Page 1 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
LAGGING INDICATOR
1 Fatality Case 0 - 0 - - - 0
2 Days Away form work (DAFW) Case 0 - 0 - - - 0
3 Restricted Work Activity Case Case 0 0 - - - 0
4 Medical Treatment Case Case 0 - 0 - - - 0
5 Total Recordable Incident Case 0 - 0 - - - 0
6 First Aid Case Case 0 - 0 - - - 0
7 MVC Case 0 - 0 - - - 0
8 Fire Case Case 0 - 0 - - - 0
9 Oil Spill Case 0 - 0 - - - 0
10 Total Man Power Monthly Person 0 120 100 120 84 -
11 Total man Hours Daily Hours 0 57,016 19,827 24,643 12,546 -
12 Total Vehicle ( LV + HV ) Monthly Vehicle 0 46 29 46 31 -
13 Total KM Driven Daily KM 0 120,241 45,138 39,374 35,729 -
 Page 2 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
14 Total KM Driven from last MVC Daily KM 0 0 0 - - -
15 SIFO day Daily Days 0 715 164 380 171 -

LEADING INDICATOR
Inspection, Audit, & Field Visit
1 Daily Safetyman Report Daily #of inspection 0 487 272 170 45 -
2 PPE Inspection Monthly #of inspection 0 208 63 85 60 -
3 First Aid Kit Inspection Daily #of inspection 0 317 165 122 30 -
4 Fire Extinguisher Inspection Daily #of inspection 0 403 181 189 33 -
5 House Keeping Inspection Monthly #of inspection 0 150 76 70 4 -
6 Site Inspection Weekly #of visit 0 0 0 - - -
7 Color Code Inspection Quarterly #of inspection 0 0 0 - - -
8 Management Field Visit (PMT) Weekly #of visit 0 0 0 - - -
9 Headquarter Management Visit Semester #of visit 0 0 0 - - -
10 Internal Audit (Management System) Year #of Audit 0 0 0 - - -
11 V&V Permit To Work Event #of inspection 0 0 0 - - -
12 V&V Hazard Analysis Event #of inspection 0 0 0 - - -
 Page 3 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
13 V&V Excavation standard Event #of inspection 0 0 0 - - -
14 V&V Working at Height Event #of inspection 0 0 0 - - -
15 V&V Confineed Space Entry Event #of inspection 0 0 0 - - -
16 V&V Hot Work Standard Event #of inspection 0 0 0 - - -
17 V&V Lifting & Rigging Event #of inspection 0 0 0 - - -
18 V&V Short Service Employee Event #of inspection 0 0 0 - - -
19 JSA Quality Review Weekly #of inspection 0 0 0 - - -

HES Meeting
1 Tail gate meeting Daily #of meeting 0 706 309 307 90 -
2 Bi-Weekly Meeting Bi-Weekly #of meeting 0 14 6 6 2 -
3 Monthly HES Meeting Monthly #of meeting 0 0 0 - - -
4 Driver Forum Quarterly #of meeting 0 0 0 - - -
5 Supv-PMCoW-HESMan Forum Quarterly #of meeting 0 0 0 - - -

HES Training / Refreshing & Exercise

1 HES Orientation Tentative #of Training 0 0 0 - - -
2 MSW Training / Refresh Tentative #of Training 0 0 0 - - -
 Page 4 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
3 MSW Confined Space Standart Tentative #of Training 0 0 0 - - -
4 MSW Working at Height Tentative #of Training 0 0 0 - - -
5 MSW Hot Work Tentative #of Training 0 0 0 - - -
6 MSW Excavation Tentative #of Training 0 0 0 - - -
7 MSW Portable Gas Detector Standard Tentative #of Training 0 0 0 - - -
8 Escorting Tentative #of Training 0 0 0 - - -
9 Fire Watcher Training Tentative #of Training 0 0 0 - - -
10 First Aid Training Tentative #of Training 0 0 0 - - -
11 BBS Observer training Tentative #of Training 0 0 0 - - -
12 SOP Training/Socialization Tentative #of Training 0 0 0 - - -
13 SSE Training Tentative #of Training 0 0 0 - - -
14 Emergency Exercise/Drill Semester #of Exercise 0 0 0 - - -
15 MSW Fundamental A&B (PMCoW) Tentative #of Training 0 0 0 - - -

