Doc. No.

PL-PBI-HSE-001
PT Prospera Brillar Indonesia

PLAN Rev. A Date 01/04/21

PT. PROSPERA BRILLAR INDONESIA

PROJECT HSE PLAN

Page 1 of 16

PT Prospera Brillar Indonesia GENERAL PROCEDURE

PROJECT HSE PLAN

A 03/04/21 Issued for review Yusman Irwan Addas A Noorman M

HSE PM Director
REV. DATE DESCRIPTION PREPARED BY CHECKED BY APPROVED BY

NOTE: This document is controlled within the PT. PROSPERA BRILLAR INDONESIA
 Doc. No. PL-PBI-HSE-001
PT Prospera Brillar Indonesia

PLAN Rev. A Date 01/04/21

PT. PROSPERA BRILLAR INDONESIA

PROJECT HSE PLAN

Page 2 of 16

Revision Record

REV. DATE DESCRIPTION PREPARED BY CHECKED BY APPROVED BY

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Table of Contents
1 Introduction ............................................................................................................ 5
2 Scope ...................................................................................................................... 5
3 Purpose ................................................................................................................... 5
4 Reference Document ............................................................................................. 6
4.1 CODE and STANDARDS ............................................................................................................. 6
4.2 CONTRACTOR Document ........................................................................................................... 6
5 Definitions & Abbreviations .................................................................................. 6
5.1 Definition ....................................................................................................................................... 6
5.2 Abbreviations ................................................................................................................................ 6
6 HSE Management System ..................................................................................... 7
6.1 Health Management System ........................................................................................................ 7
6.2 Safety Management System ........................................................................................................ 7
6.3 Environmental Management System............................................................................................ 7
7 Organization and HSE Responsibilities ............................................................... 8
7.1 Project HSE Organization Structure ............................................................................................. 8
7.2 HSE Roles and Responsibilities ................................................................................................... 8
7.2.1 QHSE Manager/Coordinator ................................................................................................... 8
7.2.2 HSE Lead ................................................................................................................................ 9
7.2.3 Safety Officer......................................................................................................................... 10
8 Management Commitment .................................................................................. 10
9 Project HSE Objectives and Targets .................................................................. 10
10 Hazards and Effect Process ............................................................................. 11
10.1 Identify, Assess, Control Recover ......................................................................................... 11
10.2 Hazard Identification (HAZID) ............................................................................................... 11
10.3 Job Safety Analysis ............................................................................................................... 12
11 Safety Management ........................................................................................... 12
12 Health Management .......................................................................................... 12
12.1 Medical Check Up ................................................................................................................. 12
12.2 Medical Evaluation (MEDEVAC) and Management of Medical Emergencies ...................... 12
12.3 Medical Service Organization ............................................................................................... 13
12.4 Prevention and Management of Alcohol and Drug Use an Abuse ....................................... 13
12.5 Management of Change ........................................................................................................ 13
13 Training and Competence ................................................................................ 14
14 Performance Monitoring ................................................................................... 15
14.1 Overview ............................................................................................................................... 15
14.2 Weekly HSE Walkthrough ..................................................................................................... 16

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14.3 HSE Inspection...................................................................................................................... 16

14.4 HSE Statistical Report ........................................................................................................... 16
14.5 Corrective/Preventive Action ................................................................................................. 17
15 Audits and Reviews .......................................................................................... 17
16 Event Reporting and Incident Investigation.................................................... 18
16.1 Incident Investigation ............................................................................................................ 18
17 Emergency Preparedness and Response ....................................................... 18
17.1 Planning ................................................................................................................................ 18
18 Security Management Plan ............................................................................... 20
18.1 Security Personnel ................................................................................................................ 20
18.2 Ingoing and Outgoing Vehicles ............................................................................................. 20
18.3 Checking Incoming and Outgoing Personnel ........................................................................ 20
18.4 Shift Schedule and Yard Rounder......................................................................................... 21
19 Permit to Work ................................................................................................... 21

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Revision History
Amendment Revision Amender Name Amendment
Date Number

Related documents
Document Document name Description of Content
number

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1 Introduction
BP Berau Ltd., hereafter known as COMPANY, is the operator of Tangguh LNG, a two traion atural gas
(NG) liquefaction facility in Bintuni Bay, Papua Indonesia. The facility includes associated onshore
infrastructure, two offshore platforms, pipelines and twelve wells. These facilities are the Trains 1 and 2
developments at Tangguh.
COMPANY has initiated the Tangguh Expansion Project to commercialise the incremental resource into
high margin gas markets based on a single LNG (liquefied natural gas) train expansion (Train 3).
Tangguh Expansion Project will consist of new offshore facilities, including wellhead platforms and
pipelines, and onshore development on the existing Tangguh brownfield site. The new onshore facilities
will include one additional natural gas liquefaction train of a similar design and capacity to the existing
trains, an onshore receiving facility (ORF), new LNG and condensate loading berth, additional boil off
gas (BOG) recovery, utilities, flares and the infrastructure to support logistics and the associated
increase in the temporary and permanent workforce.
The Tangguh Expansion Project comprises of the following new facilities:
• [New] Onshore Receiving Facility (ORF)
• [New] LNG Train 3
• [New] Condensate Stabilization Train 3
• [New/Inter connection] Plant Utility Facilities
• [New] LNG Loading System
• [New] Condensate Loading System
• [Expansion] Integrated Control and Safety System (ICSS)
• [Expansion] Telecommunication System
• [New] Trestle Jetty Structure
• [Expansion] Onshore Infrastructure
• Hazardous and Non-Hazardous Waste Management System

