HSE PLAN

Proyek Transmission Line Sumsel 8 Huadian Bukit

Asam Power.

A Issued For Review 28 june 2019 MLD MSS JKB

PRPD CHKD APVD APVD
REV DESKRIPSI Date
ETI Client

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 REVISION HISTORICAL SHEET

Rev No Date Page Description

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 DAFTAR ISI

1 INTRODUCTION............................................................................................................. 5
2 OBJECTIVES OF HEALTH (HEALT SAFETY ENVIRONMENTAL)................................6
2.1 Safety (Safety) ............................................................................................................. 6
2.2 Productivity (Productivity).............................................................................................6
2.3 Environment (Environmental).......................................................................................6
3 DEFINITIONS AND ABBREVIATIONS ...........................................................................7
3.1 Abbreviation.................................................................................................................. 7
3.2 Definition....................................................................................................................... 7
4 K3L LEADERSHIP & COMMITMENT (HSE LEADERSHIP & COMMITMENT) ..............9
5 DESCRIPTION OF DUTIES AND RESPONSIBILITIES ...............................................10
5.1 Project Project Managers............................................................................................10
5.2 K3PL Manager & P.....................................................................................................10
5.3 Site Manager.............................................................................................................. 10
5.4 All Employees.............................................................................................................10
6 PROJECT TARGET & TARGET....................................................................................10
7 COMPLIANCE WITH EHS REGULATIONS & DISCIPLINE REGULATION..................11
8 DRIVING SAFETY & VEHICLE ....................................................................................11
9 GENERAL SAFETY IN WORKPLACE..........................................................................12
10 HAZARD ASSESSMENT AND RISK AND ITS CONTROL..........................................12
11 STANDARDS, REGULATIONS & RULES...................................................................13
12 COMPETENCIES, TRAINING & INDUCTION.............................................................13
13 COMMUNICATION, PARTICIPATION & CONSULTATION........................................14
14 SELF PROTECTION EQUIPMENT (PPE)...................................................................15
15 WORK HEALTH..........................................................................................................15
15.1 Medical Check-Up (MCU).........................................................................................16
15.2 Dust and Dirty Air......................................................................................................16
15.3 Ergonomics...............................................................................................................16
15.4 Noise........................................................................................................................ 16
15.5 Fatigue...................................................................................................................... 16
16 WORKING & MATERIAL EQUIPMENT.......................................................................17
17 PREVENTION OF INDUSTRIAL WORK ACCIDENT..................................................17
17.1 Hot Work................................................................................................................... 17
17.2 Excavation and Trenching........................................................................................17
17.3 Working Near Power Lines.......................................................................................18
17.4 Work in Confined Space...........................................................................................18

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17.5 Hand Injury............................................................................................................... 18
17.6 Buddy system...........................................................................................................18
17.7 Danger of slippery floors...........................................................................................18
17.8 Work at height........................................................................................................... 18
18. EMERGENCY RESPONSE PLAN .............................................................................19
19 ACCIDENT REPORTING AND INVESTIGATION 24..................................................21
20 ENVIRONMENTAL PROTECTION .............................................................................23
21 MEDICINES, ALCOHOL, HARD DRINKS & PROHIBITED GOODS...........................24
22 RELATED PROCEDURES .........................................................................................24
23 REPORT & RECORD .................................................................................................24
23.1 Report....................................................................................................................... 24
23.2 Record...................................................................................................................... 24
24 ANNEX 2
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No table of contents entries found.

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1. INTRODUCTION
Work Plan for Safety, Occupational Health, Environmental Management and
Safeguards (Occupational Safety and Health Work Plan & P) was prepared to be
used as a guideline in the implementation of the Transmission Line Sumsel 8
Huadian Bukit Asam Power project. with the intention to ensure the work is carried
out safely, safely and reduce the risk of loss due to humans, tools and the
environment so that services are produced that meet Client's needs and
expectations.
K3PL & P Work Plan is a complementary part and as a document prepared in
carrying out a work.
K3PL & P Work Plan describes project activities that refer to the standard
requirements of the Occupational Health Safety Management System (SMK3), which
are related to such as:
• Safety programs,
• Target occupational health safety (HSE Objective),
• Risk identification,
• Communication, participation and consultation,
• Induction and training,
• Inspection and observation,
• Personal protective equipment,
• Emergency response plan (ERP),
• Work tools and equipment,
• etc.

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2. ABOUT K3L (HEALTH SAFETY ENVIRONMENTAL)
2.1 Safety (Safety)
The K3PL & P program was built with the aim of the safety and well-being of
workers who were viewed by PT. ETI is the main capital in conducting
business. Worker health and safety is very important to protect because PT.
IET considers that safety itself is the future of the company, employees and
their families, business partners, and the good name of the company. Safety
in the project as a whole is the main goal of this HSE & P Work Plan.
2.2 Productivity (Productivity)
The K3PL & P program strongly supports project or production work activities,
"No Safety No Production". Every accident will result in huge losses, we
cannot judge how much the price of one human soul, time lost, vehicle repair,
equipment re-procurement, lost time for accident investigations, treatment
payments, threatened company image, and so on. These things are seen as
something that must be avoided, for the smooth running of the project that
generates benefits for the government, clients, shareholders, all employees,
the surrounding community, and so on.
2.3 Environment (Environmental)
A love for preserving the environment is the goal of the K3PL & P program,
starting with building awareness of environmental concerns, and
implementing it in the company's operations. PT. IET considers that the
present life and grandchildren of humans have the right to obtain
environmental conditions that support their health and future, the preservation
of animal and plant life is an important factor that must be maintained for the
preservation of life.

