DAFTAR ISI

DOKUMEN KELENGKAPAN PERSYARATAN PRAKUALIFIKASI

PENYEDIA BARANG/JASA
( B. DOKUMEN CSMS)

1.
2.
2.1 STATISTICAL DATA / DATA STATISTIK........................................................................
2.1.1 Safety Statistic 3 Past Year............................................................................................
2.2. POLICY STATEMENT / PERNYATAAN KEBIJAKAN......................................................
2.2.1 Copy Kebijakan K3LL.....................................................................................................
2.2.2 Cv Hse Manager............................................................................................................
2.2.3 Komunikasi Kebijakan K3LL...........................................................................................
2.3. HSE OBJECTIVES / SASARAN K3LL............................................................................
2.3.1. Sasaran K3LL................................................................................................................
2.4. HSE STRUCTURE / STRUKTUR ORGANISASI K3LL......................................................
2.4.1 P23K..............................................................................................................................
2.5 HSE RESPONSIBILITIES / TANGGUNG JAWAB K3LL....................................................
2.5.1 Hse Responsibilities For Top Management..................................................................
2.5.2 Tanggung Jawab K3LL Karyawan..................................................................................
2.5.3 Uraian Tugas Staf K3LL..................................................................................................
2.5.4 Cv & Sertifikat Hse Manager.........................................................................................
2.6 DOCUMENTS HSE, PROCEDURES AND HAND BOOKS/ DOKUMEN, PROSEDUR, DAN
BUKU SAKU HSE.............................................................................................................
2.6.1 Prosedur Kerja Aman K3LL............................................................................................
2.6.2 Safety Hand Book..........................................................................................................
2.7 HSE PROGRAM / PROGRAM K3LL.............................................................................
2.7.1 Hse Program..................................................................................................................
2.8 HAZARD IDENTIFICATION AND RISK ASSESSMENTS / IDENTIFIKASI BAHAYA DAN
PENILAIAN RESIKO.........................................................................................................
2.8.1 PROSEDUR HIRA DAN JSA.............................................................................................
2.8.2 PJSM (PRE-JOB SAFETY MEETING)................................................................................
2.8.3 JSA, MSDS, PJSM...........................................................................................................
2.9 PERMIT TO WORK SYSTEM / SISTEM IJIN KERJA........................................................
2.9.1 Permit To Work.............................................................................................................
2.10 PERSONNEL PROTECTIVE EQUIPMENT (PPE) / ALAT PELINDUNG DIRI (APD)...........
2.10.1 Prosedur PPE...............................................................................................................
2.10.2 Standar Sosialisasi, Distribusi, Inspeksi Apd...............................................................
2.11 PLANNED MAINTENANCE / PEMELIHARAAN YANG TERLANCANA...........................
2.11.1 H2s Maintenance Procedure......................................................................................
2.11.2 Sertifikat Peralatan.....................................................................................................
2.11.3 Prosedur Dan Implementasi LOTO.............................................................................
2.12 INSPECTION AND CHECKLIST HSE / INSPEKSI DAN CHECKLIST HSE...........................
2.12.1 Program Inspeksi.........................................................................................................
2.13 HSE OBSERVATION / OBSERVASI K3LL.....................................................................
2.13.1 HOC & HSE Appraisal Form.........................................................................................
2.13.2 Prosedur HOC..............................................................................................................
2.13.3 Prosedur Berkendara Dan Mengenai Safety Driving..................................................
2.14 INTERNAL HSE AUDITS / AUDIT INTERNAL K3LL......................................................
2.14.1 Prosedur Audit K3LL....................................................................................................
2.14.2 Pelaporan Hasil Reference Acuan...............................................................................
2.15 COMPETENCY AND TRAINING / KOMPETENSI DAN PELATIHAN..............................
2.15.1 Prosedur Pelatihan Dan Perencanaannya Training Matrix.........................................
