Doc. no.

SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 2 of 11

Summary of Revisions

Date Revision Prepared Approved

A. Spingardi
16/02/2016 01 HSE
HSES

A. Spingardi
02/09/2016 02 HSE
QHSES

Description of Revision 02

The Impact of the revision may be deemed:

• Revision to section 4.2.2 Health and Safety Management
• Revision to section 6 Appendix A – Karimun Yard Entry HSE Requirements

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 3 of 11

TABLE OF CONTENTS

1. INTRODUCTION 4
1.1 OBJECTIVES OF THE DOCUMENT 4
1.2 AREA OF APPLICATION 4
1.3 REFERENCE DOCUMENTS 4
1.3.1 Internal references 4
1.3.2 External references 4
2. DEFINITION, ABBREVIATIONS AND ACRONYMS 4
2.1 DEFINITION 4
2.2 ABBREVIATIONS 5
3. HEALTH SAFETY AND ENVIRONMENTAL REQUIREMENTS 5
3.1 HSE GENERAL REQUIREMENTS 5
4. REQUIRED DOCUMENTS 6
4.1 COMPANY HSE REQUIREMENTS DOCUMENTS 6
4.2 HSE DOCUMENT T O BE PROVIDED DURING BIDDING STAGE 6
4.2.1 HSE Governance 6
4.2.2 Health and Safety Management 6
4.2.3 Health and Safety Past Performance 7
4.3 HSE DOCUMENT T O BE PROVIDED UPON CONTRACT AWARD 7
5. SPECIFIC HSE REQUIREMENTS DURING CONTRACT EXECUTION PHASE 7
5.1 LEADERSHIP 7
5.2 HSE ORGANISATION 7
5.3 ENTRY REQUIREMENT TO CONTRACTOR PREMISES 8
5.4 COMMENCEMENT OF THE WORK 8
6. APPENDIX A – KARIMUN YARD ENTRY HSE REQUIREMENTS 9

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 4 of 11

1. INTRODUCTION
1.1 OBJECTIVES OF THE DOCUMENT
Purpose of this document is to define the minimum Health, Safety and Environmental (HSE) requirements to
be followed and applied by VENDOR and SUBCONTRACTOR (herein after SUBCON) during the execution
of their scope of work within PT. Saipem Indonesia Karimun Yard premises.
This document collects the main HSE requirements for SUBCON, while details are addressed within
Company HSE Management System (specific procedure/specification to provide upon request). This shall
not release SUBCON from its obligation to comply with the HSE requirements established within the contract
provisions.
Remains as obligation for SUBCON to ensure that adequate safety levels are maintained and environmental
impacts are monitored throughout the PROJECT execution.

1.2 AREA OF APPLICATION

This Specification applies to PT. Saipem Indonesia Karimun Yard.

1.3 REFERENCE DOCUMENTS

1.3.1 Internal references
• “Anti-Corruption” Management System Guideline (Doc. no. MSG-PTSI-ANC-001-E);
• “Regulatory System” Management System Guidelines (Doc. no. MSG-PTSI-RSSM-001-E);
• “Regulatory Instrument Structure and Management Methods” Standard Procedure (Doc. no. STD-PTSI-
RSM-001-E);
• “Identification of HSE Legislation and Other Project HSE Requirements” Work Instruction (Doc. no. WI-
PTSI-HSE-003-E);
• “HSE in Procurement” Work Instruction (Doc. No. WI-PTSI-HSE-025-E);
• “Working at Height” Work Instruction (Doc. No. WI-PTSI-HSE-041-E).

1.3.2 External references

• OHSAS 18001: 2007 - Occupational Health and Safety Management Systems;
• ISO 14001:2004 Environmental Management System - Requirements with guidance for use;
• Government Regulation No. 50 of 2012 regarding Implementation of Occupational Health and Safety
Management System.

2. DEFINITION, ABBREVIATIONS AND ACRONYMS

2.1 DEFINITION
Company PT. Saipem Indonesia

SUBCON General abbreviation used to identify either Vendor and/or Subcontractor working
within Karimun Yard.

