Projet? Dosimant Naber Lua SuBsiDENce < REMEDIATION PROJECT tunec-eUso03 conrractuo.: | 47” PERTAMINA STC #0677 PHE ONWJ Tutors Or Vaiaston Project Management iit Hsse Expred Date PT. TAS SUPLIOO age20's HSSE INCENTIVE AND AWARD ADMINISTRATION PLAN Approval shoot Name Tie Date Slonature 10 Gurnta Project Manager auras ‘Assia Sun Projet Engineer Sa/ a0 [Dinas Serio ( roe SSE Lad 4], 905 Guo a a’ Rev| Issue Date| By |Checked| Approved| Issue Purpose pane) [peas [owas Se ces [= el [ats [55 aL 68, senseDocument No. : LIMA-C-PLA-t003 Document Tite: HSE INCENTIVE AND AWARD ADMINISTRATION PLAN Revision 1 Page | Date Revised PHE ONWIJ Reviewer @ “Te Err iz ‘asional vlabon (Ry 6 ‘Signature at Cerficate of Acheverert 7 ‘Shratute a Carticate of Achievement‘TABLE OF CONTENTS A. INTRODUCTION nennnnnnn ase ere 2. PURPOSE —— = ne) 3 SCOPE... 4. DEFINITIN.. 5. _ REFERENCES DOCUMENT 6 oBvecTWEs... SAFETY COMMITTEE on a1 a2 aa a4 9. AWARD RULES AND NOMINATION ASSESSMENT... 40. COMMUNICATION AND FOLLOW UP. 11. APPENDICES enemies APPENDIX) WARNING LETTER FORMAT APPENDIX2 BEST STOP CARD FORMAT can APPENDIX: BEST WORKER ACHIEVEMENT FORMAT.. [APPLICATION AND CRITERIA. AVIARD CATEGORY AND FREQUENCY... AWARD APPROVAL x. ELIGIBILITY. AWARD DISTRIBUTION ss INTRODUCTIONIn ne with PT. Timas Supindo HSSE Policy and the Project HSSE Plan to continuously ‘enhance the awareness in HSE. A HSSE Incentive and Award Administration Plan has ‘been implemented to show CONTRACTOR’s appreciation to the Project Teams (including ‘Subcontractors) who have been outstanding in ther perfomance, issues on tis Project ‘support and proactive in health, safaty and anvirermeni ‘Our performance cannet simply be measured and viewed from statistics slone. Culture, initiatives, continual improvement, traning etc. in addition with overall personal commitment ‘rom each line manager and all personnel ar all fundamental building blocks. 2. PURPOSE The purpose of this document is to provide a structured means to periodically reward and recognize those personnel who have contributed in making a safe work place. Safely Incentives are based on merit, active participation, and the achievement of pro-active safely performance targets The CONTRACTOR will on regular basis (weeklyimonthly) provide achievement and appreciation cerificate for safety performance to individuals that demonstrate safely 3. SCOPE ‘Ths procedure describes the guidelines for determining the award, process for incentive lstributon and documentation to prevent accident and improve HSSE awareness forthe duration ofthe Lima Subsidence Remediation projec. 4, DEFINITIONS ‘COMPANY PT. Pertamina Hulu Energi ONWA, The Client CONTRACTOR PT. Timas Supindo Project EPC! Contract for Lima FIS Subsidence Remediation Subcontractor ‘Any other Party engaged by CONTRACTOR Hsse Health, Safety, Secuty and Environmental un Lost Time injury Ket Key Petormance Indiator stor Safety Training Observation Program HRD Human Resources Dept.REFERENCE DOCUMENTS HSSE Polis; ExhibitHH— HSSE Requirement; and LIMA-G-PLA-0001 Project HSSE Plan 6. OBJECTIVES To recognize effets made by the CONTRACTOR’s employees and its Subcontractors in achieving high standard of HSSE in their work. This plan has the folowing key slme and targets: + Provide incentives for employees and Subcontractors to adopt a safe conscous work culture; + Show appreciaton and recognition fo the CONTRACTOR'S and Subcontractors ‘employees who contributed towards improving HSSE; + Provide postive encouragement and public: recognition to project work groups when significant milestone are achioved ‘+ Enoure that all targets ere compatible with our overall long-term objectives of improving HSSE; ‘+ To establish @ safe working environment that promotes safety for personnel the ‘environment and assets; + Promotes increased Hazard Awareness and HSSE understending within individual and work groups: *+ Establishes a working environment that provide positive influences to personnel Improving their understanding unsafe practices wih full management support and + Estabiches tools and systems that promote a safety cuture without ne impacting onthe reporting of incidents. sively 7. SAFETY COMMITTE ‘A toam of key porsonnels will make up the Safety Committee. This teem wil ‘analyzelevalata the personnel o be awarded for thelr contrbutions fo HSSE, ‘The Safety Commitee will compose