TALIABU SITE No.

Dokumen Tanggal berlaku

ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Assessment Halaman Revisi
SERVINDO JAYA UTAMA Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant： 采矿车间 Mining Dept

管理系数
Jan-22 Management of coefficient：
1.1

月度扣分
月度得分 资料资料提供部门
类别 分数 扣分项 Monthly 备注
Monthly Data From Tanda Tangan
Aspect score Deduction Items Points Remarks
Points Dept.
Deduction

1.    矿内发生工亡事故-100分 ，承包商发生-70分，Fatal accident -100 此项为激励 否

points
0 决项
安全 Safety

2.    车间内发生重事故，有人员受伤-20分/例
，无人员受伤-10分/例，There was a serious accident in the
workshop,with personnel were injured -20 points/case, no personnel 0 安全 Safety
were injured -10 points/case
3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-5分/例，承包商
发生重事故，有人员受伤-10分/例，无人员受伤-7分/例
A minor accident occurred in the workshop, with personnel injured -
安全 10 points/case, no personnel injuried -5 points/case, contractor had 0 安全 Safety
40 a serious accident, with personnel injuried-10 points/case, no 40
Safety personnel injuried-7 points/case

4.    车间内被发现违章、违纪-3分/例
Rules-violation or disciplines-defying -3 points/case
0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion with 0 安全 Safety
10 point

6。每月工作环境检查不合格-6分 Failed monthly environmental

inspections of the work area -6 points
0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan -30

points
0 PPC

2.因本车间发生生产事故 造成全线停产≥4小时-10分/例；≥2小时<4小时-5分/例
：≥1小时<2小时-2分/例
Production Down Time caused by incidents : ≥4 hours -10 points/case。 0 PPC
≥2 hours and < 4 hours -5 points/case。≥1 hour and < 2 hour -2
points/case

生产 3.采场进入选厂的矿石有大块和大体积杂物，影响生产的-5分/例 If The
40 ores from mining that enters the Processing plant has large pieces
0
40 PPC/ 管

Production and large volumes of debris, which affects production -5 points /

case
理层 Site
Management

4.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不执行调度指令-5
分/次；造成后果的加倍。Disobey THE SITE MANAGEMENT , Failure to
complete the task assigned by management on time -10 points / case;
Failure to execute the PPC instruction -5 points / case, double 0 设备部/ PPC
consequency if it has an impact to production down time

1本车间及承包商设备故障导致停产每月不多于6小时；超过6小时，-1分/小时。
汽车除正常保养外故障影响超过2天，-1分/天 The workshop and contractor's
equipment failure caused the production to stop for no more than 6 hours
per month; if more than 6 hours -1 point per hour
设备部
production down time caused by equipment maintenance other than 0 Equipm.
routine maintenanace / repairs more than 2 days , -1 point per day
设备
10 10
Equipment 3.因本车间备件计划漏项、备件计划报出不及时影响生产勘探停产-3分/例
；
Due to missing items in the spare parts plan of this Dept, and the 设备部
0 Equipm.
delayed reporting of spare part plans, production and exploration
are suspended for 3 points / case;
1.出勤率每低2%-1分。 The percentage of attendance is less than 2% of the
PPC / HR 人事
specified amount, -1 point per 2% less , and multiples thereof. 0 部

劳动纪律 5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时 Production

downtime or startup delay due to staff attendance issues, -1 point /
5
PPC / HR 人事
hour 0 部

本车间超过预算10%-2分，This Dept exceeds the budget by 10% -2

成本 5 points. 0 5 Finance 财务

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

单位 Dept. /Plant： 采矿车间 Mining Dept
管理系数
Jan-22 Management of coefficient：
1.1

月度扣分
月度得分 资料资料提供部门
类别 分数 扣分项 Monthly 备注
Monthly Data From Tanda Tangan
Aspect score Deduction Items Points Remarks
Points Dept.
Deduction

HR Manager Head Operation Director

 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：破碎车间 Crushing Dept

管理系数
Jan-22 Management of coefficient：
1.2

月度扣分
月度得分 资料资料提供部
类别 分数 扣分项 Monthly 备注
Monthly 门 Data From Tanda Tangan
Aspect score Deduction Items Points Remarks
Points Dept.
Deduction
1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励 否
0 决项 安全 Safety
2. 车间内发生重事故，有人员受伤-20分/例 ，无人员受伤-10分
/ 例 ， There was a serious accident in the workshop,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case

3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3

安全 分 / 例 A minor accident occurred in the workshop, with

0 安全 Safety
30 personnel injured -10 points/case, no personnel injuried -
30
Safety 3 points/case
4.    车间内被发现违章、违纪-3分/例 Rules-violation or
disciplines-defying -3 points /case 0 安全 Safety
5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score 0
conversion with 10 point
6. 每月工作环境检查不合格-6分 Failed
monthly environmental inspections of the work area -6 0 环保 Enviro
points

1.    未完成月生产计划 -30分 Failed in monthly production

plan -30 points
0 PPC
2.因本车间发生生产事故 造成全线停产 ≥4小时-10
分/例；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept :
≥4 hours -5 points /case。 ≥2 hours and < 0 PPC
4 hours -5 points /case。 ≥1 hour and < 2
hours -2 points /case .
生产
30 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例； 30
Production 不执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to
complete the task assigned by management on time -10 PPC/管理
points / case;
0 层 site
Fail to execute the PPC instruction -5 points / case, manageme
double consequency if it has an impact to production
down time
nt