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3. DEFINITION AND ABBREVIATIONS
3.1 Abbreviation
APAR : Lightweight Fire Extinguisher
PPE : Personal Protective Equipment
B3 :Toxic and Hazardous Materials
ERP : Emergency Response Plan
JSA : Job Safety Analysis
LTI : Lost Time Injury
Oil and Gas : Oil and Gas
Drug : Narcotics, Alcohol, Psychotropic and Addictive Substances
OHSAS : Occupational Health and Safety Assessment Series
HSSE : Safety, Occupational Health, Safety and Environment
HSE & P : Safety - Occupational Health, Environmental Management
and Security
First Aid : First Aid in Accident
PM : Project Manager
PT : Limited Liability Company
RCA : Audit Risk Containment
SM : Site Manager
SMK3 : Occupational Safety and Health Management System
SNI : Indonesian National Standard
TSAF : Total Sickness Absence Frequency

3.2 Definition
Accident : Unwanted events that cause injury or damage to
facilities / equipment
Work safety analysis : A form of analysis of work step-steps, hazards in
each of these jobs, effects of risks that may arise
and how to overcome the hazard conditions in
carrying out the work
Personal protective equipment : A set of equipment used to protect workers from
hazards at work sites
Emergency drill :An emergency simulation to test the suitability of
the implementation of an emergency response plan
Fatality : Worker's death that occurs at the work location or
related to work

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Housekeeping : An effort to maintain the cleanliness and tidiness
of the work location
K3PL Induction & P : Introduction of workers to work conditions and
hazards at work, then how to overcome them
Incident : An event that leads to an accident, even if there is
no injury or damage to the facility
Inspection : Checking equipment or supporting work
Work permit: An authorization given from the owner
to the executor of the work to carry out the work
Occupational health : All efforts made related to the implementation of
work in the work location to prevent the occurrence
of occupational diseases
Work safety :Everything related to preventing accidents /
incidents
Lost time injury : Loss of work day due to work accident
Management visit : Visit of the project leader to the
work location
HSE Meeting & P : Meeting to discuss issues faced regarding OSH &
P and how to overcome the OSH & P problem
Safety observation : Efforts to eliminate / reduce unsafe behavior at the
location of workers or related to the implementation
of work
Owner : Job owner
Environmental pollution :The detachment of pollutants due to work
processes
Occupational illness : Disease arising from workers related to the
implementation of work
Crossing : Crossing pipes or pipe support facilities with other
facilities such as public facilities, roads, pipes,
rivers, or railroads
First aid in an accident : Initial help given to workers who have been injured
to prevent fatality or permanent disability
Company / Implementing work : PT. ETI
Risk containment audit : Monitoring unsafe conditions so that risks at the
work site can be eliminated / reduced in severity
Severity rate : A measure of the severity of a condition or unsafe
behavior

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 Subcontractors :Partners that include equipment, technical
documents and other services arranged by PT ETI
Meeting Toolbox :The gathering activity of all workers who will work
to discuss work to be carried out safely
OSH & P Training :A short training program to improve workers'
understanding of OSH & P

4. HSE LEADERSHIP & COMMITMENT

PT.ETI's management has a main and ongoing commitment to protect employees
and company property from unwanted losses.
Every company activity has the main goal of achieving value without an accident.
The supervisor of each activity is responsible for all aspects of work safety including
the application of company procedures, applicable laws and regulations,
Control of hazards is not only done as a reaction to an accident or as a result of
inspections that have been carried out in the workplace.
Management lines and employees can be more productive. This is necessary to
ensure that something very important must be done first.

To achieve this commitment and maintain a good working environment where safety
is a top priority for PT. ETI stated:
- Requests for all employees to carry out all of their operations by achieving the
highest standards of work safety with the aim of Zero Accidents.
- Conduct periodic checks to find out and reduce potential hazards.
- Conduct internal audits in accordance with the program and follow up on findings
to prevent accidents as early as possible.
- Develop training for all employees and encourage them to provide input by
sharing information through a two-way communication system.
- Develop emergency action plans along with effective countermeasures
procedures, whether for Health, Work Safety and Environmental Protection or
security. Thus it will reduce the negative impact on other companies.
- Ensure that each field activity has an accident / incident reporting procedure and
every accident is thoroughly investigated, documented and recorded costs.

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5. DESCRIPTION OF DUTIES AND RESPONSIBILITIES
The description of the duties and responsibilities of the executor in relation to the
project work of the Transmission Line Sumsel 8 Huadian Bukit Asam Power are:
1.1 Project Project Manager
Coordinating project work and managing the personnel required, overall
responsible for the successful implementation of work safely, safety and
smoothly.
1.2 K3PL & P Manager
Coordinating work safety aspects of the project by conducting periodic safety
meetings, documented and recorded and disseminating the understanding of
aspects of work safety to all employees.
1.3 Site Manager
As a Project Manager representative to carry out daily work activities in the
field / field so that they can run safely, safety, smoothly and successfully.
Monitor work safety aspects of the project and are responsible for preventing
hazards, accidents and safety hazards in a work area.
1.4 All Employees
• Follow and comply with the safe working procedures set out on the
project.
• Using, and ensuring the condition of PPE, equipment and equipment
used in the work are appropriate and well maintained.
• Responsible for the safety of yourself and fellow workers and pay
attention to the conditions of the work environment.
• Only operate equipment that is controlled or do work that is in
accordance with the tasks assigned by the supervisor.

6. GOAL OBYEKTIF
The targets and targets to be achieved in the Transmission Line Sumsel 8 Huadian
Bukit Asam Power project are as follows:
1. Occupational safety and health programs and the environment, Hygiene and
Sanitation in the Company's work environment can be carried out well.
2. The behavior of the workforce can be controlled properly.
3. Zero work accidents.
4. Zero occupational illness.
5. Zero Pollution.
6. Property Damage Zero.
7. Zero Fire / Fire.

