PT Ajinomoto Indonesia

OBJECTIVE, TARGET & PROGRAM FY 2016

Karawang Factory

Result of Target FY Target 2016 2017

2015 FY 2016 Periodical
No Objective Program PIC Monitoring Program Remarks
Review
Result Status Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
1. Re-checked and ensure the
completeness safety measure of Rotary
machine, Chains and Sprockets all of If any assessment for new
a. Zero Fatal Accident 0 Case O 0 case P2K3 Anytime machine or equipment
machine

b. Zero Serious Accident 1 Case X 0 case 1. Make risk analysis for a special job or P2K3 Anytime If any a special or new job
new job include on JSA

1. Safety patrol P2K3 Monthly √ √ √ √ √ √ √ √ √ √ √ √

Accident Reduction
2. Training Dummy Hand P2K3 Annualy √
1. c. Zero Moderate Accident 3 Case X 0 Case
3. Training KYT P2K3 Annualy √

4. Set Up Fire Fighting P2K3 Monthly √ √ √ √ √ √ √ √ √ √ √ √

4 Case X 0 Case 1. Training Safety Riding P2K3 Annualy √

d. Zero Traffict Accident + Forklift
6 Case x 0 Case 2. Safety Inspection Forklift QM Every Week √ √ √ √ √ √ √ √ √ √ √ √
e. Injury Rate ( IR ) 0.03 O < 1.0 1. Review & evaluate P2K3 Monthly √ √ √ √ √ √ √ √ √ √ √ √
Secretariat.
f. Severity Rate ( SR ) 0.26 O 1. Review & evaluate P2K3 Monthly √ √ √ √ √ √ √ √ √ √ √ √
< 2.0 Secretariat.

1. Coordination with Department and/ or

Government and issue SIO / training GP Annualy If any expire date of license
SIO or any new operator
internal
Legal Conformity

a. License for Operator / SIO 100% O 100% 2. Training AK3 Electric GP, EM Annualy √
2.
3. Training AK3 Confined Space GP, UTW Annualy √

4. Training AK3 Chemical GP, QC Annualy √

If any expire date of license

b. License for equipment 100% O 100% 1. Coordination with Department and/ or GP Annualy
Government equipment or any new
equipment

1. Training for Fire Fighthing P2K3 Annualy √

2. Training for Gas Leak P2K3 Annualy √

3. Training for Handling Demonstration P2K3 Annualy √

a. Training to all employees, OK O Conducted
contractor and temporary worker Training
4. Training for Spill B3 P2K3 Annualy √

5. Emergency Driil P2K3 Annualy √

Awereness Improvement

6. Training First Aid + Food Poisoning P2K3 Annualy √

3. Conducted
b. Clean Factory OK O clean factory 1. 5S "Kamis Bersih" P2K3 Every Thursday √ √ √ √ √ √ √ √ √ √ √ √
each section

1. Meeting P2K3 P2K3 Monthly √ √ √ √ √ √ √ √ √ √ √ √

Conducted Secretariat.
c. Communication OK O
Meeting
2. Management Review P2K3 Annualy √ √

d. Implementation Contractor Safety

Management System OK O Application CSMS 1. Continuing Tool Box Meeting P2K3 & QM Every Day √ √ √ √ √ √ √ √ √ √ √ √

1. Internal Audit P2K3 Annualy √ √

e. Audit Ok O Conducted
Audit
2. Eksternal Audit P2K3 Annualy √ √
4
of ill-Health
Prevention

a. Zero ill-health caused by work and OK O 0 case 1. General Medical Check Up GP Annualy √
or work environmet

SR Significant Risk Karawang, ………. 2016

LR Legal Requirements Anknowledge by, Approved by, Prepared by,
TO Technological Option
FIN Financial
OPR Operational
VRP View relarated party
o Achieved Nico Andrias Program Hariyanto Ristiawan
X Not Achieved MR SHMS Ketua P2K3 Sekretaris P2K3
 No. Document : EM-Form-21
PT AJINOMOTO INDONESIA - KARAWANG FACTORY
Revisi :1

PT Ajinomoto Indonesia
CHECK SHEET EM PATROL Tanggal : 16 MAR 2021
Karawang Factory

Date 16 Maret 2021 Auditee LIEMAS

Area KONTRAKTOR (WORKSHOP) Auditor Alan

AUDITOR AUDITEE
No Photo of Finding Description of Finding Potential Hazard Classification Location Priority Periodic Root Cause Correction PIC Closed Date Photo of Closing Finding Status

Tagging APAR tidak Tidak tau kondisi APAR tagging lama belum di sudah diganti tagging
1 pakah masih bagus atau EMERGENCY WARHOUSE LIEMAS MINOR NEW hendri 22-Mar-21 close
update tidak ganti baru

tempat penyimpanan
Sisa material
UNSAFE sementara material cleaning area di akhir
2 menumpuk di 5S WARHOUSE LIEMAS MINOR ACTION verry 19-Mar-21 close
dan sampah sisa minggu
workshop
pekerjaan

Periodic NEW : Temuan Baru yang tidak di temukan pada audit 1 (satu) bulan sebelumnya. Priority CRITICAL : Temuan yang menjadi kategory Yellow Card yang di tentukan oleh matrix internal.
Catatan : Periodic REPEATED : Temuan yang ditemukan dari temuan audit 1 (satu) bulan sebelumnya. Priority MAJOR : Temuan yang berpotensi menimbulkan kecelakaan kerja besar pada karyawan dan temuan yang tidak di follow-up.
Priority MINOR : Temuan yang berpotensi menimbulkan kecelakaan kerja ringan pada karyawan atau issue 5S.