Project Management Office K158

Contractor HSE Requirements Rev. 2

APPENDIX 2
Health, Safety and Environment Requirements

Document Control Information

Original Issue 2018

Rev 1.0 Xxxxxxxx 2020

Rev 2.0 xxxxxxxxxxx 2021

Approval Sheet

Name Position Project Date Signature

xxxxxxxx General Manager xxxxxxx

xxxxxxxxx Project Manager xxxxxxxxx

xxxxxxxxxx Project Manager xxxxx

xxxxxxxxxxx Project Manager xxxxxxxx

Prepared by HSE Dept. Rev. 2 22 Desember 2021 Page 0 of 0

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

CONTENTS

PART I - GENERAL HSE REQUIREMENTS

1. Compliance with Laws/Regulations/PMO Requirements 3
2. CONTRACTOR Written Policy/Organization 3
3. Protection of Workers, Public, Environment and Asset 3
4. Right to Stop Work 4
5. Maintain Equipment, Tools and Machinery in a Safe Condition 5
6. Risk Management and Hazards Identification 5
7. Competent Personnel 5
8. HSE Awareness 5
9. Incident Reporting and Investigation 6

PART II - SPECIFIC HSE REQUIREMENTS

1. Site Safety Supervisor & Safety Officer 6
2. Project HSE Plan 6
3. Equipment, Tools and Machinery Inspections 7
4. Inspection and Tagging of Mechanical Equipment
7
5. Personal Protective Equipment 8
6. Working in Confined Space 8
7. Permit To Work 9
8. Tools and Equipment 9
9. Compressed Gas Cylinders 9
10. Welding and Cutting 10
11. Abrasive Wheels 10
12. Grit Blasting 10
13. Use of Chemicals 10
14. Working at Height, Barricade, Platforms and Guardrails 11
15. Scaffold 11
16. Lifting Activities 11
17. Office 12
18. Storage/Warehouse 12
19. Driving Safety 13
20. Equipment & Heavy Machinery 13
21. Air Hose 13
22. Radiography 14
23. Portable Power Tools 14
24. Risk Assessment 15
25. HSE Inspection & Audit 15
26. HSE Induction 15
27. Toolbox HSE Meeting 15
28. HSE Meetings & Performance Review 15
29. Occupational Health 16
30. Health Risk Assessment 16
31. Drugs and Alcohol 17
32. Unacceptbale Behaviour Conduct 17
33. Environmental Management 17
34. Security 18

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

35. Emergency Response Preparedness 18

36. Contractor Training Records 19
37. Incident Notification/Reporting and Investigation 19
38. Contractor HSE Performance Target, Report & Statistic Board 19

PART III – CONSEQUENCE MANAGEMENT FOR HSE NON-COMPLIANCE

3.1. Disciplinary Action 20
3.2. List of HSE Non-compliance 21
3.3. Process Flow on Consequence Management for HSE Non-Compliance 23

Reference 23

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

PART I - GENERAL HSE REQUIREMENTS

1. Compliance with Regulations / PMO Requirements

CONTRACTOR shall comply with all applicable Health, Safety and Environmental (HSE) laws and
regulations, which are applicable to the Worksite. CONTRACTOR shall comply at all times with the
requirements as set forth by PMO in its Health, Safety and Environment Management System
(HSEMS), PMO Safety Rules, policies, operating standards procedure, any special instructions (which
shall be available upon request), and all other requirements stipulated in this CONTRACT whichever
and/or whenever applicable as determined by PMO (hereinafter referred to as PMO’s HSE
Requirements”). These requirements are intended to supplement any known or ought to be known
laws and regulations applicable at the Worksite. PMO shall have the right to conduct its own HSE
inspection/audit at the Worksite to ensure CONTRACTOR’s compliance to PMO’s HSE Requirements
throughout the performance of the CONTRACT.

CONTRACTOR shall take all necessary HSE precautions related to or arising out of the performance
of the CONTRACT in order to protect the work, the personnel and property of PMO, CONTRACTOR,
SUB-CONTRACTOR, all third parties and public from the hazards and risks associated with the work.

2. CONTRACTOR’s Written Policy/Organization

CONTRACTOR shall acknowledge PMO’s strong commitment to PMO’s HSE Requirements and affirms
that it has a written HSE policy which is of a standard acceptable to PMO HSE policy. CONTRACTOR
shall further affirm that its HSE policy is applied and exercised by all its personnel including SUB-
CONTRACTOR’s personnel when performing WORK.

3. Protection of Workers, Public, Environment and Assets

CONTRACTOR shall protect the safety and health of the personnel, PMO’s personnel and third parties
working near the activity from potential hazards and risks related to and/or arising out of the
performance of this CONTRACT. CONTRACTOR, without cost to PMO, shall take all necessary
precautions and mitigation measures to protect its personnel, PMO’s personnel and third parties as
well as to minimize disturbance and inconvenience to the public related to and/or arising out of the
performance of this CONTRACT.

CONTRACTOR shall execute the WORK and conduct all operations in such a way as to minimize any
impact upon the natural environment including compliance with all laws, regulations and rules
applicable to the WORKSITE. CONTRACTOR shall agree to indemnify PMO and consultants of PMO
for all claims, damage costs and penalties relating to any environmental damage or loss or non-
compliance with any laws or regulations arising out of CONTRACTOR and/or SUB-CONTRACTOR
performance of WORK.

3.1. Site Supervision Resources

Contractors shall designate and identify qualified and experienced Supervisors/Foremen capable of
communication in English, competent in providing leadership in HSE management of their teams, as
well as in the technical Scope of Work.

3.2. The supervisor/foreman main Health and Safety responsibilities:

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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Contractor HSE Requirements Rev. 2

 Ensure that all hazard and risks are identified and controlled to an acceptable level prior to
start any task.
 Participate and prepare the risk assessment.
 Provide HSE information and training to their staff.
 Ensure the on-site team have the required tools and PPE to safely complete the assigned
task.
 Perform daily safety activities including, but not necessarily limited to tool box talks with the
workers, receipt of permit to work and compliance with PMO site safety rules, etc.

3.3. HSE Manpower Resources

The appointment of HSE Managers/Supervisors/Officers does not relinquish the responsibilities

towards health and safety of Contractors top management, supervisors and employees.The
appointment is part of the strategy to assist all parties in complying with their duty of care. The
responsibilities of the HSE Managers/Supervisors/Officers include, but are not necessarily limited to:
 Leadership of the development, implementation and maintenance of an appropriate HSE
Management System with the entity.
 Provision of specialist advice and support to senior management regarding how to control the
workplace hazards and risks.
 Ensuring the H&S performance monitoring system to be in place to ensure the effectiveness
of injury prevention and risk management procedures.
 Ensuring two-way communication between HSE, the management and the workforce.
 Ensuring that HSE programs are in compliance with the regulatory requirements.
 Advising the Contractor senior management regarding legal HSE requirement for compliance.
 Ensure that applicable HSE programs are in compliance with the regulatory requirements.
 Advise the senior management regarding legal HSE requirement for compliance. Report
hazards, near misses, accidents and any other HSE non-conformity noticed on site.
 Prepare accident investigation for PMO and update PMO HSE Dept on their staff medical
status when required. Investigations should be completed with the defined time frame.
 Be familiar with the site emergency procedure and take ownership for the staff during any
emergency.
 Evaluate the HSE performance of any selected sub-contractor for the selection process and
assessment criteria.

