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HSE Program 2016

PT Holcim Indonesia Tbk Revisi : 01


Project : COCS Commercial Disposal Contract Tanggal Terbit : 26 April 2016

AREA Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16
NO PROGRAM SCHEDULE TARGET Remarks
PROGRESS I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV
I HSE MEETING PROGRAM 100%
1 HSE Toolbox Meeting Daily All
Realisasi Pelaksanaan
2 HSE Monthly Meeting Monthly HSE Rep 12
Realisasi Pelaksanaan
3 Management Site Visit 2 visit /year Management 2
Realisasi Pelaksanaan
HSE Co / HSE
4 HSE Field Visit (HSE Coordinator or HSE Representative) 4 visit /year 4
Rep
Realisasi Pelaksanaan
5 HSE Leadership Coordination Meeting Monthly HSE Rep 12
Realisasi Pelaksanaan
II HSE TRAINING & CAPABILITY 100%
for new
1 HSE Orientation / Induction Once
employee
Realisasi Pelaksanaan
2 Mandatory Training
- MSW Once All 1
- PMCoW Once PMCow 1
- MVSP (Motor Vehicle safety Procedure) Once All 1
Realisasi Pelaksanaan
3 HSE Training
- Fire Prevention Once All 1
- First Aid Once PMCow 1
Realisasi Pelaksanaan
4 Special Training for Driver
- DDC (Defensive Driving Course) Once All Driver 1
Dump Truck
- HazmatTransportation Training Once 1
Driver
- Dump Truck Operator OHS Training Dump Truck
Once 1
(Kemenaker Cerfitication ) Driver
Realisasi Pelaksanaan
5 HSE Skill Training
- PPE (Personal Protective Equipment) Once All 1
- Emergency Drill Once All 1
Realisasi Pelaksanaan
III HSE INSPECTION & AUDIT PROGRAM 100%
1 HSE Inspection
- Tools Inspection Monthly Key Person 12
- PPE Inspection Monthly Key Person 12
- Vehicle Inpection Monthly Key Person 12
Realisasi Pelaksanaan
All Driver &
2 Conduct Pre Trip Inspection (PTI) Daily
Operator
Realisasi Pelaksanaan
3 HSE Audit 1x/year HSE Rep 1
Realisasi Pelaksanaan
BBS (Behaviour Base Safety) / SOT (Safety Observation 2x/month/
4 Key Person 96
Tour) person
Realisasi Pelaksanaan
5 Workplace Inspection 2x/Monthly Key Person 24
Realisasi Pelaksanaan
6 ACert (AFR Certification) 1x/year HSE Rep 1
Realisasi Pelaksanaan
7 CHESM Interm & Field Inspection 1x/year HSE Rep 1
Realisasi Pelaksanaan
Hazard Road Assessment / Journey Management Plan
8 Monthly HSE Rep 12
(JMP)
Realisasi Pelaksanaan
IV PERFORMANCE REPORT 100%
1 Daily Report Daily Key Person
Realisasi Pelaksanaan
2 KM Driven & Man Hours Report Monthly HSE Rep 12
Realisasi Pelaksanaan
3 HSE Performance Monthly HSE Rep 12
Realisasi Pelaksanaan
4 Nearmiss Report If Any HSE Rep
Realisasi Pelaksanaan
5 DIMS Report Monthly HSE Rep 12
Realisasi Pelaksanaan
6 Fatigue Management Report Monthly HSE Rep 12
Realisasi Pelaksanaan
7 SWA / SSWA Report If Any All
Realisasi Pelaksanaan
V HEALTHY & HYGIENE PROGRAM 100%
1 Medical Check Up (MCU) for New Employee If Any All
Realisasi Pelaksanaan
2 Routine Medical Check Up (MCU) Yearly All 1
Realisasi Pelaksanaan
3 Fatigue Test with Lakassidaya Monthly HSE Rep 12
Realisasi Pelaksanaan
4 Blood Pressure & Alcohol Test Monthly All 12
Realisasi Pelaksanaan
5 Housekeeping Daily All
Realisasi Pelaksanaan
VI OTHERS PROGRAM 100%
1 Safety Reward Monthly All 12
Realisasi Pelaksanaan
HSE Program 2016
PT Holcim Indonesia Tbk Revisi : 01
Project : COCS Commercial Disposal Contract Tanggal Terbit : 26 April 2016

