Emergency Response Plan

AIM PROJECT
Civil Works, Pipe Rack

Installation And piping
This Document has been generated by Electronic Document Management System. When it is printed,
it shall be considered as “For information only copy”. The controlled copy is the screen version, and
thus, it is the holder’s responsibility to make sure that he/she holds the latest valid version”
EMERGENCY RESPONSE PLAN
HSE SUPERITENDENT MTI HSE COORDINATOR PROJECT MANAGER
Rev. Status Date Revision memo Issued by Checked by COMPANY Approval

Document number
CONTRACT NO.:
EMERGENCY RESPON PLAN
Revision : 0 Status : IFA
Document Type : PLN System/Subsystem : 0 Discipline : HSE Revision Date :
Contractor Document : PT. AGI PERKASA KONSTRUKSI Page
REVISION TABLE
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24 EXHIBITS
25 REVISIONS
EXHI. PAGES REMARKS
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This document is the property of PT AGI PERKASA KONSTRUKSI and shall not be disclosed to third parties or reproduced without permission of the COMPANY
Electronic Filename:
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TABLE OF CONTENT
REVISION TABLE ----------------------------------------------------------------------------------- 2

1. SCOPE OF WORK ----------------------------------------------------------------------------- 6
2. REFERENCES -------------------------------------------------------------------------------- 6
3. DEFINITIONS AND ABBREVIATIONS ------------------------------------------------------ 6
4. PT. AGI PERKASA KONSTRUKSI HSE POLICY STATEMENT --------------------------- 6
3.1 PT. AGI PERKASA KONSTRUKSI --------------------------------------------------- 6
3.2 Management ------------------------------------------------------------------------ 6
3.3 Employees -------------------------------------------------------------------------- 6
5. PT. AGI PERKASA KONSTRUKSI DRUGS AND ALCOHOL POLICY--------------------- 7
6. PT. AGI PERKASA KONSTRUKSI HSE GOALS ---------------------------------------------8
7. ORGANIZATION AND RESPONSIBILITIES -------------------------------------------------8
7.1 HSE Organization Chart ------------------------------------------------------------8
7.2 Project Organization Chart --------------------------------------------------------8
7.3 PT. AGI PERKASA KONSTRUKSI Responsibilities ---------------------------------8
8. HSE IMPROVEMENT PLAN ------------------------------------------------------------------12
8.1 HSE Activities When Hazard Occurs On Work ----------------------------------12
8.1.1 Employee Reporting Hazard ------------------------------------------------12
8.1.2 HSE Meetings -----------------------------------------------------------------12
8.1.3 Communication of HSE Information ---------------------------------------14
8.2 Evaluation of Project, Work Process and Facilities ----------------------------14
8.3 Evaluation of Procedure Equipment, Materials and Services -----------------14
8.4 Training Coverage ------------------------------------------------------------------14
8.5 Safeguarding of Health (Medical Fitness) ---------------------------------------15
8.5.1 Medical Fitness and Controlling -------------------------------------------15
8.5.2 Medical Support and Communication on Site ----------------------------15
8.5.3 Industrial Hygiene -----------------------------------------------------------15
8.5.4 Medical Screening -----------------------------------------------------------16
8.6 Environment Program --------------------------------------------------------------16
8.7 Waste Management Program ------------------------------------------------------16
8.8 MSDS Program -----------------------------------------------------------------------16
9. FORESEEN HAZARD ON THE PROJECT --------------------------------------------------16
9.1 Foreseen Hazards Summary -------------------------------------------------------17
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9.2 Fire and Gas Detection ------------------------------------------------------------17
9.3 Hazard Identification---------------------------------------------------------------18

