1. Project HSE Plan C-21007 (Rev. 0)

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PROJECT HEALTH SAFETY AND ENVIRONMENT PLAN 1 OF 54
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DOCUMENT NUMBER:
PROJECT HEALTH SAFETY AND C.21007 PHSE-011
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
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TABLE OF CONTENT
NO DESCRIPTION PAGE
COVER 1
TABLE OF CONTENT 2
1 INTRODUCTIONS 3
2 PURPOSE 3
3 SCOPE 3
4 DEFINITION 3
5 REFERENCES 6
6 LEADERSHIP AND COMMITMENT 6
7 RISK MANAGEMENT 13
8 MANAGEMENT OF CHANGE 14
9 PREMOBILIZATION MANAGEMENT 14
10 SUBCONTRACTOR MANAGEMENT 15
11 TRANSPORTATION MANAGEMENT 18
12 HEALTH MANAGEMENT 19
13 ENVIRONMENTAL MANAGEMENT 22
14 OPERATING PROCEDURE AND SAFETY STANDARD 24
15 TRAINING AND COMPETENCY 45
16 COMMUNICATION 46
17 STOP WORK AUTHORITY 47
18 EMERGENCY RESPONSE PLAN 47
19 INCIDENT INVESTIGATION 49
20 HSE INCENTIVES AND CONSEQUENCES 51
21 PERFORMANCE EVALUATION 52
1. INTRODUCTION
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
This HSE Management Plan for reference Project information containing the information
as the following:
1.1 Project Name : CFSPP JAWA 9&10 (2X1.000MW) SURALAYA

1.2 Project Number : C-21007
1.3 Scope of Work : Mechanical Works in Boiler
1.4 Location : Suralaya, Cilegon, Banten.
1.5 Owner : INDO RAYA TENAGA
1.5 Client : DOOSAN HEAVY INDUESTRIES (DHI) INDONESIA
The scope of work for this project and further detail shall refer to the contract and
client’s technical specification.
Any specific scope of work or additional job is included in another section.
HSE details of scope of work shall accompany this HSE management plan for reference.
2. PURPOSE
2.1 To provide the guidance to project management team in preparing project HSE
plan (PHSEP) as a general overview of project HSE preparation and planning
which shall be applied and implemented at the project, to determine and ensure
that all of HSE activities are in accordance with and under controlled of internal
company needs and complying client HSE requirements.
2.2 The importance and essence of this PHSEP is for guidance, monitoring and
controlling of HSE in construction preparation stage and operation stage, in
accordance with appearing high performance and teamwork coordination internally
within project management and corporate management.
2.3 The PHSEP is containing of Health, Environment and Safety work planning
correlated with scope of work and typical of the project and client requirements.
3. SCOPE
This Project HSE Plan (PHSEP) shall be implemented by PT. Koin Konstruksi.
4. DEFINITION & TERMS

Accident : Unwanted or undesired event resulting from the
occurrence of one or more fault incident that have
negative impact on the system, product, equipment or
personnel.
Contractor : Joint Operation (JO)
KEMENAKER : Ministry of Manpower of Republic Indonesia
Hazard : Dangerous condition, potential or inherent which either
has previously cause or could reasonably be expected to
cause personal injury or property damage.
HIRADC : Hazard Identification Risk Assessment and Determining
Control
SIMOPS : Simultaneous Operations, is two different or more
activities which have occurring in almost same time and
area. Close enough to each other that there is a risk of
interference, clashing, or risk transfer.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
Incident : Work-related event(s) in which an injury or ill health

(regardless of severity) or fatality occurred, or could
have occurred.
JSA : Job Safety Analysis is one of the safety management
tools that can be used to define and control the hazards
associated with a certain process, job or procedure. The
purpose of a JSA is to ensure that the risk of each step
of a task is reduced to ALARP (As Low As Reasonably
Practicable).
KPI’s : Key Performance Indicators
LTIFR : Lost Time Injury Frequency Rate is the number of
injuries causing lost time for employees and Contractors
per million hours worked.
Calculation: (Total LTI/Total Man Hours) x 1,000,000
LOTO System : Lock Out / Tag Out system is a procedure to ensure that
energized machines / equipment (such as mechanical
static / electrical / instrument equipment) / other process
systems are properly shut off and not started up again
prior to the completion of maintenance or servicing
work.
First Aid Case A single first aid type treatment aided to a single person
by a qualified First Aider or paramedic at the incident
scene or project first aid clinic, and after the treatment
the injured person is able to come back to normal work.
Medical : A Medical Treatment Case is a case that further

