You are on page 1of 5
Lurie 34 Pesan Wo. A-00$5000/202059 Revs eo FORM PENILAIAN DOKUMEN HSSE PLAN Fr Mes Docking Survey MT Pegacen Dockyard [1 [PROSES*.KEPEMIMPINANDAN AKUNTABITAS 7 |eterioatanManajomen alan erpromestian Bucaya HSSE 7 Pres boy SSE yn ein vel Naor yarg Sa aaa aaa NST Pan RETR TG HSTRUS [Rogan tarpanar ara SE SSE Wea [vanogenont Vai haone alo Varian sve ap rs Gn por Soa 7 Para CaS Sag PURE [CSA] PAT eA 7 [Penghargnan dan Sank Wat Aspek HSSE TY [Sele rene corseguares (Penharpa Sava sper HESE an anv Parana RS PO =| Porbarikkanate Rend rd Wea SSE a a [Sart grr rag mean pweara ne z 7 + rsse Tera = = JHSSE Poey Dan onjectve 7 [Reminan SSE Karmen riper SSE Fala HOSE POY Pan KTR Vang WS TA TTS PO 2 [Pennatan ecaicon adn sah abate z 7 [srr aegta pacran SSE Yara Daan z © Menyedatan plea yarg aan meraariranaTan z [ssyrtan earn aah aspx HSE satan pear bara a Taarag pagans coat cea tara una tras, pognaan sat pbc den Erk, 3 [Tipe Rata POSE nent ape pecan SSE Goa nayatan SSE z ToT 7 7 Ines INBIGATOR KPI (KEY PERFORMAWGE INDICATOR] "y [Nerjsan hao peep na KP) HSE yg trae Ga 2 [apa eter z © [lewarg ea 7 © RPTHSSE yg ava Soa eal POTS 4 TTA Ed [TOTAL ROSES = Lurie 34 Pesan Wo. A-00$5000/202059 Revs eo T”|STRUKTUR ORGANISAS, TUGAS DAN TANGGUNG JANAB TY [ar Sor tga Peataanac Pea Komal (ag SEP RET TR A 2 Pao 7 7 z [aa car masgprasg EAE STA 7 i 7 + a a a TT TT 7 a 7 | Faas can anna aya per ae TS z z Jossrptony ors Fea Po PSO PSE Ta TT GATT SDT FG ETO ST 3 [Pergitran dn plan a bg HEE 2 ors z |i Seta ATS ar Nias BST TET z z cas — ee 77 [esa pasar GTS GR FOR PERS a ETAT [Many poafam FLTo Work yang meneay 7 = T pttsanamn OU 8 DCU 7 ieyampaan ast eee Chek Op OUT yaa Tas] —F z eta dan ses Jos permerRscunal Sst 07s pesjeratn yang bert TOTAL 7 3 |RSURANST KETENAGAKERIAIN 7 [Rani pogan asrara tearapaan (OPIS e 7 Ikeeragacesan)teraden pera yang lah akatkan dla [scans poterjaun keto Jenganmergne UU Nor 24 [anu 201 nang BacanPeryergoar amin Sosa TOTAL z 7 | PECRTINAN GAN KONPETENS PERERIA YANG TERLIBAT DALAN PEXERIAAN 7) [Nerjun rogram pth FES soma pea z 2 Progen peur baa stern eae ata ror sua ae everce wanna ee z z poten an scart hrs eretaa 7 aan aR RATT POSE a RTT z 7 sian peer rah [itr a program nau HOSE rs aN [ei aa ke pean SSE yarg bia 7 7 oc rst | Bahay dn slop patna ora wear 7 7 © [rosea Kaan Gra yag tata baa 7 7 ecmgerey crc gana deseo | Pngaratan Kaci Koja PERE dn war 7 7 [eaap Kona neae = [a pepaer oman Race ay aS Ba 7 7 T [it Elem Conerae ve Swing Riles LR) Peririral 1 7 aa @ 7 |psse CommONrcATION 7) [Sle cmunkas HSE aad paKan arcana Nas a FSS eng 7 SSE raveenanS 7 Sea Peaaran aparaoa TESE Pept paerapaRSSE Ke PTE Sey Sard Coan Sty TOTAL Lurie 34 Pesan Wo. A-00$5000/202059 Revs eo 1” WORK SITE HAZARD ANALYSS o dae Fk Rogier RAD Ue 7 TOS Reh Satay Er ion Araya OFSERY hang mercakip Pre molss ils, Poensanaan seh debs oy rea ia Yang Toi GT GORI EN IFSTER 7 [Paonia peralbaran yng manga meni [paay esa 7 [Prose oper ERNEST TGA speak © [Retr aang GPRS PT [Perea prs pera yg Bar oa a wri maypekstral Pesan. = [Perarain rey porenstan paranoia Wa anbaTy sata aan aac vas peri [Para dn tar da pea TPO iit etring De ig sera 7 [Peryetan pean Fire Protection yar SEVER nur mercer aan onary healer 1 [Pengooaan separa sauimbah yong ohasean T [Peaeanan ome ay Tr [Perastinn gos ice aang oe 7 [ements Crore Ue Sag Pee COSA PROSEDUR EDU KERIA DAN STANDAR KESELAMATAN a SEIS