1.本车间设备故障导致全厂停产每月不多于6小时超过6小时-1分
/小时, 每日除2小时正常检修外影响不超过2小时超, 过2小时,-1
分/小时 The equipment
failure of this workshop caused the whole plant stop
production for no more than 6 hours per month; 设备部
if more than 6 hours, -1 point / hour. Except for 2 0 Equip. Div
hours of daily maintenance, the impact will not exceed 2 /PPC
hours per day, more than 2 hours, -1 point / hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检
维护原因造成设备故障性停机超过30分钟-2分/例 The daily
设备 inspection and maintenance of the equipment in the
30 workshop are not properly, and the matter is not more 30
Equipment than 5 times a month; due to the unproperly inspection 0 设备部
and maintenance cause the equipment breakdowndown Equipm. Div
for more than 30 minutes -2 points per case.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部
停产-3分/例；造成全流程停产-1分/小时 Because of this
Dept Missing items in the spare parts plan, / the spare
parts plan is not reported in a time, Impact to partial 0 设备部
breakdown time -3 per case. Impact All processing Equipm. Div
system down time - 1 point per hour

1.出勤率每低2%-1分。 The percentage of attendance is

PPC / HR 人事
less than 2% of the specified amount, -1 point per 2% 0
劳动纪律 Labor less , and multiples thereof. 部
5 5
discipline 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部
本车间超过预算10%-2分，This Dept exceeds the budget by 财务
成本 Cost 5 10% -2 points, 0 5
Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,
单位 Dept. /Plant：破碎车间 Crushing Dept
管理系数
Jan-22 Management of coefficient：
1.2

月度扣分
月度得分 资料资料提供部
类别 分数 扣分项 Monthly 备注
Monthly 门 Data From Tanda Tangan
Aspect score Deduction Items Points Remarks
Points Dept.
Deduction
Donny Frengki Imam Subagyo Guang Zheng Guo
HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：选矿车间 Beneficiation Dept

管理系数
Jan-22 Management of coefficient：
1.05

月度扣分 资料资料提
月度得分
类别 分数 扣分项 Monthly 备注 供部门
Monthly Tanda Tangan
Aspect score Deduction Items Points Remarks Data From
Points
Deduction Dept.

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    车间内发生重事故，有人员受伤 -20分/例，无人员受伤 -10

分 / 例 There was a serious accident in the workshop,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case
3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3分/例
A minor accident occurred in the workshop, with personnel
安全 injured -10 points/case, no personnel injuried -3 points/case 0 安全 Safety
30 30
Safety
4.    车间内被发现违章、违纪-3分/例 Rules-violation or
disciplines-defying -3 points /case
0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points
0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2.因本车间发生生产事故 造成全线停产 ≥4小时-10分/例

；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept : ≥4
hours -10 points /case。 ≥2 hours and < 4 0 PPC
hours -5 points /case。 ≥1 hour and < 2 hours -
2 points /case

生产 3.如粗尾/细尾磁性铁含量高于2%，日综合样超标-5分/次 ，快速样

30 超标-2分/次 30 每日综合样

Production If Fine/coarse tailing magnetic iron content higher than

2%,daily composite result over -5 points / case; if daily fast
0 Daily
Composite
Samples
Tech

sampeling over -2 points / case

4. 不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task PPC/
管理层 Site
assigned by management on time -10 points / case; 0 Managemen
Fail to execute the PPC instruction -5 points / case, double t
consequency if it has an impact to production down time

1本车间设备故障导致全厂停产每月不多于6小时；超过6小时，-1分
/小时。每日除2小时正常检修外影响不超过2小时，超过2小时，-1
分 / 小 时 The equipment failure of this workshop caused the
whole plant stop production for no more than 6 hours per
month; if more than 6 hours, -1 / hour. Except for 2 hours of 0 设备部/PPC
daily maintenance, the impact will not exceed 2 hours per day,
more than 2 hours, -1 / hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维护

设备 原 因 造 成 设 备 故 障 性 停 机 超 过 30 分 钟 -2 分 / 例 The daily

30 inspection and maintenance of the equipment in the

30 设备部
Equipment
workshop are not properly, and the matter is not more than 5 0
times a month; due to the inspection and maintenance, the Equipm.
equipment is down for more than 30 minutes -2 points per
case.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停产
-3分/例；造成全流程停产-1分/小时 Because of this Dept
Missing items in the spare parts plan, / the spare parts plan is
设备部
not reported in a time, Impact to partial breakdown time -3 0 Equipm.
per case. Impact All processing system down time - 1 per
hour

1.出勤率每低2%-1分。 The percentage of attendance is less

劳动纪律 than 2% of the specified amount, -1 point per 2% less, and
multiples thereof.
0
PPC / HR 人
事部

Labor 5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时 5
Production downtime or startup delay due to staff PPC / HR 人
0
Dicipline attendance issues, -1 point / hour 事部

本车间超过预算10%-2分，
成本 Cost 5 This Dept exceeds the budget by 10% -2 points, 0 5 Finance 财务

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,
Donny Frengki Imam Subagyo Guang Zheng Guo
HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant： 尾矿车间 Tailing Dept

