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CONTRACTOR : PT.

ADVANCED OFFSHORE SERVICES


ACCIDENT /
ILLNESS ENTITY RESPONSIBLE : PRJ / CST / OFF Contractor logo

WITNESS CONTRACT : TBA

FIRST AIDER/HSE
OFFICER

EMERGENCY CONTACT COMPANY CONTRACTOR VICTIM STABILIZATION


NUMBER REPRESENTATIVE REPRESENTATIVE

DIRECTOR 0811 9772 790


CDR DELTA TEAM
0812 2541 6521 PROJECT MANAGER 0812 8014 006

HSE MANAGER 0816 1854 600


CDR OFFSHORE TEAM
0812 542 3035 SITE COORDINATOR 0812 5310 060

MEDIVAC ? No TREATMENT ON SITE

SITE CONSTRUCTION
RSES
DOCTOR SUPERITENDENT
CONTRACTOR Yes
EMERGENCY
HCA 6253/ 0812 541 6182
NOTIFICATION INITIATE MEDIVAC PLAN
CPU 9202 / 0812 541 3150
PROCEDURE
COMPANY SBO SPU 8808 / 0812 543 8719 Validate MEDIVAC and Approve appropriate
NPU 8170 / 0812 541 6518 RSES
+ 62 542 53 3555 transportation/means
+62 811 543 930
DOD x
Decide Referenced Hospital.
COMMUNICATION
Ensure availability for sea/land transportation and
CTR
Referenced Hospital.
EMERGENCY
CONTACT NUMBER DOCTOR ON DUTY

BPN 3444 BPN 3111 / 0812.543.1111


CPU 9444 CPU 9111 / 0811.540.9904
NPU 8444 NPU 8111 / 0811.540.9905
SPU 4444 Sea Transportation Helicopter [COMPANY]
SPU 4111/ 0811.540.8993
CPA 7444 [CTR or CPY] Handover point @ Sepinggan Airport
CPA 7111 / 0811.545.802
SPS 5444 SPS 5111
BKP 2444 BKP 2111
Unt uk Menghubungi Nom or E xtension da ri luar jaringa n PT. Pertam ina Hulu Mahakam Ambulance [Provided by CONTRACTOR]
Dial / Tekan +62 542 53 xxxx (nomor extension)

RUMAH SAKIT BALIKPAPAN (0542) 734020


RSUD AJI AGUNG DEWA SAKTI (0542) 7215367 HOSPITAL
Rumah Sakit
KLINIK MAJU SEJAHTERA (0541) 691891
Rekanan

NOMOR PENTING ACTION


CONTRACTOR : PT. ADVANCED OFFSHORE SERVICES
GAS LEAK, FIRE/
EXPLOSION, OIL ENTITY RESPONSIBLE : PRJ / CST / OFF Contractor logo
SPILL CONTRACT : TBA
WITNESS/HSE OFFICER

Cari ALARM Terdekat

EMERGENCY CONTACT COMPANY CONTRACTOR


NUMBER REPRESENTATIVE REPRESENTATIVE

DIRECTOR 0811 9772 790 STOP THE JOB


CDR DELTA TEAM
0812 2541 6521 PROJECT MANAGER 0812 8014 006

HSE MANAGER 0816 1854 600


CDR OFFSHORE TEAM
0812 542 3035 SITE COORDINATOR 0812 5310 060

CONSTRUCTION MUSTERING
SITE ERT RSES
SUPERITENDENT
CONTRACTOR
EMERGENCY
HCA 6253/ 0812 541 6182
NOTIFICATION
CPU 9202 / 0812 541 3150
PROCEDURE
COMPANY SBO SPU 8808 / 0812 543 8719
+ 62 542 53 3555 NPU 8170 / 0812 541 6518 ERT EXTINGUISHx THE FIRE
+62 811 543 930 (If Possible and SAFE)
Or
COMMUNICATION Monitor the Fire/Spill/Leak until
COMPANY Assistance Arrive on Site
EMERGENCY
CONTACT NUMBER DOCTOR ON DUTY

BPN 3444 BPN 3111 / 0812.543.1111


CPU 9444 CPU 9111 / 0811.540.9904 DECLARE SAFE CONDITION
NPU 8444 NPU 8111 / 0811.540.9905 Or
SPU 4444 SPU 4111/ 0811.540.8993 Evacuation / Abandon
CPA 7444 CPA 7111 / 0811.545.802
SPS 5444 SPS 5111
BKP 2444 BKP 2111
Unt uk Menghubungi Nom or E xtension da ri luar jaringa n PT. Pertam ina Hulu Mahakam
Dial / Tekan +62 542 53 xxxx (nomor extension)

