HSE KEY PERFORMANCE INDICATOR CONTRACTO

Contractor Name PT.EJJV ENGINEERIN

Contract Number CS-17270137
Contract Title Onshore Building Maint
Risk Level Significant
Contract Period Start Date
Work Location Onshore Operation
Trailing Metric (*)
Cases Target Onshore
Recordable Injuries (MTC. RWC, LWC, FAT) 0
First Aid Case 0
Motor Vehicle Incident Responsible (MVI-R) 0
Motor Vehicle Incident Non-Responsible (MVI-NR) 0
Fire Incident 0
(*) Trailing Metric COPI Onshore Target. Contractor shall refer to this target. Not allowed to change this target.
Leading Metrics
Target
Parameter
Annual
Leadership and Commitment
1 Management site visit (**)
a. Director
b. General Manager
c. Project Manager 4
d. Site Manager 72
e. Other (....please mention....)
2 Town hall Meeting with Employees 36
3 CHSE Plan Socialization 12
4 CHSEMS Implementation
Kick of Meeting
Pre Job Activity
Work in Progress - HSE Program
Final Evaluation
5 Mentoring program with COPI 24
6 Personnel Competency Assessment 36
7 Knowledge Sharing 36
8 Contractor Management Checklist ( CMCL ) 240
Safety Meeting
1 Daily Toolbox Meeting 960
2 Internal Weekly Safety Meeting 144
3 Internal Monthly Safety Meeting 36
4 COPI Weekly Safety Talk 120
5 COPI Contractor HSE Forum 12
 6 Be Safety Leader 36
7 COPI Driver Safety Forum TBA
8 Other ( ...please mention...)
Inspection and Audit
1 Vehicle and HDE Inspection
a. Daily 4320
b. Weekly 960
c. Quarterly 48
2 HSE Inspection Checklist ( Level-1 ) 12
3 HSE Program Inspection ( Audit ) 1
4 Fire Extinguisher Inspection 240
5 Hand tools, Machine and Power tools Inspection (**)
a. Weekly
b. Monthly 180
c. Quarterly
6 Camp/ Accomodation and Office Inspection (**) 36
7 Catering Inspection (**)
8 Barge Inspection (**)
a. Weekly
b. Monthly
c. Quarterly
9 Workshop Inspection (**)
10 Emergency Drill 2
11 PPE Inspection 36
Leading Metric
1 I-Care Submission 11760
2 PTW Review (including use LSR ) 480
3 PJSM Review 480
4 Ride Along Review (including use LSR ) 960
5 Near miss Reporting 2
6 Hazard Hunting Reporting 240

Activity Target
1 Activity based on Contractor HSE Plan (in contract docs)
Best Safe Employe Award 3
Best Healthy Employee 3
Best Driver 3

2 Safety Activities out of COPI working hours (off the job safety)
Implemantation Internal Journey Management Review Audit

Prepare By, Approve By

 Sahat sitanggang/frans.s M.Nur FN/Hari Suryo Wibowo
HSE Coordinator SITE MANAGER

(**) as applicable
STOP Submission = 1 card/employee working day or detemined by COPI mentor/supervisor
Hazard Hunting = 1 submission/month/employee or determined by COPI mentor/supervisor
PJSM Audit, PTW Audit, Ride Along Audit obligated for selected Personals ( Site Leaders Teams ) = follow to COPI targe
Contractor Supervisory Checklist = TBA
ATOR CONTRACTOR 2018

PT.EJJV ENGINEERING INDONESIA

CS-17270137
Onshore Building Maintenance Facilities and Vegetation Control Services
Significant
Start Date 1-Apr-17 End Date 31-Mar-22
Onshore Operation

Target Onshore Cases

0 Hydrocarbon Leak Beyond 15 bbls
0 Hydrocarbon Spill ( Freq ) > 1 bbls
0 Produced water spill ( Freq ) > 1 bbls
0 Property Damage ( HC and Non HC )
0 Property Damage ( Electrical )
t.

Target Total Actual Achievement per Month

Monthly (YTD) Jan Feb Mar Apr May Jun Jul Aug

1
6 3 5

3 3 3
1 1 1

2 1
3
3 3 3
20 12 17

80 80 80
12 12 12
3 3 3
10 10 10
1 1 1
 3 3 3
1

360 240 360

80 27 48
4
1 1

20 20 20

15 15 15

3 3

3 3 3

980 700 1290

40 40 40
40 40 40
80 80 80

20 20 20

pprove By Acknowled
Hari Suryo Wibowo Anang Usman/Yuris P
MANAGER HSE COPI CHSEMS

ams ) = follow to COPI target

 31-Mar-22

Target Onshore
0
0
0
0
0

er Month
Sep Oct Nov Dec
Percentage Monthly

83%

100%
100%

50%

100%
85%

100%
100%
100%
100%
100%
 100%

100%
60%

100%

100%

100%

100%

76%
100%
100%
100%

100%

TOTAL SCORE 94%

100%

TOTAL SCORE 100%

Acknowledge By,
man/Yuris P Kukuh Jatniko/Samuel Dorgis
PI CHSEMS COPI Supervisor/Mentor