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7. COMPLIANCE WITH THE K3L REGULATION & DISCIPLINE REGULATION
Discipline that starts from the awareness of the importance of safety is a spearhead
of the achievement of K3PL & P. targets. PT. II will follow the rules and regulations of
K3PL & L issued by the Owner in regulating matters that must be adhered to
regarding OSH & P implementation in PT operational areas . Samsung. The rules
and regulations for OSH & P which are in the form of orders and prohibitions must be
obeyed by all personnel of PT. ETI is no exception. The purpose of implementing
these rules and regulations is to achieve discipline towards K3PL & P, both
personally and in working groups. Rules and conditions for compliance and discipline
of HSE & P, such as:
1. Prohibiting the use of liquor and narcotics,
2. Prohibition of driving an operational vehicle for those who do not have
permits,
3. Prohibition of smoking in areas that are prohibited from smoking, Etc

8. DRIVING SAFETY & VEHICLE

Driving safety is a significant concern in carrying out operations on the Transmission
Line Sumsel 8 Huadian Bukit Asam Power I project. Some things that must be
obeyed are as follows:
1. The vehicle to be operated must be inspected every day, operate the vehicle
in good condition and the document is complete, do a SWA (stop work
authority) for vehicles that are not safe.
2. Drivers who drive vehicles have been given safe driving training (devensife
driving) and have obtained approval to operate the vehicle.
3. Planning travel management (journey management) is carried out every time
it will take an operation trip.
4. Before the vehicle is run, it must be ensured that all passengers have used
the safety belt and no unsafe items / are not permitted in the vehicle.
5. Before driving make sure the condition of the driver is fit (fit for driving), and
each passenger must remind or do SWA for tired or sleepy drivers.
6. Drivers are prohibited from calling, texting, chatting, browsing using
cellphones while driving.
7. Drivers and passengers are prohibited from smoking, using drugs and
drinking alcohol, both during working hours driving and outside working hours.
8. Drivers must comply with traffic signs, both inside and outside the work area
of PT. ETI.

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9. GENERAL SAFETY IN THE WORKPLACE
1. Every work that will be done has been made and is equipped with a WIR
(work inspection request).
2. Make careful, effective and efficient planning of manpower that will be used,
tools, vehicles, safety equipment, and everything that will be needed at work.
3. Every worker who is going to do work must be in a healthy and fit condition,
and has a badge, PPE / PPE is complete and feasible to wear.
4. Every tool, equipment and vehicle must be in good condition before use.
5. Make sure every job to be done has been equipped with an SOP (standard
operating procedure) and and reviewed the risk in JSA (job safety analysis).
6. Work that uses chemicals must be equipped with MSDS (materials safety
data sheet) for these chemicals.
7. Every time after the work is finished on that day, house keeping must be
done, making the place clean and regularly returned. Perform mild
housekeeping when work is done to prevent accidents or spills.
8. Work carried out within the red zone area applies provisions that prohibit
smoking, turn on mobile phones, disturb and damage the facilities of PT.
Nusantara Regas, stealing, committing mischief, etc. that will cause accidents
and work chaos.
9. It is strictly forbidden to fight each other, scold each other, and must maintain
the good name of the team and company.

10. HAZARD ASSESSMENT AND RISK AS WELL AS A RESPONCE

Every job is at risk according to the level of hazard or hazard that exists in the area
and the nature of the work. These risks must be assessed in such a way as to
determine what steps should be taken so that each risk can be minimized. Risk
assessment needs to be done on each type of work. Consequences and
consequences (consequency & probality) are assessed objectively and carefully so
that they can produce risk levels as a guide in determining the control of these risks.
Control measures must be carried out SMART (suitable, measurable, acceptable,
reasonable, timeable).
JSA (job safety analysis), HIRADC (hazard identification risk assessment and
determine control) and environmental impact aspects made jointly between PT ETI
and PT. Samsung before work is done. This activity covers all potentially hazardous
activities during the execution of work.

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 JSA is the identification of hazards, risk assessment and monitoring of controls that
must be carried out to determine the type of activities carried out, the source of
danger from the work, the impacts and risks faced, preventive actions and
improvements according to the value of the risk of the job.
The results of identification and analysis can be in the form of preventive and
corrective actions, providing PPE according to occupational risk. Job risks and
mitigation actions must be socialized, understood and followed by all workers.
Environmental aspects are elements of activities, products or services related to the
environment. Environmental impact is any change to the environment, whether it is
detrimental or beneficial, in whole or in part resulting from activities, products or
services.
Every aspect of work at the work site must consider the impact on the environment
caused to take measures to prevent pollution of air, water and land.
PT.ETI does not tolerate a condition that is dangerous, unsafe, unhealthy or that is
not environmentally sound. If any such conditions or activities are found, including
violations of OSH & P standards that must be adhered to, then PT.ETI will
immediately notify PT. Nusantara Regas and take the necessary actions to eliminate,
stop, defuse, or improve the condition or activity.

11. STANDARD, REGULATION & RULES

In carrying out work, standards, regulations and legislation are based on contracts
and other provisions set by PT. Client
In the Transmission Line Sumsel 8 Huadian Bukit Asam Power project standards,
regulations and laws are based on:
1. Law No. 1 of 1970 concerning Occupational Safety.
2. PP 50 of 2012 concerning the Implementation of an Occupational Safety and
Health Management System.
3. Permenaker No. 15 of 2008 concerning First Aid
4. Safe Work Procedure.

12. COMPETENCE, TRAINING & INDUCTION

Induction (direction) is carried out by PT.ETI to every employee, new worker, and
subcontractor by relevant personnel to ensure that everyone and the equipment used
and enter the work area are safe and secure. Everyone who has been given
induction must have understood and obeyed the rules and requirements that have
been determined.