AREA Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16
NO PROGRAM SCHEDULE TARGET Remarks
PROGRESS I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV I II III IV
2 HSE Campaign/Poster/Billboard 2x/year All 1
Realisasi Pelaksanaan
3 SSE (Short Service Employee) Program HSE Rep
Realisasi Pelaksanaan
4 Driver Coaching base on DIMS Monthly HSE Rep 12
Realisasi Pelaksanaan

Dibuat Oleh,
Tanggal : Catatan :
…………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
HSE Representative …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
Mengetahui / Diperiksa Oleh, …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
Tanggal : …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
Project Manager …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
Mengetahui / Diperiksa Oleh, …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
Tanggal : …………………………………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………
HSE Coordinator External Compliance
HSE Program Performance 2016
PT Holcim Indonesia Tbk Revisi : 01
Project : COCS Commercial Disposal Contract Tanggal Terbit : 26 April 2016

NO PROGRAM TARGET Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 TOTAL

I LAGGING INDICATOR 100%


1 Total Tenaga Kerja - 56
2 Total Jam Kerja Perhari - 8
3 Total Man Hours - 4744
4 Fatality 0 0
5 Disablement 0 0
6 LTI 0 0
7 MTI 0 0
8 FAI 0 0
9 Nearmiss 0 0
10 Property Damage 0 0
11 LTIFR 0 0
12 LTISR 0 0
13 MVCFR 0 0

I HSE MEETING PROGRAM 100%


1 HSE Toolbox Meeting Everyday 15
2 HSE Monthly Meeting 1 1
3 Management Site Visit 1x / year 0

4 HSE Field Visit (HSE Coordinator or HSE Representative) 2x / year 0

5 HSE Leadership Coordination Meeting 1x / month 1

II HSE TRAINING & CAPABILITY 100%


1 HSE Orientation / Induction 48
2 Mandatory Training
- MSW Once 0
- PMCoW Once 0
- MVSP (Motor Vehicle safety Procedure) Once 0
3 HSE Training
- Fire Prevention Once 0
- First Aid Once 0
4 Special Training for Driver
- DDC (Defensive Driving Course) Once 12
- HazmatTransportation Training Once 0
- Dump Truck Operator OHS Training
Once 0
(Kemenaker Cerfitication )
5 HSE Skill Training
- PPE (Personal Protective Equipment) Once 1
- Emergency Drill Once 0

III HSE INSPECTION & AUDIT PROGRAM 100%


1 HSE Inspection
- Tools/Equipment Inspection 1x / Month 40
- PPE Inspection 1x / Month 56
- Vehicle Inpection 1x / Month -
2 Conduct Pre Trip Inspection (PTI) Everyday 473
3 HSE Audit 1
HSE Program Performance 2016
PT Holcim Indonesia Tbk Revisi : 01
Project : COCS Commercial Disposal Contract Tanggal Terbit : 26 April 2016

NO PROGRAM TARGET Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 TOTAL

2 / Key
4 BBS (Behaviour Base Safety) / SOT (Safety Observation Tour) 16
Person
5 Workplace Inspection 2x / Month 4
6 ACert (AFR Certification) Once 1
7 CHESM Interm & Field Inspection 0

8 Hazard Road Assessment / Journey Management Plan (JMP) 2

IV PERFORMANCE REPORT 100%


1 Daily Report Everyday 11
2 KM Driven & Man Hours Report 1x / Month 1
3 HSE Performance 1x / Month 1
4 Nearmiss Report 1x / Month 0
5 DIMS Report 1x / Month 1
6 Fatigue Management Report 1x / Month 1
7 SWA / SSWA Report If Any 3

V HEALTHY & HYGIENE PROGRAM 100%


1 Medical Check Up (MCU) for New Employee 0
2 Routine Medical Check Up (MCU) 1 0
3 Fatigue Test with Lakassidaya 12 124
4 Blood Pressure & Alcohol Test 12 0
5 Daily 'Housekeeping 11
6 Jumat Bersih 11

VI OTHERS PROGRAM 100%


1 Safety Reward 1x / Month 1
2 HSE Campaign/Poster/Billboard 0
3 SSE (Short Service Employee) Program If Any 1
4 Driver Coaching base on DIMS 29
5 Reksa Uji K3 Dump Truck 1x / Unit 40
5 Stand Down Meeting "Safety Alert" 1x / Month 1

Dibuat Oleh,
Tanggal : Catatan
:

Mengetahui / Diperiksa Oleh,


Tanggal :

Mengetahui / Diperiksa Oleh,


Tanggal :
External Compliance

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