管理系数
Jan-22 Management of coefficient：
1.05

月度扣分
月度得分
类别 分数 扣分项 Monthly 备注 资料资料提供部
Monthly Tanda Tangan
Aspect score Deduction Items Points Remarks 门
Points
Deduction

1.    矿内发生工亡事故或者尾矿库发生中大事故-100分 此项为激励

Fatal accident -100 points 0 否决项
安全 Safety
2.    车间内发生重事故，有人员受伤-20分/例，无人员受伤-10分/例。尾矿库
发生没检查出来的较大缺陷造成的较大事故-20分/例 There was a serious
accident in the workshop,with personnel were injured -20 points/case,
no personnel were injured -10 points/case; Major accidents caused by 0 安全 Safety
large defects that have not been detected in the tailing pond -20
points/case

安全 3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3分/例
30 A minor accident occurred in the workshop, with personnel injured -10
0 30 安全 Safety
Safety points/case, no personnel injuried -3 points/case

4.    车间内被发现违章、违纪-3分/例 Rules-violation or disciplines-

defying -5 points /case 0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score 0
conversion with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro
1.    未完成月生产计划 -30分 Failed in monthly production plan
-30 points 0 PPC

2. 因本车间发生生产事故 造成全线停产≥4小时-10分/例；≥2小时<4小时-5
分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents : ≥4 hours -10
points/case。≥2 hours and < 4 hours -5 points /case。≥1 hour and 0 PPC
< 2 hours -2 points /case
生产
30 3.不填写或者不报和漏报数据，-1分/次
0 30
Production Do not fill in or do not report data, -1 points / time
4.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不执行调度指
令-5分/次；造成后果的加倍。 Disobey THE SITE MANAGEMENT , Fail to
complete the task assigned by management on time -10 points / case; PPC/管理层
Fail to execute the PPC instruction -5 points / case, double 0 Site
consequency if it has an impact to production down time Management

1.本车间设备故障导致全厂停产每月不多于6小时；超过6小时，-1分/小时. 每
日除2小时正常检修外影响不超过2小时，超过2小时，-1分/小时 The
equipment failure of this workshop caused the whole plant stop
production for no more than 6 hours per month; if more than 6 hours,
-1 points / hour. Except for 2 hours of daily maintenance, the impact 0 设备部/PPC
will not exceed 2 hours per day, more than 2 hours, -1 point / hour

2.本车间设备点检维护不到位事项每月不多于5次；因点检维护原因造成设备

设备 故障性停机超过30分钟-2分/例 The daily inspection and maintenance of

30
the equipment in the workshop are did not properly, and the matter is
not more than 5 times a month; due to the failure inspection and 0 30 设备部 Div.
Equipment maintenance, the equipment is down for more than 30 minutes -2
points per case.
Equipm.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停产-3分/例；
造成全流程停产-1分/小时 Because of this Dept Missing items in the
spare parts plan, / the spare parts plan is not reported in a time, Impact
设备部 Div.
to those dept partial breakdown time -3 points per case. If Impact All 0 Equipm.
processing system down time - 1 point per hour

1.出勤率每低2%-1分。 The percentage of attendance is less than 2% of

PPC / HR 人事
the specified amount, -1 point per 2% less , and multiples thereof.
0 部
劳动纪律 5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时 Production
5
PPC / HR 人事
downtime or startup delay due to staff attendance issues, -1 point /
hour.
0 部

本车间超过预算10%-2分， This Dept exceeds the budget by 10% -2 财务

成本 5 points. 0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Assessment Halaman Revisi
SERVINDO JAYA UTAMA Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：管带车间 Pipe Belt Conveyor Dept

管理系数
Jan-22 Management of coefficient：
1.05

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    车间内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例 There was a serious accident in the workshop,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case
3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3分/例
A minor accident occurred in the workshop, with personnel
安全 injured -10 points/case, no personnel injuried -3 points/case 0 安全 Safety
30 30
Safety
4.    车间内被发现违章、违纪-3分/例 Rules-violation or
disciplines-defying -3 points /case
0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points
0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2.因本车间发生生产事故 造成全线停产 ≥4小时-10分/例；≥2小

时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept : ≥4
hours -10 points /case。 ≥2 hours and < 4 hours -5 0 PPC
points /case。≥1 hour and < 2 hours -2 points /case
生产
30 30
Production 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to
complete the task assigned by management on time -10 PPC/管理层
points / case; 0 site
management
Fail to execute the PPC instruction -5 points / case, double
consequency if it has an impact to production down time

1.本车间设备故障导致全厂停产每月不多于6小时超过6小时-1
分/小时, 每日除2小时正常检修外影响不超过2小时超, 过2小时,-1
分/小时 The equipment
failure of this workshop caused the whole plant stop
production for no more than 6 hours per month; 设备部
if more than 6 hours, -1 point / hour. Except for 2 hours
0 Equip. Div
/PPC
of daily maintenance, the impact will not exceed 2 hours per
day, more than 2 hours, -1 point / hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维护
设备 原因造成设备故障性停机超过30分钟-2分/例 The daily
30 inspection and maintenance of the equipment in the 30
Equipment workshop are not properly, and the matter is not more than
5 times a month; due to the unproperly inspection and 0 设备部
Equipm. Div
maintenance cause the equipment breakdowndown for
more than 30 minutes -2 points per case.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停
产-3分/例；造成全流程停产-1分/小时 Because of this Dept
Missing items in the spare parts plan, / the spare parts plan is
设备部
not reported in a time, Impact to partial breakdown time -3 0 Equipm. Div
per case. Impact All processing system down time - 1 point
per hour

