HSE EVALUATION OF BIDDER MARINE SERVICES

Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

HSE 01 – Compliance with Laws and Regulations

1.1. Provide method / procedure to monitor the compliance and validity of statutory and class
certification. OFFERED VESSEL STATUS shall be included.

Answer
Please see attachment 1.1:
 SOP/PKDM-RUN/01: Sertifikasi Kapal & Perizinan Perusahaan
 Monitoring Sertifikat Kapal
 Sertifikat Kapal

1.2. Provide list compliance status of Company Procedure to Local Regulation.

Answer
Please see attachment 1.2:
 Daftar Peraturan Perundang-undangan

HSE 02 – Management Leadership & Commitment

2.1. Provide All Company Policy which approved by managements and its socialization.

Answer
Please see attachment 2.1:
 Kebijakan Perusahaan
 Distribusi Kebijakan Perusahaan
 Daftar Hadir Sosialisasi Crew Kapal
 Pernyataan Pemahaman Awak Kapal
 Pernyataan Pemahaman Karyawan Darat
 Foto Kebijakan Perusahaan di Kantor & Kapal

2.2. Provide Company HSE Plan / Program include its PIC (Person In Charge) and realization for
current and previous year. realization of HSE Program consist of : HSE Meeting, HSE
Management Visit, HSE Inspection, HSE Promotion, Emergency Drill / Exercise etc.

Answer
Please see attachment 2.2:
 HSE Objectives & Program 2021
 Monitoring HSE Objectives & Program 2020
 Meeting Di Kantor
 Meeting Di Kapal
 Management Visit
 Laporan Inspeksi Kapal
 Safety Campaign
 Emergency Drill Di Atas Kapal
 Emergency Drill Di Kantor

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

2.3. Provide evidence and method / system to monitor the compliance of HSE objectives review
(monthly / bi-monthly / quarterly / etc). Minutes of Meeting of the objective review shall be
attached.

Answer
Please see attachment 2.3:
 SOP/PKDM-MR/05: Rapat Tinjauan Management
 Email Informasi Pelaksanaan Rapat Tinjauan Management
 Daftar Hadir & MOM Rapat Tinjauan Management
 Foto Pelaksanaan Rapat Tinjauan Management

2.4. Provide corporate organization chart completed with role & responsibility to ensure the
implementation of HSE objectives and HSE program.

Answer
Please see attachment 2.4:
 Struktur Organisasi Perusahaan
 Job Deskripsi

2.5. Statement Letter that Bidder (Signed by Main Director) agree to Provide:
1. Shore Based Organization as per Scope Of Work Appendix 3A.2 and Proposed shore based
personnel for this Project including their certification.
2. To set up Management Visit Plan to awarded Units prior Mobilization.

Answer
Please see attachment 2.5:
 Statement Letter

HSE 03 – Operational Accountability

3.1. Provide operational procedure for any activities as described in the scope of work THAT
SHALL COVER FUEL, OPERATION AND HSE:

Answer
Please see attachment 3.1:
 SOP/PKDM-OPS/02: Prosedur Jaga
 SOP/PKDM-OPS/06: Prosedur Pengisian dan Pemindahan Bahan Bakar
 SOP/PKDM-OPS/11: Fuel Consumption Test
 SOP/PKDM-CRW/04: Persiapan Awak Kapal Naik ke Atas Kapal
 SOP/PKDM-CRW/05: Persiapan Awak Kapal Turun dari Atas Kapal
 SOP/PKDM-HSE/02: Inspeksi Rutin Kapal
 SOP/PKDM-HSE/03: Pelatihan Keadaan Darurat di Kapal
 SOP/PKDM-HSE/04: Penyelidikan dan Pelaporan Kejadian Kecelakaan
 SOP/PKDM-HSE/06: Penilaian Resiko
 SOP/PKDM-HSE/09: Pengelolaan Sampah dan Limbah

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

3.2. Provide Bidder Plan Maintenance System (PMS) record of OFFERED vessel.

Answer
Please see attachment 3.2:
 SOP/PKDM-TKN/01: Perawatan Dan Perbaikan Kapal
 Plan Maintenance System
 Perawatan & Perbaikan Kapal

HSE 04 – Risk Management

4.1. Provide Procedure and evidence of APPROVED Hazard Identification and Risk Assessment as
per Scope Of Work (JRA shall include the Personnel In Charge).

Answer
Please see attachment 4.1:
 SOP/PKDM-HSE/06: Penilaian Resiko
 Risk Assessment

HSE 05 – Respect for Environment

5.1. Provide waste management procedure (covering identification, classification, minimization and
disposal) and evidence of implementation on the offered vessels.

