Hse Plan Asl PDF

COMPANY NAME
PROJECT / VESSEL NAME

PROJECT REF: (_________)
HEALTH, SAFETY &

ENVIRONMENTAL MANAGEMENT
PLAN (HSEMP)
COMPANY LOGO
HSE MANAGEMENT PLAN COMPANY NAME
TABLE OF CONTENTS
1. INTRODUCTION 3
1.1 PURPOSE OF PLAN 3
1.2 HSE MANAGEMENT SYSTEM 3
1.3 LEADERSHIP AND COMMITMENT 3
1.4 PROJECT HSE POLICY AND OBJECTIVES 4
HSE POLICY 5
HSE OBJECTIVE AND TARGET 6
2. SMOKING POLICY 7
3. ALCOHOL AND DRUG POLICY 8
4. STOP WORK ORDER 9
5. PROJECT HSE PLAN 10
6. ASL PROJECT MANAGEMENT ORGANIZATION 10
7. ROLES AND RESPONSIBILITY 11
8. HSE ORGANIZATION 16
9. HSE COMMUNICATION AND PARTICIPATION PROGRAM 18
10. TRAINING AND COMPETENCY 22
11. STANDARD OPERATING PROCEDURE 23
11.1 PERSONAL PROTECTIVE EQUIPMENT 23
11.2 ACCESS, GANGWAY AND CONFINED SPACE TAG SYSTEM 24
11.3 LIFTING PROCEDURE 24
11.4 LIFTING INSPECTION 25
11.5 WORKING AT HEIGHT 26
11.6 SCAFFOLDING 27
11.7 DOCKING AND UNDOCKING 28
11.8 ADVANCE SUPPLIER RELATIONSHIP 28
11.9 WORKING OVER WATER 30
11.10 WELDING AND CUTTING PROCEDURE 30
11.11 HOT-WORK TOOLS CONTROL 30
11.12 MAINTENANCE REGIMENT 30
11.13 PERMIT TO WORK SYSTEM 32
12. EMERGENCY RESPONSE PLAN 33
13. MEDICAL HEALTH EXAMINATION/INDUSTRIAL HYGIENE 35
14. SAFETY CONTROL SYSTEM 36
15. EVALUATION AND RISK ASSESSMENT 38
15.1 RISK ASSESSMENT 38
15.2 JOB SAFETY ANALYSIS 38
16. IMPLEMENTATION AND PERFORMANCE MONITORING 38
16.1 HSE PERFORMANCE 38
16.2 HSE TARGETS 39
16.3 HSE STATISTICS 39
16.4 HSE KEY PERFORMANCE INDICATOR 40
17. ACCIDENT REPORTING AND ANALYSIS 40
Revision 1 1 JANUARY 2021

18. AUDIT AND REVIEW 43

19. ENVIRONMENT MANAGEMENT PLAN 44
ENVIRONMENTAL POLICY 45
20. WASTE MANAGEMENT PLAN 46
21. JOURNEY MANAGEMENT PLAN 48
22. APPROVAL SIGNATORIES 50
23. APPENDICES
APPENDIX A (VESSEL SAFETY COORDINATION COMMITTEE FORM) 51
APPENDIX B (TOOLBOX TALK MEETING RECORD FORM) 53
APPENDIX C (GANGWAY SHIP ACCESS TAG) 54
(HSE INDUCTION/ORIENTATION APPLICATION FORM) 55
APPENDIX D (RISK ASSESSMENT FORM) 56
APPENDIX E (JOB SAFETY ANALYSIS) 57
APPENDIX F (PERMIT TO WORK SYSTEMS) 58
APPENDIX G (INCIDENT INVESTIGATION RECORD FORM) 67
APPENDIX H (MONTHLY TRAINING CALENDAR) & (TRAINING MATRIX) 68
APPENDIX I (DAILY HSE INSPECTION CHECKLIST) 69
APPENDIX J (HAZARD OBSERVATION CARD) 70
APPENDIX K (SOLID / DOMESTIC RUBBISH WASTE INVENTORY) 71
APPENDIX L (HAZARDOUS MATERIALS (B3) WATER INVENTORY) 72
APPENDIX M (INTERNAL AUDIT SUMMARY REPORT) 73
APPENDIX N (DOCK FLOODING CHECKLIST) 74
APPENDIX O (MEDICAL EXAMINATION) 75
(CLINIC LOG BOOK & MEDICAL RECOMMENDATION LETTER FORM) 76
APPENDIX P (HSE EQUIPMENT) & (GAS METER & BREATHING APPARATUS MASTERLIST) 77
APPENDIX Q (SAMPLE EQUIPMENT CERTIFICATE) 78
APPENDIX R (THIRD PARTY CONTRACTOR PRESELECTION QUESTIONNAIRE) 81
APPENDIX S (CHECKLIST FOR GENERAL OR HEAVY LIFTING) 82
APPENDIX T (SCAFFOLDING TAGS) 83
APPENDIX U (HOT-WORKS TOOLS INSPECTION RECIEPT) 84
APPENDIX V (BUNKERING AND TRANSFERRING OF OIL CHECKLIST) 85
APPENDIX W (PERSONAL PROTECTIVE EQUIPMENT MATRIX) 86

1. INTRODUCTION
1.1 PURPOSE OF PLAN
The purpose of this document is to ensure that adequate Safety, Health and Environmental
strategies are in place during the works that as to comply with Indonesia Manpower Ministerial
Regulation. The Health, Safety & Environmental Management Plan (HSEMP) shall in conjunction
with the Shipyard’s Safety Management Systems.
The objective of this plan is to enhance the COMPANY and PT ASL Shipyard Indonesia safety
and work procedures in an effort to ensure best practice and integrity are achieved.
The Shipyard shall fully implement the elements of its Health, Safety and Environment
Management Systems including those that are listed below:
• Shipyard HSE Manual

• Shipyard Emergency Plan
• Job Safety Analysis (JSA) & Risk Assessment (RA)
• HSE Induction Programme
• HSE meeting and walkabouts
1.2 HSE MANAGEMENT SYSTEM
The PT ASL Shipyard Indonesia commitment to HSE is embodied in the PT ASL Shipyard
Indonesia HSE Manual and is communicated to all employees and posted on all Departmental and
Site Notice Boards. It is the policy of PT ASL Shipyard Indonesia that HSE are of prime importance
to all personnel who work for or on behalf of PT ASL Shipyard Indonesia.
The PT ASL Shipyard Indonesia HSE Management System is structured so that the activities of
the principal departments within the Company enable the HSE Objectives and Targets to be met.
The hierarchy of the PT ASL Shipyard Indonesia’s HSE Management System has two levels of
documentation;-
• PT ASL Shipyard Indonesia HSE Manual– Defines responsibilities and processes involved in
the management of HSE.
• Working Procedures relating to HSE (HSEMP) – Provide overall HSE procedural and
operating requirements.
1.3 LEADERSHIP AND COMMITMMENT
All levels of management will have a direct involvement, in the implementation of the HSE
Policy and demonstrate commitment to the Health, Safety and Environmental Management
Program as a function of their daily responsibilities.
Corporate and Project Management shall:
• Ensure that all their decisions and practices are in line with the principles of the HSE
policy.
• Provide adequate resources for health, safety and environmental matters comply with
COMPANY HSE minimum requirement standard which applicable to the work
• Participate and attend HSE meeting, also COMPANY HSE meeting at site if required

• Participate in the safety audit program and hazard identification systems.

• Visit work areas minimum 1 time during contract life and be seen to wear the required
personal protection equipment.
• Deal appropriately and immediately with any non-compliance with safety rules or
procedures they observe.
• Make safety as the first item of agenda in progress meeting agendas.
• Participate in accident investigation and review of accident reports and remedial actions.
• Provide an appropriate climate for participation in HSE management for all levels of their
work groups.
• Make sure all PT ASL Shipyard Indonesia and Contractors employees at site comply with
the HSEMP and its objectives.
• Monitor the HSE performance of all groups in their area of control.
• Actively promote HSE management at all levels.
1.4 PROJECT HSE POLICY AND OBJECTIVES
The PT ASL Shipyard Indonesia project objectives are to provide safe and healthy working
conditions for all employees and to maintain the highest HSE standards in relation to safe systems
of work and equipment operations. Through training, supervision and the provision of
information, PT ASL Shipyard Indonesia is committed to ensuring a safe place of work for both PT
ASL Shipyard Indonesia employees and others who come into contact with its activities.
The company’s ultimate objectives to have an “injury and illness free workplace”, this has
been acknowledged by PT ASL Shipyard Indonesia and will be incorporated into the way PT ASL
Shipyard Indonesia will conduct its HSE Management activities.
To achieve these objectives the combined efforts of the shipyard and COMPANY personnel
shall be required. All parties shall be working together to identify and control and manage the
risks associated with the works. The custodian of this plan on behalf of the Project Manager is the
Project Site HSE Officer/Assessor.

HSE POLICY

HSE OBJECTIVE AND TARGET

2. SMOKING POLICY
All personnel including COMPANY Owners and contractors, PROJECT/VESSEL NAME ship’s crew /
Yard personnel and contractors are strictly prohibited from smoking on board vessel. Any person
found smoking on board should be reported to the Project Manager/HSE Assessor for disciplinary
action. Smoking offence shall result in immediate dismissal of the offender from the project.
COMPANY superintendents/representatives shall only smoke in the designated area inside the
yard.

3. ALCOHOL AND DRUG POLICY
No alcohol or drugs must be taken into the worksite. All personnel COMPANY Owners and
contractors, PROJECT/VESSEL NAME ship’s crew / Yard personnel and contractors, must never be
unfit to work due to alcohol or drug usage. Any person found in possession of any quantity of
alcohol or drug shall be disciplinary dealt with, which could result in instant dismissal. Anyone
who is found suspect of taking any drugs or alcohol, the suspect may be subject to being
searched and instructed to perform blood/urine tests.