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 部
5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分，
财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points, 0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：运输车间 Transportation Dept

管理系数
Jan-22 Management of coefficient：
1.05

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points

0
此项为激励 安全
否决项 Safety
2.    车间内发生重事故，有人员受伤-20分/例 无人员受伤-10分/例
There was a serious accident in the workshop,with personnel
were injured -20 points/case, no personnel were injured -10 0 安全
points/case Safety

3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3分/例

安全 A minor accident occurred in the workshop, with personnel

安全
30 injured -10 points/case, no personnel injuried -3 points/case 0 30 Safety
Safety
4.    车间内被发现违章、违纪-3分/例 Rules-violation or 安全
disciplines-defying -3 points /case 0
Safety
5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental 环保
inspections of the work area -6 points 0
Enviro
1.    未完成月生产计划 -30分
Failed in monthly production plan -30 points
0 PPC

2.因本车间发生生产事故 造成全线停产 ≥4小时-10

分/例；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept : ≥4
hours -10 points /case。 ≥2 hours and < 4 0 PPC

生产 hours -5 points /case。 ≥1 hour and < 2 hours

30 -2 points /case 30
Production 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task PPC/管理层
assigned by management on time -10 points / case; 0 site
Fail to execute the PPC instruction -5 points / case, double management
consequency if it has an impact to production down time

1.本车间设备故障导致全厂停产每月不多于6小时超过6小时-1
分/小时, 每日除2小时正常检修外影响不超过2小时超, 过2小时,-1
分/小时 The equipment
failure of this workshop caused the whole plant stop
production for no more than 6 hours per month; if more 设备部
than 6 hours, -1 point / hour. Except for 2 hours of daily
0 Equip. Div
/PPC
maintenance, the impact will not exceed 2 hours per day,
more than 2 hours, -1 point / hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维护
设备 原因造成设备故障性停机超过30分钟-2分/例 The daily
30 inspection and maintenance of the equipment in the 30
Equipment workshop are not properly, and the matter is not more than
5 times a month; due to the unproperly inspection and 0 设备部
Equipm. Div
maintenance cause the equipment breakdowndown for
more than 30 minutes -2 points per case.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停
产-3分/例；造成全流程停产-1分/小时 Because of this Dept
Missing items in the spare parts plan, / the spare parts plan is 设备部
not reported in a time, Impact to partial breakdown time -3 0 Equipm. Div
per case. Impact All processing system down time - 1 point
per hour

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 部
5 5
discipline 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
Production downtime or startup delay due to staff 0
PPC / HR 人事
部
attendance issues, -1 point / hour
本车间超过预算10%-2分，
财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points, 0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Assessment Taliabu Halaman Revisi
SERVINDO JAYA UTAMA Iron Ore Mine 1 0

单位Dpt. /Plant：机电车间 ME Dept

管理系数
Jan-22 Management of coefficient：
1.15

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励 安全

0 否决项 Safety
2.    车间内发生重事故，有人员受伤-20分/例 ，无人员受伤-10分/例
There was a serious accident in the workshop,with personnel were 安全
injured -20 points/case, no personnel were injured -10 points/case 0
Safety

3.    车间内发生轻事故有人员受伤-10分/例，无人员受伤-3分/例
安全 A minor accident occurred in the workshop, with personnel injured -10 0 安全
Safety
30 points/case, no personnel injuried -3 points/case 26
Safety 4.    车间内被发现违章、违纪-3分/例 Rules-violation or disciplines-defying
0 安全
-3 points /case
Safety
5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion with 10 4
point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
环保
inspections of the work area -6 points 0
Enviro
1.    未完成月生产计划 -30分 Failed in monthly production plan
-30 points
0 PPC
  因本车间发生除了电站外电力事故 造成全线停产≥4小时-10分/例；≥2小时
<4小时-5分/例：≥1小时<2小时-2分/例，其他车间因机电检修遗留问题造成
生产影响，按50%分担。
Due to an electrical accident at the workshop other than the power
station, the entire line was suspended for ≥4 hours -10 points / case;
≥2 hours <4 hours -5 points / case: ≥1 hour <2 hours -2 points / 0 PPC
生产 case

30 If other workshops are affected by production problems caused by 30

Production mechanical and electrical maintenance, and will be shared by 50%.

3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不执行调度指
令-5分/次；造成后果的加倍。 Disobey THE SITE PPC/管理
MANAGEMENT , Fail to complete the task assigned by management on
time -10 points / case; 0 层 site
Fail to execute the PPC instruction -5 points / case, double
managem
consequency if it has an impact to production down time
ent

1.本车间设备故障导致全厂停产每月不多于6小时超过6小时-1分/小时, 每日除
2小时正常检修外影响不超过2小时超, 过2小时,-1分/小时
The equipment failure of this workshop caused the whole
设备部
plant stop production for no more than 6 hours per month;
0 Equip.
if more than 6 hours, -1 point / hour. Except for 2 hours of daily Div /PPC
maintenance, the impact will not exceed 2 hours per day, more than 2
hours, -1 point / hour

