Numeric Code : Company Form (QHSE & ISM) PT.

SILLO MARITIME PERDANA Tbk

No. Folder Judul / Elemen / Form Number

1 POLICY · VISI MISI / Vision Mision

2 · KEBIJAKAAN KUALITAS / ISO-9001 Policy

3 · KEBIJAKAAN QHSE / QHSE Policy
4 · KEBIJAKAAN ANTI KORUPSI / Anti Corruption Policy
5 · KEWENANGAN MENGHENTIKAN OPERASI / Stop Work Authority Statement
6 · SURAT EDARAN SMP-L-377 / Sillo Management Letter

7 · KEBIJAKAN ANTI OBAT TERLARANG, ALCOHOL & PERJUDIAN / Anti Drugs, Alcohol & Gamb Policy

8 · KEBIJAKAAN MENGEMUDI / Driving Policy

9 LEGAL DAFTAR PERATURAN & PER UNDANGAN2 AN PERUSAHAAN / Company Legal Register

10 SOP-01 TANGGUNG JAWAB QHSE /QHSE Management Responsibility - Organization Chart PT. SMP
11 SOP-02 RAPAT QHSE / Safety Meeting
12 SOP-03 KUNJUNGAN MANAJEMEN / Management Visit
13 SOP-04 MANAJEMEN PERUBAHAN / Management of Change
14 SOP-05 INDIKATOR KINERJA QHSE / Key Performance Indicator
15 SOP-06 PROGRAM ORIENTASI KESELAMATAN & UMUM /Safety Induction Program
16 SOP-07 PENERIMAAN, PENEMPATAN & KOMPETENSI KARYAWAN/ Employee Hiring,Placement & Competency
17 SOP-08 PROGRAM PELATIHAN / Training
18 SOP-09 PROGRAM PENGHARGAAN KESELAMATAN / QHSE Reward
19 SOP-10 PROSEDUR PELAPORAN KEJADIAN QHSE, NEARMISS ANOMALY /QHSE Reporting Procedure
20 SOP-11 ALAT PELINDUNG DIRI /Personal Protective Equipment
21 SOP-12 PROSEDUR PENYELIDIKAN DAN ANALISA QHSE / Incident Investigation
22 SOP-13 PENGATURAN TEMPAT KERJA / Housekeeping
23 SOP-14 PEMERIKSAAN KESEHATAN / Medical Check Up
24 SOP-15 IDENTIFIKASI BAHAYA DAN PENILAIAN RESIKO / HIRADC
25 SOP-16 ANALISA KESELAMATAN KERJA /Job Safety Analysis
26 SOP-17 BONGKAR MUAT LIMBAH B3 KAPAL CARGO - SUPPLY VESSEL / Hazardous Material Handling
27 SOP-18 PROSEDUR INTERNAL AUDIT /Audit
28 SOP-19 PERBAIKAN, PEMELIHARAAN & DRY DOCKING / PMS
29 SOP-20 RENCANA TANGGAP DARURAT / ERP

30 ERP PT. Sillo Maritime Perdana - Contact List

31 FSO CNOOC 114 - ERP
32 HT. Ina Permata.1 & HT. Ina Permata.2 - ERP
33 Sillo Office ERP - Sillo Crisis Center

34 F-VSL-SMP F-VSL-001-QHSE-SMP Attendance List

35 F-VSL-002-QHSE-SMP Tool Box Meeting
36 F-VSL-003-QHSE-SMP Fire Fighting Equipment Checklist
37 F-VSL-004-QHSE-SMP Life Boat Equipments Inspection Checklist
38 F-VSL-005-QHSE-SMP Garbage Disposal Log
39 F-VSL-006-QHSE-SMP Hot Work Permit.

40 F-VSL-007-QHSE-SMP Working at Height Permit.

41 F-VSL-008-QHSE-SMP Confined Entry Space Permit.
42 F-VSL-009-QHSE-SMP Equipment Defect Failure
43 F-VSL-010-QHSE-SMP Officer Daily Report
44 F-VSL-011-QHSE-SMP Job Safety Analysis
45 F-VSL-012-QHSE-SMP Declaration Training on Board
46 F-VSL-013-QHSE-SMP Vessel Monthly Inspection
47 F-VSL-014-QHSE-SMP Vessel Documents Inspection Checklist
48 F-VSL-015-QHSE-SMP Unsafe Condition Report
49 F-VSL-016-QHSE-SMP Pre Towing Check List.
50 F-VSL-018-QHSE-SMP Laporan Serah Terima Perwira (Handover)
51 F-VSL-019-QHSE-SMP Checklist Familiarisasi Rating
52 F-VSL-020-QHSE-SMP Daftar Pengechekan Bahan Bakar
53 F-VSL-021-QHSE-SMP Formulir Latihan Diatas Kapal
54 F-VSL-022-QHSE-SMP Izin Kerja
55 F-VSL-023-QHSE-SMP Anjungan : Check List Kedatangan
56 F-VSL-024-QHSE-SMP Daftar Pengechekan Sebelum Berlayar
57 F-VSL-025-QHSE-SMP Daftar Pengechekan Pra Towing
58 F-VSL-026-QHSE-SMP Daftar Pengechekan Penanganan Pra Lego Jangkar (4 hal)
59 F-VSL-027-QHSE-SMP Daftar Pengechekan Rencana Lintasan
60 F-VSL-028-QHSE-SMP Standing Entry Into Offshore Facility 500 Mtr Zone
61 F-VSL-029-QHSE-SMP Near Miss Report
62 F-VSL-030-QHSE-SMP One Month Notice