2 Scope
This plan represent the HSE Plan to execute pipe support pre-fabrication for Tangguh Expansion Project
for Train 3, by defining the overall strategies and implementation plan of the HSSE activities and
deliverables to be performed by SUBCONTRACTOR, herein defines as PT Prospera Brillar Indonesia.

3 Purpose
This SUBCONTRACTOR HSE plan defines the overall HSE policy during pipe support pre-fabrication. It
is developed to meet project HSE requirements, by provide clear information regarding
SUBCONTRACTOR commitment on the management of health, safety, and environmental issues
associated with the project activities.
It shall be noted that this document has been prepared specifically for the SUBCONTRACTOR scope of
work and shall be updated as appropriate for the duration of the PROJECT to reflect changes in the
PROJECT status, new regulations coming into force and other pertinent issues.

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4 Reference Document

4.1 CODE and STANDARDS

R01 ISO 14001:2004 Environmental Management Systems
R02 OHSAS 18001:2007 Occupational Health and Safety Management Systems
International Convention for the Safety of Life at Sea”,
R03 SOLAS International
Maritime Organization

4.2 CONTRACTOR Document

R04 TEP-930-SPE-HS-BP4-0001 Project HSSE Requirements for Subcontractors and Vendors
R05 TEP-930-PRC-HS-BP4-0029. Management and Data Reporting Procedure

5 Definitions & Abbreviations

5.1 Definition
PROJECT : TEP - TANGGUH EXPANSION PROJECT
COMPANY : BP Tangguh
CONTRACTOR : Ciyoda Saipem Tripatra Sae
SUBCONTRACTOR : PT. Prospera Brillar Indonesia
PMT : CONTRACTOR Project Management Team

5.2 Abbreviations
ALARP : As Low As Reasonably Practicable
ERP : Emergency Response Plan
HAZID : Hazard Identification Study
HAZOP : Hazard and Operability Study
HSE : Health, Safety, and Environment
HSE-MS : HSE Management System
MAH : Major Accident Hazard
SIL : Safety Integrity Level
SDRL : Supplier Deliverable Register List

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6 HSE Management System

The HSE-MS implemented by SUBCONTRACTOR are a matter of PROJECT HSE Policy and, whilst
addressing three very different disciplines, are of equal importance as they intends to Control the effects
of work upon the natural environment.
These systems impact upon, either individually or in combination, every activity to be carried out during
the PROJECT executions.
The systems are, through necessity, documented and consist of procedures, plans and forms, all of
which serve to control record and demonstrate that specific requirements have been met. The system
documentation is distributed throughout the SUBCONTRACTOR, either by electronic read only means
or by paper using a controlled copy method.
PROJECT documentation requirements are identified and included within the PROJECT SDRL. Within
the SDRL the HSE system documents will be supplemented by PROJECT specific procedures, plans
and work instructions. The SDRL will include a schedule for document development; this will ensure that
all required documentation is developed/checked/reviewed/approved in a timely manner that does not
compromise the subject work. All documentation for the PROJECT will be distributed to relevant work
areas.
SUBCONTRACTOR HSE-MS documentation is arranged in a conventional tiered structure of 4 levels as
described by the HSE-MS Structure:
• Level 1 : HSE Policy
• Level 2 : HSE Plan, SUBCONTRACTOR HSE Plan demonstrate how the PROJECT HSE activities
and deliverables will be controlled, implemented and maintained during the PROJECT. The HSE
Plan identifies the sagety objectives applicable to the PROJECT, as well as describing the
organization and responsibilities applicable to achieve these objectives.
• Level 3 : SUBCONTRACTOR HSE Procedure, HSE Procedure (listed within the PROJECT SDRL)
identify methods and responsibilities applicable to the control of a specific activity or function; to
ensure Health, Environmental and Safety Objectives are achieved.
• Level 4 : Forms and Templates, standard form & template will be used by CONTRACTOR and
SUBCONTRACTOR to ensure that specific HSE activity planned listed are scheduled and achieved.
Form and Template could also become an indicator for the successful of HSE implementation.