The Contractor shall allocate adequate and qualified HSE manpower resources to meet the following
minimum requirements:

a. Contractor must have at least min 1 Safety personnel certified and got license as “Ahli k3
Umum” from Kemenaker.
b. Before deploying any Contractor HSE representative in any projects/job within PMO, the
Contractor must obtain formal approval from the PMO HSE department.
c. Contractor which is have more than 500 worker and execute the high risk job must have Site
Safety Manager certified AK3 Umum.
d. Contractor which have less then 300 worker must have Site Safety Coordinator certified AK3
Umum.
e. Ratio safety personil to employee is one safety personnel to 50 employee, but can be less
than 50 if the risk of job higher depend on risk assessment.

4. Right to Stop Work

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

PMO shall have the right to stop commencement of WORK or to suspend any WORK in progress if
the equipment, machinery, personnel or work conditions are considered at PMO’s discretion to be
unsafe or not to be in compliance with any applicable rules, regulations and procedures in PMO
including the PMO’s HSE Requirements.

Suspension of the WORK shall be at CONTRACTOR’s expense until CONTRACTOR has satisfactorily
rectified such defects and unsafe conditions. In the event of serious or repeated infringements, PMO
shall be entitled to terminate the CONTRACT without compensation.

5. Maintain Equipment, Tools and Machinery in a Safe Condition

CONTRACTOR shall ensure that all CONTRACTOR’s machinery, tools, equipment, facilities and other
items in any way associated with or utilized in the work are fit for use and maintained in a safe and
good working condition. Certificates of Fitness, Calibration Certificates, etc. where applicable shall be
provided whenever requested by PMO.

6. Risk Management and Hazards Identification

CONTRACTOR shall make assessment of the HSE risks involved in the execution of the WORK. The
focus of the assessment should be to evaluate the inherent hazards in conducting the work and the
potential adverse consequence of an accident to its personnel, PMO’s personnel, third parties and
the environment, PMO assets and reputation. CONTRACTOR shall take appropriate preventive and
mitigation measures to prevent incidents from occurring and to minimize the consequence of an
event should it occur.

CONTRACTOR shall conduct HSE inspections and audits to ensure that such preventive and
mitigation measures are in place and implemented. CONTRACTOR shall promptly take actions on all
recommendations made pursuant to the said inspections and audits.

7. Competent Personnel

CONTRACTOR shall ensure that its personnel are fully trained, certified and competent to carry out
the task of operating all machinery, equipment, and tools. Certificate of competency shall be
provided where applicable and whenever requested by PMO. CONTRACTOR shall provide an
adequate level of technical and HSE related training conducted by a recognized training institution
for all relevant personnel in connection with the work. Contractor shall ensure all the required license
for specific skill such as lifting equipment operator, scaffolder, rigger and safety personel are fulfilled.

CONTRACTOR shall ensure that all CONTRACTOR and SUB-CONTRACTOR’s personnel engaged in
the WORK are healthy and fit, and possess the experience and skill required to perform the WORK
safely.

8. HSE Awareness

CONTRACTOR shall be responsible for maintaining and enhancing the HSE awareness among its
personnel and SUB-CONTRACTOR’s personnel, including but not limited to arranging safety
induction, toolbox meetings, regular HSE meetings and emergency exercises and drills. Findings of
hazard identification and risk assessments including Job Safety Analysis shall be communicated to

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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Contractor HSE Requirements Rev. 2

CONTRACTOR’s and SUB-CONTRACTOR’s personnel. Copies of minutes of CONTRACTOR safety

meetings shall be submitted to PMO whenever requested.

9. Incident Reporting and Investigation

CONTRACTOR shall report to PMO immediately of the occurrence of any incident or accident
including near misses while engaging with PMO assets or properties as per PMO incident reporting
requirements. CONTRACTOR shall also alert relevant authorities in relation to the incident whenever
necessary. All incidents that result in or have the potential to cause serious injury or property
damage shall be reported to PMO and CONTRACTOR shall provide full cooperation and support to
any investigation initiated by PMO.

CONTRACTOR shall maintain accurate incident and injury records and shall comply with PMO’s
requests for information relating to accidents, injury or illnesses and/or near misses.

PART II - SPECIFIC HSE REQUIREMENTS

1. Site Safety and Health Officer / Safety Supervisor

a. CONTRACTOR shall provide qualified Safety Officer or Supervisor who is responsible to

provide guidance and advice pertaining to Health, Safety and Environment requirements of
WORK.
b. The Safety Officer responsibilities are;
 To guide CONTRACTOR’s management on HSE plan and its implementation, with equal
diligence being paid to fulfillment of the contractual requirements.
 Perform a formal site inspection or audit to identify and correct any non-compliances
noted.
 Provide written record of inspections, audits and status of action follow-ups.
c. CONTRACTOR shall submit the CV of the Safety Officer or Supervisors to PMO when
requested.

2. HSE Plan

a. CONTRACTOR shall prepare and submit a specific HSE project plan to PMO as minimum as the
followings:
 HSE policy, targets and requirements
 Prevailing laws and regulations
 CONTRACTOR HSE policy
 CONTRACTOR’s organization including positions for HSE manager and SHO
 HSE responsibilities of CONTRACTOR key personnel
 Risk assessments including preventive and mitigating measures
 Description and schedule of HSE activities
 Incident reporting and investigation
 Emergency response plan

b. Contractor must submit the HSE plan to PMO which will be kept by PMO HSE Dept. who will act
as custodian.

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

c. The Contractor shall be held accountable for ensuring that the HSE File is continuously updated
with the latest versions of the documents contained therein. The File shall include (non-
exhaustive list):
 HSE Plan for the project or set of contracted activities
 Medical certificates of fitness for work, and copies of I.D’s, for the work team
 Insurance Liability
 Training Records and Matrix
 Competency certificates
 Records of appointment of responsible people e.g. Supervisors
 Organogram with Emergency Contact numbers
 JSAs and JMSs
 MSDS
 Tool check list
 Certificates of condition/testing (e.g. lifting equipment/ tools etc.).
 Electrical powered tools list
 Harness; lifting tools; tackles; general lifting equipment; SCBA hydro test, and rigger,
operator, scaffolder and scaffolding inspector third party certificates
 Incident Investigation procedure and records
 Waste disposal plan
 H&S records / statistics.

3. Equipment, Tools and Machinery Inspections

a. Prior start of work, all equipment, tools and machinery related to the work are inspected and
Fit for the work.
b. HSE inspections throughout the WORK are to be maintained and performed continuously by
the CONTRACTOR. All recommendations made by the inspectors are promptly implemented
without delay.
c. PMO has right to conduct its own HSE inspection and/or audits at site and the CONTRACTOR
shall comply with all the recommendations made.
d. CONTRACTOR shall ensure all fuel powered and electrical equipment (including any
requirements on fuel burning equipment) meet the requirements of hazardous area
classification by authorities and equipped with approved spark arrestor.
e. CONTRACTOR shall ensure only certified competent personnel are allowed to operate and/or
maintain equipment, tools and machinery.

4. Inspection and Tagging of Mechanical Equipment

a. CONTRACTOR shall inspect and tag or color code all mechanical equipment identified to be
used.
b. The equipment will include but may not be limited to the following:
 Cranes
 Fork lifts
 Self-Loading Trucks
 Semi-Trailers and Prime Movers
 Compressors
 Temporary Electrical Distribution Boards
 Scaffolding equipment
 Rigging equipment
 Man-cages/Personal Baskets
 Aerial Work Platforms

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

 Welding machine
 Grinding and cutting machine

c. Any inspected equipment which requires remedial work (or replacement) shall be at
CONTRACTOR’s costs.