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 Employees are the most valuable asset for PT ETI. Quality and safety will not be
achieved if it is not supported by sufficient capacity of each personnel. The
development of personnel capabilities is carried out through continuous training and
refreshment. Internal and external training is carried out according to needs. Every
person involved in the training is required to follow and understand the training.
Relevant training is held / carried out before starting work for all people who carry out
work in the field. In the Transmission Line Sumsel 8 Huadian Bukit Asam project the
standard power, competence, training and induction provided are not limited to:
a. Legislation related to safety, health and environment; and what is applied in
this work.
b. Work procedures and instructions needed in carrying out work at the Client

13. COMMUNICATION, PARTICIPATION & CONSULTATION

Safety meetings are held as a means of socialization, discussion, hearing and
accommodating employee aspirations. It must be ensured that the meetings are
carried out consistently and continuously. Meeting notes and attendance lists are
stored and reported to PT. Samsung.
In the Transmission Line Sumsel 8 Huadian Bukit Asam Power project
communication, participation and consultation, and safety meetings include:
1. Safety induction, carried out at least once for new workers or workers placed
on related projects, the duration of time is adjusted to the material to be
delivered. In induction safety information will be explained regarding safety,
potential sources of danger that exist at each job and an explanation of the
location of the workplace.
2. The box meeting tool, is carried out every time it starts work, for about 10
minutes. In the meeting tool box will be discussed about hazard identification
and other HSE & P issues that can affect the smooth running of work.
3. Safety meetings, conducted regularly weekly and / or monthly. If required, PT
ETI will attend a safety meeting held by Klien according to the set schedule.
4. Promotion / campaign / K3PL & P socialization, carried out according to
programs that aim as preventive actions. PT ETI conducts promotional and
awareness programs, such as bulletins, posters and banners / banners.

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14. PERSONEL PROTECTIVE EQUIPMENT
Personal protective equipment is workers' personal protective equipment as a last
resort which aims to reduce the consequences of accidents that occur. PPE or PPE
identified according to the results of JSA / HIRADC. PT.ETI will provide PPE before
work in the field / field begins. The minimum number and specifications of PPE will
follow the requirements of PT. Samsung Every employee must maintain and use
PPE maximally for his safety. Commitment to the use of PPE and conditions for the
feasibility of PPE are controlled and inspected on a regular basis.
Training on using PPE is done so that PPE can be used properly and maximally to
protect employees.
In the Transmission Line Sumsel 8 Huadian Bukit Asam Power project APD used is
not limited to:
1. Safety Helmet / Safety Helmet
2. Safety shoes / safety shoes
3. Safety Body Harness falls
4. Hand Glove / Gloves
5. Eye Protection
6. Ear Protection / Face protection
7. Face Mask / Face Protector
8. Coveral / work clothes
9. First Aid
10. Gas detector if needed, etc.

15. WORK HEALTH

Occupational health is considered by PT. IET. During the selection process of PT.ETI
employees will employ employees who are physically and mentally healthy.
This must be proven by a doctor's recommendation letter.
15.1 Medical Check-Up (MCU)
Is a periodic medical examination conducted by medical staff appointed by
the company. Every employee who will work in the field must have a health
check and get a doctor's recommendation that he is in good health to work (fit
to work). Employees who are found to be unhealthy and disrupt their health if
their work is continued, wise recommendations will be issued that are
oriented to the health welfare of the employees themselves.
MCU (Core Personnel) carried out, such as not limited to:
1. Summary of medical history
2. Physical examination

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 3. Regular blood tests
4. Routine urine test
5. Routine chest X-ray
6. Laboratory tests (special blood tests: HbsAG, Anti HbsAG and VDRL)
7. Audiogram
8. Teeth
9. Treadmill test
10. Abdominal test
11. Eyes
12. Illegal drugs, etc.
Health consultations with health agencies, for example the nearest health
center or hospital must be carried out to find out the pandemic of frequent
outbreaks as well as treatment and prevention measures.
The coordinator in the field must ensure that workers in the field work in a
clean and healthy work environment, including food consumed and water
sources used.
15.2 Dirty Dust and Air
In principle, employees must avoid workplaces that are full of dust and dirt,
but if this is unavoidable in accordance with the operational interests of the
work, action must be taken to eliminate dust exposure, such as watering and
so on. The recommended use of masks is required for employees working in
this dust area.
51.3 Ergonomics
Ergonomic work that supports the health and preservation of the worker's
body must be a concern that must be carried out, both in the field work and in
the office.
15.4 Noise
The high noise area above 85 DB is considered dangerous for the health of
human hearing devices (ears). All employees working in the area must wear
ear protectors in the form of ear plugs or ear muffs according to their
conditions.
15.5 Fatigue
Fatigue is one of the causes of accidents. Many workplace accidents are
caused by drowsiness, hunger for not having breakfast, and so on. Each Field
Coordinator must make sure the workers are fit to work every day (fit for duty
every day). Colleagues must care for other colleagues about this. Do a stop

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 work authority if you see a coworker tired, sick or sleepy. But SSWA (self-stop
work authority) by tired employees themselves must be the main concern.

16. WORKING & MATERIAL EQUIPMENT

Work equipment and materials are identified as needed to support the
implementation of work. PT.ETI provides and ensures work equipment and materials
are in good condition and ready to use, and have reliable work capabilities. PT.ETI
carries out maintenance, inspection, prepares, labels / identifies, marks and
documents material and equipment owned and used. If specified and required, the
equipment will be calibrated periodically and inspected.
The equipment and materials to be brought or delivered and will be used in the
Transmission Line Sumsel 8 Huadian Bukit Asam Power project will be prepared and
confirmed in conditions that meet the requirements, not limited to:
a. Inspection and declared to be functioning or in good condition.
b. Materials and equipment will be protected properly, free from leaks and
puddles of oil or oil, properly bound.
c. The supporting documents are certainly complete, such as certificates, cards
for shipping dangerous goods or materials, MSDS, and others.
d. Inform the carrier or sender of the dangers to safety and health.