6.1 Health Management System

Health Management is an essential part of SUBCONTRACTOR’s mission and it is defined by the HSE
policy chosen based, primarily, on the logic of preventive measures.

6.2 Safety Management System

The safety management system (integrated part of the PROJECT HSE-MS) is designed to meet the
needs of Indonesian workplace legislation and guidance, as well as OHSAS 18001 standard. The
system ensures that SUBCONTRACTOR supervision, employees, and visitors are protected to the
maximum extent possible whilst on a SUBCONTRACTOR worksite. The SUBCONTRACTOR system is
designed to be proactive in its approach to health & safety and is certified to OHSAS 18001. The system
is designed to cover all aspects of SUBCONTRACTOR scope and associated activities.

6.3 Environmental Management System

The SUCONTRACTOR environmental management system (integrated part of the PROJECT HSE-MS),
is certified as meeting the requirements of ISO 14001. The intention of the system is to ensure that all
activities associated with the companies’ operations and services are fully compliant with pertinent
national and international legal requirements, contractual obligations and good environmental practices.
The PROJECT Environmental Management Plan as implemented House keeping, water pollution,air
pollution control,noise pollution, drugs & alcohol policy compliance, waste management , environmental

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monitoring, measurement & evaluated of compliance and spill prevention control & countermeasure (
SPCC ).

7 Organization and HSE Responsibilities

7.1 Project HSE Organization Structure

The PROJECT organization chart details the organization put in place to manage the PROJECT,
identifies key personnel and illustrates the interrelation between the PROJECT functions. It shall be
emphasized that HSE commitment is a line responsibility that cascades from top Management to the
workforce, through the front line supervisors/leads.
The SUBCONTRACTOR HSE organization is clearly defined within this HSE Plan to effectively
implement the PROJECT HSE Management System and to meet the requirements of the Contract. The
PROJECT Team consists of a dedicated team having appropriate knowledge, skills and experience, and
has undergone adequate trainings.
PROJECT HSE Lead, who will be assisted by the QHSE Coordinator, reports to the QHSE Coordinator
and leads the PROJECT HSE Team. This dedicated person will then manage and supervise all the HSE
activities during the PROJECT activities, ensuring that the HSE Management System is correctly applied
and implemented.
SUBCONTRACTOR will appoint qualified and trained Safety Officers on worksite to ensure the
established work method and safety precautions are implemented For the detail numbers of Project HSE
Team as bellow :
PT PROSPERA BRILLAR INDONESIA
CSTS Pipe Support Pre-Fabrication Support HSE Organization Chart

QHSE Coordinator

Heriyadi

HSE Lead
HSE WWE
TBA

HSE Officer
1.TBA
2.TBA

Figure 1 HSE Organization Chart

7.2 HSE Roles and Responsibilities

7.2.1 QHSE Manager/Coordinator

The QHSE Coordinator is responsible to ensure that the Health, Safety and Environmental Policies,
Objectives and activities incorporated or inferred in the PROJECT HSE Plan are carried out and that any
related procedures are fully implemented.
QHSE Coordinator responsibility to continually review the effectiveness of the HSE programs and
Procedures, and that of the personnel under his control, to whom safety tasks have been assigned.
Specifically he will:

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• Ensure that an effective and cohesive HSE Plan is developed and implemented across the
PROJECT review and approve safety reports and assessments
• Manage the effectiveness of the HSE Plan and ensure corrective action is taken where found
necessary
• Ensure that HSE Risk Management activities are carried out at the earliest practicable opportunity
• Ensure that all potential incidents involving injury to persons, damage to property or the environment
is thoroughly investigated to identify causes and propose corrective measures and
recommendations
• Ensure that the corrective measures are followed through to completion
• Ensure that the personnel required is mobilized and trained to carry out their tasks
• Ensure the adequate training of all PROJECT personnel to enable them to work safely
• Select only those Subcontractors who implement a satisfactory HSE Management System
• Promote HSE awareness amongst the PROJECT Management personnel by leadership and
example

7.2.2 HSE Lead

HSE Lead reports to the QHSE Coordinator and acting as SUBCONTRACTOR HSE Representative
towards CONTRACTOR. HSE Lead responsible for the implementation and administration of the
SUBCONTRACTOR PROJECT Health, Safety and, Environmental Plans.
HSE Lead shall be responsible for the overall surveillance, administration and maintenance of the
PROJECT HSE Plan and related statistics, specifically :
• Implement SUBCONTRACTOR HSE-MS on the PROJECT
• Prepare and maintain the PROJECT HSE audit schedule for assessing compliance with the
approved PROJECT HSE Plans and procedures
• Ensure that Risk Management activities are carried out during the PROJECT lifecycle
• Develop the Operations Safety Case, by establishing the relevant Hazards and Effects Management
Process
• Review the Process and Non-Process Hazard Analysis (i.e. HAZID, HAZOP, SIL, QRA, FERA,
Dropped Objects, Ship Collision, etc.)
• Review SUBCONTRACTOR safety and environmental plans / procedures; monitor all HSE activities
related to field operations including safety training and medical requirements co-ordinate the
preparation of the project HSE documentation and contingency procedures advise project
management of any changes to legislation that may have an impact on the project
• Take part in accident / incident investigation
• Carry out analysis of accident / incident statistics, identifying trends and making recommendations
for any corrective actions required
• Provide technical support to PROJECT Management on any HSE related subjects
• Develop and keep a “Training Matrix” for all HSE critical roles and requirements
• Develop Emergency Response Plans (ERP)
• Ensure that an effective and cohesive HSE Plan is developed and implemented across the
PROJECT
• Review and approve safety reports and assessments
• Manage the effectiveness of the HSE Plan and ensure corrective action is taken where found
necessary
Ensure that HSE Risk Management activities are carried out at the earliest practicable opportunity.