Treatment treatment which is given by a company or external
Case (MTC) physicians/medical doctor to an injured person, and after
medical treatment the injured person is able to come
back to normal work (non lost time incident)
LTI A work injury resulting disability and in which the injured
person is not able to work the next regularly scheduled
shift. Lost time injuries occur when the injured person
(IP) unable to work more than 2 x 24 hours since the
final observation / statement from doctor related to
injured person (IP) condition
Nearmiss : An incident where no property was damaged and no
personal injury was sustained, but where given a slight
shift in time or position, damage and/or injury easily
could have occurred.
OWNER : INDO TENAGA RAYA (IRT)
PROJECT : CFSPP JAWA 9 & 10 2 X 1000 MW Suralaya
PPE : Personal Protective Equipment
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
Risk : Effect of uncertainty on objectives. It could refer to

positive consequences of uncertainty, as well as
negatives one.
PTW : Permit To Work
MSDS : Material Safety Data Sheet
Subcontractor : Successful Bidder(s) appointed by Contractor to provide
services to Contractor
Site Doctor : A qualified medical practitioner who attends the project
site.
IFR : Incident Frequency Rate is number of total incidents per
million hours worked.
Calculation: (Total Case / Total Man Hours) x 1,000,000
Vendor : The manufacturer of the equipment or the
manufacturers agent Bidder(s) the Contractor which
intended to bid or submit the quotation for this work
Workplace : Any physical location in which work related activities are
performed under the control of the Contractor
Organization.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
5. REFERENCE
5.1 HSE Management System PT. Koin Konstruksi No. P-HSE-001
5.2 Guidelines for Established Project HSE Plan No. P-HSE-011
5.3 Safety Handbook PT. Koin Konstruksi
6. LEADERSHIP AND COMMITMENT

6.1 HSE Policy
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
6.2 Strategic Objective and KPI

Zero LTI and Fatal incident is the target of PT. Koin Konstruksi. The performance
target shall bring value & satisfaction as directed by Client, the project team;
subcontractors and the utmost certainty are to all employees.
PT. Koin Konstruksi states its commitment to implement HSE management, in
addition, shall deploy preventive actions towards any possibility which may harm
human, damage property, work tools / equipment and environment. To fulfill this
commitment, PT. Koin Konstruksi including subcontractors shall provide and
maintain its work environment and shall always implement safe working practices,
safe working condition and shall always give full efforts to minimize any possible
hazard, by stating the following key performance index:
RESPONSIBLE
LEADING INDICATOR TARGET REMARKS
PERSON
Management Site Visit Once/project Top Management

Site Management Patrol Weekly Site Management
HSE
General HSE Talk Daily Line Management /
Supervisors
HSE
Tool Box Meeting Daily
Supervisor
HSE Coordination Meeting Weekly HSE
HSE Induction 100% HSE / Spv./ HRD
HSE Daily Observation Card 30 Card/Week All Employee
Pre Mob
Heavy Equipment Inspection HSE Color Code
Monthly
Pre Mob
Vehicle Inspection HSE Color Code
Monthly
Hand & Power Tools Pre Use
HSE Color Code
Inspection Once/3 Month
Pre Mob
Machinery Inspection HSE Color Code
Once/3 Month
PPE Inspection Monthly HSE
MCU for Employee 100% HRD/HSE
Waste Balance Sheet Monthly HSE
Site Management
Internal Audit Once/Year
Rep
HSE Performance Report Monthly HSE
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
RESPONSIBLE
LAGGING INDICATOR TARGET
PERSON
Fatality 0 (zero fatality) HSE
Incident Frequency Rate Max 10 per 1 million manhours HSE
Incident Severity Rate Max 10 per 1 million manhours HSE
Nearmiss Frequency Rate Max 5 per 1 million manhours HSE
Environment 0 (zero spill) HSE
6.3 Project HSE Organization