17. PREVENTION OF INDUSTRIAL WORK ACCIDENTS

17.1 Work Hot (Hot Work)
Hot work is work that causes heat and fire that is carried out in areas prone to
fire. The Field Coordinator must ascertain whether the type of work to be
carried out is hot work or not, in coordination with PT. Nusantara Regas is
responsible for the work. Before the recommendation for hot work is issued,
hot work cannot be carried out.
17.2 Excavation and Trenching
Every excavation at a depth of more than 40 cm is required. For excavation
work in areas of dubious facilities and suspected underground facilities
(cables and underground pipes), it must always coordinate with PT.
Nusantara Regas to ensure the suspected condition is safe. Prioritize manual
excavation work before work with heavy equipment is carried out.
Excavations with a depth of 1.5 M more must be given trenching or retaining
against landslides. The mound must also be removed from the edge of the
excavation as far as possible. Easy entry and exit access for workers on

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 excavations of more than 1.5 M must be made and must be provided to
facilitate the excavation process of the survivors.
17.3 Working Near Power Lines (Work Near Power Line)
Work using lifting equipment and cranes (lifting and crane) which is done near
the electricity line (power line), then applies the work procedure which aims to
avoid contact between lifting equipment and krane with electric line cables. All
workers involved in this work must fulfill all the terms and conditions that
apply before the work is done.
17.4 Work in confined spaces
Confined space is work carried out in a limited area, both limited to motion,
space, and to healthy oxygen and air content. Every worker must meet the
requirements and conditions that apply before the work is carried out.
17.5 Hand Injury
Finger and hand accidents often occur in operational and construction
activities. Do a stop work authority for work that is close to the danger that
causes fingers and hands to be left out, injured, exposed to chemicals and so
on. Recommended standard PPE must be used, maintained and maintained
properly.
17.6 Buddy system
Buddy system is a system that sees and cares for each other. This system
needs to be applied to jobs that require attention, because often accidents
occur because no one directly reprimands. Like driving away during the
fasting month, buddy systems must be applied so that sleepy drivers can be
reminded. Do a stop work authority if a colleague is known to be close to
danger. Basically, all workers must also pay attention to each other and
remind fellow workers wherever and whenever.
17.7 Danger of slippery floors
Work carried out in slippery areas such as wet floors, there is oil and so must
first do things to eliminate the slippery danger accompanied by providing
slippery signs of danger to users or workers around it. Safety shoes must be
worn while in slippery areas.
17.8 Working at the height
If work is done at an altitude that has the potential to fall and cause harm to
workers. With regard to this condition PT.ETI will always remind and
recommend by always using relevant PPE such as body hardness.

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18. EMERGENCY RESPONSE PLAN
SM and HSE will establish an emergency communication channel, which includes the
Project Manager and HSE PT.ETI and PT.Samsung, First Aid in Accident (P3K),
referral health services, fire department and local police. The first information on an
emergency should be brief and indicate the nature and seriousness of the accident,
the estimated severity, and the need for assistance from hospital / referral health
services, fire services, and others.

Location and emergency telephone number must be installed at the work location.
When an accident / emergency condition occurs, the flow of communication and
emergency response organizations must be socialized to all workers.
In cases of injury, first aid must be given to the injured person. When a serious injury
occurred in a fire case, the work around the fire site stopped the work and
immediately went to a safe location. Then fire fighting officers put out fires before
firefighters from the local fire department arrived.
When an explosion occurs, because there is a possibility of another explosion, all the
surrounding workers stop working, turn off all equipment and immediately go to a
safe gathering point, and then wait for further instructions.
If an accident involves death, LTI, or illness or serious damage to equipment such as
processes, facilities or equipment due to a fire explosion or natural disaster, the BC
must report to the PT. Samsung Project Manager, HSE and if necessary the local
police.

a. Fire
1) When a fire occurs, the foreman / supervisor instructs all workers (other than
fire fighter and first aider officers) to stop working and go to the designated
safety point and be notified in the meeting toolbox. The location of the fire
was isolated, electricity was turned off and other fuel sources at the work
location close to the hotspot had to be kept away.
2) Fire fighter officers carry out their duties to extinguish fires, and first aider
officers provide first aid if there are injured victims.
3) Foreman or other workers notify the Site Manager responsible for the project
that a fire has occurred.
4) Site Manager and report incidents and damage that has occurred to the
incident commander. The information provided is in the form of:
- Location of fire
- Actions related to fire

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 - There are victims or not
- If there is, who is the victim and the injury suffered
- Help that has been given
- Assets that are burned or damaged
5) Incident commander orders emergency response teams to carry out their
duties in handling emergency situations that occur.
6) If the fire is out of control, Site Manager contacts the local Fire Department
and the police.
7) The Incident Commander reports an emergency incident to the boss.

b. Toxic Gas Leaks

If a leak occurs, make sure there are no hotspots at the location of the leak until
the point of leakage has been over / isolated
1) When a leak occurs, the foreman / supervisor instructs all workers (other than
fire fighter and first aider officers) to stop working and go to safety. Location
isolated.
2) Foreman / supervisor ordered to ensure the leak point and ensure all hotspots
were turned off at the location of the leak.
3) Foreman / supervisor reports the incident to the site manager and the site
manager reports the incident to the incident commander.
4) If the leak is large, the incident commander instructs the emergency response
team to carry out its duties in handling the emergency situation that occurs.

c. Medical Emergency
1) When an accident occurs that results in the work being injured, the foreman /
supervisor of the work orders first-aider officers to carry out their duties. The
location of the work is carried out isolation.
2) If the injury suffered by the worker cannot be handled by a first-time officer,
the maa foreman / supervisor of the work contacts the local medical service to
send the ambulance, the work foreman / supervisor immediately delivers the
victim to the location of the medical service that has been agreed before.
3) Foreman / work supervisor reports the incident to the site manager and site
manager reporting this incident to the incident commander. The information
provided is in the form of
- Location of the incident
- Workers who are injured
- Injuries that occur

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 - First aid given
- Referral medical services

19. ACCIDENT REPORTING AND INVESTIGATION

Every work accident needs to be made an accident report in accordance with the
attached form, as a requirement for reporting to the local district labor service and
Employment BPJS.