9.4 Job Safety & Environment Assessment ------------------------------------------18
9.5 Risk Mitigation ----------------------------------------------------------------------18
10. INSPECTION, AUDIT AND CORRECTIVE ACTION ----------------------------------------19
11. HEALTH AND SAFETY MANAGEMENT COMMITEES -------------------------------------20
11.1 Project Safety Management Committee -----------------------------------------20
11.2 Health and Safety Representative------------------------------------------------20
12. HEALTH AND SAFETY INFORMATION AND TRAINING ---------------------------------20
12.1 Health and Safety Information ----------------------------------------------------20
12.2 Health and Safety Training --------------------------------------------------------20
13. MONTHLY AND HEALTH SAFETY REPORT-----------------------------------------------21
13.1 Project Safety Awards and Intensive Scheme’s-------------------------------------- 21
13.2 Injury, Dangerous Occurrence and Accident Reporting -----------------------21
13.3 Incident/ Injury Report ------------------------------------------------------------21
13.4 Accident and Near-miss Recording -----------------------------------------------22
13.5 Incident/ Injury Investigation -----------------------------------------------------22
13.6 First Aid ------------------------------------------------------------------------------22
14. EMERGENCY PROCEDURE ------------------------------------------------------------------23
14.1 Safe Working Procedures ----------------------------------------------------------24
15. PERSONAL PROTECTIVE EQUIPMENT ----------------------------------------------------24
15.1 Safety Helmet -----------------------------------------------------------------------25
15.2 Eye Protection ----------------------------------------------------------------------25
15.3 Hearing Protection -----------------------------------------------------------------25
15.4 Respiratory Protection -------------------------------------------------------------25
15.5 Fall Protection ----------------------------------------------------------------------25
15.6 Foot Protection ---------------------------------------------------------------------26
15.7 Gloves --------------------------------------------------------------------------------26
15.8 Working Clothes ---------------------------------------------------------------------26
16. WORKING WITHIN CONFINED SPACES ---------------------------------------------------26
16.1 Welding and Fabrication -----------------------------------------------------------27
16.2 Work in Live Area -------------------------------------------------------------------28
16.3 Dissimilar Trades Working in Live areas -----------------------------------------28
17. CONSTRUCTION PLANT, SMALL TOOLS (INCLUDING CARTRIDGES TOOLS) AND
MISCELLANEIOUS EQUIPMENT ........................................................................................ 28
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17.1 Crane and Lifting Equipment ----------------------------------------------------29
17.2 Steel Slings -------------------------------------------------------------------------30

