706 Prosedur Ruang Mesin - Summary of


Engine Room Procedure Equipment Defect
(SBS-405)
- Laporan
PerawatanMesin
(SBS-407)
- Pemeriksaan
Generator (SBS-403)
- Web Deflection
(SBS-413)
- Jam
KerjaMesindanPem
akaian BBM (SBS-
408)
- Battery Log (SBS-
410)
- Spot Check
Sounding (SBS-411)

ISM-S–0707 Prosedur Katering


Catering Procedure
ISM-S–0708 Deck Procedure - Laporan
Prosedur Deck InspeksiBulananDek
(SBS-315)
- LaporanKasKapal
(SBS-504)
- Permintaan Deck
Store 3 Bulan (SBS-
222)
- Permintaan Deck
Store Urgent (SBS-
223)
- LaporanPerbaikan
(SBS-217)
ISM-S–0709 Cargo Procedure
Prosedur Cargo
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :5 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
ISM-S–0710 Towing & Anchor Handling Procedure - Rencana pelayaran
(SBS-303)
- Rencana tolak /
Tiba kapal (SBS-
304)
- Persiapan berlayar
(SBS-305)
- Checklist saat
kapal berlayar
(SBS-307)
- Checklist persiapan
kedatangan kapal
di pelabuan (SBS-
308)
- Checklist
perlengkapan lego
jangkar (SBS-312)
- Pemeriksaan
sebelum berlayar
(SBS-412)
- Passage plan (SBS-
510)

ISM-S-0711 Kecelakaan, Insiden, Ketidaksesuaian, Layanan - Laporan Imidiate


yang tidak sesuai, tindakan perbaikan dan Action(SBS-612)
tindakan pencegahan. - Laporan Investigasi
Accidents, Incidents, Nonconformities, Kejadian (SBS-613)
Nonconforming Services, Corrective Actions And - LaporanKecelakaa
Preventive Actions n dan Nyaris celaka
(SBS-611)
Section 8 Kesiapan Menghadapi Keadaan ISM-O-0801 Prosedur Tanggap darurat perusahaan ....................................... ISM-S–0801 ProsedurMenghadapiKeadaanDarurat di kapal - Jadwal keadaan
Darurat Company’s Emergency Response Shipboard for Emergency Preparadness darurat (S-0801)
Emergency Preparedness Procedure Procedure - Panduan (SBS-610)

ISM-S–0802 ResponTerhadapKeadaanDaruratTumpahanMiny
ak
Responding to Oil Spill Contingency
ISM-S–0803 LatihanKeadaanDarurat Di Kapal - Pihak terkait yang
Shipboard Emergency Drill dihubungi dalam
keadaan darurat
(SBS-601)
- Laporan
kecelakaan laut
(Laporan pertama
dari kejadian) (SBS-
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :6 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
602)
- LaporanTubrukan
(SBS-603)
- LaporanKandas/Ter
dampar (SBS-604)
- LaporanKebakaran
(SBS-605)
- LatihanKeadaanDar
urat (Form General)
(SBS-610)
- Laporan latihan
peragaan
peralatan
penyelamatan
(SBS-609)

Section 9 Laporan dan Analisa Ketidaksesuaian, ISM-OS-0901 KetidaksesuaiandanTindakanPerbaikan