To anticipate that the same incident does not happen again, then every work
accident occurs, an investigation is carried out to ascertain the causes and other
problems so that it can be used as a reference for further corrective actions according
to the attached form.

An accident is a sudden incident, unwanted, unpredictable and can cause harm in

the form of injury and death, work-related illness, fire, blasting. toxic release, property
damage, environmental damage and other losses. The cause of an accident can be
classified into 3 factors, namely:
1. Unsafe Condition
That is anything that can cause an accident.
2. Unsafe Action (Unsafe Action)
That is everything related to behavior, attitudes and actions of workers that
can cause accidents / losses.
3. Lack of Control
That is related to the commitment and policies of the leadership

19.1 Procedure for Accident / Occident Reporting

The most important part of the incident investigation program is for the
development of reporting of all potentially unsafe and hazardous
environments.

All incidents and accidents must be immediately reported to the HSE section.
The following types of events or events must be reported to each Coordinator:
- injury
Injury: Any person who is injured or ill that occurs in the workplace or
as a result of working with a company, which requires first aid or
physical treatment.

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- Property Damage I Operational vehicle accident
Vehicle Property Damage: Any property damage owned by the
Company or property damage The vehicle is not owned by the
company but there are employees involved in the incident.
- Environmental Residents (Oil spills and chemicals)
Environmental incident Any unplanned event that results in pollution of
the soil, water atmosphere, and I or may result in prosecution from the
relevant authority.
- Fire incident
An unwanted and uncontrolled oxidation process that causes property
losses, to death
- First Aid (Near P3K) & Near misfortune (Near miss)
Hazardous events Almost harmless: Any unplanned event where the
potential for serious injury or property or environmental damage is
high.
- Occupational illness
A disease caused by dealing directly with a job, work tools, materials,
processes or work environment. Thus work-related disease is an
artificial disease or man made disease (artificial).

For the reporting system in the event of an accident I accident is

• The reporter who knows the incident must immediately report to his
supervisor and then forward it to HSE and HSE will coordinate and
submit the initial written report to the Project Manager within a period
of no later than 1 X 24 hours.
• The supervisor of the reporter with HSE immediately takes action as
well as evacuation if it is deemed necessary and at that time also if
necessary, will coordinate with the relevant authorities such as
paramedics, firefighters and security.
• After the evacuation process has been completed, eyewitnesses or
those who know of the occurrence of the accident gave a true
explanation of the incident when HSE asked for their information.
• HSE and several personnel involved in the investigation team
immediately implemented an accident investigation procedure by
immediately securing the location of the accident to obtain accurate
evidence.

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 To ensure the implementation of the reporting system runs in accordance with
the procedure, the procedure of this reporting system will be included as part
of the induction I safety orientation training material. And with posters it can
also promote so that employees have the habit of reporting any incident,
unsafe conditions and actions. The HSE Information Board also includes
names of personnel who will be given a report if there are incidents and
unsafe conditions.

Safety statistics must be reported monthly in accordance with the company's

standard report format. The HSE section must keep a database of all
incidents and accidents that will be used as data inventory used to analyze
the frequency of accidents and make additional equipment for the HSE
program and also to make monthly reports.

19.2 Investigation and Accident Analysis

The purpose of the investigation and analysis of accidents is to identify,
eliminate and control the immediate causes

20. ENVIRONMENTAL PROTECTION

To protect the environment around the work area, PT.ETI will carry out activities and
actions deemed necessary. If not specified otherwise by PT. Samsung the activities
and actions taken are not limited to:
a. Prevent oil or chemical spills to land or water.
b. Protect and preserve the environment and natural resources around the
location of work, and minimize and reduce impacts that cannot be avoided in
the local environment.
c. Maintain environmental order by removing and collecting waste and waste
materials properly.
d. It is prohibited to hunt, disturb or catch animals / animals that live around the
work environment.
e. It is prohibited to cut down trees and other plants in large quantities from
work.
f. Do not throw oil, solvents, chemicals, and others into the waters or soil.
g. Must maintain fossils and ancient relics when found on the job site from
damage or interference.

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21. DRUGS, ALCOHOL, HARD DRINKS & PROHIBITED GOODS
To guarantee a safe, healthy and productive work environment; to protect the general
public, company property and assets; to make operational activities efficient; as well
as maintaining occupational safety and the environment, PT.ETI applies a written
policy on drugs, alcohol, liquor and other prohibited goods.
If not stated otherwise, PT. ETI prohibitions on drugs, alcohol, liquor and prohibited
goods, include:
a) Using, owning, selling, making, distributing, hiding, or transporting any drugs
or paraphernalia, explosives, ammunition, and firearms.
b) Being under the influence of illegal drugs when carrying out work.
c) Exchange or fake urine, blood or other examples used for testing.
d) If the employee is proven positive in testing or rejecting the test, a written
warning will be given in accordance with the applicable regulations.
e) Using / possessing drugs (by prescription or drug store-bought) that can
result in weakening or affecting the physical condition.