17.3 Storage of Slings, Chains, Shackles and Hooks --------------------------------30
17.4 Lifting Operations -----------------------------------------------------------------31
18. CONTROL OF SUBTANCES HAZARDOUS TO HEALTH (COSHH)-----------------------31
18.1 Noise---------------------------------------------------------------------------------31
18.2 Hygiene -----------------------------------------------------------------------------31
18.3 Alcohol and Drugs -----------------------------------------------------------------32
19. FIRE PROTECTION, PREVENTION AND CONTROL --------------------------------------32
19.1 Fire Protection ---------------------------------------------------------------------32
19.2 Fire Precaution---------------------------------------------------------------------33
20. STORAGE OF FLAMMABLE LIQUIDS AND SUBTANCES ----------------------------------32
21. SITE OFFICE, STORES, WORKSHOPS AND LIVING ACCOMODATION ---------------- 33
21.1 Store Facilities ---------------------------------------------------------------------34
22. WORKING PATTERNS AND REST PERIODS -----------------------------------------------35
23. VISITORS --------------------------------------------------------------------------------------35
24. DISCIPLINARY PROCEDURES ---------------------------------------------------------------36
25. MANAGEMENT OF CHANGE MONITORING -----------------------------------------------36
26. SUB-PT. AGI PERKASA KONSTRUKSI MANAGEMENT -----------------------------------36
27. ATTACHMENT --------------------------------------------------------------------------------37
ATTACHMENT A: HSE POLICY-------------------------------------------------------------38
ATTACHMENT B: DRUGS AND ALCOHOL POLICY ---------------------------------------39
ATTACHMENT C: HSE ORGANIZATION CHART ------------------------------------------40
ATTACHMENT D: PROJECT ORGANIZATION CHART ------------------------------------41
ATTACHMENT E: KEY PERFORMANCE INDICATOR PROGRAM -------------------------42
ATTACHMENT F: SAFETY TALK SCHEDULE ----------------------------------------------43
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1. INTRODUCTION
This procedure details emergency contingency plan for this job site. Personnel involve in the
emergency procedure shall have an adequate training and practices to be carried out on
regular basis.
2. GOLDS AND SCOPE
This procedure has specific elements that detail emergency procedure to protect, minimize
impact of personal injuries or loss of assets. This document applies for activities of CIVIL
WORKS AND PIPE-RACK INSTALLATION.
3. REFERENCE
a. COMPANY PROCEDURE
1) Medical Emergency Response Plan
2) 596-HSE-PR004 AIM Emergency Preparedness and Response Procedure
b. CONTRACTOR PROSEDURE
HSE Manual (HSE Requirments Point 4.13- Emergency Preparedness)
4. ABBREVATION
a. PM : Project Manager
b. HSE : Health Safety & Environment
c. Medevec : Medical Evacuation
d. AIM : South Processing Unit
e. ERP : Emergency Response Plan
f. CPY : Company - PT. MERDEKA MINING SERVIS
g. CTR : Contractor - PT. AGI PERKASA KOSNTRUKSI
h. ERT : Emergency Response Team
5. AUTHORIZATION OF RESPONSIBILITIES
a. COMPANY
1) Project Manager (PM)
PM is responsible for :
Facilitating the necessary transportation maens For Medevac when needed
2) CPY Construction Supervisor
Responsible to ensure all works delivered by CTR in safety manner. Perform
good reporting to CPY CONSTRUCTION Superintendent. In case of emergeny,
CPY Supervisor is responsible to communicate the incident happened to CPY
superintendent and site authorities. CPY CONSTRUCTION supervisor must
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ensure all contractor action have been done referring to project bridging ERP.
CPY Supervisor is a responsible to ensure emergency drill or exercise
performed regularly (monthly). He shall responsible to monitor the injuries
person is evacuated in safe manner.
b. CONTRACTOR
1) Contractor Respresentative/PJO
In case of emergency, The Contractor Representative and/or PJO have the same
responsibilities. They have the entire responsibility to initiate a Medevac after
consultation with the Medic on site. They also have a responsibility communicated
authority family injury person (IP)/victim, media and other relevant parties.
PJO/contractor representative mostly stationed at site office.
RESPONSIBILITIES ACTIVITIES
1. Overall implementation and regular 1. Provision of adequate emergency
review of the Emergency Response resources to the ERT
Plan. 2. Notification of Emergency Response
2. Make a decision, based on the situations to CPY and CTR
severity of the emergency, to initiate Management
the Medevac Procedure.
2) CHR HSE Coordinator

The CTR HSE Coordinator (mostly stationed at yard) is accountable to the Contractor
Representative and/or PJO for the following and activities oncerning emergency
response.
1. Implementation, coordination and 1. Organize initial and ongaing refresh
review of the Emergency Response training in:
Plan and Procedures. a. PPE Usage
2. Ensure adequate Personal Protective b. Fire Fighting
Equipment (PPE) devoted to the c. First Aid
project d. Emergency Response
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3. Establishment, training and 2. Conduct regular drills of emergency
perfomence of the Emergency response procedures and resources
Response Team (ERT) 3. Assint in incident/injury
4. Coordinate medical evacuation of investigations, prepare major
personnel from site according to the incident/injury reports and notify
information given by the medic. relevant authorities
5. Advise MERDEKA MINING SERVIS and 4. Maintain information boards that
relevant authorietes of details of outline emergency response
incidents accurring on work project procedure
area.
3) CTR Emergency Response Team Leader