5. Personal Protective Equipment

a. Contractor personnel working at PMO Worksite shall comply with all applicable PPE
requirements for the task they are performing or the area in which they will work. The
minimum required PPE within PMO is Safety Helmet, Safety Boots and Safety Glasses.
b. Contractors shall use PPE as a last line of defense where the workplace hazards cannot be
eliminated or reduced to an acceptable level.
c. CONTRACTOR shall enforce the use of PPE to all its personnel including the
SUBCONTRACTOR’s personnel and supply adequate PPE, donning training and maintenance
of PPE at its own cost.
d. The PPE must be suitable for the job.
e. Other PPE may be required dependent on the task being performed.
f. Contractor employees will wear an overall or long trousers with long/short sleeve uniform.
g. These items of clothing can be short or long sleeve depend on the risk and working
conditions, unless otherwise advised. Loose clothing shall not be worn, and long hair shall be
tied back when work is performed around machinery with exposed moving parts. Loose
clothing worn around the neck area is forbidden.
h. Contractor’s personnel not adhering to the PPE rules consider as violation. Sanction
discipline will be given according to PMO Procedure.

6. Working in Confined Space

a. Prior entering Confined Spaces, Permit to Work shall be granted by the PMO HSE team.
b. CONTRACTOR shall take adequate precautions and mitigation measures of gas/oxygen tests,
PPE requirements, respiratory protection equipment (RPE), and isolation of connections to
confined space, provision of ventilation equipment and preparation of confined space for safe
entry, standby person, and availability of rescue equipment.
c. The supervisor shall ensure that all necessary precautions and mitigation measures are
implemented.
d. CONTRACTOR’s shall ensure their personnel are well trained and medically fit to work in
confined space.
e. Contractors wishing to enter a confined space must have knowledge and competency for
working in confined space, knowledge and competencies included as a minimum:

 Principles of Confined Space Hazards

 Awareness of Confined Space Risk Assessments
 Principles of a Permit to Work System
 Use equipment and tools safely and in accordance with manufacturers' instructions.
 Understand and demonstrate the duties of the Safety Attendant.
 Understanding of the principles of Confined Space Communications (methods, types
and limitations).
 Understanding of the Principles and Procedures for Atmospheric Monitoring.
 Understanding the principles of Ventilation (methods, types, limitations).
 Prepare and use emergency escape breathing apparatus in accordance with
manufacturers' specifications.
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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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Contractor HSE Requirements Rev. 2

 Follow procedures and work safely.

 Prepare to enter, work and exit a Confined Space safely.
 Principles of Confined Space Hygiene.

7. Permit To Work (PTW)

a. CONTRACTOR shall comply with PMO’s Permit To Work procedure if any activities such as hot
work, cold work, scaffolding, lifting, confined space entry, work on live or energized
equipment, radiography and excavagtion, etc, to be carried out.
b. The Permit To Work form or certificates shall be approved by the PMO HSE Personnel.
c. CONTRACTOR shall continuously enforce the conditions and requirements of the permits
including its validity.
d. Contractors shall fully familiarize themselves appropriately with all these procedures, together
with their related requirements, including the associated Contractor-related accountabilities
and responsibilities.
e. Be Alert! Contractor working in running operation mill or plant, must fully follow permit to
work procedure applied in the Mill Operation.

8. Tools and Equipment

a. CONTRACTOR shall ensure all purchased or rented machinery, tools and equipment, facilities,
and other items related to WORK are maintained in a safe condition and to be operated by
competent operators.
b. Tools shall only be used for the job they were designed to perform.
c. All guards shall be fitted and in good condition at all times.
d. All grinding discs shall be checked for correct size and speed prior fitting.
e. Electrically powered tools shall meet the hazardous zones requirements (if applicable).
f. All electric cables shall be industrial type.
g. All defective tools and equipment shall be prohibited from used.

9. Compressed Gas Cylinders

a. 9.1 CONTRACTOR shall ensure that;

 Compressed gas cylinders stored or used shall be in an upright position and secured to
some substantial object or structure by a chain or other suitable means capable of
supporting the weight of the cylinder. This applies to all empty or full cylinders.
 Cylinder valves shall be closed and hoses depressurized when cylinders are not in use.
 Cylinders shall have protective valve caps in place while they are being
transported/stored.
 Cylinders shall be kept promptly to a suitable storage area after use and shall not be
left unattended at any work site. Cylinder storage areas should be kept away from
general traffic paths and shall not be adjacent to vehicle paths.
 Flammable gases and oxygen cylinders shall not be stored in close proximity unless
separated by a non-combustible wall.
 Cylinders shall be colour coded in accordance with International or respective national
standards.
 Gas welding cylinders shall have hose check valve (non-return valves).
 Flashback arrestors shall be installed to quench flashback flames and cut off the gas
flow automatically, in both oxygen and fuel gas outlet lines.

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

10. Welding and Cutting

a. CONTRACTOR shall ensure that;

 ONLY competent and authorized workers are allowed to handle welding and cutting
equipment.
 Suitable precautions and mitigation measures against exposure of welding hazards i.e.
excessive ultraviolet radiation, fire, welding fumes, and dusts are in place.
 Welding and flame cutting in the flammable vicinity or near the combustible
substances/materials shall only be done in accordance to PTW procedures.
b. CONTRACTOR shall ensure adequate number of suitable fire extinguishers at the sites nearby
the hot WORK area.

11. Abrasive Wheels

a. CONTRACTOR shall ensure ONLY trained and competent personnel are permitted to work
with grinding machines and abrasive wheels.
b. CONTRACTOR shall ensure that personnel working with grinding machines and abrasive
wheels are provided with the safety protections i.e. goggles, shields and/or hearing
protection devices (HPD) which shall be used at all times during work.
c. When changing discs on a portable grinder, it is imperative that a suitable replacement disc is
fitted and installed as per maker’s instruction.

12. Grit Blasting

a. CONTRACTOR shall provide the air face mask and oil free air supply to the blaster which are
approved by International or local standard.
b. Associated workers and any other personnel surrounding the blasting area shall wear the
approved respiratory protection.
c. All blasting guns shall have a ‘dead man’ safety device manually operated by the blaster and
under no circumstances; the device shall be tied back or defeated.
d. CONTRACTOR shall make efforts and take necessary actions to minimize the exposure of
blasting grit to the environment.
e. The protective shield shall be provided and notice board shall be posted in order to prevent
the exposure of blasting grit to other workers in the vicinity.

13. Use of Chemicals

a. CONTRACTOR shall declare to Master on any hazardous chemicals used for work.
b. CONTRACTOR shall ensure all requirements for use, storage, handling and transportation of
chemicals including wearing a proper personal protection as outlined in the Material Safety
Data Sheet (MSDS) are strictly followed.
c. The MSDS for all chemicals shall be made available in English.
d. When in doubt concerning these requirements, CONTRACTOR shall consult with PMO’s
Superintendent, Master or Safety Officer.
e. Flammable chemicals such as solvents and cleaning agents shall not be stored or used in
unventilated areas or in close proximity of any sources of ignition. These chemicals shall be
stored in a designated area whenever they are not being used.
f. All chemical containers shall be properly labeled accordingly.

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

g. CONTRACTOR shall ensure that smoking and any other actions which may cause ignition i.e.
welding, cutting, grinding and hot work are STRICTLY PROHIBITED in the vicinity of any such
chemical.

