26071-100-G70-GHX-00071-113 HSE Weekly Report (25 Mar - 31 Mar 2022)

Doc.
No : 26071-100-G70-GHX-00071
Job No : 26071 Rev. 113
HSE WEEKLY REPORT

(WEEK 161: 25 MARCH – 31 MARCH 2022)
PROJECT : Engineering, Procurement, Construction for Refinery

Development Master Plan (RDMP) RU V
Balikpapan
LOCATION : Refinery Unit V Balikpapan, East Kalimantan,
Indonesia
OWNER : PT. PERTAMINA (Persero)
113 01Apr 2022 ISSUED FOR MAIZZATUL YUZAR Y.D.KIM

INFORMATION
REV. DATE DESCRIPTION PREPARED CHECKED APPROVED
Doc. No : 26071-100-G70-GHX-00071
Job No : 26071 Rev. 113
REVISION LOG
REV. NO. DATE PAGE DESCRIPTION
113 01 Apr 2022 ISSUED FOR INFORMATION

Doc. Number 26071-JO-HSE-F-001-00
Effective Date 01-Mar-19
Weekly HSE Statistics Report No. of Revision 00A
Page 1 /1
Project Name: RDMP Balikpapan Project Number: 26071 Segment: PMT
Area: All Area RDMP EPC Project Project Start Date: 27/Feb/19 Date of Report: 01-Apr-22
Location: Balikpapan, Jakarta & Seoul Project Finish Date: 31/Jul/23 Week: 161
Project Director G.S Lim Report Number: 157 Period: 25 March 2022 - 31 March 2022
HSE Manager: M. Yuzar Virza
TOTAL LAST CHANGE OF TOTAL THIS

NO. DESCRIPTION INJURY RECORD
PERIOD THIS WEEK PERIOD (YTD)
1 No. of Employees (JKT - SEOUL) 566 -3 563

2 No. of Employees Balikpapan PMT 32 Move to CMT First Aid Recordable
EMPLOYEES
3 No. of Employees Balikpapan CMT 1.618 20 1.638 DESCRIPTION

4 No. of Employees Subcontractor 8.689 489 9.178 This period To-date This period To-date
Total Employees Contractor (1+2) 566 -3 563 Abrasion 10
5 Total Employess Balikpapan (2+3) 8.689 509 9.178 Arc Eye
6 Total Employees Overall (1+2+3) 10.873 506 11.379 Asphyxiation
7 No. of Fatality - - - Blister
RECORDABLE
8 No. of Lost Time Injury (LTI) - - - Burns 2

CASES
9 No. of Restricted Work Cases 1 - 1 Contusion 1 5

10 No. of Medical Treatment Cases 5 - 5 Cut / wound 1 5 2
TYPE
11 No. of Incident impact to environmental pollution 1 - 1 Dislocation
12 No. of Incident impact to fire / asset damage - - - Electric shock
RECORD
13 No. of First Aid Cases 35 2 37 Foreign Body

NON-
ABLE
14 No. of Near Misses 58 1 59 Fracture 1

15 No. of Non-Occupational Incident - - - Laceration 7 2
16 No. of Employees inducted 26.998 315 27.313 Puncture 1
INDUCTION &
TRAINING
17 No. of Visitor Inducted 1.296 11 1.307 Sprain / Strain 7

18 No. of Employees Trained (other than Induction) 76.141 1.220 77.361 Others 1
19 Total Man-hours for HSE Induction 54.554 636 55.190
20 Total Man-hours for Training 188.336 2.891 191.227 TOTAL 2 37 0 6
144.770 2.016 146.786 1
OBSERVATION
INSPECTION &
21 No. of e-COP Ankle

22 No. of HSE Periodic Inspections 25.061 135 25.196 Arm / Forearm 3
23 No. of Premob Inspection 14.583 305 14.888 Back
24 No. of Random Alcohol Test 21.032 311 21.343 Chest
25 No of Weekly Management Walkthrough 106 - 106 Ear
26 No. of Fires - - - Eye
ENVIRONMENT &
27 No. of Thefts - - - Face 4 2

SECURITY
28 No. of Property Damage - - - Finger 1 15 3

29 No. of Alcohol Intoxication Cases - - - BODY PART AFFECTED Foot 5
30 No. of Drugs Abuse Cases - - - Groin
31 No. of Spills / Leaks - - - Hand 2
32 No. of Chemical Releases - - - Head / Forehead
33 No. of Vehicles on Site** 830 7 837 Internal Organs
VEHICLES
34 No. of Equipment*** 706 5 711 Knee