Answer
Please see attachment 5.1:
 SOP/PKDM-HSE/09: Pengelolaan Sampah Dan Limbah
 Laporan Catatan Pembuangan Sampah

5.2. Provide statement letter to incorporate with authorized 3rd party hazardous waste handler prior
mobilization of the contract OR current existing 3rd party hazardous waste handler.

Answer
Please see attachment 5.2:
 Kerjasama Badan Pengumpul & Pengangkutan Limbah B3
 Manifest Limbah B3

HSE 06 – Safeguarding of Health

6.1. Provide procedure regarding Medical Check Up (MCU) and monitoring of the validity.

Answer
Please see attachment 6.1:
 SOP/PKDM-HSE/07: Kebersihan Industri – Point 5.1. Medical Check Up (MCU)
 Monitoring Medical Check Up
 Medical Check Up

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

6.2. Provide procedure regarding PPE Zone Area on board vessel, standard specification PPE
provided including the procedure of inspection of PPE condition (number and quality) on sites.

Answer
Please see attachment 6.2:
 SOP/PKDM-HSE/05: Penggunaan Alat Pelindung Diri (APD)
 Matrik PPE
 Tanda Terima PPE
 Foto Crew Bekerja Menggunakan PPE
 Laporan Inspeksi PPE

6.3. Provide procedure regarding hygiene inspection of vessel or crew accommodation / camp and
evidence of its implementation.

Answer
Please see attachment 6.3:
 SOP/PKDM-HSE/07: Kebersihan Industri
 Laporan Pemeriksaan Kebersihan/Kesehatan
 Pengukuran Kebisingan dan Pencahayaan

6.4. Provide alcohol and drugs procedure and its implementation.

Answer
Please see attachment 6.4:
 SOP/PKDM-HSE/08: Prosedur Drug Dan Alcohol Test
 Surat Pernyataan Kesehatan, Drug Dan Alcohol Test
 Pelaksanaan Alcohol Test
 Hasil Test Narkoba

6.5. Provide procedure regarding protocol of prevention & treatment COVID-19, including its
socialization & implementation

Answer
Please see attachment 6.5 :
 SOP/PKDM-HSE/16: Prosedur Pencegahan dan Penanganan Covid-19
 Komitmen Pencegahan dan Penanggulangan Covid-19
 Emergency Response Covid-19
 Upaya-upaya Pencegahan Covid-19 Di Kantor & Kapal
 Rapid Test

HSE 07 – Contractors and Suppliers

7.1. Provide procurement procedure include its flow chart.

Answer
Please see attachment 7.1:

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

 SOP/PKDM-PNL/02: Seleksi dan Evaluasi Supplier

7.2. Provide supplier qualification and evaluation system in place completed with evidence of its
implementation.

Answer
Please see attachment 7.2:
 Seleksi Supplier
 Evaluasi Supplier

HSE 08 – Competency and Training

8.1. Provide Company corporate procedure for Employee selection and induction program (for
Office and Sea Going Staff) include its implementation.

Answer
Please see attachment 8.1:
 SOP/PKDM-CRW/ 01: Proses Penerimaan Awak Kapal
 SOP/PKDM-CRW/02: Induction Awak Kapal
 Proses Penerimaan Awak Kapal
 Bukti Pelaksanaan Sosialisasi Awak Kapal

8.2. Provide Company corporate procedure for Certification, HSE Training and Technical training
Matrix for Office and Sea Going staff include its realization (% of achievement).

Answer
Please see attachment 8.2:
 SOP/PKDM-HRG/02: Proses Pelatihan dan Evaluasi Karyawan
 Matrik Pelatihan
 Program Training Tahunan
 Kartu Pelatihan
 Sertifikat Training

HSE 09 – Emergency preparedness

9.1 Provide Company Emergency Response Plan completed with contact number for emergency
response.

Answer
Please see attachment 9.1:
 Emergency Response Plan
 Emergency Contact List
 Perjanjian Kerjasama Rumah Sakit

9.2 Provide the procedure and evidence of Emergency Response Plan implementation (drill &
exercise on board vessel and office).

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

Answer
Please see attachment 9.2:
 SOP/PKDM-HSE/03: Pelatihan Keadaan Darurat di Kapal
 SOP/PKDM-HSE/15: Penanggulangan Situasi Darurat Di Kapal
 SOP/PKDM-HSE/14: Latihan Penanggulangan Situasi Darurat Di Kantor
 Jadwal Pelatihan Di Kapal
 Emergency Drill Di Atas Kapal
 Emergency Drill Di Kantor

HSE 10 – Learning from Events

10.1 Provide sub-standard action or condition system (anomaly, stop card, yellow card, etc) on
board of the vessels and evidence of its implementation and follow up / status.