14. Working at Height, Barricade, Platforms and Guardrails.

a. Working at height must obtain permit to work from HSE PMO.

b. Working at height shall provide fall prevention and fall protection.
c. Contractor shall provide the personnel who hold the certification for working at height as per
government regulation.
d. Contractor shall provide standard PPE for working at height such as full body harness double
lanyard.
e. Contractor shall provide adequate barricades, covers, guardrails, signal flag persons or other
appropriate warning devices to protect personnel near any hazardous operations, drop
objects or overhead work.
f. Temporary covers for floor openings shall be firmly fastened and clearly identified by warning
signs. All permanent and temporary elevated work areas, walkway, platforms shall be
protected by an approved guardrail and shall provide a secure working space.
g. All work of this nature shall be compliant with the PMO Working at Height Procedure. Where
fall protection equipment is worn the contractor shall provide sufficient resources for rescue
and a rescue plan.

15. Scaffold

a. Where scaffolds are required for work access, Contractors shall erect a scaffold with the
qualified worker and have a permit to do so.
b. Scaffold must be well-designed, erected, inspected and maintained to provide a safe access
and safe working areas.
c. Scaffolds will be tagged showing the date of erection and they will be inspected (by a
certified, competent Inspector) every 7 days.
d. Any scaffold without a tag or one showing a red tag shall not be used until inspected and
deemed safe by the competent person.
e. Mobile scaffold towers may only be erected by trained and competent persons ensuring that
all necessary guardrails/hand rails and out riggers/stabilizers are fitted.
f. Contractors shall ensure that the use of ladders as working platforms shall be avoided, as far
as is reasonably practical. When ladders are required for access purposes, they shall be
ANSI rated for the required usage. Contractors shall ensure that these ladders are
periodically inspected for condition, and records of these inspections shall be maintained.
g. All scaffolding materials and components shall comply with PMO standard or international
requirement.
h. All Scaffolding mast built and check by competence and certified person (Scaffolder and
Scaffolder Inspector)

16. Lifting Activities

a. All lifting equipments supplied by CONTRACTOR shall possess valid License and inspection
certificate of fitness issued by government authority.
b. All lifting equipments and associated lifting equipment i.e. all wire ropes, chains, and slings
shall be inspected, and tested to ensure they are in safe working conditions.

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
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c. All defective lifting equipments shall be taken out of service, repaired or replaced if
necessary. Whenever there is any doubt on the integrity of the crane, load test shall be
performed
d. All inspected and tested lifting appliances shall be tag or marked in colour coded.
e. CONTRACTOR is responsible to ensure that ONLY competent and authorized operator can
operate any lifting device. CONTRACTOR shall also designate a signal man to signal the
operator as necessary to properly place and control the loads.
f. Prior to performing any lifting operation, the operator shall determine the weight of the
object being lifted and ensure that cables, lifting device, slings, wire ropes, chains etc. used
are of a sufficient strength to support the weight of the load.
g. No personnel or person shall be allowed to walk or stand under the load. Tag lines shall be
used to guide and control the load where excessive movement is possible.
h. Prior to their use on PMO premises the Contractor shall provide copies of License (SILO),
annual inspection, and load test certificates to the End User and HSE department.

17. Office

a. CONTRACTOR shall maintain comfortable working condition in office:

 Temp 20-26oC
 Adequate ventilation
 No smoking policy
 Adequate lighting Welfare facilities e.g. toilet, prayer room and eating areas
 Daily cleaning service
 Passage ways are cleared and tripping hazards identified and removed
 Emergency plans for evacuation
 Car park well lit
 First aid boxes provided

18. Storage/Warehouse

a. CONTRACTOR shall provide appropriate storage facilities for the storing of material, chemical
and fuel on sites. The requirements for storing shall include the following:

 Written procedures on transportation, handling and disposal for all material shall be
made available
 Good housekeeping shall be practiced at all storage facilities
 Storage buildings and warehouses shall be provided with an approved lightings and
fittings in compliance with hazardous area classification, well ventilated, spill
containment, waste collection and treatment where deem appropriate for the chemicals
or fuel stored.
 Adequate number of appropriate fire extinguishers shall be made available at strategic
locations at all storage areas and warehouses.
 All personnel shall wear approved PPE whilst working in storage areas and warehouses.
 Flammable and combustible liquids shall be stored separately in different storage
buildings
 Storage rooms shall be constructed to meet the specified fire resistant rating suitable
for their use
 Approved safety cans/cabinets/containers shall be used to store and transfer flammable
and combustible liquids, with the name of the material clearly stamped

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 “No Smoking” signs shall be posted at strategic locations in storage areas and
warehouses which stores flammable and combustible liquids.

19. Driving Safety

a. Driver in PMO premises area must have Kimper and the vehicle must have the mill gate pass.
b. CONTRACTOR personnel traveling to and from work site shall use proper means of transport
that comply with the regulatory requirements.
c. Contrctor must obey the speed limit set by PMO and other traffic signs and regulations.
d. CONTRACTOR shall enhance the awareness of safe driving amongst its employees and
SUBCONTRACTORs. Training shall include wearing of seat belt, observing the speed limit,
maintain good vehicle condition, and possess valid driving license.

20. Equipment & Heavy Machinery

a. All CONTRACTOR vehicles on any site shall have proper insurance and maintained in safe
operating conditions.
b. All heavy machineries shall be operated by competent and certified operators. They shall be
operated in a safe manner and at a speed suited to the terrain and weather conditions.
c. All cranes, stringing trucks, heavy tracked equipment and machinery, and all vehicles shall be
fitted with reverse alarms.
d. Any vehicle with restricted vision shall not operate in the vicinity of workers, except under the
direction of a designated worker who is ensuring that the path way is clear and safe.
e. Equipment brought to the site shall be in good condition and safe to use. Contractors shall
develop and maintain necessary checklists, highlighting the vital points for equipment
inspection and the frequency of that inspection (daily/weekly/monthly).
f. Damaged tools and equipment shall be immediately removed from the Worksite and be
repaired or replaced. Tools shall be used only for the purpose for which they were
designated. No home-made or altered tools shall be used; tools at all times should be fit for
purpose.
g. All heavy equipment used by the Contractor shall follow:
 Mobile Lifting Equipment (such as forklifts, cranes, man-lift, shovel, etc) shall only be
operated by qualified and certified personnel.
 Forklift Trucks have to be equipped with a safety warning system (beacon light, red arc
light, blue beam light and seat belt indicator)
 Contractors driving vehicles shall comply with all posted traffic signs, maintaining speed,
signals and directions.
 Equipment shall not block any street, roadway, emergency vehicle, or emergency exit.
 Speed limit for all equipment is 20 kph.
 Seatbelts must be worn at all times.
 No person is permitted to ride on or in any vehicle unless there is a specific seat for him.
 The use of a mobile phone while driving or operating equipment is prohibited

21. Air Hose

a. Air hose should not be used to clean any part of the body or clothing or to blow off dirt on
the floor.

22. Radiography

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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a. CONTRACTOR shall obtain PTW for radiography work. Extra precautions shall be taken to
keep away all non-relevant personnel from the area. The area shall be isolated by visible
barricades, signs, warning lights etc. The source shall be stored according to approved
procedure.
b. CONTRACTOR shall employ only qualified radiography operators for the job. Proper calibrated
radiation survey meters shall be made available.