but not ited to following:aa. + Project Manger: + HSSE Manager: + Construction Manager + HSE Coordinator and ‘+ Line Manager. APPLICATION AND CRITERIA These HSSE Incentive and Avards is applies to all worksites, where the work ie to performed, all offees, Fabrication Yards, Construction Yards! and Installaton Stes ‘employees wil be considered. The Safety Commitee wll monitor process of the scheme so {a8 fo not cause ary detrmentally impact on reporting of incidents, losses and near misses. AWARD CATEGORY AND FREQUENCY Awards ‘Awards willbe given fo ndvidual who meet the folowing criteria: re ad Person to given ‘Awards willbe given to all workers of team Bost HSSE Monty | (99968, scaffoders, pipe fiers, tc) who has Achievements 'Y | shown evidence of good HSSE attitude and implementation, ‘Awards willbe given dvealy To workers who Best STOP Card Weekly | issue the most quality STOP Card issues during month = ‘Awards wil be given deal fo the workers when BestspotAward©o | egy | deemed by Saety Commitee team tohave been the right hing bes ‘doing the right things related to HSSE | implementation . ‘Awards willbe given directly tothe person who BestWorker Award | Monthly | nas been selected as below ctteria Verious hands out award category as folowing“T-Shi (printed logo, projactnamajUS8 | 1 ealveekly | Best STOP Card BriverOthers option Back Bag ‘ealmonthly | Best HSSE Achievements Water Botte 1 ealweokiy | Do the right thing Cups 1 ealwoekly | Best Spot Award | cap (Printed Logo) | 1 ea/weetly | Best Spot Award Wabi PhonesiElectonie | 1 ealmonthly | Best Worker Award Devices Best Worker Award Best workers of above category from each package, wil be selected from CONTRACTORS ‘and its Subcontractors on monthly bass. ‘The best workers willbe recognized during Mass Safety Tak for their excellent performance ensuring safely atthe workplace ‘The best workers willbe selected depends on the folowing ceria + No accidentineldent ‘Observing and following Project safety rules and reguatons; ‘+ Wearing and using approprate Personal Protectve Equipment’s depends upon work; ‘+ Ensuring proper housekeeping on st; + Proactive safety bohavior while performance oftheir trade work at ste; + Knowledge, dedication and ski at his trad; and ‘ently the hazard in his workplace ‘The workers wil be nominated by respective Site Superisors. Thereatier a Project awards ‘committeesafety comnts consisting of site and safety precaution will mark te nominated persons based on their observation cum evaluation using the above citeria. The best worker for each catagory will be selected and wil be awarded with valuable pricesicashiphone card and certificates,A ‘Best STOP Card ofthe Month ‘This STOP of the Nonth award wil be given to individuals on a monthly basis with the following criteria: ‘+ How many STOP Card issued in that particular month and qualty ‘+ Content of hazard detail of received STOP Card; ‘+ 171 (ore) ofthe winners is taken from a “Draw from all the STOP card received, we choose 1 (one) winner by given them questionnaire related to Safety knowedge and Hazard Awareness so as to promote people to put cards in; + Ensuring roper housekeeping onsite + Proactive salety behavior while perfomance of their rage work at se; + Knowledge, deletion an ski at his trade: ard + lent the hazard in his workplace ‘The workers wil be nominated by respective Site Supervisors. Thereafter a Project awards ccommitteelsafety commitiee consisting of site and safety precaution will mark the nominated persons based on their observation cum evaluation using the above oferta. The best Worker for each category wil be selected and wil be awarded with valuable prices/cashiphone card and certificates. Do the Right Thing Award — Spot Award “The spot award is being practiced at many Projects doing successful Safety Management system, Eligible employees have an opportunity to be recognized for one-tine special achievements, creating role models for athers and accomplishing noteworthy activites related to ther safety duiies. The Spot Awards program allows supervisors and other individuals to grant ‘employees (as indlvdual or in groups) immediate recognition for extra efforts that warrant ‘small awards, Spot awards are considered small to moderate in value and limited to broad In application. ‘The folowing suggested citeria ar listed to provide the contollrs some