Subcontractor General term to define other companies providing services Saipem within
Karimun Yard on the basis of a contract, where Company has the responsibility to
set the HSE standards or to ensure that the Subcontractor’s HSE Management
System is in line with the Company’s HSE Management System.

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 5 of 11

Vendor General term to define the vendors of good and/or package on the basis of a
contract, where Company doesn’t have the responsibility to set the HSE
standards, nor directly supervising the activities. The Vendor applies its own HSE
Management System. Whenever the Vendor requires to perform part of the
activities foreseen by the contract within Karimun Yard, it shall be considered as
Subcontractor.

2.2 ABBREVIATIONS

HSE Health, Safety and Environment.

JSA Job Safety Analysis

PTW Permit to Work

RA HSE Risk Assessment

3. HEALTH SAFETY AND ENVIRONMENTAL REQUIREMENTS

3.1 HSE GENERAL REQUIREMENTS
The general HSE requirements that SUBCON must comply with are the following, but not limited to:
a) All SUBCON’s personnel shall comply with Saipem Karimun Yard HSE Management System
provisions.
b) Saipem reserves the right to conduct HSE audits on SUBCON’s working procedures and equipment at
any time, upon previous notification given sufficiently in advance.
c) The SUBCON is contractually obliged to observe and comply with all currents applicable legislative
requirements and guidance concerning the HSE and Welfare of personnel. All documents required by
law shall be at site and made available to Control Authorities and Saipem.
d) When mobilized to Karimun Site, the SUBCON’s employees shall be always in possession of a valid
Medical Fitness Certificate. Saipem Medical personnel will have free access to the Medical Fitness
Certificates, which shall be easily available on site, always taking into account the confidentiality of the
private medical data.
e) If SUBCON disposes of its own facilities within Karimun Yard, it shall develop a MEDEVAC Plan.
Saipem will organize, the Emergency Medical Evacuation (MEDEVAC) of SUBCON’s personnel up to
the nearest reliable hospital (Primary evacuation). Further treatment and transfer of the patient are
SUBCONs’ responsibility.
f) The SUBCON shall properly plan and organize own activities and works; all the existing risks shall be
assessed (e.g. interference risks, electrical hazards, mechanical hazards, risks of falling from heights,
risk burial, exposure to physical, chemical, radioactive sources).
g) The SUBCON shall provide to its personnel all equipment and devices required for carrying out the work
as well as all the necessary Personal Protective Equipment (PPE).
h) All SUBCON's own equipment used within Karimun Yard shall be tested, certified and compliant with
the applicable legislation.
i) The use of any chemical substance shall be preliminarily approved by Saipem representative. Prior
starting any work activity, the SUBCON shall submit the written procedures for any services involving
the handling or use of hazardous or toxic substances.
j) The SUBCON shall comply with the Saipem Environmental Management Plan and all applicable
environmental laws.

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 6 of 11

k) The SUBCON shall immediately report every incident involving its personnel and/or equipment to
Saipem Representative. Then, the official event notification shall be issued not later than 24 hours after
the incident. The investigation shall be then carried out involving Saipem personnel.
l) The SUBCON working within Karimun Yard must attend Company induction program, which includes
instructions given to each new employee, regardless of prior experience.
m) SUBCON employees have to be trained to those subjects pertaining to local realities / threats / HSE risk
factors, in compliance with their professional position, and scheduled so as to provide a sufficient
number of First Aid trained personnel continuously available on site.

4. REQUIRED DOCUMENTS
4.1 COMPANY HSE REQUIREMENTS DOCUMENTS
The SUBCON is required to comply with the relevant HSE requirements documents submitted along to this
Specification, within the Scope of Work package. Here below the summary of Company HSE Specifications
which might be sent to the SUBCON based on its Scope of Work:
• HSE Requirements for Subcontractors – Low HSE Risk (Doc. No. SPC-COR-HSE-001-E)
• HSE Requirements for Subcontractors – High HSE Risk (Doc. No. SPC-COR-HSE-002-E)
• HSE Requirements for NDT Radiographic Activities (Doc. No. SPC-COR-HSE-006-E)
• HSE Requirements for Subcontractors for Fabrication Works (Doc. No. SPC-COR-HSE-007-E)
• Project HSE Requirements documents (Project based document list)
As per Company Work Instruction ‘HSE in Procurement’ (Doc. No. WI-PTSI-HSE-025-E), SUBCON
proposals shall be assessed during tendering stage, by compiling the HSE Bid Evaluation FORM (Doc. No.
FORM-PTSI-HSE-028-E).