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7.2.3 Safety Officer

Safety Officer responsibilities are :
• Hold safety meetings and safety orientation with workers and staffs.
• Prevent accidents happening
• Enforce safety measurement at all time
• Ensure all workers & staffs are apply to them safety wears at work all time, including visitor’s
• Issue warning latter or fine for workers or staffs who violated the safety rules and regulations
• Check housekeeping and pollution environment at all time
• Report accident occurred

8 Management Commitment
PROJECT Management will provide visible, strong and pro-active leadership and commitment to
develop the PROJECT HSE Management System and the relevant safety culture.
A visible and active management of the HSE Management System shall serve to develop a culture
characterized by the correct management of HSE issues. This Management has the main objective first
to prevent accidents / injuries / near-misses, but also to promote awareness of safety issues at all levels.
The commitment will be demonstrated by:
• Promoting the identification of assessment parameters and application of incentive methods
• Including HSE topics on each management meeting
• Periodically Reviewing the HSE Management System
• Visiting periodically the operational areas/sites
• Participating to the investigation in case of serious accidents
• Ensuring that HSE Statistics and the HSE Reports are reviewed periodically
• Maintaining an open and correct communications system with the workers and outside
• Attendance to the morning tool box talk when required

9 Project HSE Objectives and Targets

SUBCONTRACTOR is fully committed to its Health, Safety, and Environment Policy and will
demonstrate commitment and motivation through:
• Achieving no accidents
• Measuring safety criteria against pre–set annual performance targets; Periodically Reviewing the
HSE Management System
• Providing active support for the field operations team by way of specialist advice in HSE related
issues and areas
• Assessment of HSE Risks and conveyance of information about hazards to the workforce

SUBCONTRACTOR has set the following targets for the PROJECT :

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INDICATOR TARGET VALUE REMARK

GENERAL TRIFR ≤0.80 To be reviewed on
monthly basis
Management HSE 2/year During each PMT
Visit personnel visit on sites,
they should be involved in
safety
HSE Meeting 1 x Month
Near Miss Reporting ≥ 10
Permit to Work Every PTW shall include
Process a specific JSA and TBT.
No deviation
EXECUTION PHASE Tool Box Talks 5 TBT per week done Full compliance, meaning
that each PTW shall have
a specific JSA as
attachment
Job Safety Analysis 1 JSA per PTW i.e. construction weekly
progress meeting, where
HSE issued are
discussed
HSE Meeting 1 HSE meeting per week
HSE Inspections 2 Documented inspection
per week
Safety Hazard 2.4 SHOC Card per week No of Safety Suggestion /
Observation Card Potential Hazard Reports
(SHOC) X 1000 Man-hours
Worked

The target from the above table is monitored in monthly basis during HSE monthly meeting.

10 Hazards and Effect Process

The Hazards and Effects Management Process (HEMP) identifies and assess HSE Hazards during the
entire lifecycle of assets or operations, implements control and recovery measures, and maintains
documented demonstration and visibility that HSE risks have been reduced to a level that is “As Low As
Reasonably Practicable (ALARP)”. The HEMP process shall be applied to Major Accident Hazards
(MAH), HSE Hazards, and Workplace related HSE Hazards, Environmental Hazards and social aspects.
The HEMP process also includes the identification and further assessment of potential risk reduction
measures for implementation during any stage of a PROJECT in order to further drive down the
PROJECT risks to “As Low As Reasonably Practicable (ALARP)”.
Qualitative and quantitative HSE Risk Assessments are required to demonstrate that risks are tolerable
and ALARP. This demonstration forms part of the Operations HSE Case described below.

10.1 Identify, Assess, Control Recover

HSE Hazards and their effects on people, environment, assets and reputation shall be systematically
identified for the full lifecycle of assets and operations. The Hazard Management process shall follow
[R04].

10.2 Hazard Identification (HAZID)

At first it is necessary to systematically identify the hazards which affect, or arise from, the particular
operation or facility design under consideration. The likely effect of each hazard being realized is also
assessed to determine whether the hazard is significant or not and whether it should be taken forward
for further study and assessment. The HAZID study shall follow [R04].