4. STOP WORK ORDER POLICY

5. PROJECT HSE PLAN
The Project HSE Plan details the HSE management system that will be in place for the project,
other site facilities and related subcontractors to assure that the HSE aspects of the projects
are adequately managed and that the activities are conducted in line with COMPANY and PT
ASL Shipyard Indonesia requirements. It is further intended that Company’s safety initiatives
and HSE POLICY will also be incorporated into the Project HSE Management Plan.
This Project HSE Plan identifies the key HSE related activities and deliverables, in accordance
with the requirements of legislation, regulations, COMPANY. The Project HSE Plan will serve
as a “living document” and PT ASL Shipyard Indonesia will update it as required to reflect
changes and progress towards completion
6. ASL PROJECT MANAGEMENT ORGANIZATION
PT ASL Shipyard Indonesia is an organization structured to emulate the progression of

facilities from engineering process until Projects hand over. The Project Management Team
for the Project.

7. ROLES AND RESPONSIBILITY
The HSE management arrangements outlined in this document are implemented through line
management. Appropriate project HSE resources are provided to assist in fulfilling these
responsibilities. PT ASL Shipyard Indonesia shall also ensure that all personnel are informed
and aware of their roles and responsibilities.
The Project Manager has overall responsibility for the HSE performance of the project with
the QHSE Manager or Asst. HSE Manager providing advice and support and coordinating the
HSE activities. An overview of the responsibilities for the PROJECT/VESSEL NAME project
programmed is outlined below.
7.1 SENIOR MANAGEMENT
Senior Management comprises of management personnel from QHSE Manager or Asst. HSE
Manager to above who can make policy decisions on safety for the yard as a whole. The
overall responsibility towards safety lies with the senior management. In order to ensure that
high standards for safety are set and maintained, they should:
• Formulate and implement an effective safety and health policy for the whole yard.
• Review the policy continually and update periodically so as to accommodate changes.
• Allocate adequate resources for implementation of the safety policy.
• Develop training and competency for ASL and Sub-contractors.
• Ensure all HSE and safety staff is trained to a level to enable them to fulfill their task
requirements.
• Set development plans for HSE and Managers.
• Set achievable targets, conduct periodic reviews.
7.2 HEAD OF DEPARTMENT (HOD)
HOD will ensure that the day to day compliance of the OH&SMS along with the HSEMS. All
safety notices and tool box meeting will be collated and ensured that all projects have
complied. HOD will be aware of all permits being issued for each project within the ship yard
to ensure no conflict between projects. HOD will promote a high degree of safety awareness
among all personnel, including subcontractors and ASL personal. This involves a number of
key responsibilities as follows:
• Administer the company safety policy on a daily basis.

• Convene safety meeting as stated in this manual. Meetings are held for all personnel
with records of attendance and minutes of meeting kept.
• Ensure that the work force under their control is adequately informed on risk control,
trained and competent for the operations which they are required to perform.
• Arrange for the scheduled training of staff in aspects of safety relevant to their works.
• Ensure that all statutory and company examinations and inspections of yard
machinery, plant etc. are carried out and relevant registers are completed,
maintained.
• Ensure that all statutory notices, regulations, sign etc. are displayed and maintained at
relevant locations.

• Ensure that emergency procedures are implemented; periodic exercise is held to

familiarize all concerned on the actions required.
• Ensure that the arrangements for first aid and other emergency services are provided
and are known by employees.
• Carry out work place safety inspection tours.
• Ensure full co-operation of the protection personnel with the safety personnel and
take action upon any safety matter, which has been brought to their notice, which
demands their attention.
• Ensure that all incidents involving injury, damage to property as well as near miss are
reported to HSE Department and are thoroughly investigated to stabilize the causes so
as to prevent accordingly.
• Before hazardous operations commence, procedure job safety analysis or method
statements to detail the preventive measures required to control the specific risk.
• Ensure that subordinate receive clear safety instructions regarding the hazardous and
the associated preventive measures under which the operations will be carried out.
• Ensure that sufficient safety protective equipment is available and where necessary,
employees are given personnel issues of the necessary personnel protective
equipment.
• Promote Safety awareness through leading by example.
7.3 PROJECT MANAGER
• Maintains safe and healthy working conditions and practices and also fire prevention on
board ship under his charge.
• Ensure that PT ASL Shipyard Indonesia HSE Policy and the HSE Management Plan for the
contract are implemented including stopping work for non-compliance.
• Enforces all legislated HSE requirements and PT ASL Shipyard Indonesia HSE rules and
regulations.
• Liaise and co-operates with COMPANY Superintendent and PROJECT/VESSEL NAME
ship’s crew in the maintenance of a safe and healthy work environment on board the
vessel and elsewhere in the yard including in sub-contractor work areas.
• PJM shall conduct the daily Vessel Safety Co-ordination Committee (VSCC) meeting and
Production meeting.
7.4 QHSE MANAGER / ASST. HSE MANAGER
• Enforce all HSE procedures and instructions including stopping work for non-
compliance.
• Advise management on all matters pertaining to HSE including compliance with local
HSE legislation.
• Plan and implement HSE programmes and promotional activities that will improve HSE
awareness.
• Initiate investigations into all accidents, recommend corrective and preventive actions
and report all reportable accidents to the relevant authorities.
• Brief and instruct sub-contractors management on the HSE procedures and
instructions that they and their employees are required to comply with.
• Deploy HSE Department personnel to monitor and maintain HSE standards, prevent
and fight fires, respond to accidents and control environment pollution.

7.5 PROJECT HSE LEAD
Project HSE Lead are responsible for conducting all site HSE activities for PT ASL Shipyard
Indonesia and for monitoring all contractor HSE activities at the respective worksite, to
conduct Investigation of all accidents and incidents in the project.
7.6 LINE MANAGEMENT

Line management consists of a team of supervisory and technical staff such as engineers,
supervisors and foreman who is headed by departmental manager or project manager who
have the operational responsibility for implementing the required standards of safety within
their sphere of control. They are expected to promote a high degree of safety awareness to
all personnel by, leading by example in respect to wearing PPE and safe operating standards.
This involves a number of key responsibilities as follows:
• Administer the company safety policy on a daily basis.

• Convene safety meeting as stated in this manual. Meetings are held for all personnel
with records of attendance and minutes of meeting kept.
• Ensure that the work forces under their control are adequately informed on risk
control, trained and competent for the operations which they are required to perform.
• Arrange for the scheduled training of staff in aspects of safety relevant to their works.
• Ensure that all statutory and company examinations and inspections of yard
machinery, plant etc. are carried out and relevant registers are completed,
maintained.
• Ensure that all statutory notices, regulations, sign etc. are displayed and maintained at
relevant locations.
• Ensure that emergency procedures are implemented; periodic exercise is held to
familiarize all concerned on the actions required.
• Ensure that the arrangements for first aid and other emergency services are provided
and are known by employees.
• Carry out work place safety inspection tours.
• Ensure full co-operation of the protection personnel with the safety personnel and
take action upon any safety matter, which has been brought to their notice, which
demands their attention.
• Ensure that all incidents involving injury, damage to property as well as near miss are
reported to HSE Department and are thoroughly investigated to stabilize the causes so
as to prevent accordingly.
• Before hazardous operations commence, procedure job safety analysis or method
statements to detail the preventive measures required to control the specific risk.
• Ensure that subordinate receive clear safety instructions regarding the hazards and the
associated preventive measures under which the operations will be carried out.
• Ensure that sufficient safety protective equipment is available and where necessary,
employees are given personnel issues of the necessary personnel protective
equipment.
• Promote Safety awareness through leading by example.
7.7 INDIVIDUAL EMPLOYEES
• Perform their work activities in the manner in which they have been instructed and
trained such that they do not place themselves or anyone else at risk.

• No attempt to do any work, operate any equipment or machinery that are dangerous
in nature, unless they have been trained and authorized to do so, in accordance with
recognized procedures.
• Use equipment according to its function; ensure that it is maintained in a safe
condition. Report any known defects to their Supervisor.
• Use personnel protective clothing and equipment provided according to their
functions in order to minimize injuries.
• Report any unsafe conditions, incidents and near miss to their immediate supervisor
so that remedial action can take to eliminate risk.
• Report any shortcomings in the protection arrangements to their immediate
supervisor as soon as these become apparent.
• Use the main accesses as provided, comply with the relevant safety notices and signs
and do not enter any area where they may be placed at risk or do not have
authorization to enter.
• Keep their work place in a safe and tidy condition.
• Develop a personal concern for safety and if faced with any doubts to their ability to
perform a task safely, they must inform their supervisor
7.8 HSE ASSESSORS / HSE OFFICER

• Conduct regular inspection on their respective areas and make sure the standards and
procedure are implemented.
• Ensure that all required permit to works are thoroughly inspected and approved by
Project Managers.
• No attempt to do any work or allow any works so to operate any equipment or
machinery that are dangerous in nature, unless they have been trained and authorized
to do so, in accordance with the OH&S Management System.
• Enforce safety and health procedures and practices of the yard.
• Ensure that all workforce are equipped by personal protective equipment according to
their jobs.
• Conduct investigation if any unsafe conditions, incidents and near miss on their
respective vessels/projects.
• Actively participant in the ASL observation program to record and minimize the risk of
occurrences.
• Ensure that their work areas are safe and tidy condition.
• Promote safety and health procedures and practices in the yard.
• Conduct safety briefing and toolbox talk on-site.
• Secretary of Vessel Safety Co-ordination Committee (VSCC) meeting.
• Participating on any emergency or drills arise on site (Emergency Response Team).
• Implementing stop work if any danger or hazard to the life, property and environment.
• Conduct Risk Assessment or JHA.
• Impose penalty that will violate safety and health procedures and practices or would
endanger life or property.
7.9 HSE PROMOTERS

• Understand the task they are required to do.

• Be active during the toolbox talk and safety briefing.