63 F-VSL-DRL F-VSL-DRL-001 QHSE-SMP Fire Dril

64 F-VSL-DRL-002 QHSE-SMP Enclosed Space Evacuation Drill
65 F-VSL-DRL-003 QHSE-SMP Explosion Drill.
66 F-VSL-DRL-004 QHSE-SMP Abandon Ship Drill.
67 F-VSL-DRL-005 QHSE-SMP Man Over Board Drill.
68 F-VSL-DRL-006 QHSE-SMP Injury Personal Sickness Drill.

69 F-VSL-DRL-007 QHSE-SMP Oil Spill Prevention Drill

70 F-VSL-DRL-008 QHSE-SMP Rudder Failure Drill
71 F-VSL-DRL-009 QHSE-SMP Safety Equipment Demo Drill.
68

72 F-GEN-SMP F-GEN-001 QHSE-SMP Audit Finding Closed Out Tracking

73 F-GEN-002 QHSE-SMP Internal Memo
74 F-GEN-003 QHSE-SMP Laporan Pemeriksaan Kendaraan
75 F-GEN-004-QHSE-SMP Customer Satisfaction Form
76 F-GEN-005 QHSE-SMP Audit Plann
77 F-GEN-006 QHSE-SMP Medical Record for Employee

78 F-GEN-007 QHSE-SMP Management Visit Report

79 F-GEN-008 QHSE-SMP Internal Audit Report.
80 F-GEN-009 QHSE SMP Monthly Vehicle Checklsit
81 F-GEN-010 QHSE SMP NC Report Revisi.
82 F-GEN-011 QHSE SMP Non Conformance Register
83 F-GEN-012 QHSE-SMP Prejoining Familiarization Checklist
84 F-GEN-013 QHSE-SMP ………………
85 F-GEN-014 QHSE-SMP Safety Meeting On Board

86 F-OFC-SMP F-OFC-001-QHSE-SMP Customer Property Form

87 F-OFC-002-QHSE-SMP Customer Satisfaction Form
88 F-OFC-003-QHSE-SMP Document Change Request Form
89 F-OFC-004-QHSE-SMP Employee Appraisal Form
90 F-OFC-005-QHSE-SMP Internal Audit Offc Checklist.
91 F-OFC-006-QHSE-SMP Supplier Evaluation.

92 F-OFC-007-QHSE-SMP Office Induction Form

93 F-OFC-008-QHSE-SMP Management Review Meeting
94 F-OFC-009-QHSE-SMP Internal Office Meeting
95 F-OFC-010-QHSE-SMP Training Course Evaluation Form
96 F-OFC-011-QHSE-SMP Publication Checklist.
97 F-OFC-012-QHSE-SMP Visitor Checklist
98 F-OFC-013-QHSE-SMP Approved Suppliers List
99 F-OFC-014-QHSE-SMP Monthly Inspection Document
100 F-OFC-015-QHSE-SMP Safety Meeting K3 office

101 F-PMS-SMP F-PMS-001-FUEL-SMP Fuel Consumption & Tank Gauging - HT.Ina Permata.1

102 F-PMS-002-FUEL-SMP Fuel Consumption & Tank Gauging - HT.Ina Permata.2

103 F-PMS-003-FUEL-SMP Fuel Consumption & Tank Gauging - CB. Ina Sela
104 F-PMS-004-FUEL-SMP Fuel Consumption & Tank Gauging - HT.Ina Permata.2
105 F-PMS-005-FUEL-SMP Fuel Consumption & Tank Gauging - HT.Ina Waka

106 SM-01 MANAJEMEN UMUM KAPAL / Ship Management --- Fleet Organization Chart
107 SM-02 PROSEDUR PROSEDUR ANJUNGAN KAPAL / Bridge Procedure
108 SM-03 PROSEDUR PROSEDUR RUANG MESIN / Engine Room Procedure
109 SM-04 PROSEDUR PROSEDUR KATERING / Catering Procedure
110 SM-05 PROSEDUR PROSEDUR DEK / Deck Procedure
111 SM-06 PROSEDUR MUATAN TERMASUK OPERASIONAL TANKER / Cargo & Tanker Operasional Procedure
112 SM-07 ASPEK ASPEK K3LL / QHSE Aspects --- Form & Checklist
113 SM-08 PERSIAPAN KEADAAN DARURAT / Emergency Response Plan -- Form & Checklist
114 SM-09 PROSEDUR TOWING & ANCHOR HANDLING / Towing & Anchor Handling
115 SM-10 OPERASIONAL CREW BOAT / Crew Boat Operasional
116 SM-11 RECORD & LAPORAN / Record , Filing and Reporting System --- Form & Checklist
Note