MVC Prevention Program

1 Pre-Trip Inspection Daily #of Car 0 0 0 - - -
2 MVSP Training / Refresh Tentative #of EE 0 0 0 - - -
3 MVS HE Training / Refresh Tentative #of EE 0 0 0 - - -
 Page 5 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
4 Commentary Drive Event #of EE 0 0 0 - - -
5 Cabin Coaching Event # of Car 0 0 0 - - -
6 Spot Check Bi-Weekly #of Times 0 0 0 - - -
7 DIM / DBMS Monthly # of Car 0 0 0 - - -
8 V&V Motor Vehicle Safety Event # of Car 0 0 0 - - -

Hazard identification, nearmiss

1 Hazard Identification/Hazard hunt Tentative #of EE/Year 0 55 22 31 2 -
2 Nearmiss report Tentative #of EE/Year 0 12 0 10 2 -
3 SWA & SSWA Record Tentative #of EE 0 21 14 7 - -
4 BBS Report Bi-Weekly #of Observer 0 40 18 20 2 -

Heavy Vehicle & Equipment

1 Total LV Tentative #of LV 0 11 11 9 9 -
2 Total Heavy Vehicle Tentative #of HV 0 29 29 24 25 -
3 Total Heavy Equipment Tentative #of Eq 0 20 20 12 16 -

HES AWARENESS
 Page 6 of 18

H
Company : PT.
Responsible Person :
Description of Work :
Work Area :
Division :
Project Start :

2018 Performance Metric Target JAN

No. KEY PERFORMANCE INDICATOR Frequency Measure PM ACTUAL
Q-1 Q-2 Q-3 Q-4 Plan
1 Medical Check Up / Heath Program Yearly #of EE 0 0 0 - - - 0
2 HES Campaign/ Banner/ Poster/ Billboard Semester #Event 0 0 0 - - - 0
3 Accountability Model Case #Person 0 0 0 - - - 0
4 HES Reward/Award/Token Monthly #Event 0 0 0 - - - 0

Prepared by, Approved by,

HES HES Superintendent

 Page 7 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 92 100 103 120 82 84
1847 10044 7936 9016 9012 6615 12546

24 29 28 39 46 27 31

16704 16836 11598 11198 15671 12505 35729

 Page 8 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan
0 0 0 0 0 0 0

29 55 80 102 130 148 171

93 75 104 72 65 33 45
4 24 35 23 44 18 60
60 61 44 42 56 24 30
44 54 83 74 91 24 33
17 18 41 31 35 4 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 Page 9 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

94 100 115 110 117 80 90

2 2 2 2 2 2 2
 Page 10 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan

0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 Page 11 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 11 11 15 16 0 2
0 0 0 0 4 6 2
0 5 9 6 1 0 0
0 12 6 7 9 4 2

8 11 9 9 9
29 29 24 23 25
18 20 12 12 16
 Page 12 of 18

HES PLAN/KPI 2018

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan

0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0

Akcnowledge by ; Akcnowledge by ;

Project Manager Contract Owner

 Page 13 of 18

OCT NOV DEC

Act Plan Act Plan Act

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 Page 14 of 18

OCT NOV DEC

Act Plan Act Plan Act
 Page 15 of 18

OCT NOV DEC

Act Plan Act Plan Act
 Page 16 of 18

OCT NOV DEC

Act Plan Act Plan Act
 Page 17 of 18

OCT NOV DEC

Act Plan Act Plan Act
 Page 18 of 18

OCT NOV DEC

Act Plan Act Plan Act

Contract Owner