23. Portable Power Tools

a. Contractors shall ensure that portable electrical tools and measuring instruments have valid
calibration certificates and are maintained in a good condition.
b. All electrical tools shall be physically inspected for condition and integrity prior to use at the
Worksite. Electrical tools shall be periodically inspected and tested, and records of these
inspections shall be maintained.
c. The Contractor shall retain the services of a competent qualified electrician to inspect and tag
electrical power hand tools, transformers, distribution boards, extension cables etc.
d. All electrical leads must be connected to the power source through standard industrial
waterproofed plugs and sockets (Industrial Type), which shall be in good condition.
e. If any defects are identified, the tool shall be removed from service, tagged (not to be used).
f. Portable electrical tools shall only be operated by the personnel who have the necessary
knowledge, experience and skill to operate them safely.
g. When using portable electrical tools on small work pieces inside a workshop, the work pieces
shall be suitably secured to the workbench using a vice or clamps and the working surface
should be clean and dry.
h. Double insulated tools shall be used
i. Power tools and associated implements, shall be used only for the specific purpose they were
designed. (Do not improvise with the wrong tools or handmade power tools).
j. The use of tools with powered machines such as lathes or grinders shall be strictly controlled.
A competent person shall be assessed by their supervisor prior to use of the power tool, and
this shall take place accompanied with further training to ensure capability of the “competent”
person to perform this job safely as per Manufacturer Guidelines, Method statement and Risk
Assessment.
k. Power tools, such as grinding machines, have to be fitted with “Dead man switch” trigger.
l. Tools shall always be transported from one work location to another (when required), in
adequate containers and in such a way as not to endanger the safety of other personnel
available in the area.
m. Sharp-edged and sharp-pointed power tools shall not be handled as follows:
 Thrown from person to person.
 Be used in close proximity to others (e.g. a slip of the tool may injure someone not
involved in the task).
 Be used in close proximity to moving machinery without proper precautions being
considered.
 Not be left lying around where personnel have to pass (especially on elevated work
platforms where they might fall on persons below).
 Only insulated or non-conductive tools shall be used on or near live electrical
equipment, where there is a risk of electrical shock. Storage of Power tools.

n. Prior to storage, power tools shall be electrically de-energized, switched on the safe mode,
and packed safely according to manufacturer instructions.
o. Sharp power tools shall be stored with their blades/edges protected or be placed in a safe
position to avoid accidental contact or falling onto personnel.
p. Power Tools shall be kept clean and free from moisture and chemicals, and where necessary,
lightly oiled to prevent damage and corrosion.
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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
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q. Prior to storing, power tools shall be regularly inspected for defects and where necessary,
repaired or disposed of. Only safe and good condition tools shall be stored for future use.

24. Risk Assessment

a. Prior to performance of WORK, CONTRACTOR shall implement RA as a safety precaution to
eliminate or guard against hazards of a specified job. The RA methodology shall include the
following:
 Study the job and develop basic job steps
 Identify the hazards for each job step
 Identify the safety precautions and mitigation measures to be taken for each job step
 Record the RA and brief all workers on the hazards, precautions and mitigations to be
taken.

25. HSE Inspection/Audit

a. Prior to commencement of WORK, CONTRACTOR is required to inspect the work site and
equipment to ensure that WORK can be performed safely.
b. In addition, CONTRACTOR shall perform HSE inspection/audits throughout the WORK and
shall promptly implement all recommendations made pursuant to the said inspection/audit.
c. PMO shall have the right to conduct its own HSE Inspection/audit at the work site and
CONTRACTOR shall comply with all recommendations arising from such inspection/audit.

26. HSE Induction

a. Contractors shall receive PMO HSE induction training prior to entering the working premises.
This can be organized through submitting a request to HSE Admin.
b. PMO reserves the right to refuse entry to any PMO work site for any Contractor personnel
that have either not satisfactorily completed the HSE induction training as described above.
c. All cost incurred shall be borne by the CONTRACTOR.

27. Toolbox Meeting

a. CONTRACTOR shall ensure that his appointed WORK supervisor hold ‘TOOL BOX’ Meeting
daily or prior to each shift.
b. Specific topics shall include hazards relevant to current work, review of accidents, near
misses and deficiencies and/or any new equipment or machinery.
c. CONTRACTOR shall maintain records of attendance and submit to PMO as and when
required.

28. HSE Meetings & HSE Performance Review

a. CONTRACTOR shall form a HSE Committee at work site and shall hold regular meetings, and
maintain an active interest in HSE.
b. The meeting shall be attended by CONTRACTOR’s management and workers’ representatives
and PMO site manager or Superintendent or HOD.
c. The minutes of meeting shall be recorded and distributed to all attendees and PMO HSE dept.
d. Contractors shall attend all HSE Performance Review meetings with PMO upon invitation.
e. Contractors shall have an expectation that PMO will deploy a number of Contractor HSE
Performance Monitoring tools and processes during execution of contracted activities, such
as:
a. Safety Observations – S-Card
b. Safety Inspections
Prepared by HSE Dept. Rev. 2 22-December-2021 Page 16 of 24
THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
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c. Permit to Work Record

d. Toolbox Talk or Meeting
e. Safety Violation Record
f. Violation Injury / Incident record, etc.

f. These are positive and inclusive management and monitoring tools aimed at continuously
improving Contractor HSE performance and behavior.
g. All Contractor and Sub-Contractor employees shall be expected and encouraged to
participate in the PMO Observation program, which is open to everyone on PMO site.
Everyone on site is empowered to observe and interact positively with personnel, identifying
safe and unsafe behavior and conditions, triggering improvement action if appropriate.
h. Contractors have the responsibility to close-out any improvement action items arising from
the various HSE meetings, audits and observations, they shall do so as per the agreed
timeline. In exceptional cases where Contractors are not able to attend HSE meetings, and
close out associated action items in timely fashion, the Contractors shall update their PMO
HSE Dept. in writing in advance.
i. Contractors shall also regularly hold their own HSE Performance Review Meetings based on
their HSE Plans.
j. Each Contractor shall have dedicated Safety Officers or Safety Man, approved by PMO,
assigned to their site teams – at min. one per 50 worker Contractor employees.
k. The Contractor HSE officers shall ensure that their HSE Files, under the custodianship of
PMO HSE Dept. are continuously updated with records and documentation which is current,
as long as the contractor has a contract with PMO. Refer to the attached appendix for more
detailed information.
l. Contractors shall be required to submit Contractor HSE Performance reports/statistics to
PMO HSE Department, completed on a monthly basis.

29. Occupational Health

a. CONTRACTOR shall ensure that all its employees and SUB-CONTRACTOR’s employees
engaged in the work are medically (physical and mental) fit for the job and healthy.
b. In case of emergencies, PMO may provide necessary emergency arrangements, the cost of
which shall be reimbursed by the CONTRACTOR.
c. CONTRACTOR shall at its own expenses have a completed first aid station on site and make
arrangement for availability of an ambulance. This station shall be manned during all working
hours.
d. CONTRACTOR shall ensure that its personnel and SUB-CONTRACTOR’s personnel maintain a
high standard of hygiene during execution of the work. The CONTRACTOR shall provide
where necessary sufficient hygienic drinking fluids and hygienic toilet facilities to meet health
and related regulatory requirements.

30. Health Risk Assessment

a. CONTRACTOR shall identify the health hazards and create an inventory at the workplace,
assess the risk to health associated with exposure to these agents, decide on the control
measures required (if any), and remove or reduce the risk to health to a level “As Low As
Reasonably Practicable” (ALARP).