Answer
Please see attachment 10.1:
 Near Miss Report
 Kartu Cermat
 Kartu Observasi BBS

10.2 Provide procedure of incident investigation and evidence of its implementation and follow up
status. Scope of investigation report shall be corporate.

Answer
Please see attachment 10.2:
 SOP/PKDM-HSE/04: Penyelidikan Dan Pelaporan Kejadian Kecelakaan
 Laporan Kecelakaan & Investigasi
 HSE Safety Moment & Distribusi HSE Safety Moment

HSE 11 – Monitoring, Audit & Inspection

11.1. Provide Vessel inspection (Equipment, Fuel, Personnel) procedure and its implementation.

Answer
Please see attachment 11.1:
 SOP/PKDM-HSE/02: Inspeksi Rutin Kapal
 Laporan Inspeksi Kapal

11.2. Provide Company internal audit procedure, plan and evidence of its implementation (scope of
Audit shall be corporate - for on going and previous years).

Answer
Please see attachment 11.2:
 SOP/PKDM-MR/02: Internal Audit
 Email Pelaksanaan Internal Audit
 Jadwal Internal Audit
 Daftar Hadir dan MOM Opening Meeting

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal

 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

 Foto Opening Meeting Internal Audit

 Foto Pelaksanaan Internal Audit
 Internal Audit Check List
 Laporan Ketidaksesuaian
 Laporan Hasil Internal Audit

HSE 12 – Performance Improvement

12.1. Provide procedure of crew performance and its evaluation.

Answer
Please see attachment 12.1:
 SOP/PKDM-HRG/03: Penilaian Kinerja Karyawan
 Penilaian Awak Kapal dan Karyawan

12.2. Provide procedure of vessel performance and its evaluation.

Answer
Please see attachment 12.2:
 Penilaian Kapal

12.3. Provide incentive / reward (motivating) procedure for crew or vessel and evidence of its
implementation.

Answer
Please see attachment 12.3:
 SOP/PKDM-HRG/04 Penghargaan dan Sanksi
 Foto Pemberian Reward
 Bukti Pemberian Incentive

12.4. Company Certification (OHSAS 18001; ISO 14001, ISO 9001, ISM Code, etc) include its yearly
endorsement.

Answer
Please see attachment 12.4:
 Sertifikat ISO 9001:2015
 Sertifikat ISO 45001:2018
 Sertifikat Document of Compliance (DOC)

HSE 13 – Societal Commitment

13.1 Provide Corporate Societal Program and its realization.

Answer
Please see attachment 13.1:
 SOP/PKDM-HRG/07: Pemberian Donasi dan Sponsor
 Foto Pemberian Donasi
Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal
 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

13.2 Provide Company Sholarship or internship Program and its implementation.

Answer
Please see attachment 13.2:
 Kadet Magang

HSE 14 – Security
14.1 Provide Company Security or Compliance Program (Bribbery, Code of Conduct, Ship Security
Management) and its realization.

Answer
Please see attachment 14.1:
 SOP/PKDM-HSE/01: Penanganan Konflik Kepentingan
 Kebijakan Perusahaan Anti Korupsi
 Code of Conduct
 Speak Up
 Best Mentee Mentorship Program Total E&P Indonesie

HSE 15 – List of Must Have Requirement

15.1 Provide valid Document of Compliance (DOC) of ISM Code from Perhubungan Laut for this
SOW:
- Other Cargo Ship (Big Marine)
- Passenger Ship (Small Marine or Crew Boat)
DOC SHALL BE ENDORSED YEARLY

Answer

Please see attachment 15.1:

 Sertifikat DOC

15.2 Provide Copy / Scan of Offered Vessel:

- Gross Akte or PAS Besar or Surat Laut for Big Marine
- PAS Kecil or Surat Laut for Small Marine

Answer
Please see attachment 15.2:
 Pas Kecil

15.3 Only For bidder BIDDER NAME NOT STATED IN GROSS AKTE / SURAT LAUT / PAS KAPAL
(BIDDER NOT OWNING THE VESSEL):
Provide Pre-agreement between bidder and vessel owner including but not limited to HSSEQ
Management, Crew Management, Maintenance Plan and Document Management. All main
operational cost shall be under bidder responsibility (Bareboat charter).
Agreement between bidder and vessel owner shall be signed and stamped by both of Top
Management or Owner. Exclusive right shall be given by owner to 1 bidder only.
Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal
 HSE EVALUATION OF BIDDER
PHM Management System
Tender No.: DSPS000607-TAB Provision of Tug Boat Service B

Answer
Please see attachment 15.3:
 Pre-agreement

15.4 Overall corporate HSE statistic in the last 3 years (HSE performance record to be attached).

Answer
Please see attachment 15.4:
 HSE Performance
 Definisi

Pertamina Hulu Mahakam PT. Pelayaran Kanaka Dwimitra Manunggal