35 Total KM Driven **** 3.667.843 356.940 4.024.783 Leg (Thigh / Calf) 5 1
36 Total HM Run ***** 1.872.781 37.941 1.910.722 Mouth
37 Total Man-hours Worked Contractor (JKT + SEOUL) 5.036.210 22.400 5.058.610 Neck
Total Man-hours Worked Contractor (Balikpapan PMT) 37.620 Move to CMT Shoulder 1 2
38 Total Man-hours Worked Contractor (Balikpapan CMT) 6.564.541 112.618 6.677.159 Skin
MAN-HOURS
39 Total Man-hours Worked Subcontractor 28.852.554 580.694 29.433.248 Torso

40 Total Man-hours Contractor (37+38) 11.600.751 22.400 11.735.769 Wrist
41 Total Man-hours Balikpapan (38+39) 35.417.095 580.694 36.110.407 Others
42 Total Man-hours Worked Overall (37+38+39) 40.453.305 715.712 41.169.017
43 Total Lost Man Days due to LTIs - - - TOTAL 2 37 0 6
44 Total Man-hours from Last LTI / Fatality 40.453.305 715.712 41.169.017 Allergy
45 LTI Frequency Rate (LTI FR) - - - Avian Flu
RATES
46 Total Recordable Injury Rate (TRIR) 0,030 0,029 0,029 Dermatitis

- - -
NATURE OF ILLNESS
47 Severity Rate Frost Bite

48 Mean Duration - - - Hearing Loss
49 No. of General HSE Talk 134 1 135 Heat Stress
50 No. of Toolbox Meeting 38.227 646 38.873 Dengue
51 No. of HSE Meeting 241 1 242 Poisoning
52 No. of HSE Reporting 1.172 8 1.180 Respiratory
53 No. of HSE Management Visit 2 - 2 Skin inflammation
OTHERS
54 Closure Action 100% 100% 100% Others

55 No. of HSE Audit 29 - 29
56 Compliance on Waste Management 100% 100% 100% TOTAL 0 0 0 0
57 Compliance on Hygiene Industry 100% 100% 100% Notes
58 Compliance on PPE 100% 100% 100% * : Jakarta and Seoul Office
59 Comply to Good housekeeping management 100% 100% 100% ** : Including operational light vehicle & heavy vehicle
60 Reviewed MCU 37.386 427 37.813 *** : Including heavy equipment and power generator
Prepared by: Maizzatul K. N 1-Apr-22 **** : From Vehicle
HSE Engineer (Name & Signatur) Date ***** : From running hour heavy equipment
Reviewed by: M. Yuzar Virza 1-Apr-22
HSE Manager (Name & Signature) Date
Approved by: Y. D. Kim 1-Apr-22
Project Manager (Name & Signature) Date
INCIDENT RATE CALCULATIONS:
45 LTI Frequency Rate (LTI FR): 47 Severity Rates:
No. of Lost Time Injury x 1,000,000 (8) x 1,000,000 Total Lost Man Days x 1,000,000 (43) x 1,000,000
Total Man-hours Worked (42) Total Man-hours Worked (42)
46 Total Recordable Injury Rate (TRIR): 48 Mean Duration:
Total Number of Recordable Cases x 1,000,000 (7 + 8 + 9 + 10) x 200,000 Total Lost Man Days -43
Total Man-hours Worked (42) No. of Lost Time Injury (8)
Construction Site Daily Report
Project: RDMP RU V Balikpapan 31/03/2022