NOMOR PENTING ACTION


CONTRACTOR : PT. ADVANCED OFFSHORE SERVICES

SECURITY THREAT ENTITY RESPONSIBLE : PRJ / CST / OFF Contractor logo

CONTRACT : TBA

WITNESS/HSE OFFICER

EMERGENCY CONTACT COMPANY CONTRACTOR


NUMBER REPRESENTATIVE REPRESENTATIVE

DIRECTOR 0811 9772 790


CDR DELTA TEAM
0812 2541 6521 PROJECT MANAGER 0812 8014 006

HSE MANAGER 0816 1854 600


CDR OFFSHORE TEAM
0812 542 3035 SITE COORDINATOR 0812 5310 060

CONSTRUCTION
SECURITY RSES
SUPERITENDENT
CONTRACTOR
EMERGENCY
HCA 6253/ 0812 541 6182
NOTIFICATION Monitor the condition and waiting
CPU 9202 / 0812 541 3150
COMPANY SBO SPU 8808 / 0812 543 8719
PROCEDURE for COMPANY Asssitance
+ 62 542 53 3555 NPU 8170 / 0812 541 6518 x
+62 811 543 930

COMMUNICATION

EMERGENCY
CONTACT NUMBER SECURITY

BPN 3444 BPN 3333


CPU 9444 CPU 9333 or 9565
NPU 8444 NPU 8333 or 8116
SPU 4444 SPU 8846
CPA 7444 CPA 6212 HDL 7106
SPS 5444 SPS 5333
BKP 2444 BKP 5929
Unt uk Menghubungi Nom or E xtension da ri luar jaringa n PT. Pertam ina Hulu Mahakam
Dial / Tekan +62 542 53 xxxx (nomor extension)

NOMOR PENTING ACTION


CONTRACTOR : PT. ADVANCED OFFSHORE SERVICES
SUSPECT
COVID 19 ENTITY RESPONSIBLE : PRJ / CST / OFF Contractor logo

WITNESS CONTRACT : TBA

FIRST AIDER/HSE
OFFICER

EMERGENCY CONTACT COMPANY CONTRACTOR SUSPECT STABILIZATION / RESULT BY


NUMBER REPRESENTATIVE REPRESENTATIVE RAPID TEST

DIRECTOR 0811 9772 790


CDR DELTA TEAM
0812 2541 6521 PROJECT MANAGER 0812 8014 006

HSE MANAGER 0816 1854 600


CDR OFFSHORE TEAM
0812 542 3035 SITE COORDINATOR 0812 5310 060
QUARANTINE ON
MEDIVAC ? No
BOARD VESSEL
SITE CONSTRUCTION
RSES
DOCTOR SUPERITENDENT
CONTRACTOR Yes
EMERGENCY
HCA 6253/ 0812 541 6182
NOTIFICATION INITIATE MEDIVAC PLAN
CPU 9202 / 0812 541 3150
PROCEDURE
COMPANY SBO SPU 8808 / 0812 543 8719 Validate MEDIVAC and Approve appropriate
NPU 8170 / 0812 541 6518 RSES
+ 62 542 53 3555 transportation/means
+62 811 543 930
DOD x
Decide Referenced Hospital.
COMMUNICATION
Ensure availability for sea/land transportation and
CTR
Referenced Hospital.
EMERGENCY
CONTACT NUMBER DOCTOR ON DUTY

BPN 3444 BPN 3111 / 0812.543.1111 Sea Transportation


CPU 9444 CPU 9111 / 0811.540.9904 [CTR or CPY]
NPU 8444 NPU 8111 / 0811.540.9905
SPU 4444 SPU 4111/ 0811.540.8993
CPA 7444 CPA 7111 / 0811.545.802
SPS 5444 SPS 5111 Ambulance [Provided by CONTRACTOR]
BKP 2444 BKP 2111
Unt uk Menghubungi Nom or E xtension da ri luar jaringa n PT. Pertam ina Hulu Mahakam
Dial / Tekan +62 542 53 xxxx (nomor extension)

RUMAH SAKIT BALIKPAPAN (0542) 734020


RSUD AJI AGUNG DEWA SAKTI (0542) 7215367 HOSPITAL
Rumah Sakit
KLINIK MAJU SEJAHTERA (0541) 691891
Rekanan

NOMOR PENTING ACTION

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