The Emergency Response Team (ERT) Leader is accountable to CTR Management for
the following responsibilities and activities concerning emergency response. The ERT
leader is according to the emergency situation. Leader will be normally the
supervisor in charge of the operation. List of ERT is available on site.
1. Mobilize and coordinate the ERT 1. Maintain a personal log of events
members in the event of site 2. Liaison and coordinate response
emergencies activities
2. Maintain communication and regular
briefing CTR Management
4) CTR Superintendent OR Supervisior

All Superintendent or Supervisor is accountable to CTR Management for the proper
performance of all persons under their supervision during emergencies
1. Compliance of all personnel to thr 1. Investigate within their area control
emergency response procedure incident/injuries
2. Barricade of any incident/injury 2. Notify radio operator of any
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locations emergency situation
5) All Personnel
All project personnel are accountable to their appropriate managers for the following
responsibilities, accountabilities and assignment of activities concerning emergency
response.
1. Participate in the adhere to 1. Participate in emergency drills and
emergency response procedure training applicable to ERP
2. Reporting of all incident/injury to 2. Stop all work and the make
immediate supervisor and medic equipment inactive following and
emergency shutdown
6. ORGANIZATION EMERGENCY RESPONSE TEAM ON SITE

a. LEADER MAN/COMMANDER
1) Determine and decide on the Company's Emergency Response Plan
2) Invite the participation of all employees to involve on emergency response exercises
at working location.
3) Issued schedule regular and non-routine meeting of the Emergency Response Plan
4) Develop an emergency recovery plan
5) Leads the Emergency Response Team during emergency responses
6) Review the performance of all Emergency Response Team members during exercise
7) Lead evacuation procedures safely and quickly
b. FIRE FIGHTING TEAM
1) Establish fire fighting using all firefighter’s equipment with safely and effectively.
2) Report any deficiencies/ damage to firefighting and infrastructure to leader man or
Commander ERT.
c. EVACUATION TEAM
1) Accounting total personnel on board at muster point
2) As sweeper man when realize that personnel uncompleted at muster point
3) Report any deficiencies/damage to firefighting facilities and infrastructure
4) Reporting or casualties, trapped or injured to leader men of Commander
5)
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d. FIRST AID TEAM
1) First aid treatment
2) Reporty any deficiency/damage to first aid facilities and infrastructure to leader
man or Commander
3) Report to leader man or Commander when decide to send victim/patient to clinic
or hospital.
e. RESPONSIBILITY OF ERT MEMBER
1) Ensuring that all emergency response team members are assigned duties and
understand all emergency procedures.
2) Working with other emergency response team member to evaluate an and
emergency
3) Ensuring proper emergency communication
4) Delegating needed emergency actions
7. GENERAL EMERGENCY RESPONSE PLAN
This "General Emergency Plan" addresses emergencies involving construction activities:
a. Construction and support emergencies
b. Medical emergencies, and
c. General medical services and evacuations
Hospital medical support having a written agreement to provide fully medical assistance
to receive, care and cure of injury or illness employee are:
a. IMIP CLINIK
1) All emergency case(s) must be informed to CPY through SITE Emergency Phone
number and Clinic Office.
2) An effective communicator to answer the dedicated emergency telephone number
or radio channel in English or Bahasa Indonesia.
3) Emergency response team to do intervention to the injured person, secure the area
from any potential cause for secondary injuny, or other emergency situation
(equipment damage, fire or oil spill).
4) In injury or illness case, paramedic to respond the injured person before any attempt
to transport of injured person to site clinic. This is to prevent more severe to the
injured person.
5) CONTRACTOR provides Portable Fire Extinguisher unit throughout the construction
area where potential fire accident may exist.
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6) List of Site Emergency Response Team to be developed and maintained. Personnel