• Conduct daily HSE inspection on their vessel, workshop and fabrication.
• Report and convey any and all potential safety concern.
• Monitor all the activities on board, workshop and fabrication.
• Report any unsafe act, unsafe condition, near miss and incident to their HSE Assessor
or QHSE Manager and Asst. HSE Manager.
• Ensure that all workforce are equipped by PPE.
• Ensure that all safety equipment is maintained in a working order and report any
failures or concerns of equipment.
• Keep a known and obvious presents on the work site to act as clear reminder to other
contractors.
• Ensure that Permit to work system are implemented.
• Stop work if any endanger in life, property and environment.
• Conduct gas free inspection in all confined spaces.
• Respond immediately if any emergency occurred in the yard premises or vessel.
• Participating on any emergency or drills arise on site (Emergency Response Team)
7.10 FIRE AND RESCUE TEAM
• Maintain all fire and emergency equipment be it the HSE store or out on site.
• Check and test environmental hazard containment equipment.
• Maintain records of regular equipment checks in office area.
• Conduct regular training exercises and record any action plans so to improve efficiency
and speed.
• Train HSE staff in and during training exercises.
• Record safety walk around and action taken.
• Conduct safety checks of all building and record with action taken
• Actively participate in ASL Observation program and record weekly and monthly
results
• Maintain a record of fire extinguisher with location and condition.
• Ensure regular inspection conducted on fire engine and pumps weekly and monthly
and recorded, to include all equipment carried onboard.
• Record and investigate all accidents and incidents to establish the causal factor to
prevent re-occurrences.
• Conduct training to the individual’s professional ability.
• Establish a schedule of special training of selected equipment and scenarios.
• Ensure all first aid and medical boxes are maintained and notify Medical team of same.
7.11 MEDICAL AND FIRST AID TEAM

• Regularly promote and conduct first aid refresher classes for trained first aiders.
• Promote and practice personal hygiene
• Deliver treatment as required
• Maintain a record of all medical supplies date of expire etc.
• Record all medic at treatments for monthly statistical records
7.12 CONTRACTORS

• Compliance with the general requirements of the company OH&S Management

System and any legislative requirements particular to their work activities.
• Communicating the OH&S requirements of both their own and company OH&S
Management Systems.
• Ensuring that any conflicts and/or deficiencies between their OH&S standards and
those given in OH&S Management System are resolves prior to the commencement of
any work or activities.
• Providing and agreeing an OH&S plan with the HSE coordinator appropriate to the
nature of the work to be completed.
• Ensuring that the OH&S risk associated with their work activities have been assessed
and appropriate control measures are in place to prevent or adequately control.
• Developing current and up to date OH&S Policy, risk assessments, method statements,
safe systems of work and any other.
• OH&S systems, guidelines and/or procedures available for review prior to and during
the completion of work.
• Ensuring any significant changes to their OH&S Policy, Management System, etc. is
communicated to shipyard management.
• Participating in reviews of OH&S performance during and on completion of the
contracted work or activities.
• Ensuring legal compliance at all times.
• Reporting OH&S incidents/accident, near miss involving themselves, their employees,
the public or other affected by their work activities. These must be reported to the
Shipyard HSE Department.
• Participating to all HSE programs, campaign, safety briefing, trainings and etc. that the
shipyard implemented.
• Ensuring that their employees and workers are equipped with the appropriate
personal protective equipment to their specific task.
• Promote the safe conduct of work in the Shipyard and on board the Ship.
• Liaise with the PT ASL Shipyard Indonesia HSE personnel on matters relating to the HSE
and Welfare of persons working in the shipyard and on board the Ship.
7.13 CUSTOMERS
• Ensuring that all contractors/vendors employed directly by them to within the
shipyard to attend the HSE Induction course.
• Ensuring that their crew and anyone contracted by them are aware of and comply with
all the requirements of the company OH&S Management System and Procedure.
• Informing of any hazardous conditions onboard vessel prior to the vessel entering the
shipyard premises and work commencing.
8. HSE ORGANISATION
PT ASL Shipyard Indonesia recognises its responsibilities to provide a safe and healthy work
environment for its employees, contractors, sub-contractors, owner’s personnel and its
contractors engaged in the project. It is therefore essential that all personnel who work on the
project actively implement an individual and collective commitment to manage HSE in a
competent and effective manner. A dedicated HSE Assessor shall be assigned to assist the Project
Manager for the duration of the project.

The following HSE personnel shall be assigned full time for the duration of the works:
• One HSE Assessor during day shift

• Two HSE Promoter/ Gas Checker during day shift
• One HSE Promoter/ Gas Checker during night shift
Medical Personnel:
• One Medic personnel during day shift

• One Medic personnel during night shift
• One Nurse during day shift
HSE ORGANIZATION CHART

9. HSE COMMUNICATION AND PARTICIPATION PROGRAM
The Shipyard’s Management, Supervisors and HSE/ Security personnel shall carry two-way
radios/ walkie-talkie.
• COMPANY Team shall carry mobile phones.

• In addition, telephone services shall be provided for the COMPANY Site Office. This
telephone shall have direct dial access to shipyard emergency response centre.
9.1 HSE MEETINGS
Regular HSE meetings are held at each site on a regular schedule as detailed:
Event Members Agenda Remarks
PT ASL Shipyard Indonesia PJM

Daily VSCC meeting to and Supervisors, Sub-contractor
supervisors, HSE Lead / Promoter, Plan and coordinate all
review permits, risk
COMPANY Reps. and work that is to carried out Mandatory requirement
assessments and the
on the work site that day
days planned work PROJECT/VESSEL NAME ship’s
crew.
PT ASL Shipyard Indonesia PJM

and Supervisors, Sub-contractor Performance statistics,
supervisors, HSE Lead / Promoter, PT ASL Shipyard
Weekly HSE Safety leading and trailing
COMPANY Reps. and Indonesia HSE to
meeting Inspections follow up and
record minutes
PROJECT/VESSEL NAME ship’s close out status.
crew.
PT ASL Shipyard Indonesia PJM Discuss HSE matters

and Supervisors, Sub-contractor Top discuss critical
Monthly Project Safety supervisors, HSE Lead / Promoter, concerns from inspections.
COMPANY Reps. and Mandatory requirement
committee meeting Project safety
PROJECT/VESSEL NAME ship’s performance.
crew.
Senior management
HSE Speech with topic
can demonstrate their
Safety lesson learned,
PT ASL Shipyard Indonesia PJM commitment towards
Safety Demonstration
and Supervisors, Senior HSE by awarding the
Incident corrective and
Monthly Safety Briefing & Management, HOD, Sub- gifts
preventive action, The
Safety award contractor supervisors, HSE Lead Senior management
nominated Role model
presentation from Sub-contractor to
/ Promoter, COMPANY Reps. and Supervisor, Safety Man of
give a small talk on
PROJECT/VESSEL NAME ship’s and Individual Safe
safety and areas of
crew. behavior Award winners
concern arising from
will be presented with
the main safety
awards
committee meeting
Regular Monthly meeting

to review HSE
performance.
Monthly Safety
Safety committee members To follow up Audit findings Mandatory requirement
Committee Meeting
closed out, To follow up
Incident corrective &
preventive actions

9.2 VESSEL SAFETY CO-ORDINATION COMMITTEE MEETING (VSCC)
A daily VSCC meeting shall be conducted on board and will be chaired by the Shipyard’s PJM.
The VSCC shall include the following members:
• Shipyard HSE Assessor/ Officer who shall be the secretary

• Shipyard Trade Engineers/Foremen (1 per trade)
• COMPANY / Owner or his nominated deputy
• PROJECT/VESSEL NAME Captain/Master, Chief Engineer, Chief Officer and Chief
Electrician.
• Contractors HSE co-ordinators / supervisors/ foremen (1 per company)
HSE shall be the first topic on the agenda, with the following points to be covered
• Discuss HSE issues (inspection results, accidents etc.)

• Review of work planned for the day, hazards and control measures including work in
enclosed space.
• Location of all hot work activities
• Other significant HSE information
• Closing out the previous days comments & remarks
The minutes of each VSCC meeting shall be recorded and a copy shall be displayed near the
top of each gangway. See APPENDIX A
9.3 TOOLBOX TALK MEETING
Supervisor will conduct Safety Tool Box meeting with the employees, for which they are
responsible, prior to the commencement of each day’s work activities. This meeting should
be brief, informal and a means for the Supervisor to allocate work tasks for the day whilst
providing a forum for reinforcing HSE matters and the appropriate equipment and materials
needed to undertake the safely and productively. No records are maintained for this activity.
If particular incident has occurred where there has been an injury or a near miss event, the
Supervisor will call a toolbox meeting of his personnel to briefly discuss the event,
consequences, and remedial action taken for such specific cases, records shall be maintained
in a brief note form and available to all participants, with any action items arising noted and
the action taken referred back to the work group as soon as possible. See APPENDIX B
9.4 SAFETY BRIEFING
The function of the safety briefing is to create safety awareness and to impact relevant safety
instruction to the workforce, including contract workers.
The safety briefing shall be attended by the following persons:
• Yard’s Supervisor or Foreman

• Contractor’s Supervisor or Foreman
• Worker’s individual trades
• HSE Personnel
• Project Manager
• Owner or Client

9.5 EMPLOYEE COMMUNICATION
PT ASL Shipyard Indonesia requires the active participation and involvement of employees at
all levels within the organization, including its subcontractors, to maintain an injury free and
healthy work environment and to improve HSE performance.
PT ASL Shipyard Indonesia shall strive to develop and sustain a culture during the
PROJECT/VESSEL NAME programmed that supports the HSE Policy and Project HSE objectives
by:
Motivating personnel to improve HSE performance through awareness, training and

understanding, acceptance of individual responsibility and positive recognition to reinforce
desirable attitudes and behaviors.
Participation of personnel at all levels through seeking their views and involvement in the
development and implementation and improvement of HSE management system processes.
Commitment of personnel at all levels, built upon belief, personnel motivation and active
participation.
PT ASL Shipyard Indonesia will ensure active participation by employees and subcontractors
by:
• Helping them understand the HSE requirements and their personal roles and
responsibilities in achieving HSE performance
• Classroom orientation and training sessions
• Involving them in the hazard identification and risk control processes
• Providing channels for two-way communication of information that affects them,
including hazards / risks that they may pose or be exposed to, changes that may impact
them, lessons learned etc.
• Preparing them for, and active participation in, emergency response exercises
• Soliciting feedback for continual improvement in HSE performance
• Involving them in reporting of incidents and near misses
• PT ASL Shipyard Indonesia’s subcontractors shall be responsible for establishing,
implementing, and maintaining processes to ensure active employee involvement within
their own organizations.
• Employee communication & participation such as detailed:

To communicate HSE
All PT ASL Shipyard Policies, Hazards during
Indonesia & Subcontractors work, Hazards prevention & Mandatory
HSE Induction
new employees, COMPANY Risk control, requirement requirement
sub-contractors & visitors PPE, Emergency handling,
Safety code of conduct
Daily activities hazard
communication and Risk Mandatory
Daily Talk Box Meeting Supervisor, Workers ,HSE assessment control requirement
measures taken for the job,
Any suggestion from


workers for work Safety
improvement
PT ASL Shipyard Indonesia’s

PJM, Senior Management, Display HSE agenda banner HSE
HSE team/ HOD, Sub- and poster. communication
HSE Campaign contractors, COMPANY Reps. Specific Mass talk related to and participation
and PROJECT/VESSEL NAME HSE campaign program
ship’s crew
To familiarize all how to HSE
Emergency Response ERT / QHSE Manager or handle situation in case of communication
Drill Asst. HSE Manager emergency and where the and participation
safe is muster point. program
HSE
HSE Posters & Lesson Monthly Display Poster & communication
HSE team
Learned Lesson Learned and participation
program
PT ASL Shipyard Indonesia’s
PJM and Supervisors, Sub- HSE
contractor supervisors, HSE Walkabout around the
Weekly Project communication
Lead / Promoter, COMPANY construction area, On the
Walkabout and participation
spot HSE improvement.
Reps. and PROJECT/VESSEL program
NAME ship’s crew.
To ensure HSE Policy and
Monthly Safety Mandatory
Safety committee members Commitment has been
Committee Walkabout requirement
implemented.
9.6 SAFETY INCENTIVES
A safety incentive program will be established at each site to recognize positive behavior and
attitude by personnel to HSE issues. The objectives of the incentive scheme are to promote
and encourage safe behavior by individuals and teams.
In particular we are not measuring lagging indicators; in this case we are measuring inputs and
proactive behavior and action.
The incentive scheme will recognize:
Leadership at management, superintendent and supervisor level in providing positive

examples of HSE in managing the yard and work teams. For management this may include
visibility at the worksite in HSE inspections, discussing HSE with workmen, attendance at
safety meetings etc.
For supervision involvement in leading risk assessment studies, following work permit
requirements, leading safety meetings, JHA’s and promoting HSE to the workforce
For the workforce recognition of following safety rules, wearing of PPE, encouraging safe
behavior in workmates, filling in HAZOB cards.
10.TRAINING AND COMPETENCY

All personnel assigned to work on this project shall undergo skills and/or knowledge training
to fit them for their duties see APPENDIX H. They shall also undergo the induction training which
includes the following:
• HSE Policy
• Drug and Alcohol Policy
• Environmental Policy
• Smoking Policy
• General site HSE rules and regulations
• Work Control System
• Permit to Work System (PTW)
• Confined Space Entry
• Personal Protective Equipment (PPE)
• Emergency Response Procedures
• Accident/Incident and Near Miss reporting
• Risk Assessment / Job Safety Analysis (JSA)
• Handling of yard’s machinery and equipment
• Behaviour Base Safety
• Etc.
All personnel visiting the vessel but not actually working on-board shall undergo a HSE
Induction covering key points and shall also comply with the yard HSE rules and regulations and
the HSEMP.
Sample Training and Competency for ASL Employees:

11. STANDARD OPERATING PROCEDURE
To ensure all activities at carry out safely, PT ASL Shipyard Indonesia shall provide Standard
Operation prior the operation as part of SHSEMP. This Standard Operation Procedure shall
distribute to Project, before implementation at site. QHSE Manager or Asst. HSE Manager will
explain to site supervisor.
Standard Operation Procedure will provide is:
• Personal Protective Equipment

• Access, Gangway and Confined Space Tag System
• Lifting Procedure
• Lifting Inspection
• Up-slip / Down-slip of Barges or Small Vessel
• Working at Height
• Scaffolding
• Safe Use of Compressed Gas
• Docking and Un-docking
• Advance Supplier Relationship (Sub-Contractor Management)
• Preventive Slip, Trip and Fall
• Barricade
• Safety Sign
• Working Over Water
• Welding and Cutting Procedure
• Hot-Work Tool Control
• Maintenance Regiment
• Permit to Work System
11.1 PERSONNEL PROTECTIVE EQUIPMENT
Appropriate Personal Protective Equipment (PPE) shall be correctly worn/used by all

personnel that are involved in this project at all time. All personnel must wear the minimum PPE
whilst working at the site of:
• Safety helmet;
• Safety spectacle/glass;
• Safety boots/ shoes;
• Safety belt / body harness;
• Respirator;
• Hand gloves;
• Overall (for PT ASL Shipyard Indonesia employees), sub-contractors to use appropriate
work clothes comprising either boiler suit or long trousers and work jacket. Tee shirts
will not be acceptable.
In addition, hearing protection, gloves or any other necessary PPE will be worn as required
according to the work being done or the prevailing conditions. Specific PPE requirements i.e.
appropriate face shields and respiratory protection shall be determined according to the nature
of work such as arc welding, grinding or work involving the use of hazardous substances in
accordance with the MSDS requirement and PPE matrix. See APPENDIX W

All personnel shall continuously enforce the use of PPE and shall take appropriate corrective
action to rectify any occurrence of non-compliance.
11.2 ACCESS, GANGWAY AND CONFINED SPACE TAG SYSTEM
• PT ASL Shipyard Indonesia’s Security Officer shall ensure that only authorised personnel
gain access to the vessel during the project.
• All personnel including COMPANY employees/contractors must have to undergone the
Shipyard’s HSE induction training by Yard HSE representative before they are issued
with two Ship Access Passes. SEE APPENDIX C
• COMPANY Superintendent/Owners, Representatives will receive a HSE Induction sticker
with serial number after the safety induction that was valid for 1 year from the date of
induction.
• COMPANY Sub-contractors must send the list of manpower to be inducted via emails to
Project Manager, Commercial, HR, HSE, Security and Customer Service Department.
• COMPANY Sub-contractors must also filled up the HSE Induction Application Form and
to bring and signed by a Project Manager, HR, Security and HSE Department. HR
Department will verify their BPJS insurance for locals and Insurance for expatriates. See
APPENDIX C
• PROJECT/VESSEL NAME ship’s crew will be given safety briefing on board the vessel
once the vessel arrive in PT ASL Shipyard Indonesia.
• One of these passes (No. 1) shall be placed on the access board, which will be
positioned at the bottom of the gangway prior to boarding the vessel.
• When entering any confined space, all personnel shall deposit their other Ship Access
Pass (No.2) into the Tally Box that is placed at the entrance of the confined space.
• Upon exiting the confined space all personnel shall remove their passes from the Tally
Box.
• Where a confined space has more than one access, the Tally Box shall be placed at the
each entrance, but entrances should be minimised to maximum of two. The tank
entry/work permit shall be displayed at the main entrance only.
• In the event of an emergency alarm, all personnel must evacuate the vessel and
assemble and await instructions from the Project Manager and Command Center.
11.3 LIFTING PROCEDURE
To ensure that all lifting operations are performed in accordance with the relevant
guidelines and safe working practices and to make sure that proper equipment.
a. Routine Lift

• Lifts under 5 metric tons

• Covered by generic RA or JSA
• May not require a lifting plan
• Repetitive lift and familiar to all lifting team personnel
• Checklist for General or Heavy lifting must be filled up and signed by relevant
parties. See APPENDIX S
• Lifting Supervisor has performed the identified roles previously
• Lifting Supervisor is trained in the use of the specific lifting equipment and
familiar with the entire operation
b. Non-Routine Lift
• The lift exceeds 5 metric tons or the weight cannot be identified

• All lift exceeds 5 metric tons require a lifting plan and PTW (Lifting)
• Any lift that is irregular in size with a center of gravity not clearly identified.
• Any lift requiring two cranes working in tandem
• A RA/JSA is required to identify and mitigate the risks and a complete lifting plan is
required
• Checklist for General or Heavy lifting must be filled up and signed by relevant
parties. See APPENDIX S
• A pre-lift toolbox meeting should be conducted involving all relevant parties
• All lifting points (eye lug/pad eye) must be cut by CNC machine and tested by
QA/QC NDT or UT.
PROJECT/VESSEL NAME Captain / Master must not use their on cranes without prior
approval by PT ASL Shipyard Indonesia Management and Project Manager. All PROJECT/VESSEL
NAME eye lug / pad eye must be MPI by QA/QC before it was use.
11.4 LIFTING INSPECTION
To ensure that all lifting equipment, appliances and gears are maintained, inspected and
documented in accordance with the relevant guidelines and safe working practices. All lifting
appliances and gears will be colour coded as per PT ASL Shipyard Indonesia.
Color Codes used in PT ASL Shipyard Indonesia are:
Year
2018 2019 2020 2021 2022 2023
Month
Jan. – Jun. white pink gray white pink Gray
Jul. – Dec. green yellow blue green yellow blue
Reject Equipment should not be used. (Red)
Note: There will be four week overlap period occurring at the last two weeks in June and
first two weeks in July. Last two weeks in December and first two weeks in January when
both the previous and upcoming color will be valid.
11.5 WORKING AT HEIGHTS

To give instruction, guidelines and considerations to be adopted by all personnel who are
required to work at height.
This procedure applies to all employee and contractors of PT ASL Shipyard Indonesia and
COMPANY at all location on board PROJECT/VESSEL NAME.
Prior to working at height a risk assessment is to be carried out to establish what health and
safety measures needed to be adopted to avoid or reduce risk. Consideration should be given to:
• The physical condition of the people involved;