Kecelakaan dan Kejadian Berbahaya Non Conformance and Corrective Action
Reports and Analysis of Non-
Conformities, Accidents and
Hazardous Occurrences
Section ISM-O-1001 In struksi Pemeliharaan Kapal Perusahaan - Form Permintaan ISM-S–1001 ProsedurPerawatanKapalTerencana - Laporan Kerusakan
10 Company Vessel Maintenance Instruction Perbaikan (S-1001) Shipboard Planned Maintenance Instruction Pesawat Penting
Repair Request Form (Mesin Induk) (SBS-
606)
- Laporan Kerusakan
Pesawat Penting
(Electric Power)
(SBS-607)
- Laporan Kerusakan
Pesawat Penting
(MesinKemudi)
(SBS-608)
- Equipment Defect
Failure (SBS-416)
- List of Equipment
Defect (SBS-415)
- LaporanPerbaikan
(SBS-217)
- Permintaan Spare
Parts 3 Bulan (SBS-
218)
- Permintaan Spare
parts Urgent (SBS-
219)
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :7 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
- Permintaan Engine
Store 3 Bulan (SBS-
220)
- Permintaan Engine
Store Urgent (SBS-
221)
ISM-S–1002 JadwalPerawatanKapalTerencana - Engine Room
Shipboard Planned Maintenance Schedule Servicing Plan (SBS-
502)
- Deck Servicing
Plang (SBS-503)
ISM-S–1003 ProsedurPerawatanMesin-mesinPenting - Mesin kemudi
Important Machinery Maintenance Procedure (Daftar
pemeriksaan
Kelancaran
operasi) (SBS-404)
- Laporan kinerja
mesin induk (SBS-
406)
- Daftar inventaris
Mesin(General
Form) (SBS-409)

ISM-S–1004 ProsedurPerawatanPeralatanKritis - Pemeriksaan dan


Maintenance of Critical Equipment Procedure pengujian alarm
(SBS-405)
- Pemeriksaan
peralatan
pemadam
kebakaran (SBS-
216)
- Checklist
AlatKeselamatan
(SBS-614)

Section Dokumentasi ISM-O-1101 Prosedur Kendali Dokumen ISM-S - 1101 ProsedurKendaliDokumen di Kapal
11 Documentation Document Control Procedure Shipboard Documents Control Procedure
ISM-OS-1102 CatatanDokumenManajemenKeselamatan ISM-OS-1102 CatatanDokumenManajemenKeselamatan - Checklist
Record of Safety Management Record of Safety Management Documents FamiliarisasiPerwira
Documents Mesin (SBS-211)
- Performance
Apprasial (SBS-212)
- Checklist
FamiliarisasiPerwira
Deck (SBS-213)
No. Manual :ISM-OS-1102
SISTEM MANAJEMEN KESELAMATAN Manual No.
Halaman :8 of 8Page
The Safety Management System

Section URAIAN No.Prosedure Prosedur Dikantor Form Kantor No. Prosedur ProsedurKapal Form Kapal
ISM Description Procedure Office Procedure Office Form Procedure Ship Procedure Ship Form
CODE No. No.
Section
ISM
Code
- DaftarIsisan Crew
Baru (SBS-214)
- Manajemen Visit
(SBS-224)
- DaftarHadirPertemu
an (SBS-226)
ISM-OS-1103 DaftarBukuManajemenKeselamatan ISM-OS-1103 DaftarBukuManajemenKeselamatan
Index of safety Management Books Index of safety Management Books
Section Verifikasi Perusahaan, Tinjauan Ulang ISM-O-1201 Prosedur Internal Audit Perusahaan - Checklist audit ISM-S-1201 Internal Audit di kapal - Internal Audit (SBS-
12 dan Evaluasi Company’s Internal Audit internal perusahaan Shipboard Internal Audit 225)
Company Verification, Review and (O-1201)
Evaluation Company Internal
audit checklist
ISM-O-1202 Tinjauan Manajemen - Program ISM-S-1202 Tinjauan Master
The Management Review’s Management Review, Master Review
Rapat Komite
Keselamatan dan
Safety Meetings (O-
1202.1)
- Notulen Rapat
Manajemen (O-
1202.2)
- Notulen Rapat
Manajemen Review
(O-1202.3)
- Daftar hadir
pertemuan/rapat
(O-1202.4)
- Notulen rapat
Familirisasi/penyuluha
n manajemen
keselamatan (O-
1202.5)
ISM-S-1203 Inspeksi di Kapal - Jadwal Inspeksi
Shipboard Inspection dikapal (S-1203)