22. RELATED PROCEDURES

PT.ETI will follow the procedures issued by the Client so that the implementation of
HSE & P can be implemented properly and in a controlled manner.

23. REPORT & RECORD

PT.ETI will keep a report & record of the implementation of HSE & P projects that
need to be controlled and maintained, so that they can be used as an effective tool to
ensure PT.ETI meets the requirements of PT.Samsung and applicable laws and
regulations.
Report & Record in conjunction with K3PL & P in the construction of Sutet 500 KV
Java I are as follows:

23.1 Report
1. Monitoring and evaluating the achievement of targets / targets.
2. Realization and evaluation of the implementation of the MCU.
3. Up to date certificate / calibration.
4. Accident / incident investigation.

23.2 Record
1. JSA (Job Safety Analysis) / HIRADC (Hazard Identification Risk Assistance
and Determine Control).
2. Certificates and results of training implementation.
3. Results of the implementation of the MCU and employee health history.
4. Results of distribution, returning, and control of PPE.

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5. Results of safety induction activities, tool box meetings, safety meetings, and
promotions, campaigns, K3 socialization, and other equipment.
6. Results of maintenance, inspection and calibration / certificate of equipment.
7. Handling and accident / incident investigation.

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 HAZARD IDENTIFICATION AND RISK ASSESMENT DETERMINATION CONTROL ( HIRADC )
Proyek Transmission Line Sumsel 8 Huadian Bukit Asam Power

R: Rutin; NR: Non-rutin; P: Probabilitas /Kemungkinan; S: Severity /Keparahan; H: Health /Kesehatan; S: Safety /Keselamatan E : Environment, R : Resiko
PPL: Peraturan dan Persyaratan Lain yang terkait
ELI: Eliminasi; SUB: Substitusi; KTS: Kendali Teknis; ADM: Administratif; APD: Alat pelindung diri

Risk Assessment
Control Operations ) Control / Mitigation
Activities / Tools / R/ S YES /
No Materials/Producs NR the current one NO
Work Hazards Work Risk P
/Services Risk
H S E ELI SUB KTS ADM PPE
Remai
Work preparation ning

Personnel Personnel are not fit / Worker sick Worker Health Check UU No1 Tahun 1970 Health check of workers L
preparation unhealthy
Personnel Less bad workmanship Worker competency Personnel are competent L
Competent according to their fields
Work Equipment Work equipment is not Work equipment is Equipment checking Inspection of work equipment L
Preparation standard damaged to be useless
Equitment not standart Slow work Checking equitment inspection of work equipment L
to be useless

Work APD preparetion APD not standart Work accident Data APD Prepare PPE according to the L
standard of the client
The number of PPE is Less APD Record amount APD Record the number of L
not in accordance with workers involved
Record the number of R the data work accident Workpermit procedure 3 2 2 1 M Yes Make sure the work data has L
workers involved Work permit has not been approved by authorized
been approved people

Mobilization of Tools Operate the car Accident during SIM driver UU No 22 Tahun 2009 Make sure the driver is L
and Materials the trip competent
Broken car during the Mobilization is Equipment Inspection Car Check before L
trip hampered Procedure mobilization
The car got a ticket Mobilization is Car Data Make sure the car document L
hampered is complete

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3 Concrete erection NR The tool used is not The tool is broken Tool inspection, SILO 2 1 3 1 M Permenaker RI Yes Make sure the Panacang L
work standard so the job is No09/MEM/VII/2010 Tools are standard
blocked
SILO is still valid
Make sure the Causing fatalities Tools inspection dan Inspection of tools and slings M
Panacang Tools are sling before use
standard
Material yang diangkat Material jatuh Pengecekan peralatan Operator orang yang M
lepas kerja kompeten di bidangnya

Titik Pancang tidak ada Salah dalam PID 3 1 2 1 M Yes Titik pancang sudah di L
marking pemancangan pahami operator

Operator crane tidak Crane terbalik SIO operator Permenaker RI Operator orang yang L
kompeten No09/MEM/VII/2010 kompeten

Pekerjaaan Civil dan

Struktur
Pekerjaan Penggalian NR Tanah galian labil Tanah longsor Prosedur Penggalian 3 1 3 3 M Ya Galian di beri turap L
Galian diberi barier dan safety
sign
Personel Terjatuh ke Cidera pekerja Prosedur Penggalian Galian di beri Safety sign dan L
dalam galian polisi line / barier
Manual Handling Mengangkat dan Tangan Terkilir , Prosedur manual Maksimal Handling 25 kg / L
material mengangkut material Kesleo handling orang
Personel Tidak mampu kesleo, cidera Prosedur Handling Menggunakan alat bantu L
mengangkat angkat
Pekerjaan Pembesian Tergores,Tertusuk besi Cidera pekerja APD Permenaker RI Menggunakan APD L
No08/MEM/VII/2010 ( Pelindung tangan)
Pemasangan NR Terjepit kayu dan besi, Cidera pekerja APD 3 1 3 1 M UU No 1 Tahun 1970 ya Dilakukan oleh orang yang L
Begesting dan paku,tergores, terpukul kompeten dibidangnya
pekerjaan kayu palu
Dilakukan orang yang
kompeten dibidangnya
Pekerjaan Kena percikan Cor / Cidera mata APD Memakai APD pelindung L
Pengecoran Concrete mata
Begesting tidak kuat Begesting roboh Check begesting sebelum L
menahan Cor / concrete pengecoran
Cor kena kulit Iritasi pada Kulit Memakai APD pelindung kulit L