• The activity;
• The equipment to be used;
• The location – is it near water, close to power cables, etc.;
• The condition and stability of the work areas and surfaces;
• The environment, i.e. temperature, lighting, wind, etc.;
• The duration of work
11.5.1 HIERARCHY OF RISK
There exists what is termed as a “hierarchy of risk” based upon risk and practicality. The
higher up the hierarchy of access is considered to be, the lesser the risk associated with it.
• Permanent Installed Access is at the top hierarchy as it has the least amount of risk
associated with it. This involves the installation of walkways and gantries, and where
appropriate, a site that must be accessed regularly for routine maintenance.
• Temporary Working Platform such as staging, cradles and mobile platforms. This
method requires those using them to be trained before using them.
• Bottom of the hierarchy and therefore more risky is the use of Personal Protective
Equipment (PPE) and Fall Arrest Techniques. This involves the use of PPE to stop a falling
worker from hitting the ground and prevent injuries.
11.5.2 PERSONAL PROTECTIVE EQUIPMENT
It is important to recognize that the correct application of PPE is just as bad as not using
anything at all.
• Harness
• Lanyard
• Fall Arrestors
11.5.3 RULES TO PREVENT FALLING
Make sure the working platforms (scaffold) is secure. Check the following:
• Will support the weight of workers using it and any materials and equipment they are
likely to use or store on it; the safe for use (OK) tag is posted on the access ladder of the
scaffold.
• Is stable and will not overturn. Scaffold needs to be tied to a supporting structure.
Mobile Elevating Work Platforms (MEWPs) may not be safe on uneven or sloping

ground;
• Provides adequate working space; and
• Is footed on stable ground or on a stable support or structure
• Provide guardrails, barriers, etc. at open edges, including open decks/floors, roofs, and
edges of working platforms.
11.6 SCAFFOLDING
To provide a safe procedures in the erection, use and dismantling of all staging and
scaffolding. To clearly stipulate the levels of personnel trained and competent in erecting,
altering or dismantling of scaffolding.
To raise the awareness of all personnel working on board PROJECT/VESSEL NAME to the
dangers involved and the precautions to be taken when accessing or working on scaffolding.
This procedure applies to all employees and contractors of PT ASL Shipyard Indonesia and
COMPANY for all work location on board PROJECT/VESSEL NAME. It identifies the measures to
be taken to ensure that all scaffolding operations that take place are performed in accordance
with the relevant guidelines and standard safe working practices in order to reduce the risk of
incident or injury.
The Yard Manager is directly responsible for ensuring the following:
• HSE Department and contractors have carried out PTW, JSA and mitigating factors are
implemented.
• Suitable qualified “competent person” scaffolders and inspectors.
• The procedure is reviewed from time to time to ensure its validity.
11.6.1 ERECTING / ALTERED OR DISMANTLING OF SCAFFOLDING
• All scaffolding must be of good construction, of suitable and sound materials and
adequate strength and quantity for the purpose for which it is intended.
• Scaffolding must only be erected, altered or dismantled by trained and competent
personnel. It should be constructed according to recognized standards and as
recommended by the manufacturer. Scaffolding should only erected upon sound
surfaces.
• All persons involved in scaffolding erection, alteration, or dismantling must be familiar
with and wear approved fall arrestor equipment securely fastened to a strong point, in
addition all other required PPE.
• After construction or alteration of scaffolding, it must be inspected and correctly
tagged with “OK Tag” and signed by the competent inspector before other trades to
use it. See APPENDIX T
• Once erected and tagged, no other personnel other than trained and competent
person from the Scaffolding Department is allowed to modify the scaffolding. OK tag is
identified by GREEN tag, and it has been inspected and approved by qualified
inspector for safe to use.
• Whilst scaffolding structure is under construction, or during modification, the
scaffolding tag will show “DO NOT USE SCAFFOLD”. This tag is identified by RED tag.
• Whilst the scaffolding structure remains erected it is subjected to periodic inspections.
These inspections may be result of suspected damage (e.g. from strong winds), at the

request of the user or a member of HSE Department or at least every (7) days, the
scaffolding structure erected for longer periods.
11.7 DOCKING AND UNDOCKING
To ensure that each vessel docking repair and undocking comply with the safe guidelines.
• COMPANY Management will submit the PROJECT/VESSEL NAME Docking Plan to PT ASL
Shipyard Indonesia.
• Project Manager will send a copy of docking plan to Dock Master including the docking
repair specification of PROJECT/VESSEL NAME prior for arranging of keel blocks.
• Project Manager will discuss with the PROJECT/VESSEL NAME Captain / Master the
following:
• Forward draft
• Aft draft
• Longitudinal Center of Buoyancy
• Moment of Change Trim by 1cm
• Center of Gravity
• Longitudinal Center of Floatation
• Transverse metacentre
• PROJECT/VESSEL NAME Captain / Master must submit to Project Manager the following:
• Elevation view
• Plan view
• Cross section at propeller
• Keel profile
• Bilge Keel clearance
• PROJECT/VESSEL NAME Captain / Master shall comply with dockyard ballasting

condition.
• Project Manager, PROJECT/VESSEL NAME Captain / Master and Dock Master to inspect
the keel blocks are in good order and positioned according to the vessel docking plan.
• Dock Master to check the vessel draft and height of tide is suitable and safe for docking
operations.
• Project Manager will designated trade supervisors including with PROJECT/VESSEL
NAME ship’s crew representative to inspect bottom plugs, sea chest grating, anodes,
propeller rope guard, etc. prior for flooding of dock.
• Project Manager and PROJECT/VESSEL NAME Captain / Manager are responsible to sign
the checklist prior for flooding of dock. See APPENDIX N
11.8 ADVANCE SUPPLIER RELATIONSHIP (SUB-CONTRACTOR MANAGEMENT)
To ensure the competency requirements relating to all subcontractors working within the PT
ASL Shipyard Indonesia are identified, managed and suitably controlled.
• All new subcontractors to undertake activities on behalf of PT ASL Shipyard Indonesia,

will be responsible by the Subcontractor Company to fill up the Third Party Contractor

Pre-selection Questionnaire and submit to Commercial Department. See APPENDIX R

• Senior Production Manager and Commercial will select the subcontractor company for
PROJECT/VESSEL NAME works.
• COMPANY Superintendent will liaise with the Project Manager and Commercial
Department for their own subcontractor that will be working on board PROJECT/VESSEL
NAME.
11.8.1 CONTRACTOR PERFORMANCE ASSESSMENT
• Contractor assessments are accomplished through routine, (daily, weekly, monthly)

inspections conducted to ensure that permit conditions and other regulatory
requirements associated with its operations are met on a continuous basis.
• The performance assessment include, but are not limited to:
• Daily workplace inspections by HSE personnel;

• Maintenance regimes;
• HSE Statistics;
• ASR score card
ASR SCORE CARD

11.9 WORKING OVER WATER
This procedure applies to working on, over or near water of PT ASL Shipyard Indonesia or on
board PROJECT/VESSEL NAME.
• Evaluate Work Risk Assessment

• Control and Reduce all potential hazards
• Stop Work Order
• Barricades and Guardrails to prevent falling hazards
• Personal Protective Equipment (PPE)
• Emergency Preparedness
11.10 WELDING AND CUTTING
This procedure provides safety and health instructions regarding gas and electric welding,
cutting, brazing, or similar flame or spark-producing operations to protect personnel and
property against heat, evolved gases and fumes, electric shock, and radiation working on board
PROJECT/VESSEL NAME.
This shall applies to all PT ASL Shipyard Indonesia and COMPANY employees and
contractors responsible for planning, supervising and conducting welding and cutting operation
on board PROJECT/VESSEL NAME.
11.11 HOT-WORK TOOLS CONTROL
The control of hot-work tools to ensure that they are in good condition and comply with the
relevant statutory requirements. As fire and explosions are one of the major hazards in the
shipyard, maintenance of hot-work tools in good condition assumes great importance as they
can help prevent such incidents.
PT ASL SHIPYARD INDONESIA & OWNER’S SUB-CONTRACTORS shall:
• All hot-work tools brought into the yard shall be inspected and kept in the respective
sub-contractors store. They shall be numbered for identification. See APPENDIX U
FREQUENCY OF TESTING OF HOT-WORK TOOLS
Hot-work tools are to be tested as given below:
Hot-Work tools Frequency of Inspection Responsible

Oxy-Gas Hoses, Cutting Torches,
Every 14 days Contractor / HSE Department
Flashback arrestors, Non-return valves
Welding Holders, Cables, Electrodes,
Connectors
Pressure regulators, Nozzles,
Connections
LVSD of Welding sets Every 6 months Facility Department

11.12 MAINTENANCE REGIMENT
PT ASL Shipyard Indonesia Facility Department frequently involve the use of a wide variety
of plants, machinery, equipment and tools. In order that the day-to-day operations are carried
out safety and without any instruction, it is essential that the plants, machinery, equipment and
tools used be maintained in good working condition. Failure to carry out adequate preventive
maintenance could result in decrease in the efficiency and/or break down of plants, machinery,
equipment and tools and may lead to serious accident / incidents. Hence, proper HSE Equipment
Inspection shall be established to ensure that plants machinery, equipment and tools used in the
shipyard are properly maintained. The preventive maintenance program shall incorporate the
relevant statutory inspection, where necessary.
The purpose of maintenance regime is to ensure that plant machineries used within the
yard premises are safe to use.
a. HSE EQUIPMENT INSPECTION
HSE Equipment Inspection is predetermined work performed without any prior

knowledge of a defect. HSE Equipment Inspection keeps machinery/equipment in an
effective condition there by preventing an undressed breakdown.
The HSE Equipment Inspection carried out in the yard shall include the following
equipment/machinery;
a. Cranes
b. Fork Lifts
c. Service line
d. Compressor and Generator
e. Production machinery
f. High pressure pump for hydro jetting
g. Airless spray pumps
h. Pressure Vessels
i. Vehicles
j. Building and workshop
The type, frequency and responsibility for carrying out preventive maintenance is clearly
defined for each of the above machinery or equipment.
b. PRE-USE INSPECTION CHECKLIST
Machinery/equipment, which have system such as emergency control, lights, bracers,

etc. shall be checked at the start of the work prior use by the operator using pre-use
inspection checklist.
c. MAINTENANCE OF CRITICAL PARTS
Critical parts are defines as the components of machinery/equipment more likely than
others components to result in a major problem or loss when worn, damaged, misused or
improperly applied or improperly stored.