on the team shall report to HSE Coordinator before leave job site for appointment
of replacement and necessary training requires performing the assignment.
8. ALERT & NOTIFICATION PROCESS
Medic will prepare the patient to Medevac from the site to Medical Facility; the following
actions will be taken:
a. Contact with Contractor Management
b. Following the Medevac flow chart in Appendix A
HOW TO ALERT
Communication via telephone or Hand phone (See appendix C for details)
Information To Be Provided case of emergency
a. Name Of Patient
b. Nationality Of Patient (If Not National Personnel)
c. Location Of Patient
d. Brief Medical description
e. Nama and Location Of Celler
9. RESPON TO HANDLE SCENARION POTENTIAL
a. Injuries and Illness
If immobilized, the injured or ill employees will be initially treated by a qualified
paramedic. General injury or illnesses cases will be treated at the Site Clinic; the
incidents shall be reported to Site Manager and Deputy HSE Manager through line
supervision. Off the job injuries and illnesses shall be treated either at the Site Clinic.
Serious injury or illness cases shall be stabilized before transportation direct to hospital.
After getting and advice from paramedic of the necessary to have a Medevac, PM shall
initiate Medevac. To minimize loss in the event of multiple serious injuries the
assistance of COMPANY medical personnel may be requested. For a life treat condition,
where a faster means of Medevac transportation is required such as transporting by a
special flight
b. Medical Evacuations
The paramedic shall evaluate the medical condition of injured or ill employee to
determine the possible need to Medevac. The requirement for evacuations sha!! be
notified to the Contractor Representative/PJO for approval. The locations to Medevac
personnel are CPY Clinic and IMIP Clinic. Medical details of the patient will be
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detailed on "Urgent Medevac Information" form. Accompanying personnel will be one
Supervisor, HSE Supervisor. Regular reporting of the condition shall be forwarded to
the Site Manager, HSE Coordinator, Medical evacuations to Clinic is conducted
utilizing the standby Vehicle (Car) service. Travel time to CPY Clinic about five (5)
minutes and to IMIP Clinic about twenty (20) minutes. In unlikely event of multiple
serious injuries occurring, the number of intensive facilities at the Job Site is limited
and medical evacuation is considered essential.
c. Environmental Spills
Contractor committed to protect the environment. All significant spillages that are
potentially harmful to the environment must be reported immediately Maintenance
and Equipment. Supervisor is responsible to maintain adequate stock of containment
and disbursement equipment for the operations performed.
d. Fire
In the event of minor fire in the construction area portable dry chemical fire
extinguishers shall be mostly utilized. Fire extinguishers are located in near location
hot work area; Fire extinguishers are regularly inspected. When a fire is beyond the
control of local resources, the philosophy is to protect personnel by keeping well clear
of the fire.
e. Emergency Medical Evacuation Means
Land Transportation: Light Vihicle & MTI/MMS Ambulance
f. Emergency Working At Height
Using rescue MTI/MMS case of emergency
10. GENERAL EMERGENCY PLAN RESPONSIBILITIES
Listed below are the key elements of the general Emergency Response Plan and those who
responsible for ensuring the eduquacy and effectiveness.
No Name Position Call Phone Number

CONTRACTOR
1 Olsen Tanggo Asi Project Manager 0822 8336 3888
2 Baso Amirullah HSE Koordinator 0821 9701 9548
3 Hasrafil HSE Supervisor 0822 9150 0501
4 Rika Rahim HSE Admin 0852 5637 2709
5 Soen Kian Siong General Affeir 0813 8899 2870
6 Mugianto Supervisor Sipil 0852 1011 6710
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7 M. Dani Supervisor 0813 3216 4925
COMPANY
Project Management Team
1 Idul Putra Tampubolon Sr. Project Engineer 0811 3285 113
2 Krisantus Wicaksono Sr. Construction Manager 0813 4742 8152
3 Ferriyansyah Engineering 0822 7956 0710
4 Hasanuddin HSE Superintendent 0811 3204 1402
5 Hendrawan Silondae HSE Superintendent 0811 3204 1400
6 Tajam Permana HSE Superintendent 0811 3204 1399
Rescue Team
1 Emergency Call 0811 3050 5911
2 Radio Chennel “Safety”
3 Fabio Silap Rescue Commender 0811 3049 181
4 Vincentius Mahesa Rescue Captain 0823 6385 1919
Clinic IMIP IMIP Labota 0541-691891,