guidance as 12 ‘what may mert consideration for spot awards + Above and beyond ~ things that are clearly above the normal duties assigned as to the indivicuat safety le; ‘+ Achiovernent—high levels of teamwork, results relate to safety oles and duties;+ Collaboration ~ demonstrate outstanding teem work in the achievement of project ety records + Initatve — demonstrate extraordinary resourcefulness rested to safety duties ‘andthe abil to act and make sound safe decision without drecton fom others; + Results — oriented - goes the extra milo to meta project success: 1+ Service — provides inspired service co workers, tf orto clon hat goes beyond ‘what is expected related i employees normal roles end duties; and ‘+ Stewardship ~ implements or takes some acton which significantly reduces safely isk on Project site, ‘The CONTRACTOR will choose few leaders from project team who can monitor the employee's behavior and response in line with above ctteia. The CONTRACTOR's Managers section in charges are to be playing the key role. It gives an opportunity for project team for awarding eae behavior of employees working at sta, ‘The Leader choose the winner needs to complete the record saying th criteria he choose to select the candidate signed and eubmited to HSSE Department, ‘The Winners ofthe week shal be announced and awarded during the wookly gate meeting. ‘Awards wil be given to the workers of individually based on the monthly basis with the following criteria ‘+ Have achioved the key performance indicator of individual ‘+ Have shown a good safety behavior during working hours; and + The reward wil be gen dlrecty to the worker when the Sefely Commitoe member find somebody on the work places are doing the good things related HSE folowing the best procedure. Hs ovement ‘Awards wil be given fo all workers of team (agers, scatflder, pipe fers, etc) who has ‘shown evidence of good HSSE atitude and implementation. HSSE Milestone Award HSSE milestone award are given during safely achievements during the execution of the project. wll be organized a folowing oezasions: + One milion eafe man-hours; and+ 1.5 one @ haf) or 2 (two) Millon safe man-hours “T-shirt wil be gistibuted for achievement of one millon safe man-hours and Back Pack or Jacket wil be citbuted fr achievement of 1.5 02 milion safe man-hours. Violation ‘The violation information willbe informed to Administration Manager (HR: Manager) in conaltation wth HSSE Manager and Project Manager. The voltion late wll be issued the ‘same wl be recorded in the employes fled Violation and Punighment Level Maids ilation ny "Violation Concealng and explaining about the consequences PVidlation | __ Concealing and necessary aining Vioiaton | ___ Waming Letter [4° Viotaton Waming Lear 5° Violation “Termination Note: Repon of somevolaon wil be cosred seo o mate sere aton agit he Listed below are some of the areas that will be need special atiention to improve safety performance at the work site. Safty violation or unsafe act of individuals ca be lead to {unsafe conditions at st. The list shown below Is only representative and not limited to Basically CONTRACTOR is looking ahead to pul improvements on employees attitude in Violations tabled below so that Project objective "No Incdent” can be achieved. Fallure to atlend Safely Meetings or assign representativeTE voba Failure to allend Site Safely Inspection or assign represoriativ with out eufcient| Failure to conduct Tool Box Meeting and proosdure Faure to engage elher Lifting Supervisor, Rigger, Signalman for lifting ‘operations with crane Falure to ensure good working ground condition and outiggers fully extended uring iting operation Feallure to provide or use Personal Protective Equipments on ste Fallure to engage qualified Scaffold supervisor and Erectors for erecting scaffolds Falure to provide proper access (Working Platform, Staging etc) Fling Object Hazard (eg. lose plank on scaffold) Failure to provide affecive barricade ai open side 0 cover Tor opening oF ‘overhead protection " Falure 10 hang elbctic cables overhead or protecting them from being ‘submerged into the water or from being damaged by moving vehicles 2 Usage of unsafe / Improper welding cables / equipment 3 Feallure to instal flashback arrestors for oxygenvacetylene cylinders 1“ Fellure to secure gas cyiners in an upright poston 16 Failure to contain