31. Drugs, Alcohol & Smoking

Drug and Alcohol

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
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a. The use, sale, dispensing or possession of drugs, narcotics and alcoholic beverages is
STRICTLY PROHIBITED Kerinci Complex.
b. CONTRACTOR shall ensure that its personnel do not at any time, during the performance of
the work, partake, bring onto the work site, or be under the influence of any alcoholic liquor,
drug or other intoxicating substance. This prohibition shall also cover all legal or prescription
drugs which may impair an employee’s ability to perform his job safely.
c. PMO reserves the right to randomly require CONTRACTOR’s or SUB-CONTRACTOR’s
employees, to undergo drug and alcohol tests at any time which shall be arranged and borne
by PMO.
d. Shall any incidents or accidents occurred, the drugs and alcohol tests shall be conducted
immediately at CONTRACTOR’s own cost.
e. CONTRACTOR shall ensure that each and every person engaged by it or on its behalf to
perform any element of the work (including SUB-CONTRACTOR) are advised on the local laws
relating to the usage, selling, dispensing, importation and/or possession of drugs.
f. Contractor driver and Heavy Equipment operator must submit the drug free test results as a
co mplimentary documents for ID badge application.
g. Postive drugs and alcohol will be terminated and banned.
Smoking
h. Smoking is only permitted in designated places and per PMO policies and procedures.
i. Smoking is not allowed in vehicles or heavy equipment cabin.
j. Violation the smoking procedure will be terminated.

32. Unaccepteable Behaviour Conduct

a. Horseplay, fighting, gambling, possessions of firearms or explosives, theft, vandalism,
sabotage, and distribution of unauthorised literature strictly prohibited.
b. Those involved in such activities consider as crime and shall be removed from the Worksite
and shall be liable for punishment by any applicable law.

33. Environmental Management & House Keeping

a. CONTRACTOR shall establish and implement an Environmental Management Plan that details
the practices, procedures and control measures for effective management of environmental
aspects and impacts, as required by the relevant authority and PMO.
b. Environmental aspects include, but not limited to:
a. Use of resources, e.g. chemicals, water, energy, fuel, etc.
b. Air emissions
c. Waste water discharges
d. Public nuisance, e.g. noise, odour, dust, etc.
e. Wastes generation
c. CONTRACTOR shall develop a waste management plan in accordance with any requirements
from PMO and the relevant authorities. This plan shall inventorise all types of wastes and
states their method of disposal and make available before the commencement of any work.
This plan shall be regularly updated as conditions change. CONTRACTOR shall handle, sort
and dispose all types of wastes in conformance with the relevant procedures and
requirements.
d. CONTRACTOR shall ensure spill prevention is practiced and in place, where necessary. E.g.
chemicals/fuel is stored in durable containers, secondary containment at the chemical/fuel
storage area and during handling of chemicals/fuel, etc. which are labeled properly.

Prepared by HSE Dept. Rev. 2 22-December-2021 Page 18 of 24

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

Housekeeping
a. CONTRACTOR shall ensure that good housekeeping is maintained continuously throughout
the duration of the work. Due regard shall be paid to proper disposal of all types of wastes
especially hazardous/scheduled wastes, tidiness, and clear access ways and emergency exits.
Access and egress of all exits, fire and safety equipment, and work areas shall be kept clear
of obstructions at all times.
b. Special attention shall be given to among others, maintaining clear walkways, removal of
slippery and tripping hazards, securing or removing of loose materials at height, and proper
storage of materials. All housekeeping costs shall be borne by CONTRACTOR.
c. At the conclusion of the job, Contractor shall be responsible for removing all remaining
materials, supplies, trash and leave the area safe, clean and ready for use. All the waste
materials generated from the work need to be disposed a per the disposal procedure
applicable. The hazardous waste material to be separated and to be discussed with PMO
HSE in charge person for disposal procedure.
d. Contractor employees are not allowed to interfere with any material or tools in the plant area,
where it may affect the running plant or machinery. All Contractor employees to be briefed
about the house keeping rules applicable.

34. Security

a. CONTRACTOR, at its own cost, shall provide security measures and adequate number of
security personnel who are trained and certified to safeguard the work site from any threat,
damage or theft of properties.
b. CONTRACTOR security personnel shall be equipped with communication equipment and able
to contact police and other emergency units as and when required.
c. CONTRACTOR shall provide shelter, facilities and amenities to enable security functions or
duties to perform satisfactorily to the requirements of PMO.

35. Emergency Response Preparedness

a. CONTRACTOR, at its own cost, shall ensure there is adequate emergency response capability
at site, which shall include at least the following;
 Emergency response procedures
 Firefighting equipment
 Fire prevention program
 First aid medical personnel and facilities
b. CONTRACTOR personnel shall be trained and competent in the use of firefighting equipment.
c. CONTRACTOR shall also ensure its first aiders are trained and competent to render such
services.
d. PMO fire and emergency response equipment and systems shall not be impaired or used for
non-emergency activity without authorisation from LP&C department.
e. All Contractors shall ensure that they have knowledge of the name and location of their
workers and of the emergency assembly points so that they can be accounted for during any
arising emergency situations.

Rescue Plan arrangement:

a. Contractors must develop a rescue plan for all the relevant activities they are involved in such
as Confined Spaces, Work at heights and other related activities as identified in the risk
assessment.

Prepared by HSE Dept. Rev. 2 22-December-2021 Page 19 of 24

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
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 Submit the appropriate Rescue plans along with the JSA and Method statement for
PMO HSE Dept.verification and agreement at least 48 hours prior to the work
commencing on site
 Before developing a Rescue plan, contractors’ team must visit the confined space
location and carryout a risk assessment in order to identify the resources required in
order to produce a suitable and sufficient safe system of work including a rescue plan
and to specify appropriate rescue equipment.
 Contractors may request PMO HSE team for expert rescue advice in advance.
 It is the contractor’s responsibility to make sure all the required resources are deployed
and implemented accordingly.

36. CONTRACTOR Training Records

a. CONTRACTOR shall provide adequate training to all its personnel to ensure that they have
sufficient knowledge and skill to undertake the assigned tasks.
b. CONTRACTOR shall establish a document control system to maintain their training records.

37. Incident Notification/Reporting and Investigation

a. Any incident involving PMO, CONTRACTOR’s, SUB-CONTRACTOR’s or any third party

personnel, plant or equipment, shall be immediately reported to PMO, irrespective of whether
there is injury to personnel or damage to plant or equipment.
b. All incidents that resulted in or have the potential to cause and escalate serious injuries or
property damage shall be suitably investigated and analyzed by CONTRACTOR and reported
to PMO.
c. CONTRACTOR shall keep a copy of all incident reports at site.
d. CONTRACTOR is required to investigate and report any accident to local authority in
accordance with the regulatory requirements. The investigation and report shall not preclude
any similar investigations and reports required by the governmental authority in accordance
with any relevant laws and regulations and may be handled concurrently with them.
e. CONTRACTOR shall prepare a close-out report of its HSE performance complete with
Incidents statistics when requested by PMO.

38. Contractor HSE Performance Target, Report & Statistics Board

a. In line with PMO HSE policy, objectives and performance targets, CONTRACTOR shall set
appropriate HSE objectives, develop and implement HSE programs to achieve the set
performance targets.
b. CONTRACTOR shall compile and submit HSE performance report to PMO when requested.
CONTRACTOR shall ensure all HSE performance reports and records are maintained and
updated as and when required.
a. CONTRACTOR shall install a HSE Performance Scoreboard to highlight achievement/milestone
of safe working hours of employees.
b. The CONTRACTOR shall install the above at each site office. The HSE Performance
Scoreboard shall be of acceptable material and shall contain the following information as a
minimum in English or local language:
 Name of CONTRACTOR_
 Date (Start of Work)
 HSE Targets for This Project
Prepared by HSE Dept. Rev. 2 22-December-2021 Page 20 of 24
THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

 Best Achievement (Manhours, Year)

 Current Manhours Achieved (Manhours, Year)
 Date of Last Loss Time Incident
 Total Number of Loss Time Incidents to-date
c. All lettering in the HSE Performance Scoreboard shall be of suitable sizes and visible.