1
0821 4135 0345
FAP MTI Doctor 0813 7130 4789
2
0852 1371 5455
Calling For Emergency Help

a. Who to Call
Site Emergency Phone Number
CTR Site
b. How to Call
1) CPY ERT
Emergency Phone Number
Clinic Phone Number
2) CPY Clinic
a) Emergency Phone Number
b) Clinic Phone Number
c. Information Required
Ensure you are understood by speaking clearly and calmly! Describe the
Following:
a) The problem (e.g. injury, fire, accident, otner issues)
b) The location (Describe where the help I5 needed)
c) Any other relevant information, e.g. incident severity, numbers of persons
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injured, any unusual hazards present.
11. FIRST RESPONDER, EMERGENCY CHECKLIST
a. Stop, to survey and evaluate the scene for potential existing or developing hazards
before a pproaching, e.g. pending structural failnure. Some hazards may be invisible,
e.g. lack of oxygen, toxic and explosive atmospheres or chemicals, and electrical
current. Do not become the next victim, proceed only when known safe to do so, this
may take time to confirm.
b. Call for Emergency help or delegate this task. See above for contact details and
requirements.
c. Care of the Injured. If you are qualified, unconscious patients need to be evaluated
for, airway, breathing, circulation (or heart pulse). All serious bleeding requires
pressure bandages and fractures to be immobilized. Avoid contact with blood. Do not
attempt to move or transport the injured. Serious injury or death can result. wait for
the qualified paramedic. The only exception being if more serious injury or death is
certain if the patient is not moved immediately. Do not allow an accident scene to be
altered. The only exception is to facilitate the recovery of injured or to make the area
safe and secure. List of emergency equipment's provided by CTR
No Equipment
1 Megaphones
2 Fire Extinguisher
3 Basket Stretcher
4 First Aid Bag Tipe C
5 Light Vehicle
6 Eye Washer
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APPENDIX A
MEDICAL EVACUATION & EMERGENCY FLOW CHART
Incident/
Accident
CTR Project Witness CPY Project

Manager Manager
CTR CTR CPY CPY

- HSE Coordinator - HSE Admin HSE Inspektor Supervisor
CRT-ERT
YES
NEED ASSIST CPY ERT Assist
OF CPY ERT To Intervened the incident
NO MEDEVAC
After Tretment Vitcim MTI
Back to Work FAP Designated Hospitals
Doctor Givi
Treatment and
Required to Medivac
Inform Vitcim
Condition to :
- CTR Management
- CAR
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APENDIX B
EMERGENCY RESPON TEAM
Struktur Organisasi ERT ( Emergency Response Team)
Tim Tanggap Darurat/Emergency Response Team