The procedure adopted in the yard with respect to maintenance of critical parts is as
follows;
• All machinery/equipment in the yard are listed down

• A critical few parts whish are likely to cause major problems are identified.
• Maintenance checklist specific to each part/item is prepared.
• Frequency for conducting maintenance is fixed.
• Responsibility for carrying out preventive maintenance assigned.
d. LEGAL CERTIFICATION AND CALIBRATION
Under Indonesia Legislation, Crane and Forklift should be Inspected, Calibrated and
Certificated by Competent Government Agency below:
• Crane and Forklift Testing and Certification by Local Government Labour Agency
Yearly
11.13 PERMIT TO WORK SYSTEM
• To clearly define the Permit to Work System within PT ASL Shipyard Indonesia as a
means of controlling potential high risk activities and reducing the likelihood and/or
severity of potential incidents.
• The permit to work system covers all high risk activities within PT ASL Shipyard
Indonesia but is not limited to the following: See APPENDIX F
• PERMIT FOR HOTWORK (WITH DAILY ENDORSEMENT)

• PERMIT FOR SHORT TERM HOTWORK (24HRS)
• PERMIT FOR GENERAL WORK
• PERMIT FOR CONFINED SPACE ENTRY
• PERMIT FOR LIFTING
• PERMIT FOR BALLASTING/DE-BALLASTING
• PERMIT FOR BLASTING
• PERMIT FOR BUNKERING / TRANSFERRING OF OIL
• PERMIT FOR CHEMICAL USE
• PERMIT FOR WORK ACTIVITIES IN CO2/HALON ROOM
• PERMIT FOR CONFINED SPACE/PERMIT FOR DISMANTLING/TESTING OF
PIPELINES/VALVES/HEATING COILS/STEAM & HYDRAULIC SYSTEMS
• PERMIT FOR PAINTING
• PERMIT FOR ASBESTOS WORK
• PERMIT FOR RADIOGRAPHY WORK
• PERMIT FOR SEWAGE TANK WORK
• LOCKOUT/TAGOUT FORM
• PERMIT FOR ELECTRICAL WORK
• PERMIT FOR DIVING WORK
• PERMIT FOR SCAFFOLDING
STAGES OF APPLICATION OF PERMIT-TO-WORK

• Stage 1 – APPLICATION BY ASSIGNED CONTRACTOR SUPERVISOR/FOREMAN

• Stage 1A – ENDORSEMENT BY YARD SUPERVISOR/FOREMAN
• Stage 2 – ENDORSEMENT BY HSE ASSESSOR / OFFICER
• Stage 3 – APPROVAL BY SHIP REPAIR MANAGER / PROJECT MANAGER
• Stage 4 – NOTIFICATION OF COMPLETION OF WORK
POSTING OF PERMIT-TO-WORK
• To clearly post a display copy “Original” of the permit-to-work issued in respect of

that work, including where reasonably practicable, at the location where the work
is to be carried out; and
• To ensure that the display copy is not removed until the date of expiry or date of
revocation or on completion of the permits.
REVOCATION OF PERMIT-TO-WORK
• If, after issuing a permit-to-work in respect of any high risk work, the Project
Manager, as the case may be, is of the view that the carrying out of the high risk
work poses or is likely to pose a risk to the safety and health of persons at work in
the shipyard or on board a ship, he may order the high risk work to cease
immediately and revoke the permit-to-work.
• During the vessel movement or after the movement, all permit-to-work in respect
of any high risk work in confined spaces, enclosed spaces, engine room and pump
room are cease immediately and revoke the permit-to-work by the Manager and
HSE Assessor. A fresh application shall be made in accordance with regulation
“Application for Permit-to-Work”.
• If there is any erasure or falsification in the permit without a counter – sign by HSE
Assessor or PJM.
RETRIEVAL OF EXPIRED AND COMPLETION OF PERMIT-TO-WORK
• It shall be the duty of trade supervisor or foreman to remove the display copy
permit-to-work from the location of work. Sign of the permit-to-work indicating the
date and time. Return the permit-to-work to the HSE Assessor.
12. EMERGENCY RESPONSE PLAN
12.1 EMERGENCY RESPONSE
During the period that the vessel is docked, the following shall apply in relation to emergency
response:
a) Emergency response and control capabilities shall be provided through the Shipyard
Emergency Plan.
b) Emergency response can be initiated by:

• Activating portable alarm system that shall be set up on main deck

• Activating the crane siren by the crane operator
c) PT ASL Shipyard Indonesia shall provide a safe muster area that will be clearly indicated
for the emergency evacuation of all personnel. The muster area shall be sufficient to
accommodate all personnel working on the vessel.
d) Emergency alarm shall be identified as a continuous activation of the crane siren until the
arrival of the yard’s fire engine and ambulance.
12.2 EVACUATION PROCEDURE
Upon hearing the emergency alarm:
• All personnel shall immediately leave the vessel by the shortest route.
• Security and HSE personnel shall direct immediately all personnel to the safe mustering
area.
• HSE Assessors shall take initial control of the emergency situation prior to the arrival of
the QHSE Manager or Asst. HSE Manager.
The Shipyard’s HSE personnel on board the vessel shall perform the following activities:
• On observing an emergency, evaluate and call Shipyard HSE Dept. for assistance.
• On hearing the emergency alarm the Shipyard’s HSE personnel shall activate Emergency
Response Team (ERT), at the same time shall initiate the evacuation of all personnel.
• Checked confined space tag boxes and sound air horn at space entrance
All personnel vacating confined spaces must remove their entry tags/passes from the tally
box placed at the entrance of the confined space and then proceed to their mustering points.
Respective Foremen/Supervisors shall check that all their workers are accounted for and report it
to the HSE Assessors. Any missing personnel shall be reported to the HSE Assessors immediately
with the last known position on the vessel. COMPANY Superintendent and PROJECT/VESSEL
NAME Captain/Master shall also report the head counts of their own personnel and contractors
to the Yard HSE Assessor and/or the command post.
A drill shall be conducted within the period of the vessel docking, to assess the yard’s
preparedness to response to an engine room fire, emergency mustering and the ability to
account for personnel.
12.3 FIRE FIGHTING
The vessel shall be protected by fire points with charged lines of firefighting hoses rigged up
on board. A fire watchman with portable fire extinguishers shall be provided at hot work
locations where necessary.
Fire patrols are provided on a 24 hours basis. Easy communication through telephone or
radio/ walkie-talkies shall be maintained with the fire station, which is continuously manned.

12.4 MUSTER POINT YARD LAYOUT
12.5 MEDICAL EMERGENCIES
a) All personnel shall obtain first aid/medical treatment from the PT ASL Shipyard
Indonesia Medical Centre that is manned by two qualified industrial nurses on a 24
hours basis.
b) PT ASL Shipyard Indonesia shall maintain an equipped ambulance on 24 hours basis.
c) Eyewash station shall also be made available in the Yard’s Medical Centre.
13. MEDICAL HEALTH EXAMINATION / INDUSTRIAL HYGIENE

Occupational health will be considered through all phases of the Project. PT ASL Shipyard
Indonesia will ensure that adequate provisions are made to ensure that all personnel involved
in the scope of work are protected from exposure to hazards which may affect their
immediate and future health. Implementation will be administered by the following means:
• Periodic Medical Examinations to ensure personnel are medically fit for their job to be
undertaken in accordance with the relevant applicable legislation/guidelines.
• The implementation of identification of hazardous operation will limit exposure to
hazard.
• Personal protective equipment will be made available when other methods of
protection can be implemented.
• Developing operational control procedures for the Fabrication activities.
• Maintaining a safe and healthy place of work.
• Adequate clean and well maintained sanitary facilities within reasonable access to work
and rest areas.
• Adequate facilities for hand washing adjacent to dining rooms and sanitary facilities.
• Workers will be provided with covered dining facilities wherever practicable and these
will be kept clean on a daily basis.
• PT ASL Shipyard Indonesia, through its medical facilities, posters, notices and meetings will
dispense information and instructions in matters of personal and occupational hygiene
and the prevention/avoidance of disease, work related health problems and heat related
stress.

14. SAFETY CONTROL SYSTEM
14.1 INSPECTION
The following matrix shall be developed to carry out the various inspection/review
throughout the project:
Pre-Project Daily Post Project

Joint HSE Inspection by Project
HSEMP Review Project HSE Review
Team representatives
Induction of Project Team
VSCC Meeting
on HSEMP
Daily HSE Inspection
a) A daily HSE inspection shall be conducted jointly by the following parties:
• PT ASL Shipyard Indonesia Project Management team led by PJM

• Shipyard HSE Assessor/ Promoters, ASL Supervisors and Sub-con Supervisors
b) Findings of the daily HSE inspection shall be highlighted at the Vessel HSE Co-ordination
Committee Meeting.
14.2 WORKING HOURS
The Shipyard shall be responsible for the administration of working hours for all the
Shipyard’s personnel. The working hours shall be as follows:
• Day Shift – Monday to Friday
0800 hours to 1700 hours (normal working hours)

1800 hours to 2000 hours (overtime block)

• Day Shift – Saturday

1300 hours to 1700 hours (1st overtime block)
1800 hours to 2000 hours (2nd overtime block)
• Day Shift – Sunday & Public Holiday
0800 hours to 1700 hours
• Night Shift – Sunday to Friday
The Project Manager shall ensure due regard is given to conditions at each site and restrict
man-hours as necessary.
14.3 HAZARD COMMUNICATION
The following Pre-Order Checklist will assist to minimize the risks to employees and the
Company:
• Obtain Material Safety Data Sheet (MSDS) from supplier or manufacturer. If information
is inadequate to make a decision, request additional information.
• If in doubt, seek advice through the HSE Officer/ QHSE Manager or Asst. HSE Manager.
• Is there a safer alternative?
• Check on statutory requirements for transportation, storage and use. Can they be met?
• Consult with employees who might be affected. Plan safeguards and safe work system.
• Provide the necessary training.
• Place order.
• On Receipt, check the material received is as ordered.
14.4 HSE NOTICE BOARD
a) A free standing HSE Notice Board showing HSE Weekly and Up-to-date statistic of the
project for PROJECT/VESSEL NAME.
b) HSE notice board for safety posters, signboard and etc.
14.5 PREVENTIVE SLIP, TRIP AND FALL
To provide guidance to all employees of PT ASL Shipyard Indonesia and COMPANY on

preventing injuries from Slips, Trips and Falls.
All work area, both on board PROJECT/VESSEL NAME and ashore, should be considered as
potential slips and trips hazardous areas and appropriate safety precautions should be observed.
14.6 SAFETY SIGN

A number of operations in PT ASL Shipyard Indonesia involves employees of different

nationalities. It is therefore necessary that certain basic safety information is communicated to
them in a manner that could be easily understood.
Safety signs or symbols use in the shipyard and on board PROJECT/VESSEL NAME are in two
languages i.e. English and Bahasa Indonesia.
15. EVALUATION AND RISK MANAGEMENT
15.1 RISK ASSESSMENT
Risk Assessment will be undertaken during before site activities. The objective of the RA will
be to identify inherent hazards associated with the Lifting activities and develop the means to
eliminate the hazard and suitable Personal Protection Equipment being used for any work
activities, or to reduce the risks posed by the hazard to as low and reasonably practicable level.
The RA will identify the activities, equipment and responsibilities for the management of
hazard and risk within each work activity. The results of the RA will detail in the HAZID register
prepared by PT ASL Shipyard Indonesia. SEE APPENDIX D
The RA process typically includes the following activities:
• Break the activities down into individual jobs and steps.