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10.3 Job Safety Analysis

The assessments are task based and are intended to cover all routine task executed.
Job Safety Analysis are carried out to support the daily application of routine tasks, as well as for those
activities requiring Permit to Work system.

11 Safety Management
SUBCONTRACTOR Health and Safety Management System is designed to meet the needs of OHSAS
18001 standard. The system ensures that supervision, employees, and visitors are protected to the
maximum extent possible whilst on a worksite.
Systems of working instruction and operative procedures that guarantee Personnel’s Health and Safety
are implemented in the site during carrying out of PROJECT phases and operations. These Systems
take into due account the national and international legislation, the site HSE Management System and
the PROJECT HSE documentation with all the PROJECT HSE Requirements.
This System has to be observed by all personnel involved in the managing operational activities within
PROJECT boundaries controlled and coordinated by the management, as well as by all HSE personnel.
The site Procedures clearly define the conditions necessary for work performance and provide
assurance that the PROJECT operations and activities achieve the required standards maintaining safe
working conditions.

12 Health Management
SUBCONTRACTOR Health and Safety Management System is designed to meet the needs of OHSAS
18001 standard. The system ensures that SUBCONTRACTOR supervision, employees, and visitors are
protected to the maximum extent possible whilst on a worksite.
In particular the Health Management System is based on the logic of prevention and putting focus on the
employees' health protection.

12.1 Medical Check Up

All employees are required to pass a pre-employment medical examination and SUBCONTRACTOR
responsibility for medical welfare of its employees and will take care of arrangements for medical
attendance, treatment of hospitalisation if when necessary.
Table 1 Standard Medical Check Up Examination

Type of Examination Pre-Employment Annual

Medical History V N/A
Physical V V
Vision Acuity & Colour Blind Test V V
Urinalysis V V
Blood Count V V
X-Ray V V

12.2 Medical Evaluation (MEDEVAC) and Management of Medical

Emergencies
SUBCONTRACTOR ensure that each medical emergency (accident or sickness) occurred during
execution of the PROJECT activities is managed by following pre- established strict set of steps, which

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must be followed regardless of the peculiarities/particularities of the case. Depending on the severity of
the situation and on the decision made by the medical personnel, the following General Line of
Transportation is be strictly adhered to:
The general concept for medical emergency management in the Yard consists of four phases (tiers)
• Phase (Tier) 1
First Aid Team action - SUBCONTRACTOR will ensure the availability of adequate number of first
aiders, 1 every 50 workers, and their proper dislocation within the boundaries of PROJECT areas.
• Phase (Tier) 2
Hospitalization with qualified medical personnel – If SUBCONTRACTOR first aider is not enough to
take care the patient. Patient will transport to nearest medical centre (PUSKESMAS Tjg.
Sengkuang) to get treatment from professional medical personnel.
• Phase (Tier) 3
Hospitalization in Primary Evacuation Hospital – If the medical emergency case requires further
treatment the patient is transported to the nearest hospital for further stabilization.
SUBCONTRACTOR will ensure that agreements are established with hospitals used as primary
evacuation facilities.
• Phase (Tier) 4
Hospitalization in Secondary Evacuation Hospital – If definitive treatment cannot be provided in the
Primary Evacuation Hospital, or the case management requires more specialized medical care, the
patient is transferred to Secondary Evacuation Hospital. SUBCONTRACTOR will ensure that
agreements are established with hospitals used as secondary evacuation facilities.

12.3 Medical Service Organization

SUBCONTRACTOR ensure that medical Service organization is in place in the various sites where there
are activities carried out for the PROJECT as min 1 Trained First Aider per 50 Workers.
All medical personnel practicing medicine and delivering medical care are compliant with the local
requirements to for medical practitioners.
SUBCONTRACTOR ensures that medical facilities (i.e. first aid facilities) are provided at PROJECT
worksite and that a MEDEVAC system is in place and available on 24/7 basis.
PT Prospera Brillar Indonesia shall liaise with WWE yard regarding the Medical facility.

12.4 Prevention and Management of Alcohol and Drug Use an

Abuse
The use and abuse of alcohol and drugs on the PROJECT will be absolutely prohibited. The regular
tests are part of the pre employment and periodical fitness examinations, which each employee is due
for an annual basis, and aim to determine the presence of the following substances: Alcohol,
Methamphetamine.