(Lokasi/Location:……………)
No Nama Posisi Bertugas No Telpon Tugas

(Name) (Position) (Assignment) (Phone (Responsibility)
Number)
1 Sugeng Site Commander 081399799253 Coordinate with safety
Superintendent Officer, To collect employe in
MP. Bringing an action to
evacuation and report to
safety officer/HSE Suptd MMS
Koordinasi dengan Safety
Officer, untuk
mengumpulkan karyawan di
master point (MP) mengambil
tindakan untuk evakuasi, dan
lapor ke safety
supervisor/HSE Supt MMS
2 Baso HSE Fire Figther 082187633643 Fire Extinguisher,
Amirullah Coordinator Extinguisher fire if fire case
case and assisting medic in
giving first aid and victim
Fire Extinguisher,
memadamkan api jika terjadi
kebakaran membantu medis
dalam memberikan
pertolongan pertama.
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3 Hasrafil HSE Supervisor First Aider 082291500501 Giving first aid victim,
tredment, determining, when
and what victim heve to
evacuantion clinic
Memberikan pertolongan
pertama pada korban,
perawatan, menentukan
kapan dan apakah korban
harus di evakuasi ke klinik.
4 Rika Rahim HSE Officer Evacuation 085256372709 Giving first aid to victim,
Team tredment,determing when
and whether victim have to
evacuation clinic FAP
MTI/IMIP
Memberikan pertolongan
pertama pada korban,
pengobatan menentukan
kapan dan apakan harus di
evakusi ke klinik MTI/IMIP
5 PT.MTI/MMS Driver Ambulance 081343661601 Assist medic to procces the
Driver evacuation and wait the
instruction from medic
continue
Membantu medis melakukan
evakuasi dan menunggu
instuksi dari medis
selanjutnya.
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APPENDIX C
EMERGENCY CONTACT NUMBER
No Name Position Call Phone Number

CONTRACTOR
1 Olsen Tanggo Asi Project Manager 0822 8336 3888
2 Baso Amirullah HSE Koordinator 0821 9701 9548
3 Hasrafil HSE Supervisor 0822 9150 0501
4 Rika Rahim HSE Admin 0852 5637 2709
5 Soen Kian Siong General Affeir 0813 8899 2870
6 Mugianto Supervisor Sipil 0852 1011 6710
7 Sugeng Site Superintendent 0813 9979 9253
COMPANY
Project Management Team
1 Idul Putra Tampubolon Sr. Project Engineer 0811 3285 113
2 Krisantus Wicaksono Sr. Construction Manager 0813 4742 8152
3 Ferriyansyah Engineering 0822 7956 0710
4 Hasanuddin HSE Superintendent 0811 3204 1402
5 Hendrawan Silondae HSE Superintendent 0811 3204 1400
6 Tajam Permana HSE Superintendent 0811 3204 1399
Rescue Team
1 Emergency Call 0811 3050 5911
2 Radio Chennel “Safety”
3 Fabio Silap Rescue Commender 0811 3049 181
4 Vincentius Mahesa Rescue Captain 0823 6385 1919
Clinic IMIP IMIP Labota 0541-691891,

1
0821 4135 0345
FAP MTI Doctor 0813 7130 4789
2
0852 1371 5455
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APPENDIX D
PROJECT HSE ORGANIZATION CHART
HSE ORGANIZATION CHART
OLSEN TANGGO ASI

Project Manager
BASO AMIRULLAH
HSE Coordinator
M. Dani Rika Rahim

Supervisor HSE Officer
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HSE MANAGEMENT PLAN
Revision : 0 Status
Document Type : System/Subsystem : 0 Discipline : HSE Revision Date :
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AIM PROJECT

Civil Works, Pipe Rack

EMERGENCY RESPONSE PLAN

HSE SUPERITENDENT MTI HSE COORDINATOR PROJECT MANAGER

Rev. Status Date Revision memo Issued by Checked by COMPANY Approval

REVISION TABLE ----------------------------------------------------------------------------------- 2

9.3 Hazard Identification---------------------------------------------------------------18

17.2 Steel Slings -------------------------------------------------------------------------30

2) CHR HSE Coordinator

3) CTR Emergency Response Team Leader

4) CTR Superintendent OR Supervisior

6. ORGANIZATION EMERGENCY RESPONSE TEAM ON SITE

No Name Position Call Phone Number

Clinic IMIP IMIP Labota 0541-691891,

Calling For Emergency Help

CTR Project Witness CPY Project

CTR CTR CPY CPY

Struktur Organisasi ERT ( Emergency Response Team)

Tim Tanggap Darurat/Emergency Response Team

No Nama Posisi Bertugas No Telpon Tugas

No Name Position Call Phone Number

Clinic IMIP IMIP Labota 0541-691891,

HSE ORGANIZATION CHART

OLSEN TANGGO ASI

M. Dani Rika Rahim

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