TRE MEE PTR Ca Sa ERT TTT = [ee lt fay pl ea 078 1 [ara a aan (Sue Ven PaaiceeTaiap aa pte rg meh pete ay ea CSR © | Porn FPS Gr aa SoS TRA | Prjaraan nia Opera yng meranpeaaN 076 © [Sane RTT SDT 1 Reavers adap pata da anda Sb Saad [reo teas INenjaun poston an vow andar eeetamatn yer. an pea aN TOTAL 7 EMERGENCY RESPONSE 7 eS A CT PETA ATR YT TATE 2 [eras ents ral yg pa ea saa psatsaraan pheasant [ered ose erage OTS TASTER [sneak Peryes er bei © [erseaanva sir anancas apap dates usu dn farguung rn ota tug dengan [ocnsas keaton cua oa Peta ea 7 [Ener coe naar yng araTC TO peejaan ton 7 [Br eral eT TS a SORTS SVS REST HTT z aa at Sas Mea SU 7 INenyesacan paigas Prat ae (PaK] den pralan Pa ees no ost dengan Dra More Tena Kno & Lrasmefas Nomar PER SEN VIZ 7 eyed Pran Evans Meds Gan ARIST Fa |aprsaratan 078 {3 |PENGELOLAAN PENYEBARAN PANOEWIC BILATERJADI PANOEVIC) Sei i a Lurie 34 Pesan Wo. A-00$5000/202059 Revs eo 3 [Poesaan prrs panos z ii 7 7 | Pararasan pasa wang perumrnpancomis |Z : z =| Porgairan var Sn RoR FSSA POSTS a 7 77 [PSS Ba RT THOT) ISS Ya TER | Rak Aeros barista clapanpabaFon ang 7 = 7 3 [roses parse aT, az = z © Perea panna ara aR 7 a 7 7 nian career pa z orn z =m a 7] RETAYAKAN PERALATAN YANG DIGUNARAN TY [ta so pera yan an Span sea aS z 7 loys arose are | Bat ntaaan ga ptaan esc bps do 7 z seria eran seu eas ar ata asl spelt or ead pera terse a =e 7 aan Say Oat Saat (25) =n a 3 SISTER EIN KERTA AN (SHAY PERT TO WORK TY [reser Salam ah eta wan (SHAY Pet To Work vara | 4 7 can cowpea pda exon Krak ea sera cata Itt mpemensnny op urjuan dot Iprta S [poker ert anya) Fy ]Oataataan yang rari eT wR pean SA z ae z | ena tar SA ae WaT z = z AL z . 7 |PENGELOLAAN SUB KONTRAKTOR (JKR NENGOUNARAN 7) [Tosca Prosar seo ag Sub Farrar arg wan 7 7 ldgnakan Stara pesasorasn paar hon seat 7 [pak SSE pe agin yg vera a porn | [Sab omar yang akan cxakan TOTAL ® | RESELATATAN BERKENDARZ Ta SRaT PS ST ESSN RS DRT ST Fe “Pear din nian ah women porwaran z z Jopaas perce erdzpt Sm STN Jar Seu) 1 a praia palthan Festa pavers 7 T |Cetersne Borg Try) bg! Pengerd den ors Lurie 34 Pesan Wo. A-00$5000/202059 Revs eo © i chee ponaisaan aad aaa 7 z [aor Tea 7 [ForAL PRoses vi = 7 | RUDI OAW ATAU NSPEKS,FEVIEW DAN EVALUASIPEMENUMAN © [Poon Ai eral SSE one pea aT 7 7 |atonrakan lon scr yargkompeter 08 7 [reas aT Bieal HSSE ang SpOgaTIGR EB z |esulcenoan as fuer vane aetckan Pear, am © | Pa Boa SSE SO Kona yar a 7 7 [snsaian ola jan mergquanan Sub Kear) ors 2 [ena Nes Para eta FSSE yang evap nan Kaas pe 7 Pa rape 7 ae 5 7 | aga OTT (ape Wa TAY 6 076 a | RSpeta a nea aan re WEB z z Beran per 1 = a 7 ]PRCAPORAN DAN INVESTIGASI KECELARAAN TT SE a SSSR Tin ST REIST + 7 hme erat 1 7 | Tercera pap dar aoc ar FIAT 7 3 lesen tena Pear ors TTA ¥ 7 [TOTAL PROSES vi 7 = 7/9) Nenrgatan regina view Tonaaip please | , 7 Hse Pan 7 |Fekaes| Paasraan a nl Sv DEPOTS 7 z jane ateupkan Petanina 1 [ToTaL sosorHsse ALAN mm | [roTaLPencaPaan wu HBBe Pan 20 fe PENCAPAIAN NLAIHSSE PLAN 7% ‘4, Peneapaia nila matriks maksimum untuk masing-masing Sub Proses poniaian adalah 1. Krieriaperilaian masing-masing Sub roses dapat ltt paca Maine Rrteria Persian MSE Pas anda en 3-2 ‘2, miah dan cakupan Sub Proses yang dina biseitambah lau Gkurangi sesuai dengan stat ons pekeriaan yang akan ‘skontraan 3. Passing Grade Perisen Persentase HSSE Plen adalah = 80% Ferue Syahe Mariko Fleet

You might also like