PART III – CONSEQUENCE MANAGEMENT FOR HSE NON-COMPLIANCE

3.1. Disciplinary

In cases where there has been a breach of the safety rules and these requirements; PMO may apply
PMO policies and procedures and the relevant laws including but not limited to the “Disciplinary
Procdure”. This entitles PMO to take any of the following actions against its employees and or where
applicable, the Contractors depending on the severity of the breach. In serious cases involving
Contractor’s personnel, PMO may take action directly against the concerned Contractor or request
that the Contractor employer takes the necessary action against his own employee(s):

 Warning (verbal or written).

 Fine (individual or company).
 Suspension from work with reduced pay for a period not to exceed 10 days.
 Denial or deferment of periodical allowance.
 Denial of promotion.
 Dismissal without prejudice to severance pay.
 Dismissal with denial of all or part of the severance pay

3.2. List of HSE Non-compliance

HSE Non Catego

No Example of cases Punishments
Compliance ry
1 PTW 1.1 Working without Permit To Work Major Rp 1.000.000,-
1.2 Working with expired PTW Major
1.3 Non-compliance with PTW requirements Major

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THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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1.4 Damaged or loss of PTW Minor

2 Chemical Handling 2.1 Failing to use personal protective Major Rp 1.000.000,-
equipment when handling
hazardous chemicals
2.2 Send / store hazardous substances / chemical Major Rp 1.000.000/case
material without the MSDS label
2.3 There was a leak or spill in the road / sewer / Major Rp 5.000.000,-/case
floor / inside building of chemical or other
hazardous substances
3 PPE 3.1 Failing to use / Misusing / Modifying PPE/ Major Rp 500.000,-/case
Using substandard PPE ID Badge Hole 1
3.2 Workers not wearing work clothes or reflector Minor ID Badge Hole 1
vest Rp 50.000,-/ violations
3.3 Falsifying identification cards / ID Cards Major Rp 1.000.000,-
Vendor employees will be
blacklist
4 Energy Isolation 4.1 Failing to verify energy isolation before Major Rp 1.000.000,-
starting work
4.2 Working with expired Physical Isolation Major Rp 1.000.000,-
Certificate(PIC)/Electrical Isolation
Certificate(EIC)/Radiation Certificate
4.3 Non-compliance with IC/EIC/ Radiation Major Rp 5.000.000,-
Certificate requirements
4.4 Damaged or loss of PIC/EIC/ Radiation Minor Rp 1.000.000,-
Certificate
5.7 Not applying the basic of LOTO (Log out & Major Rp 5.000.000,-
Tag Out) Work is stopped until the
LOTO procedure is
implemented.
5 Working in Confined 5.1 Failing to obtain authorization before entering Major Rp 5.000.000,-
Space a confined space ID Badge Hole 2
5.2 Working with expired Confined Space Entry Major Rp 1.000.000,-/violations
(CSE) Certificate IDBadge Hole 1
5.3 Non-compliance with CSE Certificate Major Rp 1.000.000,-
requirements
5.4 Damaged or loss of CSE Certificate Minor Rp 1.000.000,-/volations
ID Badge Hole 1
5.5 Not conduct check air measurements (gas Major Rp 5.000.000,-/day
test) before enter confined space
5.6 Not install fan blower during confined space Major Rp 5.000.000,-/day
5.8 Not provide Permit to Work and JSA confined Minor Rp 1.000.000,-/case
space Spv & Safety ID Badge Hole
1
6 Safety 6.1 Failing to obtain authorization before Major Rp 1.000.000,-
overriding or disabling safety critical
equipment
6.2 Working with expired Safety Critical Major Rp 1.000.000,-/person
Equipment (SCE) Bypass Certificate.
6.3 Non-compliance with SCE Bypass Certificate Major Rp 1.000.000,-/case
requirements
6.4 Damaged or loss of SCE Bypass Certificate Minor Rp 1.000.000,-
6.5 Not follow up closing finding each Negative Minor Rp 1.000.000,-/case
finding case.
6.6 Not Reporting accidents :
a) Minor severity Major a) Rp 5.000.000,-
b) Moderate to Major Severity b) Rp 7.000.000,-
c) Extreme to Catastrophic Severity c) Rp 10.000.000,-
For moderate accident and
above, Safety ad PIC from
related vendor will be
Prepared by HSE Dept. Rev. 2 22-December-2021 Page 22 of 24
THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

blacklisted.
6.7 Negligence / procedure breach that has the
potential to cause : a) Rp 10.000.000,-
- Minor Accients (First Aid / Medical Aid) Major b) Rp 50.000.000,-
- Moderate to Major Accidents (LTI/Disability c) Rp 100.000.000,-
- Fatal Accident (Fatality) For potential Fatal accidents,
Safety ad PIC from rlated
vendor will be blacklisted.
6.8 Manpower working without Safety Induction Major Rp 1.000.000,-/person
7 Working at height 7.1 Failing to protect yourself against a fall when Major Rp 1.000.000,-/person
working at height.
7.2 Not Provide Scaffolding Inspector Personel Major Rp 5.000.000,-/day
7.3 Using substandard material of scaffolding Major Rp 5.000.000,-/item
(Corrosive, bent and fragile)
7.4 Scaffolding built by not competence person Major Rp 5.000.000,-/company
(not have scaffolder certificate)
7.5 Scaffollding has been used before checked by Major Rp 5.000.000,-/company
Safety PRI
7.6 Do not attach the hook of Full Body Harness Major Rp 1.000.000,-/person
to anchor point
7.7 Not Provide Full Body Harness double lanyard Minor Rp 1.000.000/items
8 Lifting Operations 8.1 Position yourself under a suspended load. Major Rp 100.000,-/person
8.2 Working with expired Lifting Certificate Major Rp 5.000.000,-/case
8.3 Non-compliance with Lifting Certificate Major Rp 5.000.000,-/case
requirements
8.4 Damaged or loss of Lifting Certificate Major Rp 500.000,-/item
8.5 Not Provide Lifting plan during heavy lifting Major Rp 5.000.000,-/case
material
9 Ignition 9.1 Smoking outside designated areas in the Major Rp 100.000,-/case
Source process area. ID Badge Hole 1
Control 9.2 Bringing in potential ignition sources into Major Rp 100.000,-/case
process area with authorization. ID Badge Hole 1
9.3 Non-compliance with Hot Work Permit Major Rp 1.000.000,-/case
requirements
9.4 Damaged or loss of Hot Work Permit Minor Rp 1.000.000,-/case
10 Drug & Alcohol 10.1 Tested positive for Alcohol. Major Rp 50.000.000,-
10.2 Tested positive for prohibited drugs Major Fines are imposed to the
10.3 Bring Alcohol and drugs to site Major vendor. The worker is
terminated and blacklisted,
and is subjected to criminal
proceedings
11 Driving 11.1 Using your mobile phone / walkie-talkie Major Rp 100.000,-/case
while driving ID Badge Hole 1
11.2 Failing to follow speed limit Major Rp 1.000.000,-/case
11.3 Failing to use seatbelt Major Rp 500.000,-/person
11.4 Traffic violations e.g. driving / operating Major Rp 1.000.000,-/person
vehicle without license ID Badge Hole 1
11.5 Parking violation e.g. unauthorized one, Minor Rp 1.000.000,-/case
obstructed other traffic, access way & park Vehicle Cathegory ;
improper place Car, Forklift, Truck, and all
Heavy Equipments
11.6 Overloading / transport material or Minor R 1.000.000,-
passengers in unsafe manner
11.7 Vehicles enter mills without permit Minor Rp 1.000.000,-
Vehicles can’t enter mills
11.8 Falsifying documents, travel documents, Minor Rp 5.000.000,-/case
driver license and or the similar documents Blackilsted
11.9 Operated Light transport and Heavy Major Rp 5.000.000,-/case
equipments without commissioning with Operator will be blacklisted