2.15.2 Induction, Emergency Response Training & Emergency Response Drill....................
2.16 COMMUNICATION / KOMUNIKASI..........................................................................
2.16.1 Prosedur Komunikasi K3LL Dan Implementasi
2.16.2 PJSM Dan HSE Bulletin Board.....................................................................................
2.16.3 Partisipasi Karyawan Terkait Implementasi................................................................
2.17 ACCIDENT, INCIDENT AND NEAR MISS INVESTIGATION AND REPORTING /
INVESTIGASI KECELAKAAN DAN NYARIS CELAKA............................................................
2.17.1 Accident, Incident Investigation And Reporting Procedure.......................................
2.17.2 Accident Investigation And Reporting........................................................................
2.18 SUBCONTRACTORS / SUBKONTRAKTOR..................................................................
2.18.1 Contractor Safety Requirement, Meeting Sub Kontraktor, Checklist Sub Kontraktor
2.19 EMERGENCY RESPONSE / TANGGAP DARURAT.......................................................
2.19.1 Emergency Response..................................................................................................
2.20 CONTROL OF HAZARDOUS SUBSTANCES / PENGENDALIAN BAHAN-BAHAN
BERBAHAYA...................................................................................................................
2.20.1 Prosedur HIRA & JSA...................................................................................................
2.21 OCCUPATIONAL HEALTH / KESEHATAN KERJA........................................................
2.21.1 Pre-Employment Medical Performed.........................................................................
2.21.2 Hygiene Industry.........................................................................................................
2.21.3 Drug And Alcohol Policy..............................................................................................
2.22 ENVIRONMENT / LINGKUNGAN HIDUP...................................................................
2.22.1 Kebijakan K3LL Mengenai Lingkungan........................................................................
2.22.2 KEBIJAKAN DAN PROSEDUR LINGKUNGAN................................................................
2.23 MANAGEMENT REVIEWS / TINJAUAN ULANG OLEH MANAJEMEN..........................
2.23.1 Management Review..................................................................................................
2.1 STATISTICAL DATA /
DATA STATISTIK
2.1.1 SAFETY STATISTIC 3
PAST YEAR
2.2. POLICY STATEMENT / PERNYATAAN
KEBIJAKAN
2.2.1 COPY KEBIJAKAN
K3LL
2.2.2 CV HSE MANAGER
2.2.3 KOMUNIKASI KEBIJAKAN
K3LL
2.3. HSE OBJECTIVES / SASARAN K3LL
2.3.1. SASARAN K3LL
2.4. HSE STRUCTURE / STRUKTUR
ORGANISASI K3LL
2.4.1 P23K
2.5 HSE RESPONSIBILITIES / TANGGUNG
JAWAB K3LL
2.5.1 HSE RESPONSIBILITIES FOR
TOP MANAGEMENT
2.5.2 TANGGUNG JAWAB K3LL
KARYAWAN
2.5.3 URAIAN TUGAS STAF K3LL
2.5.4 CV & SERTIFIKAT HSE MANAGER
2.6 DOCUMENTS HSE, PROCEDURES
AND HAND BOOKS/ DOKUMEN,
PROSEDUR, DAN BUKU SAKU HSE
2.6.1 PROSEDUR KERJA AMAN
K3LL
2.6.2 SAFETY HAND BOOK
2.7 HSE PROGRAM / PROGRAM
K3LL
2.7.1 HSE PROGRAM
 2.8 HAZARD IDENTIFICATION AND RISK
ASSESSMENTS / IDENTIFIKASI BAHAYA DAN
PENILAIAN RESIKO
2.8.1 PROSEDUR HIRA DAN JSA
2.8.2 PJSM (PRE-JOB
SAFETY MEETING)
2.8.3 JSA, MSDS, PJSM
2.9 PERMIT TO WORK
SYSTEM / SISTEM IJIN
KERJA
2.9.1 PERMIT TO WORK
2.10 PERSONNEL PROTECTIVE
EQUIPMENT (PPE) / ALAT
PELINDUNG DIRI (APD)
2.10.1 PROSEDUR PPE
 2.10.2 STANDAR
SOSIALISASI, DISTRIBUSI,
INSPEKSI APD
 2.11 PLANNED
MAINTENANCE /
PEMELIHARAAN YANG
TERLANCANA
2.11.1 H2S MAINTENANCE
PROCEDURE
2.11.2 SERTIFIKAT
PERALATAN
2.11.3 PROSEDUR DAN
IMPLEMENTASI LOTO
 2.12 INSPECTION AND
CHECKLIST HSE / INSPEKSI
DAN CHECKLIST HSE
2.12.1 PROGRAM INSPEKSI
2.13 HSE OBSERVATION /
OBSERVASI K3LL
2.13.1 HOC & HSE
APPRAISAL FORM
2.13.2 PROSEDUR HOC
2.13.3 PROSEDUR
BERKENDARA DAN
MENGENAI SAFETY
DRIVING
2.14 INTERNAL HSE AUDITS
/ AUDIT INTERNAL K3LL
2.14.1 PROSEDUR AUDIT
K3LL
2.14.2 PELAPORAN HASIL
REFERENCE ACUAN
 2.15 COMPETENCY AND
TRAINING / KOMPETENSI
DAN PELATIHAN
 2.15.1 PROSEDUR
PELATIHAN DAN
PERENCANAANNYA
TRAINING MATRIX
 2.15.2 INDUCTION,
EMERGENCY RESPONSE
TRAINING & EMERGENCY
RESPONSE DRILL
2.16 COMMUNICATION /
KOMUNIKASI
2.16.1 PROSEDUR KOMUNIKASI K3LL
DAN IMPLEMENTASI
2.16.2 PJSM DAN HSE
BULLETIN BOARD
 2.16.3 PARTISIPASI
KARYAWAN TERKAIT
IMPLEMENTASI
2.17 ACCIDENT, INCIDENT AND
NEAR MISS INVESTIGATION
AND REPORTING / INVESTIGASI
KECELAKAAN DAN NYARIS
CELAKA
2.17.1 ACCIDENT, INCIDENT
INVESTIGATION AND
REPORTING PROCEDURE
 2.17.2 ACCIDENT
INVESTIGATION AND
REPORTING
2.18 SUBCONTRACTORS /
SUBKONTRAKTOR
 2.18.1 CONTRACTOR SAFETY
REQUIREMENT, MEETING SUB
KONTRAKTOR, CHECKLIST SUB
KONTRAKTOR
 2.19 EMERGENCY
RESPONSE / TANGGAP
DARURAT
2.19.1 EMERGENCY
RESPONSE
 2.20 CONTROL OF HAZARDOUS
SUBSTANCES / PENGENDALIAN BAHAN-
BAHAN BERBAHAYA
2.20.1 PROSEDUR HIRA & JSA
2.21 OCCUPATIONAL
HEALTH / KESEHATAN
KERJA
2.21.1 PRE-EMPLOYMENT
MEDICAL PERFORMED
2.21.2 HYGIENE
INDUSTRY
2.21.3 DRUG AND
ALCOHOL POLICY
2.22 ENVIRONMENT /
LINGKUNGAN HIDUP
 2.22.1 KEBIJAKAN K3LL
MENGENAI LINGKUNGAN
 2.22.2. KEBIJAKAN DAN
PROSEDUR LINGKUNGAN
 2.23 MANAGEMENT
REVIEWS / TINJAUAN ULANG
OLEH MANAJEMEN
0

2.23.1 MANAGEMENT REVIEW