2.因检修超时或者因检修质量问题导致全厂停产每月不多于6小时；否则-2分/2
小时 Due to overtime or overhaul quality problems, the entire plant will 设备部
0
设备 stop production for no more than 6 hours per month; otherwise -2 Equipm. Div
30 points/ 2 hours 30
Equipment 3. 因检修方案不完全造成检修延期或出现质量问题-3分/次。无检修方案-5
分/次 Due to the incomplete maintenance plan, the maintenance is
delayed or quality problems occur -3 points / times. No maintenance 0
plan-5 points / times
4.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停产-3分/例；
造成全流程停产-1分/小时
Due to missing items in the spare parts plan of this workshop and the 设备部
delayed reporting of spare parts plans, local production in the 0 Equipm.
workshop was suspended for 3 points / case; the entire process was Div
suspended for -1 point / hour

1.出勤率每低2%-1分。 The percentage of attendance is less than 2% of

PPC / HR 人
the specified amount, -1 point per 2% less , and multiples thereof. 0
劳动纪律 Labor 事部
5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff attendance issues, - 0
PPC / HR 人
1 point / hour 事部
本车间超过预算10%-2分，
财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points,
0 5
Finance
得分合计 Score
95.52
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：发电车间 Power Plant Dept

管理系数
Jan-22 Management of coefficient：
0.9

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注 Tanda Tangan
Monthly 部门 Data
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    车间内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例 There was a serious accident in the workshop,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case
3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3
分/例
安全 A minor accident occurred in the workshop, with personnel 0 安全 Safety
30 injured -10 points/case, no personnel injuried -3 points/case 30
Safety
4.    车间内被发现违章、违纪-3分/例 Rules-violation or
disciplines-defying -3 points /case 0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2.因本车间发生生产事故 造成全线停产 ≥4小时-10

分/例；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept :
≥4 hours -10 points /case。 ≥2 hours and < 4 0 PPC
hours -5 points /case。 ≥1 hour and < 2 hours
生产 -2 points /case
30 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
30
Production 执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to
complete the task assigned by management on time -10 PPC/管理层
points / case; 0 site
Fail to execute the PPC instruction -5 points / case, double management
consequency if it has an impact to production down time

1.本车间设备故障导致全厂停产每月不多于 2小时；超过2小时，-1
分/小时。, The equipment failure of this workshop caused the
设备部
whole plant stop production for no more than 2 hours per 0 Equip. Div
month; if more than 2 hours, - 1 point / hour. /PPC

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维护
原因造成设备故障性停机超过30分钟-2分/例 The daily
inspection and maintenance of the equipment in the
workshop are not properly, and the matter is not more than
设备 5 times a month; due to the unproperly inspection and 0 设备部
Equipm. Div
30 maintenance cause the equipment breakdowndown for 30
Equipment more than 30 minutes -2 points per case.

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停
产-3分/例；造成全流程停产-1分/小时 Because of this Dept
Missing items in the spare parts plan, / the spare parts plan
is not reported in a time, Impact to partial breakdown time - 设备部
0 Equipm. Div
3 per case. Impact All processing system down time - 1
point per hour

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 部

5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分，
财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points,
0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：码头车间 Port Dept

管理系数
Jan-22 Management of coefficient：
0.9

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    车间内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例，外协人员同等事故，按70%扣分
There was a serious accident in the workshop,with personnel
were injured -20 points/case, no personnel were injured -10 0 安全 Safety
points/case. External personnel have the same accident,
deduct 70%

3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3
安全 分/例 ，外协人员同等事故，按70%扣分
30 A minor accident occurred in the workshop, with personnel
0
30 安全 Safety
Safety injured -10 points/case, no personnel injuried -3 points/case.
External personnel have the same accident, deduct 70%

4.    车间内被发现违章、违纪-3分/例 Rules-violation or

disciplines-defying -3 points /case 0 安全 Safety

5.领导安全责任落实评分，按10分折算。
Implements safety responsibility leadership score 0
conversion with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2.装船因码头原因延误船期。-5分/天 The shipment was delayed

due to the Port Dept reasons. -5 points / day
0 PPC

3. 因本车间发生生产事故 造成全线停产≥4小时-10分/例；≥2小
时<4小时-5分/例：≥1小时<2小时-2分/例
Due to a production accident in this workshop, the entire
line is suspended for ≥4 hours to 10 points / case; ≥2 hours 0
生产 <4 hours - 5 minutes / case: ≥1 hour <2 hours to 2 points /
30 case
30
Production
4.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task
assigned by management on time -10 points / case; PPC/管理层
0 site
Fail to execute the PPC instruction -5 points / case, double management
consequency if it has an impact to production down time

本车间设备故障导致全厂停产每月不多于6小时；超过6小时，-1分
/小时。每日除2小时正常检修外影响不超过2小时，超过2小时，-1
分/小时 The equipment failure of this workshop caused the
whole plant to stop production for no more than 6 hours
per month; more than 6 hours, -1 point / hour. Except for 2 设备部
0 Equip. Div
hours of daily maintenance, the impact will not exceed 2 /PPC
hours per day, more than 2 hours, -1 point/ hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维

设备 护原因造成设备故障性停机超过120分钟-2分/例；协作方设备问题

30 影响装船-2分/次
30
Equipment The inspection and maintenance of the equipment in this
workshop is not properly， no more than 5 times a month; 设备部
0 Equipm. Div
due to the inspection and maintenance reasons, the
equipment is down for more than 120 minutes -2 points /
case; the equipment of the collaborators affects the
shipment -2 points / Times