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Pekerjaan Kontruksi

Handling / Menangani NR Kejatuhan Material / Cidera personel Prosedur manual 3 1 3 1 M ya Mengikuti prosedur manual L
Material barang handling handling Memakai Alat bantu
kerja
Merangkai Besi Terjepit, tergores pipa Cidera pekerja APD Menggunakan APD L
pelindung tangan.
Personel kurang Salah dalam Kompetensi personel Pastikan personel orang yang L
kompeten Fabrikasi kompeten dibidangnya
Bekerja diketinggian Terjatuh dari Menyebabkan APD pelindung jatuh Memakai APD pelindung M
ketinggian kecelakaan fatal jatuh
Personel Tidak Salah dalam Kompetensi pekerja Pekerja kompeten M
kompeten dibidangnya konstruksi dibidangnya
Pekerjaan mengelas NR Percikan api kena Kebakaran APAR 3 1 4 3 H Permenaker ya Bahan mudah terbakar di M
bahan mudah terbakar jauhkan / proteksi
01/MEM/1980
Menyediakan APAR
Terpapar sinar Penyakit kerja APD Memakai APD pelindung L
Radiasi dan asap mata dan pernapasan
Terkena percikan Api Cidera pekerja APD Memakai APD pelindung kulit L
welding
Menggerinda Mata Kena percikan Cidera Mata APD Memakai APD pelindung L
griding mata.
Percikan Grinding kena Kebakaran APAR Permenaker bahan mudah terbakar M
bahan mudah terbakar disingkirkan / proteksi
01/MEM/1980
Lifting dengan Crane Kejatuhan Material Bisa Prosedur Lifting Permenaker RI Tidak berada di bawah M
mengakibatkan No09/MEM/VII/2010 pengangkatan
Cidera Fatal 3 1 4 1 H Permenaker RI ya
Alat angkat tidak Peralatan Rusak Prosedur Lifting Tidak melebihi SWL alat M
mampu mengangkat No09/MEM/VII/2010 angkat

Material mengenai Menyebabkan Prosedur Lifting 3 1 4 1 H Ya Koordinasi yang baik semua M

Fasilitas disekitar kerusakan personel yang terlibat
Fasilitas Orang
Operator tidak Kegagalan dalam Prosedur lifting 2 1 4 1 M ya Operator kompeten M
kompeten pengangkatan
SIO operator masih valid

Pemasangan kabel

28
Menggelar Kabel Tangan tergores, Cidera tangan Prosedur kerja aman Memakai APD standart M
Terjepit padapekerja
Menyebrangi jalan Mennganggu M
Aktifitas Umum
Mengenai Fasilitas Sengketa dengan M
penduduk atau masyarakat
Pulling Kabel Tangan Cidera pekerja UU No1 Tahun 1970 Memakai APD pelindung L
Tergores,Terjepit, tangan
Kurangnya Koordinasi Miss komunikasi Koordinasi kerja sebelum L
antara pekerja pelaksanaan
Mengenai aFsilitas Menyebabkan Menyiapkan Support 3 1 1 3 M ya Menyiapkan support agar M
umum dan masyarakat kerusakan kabel tidak mengganggu fasilitas
Fasilitas umum umum
Menyebrangi jalan Mengganggu Memberikan Support 3 1 1 3 M ya Koordinasi dengan pihak M
Umum dan mayarakat aktifitas umum dan agar tidak terkait
mengganggu Fasilitas
mayarakat umum
Pemasangan Cabel NR Orang yang memasang Salah dalam Kompetensi Pekerja 3 1 4 1 H UU No1 Tahun 1970 ya Memakai APD pelindung L
tidak kompeten pemasangan mata

Kerja diketinggian Cidera fatal jatuh Kompetensi Pekerja 3 1 4 1 H ya Memakai Safety body M
dari ketinggian Harnest
Dilakukan oleh orang yang
kompeten dibidangnya
Manual handling Cidera karena APD pelindung tangan 3 1 3 1 M ya Memakai Sarung tangan L
material tangan terjepit
,tergores

Terminasi Kabel Personel tidak Salah dalam Kompeten personel Hanya dilakukan oleh orang M
kompeten dibidangnya terminasi listrik yang kompeten
Cuaca buruk Kecelakaan fatal Prosedur kerja aman Stop Pekerjaan bila kondisi M
cuaca buruk
Kabel / material Tidak sesuai Prosedur kerja aman Pastikan spec kabel power L
electrical tidak standart dengan Specnya sesuai dengan specnya
Testing dan Salah dalam Terjadi ledakan Kompetensi pekerja Dilakukan oleh orang yang M
Commmisioning pemasangan kompeten
Terjadi Konsleting Kerusakan Fasilitas 3 1 3 1 H ya Pastikan dilakukan M
pengecekan sebelum
commisioning

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Pembersihan Area Personel Terpeleset, Cidera personel Prosedur APD Memakai APD standart L
Kerja teregores, Terjatuh dll
Sampah berserakan Pencemaran Prosedur penanganan 3 2 2 3 M Kepmenaker Ri No.Kep- ya Pembunagan sampah / L
lingkungan limbah 187/MEN/1999 tentang B3 limbah sesuai dengan kenis
dan karakternya
Tempat sampah tidak Pencemaran Prosedur penanganan Menyediakan Tempat L
mencukupi lingkungan limbah sampah yang mencukupi

Probability (P)
Resiko (R) 5 4 3 2 1
VH;Sangat Tinggi, H:Tinggi, M:Sedang, L:Rendah, VL:Sangat rendah Sering Sering Kadang Jarang Tidak pernah
sekali Terjadi kadang Terjadi Terjadi
4 : Fatal VH VH H M M
3 : Serius VH H M M L
Severity (S)
2 : Ringan H M M L VL
1 : First aid M M L VL VL

Identifikasi Bahaya ini dibuat bersama oleh : PT ETI Team

Project Manager Kontraktor Clien

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