NAMA PROJECT / NAMA PERUSAHAAN

Plan Impelmented Percentage

Title :

SHE PROGRAM PLAN

Bulan-Tahun
0%
NO PROGRAM STATUS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 SCORE PIC PERIOD NOTE
Minggu 1 Minggu 2 Minggu 3 Minggu 4
2. Training
PLAN Refers to SEGS Safety Induction
2.1 Orientation Training 0% HSE Engineer AR
ACTUAL Requirement
3. Communication
3.1 Meeting
PLAN V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V HSE Manager, Supervisor,
3.1.2 Toolbox Meeting 0% Daily Daily Tool Box MOM
ACTUAL Engineer, Officer
PLAN V V V V HSE Manager, Supervisor,
3.1.3 HSE Talk 0% Weekly Signed HSE Topic
ACTUAL Engineer, Officer
PLAN V V V V V
3.1.4 Construction Meeting 0% HSE Manager Weekly MOM & Attandance List
ACTUAL
PLAN V V V V V HSE Supervisor, Engineer,
3.1.5 HSE Patrol/Walkthourgh 0% Weekly MOM & Attandance List
ACTUAL Officer
Management HSE Committee PLAN V
3.1.6 0% HSE Manager Monthly MOM & Attandance List
Meeting ACTUAL
PLAN V V V V
3.1.7 Driver Safety Briefing 0% HSE Engineer Monthly MOM & Attandance List
ACTUAL
3.2 Campaign/Socialization
PLAN V V V V V V
3.2.1 Information Board & Signboard Update 0% Admin HSE Weekly Photograph
ACTUAL
3.3 Report
PLAN V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V
3.3.1 Daily Report 0% HSE Engineer Daily DCT Record and Dashboard
ACTUAL
PLAN V V V V V
3.3.2 Weekly Report 0% HSE Engineer Weekly DCT Record and Dashboard
ACTUAL
PLAN V
3.3.3 Monthly Report 0% HSE Engineer Monthly DCT Record and Dashboard
ACTUAL
4. Inspection & Audit
PLAN
4.1 Pre-mobilization Inspection 0% HSE Supervisor AR Inspection Report
ACTUAL
PLAN V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V
4.2 Daily Safety Inspection 0% HSE Supervisor AR Daily Report
ACTUAL
PLAN V HSE Supervisor & Electrical
4.4 Electrical Inspection 0% Monthly Maintenance Record
ACTUAL Engineer
PLAN V
4.5 Motor Vehicle Inspection 0% HSE Supervisor Monthly Inspection Report
ACTUAL
PLAN V
4.7 PPE 0% HSE Supervisor Monthly Inspection Report
ACTUAL
PLAN V V
4.8 LV & HE Random Check 0% HSE Supervisor Weekly Inspection Report
ACTUAL
5. Risk Management System
PLAN HSE Manager, Engineer,
5.1 Work Permit Review and Assessment 0% AR Work Permit Summary
ACTUAL Supervisor
 PLAN HSE Manager, Engineer,
5.2 JSA 0% AR JSA
ACTUAL Supervisor
6. SHE Reward and Incentive
PLAN V V V V V
6.1 SHE Awards 0% HSE Representaive Monthly Awards
ACTUAL
7. Health and Environmental
Waste Handling for Construction PLAN V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V
7.1 0% HSE Supervisor Daily Clean Area
debris, office activity. ACTUAL
PLAN V V V V V
7.2 Environmental Inspection 0% HSE Supervisor Weekly Weekly Report
ACTUAL
PLAN
7.3 Waste Handling for Hazardous Waste 0% HSE Supervisor AR Weekly Report
ACTUAL
PLAN V V V V Room & Car Inspection Checklist
7.4 Car & Office Desinfection Spray 0% Medic Weekly
ACTUAL Tag
PLAN V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V
7.5 Fatigue Check 0% Medic Daily Inspection Report
ACTUAL
PLAN V V
7.6 Alcohol Random Check 0% Medic Weekly Inspection Report
ACTUAL
PLAN V V
7.7 Drug Random Check 0% Medic Monthly Inspection Report
ACTUAL
9. Fire Prevention and Protection
PLAN V Inspection checklist &
9.1 Firefighting System Inspection 0% HSE Supervisor Monthly
ACTUAL report

Prepared by Check & Approved by

Aiman Muhammad Jaidi

HSE Engineer HSE Manager