4.2 HSE DOCUMENT T O BE PROVIDED DURING BIDDING STAGE

4.2.1 HSE Governance
a) Copy of Certification (OHSAS 18001, ISO 14001, etc.), if any; plus the HSE MS Manual.
b) Project Organization Chart, specifying the number and the appointment of HSE personnel.

4.2.2 Health and Safety Management

a) Proposed Project HSE Plan addressing the following, but not limited to:
• HSE Organization and Responsibilities;
• Hazard Identification and Risk Assessment including the Health Risk Assessment;
• Emergency flowchart (bridging document with SIKB Emergency Procedure);
• List of HSE Procedures applicable to the Vendor or Subcontractor scope of work.
b) Protocol for periodical medical fitness examination.
c) Description of provision and upkeep of Personal Protective Equipment (PPE), both standard issue and
required for specialized activities.
d) Description of management of plant and equipment used within SUBCON’s premises, sites or other
locations with reference to registration, control and maintenance in a safe working condition.

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 7 of 11

4.2.3 Health and Safety Past Performance

List of the last five years safety statistics within SUBCON’s organization.

4.3 HSE DOCUMENT T O BE PROVIDED UPON CONTRACT AWARD

The SUBCON is required to provide at least 15 (fifteen) days prior mobilizing its personnel at Karimun Yard,
the following information and documentation:
a) Medical Fitness Certificates of all personnel intended to be mobilized at Karimun Yard;
b) Project HSE Plan (plus any other HSE procedure) for the activities subcontracted;
c) Detail Scope of Work and Method Statement;
d) Risk Assessment for the subcontracted scope of work;
e) Copy of Personnel Certification & Training;
f) Waste Management Plan;
g) Copy of valid Equipment Certificates;
h) Material and Substance Information / MSDS (Material Safety Data Sheet).
Detailed list of documents is hereby attached in Appendix A.

5. SPECIFIC HSE REQUIREMENTS DURING CONTRACT EXECUTION PHASE

5.1 LEADERSHIP
SUBCONs shall encourage all members of the workforce to monitor the unsafe acts or unsafe conditions
throughout the course of the work. Where an employee identifies or observes an unsafe act or situation,
work shall be stopped, reported and/or remedied as appropriate. It is everyone’s right and responsibility to
intervene (i.e. STOP Policy) when safety is being compromised in order to be safe, look after the safety and
well-being of others.
SUBCON, upon specific Company request, shall implement Company Behavioural Based Safety Program
called Leadership in Health and Safety (LiHS) Program.

5.2 HSE ORGANISATION

SUBCONs shall appoint the following qualified personnel for each worksite:

HSE personnel Workforce Comments

1 Up to 25
2 Up to 50 The number of HSE professionals
3 Up to 100 may have to be increased
considering the different locations,
4 Up to 150 complexity of activities and
5 Up to 200 associated risks
+1 For every additional 50 employees

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 8 of 11

5.3 ENTRY REQUIREMENT TO CONTRACTOR PREMISES

SUBCON shall comply the Karimun Yard Entry HSE Requirements (Appendix A). Checklist to be provided
to Saipem for its evaluation prior SUBCON mobilization.
Upon SUBCON personnel mobilisation at Karimun Yard, a complete HSE induction shall be attended. In
addition, specific training such as PTW and JSA issuance shall be attended.
Equipment and tools inspection, as well as PPE inspection shall be performed by Saipem HSE personnel,
prior accessing Karimun Yard working areas. PPE to be in compliance with the Standards mentioned in
Appendix A, Section PPE.
SUBCON shall not be allowed to enter Karimun Yard unless all required items on the Appendix A are fully
fulfilled.