• Identify hazard.
• Develop means of eliminating the hazard or, of reducing risks to tolerable and
manageable levels.
• Record RA results.
• Incorporate recommendations into fabrication sequence and load out procedure.
Typically the following activities will be subject to RA
• Lifting and Rigging Operation

• Working in Confined Space
• Painting and Blasting
• Welding, Cutting and Grinding
• Etc.
15.2 JOB SAFETY ANALYSIS (JSA)
It is a procedure that identifies the hazards or potential accidents associated with each step
of a job, and develop solutions that will either eliminate or guard against such hazards. See
APPENDIX E
16. IMPLEMENTATION AND PERFORMANCE MONITORING
16.1 HSE PERFORMANCE

Measurement of HSE Performance will be made in two areas. Firstly the historical data of
injury and incident number and classification, and secondly with the more positive safety
management process of recording those activities undertaken each month which contribute to
the overall success of the programme.
• HSE Meeting
• HSE Toolbox Talk
• HSE Induction
• HSE Training
• HSE Reporting
• Hazard Observation Card (HOC)
• Audit / Inspection
• Compliance with Personal Protective Equipment (PPE)
• Compliance with Good Housekeeping
• Compliance with Waste Management
• Closure action / Follow-up findings
16.2 HSE TARGETS
HSE Targets for the Project are defined below and PT ASL Shipyard Indonesia shall
proactively support these targets. However, for the duration of all work undertaken by PT ASL
Shipyard Indonesia on the Project.
The safety targets or this project are to achieve the following at the completion of the
works:
• Zero Fatality
• Zero Lost Time Incident Cases
• Zero Restricted Work Case
• Zero Medical Treatment Case
• Zero number of property damage incident exceeding $10,000
• Zero number of oil pollution (>20 liters)
• Zero Fire / Explosion Case
16.3 HSE STATISTIC
Standard injury/incident numbers and frequency rates will be recorded for Lost Time Injury,
Restricted workday case, Medical Treatment Injury, First Aid Injury, Reported Incidents and all
Incident frequency rate.
The HSE Assessor/Officer will report the statistical indicators on a monthly basis.
• All Frequency Rates will be calculated using the same basic formula.
Frequency Rate = (Incident Count) x 1,000,000
Total Man-hours
• Severity Rates of Injuries will be calculated as follows:

Severity Rate = (Total Man-hours lost) x 1,000,000
Total Man-hours worked x 8

Where “8” is the number of hours worked in a shift
16.4 HSE KEY PERFORMANCE INDICATOR
HSE Performance Indicator (KPI’s) also will report by HSE Project in weekly and monthly
basis.
17. ACCIDENT REPORTING & ANALYSIS
The investigation and reporting of incidents and accidents occurring as a result of the PT ASL
Shipyard Indonesia operations and within an area of PT ASL Shipyard Indonesia responsibility will
be conducted in accordance with PT ASL Shipyard Indonesia investigation procedures.
The primary purpose of incident investigation and analysis will be to provide a mean of
improving HSE performance on the project and thereby reducing both direct and indirect losses
and enhancing HSE of each working environment and protection of the environment. The
procedure outlined below aims to provide effective reporting and investigation of all accidents,
incidents and near misses arising in the course of PT ASL Shipyard Indonesia related operations in
order to:

• Establish the facts, circumstances and root causes of incidents,

• Communicate to appropriate personnel the results of investigations and any remedial
measures required,
• Identify future preventative measures or areas of improvement which may reduce losses in
respect of those operations,
• Comply with any legal reporting requirements and to meet contractual obligations to
COMPANY.
The notification and reporting of all Incidents / accidents is also presented in the Incident
notification table reference See APPENDIX G
In any case of incident / accident, PT ASL Shipyard Indonesia shall immediately notify to
COMPANY Superintendent via email and submit a preliminary written Investigation report within
24 hours of the incident/accident. Full detail report will be submitted within 14 days.
PT ASL Shipyard Indonesia will provide injured parties with adequate medical care and will
perform the appropriate level of case management (i.e. Initial medical treatment and follow up
surveillance).
The Incident category to report and recordable also investigation require are:
• Near miss
• First Aid
• Medical Treatment Case
• Restricted Work Case
• Lost Time Injury
• Fatality
• Oil pollution (>20 liters)
• Property Damage incident exceeding $10,000
• Fire / Explosion
• Transportation incident
DEFINITION
ACCIDENT An unplanned and uncontrolled event that may be injurious or

damaging to an individual, property, operation or the
environment.
Any unplanned event, that interrupts or interferes with the
orderly process of a production activity or process.
INCIDENT Any action and event, which results in injury, damage, fire,
adverse environment impact, or has the potential to do so.
Note: an incident where no oil ill health, injury, damage or other
loss occurs is also referred to as a “near miss”. The term
“incident” also includes “near miss”.
FIRST AID CASES An accident, which requires medical treatment, and subsequent
observation of minor scratches, cut, burn, splinter and so forth

which do not ordinarily require medical care even though

provided be medical centre. The accident results in negligible
time away from the work on the day of accident and return back
to normal duty on the following day.
MEDICAL CASES An accident at work, where medical treatment and recuperation

is required, which results in the injured party requiring up to (and
including) three consecutive working days away from the
workplace.
RESTRICTED Is a recordable work-related injury or illness involves restricted

WORK CASE (RWC) work or job transfer but does not involve death or days away
from work.
LOST TIME INJURY An accident at work, where medical treatment and or

(LTI) recuperation is required, which results in the injured party
required more than three consecutive working days away from
the workplace.
FATALITY Death by accident
ACCIDENT Number of accidents per million man hours worked

FREQUENCY RATE
LTI FREQUENCY Number of Lost time injuries per million man hours worked
RATE
ACCIDENT Mandays lost due to an accident per million man hours worked
SEVERITY RATE
LTI SEVERITY Mandays lost due to Lost Time Injuries per million man hours
RATE worked

INCIDENT ANALYSIS
18. AUDIT AND REVIEW
HSE audits will be undertaken in compliance with the HSE plan and Project procedures. A
HSE audit schedule will be prepared and maintained by the QHSE Manager or Asst. HSE
Manager. During Project life PT ASL Shipyard Indonesia will carry out Audit one-time at Worksite.
18.1 AUDIT TEAM
The audit team will typically consist of personnel from the following:
• Project site management representative

• Employee representative
The team leader will generally be the HSE Officer
18.2 FOLLOW UP AND MONITORING
A complete audit report will be made to the Director on completion of the audit. Areas of
non-conformance will be reviewed by the Project Manager and QHSE Manager or Asst. HSE

Manager to assist in rectifying inconsistent or below standard performance. The audit report will
detail actions to be addressed, responsibilities, completion dates and follow up actions to be
performed. SEE APPENDIX M
19. ENVIRONMENT MANAGEMENT PLAN
19.1 SCOPE
THE Scope of Shipyard Environmental Management Plan is:
“Shipyard operation in ASL Batam containing of Ship Building, Ship repair and other
marine related services”
Ship building is activities to produce new ships according to specification identified by

customer and agreed standard.
Ship repair is activities to repair ships according to customer specification and instructions.
Conversion works is activities to convert a ship according to customer requirement ASL

Batam is a place located at Tanjung Uncang Batam Indonesia.

ENVIRONMENTAL POLICY

19.2 PROCEDURE
19.2.1 PROJECT/VESSEL NAME Master/ Captain and/ or COMPANY Superintendent will liaise
with Project Manager during the VSCC meeting for the proper disposal of any hazardous
waste on board the vessel.
19.2.2 Project Manager will designate authorized contractor for the disposal of hazardous
waste.
19.2.3 The shipyard will provide bins for PROJECT/VESSEL NAME for the domestic waste and
contaminated items such as oily rags, hand gloves, etc. must put inside the plastic bag
before putting in the bins on board the vessel.
19.2.4 The shipyard will remove once it full and replace empty bins until the project was done.
19.2.5 Sub-contractors will provide their own bins for their own waste such (rubbish and scrap)
during the period of the project.
19.2.6 A daily housekeeping will be done by all the sub-contractors and PROJECT/VESSEL NAME
sub-contractors during the period of the project.
19.3 ENVIRONMENTAL CONTROL
• YELLOW BIN – SCRAP METALS

• BLACK BIN – DOMESTIC WASTE (rubbish, woods, plastic, cables, etc.)
• ORANGE BIN / PORTABLE TANK – OIL AND CONTAMINATED ITEMS
• JUMBO BAG – BLASTING GRITS
20. WASTE MANAGEMENT PLAN
The purpose of this plan is to ensure that domestic refuse, solid waste, used oil, sludge,
hazardous and toxic waste and all waste generated from the PT ASL Shipyard Indonesia are
properly handled and disposed in order to minimize impact to the environment.
The plan covers the management and disposal of these wastes that are too carried out by
PT ASL Shipyard Indonesia, COMPANY and PROJECT/VESSEL NAME and its engaged contractors.
20.1 PROCEDURE
20.1.1 RESPONSIBILITY
• For construction of project or vessel supervised by Project Manager, New Building and
Facility it is responsibility of the contractor to dispose of all waste generated from
construction site to the authorized dumping ground. The disposal of the waste must be in
accordance to the local requirement also. Project Manager shall ensure that these are
properly carried out by contractor.
• For all disposal of hazardous wastes and toxic waste, all records of disposal shall be
acknowledged by Project Manager and Logistic Manager.