12.5 Management of Change

NO WORK shall proceed until the impact of changes have been fully evaluated (by Risk
Assessment/JSA if necessary) and approved by PROJECT Team and communicated to CONTRACTOR
HSE.
The Management of Change Philosophy is applicable to changes in regard to:
• Technical changes: Process design, structural design, materials, plant and equipment, safety critical
items;
• Emergency/Critical changes: Situations that may arise during the life cycle of the PROJECT, which
may require an immediate emergency change to maintain safe and continued operation;

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• Contract changes: Commitment documents, i.e. contracts, purchase orders, CONTRACTOR-

SUBCONTRACTORS agreements, consultant agreements, corporate alliance agreements etc;
• Administrative changes: CONTRACTOR and PROJECT policies, management plans, execution
plans, legislation/codes and standards;
• Organizational changes: Organizational breakdown structure, staffing, SUBCONTRACTOR
organizations;
• Temporary changes: Changes that will not significantly alter the content or intent of, or require
changes to design documents, processes and procedures.

13 Training and Competence

The training and skill of personnel working on the PROJECT are taken into careful consideration as
fundamental elements for the prevention of incidents and for the implementation of the HSE System
during all the phases of the PROJECT. A correct prevention programmed is based on personnel
educated to carry out their specific activities safely, on courses organized specifically for the personnel
concerned, and on control of training in subcontracting companies.
The HSE training necessary during the execution of the PROJECT is defined by SUBCONTRACTOR
HSE Coordinator trough but not limited to:
• Induction Training
• The examination of risk assessment and environmental analysis results
• The identification of necessary functional and specialist HSE skills relevant to the site for each role;
Trainers can be internal or external
In order to ensure that personnel are continually trained to meet the required competence level, the
training may have a validity period after which refresher training courses shall be conducted.
Training and Competence processes are implemented within SUBCONTRACTOR to ensure that all
PROJECT personnel hold the relevant competencies to carry out their assigned duties.
SUBCONTRACTOR shall identify the Indonesia regulation requirements with regards to license for
particular job e.g lifting operator, scaffolder, etc.. to ensure the job holders have required license/
certificate.
All PROJECT personnel have to be trained to those subjects pertaining to local realities/ threats/HSE
risk factors, in compliance with their professional position. Detailed and specific HSE trainings will be
specified in SUBCONTRACTOR training matrix as attached.
Training records will be kept, maintained and made available for the audit and reported on monthly basis
on the HSE statistics.

Table 2 Training Matrix Table

Issued Date M R
LEGEND
Training Period Mandatory Recommended

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Material Checker

Forklift Operator
Helper/ General
HSE Personnel

NDT Personnel
Painter/Blaster
Rigger/Crane
Supervisor/

Office Staff
Foreman

Operator

Worker
Welder

Fitter
General Training
HSE Induction X X X X X X X X X X X
Risk Assessment/ JSA X X X X X X X X X X X
Permit to Work System X X X X X X X X X X X
Safety Training
Office Safety X X
Blasting/Painting Hazards X X
Fire Watchman X X X X X X X X X X X
Hands on safety X X X X X X X X X X X
Manual Handling X X X
Rigging & Transportation X X
Leadership in Health Safety X X X X X X X X X X X
Environmental Training
Environmental Assessment X X X X X X X X X X X
Hazardous Substances X X X X X X X X X X X
Waste Management X X X X X X X X X X X
Health Training
First Aid Intervention Awareness X X X X X X X X X X X
Competency Safety Training
First Aider X
SIO Forklift (License) X
Rigger Certificate X X
Welder Certificate X
NDT Technician X

14 Performance Monitoring

14.1 Overview
Monitoring measures will be undertaken to verify achievement of required HSE standards and
objectives, such measures include the following (not limited to):
• Design HSE Reviews

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• Scheduled readiness reviews and audits (internal and external)

• Routine surveillance
• Reviews of appropriate sources of information (e.g. Audit reports - internal, external and Client, HSE
Event Reports, Technical Queries);
• Measurement to assist achievement of performance objectives
• Site HSE inspections (weekly)
• HSE statistics report (Leading and Lagging Indicators)

14.2 Weekly HSE Walkthrough

Weekly HSE walkthrough inspection to working areas and equipment will be conducted by Site HSE
Organization with Site Management involvement during the PROJECT execution.
Previous inspection reports will be reviewed before commencing the inspections in order to ensure the
previous inspection findings have been effectively corrected.
If during the course of an inspection, a serious risk or hazard is found, the observer shall ensure that
immediate action is taken in accordance with the hazard identified.
The weekly HSE walkthrough report will define the description of the findings that are existed, the
location of the findings/ hazards, the root causes, the designated person for implementing the corrective
and remedial actions, time frame to close out the actions and the status of the actions.

14.3 HSE Inspection

The HSE inspections will be conducted to ensure that all working areas and equipment on site/on-board
are maintained and comply with the requirements/standards.
Records of HSE inspections will be recorded, documented and made available for the audit.