3.因本车间备件计划漏项、备件计划报出不及时导致车间内局部停
产-3分/例；造成全流程停产-1分/小时 Due to the
unscheduled reporting of spare parts plans, some section of 设备部
0 Equipm. Div
the entire Plant was shut down -3 points / case; the whole
process was shut down -1 point / hour

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less, and 0
劳动纪律 Labor multiples thereof. 部

5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分，This Dept exceeds the budget by 财务

成本 Cost 5 10% -2 points, 0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：P P C Division

管理系数
Jan-22 Management of coefficient：
1.1

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    部门内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例There was a serious accident in the department,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case.
3.    部门内发生轻事故有人员受伤-10分/例，无人员受伤-3分/例
A minor accident occurred in the workshop, with personnel
安全 injured -10 points/case, no personnel injuried -3 points/case. 0 安全 Safety
30 28
Safety
4.    部门被发现违章、违纪-3分/例 Rules-violation or disciplines-
defying -3 points /case 0 安全 Safety

5.部门长安全责任落实评价分，按10分折算
Implements safety responsibility leadership score conversion 2
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2.因本车间发生生产事故 造成全线停产 ≥4小时-10

分/例；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Production Down Time caused by incidents of this Dept : ≥4
hours -10 points /case。 ≥2 hours and < 4 0 PPC

生产 hours -5 points /case。 ≥1 hour and < 2 hours

30 -2 points /case 30
Production 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task
PPC/管理层 site
assigned by management on time -10 points / case; 0 management
Fail to execute the PPC instruction -5 points / case, double
consequency if it has an impact to production down time

1因指挥失误造成设备故障，导致全厂停产每月不多于6小时；超过
6小时，-5分/小时。The failure of the equipment caused by
the wrong instruction caused the entire plant to stop 设备部 Equip.
0 Div /PPC
production for no more than 6 hours per month; more than 6
hours, -5 points / hour.
2.本因与设备部门沟通不足，指挥不力造成设备故障性停机超过30
分钟-2分/例
设备部
设备 miscommunication with the equipment department, poor 0 Equipm. Div
30 command caused the equipment to fail for more than 30
30
Equipment minutes -2 points / case
3.因本部门备件计划漏项、备件计划报出不及时导致部门内汽车衡
损坏影响采场楚狂-3分/例；造成全流程停产-1分/小时Due to
missing spare parts plan of this division and delayed
reporting of spare parts plan, damage to weighing bridge 设备部
0 Equipm. Div
scale, to affected mining trucks loading in stockyard -3
points / case; causing the entire process to stop production -
1 point / hour

1.出勤率每低2%-1分。 The percentage of attendance is less

than 2% of the specified amount, -1 point per 2% less , PPC / HR 人事
0
劳动纪律 Labor and multiples thereof. 部

5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分，This Dept exceeds the budget by

财务
成本 Cost 5 10% -2 points,
0 5 Finance

得分合计 Score
97.76
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：设备部 Equipment Division

管理系数
Jan-22 Management of coefficient：
1.05

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励 安全

0 否决项 Safety
2.    部门内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例There was a serious accident in the department,with
0 安全
personnel were injured -20 points/case, no personnel were Safety
injured -10 points/case.
3.    部门内发生轻事故有人员受伤-10分/例，无人员受伤-3分/例
A minor accident occurred in the workshop, with personnel
安全 injured -10 points/case, no personnel injuried -3 points/case. 0
安全
30 30 Safety
Safety
4.    部门内被发现违章、违纪-3分/例 Rules-violation or 安全
disciplines-defying -3 points /case 0
Safety
5.部门领导安全责任落实评价分，按10分折算
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental 环保
inspections of the work area -6 points 0
Enviro
1.    未完成月生产计划 -30分 Failed in monthly production plan
-30 points
0 PPC
2. 任一车间发生因操作失误引起的生产事故 造成全线停产≥4小时-
3分/例；≥2小时<4小时-2分/例：≥1小时<2小时-1分/例
Production accidents caused by operating errors in any
workshop caused the entire line to stop production ≥ 4 hours 0 PPC
-3 points / case; ≥ 2 hours <4 hours -2 points / case: ≥ 1
hour <2 hours -1 point / case
生产
30 30
Production 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task PPC/管理
assigned by management on time -10 points / case;
Fail to execute the PPC instruction -5 points / case, double 0 层 site
consequency if it has an impact to production down time manage
ment

1.本车间设备故障导致全厂停产每月不多于6小时超过6小时-1分/小
时, 每日除2小时正常检修外影响不超过2小时超, 过2小时,-1分/小
时 The equipment failure of this workshop caused the whole
plant stop production for no more than 6 hours per month; 设备部
if more than 6 hours, -1 point / hour. Except for 2 hours of 0 Equip.
daily maintenance, the impact will not exceed 2 hours per Div /PPC
day, more than 2 hours, -1 point / hour

2.本车间车间设备点检维护不到位事项每月不多于5次；因点检维护
原因造成设备故障性停机超过30分钟-2分/例 The daily
设备 inspection and maintenance of the equipment in the
30 workshop are not properly, and the matter is not more than 30
Equipment 5 times a month; due to the unproperly inspection and 0 设备部
Equipm. Div
maintenance cause the equipment breakdowndown for
more than 30 minutes -2 points per case.