20.1.2 MANAGEMENT DISPOSAL OF SOLID WASTE
• All domestic refuse to dispose of by the contractors appointed to the project shall be
dispose all wastes to designated dumping ground. All vehicles used by contractors for
dumping of domestic refuse should bring directly to the dumping ground. The
Department/Section Head shall responsible to monitor the dumping waste by their
contractors and shall keep a record of the monitoring.
• For disposal of solid waste generated in the PROJECT/VESSEL NAME, the contractor
engaged by respective Department / Section of ASL shall dispose of all waste to the
authorized dumping ground. See APPENDIX K
20.1.3 MANAGEMENT DISPOSAL OF HAZARDOUS WASTE:
• Used lubricating oil

• Chemical cleaning contamination
• Used blasting materials (copper slags, garnet, steel shot)
• Contaminated rags
• Sludge Oil
• Chemical Paint
• Fats
• Asbestos
• Used battery, printer cartridge
• Expired medicine
a) Hazardous and Toxic waste of PT ASL Shipyard Indonesia shall be collected in store or
designated location for temporary waste storage.
b) Used copper slags should be collected into jumbo bags and used oil will be collected
into drums or portable tanks.
c) Management will appoint or contact approved contractor to dispose the waste within
90 days storage.
d) The contractor shall provide a Manifest Document of the waste loaded.
e) After completion of work, manifest document should be acknowledge by Director,
Store man shall collect the manifest for documentation. See APPENDIX L.
20.1.4 PROCESS MEASUREMENT
• Collected used oiled / sludge oil into drum and used copper slags into jumbo bags
every day.
• Disposed the waste from legal disposal area every 90 days.
• Collected organic rubbish canteen into closed bin using plastic bag every day.
• Send domestic and organic waste to dumping area, do not wait the bin smell and
maggot indicated twice a day.
20.1.5 RECORDS
• Hazardous Material Waste Inventory to keep records by Store Supervisor for 2 years.
• Solid / Domestic Rubbish Inventory to keep records by Store Supervisor for 2 years.
• KLH B3 Manifest Document to keep records by Store Supervisor for 30 years

21. JOURNEY MANAGEMENT PLAN

21.1 Individual Traveller
Each traveller is responsible for initiating their preliminary travel requirements, beginning
with obtaining an approved Travel Authorization Form prior to making travel arrangements.
NOTE: Travellers are responsible for having copies of their passport, visa and work permit.
21.2 Procedures for Project Personnel’s related travel to Batam :
• Expatriate must ensure passport is valid with at least 6 months remaining before
expiration and with at least two blank pages.
• All traveler must be has been appointment with PT ASL Shipyard Indonesia Customer
service department and will directly pickup use PT ASL Shipyard Indonesia
transportation Car from Ferry port or Airport.
• All transportation vehicles driver can recognized with PT ASL Shipyard Indonesia
uniform brown color with identification ASL Marine logos on the front and behind side.
• The PT ASL Shipyard Indonesia vehicles driver will take you to PT ASL Shipyard
Indonesia
Jalan Brigjen Katamso KM 13

Tanjung Uncang –Batam Island
Telp. +62778 6007-250 Ext.164
Person in charge: Mitchell Mantiri
Or recommended Hotel
Harris Hotel – Marina Waterfront, Batam

Holiday Inn Hotel – Marina Waterfront, Batam
D’ Merlion – Marina City, Batam
Hospitals
RSUD Imbung Fatimah – Batu Aji, Batam

AWOL Bros Hospital – Baloi Indah, Batam
Rumah Sakit Otorita Batam – Sekupang, Batam
RS Santa Elisabeth – Lubuk Baja, Batam
21.3 Vehicles
Good periodic maintenance

•
All safety devices : Brake systems, Light systems, Side mirror , and Horn in good
•
functioned
• Provided portable Fire extinguisher.
21.4 Vehicles Driver
• Truck driver shall possess valid license issued by Police of republic Indonesia.
• Should follow the route as the instructed

• Riding the vehicles :
-. Maximum speed in city : 40 Km/hours.

-. Highway speed : 70 Km/hours.
-. In PT ASL Shipyard Indonesia vicinity : 15 Km/hours
• Immediately report any incident related to his manager or his delegated for inside of
Yard, for out-site traffic incident report to:
-. PT ASL Shipyard Indonesia HSE Department, person in charge:

-. Mr. Ray (HSE Asst. Manager) Mobile No. + 6289673699351.
• Do not use hand-phone or walkie-talkie while driving.

• Must wear head set during answer phone call when driving.
• Must wear seat belt all times during driving on the road.
21.5 Resting Area
• Customer Service lobby

• Production Smoking area

22. APPROVAL SIGNATORIES
The following personnel have reviewed this Site Health, Safety and Environmental
Management Plan and agreed to the implementation of the contents of the plan in its
entirety.
COMPANY Superintendent
Signature…………………………………..Date………….
PT ASL Shipyard Indonesia General Manager (Production / Commercial)
Signature………………………………... Date……………
PT ASL Shipyard Indonesia Production Manager
Signature………………………………... Date……………
PT ASL Shipyard Indonesia HSE Manager
Signature………………………………... Date……………

APPENDIX A (Vessel Safety Co-ordination Committee Meeting Form 1)

(Vessel Safety Co-ordination Committee Meeting Form 2)

APPENDIX B (TOOLBOX TALK MEETING RECORD FORM)

APPENDIX C (GANGWAY ACCESS TAGS)

(HSE INDUCTION / ORIENTATION APPLICATION FORM)

APPENDIX D (RISK ASSESSMENT FORM)

APPENDIX E (JOB SAFETY ANALYSIS FORM)

APPENDIX F (PERMIT TO WORK SYSTEM)
PERMIT FOR HOTWORK WITH DAILY ENDORSEMENT PERMIT FOR SHORT TERM HOTWORK

PERMIT FOR CONFINED SPACE ENTRY PERMIT FOR GENERAL WORK

PERMIT FOR PAINTING PERMIT FOR BALLASTING / DE-BALLASTING

PERMIT FOR BLASTING PERMIT FOR BUNKERING / TRANSFERRING OF OIL

PERMIT FOR DISMANTLING/TESTING OF PIPELINES PERMIT FOR RADIOGRAPHY WORK
VALVES/HEATING COILS/STEAM & HYDRAULIC SYSTEMS

PERMIT FOR CHEMICAL USE PERMIT FOR ASBESTOS WORK

PERMIT FOR DIVING WORK PERMIT FOR LIFTING

PERMIT FOR ELECTRICAL WORKS LOCK OUT / TAG OUT FORM (LOTO)

PERMIT FOR SCAFFOLDING

APPENDIX G (INCIDENT INVESTIGATION REPORT FORM)

APPENDIX H (MONTHLY TRAINING CALENDAR) (TRAINING MATRIX)

APPENDIX I (DAILY HSE INSPECTION CHECKLIST)

APPENDIX J (HAZARD OBSERVATION CARD)

APPENDIX K (SOLID / DOMESTIC RUBBISH INVENTORY)

APPENDIX L (HAZARDOUS MATERIALS (B3) WASTE INVENTORY)

APPENDIX M (INTERNAL AUDIT SUMMARY REPORT)

APPENDIX N (DOCK FLOODING CHECKLIST)

APPENDIX O (MEDICAL EXAMINATION)

(CLINIC LOG BOOK) (MEDICAL RECOMMENDATION LETTER FORM)

APPENDIX P (HSE EQUIPMENT) (GAS METER MASTERLIST)
(BREATHING APPARATUS MASTERLIST)

APPENDIX Q (SAMPLE EQUIPMENT CERTIFICATES)
FORKLIFT TOWER PORTAL CRANE

MOBILE CRANE GEN. SET

GANTRY CRANE COMPRESSOR

APPENDIX R (THIRD PARTY CONTRACTOR PRESELECTION QUESTIONNAIRE)

APPENDIX S (CHECKLIST FOR GENERAL OR HEAVY LIFTING)

APPENDIX T (SCAFFOLDING TAGS)

APPENDIX U (HOT-WORK TOOLS INSPECTION RECEIPT)

APPENDIX V (BUNKERING AND TRANSFERRING OF OIL CHECKLIST)

APPENDIX W (PERSONAL PROTECTIVE EQUIPMENT MATRIX)

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COMPANY NAME

PROJECT / VESSEL NAME

HEALTH, SAFETY &

Revision 1 1 JANUARY 2021

18. AUDIT AND REVIEW 43

Revision 1 2 JANUARY 2021

1.1 PURPOSE OF PLAN

• Shipyard HSE Manual

1.2 HSE MANAGEMENT SYSTEM

1.3 LEADERSHIP AND COMMITMMENT

Corporate and Project Management shall:

Revision 1 3 JANUARY 2021

• Participate in the safety audit program and hazard identification systems.

1.4 PROJECT HSE POLICY AND OBJECTIVES

Revision 1 4 JANUARY 2021

Revision 1 5 JANUARY 2021

HSE OBJECTIVE AND TARGET

Revision 1 6 JANUARY 2021

Revision 1 7 JANUARY 2021

3. ALCOHOL AND DRUG POLICY

Revision 1 8 JANUARY 2021

4. STOP WORK ORDER POLICY

Revision 1 9 JANUARY 2021

5. PROJECT HSE PLAN

6. ASL PROJECT MANAGEMENT ORGANIZATION

PT ASL Shipyard Indonesia is an organization structured to emulate the progression of

Revision 1 10 JANUARY 2021

7. ROLES AND RESPONSIBILITY

7.1 SENIOR MANAGEMENT

7.2 HEAD OF DEPARTMENT (HOD)

• Administer the company safety policy on a daily basis.

Revision 1 11 JANUARY 2021

• Ensure that emergency procedures are implemented; periodic exercise is held to

7.3 PROJECT MANAGER

7.4 QHSE MANAGER / ASST. HSE MANAGER

Revision 1 12 JANUARY 2021

7.5 PROJECT HSE LEAD

7.6 LINE MANAGEMENT

• Administer the company safety policy on a daily basis.

7.7 INDIVIDUAL EMPLOYEES

Revision 1 13 JANUARY 2021

7.8 HSE ASSESSORS / HSE OFFICER

7.9 HSE PROMOTERS

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• Be active during the toolbox talk and safety briefing.

7.10 FIRE AND RESCUE TEAM

7.11 MEDICAL AND FIRST AID TEAM

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• Compliance with the general requirements of the company OH&S Management

Revision 1 16 JANUARY 2021

• One HSE Assessor during day shift

• One Medic personnel during day shift

HSE ORGANIZATION CHART

Revision 1 17 JANUARY 2021

9. HSE COMMUNICATION AND PARTICIPATION PROGRAM

• COMPANY Team shall carry mobile phones.

9.1 HSE MEETINGS

Event Members Agenda Remarks

PT ASL Shipyard Indonesia PJM

PT ASL Shipyard Indonesia PJM

PT ASL Shipyard Indonesia PJM Discuss HSE matters

Regular Monthly meeting