sparks during hot-work at height or near combustible materials 76 Failure to provide Fre Exingulsher at Hotwork area w ‘Smoking at not designated area 18 Poor housekeeping 19 Feallure to quard movingldangerous parts of machineryPower tools ote 20 ‘ing an alr recover of ing gear or ling equipment or ay slatulory equipment without valid est certficate a jue (© use tagiine to prevent unconlioled movement of materials while heisting 2 Fallure to install safety latch on the iting hook of crane 23 ‘Working in an unsafe manner 24 Fallure to observe speed nit25 Faure t apply Tor permit pfor to commencement of such jobs that require @ permit to work Failure to take corrective measures on the safety violation or deviation spotted 2 Fighting onsite Worker wil be handed over to police) 8 \Vandaliom of sie property or equipment (Worker wil be banned from ste) 2 RemovaliAteration/Diplacement of safely device or appliance wihout being authorized (Werker will be banned from site) 30 Fallure to comply with any other orders, nalices or regulation slated in the Workplace Safety and Health Act 3 Failure to comply with any other orders, instructon issued by HSSE Department ‘helt to Contractor andlor Company’s property 82. AWARD APPROVAL Project Management Team will pprove all safely Inoentve plans annually and HSSE incentive and Award Administration Plan wil be designed and proposed by the HSSE Departient 83. ELIGIILTY Human Resources will mintin the list of employees thal are ented to receive an incentive awards: ‘+ Ustis based on 100% dedicated to HSSE compliance: ‘+ Employee must have worked regulaly without absence inthe incentive period; ‘and "+ Employee recorded with safety violation shall not be considered for safety wards fora period of three months from the dats of violation recorded. 8.4. AWARD DISTRIBUTION ‘Award HSSE will be distibuted by The CONTRACTOR Management or The CONTRACTOR representative at work location during a Mass Meeting and attended by the10. COMPANY Representative, The CONTRACTOR and Subcontractor employees at the worksite HSE Department wil be responsible forthe purchase and diatributon of Safety Incentives for the sito, Award incudes email gf, certtieates ete HI Deperment wil provide the st of eligible employees to HSSE Department prior to finalizing the winner forthe next award. This wal bo based upon tis eligi list with no Violations being recorded. Rocords of awards datroution, photographs and copy of cetfates are maintained for each ‘award. There must be the signature ofthe recipint or the recipient's representative for each awards distribute, HSSE Department will maintain the summary of awards in the Monthly report. Al awards ‘hall be directly detibuted during HSSE meetingslaward functions in case of Milestone award. Awards that are not claimed during open distibution time will be handed over to the Immediate superieo for continued dstibutn. ‘AWARD RULES AND NOMINATION ASSESSMENT Each month, the Safety Commitise Representatives’ of each department will run selection ‘process forthe HSSE awards and vote forthe best nominee in each category. ‘The COMPANY, CONTRACTOR and Subcontractor employees are actively encouraged to particpale inthe awards scheme, ‘COMMUNICATION AND FOLLOW UP ‘The HSSE award plan and recognition will be communicated to all work forces on the project. information will be delivered through daly tool box talks, safely meeting, posters, {nd announcement by mobile pubic address or notice board et. ‘The Communication Program established by the commitse wil both improve awareness of the HSSE incentive scheme and overal HSSE understand } 11. APPENDICES ‘Appendix 1 WARNING LETTER FORMAT‘Appendix 2~ BEST STOP CARD CERTIFICATE FORMAT ‘Appendix 3 BEST WORKER ACHIEVEMENT CERTIFICATE FORMATAPPENDIX WARNING LETTER FORMAT10 ‘occuPanion Dare EWPLovEE Coo PRouECr WARNING LETTER ‘Wis This eters aie or Mer Have convarone eultoncipine ef company a5 flows Late tom de uy 1. net ovey neo stay ception 8. Omen aot come to aty 2. rntanving trian rg ln wrt oston 10. Go home belo teres without pert 1 Talent Superior 11, Levng wok thoutconpany permit. 44 Conrevene of eglton bas 0 thaw 12, Refuingloposing super commana {© Dcing something out of rocadre 13, Damage of ood company Property 4 Nototon of Supesornaucton 14. Stolen of Compeny Property 7. 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