Prepared by HSE Dept. Rev. 2 22-December-2021 Page 23 of 24

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

Safety PRI
11.10 The vehicle is parked / abandoned wih the Minor Rp 1.000.000,-/person
engine running in the mill area (Operator / ID badge Hole 2
driver is away from the vehicle) Cars, forklift, truck and other
Heavy equipments.
11.11 Operating Heavy Equipments in unsafe Major Rp 1.000.000,-/case
condition Operator will be Rejected
11.12 Vehicles carrying material are unbalanced Major Rp 5.000.000,-/case
and have the potential to roll over ID Badge Hole 1
12 Regulatory 12.1 Non-compliance with regulatory Major Rp 5.000.000,-
noncompliance requirements e.g. Occupational Safety and
Health Act, Environment Quality Act,
Factories and Machinery Act, Atomic
Energy Licensing Act, Fire Services Act etc.
that may expose MISC to stop work order,
written warning or fines
13 Plant and 13.1 Tampering with / Damaging plant or Major Rp 5.000.000,-/case
Emergency emergency equipment
Equipment 13.2 Using the fire emergency equipment, such Major Rp 5.000.000,-/case
as fire extinguisher or hydrant without a permit
(except emergencys)
14 Criminal / 14.1 Criminal / civil offenses committed Major Rp 50.000.000,-/case
civil offenses anywhere within the site – e.g. gambling, Fines are imposed to the
theft, falsification of documents, vendor. The worker is
harassment, vandalism, sabotage or terminated and blacklisted,
fighting. and is subject to criminal
proceeding.
15 Sleeping / 15.1 Sleeping while on duty / Major ID Badge Hole 2
Horseplay Horseplay Rejection from site
16 Tools & 16.1 Misusing / Modifying / tools or Major Rp 5.000,000.-/case
Equipment equipment/ Using substandard ID Badge Hole 1
tools or equipment
16.2 Not conduct tools inspection include Major Rp 1.000.000,-/case
elecrtrical tools as per regulation inspection ID Badge Hole 1
procedure.
16.3 Not conduct color coding inspection Major Rp 1.000.000,-
(electrical & Lifting gear) inspection ID Badge Hole 1
17 Other / Safety 17.1 Any non-compliance not listed Shall be based on
Administration above decision made by
PMO.
17.2 Not Follow up Closing Minutes of Meeting Major Rp 2.000.000,-/case findings
(MOM) Finding case
18 PRI Safety Golden 18.1 Working Above Water – Not wearing work Major Rp 100.000,-/person
Rules vest ID Badge Hole 2
18.2 Working at Height – Not wearing Full Body Major Rp 100.000,-/person
Harness ID Badge Hole 2
18.3 Confined space – Not follow work procedurs Major Rp 5.000.000,-/case
in a closed and limited room ( work permit, gas ID Badge Hole 2
test, air circulation & standby man) STOP Work Activity
18.4 SIO, SILO & Work Permit – Not Provide Major Rp 5.000.000,-/item
Valid of SIO, SILO and Work Permit Heavy Equipments will be
Rejected / not will
Commissioning by PMO OHS
18.5 STOP Work Action – Not Follow SWA Major Rp 5.000.000,-/case
instruction from Safety PRI from bad weather
and dangerous practices conditions.
18.6 Safety Lifting and Rigging – To be in the Major Rp 5.000.000,-/case
radius of lifting activity of objects and to be STOP Lifting Activity
below, front & within the lifting radius and not
provide tag line and lifting plan.
Prepared by HSE Dept. Rev. 2 22-December-2021 Page 24 of 24
THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

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 Project Management Office K158
Contractor HSE Requirements Rev. 2

18.7 Electrical Safety – Not follow General Major Rp 5.000.000,-/case

requirements of electrical installation (PUIL) &
not provide competen for electrical workers.
18.8 Equipments Inspection – Not conduct Major Rp 5.000.000,-
regular inspection of the equipments
18.9 Supervisor on site – every job not be Major Rp 1.000.000,-/case
supervised by Supervisor. ID Badge Hole 2
19 Fire Case 19.1 There was a fire but had no impact on the Major Rp 5.000.000,-/case
materials / assets / production process
19.2 A fire occurred and had an impact on the Major A minimum fine of IDR
damage to materials / assets / disruption of the 25.000.000,- or 5 times the
production process total value of the loss
20 Safety Organization 6.7 Not Provide Qualified personel (Scaffolder, Major Rp 1.000.000,-/day until
Scaffolding Inspector, Safety Officer, Rigger, provide it
Electrician and Operator

3.2.1 Minor Offence

1 PPE Wear not standard PPE (damage PPE, Minor Rp 100.000,-/person
painted Helmet, etc.), and other PPE which ID Badge Hole 1
not provided by employers. Do not wear
chin trap
2 Tools Use broken, expired tag, Use inappropriate Minor Rp 100.000,-/person
and homemade tools, ladder, hoses, cable ID Badge Hole 1
and other equipment.
3 Welding The person in charge do not shut down the Minor Rp 100.000,-/person
equipment, machine (welding machine, ID Badge Hole 1
generator, forklift, crane, etc.) when break
time or after working hours.
4 Meeting Not attend Tool Box Meeting and Weekly Minor Rp 100.000,-/person
HSE General Meeting except have strong ID Badge Hole 1
reason.
5 Grinding Operate grinding machine without safety Minor Rp 100.000,-/person
guard, grinding machine without dead-man ID Badge Hole 1
switch
6 Space Entry restricted area/building (B3 Storage, Minor Rp 100.000,-/person
MCC, Company Office, Ware House, etc.) ID Badge Hole 1
without any permission from person in
charge.
7 Not wear official uniform provided by Minor Rp 100.000,-/person
concerned contractor ID Badge Hole 1
3.4. Process Flow on Consequence Management for HSE Non-Compliance

Prepared by HSE Dept. Rev. 2 22-December-2021 Page 25 of 24

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

[Paper copies are uncontrolled]

 Project Management Office K158
Contractor HSE Requirements Rev. 2

Safety Procedure Violation by

Contractor Worker

Violation Ticket Issued by

PMO HSE Team

Violation Ticket Approved by

HOD as a User

Violation Ticket Submit to PMO Accounting Copy Violation Ticket send to

for Invoice Deduction Contractor Management

Reference
Government Regulations and International Standard
UU No.1 Year 1970 : Work Safety Act
UU No.32 Year 2009 : Environmental Protection and Management Act
SMK3 PP No.50/2012 : Occupational Health & Safety Management System Regulation
ISO 45001 : 2018 : OHS Management Systems-Requirement & Guidance for use

Prepared by HSE Dept. Rev. 2 22-December-2021 Page 26 of 24

THIS DOCUMENT IS CONFIDENTIAL AND IS THE PROPERTY OF xxxxxx. THIS DOCUMENT IS ALSO AN UNPUBLISHED WORK OF xxxxxx. THOSE HAVING ACCESS TO THIS DOCUMENT MAY NOT COPY, RE-
PRODUCE OR DISCLOSE THE INFORMATION IN THIS WORK IN ANY FORM. COPYRIGHT 1995 BY xxxxxxxx.

[Paper copies are uncontrolled]