5.4 COMMENCEMENT OF THE WORK

SUBCON shall ensure that the Specific HSE Risk Assessment covering subcontracted activities shall be
completed and approved by Company and no outstanding actions prior to perform the activities.
SUBCON shall ensure that training certificates of its personnel are made available to the Company upon
request.
SUBCON shall provide their personnel and visitors with all items of equipment and clothing necessary for the
safe and healthy conduct of the job; training/induction sessions on their use shall be conducted and
competence/awareness assessed.

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 9 of 11

6. APPENDIX A – KARIMUN YARD ENTRY HSE REQUIREMENTS

Name of Vendor :

Scope of Work :

Package Reference :

Working Duration :

Total of Manpower :

NO. ITEMS REQUIREMENT DESCRIPTION CHECK* REMARK**

A. Documents to be submitted two weeks in advance before arrival:

To be verified by
COMPANY and or Onsite
Copy of Medical MCU Result of all manpower to be entered to
1 COMPANY Doctor
Fitness Certificate COMPANY premises
(Email Submission
Preferable)
Project HSE Bridging Document addressing the
following, but not limited to:
• HSE Organization and Responsibilities;
Project HSE Bridging • Hazard Identification and Risk Assessment Email Submission
Document and any including the Health Risk Assessment;
2 Preferable to COMPANY
others HSE
Procedures • Emergency flowchart (bridging document HSE Dept.
with SIKB Emergency Procedure);
• List of HSE Procedures applicable to the
Vendor or Subcontractor scope of work.

The following job designation must be followed by a

valid certification / training :

A. Third Party Certification (as per applicable

Indonesian Legislations) required for:
1. Riggers
2. Scaffolders
3. Crane Operators (others lifting and transport
equipment’s operators)
4. Electrician

B. Subcontractor Internal Training Certificate /

Copy of Personnel Email Submission
Report Required for:
2 Certification and Preferable to COMPANY
1. Painter/Blasters
Training HSE Dept.
2. Welders, fitters and Grinders

C. For shipment activities, any approved flag

certification required for:
1. Crane Operators
2. Forklift Operators

D. For Construction and Installation activities,

Third Party Certification (as per applicable
Indonesian Legislations) required for:
1. Crane Operators
2. Forklift Operators

Email Submission
Detail Scope of Work Describing vendor sequence activities and scope of
3 Preferable to COMPANY
and Method Statement work to be performed in COMPANY premises.
HSE Dept.

Covering activities to be performed in COMPANY Email Submission

Risk Assessment
4 premises. The report shall be fully signed by Preferable to COMPANY
Report
designated supervisor/foreman of the SUBCON. HSE Dept.

This document is the property of PT. Saipem Indonesia. All rights reserved.
 Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION

HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16

SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 10 of 11

NO. ITEMS REQUIREMENT DESCRIPTION CHECK* REMARK**

In case any waste resulted from SUBCON activities at

Email Submission
Waste Management COMPANY Premises, a vendor waste management
5 Preferable to COMPANY
Plan plan shall be submitted based on type of
HSE Dept.
wastes/substances.

A. Manufacture Certificate (complied with recognized

international standard) and SUBCON Internal
inspection / maintenance report are required for:
1. Power tools
2. General equipment (power pack, air compressors,
etc.)
Email Submission
Copy of valid
6 B. Third Party Inspection Certificate is required for Preferable to COMPANY
Equipment Certificates
Lifting Gears i.e. Slings, Shackles, Hooks, Ratchet HSE Dept.
Straps, spreader bars and etc.

C. Any other relevant Certificates required by local

government (DISNAKER) for specific tools or
equipment such as cranes, lifting devices, pressure
equipment etc.