3.因备件计划报出不及时导致全矿内局部停产-3分/例；造成全流程
停产-1分/小时 Due to the unscheduled reporting of spare
parts plans, some section of the entire Plant was shut down - 设备部
3 points / case; the whole process was shut down -1 point / 0 Equipm.
hour Div

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 事部
5 5
discipline 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
Production downtime or startup delay due to staff 0
PPC / HR 人
attendance issues, -1 point / hour 事部
本车间超过预算10%-2分，
财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points,
0 5
Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：技术部 Technical Division

管理系数
Jan-22 Management of coefficient：
1

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 Fatal accident -100 points 此项为激励

0 否决项
安全 Safety

2.    车间内发生重事故，有人员受伤-20分/例，无人员受伤-10
分/例 There was a serious accident in the workshop,with
personnel were injured -20 points/case, no personnel were 0 安全 Safety
injured -10 points/case
3.    车间内发生轻事故，有人员受伤-10分/例，无人员受伤-3分/例
A minor accident occurred in the workshop, with personnel
安全 injured -10 points/case, no personnel injuried -3 points/case 0 安全 Safety
30 30
Safety
4.    车间内被发现违章、违纪-3分/例 Rules-violation or
disciplines-defying -3 points /case 0 安全 Safety

5.部门领导安全责任落实评价分，按10分折算
Implements safety responsibility leadership score conversion 0
with 10 point
6. 每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

-30 points
0 PPC

2. 因化验结果不准确造成产品生产不合格-1分/次；输出不合格-10
分/例 ；因工艺监控失职造成磁性铁>2%-1分/次 Product
failure due to inaccurate test results -1 point /case ; Sales
product failure -10 points / case; magnetic iron> 2% -1
0 PPC

point /case due to process monitoring misconduct

生产
30 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
30
Production 执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to
complete the task assigned by management on time -10 PPC/管理层
points / case; 0 site
management
Fail to execute the PPC instruction -5 points / case, double
consequency if it has an impact to production down time

1. 因化验设备故障导致全厂质量监控停止，每月不多于6小时；超
过6小时，-1分/小时。
Due to the failure of laboratory equipment, the quality 设备部
monitoring of the whole plant stopped, not more than 6 0 Equip. Div
hours per month; more than 6 hours, -1 point / hour. /PPC

2.本部门设备点检维护不到位事项每月不多于5次；否则-1分/次
Equipment inspection and maintenance in this department
设备 are not properly , 0 设备部
30 incase not more than 5 times per month; otherwise 30 Equipm. Div
Equipment -1 points / times

3.因本部门备件计划漏项、备件计划报出不及时导致车间内局部停
产-3分/例；造成全流程停产-1分/小时 Due to missing
spare parts plans in this division and the delayed reporting of
spare parts plans, some section of production in the 设备部
0 Equipm. Div
workshop was breakdown -3 points / case; the whole
production line was stop for -1 point / hour

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 部

5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分， 财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points, 0 5 Finance

得分合计 Score
100
Summary

Already Assessed
Not Assessed
Prepared by, Acknowledge by,

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 TALIABU SITE No. Dokumen Tanggal berlaku
ASSESSMENT FORM
Nama Perusahaan
塔岛铁矿部门(车间)月度绩效评价 Department/Plant Monthly Performance Halaman Revisi
SERVINDO JAYA UTAMA Assessment Taliabu Iron Ore Mine 1 0

单位 Dept. /Plant：安环部 SAFETY (SHE ) Division

Jan-22 管理系数 Management of coefficient： 1

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

1.    矿内发生工亡事故-100分 此项为激励

Fatal accident ( Fatality ) -100 points 0 否决项
安全 Safety

2.    有车间发生重事故，有人员受伤-10分/例 ，无人员受伤-4

分/例。There was a serious accident in
workshop/department,with personnel were injured -10 0 安全 Safety
points/case, no personnel were injured -4 points/case

3.    有车间内发生轻事故，有人员受伤-2分/例 ，无人员受伤-1

分/例
There was a minor accident in workshop/department,with 2 安全 Safety
personnel were injured -2 points/case, no personnel were
injured -1 points/case

安全 4. 没有对员工进行安全培训就上岗的，-1分/人。不进行安全巡查
30 的-5分/次   ，隐患项目不安排整改，-5分/次 28
Safety For employees who have been employed without safety
training, -1 point / person.
For those who do not conduct security inspections, -5 points 0 安全 Safety
/ times, For Unsafe condition does not arrange rectification,
-5 points / times

5. 本月安全责任落实评分（除上面1-4项外），共10分，评分按折
算后扣除
This month's safety responsibility implementation score 0 安全
(except for items 1-4 above), a total of 10 points, the score
will be deducted after conversion
6。每月工作环境检查不合格-6分 Failed monthly environmental
inspections of the work area -6 points 0 环保 Enviro