1. General
01. Safety Issue

LTI : 0 MH
Total Safe Manhours : 36,110,407 MH
02. COVID-19 JO CMT Status (Total Confirmed 930 / Recovery 927 / Current 3)
1st Confirmed : 6/20 1 person 2nd Confirmed : 6/21 1 person 3rd Confirmed : 6/24 4 person
4th Confirmed : 6/28 3 person 5th Confirmed : 7/1 4 person 6th Confirmed : 7/2 4 person
19th Confirmed : 1/16 2 person 20th Confirmed : 1/19 2 person 21st Confirmed : 2/3 5 person
22nd Confirmed : 2/4 1 person 23rd Confirmed : 2/5 3 person 24th Confirmed : 2/8 4 person
31st Confirmed : 2/23 3 person 32nd Confirmed : 2/25 1 person 33th Confirmed : 2/26 2 person
70th Confirmed : 7/2 10 person 71st Confirmed : 7/4 4 person 72nd Confirmed : 7/5 6 person
73rd Confirmed : 7/6 5 person 74th Confirmed : 7/7 4 person 75th Confirmed : 7/8 6 person
100th Confirmed : 8/21 3 person 101st Confirmed : 8/23 1 person 102ndConfirmed : 8/24 4 person
124th Confirmed : 2/6 5 person 125th Confirmed : 2/8 2 persons 126th Confirmed : 2/8 16 persons
127th Confirmed : 2/10 16 persons 128th Confirmed : 2/11 19 persons 129th Confirmed : 2/12 5 persons
130th Confirmed : 2/13 10 persons 131st Confirmed : 2/14 4 persons 132nd Confirmed : 2/15 37 persons
133rd Confirmed : 2/16 29 persons 134th Confirmed : 2/17 17 persons 135th Confirmed : 2/18 23 persons
139th Confirmed : 2/22 33 persons 140th Confirmed : 2/23 27 persons 141st Confirmed : 2/24 38 persons
142nd Confirmed : 2/25 7 persons 143rd Confirmed : 2/26 20 persons 144th Confirmed : 2/27 27 persons
148th Confirmed : 3/3 2 persons 149th Confirmed : 3/4 1 person 150th Confirmed : 3/5 15 persons
151st Confirmed : 3/6 1 person 152nd Confirmed : 3/7 3 persons 153rd Confirmed : 3/8 6 persons
157th Confirmed : 3/13 1 person 158th Confirmed : 3/14 1 person 159th Confirmed : 3/15 5 persons
163rd Confirmed : 3/23 2 persons
Construction Site Daily Report
Project: RDMP RU V Balikpapan 31/03/2022

03. COVID-19 Sub-Contractors Status (Total Confirmed 672 / Recovery 667 / Passed Away 4 / Current 1)
1th Confirmed : 6/30 1 person 2nd Confirmed : 7/3 1 person 3rd Confirmed : 7/11 2 person
61th Confirmed : 6/12 1 person 62nd Confirmed : 6/21 1 person 6rd Confirmed : 6/22 11 person
109th Confirmed : 2/13 5 persons 110th Confirmed : 2/14 9 persons 111st Confirmed : 2/15 4 persons
112nd Confirmed : 2/16 3 persons 113rd Confirmed : 2/17 4 persons 114th Confirmed : 2/18 22 persons
118th Confirmed : 2/23 5 persons 119th Confirmed : 2/24 1 person 120th Confirmed : 2/28 6 persons
121st Confirmed : 3/1 2 persons 122nd Confirmed : 3/2 1 person 123rd Confirmed : 3/3 7 persons
124th Confirmed : 3/7 11 persons 125th Confirmed : 3/8 1 person 126th Confirmed : 3/14 1 person
127th Confirmed : 3/18 2 persons 128th Confirmed : 3/24 1 person 129th Confirmed : 3/28 1 person

26071-100-G70-GHX-00071-113 HSE Weekly Report (25 Mar - 31 Mar 2022)

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26071-100-G70-GHX-00071-113 HSE Weekly Report (25 Mar - 31 Mar 2022)

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HSE WEEKLY REPORT

PROJECT : Engineering, Procurement, Construction for Refinery

113 01Apr 2022 ISSUED FOR MAIZZATUL YUZAR Y.D.KIM

REV. NO. DATE PAGE DESCRIPTION

113 01 Apr 2022 ISSUED FOR INFORMATION

TOTAL LAST CHANGE OF TOTAL THIS

1 No. of Employees (JKT - SEOUL) 566 -3 563

3 No. of Employees Balikpapan CMT 1.618 20 1.638 DESCRIPTION

8 No. of Lost Time Injury (LTI) - - - Burns 2

9 No. of Restricted Work Cases 1 - 1 Contusion 1 5

13 No. of First Aid Cases 35 2 37 Foreign Body

14 No. of Near Misses 58 1 59 Fracture 1

17 No. of Visitor Inducted 1.296 11 1.307 Sprain / Strain 7

21 No. of e-COP Ankle

27 No. of Thefts - - - Face 4 2

28 No. of Property Damage - - - Finger 1 15 3

34 No. of Equipment*** 706 5 711 Knee

39 Total Man-hours Worked Subcontractor 28.852.554 580.694 29.433.248 Torso

46 Total Recordable Injury Rate (TRIR) 0,030 0,029 0,029 Dermatitis

47 Severity Rate Frost Bite

54 Closure Action 100% 100% 100% Others

Project: RDMP RU V Balikpapan 31/03/2022

01. Safety Issue

Project: RDMP RU V Balikpapan 31/03/2022

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