In case SUBCON is bringing any substances for the

Material and Email Submission
operation in COMPANY premises, Material information
7 Substance Preferable to COMPANY
(Packaging, Containers, Quantity, etc.) and relevant
Information/MSDS HSE Dept.
MSDS to be submitted

B. Pre-Execution Activities at Karimun Yard to be performed:

Full HSE Induction by entry point entity/Company. First day on site/on board.
Induction Training at
1 Only for those having Medical Fitness Conformance Assistances will be
Entry Point area
from COMPANY Doctor provided by COMPANY

Any SUBCON activities required following operation,

specific training to be fulfilled accordingly:
Specific HSE Training 1. Confined Spaces Entry Assistances will be
2
at Entry Point area 2. Working at Height (personnel expose to working at provided by COMPANY
height activities as described on WI-PTSI-HSE-041-E)
3. Permit to Work

COMPANY Relevant PTW (according to type of

Permit to Work and Assistances will be
3 activities) will be utilized. JSA to be made based on
JSA issuance provided by COMPANY
previously-submitted RA report.

Inspection need to be done on-site for the tools and

equipment brought by SUBCON to COMPANY
Onsite Tools and Premises before work commencement. Inspection will be assisted
4
Equipment inspection by COMPANY HSE Reps.
Colour coding and inspection system will follow
yard/COMPANY Premises regulation.

C. PPE Requirement
1 Eye Protection
2 Foot Protection
3 Head Protection
Mandatory Standard PPE
EN 166 – EN 167 – EN 168 – EN 170 or ANSI/ISEA to be provided by
Z87.1 SUBCON for any type of
activities
Mandatory Standard PPE
Safety shoes/boots with EN 20344 and EN 20345 to be provided by
standard, Anti-Static Footwear for electrical works SUBCON for any type of
activities
Mandatory Standard PPE
SUBCON Company logo and name shall be attached to be provided by
on the helmet. Requirement to be followed is SUBCON for any type of

This document is the property of PT. Saipem Indonesia. All rights reserved.

NO. ITEMS
4 Coverall
5 Hand Protection
6 Respiratory Protection
7 Hearing Protection
8 Full body harness
9 Additional PPE
This document is the property of PT. Saipem Indonesia. All rights reserved.
Doc. no. SPC-PTSI-HSE-001-E
SPECIFICATION
HSE REQUIREMENTS FOR VENDOR AND Rev. 02 Date 02/09/16
SUBCONTRACTOR WORKING
AT KARIMUN YARD
Page 11 of 11
REQUIREMENT DESCRIPTION CHECK* REMARK**
CE EN 397 or ANSI/ISEA Z89.1 activities
Industrial Safety Helmet
SUBCON Company logo and Name shall be attached
on the coverall.
Following the standard compliances:
- Welder/Fitter: EN ISO 11611 or ASTM 1506 - 08 or
Mandatory Standard PPE
AS/NZS 2801
to be provided by
- Electrician : EN 1149
SUBCON for any type of
- General: EN 340 or AS/NZS 4501
activities
Additional Welder Apron as per compliance to : EN
ISO 11611 or equivalent standard for Protective
clothing for use in welding and allied process.
BS EN 374-1:2003 or equivalent: Protective gloves
against chemicals and micro-organisms
Mandatory Standard PPE
BS EN 388:2003 or equivalent: Protective gloves
to be provided by
against mechanical risks
SUBCON for any type of
BS EN 407:2004 or equivalent: Protective gloves
activities
against thermal risks (heat and/or fire)
EN 60903 or equivalent : Protective gloves against
electric charges
EN 149 or equivalent: Respiratory protective devices Mandatory Standard PPE
Welder : FFP3 to be provided by
Fitter : FFP2 SUBCON for any type of
Others Personnel : FFP1 activities
Mandatory Standard PPE
to be provided by
BS EN 351-1 & 2
SUBCON for any type of
activities
Harness shall have Double Lanyard integrally
connected. Following are the standard compliances:
Working at height will be
EN 354 - Lanyard
defined based on the
EN 355 - Energy Absorber
result of Risk Assessment
EN 361 - Full Body Harness
EN 362 – Connector
Required based on Risk Assessment and MSDS
To be verified to
instruction as well as onsite COMPANY Premises
COMPANY HSE Reps.
standard