14.4 HSE Statistical Report

The aim of the periodical HSE Statistical Report is to ensure a correct management of all HSE statistical
Data, both Safety Leading and Lagging Indicators. Within the leading indicators falls any initiative
designed to prevent any occurrence and increase the HSE culture (safety meeting, TBT, JSA,
Observation cards, etc..). The lagging indicators collects the accidental records occurred (eg. Lost time
injuries, medical treatments, first aid cases etc.).
The periodical PROJECT HSE Statistical Report collects the data regarding the PROJECT activities
coming from the various sites.
This report will be submitted to CONTRACTOR on monthly within cut-off date.
The safety statistics contain as minimum the following data:
• Total work force
• Total number of worked hours
• Number of HSE training hours
• Number of HSE meeting
• Number of emergency drill/exercise
• Number of injuries resulting in more than one day's absence from work
• Total number of worked hours since the time of the last LTI
• Number of accidents, near-misses, first aid cases, medical treatments and work restricted cases
• Number of HSE Observation cards submitted
• The same data for any Sub-Contractors

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The environmental data are provided on three-monthly basis and collect as minimum the following data :
• Hazardous waste
• Non-hazardous waste
• Energy account
• Water consumption
• Water discharge
• Oil spill
• Chemical spill
The above environmental data will be submitted to CONTRACTOR in specific environmental report.
It’s a responsibility of the HSE Coordinator and team to process the incoming data, to prepare the
performance analysis, and to transmit the necessary information to PROJECT Management and
CONTRACTOR.
In particular, Accidents/Incidents will be duly produced and reported in compliance with the tools and
method described on [R04].

14.5 Corrective/Preventive Action

Corrective/preventive action arising from monitoring will be formally reported and directed to the related
department and the Project Director. Nonconformity with [R04] will be formally reported and investigated
as appropriate. This includes production failure, near miss/incident/injury occurrence and environmental
incident.

15 Audits and Reviews

PROJECT audit system will be implemented to determine whether activities controlled and coordinated
by the SUBCONTRACTOR result conform to those planned and are suitable to achieve the PROJECT
HSE Policy’s objectives.
Audits and HSE Reviews are carried out by SUBCONTRACTOR, in order to:
• Determine the effectiveness of the management processes
• Assess the readiness to the forthcoming phase of the PROJECT
• Identify improvements to the management processes
• Evaluate by objective evidence the correct implementation of the management system
• Identify possible non-conformances and promote preventive actions
• Verify the adequacy of the PROJECT HSE Plan
Any inadequacy in the HSE System and production processes highlighted in the Audit Report are dealt
with by using a Corrective Action Request (CAR) or observation.
The purpose of the CAR is to induce the concerned organization to implement all the actions necessary
to correct the identified inadequacy and to ensure that the same will not arise again. The implementation
and effectiveness of such corrective actions can then be tested through a subsequent Audit.
Important organizational changes and conclusions drawn from the analysis of inadequacies can lead to
the carrying out of other Audits.
The results of Audits are submitted and evaluated by SUBCONTRACTOR Management to establish the
effectiveness of the HSE System adopted.

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16 Event Reporting and Incident Investigation

HSE events will be formally reported and effective corrective/preventive action implemented, as
Management and Data Reporting Procedure [R05]. Events are regarded as:
• Industrial Accidents or Illnesses
• Non-injurious Incidents
• Environmental Incidents
• Near Misses
• Asset Damage or Failures
Incident with the real consequences of Lost Time Incident and Fatality shall be immediately informed to
CONTRACTOR by using the most rapid methods available (telephone/email) immediately after the
incident occurrence.
Incidents and accidents will be reported to CONTRACTOR as per [R04]. Copies of Event Reports will be
transmitted to the SUBCONTRACTOR HSE Coordinator for reference and further action as required.
Detailed description and forms to be used for incident reporting are included into the Management and
Data Reporting Procedure [R05].

16.1 Incident Investigation

All incidents, at any location or unit shall be reported and investigated. Based on the consequences and
on the potential consequences of the event, it is determinate trough a risk matrix, the level of
investigation and the personnel to be involved on the investigation Team according to the [R04].

17 Emergency Preparedness and Response

17.1 Planning
In SUBCONTRACTOR yard there will be a site level emergency response plan that will detail, based on
the PROJECT Emergency Response Plan, how the emergency is managed and the appointed
personnel for the emergency response.
The minimum requirements followed to develop and apply the emergency response plan in the
fabrication yard are:
• Comply with legal, PROJECT, and international standard requirements;
• Include specific rules for each kind and level of emergency;
• Include emergency rules to be followed when work is carried out inside/near a dangerous area
• Involve and distribute to all interested parties on site, as well as to the SUBCONTRACTOR
PROJECT HSE Team

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Table 3 Emergency Contact List

EMERGENCY CONTACT LIST

Form HSE 004-001 Project : CSTS Pipe Support Fabrication
PT PROSPERA BRILLAR INDONESIA