1.    未完成月生产计划 -30分 Failed in monthly production plan

PPC
-30 points
2.因安全管理不力，安全措施不当 造成全线停产≥4小时-10分/例
；≥2小时<4小时-5分/例：≥1小时<2小时-2分/例
Due to inadequate safety management and
improper safety measures, the entire line was suspended for 0 PPC
≥4 hours - 10 point/ case; ≥2 hours <4 hours -5 points /
生产 case: ≥1 hour <2 hours to 2 points / case
30 30
Production 3.不服从管理层管理，没按时完成管理层交办任务的-10分/例；不
执行调度指令-5分/次；造成后果的加倍。
Disobey THE SITE MANAGEMENT , Fail to complete the task
PPC/管理层
assigned by management on time -10 points / case; 0 site
Fail to execute the PPC instruction -5 points / case, double management
consequency if it has an impact to production down time

1.本部门消防车、救护车不得因任何原因影响救火和人员抢救，出
现一次，-20分/次
设备部
Fire Truck and Ambulance Vehicle in this department, 0 Equip. Div
Shall not affect fire fighting and personnel rescue for any /PPC
reason, Once happened -20 points / times
2.因检修安全措施制定不力造成检修延后或事故；-5分/例，
Because the safety rectify plan is not properly,
设备 Causing delays time for repair or causing accidents; -5 0 设备部
30 points / case 30 Equipm. Div
Equipment
3.因本车间备件计划漏项、备件计划报出不及时导致救火和救护车
辆恢复时间超过3小时，-5分/例
Missing items in the spare parts plan of this workshop and
设备部
the delayed reporting of spare parts plans caused the fire 0 Equipm. Div
truck and ambulance vehicle recovery time to exceed 3
hours, -5 points / case

1.出勤率每低2%-1分。 The percentage of attendance is less

PPC / HR 人事
than 2% of the specified amount, -1 point per 2% less , 0
劳动纪律 Labor and multiples thereof. 部
5 2.因员工出勤问题造成生产停机或开机延迟，-1分/小时
5
discipline Production downtime or startup delay due to staff 0
PPC / HR 人事
attendance issues, -1 point / hour 部

本车间超过预算10%-2分， 财务
成本 Cost 5 This Dept exceeds the budget by 10% -2 points,
0 5 Finance

得分合计 Score
98
Summary
Already Assessed
Not Assessed
Prepared by, Acknowledge by,
单位 Dept. /Plant：安环部 SAFETY (SHE ) Division

Jan-22 管理系数 Management of coefficient： 1

月度扣分
月度得分 资料资料提供
类别 分数 扣分项 Monthly 备注
Monthly 部门 Data Tanda Tangan
Aspect score Deduction Items Points Remarks
Points From Dept.
Deduction

Donny Frengki Imam Subagyo Guang Zheng Guo

HR Manager Head Operation Director
 February
Dept PIC Target average
Weekly 1 Weekly 2 Weekly 3 Weekly 4 Weekly 5
Indra Ps 100 100 100 100 100 100 100
Mining
Rudi Herawan 100 100 100 100 100 100 100
Widodo 100 100 100 100 100 100 100
Ridwan Kurniawan 100 100 100 100 100 100 100
Port
Deddy Eko 100 100 100 100 100 100 100
Tony 100 100 100 100 100 100 100
Ridwan Nurdianto 100 100 100 100 100 100 100
HSE
Jafar La Rata 100 100 100 100 100 100 100
Joni Marjono 100 100 100 100 100 100 100
Power Plant
Taryono 100 100 100 100 100 100 100
Valerian Sasa 100 100 100 100 100 100 100
Crusher
Dadan Sunandar 100 100 100 100 100 100 100
Ruslan Umamit 100 88 100 88 0 0 55.2
ME
Yhonni Irwan 100 88 100 88 0 0 55.2
Jimmy 100 100 100 100 100 100 100
HE
M. Nur 100 100 100 100 100 100 100
Paulus Pandji Leto 100 100 100 100 100 100 100
Tailing Plant
Ardi 100 100 100 100 100 100 100
Rafianos 100 100 100 100 100 100 100
BP
Heryanto S 100 100 100 100 100 100 100
Cahyana Budhi 100 100 100 100 100 100 100
Pipe Belt
Mulyadi Sattuang 100 100 100 100 100 100 100
Sainong Sudirman 100 100 100 100 100 100 100
Transport
Rudi Harun 100 100 100 100 100 100 100
PPC Jhohan 100 100 100 100 88 0 77.6
Beriman 100 100 100 100 100 100 100
Equipment
Donny 100 100 100 100 100 100 100
Technical Alamsyah 100 100 100 100 100 100 100
Deduction
Value
0
0
0
0
0
0
0
0
0
0
0
0
4
4
0
0
0
0
0
0
0
0
0
0
2
0
0
0
Dept Target Monthly Achieved
Mining 40 40 January Safety Tracker
Crusher 30 30
45
BP 30 30
Tailling 30 30 40
40 40
Pipe Belt 30 30
Transportasi 30 30
35
ME 30 26
Power Plant 30 30 30 30 30 30 30 30
30 30 30 30 30 30 30 30
Port 30 30
PPC 30 27.76 26
25
Equipment 30 30
Technical 30 30
20
Safety 30 28
15

10

0
g er lt i E nt
in sh BP ll in
g
Be ta
s M la
in u ai or rP
M Cr T pe p
Pi an
s w
e
Tr Po

Monthly Achieved Tar

anuary Safety Tracker

30 30 30 30 30
30 30 30 30 30 30 30 30 30
27.76 28
26

s i E nt rt C t l y
ta M la Po PP en ica f et
por rP pm chn Sa
s e ui Te
an Po
w Eq
Tr

Monthly Achieved Target