Name Designation Contact Remarks

S/N

1 Irwan Addas Project Manager +62 822 9101 0097 PT PROSPERA BRILLAR INDONESIA

2 Heriyadi QHSE Manager +62 852 6416 6781 PT PROSPERA BRILLAR INDONESIA

3 Syafriadi Safety Officer +62 812 7013 4825 PT PROSPERA BRILLAR INDONESIA

4 Alfred Leonardo First Aider +62 853 6404 0304 WWE Yard

5 WWE Ambulance Ambulance (0778) 8072007/8/9 WWE Yard

6 Charles Fire Station +62 853 7550 8051 WWE Yard

7 Alfred Leonardo First Aider +62 853 6404 0304 WWE Yard

8 Puskesmas Tjg Sengkuang Hospital 1 (0778) 413589 Batam

9 RS Awal Bross Hospital 1 (0778) 431777 Batam

10 Polsek Bengkong Police Station (0778) 413110 Batam

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18 Security Management Plan

This describe and outline the SUBCONTRACTOR Security Management Plan to ensure a safe and
secure environment of care for all employees, visitors and all others interested parties.
It is the objective to have a written Security Management Plan as follows;
• Addressing concerns regarding patients, visitors, staff, and property.
• Appropriate provisions for identifying all employee, staff, and property.
• Provisions for access control to restricted areas defined by the Security Management Plan.
• Provisions for orientation for all staff and at least annual continuing education of staff in areas
determined to be sensitive by the Security Management Plan.

18.1 Security Personnel

• Total number of twelve (12) securities including one (1) Chief Security.
• Chief Security is responsible to manage Security and appoints a Group Leader in each shift.
• Group Leader has the responsibility to supervise the Security members in each group and to report
directly to Security Chief for any incident happening or daily operational activities.

18.2 Ingoing and Outgoing Vehicles

All incoming and outgoing vehicles must be carefully checked prior leaving or entering
SUBCONTRACTOR yard. Incoming vehicles must be checked to ensure that none of restricted and
prohibited materials under prevailing local and SUBCONTRACTOR regulation are brought into the yard.
Method of checking :
• Vehicle stop at STOP sign
• Opening vehicles trunk and side doors and search inside
• Scanning under vehicle with inspection mirror
Security in charge reserve the right to question or detain any suspicious materials found during checking
and carrier has the responsibility to disclose or justify the purpose of bringing the question materials
inside or outside SUBCONTRACTOR yard. If such material in question violates local and
SUBCONTRACTOR regulation under prevailing laws, security reserves the right to temporarily detain
the carrier and transfer jurisdiction to local law enforcement.
Outgoing vehicles must be checked to ensure that none of SUBCONTRACTOR properties are brought
outside the yard without authorization. All goods brought outside must be accompanied with GATE
PASS duly authorized by appointed SUBCONTRACTOR personnel whom specimen signatories have
been issued to Security for verification. No goods shall be allowed to be brought outside without
approved GATE PASS.

18.3 Checking Incoming and Outgoing Personnel

All personnel are required to undergo body and belongings search by the Security before leaving
SUBCONTRACTOR yard.
Method of checking includes:
• Security must ensure personnel are wearing SUBCONTRACTOR issued badges and proper work
attire when entering.
• Personnel are required to surrender identification paper (e.g. ID card, work permit, passport) if
necessary.

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• Personnel entering yard are subjected to take for identification and record by Security before issuing
either VISITOR or TEMPORARY pass in accordance to HSSE Induction procedure.

18.4 Shift Schedule and Yard Rounder

Shift schedule is divided into three shifts and consists of eight (8) hours work per shift. Shift schedule are
arrange as follows below schedule.
Table 4 Security Shift Schedule

SHIFT SCHEDULE
07.00-15.00 hours 15.00-23.00 hours 23.00-07.00 hours
First Shift Second Shift Third Shift

Security is assigned to perform the Yard Patrolling in each shift and subsequently an additional Security
is added to the Yard Patrolling;
Table 5 Yard Patrol Schedule

YARD PATROL SCHEDULE

First Shift Second Shift Third Shift
08.00-09.00 13.30-14.30 16.00-17.00 21.30-22.30 00.00-01.00 05.30-06.30

19 Permit to Work
Personnel applying permit to work must be competent person and have received training from HSE prior
to authorize or sign any permits. No person shall sign the permit without proper authorization from the
HSE Officer and PMT.
Objectives of Permit to Work System :
• Ensure that such work can be carried out with due regard to the safety, health and welfare of the
workers.
• Prevent any incompatible work from being carried out at the same time in any location of the project.
• Ensure that the necessary safety precautions are taken and enforced when such work is being
carried out.
• Familiarization of the PTW system will be conducted to the PMT. Training shall be conducted for
nominated Supervisors and Foremen who shall be applying permits
Permit to Work flow is present in below flow
Applicant applies PTW form based on the
activity with JSA and related drawing

PTW checked and signed by HSE in

charge of the location

Applicant attends PTW meeting

PTW Approval

Applicant displays approved PTW on

PTW board and TBT

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