The project HSE organization structure is under Site Manager and Corporate HSE
Manager, which organization structure for this project shall be reviewed, changed
and updated as required anytime according to the project needs and requirements.
1. The organization shall have a dedicated Site HSE Manager during the planning
and execution of project.
2. Site HSE Manager shall responsible for coordinating all HSE matters related to
the work, meeting the HSE deliverable as appropriate at the relevant stages
during the project execution, issuing the HSE plan, the preparation of project
HSE procedures/work instruction and the monitoring of their implementation.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
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3. Site HSE Manager in carrying out his duties at the site is assisted by HSE
Coordinator, Environment Officer, HSE Inspector and HSE Supervisor.
4. HSE Organization Chart
PROJECT CORPORATE HSE

MANAGER MANAGER
HEAD OFFICE
PROJECT
SITE
MANAGER
SITE HSE
MANAGER
HSE FIELD HSE ENVIROMENT

INSPECTOR COORDINATOR OFFICER
HSE HSE
SUPERVISOR SUPERVISOR
SAFETYMAN SAFETYMAN
6.4 Roles & Responsible

The responsibility and authority of the key persons in the site organization shall be
described as follows:
6.4.1 PROJECT MANAGER

1. Project Manager is the Chairman of the Project HSE Committee.
2. Administrates all phases of the established HSE Program on project
and is responsible for obtaining results.
3. Reviews periodically the project’s HSE Performance and takes action
as may be necessary, and report results to President Director who
shall responsible to submit review results to the Corporate HSE
Committee.
4 Ensure that the attitude and seriousness of HSE rules and regulations
is implemented and reviewed at all levels in the project organization.
5. Ensure that the budget & cost correlated with HSE matters has been
estimated, proper and available in accordance with overall project
cost.
6. Maintains an effective and prompt line of communication of HSE
matters through of all project section leader.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
7. Reviews and evaluates the individual HSE performance of all members

of the line supervision and provide guidance and training where
needed to improve the competence performance.
8. Determines from the Ministry of Labor of the Republic of Indonesia or
the Region Labor Department and Environmental Department about
Health and Safety Code of Practice and Environmental practice
requirements, and provides guidance to facilitate implementation of
procedures.
9. Ensure all special permits required by applicable government agencies
and client/owner are obtained for compliance.
6.4.2 SITE MANAGER

1. Site Manager is the deputy chairman of the Project HSE Committee.
2. Responsible for overall of HSE project management and project
coordination between client and subcontractors.
3. Establish and develop, through Site HSE Manager, systematically steps
and procedures related with HSE according to the corporate HSE
management system and client requirements.
4. Ensure that the attitude and seriousness of HSE rules and regulations
is implemented and reviewed at all levels in the project organization
including subcontractors.
5. Ensure that all HSE personnel assigned at project have qualified skills
and capabilities to facilitate & high implement of HSE at the field.
6. Ensure that all cost correlated with project HSE needed had been
available and approve all equipment that shall be used at the project
through Site HSE Manager.
7. Holds at least one formal HSE Committee Meeting every month with
organization & subcontractors.
8. Maintains an effective and prompt line of communication of HSE
matters through all lines of supervisors & subcontractors.
9. Make a thorough review of all incident investigations and signs them
prior to distribution.
10. In the event of a lost time/fatal incident, Project Manager shall lead
the HSE Committee and conducts an investigation, submit corrective
and improvement action step planning and solutions to the project
team for follow up and improvement steps, according to HSE incident
investigation procedures.
11. Established HSE management system with line
supervisors/subcontractors and the Site HSE Manager to give clear
understanding of each member’s responsibilities and specific duties.
6.4.3 ENGINEER/SECTION LEADER

Engineer/section leader is a permanent member of the Project HSE
Committee. Engineer had the responsibility for the HSE of his subordinates,
the safe conditions of the assigned work area, and the safe operation of
equipment is vested in the Supervisor who is accountable to the Site
Manager.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
1 Enforces all phases of the established HSE Program as well as special

controls issued by the Site Manager and is responsible for obtaining
results.
2 Participates with Site Manager and project HSE personnel in making
the preparation of a pre-job HSE analysis (HIRADC and JSA) prior to
the commencement of the job and whenever requested.
3 Communicates HSE information to his staff, alert them daily on
potential dangers that may develop from their daily operations.
4 Establised a housekeeping program, assigning definite duties to
supervisors, make daily check of work area, makes weekly
housekeeping inspections, keeps record of conditions found and
corrective action taken, maintains HSE signs and bulletin boards in
clear and legible condition.
5 Develops and maintains a workable inspection schedule of the
following:
1. Major equipment, such as; construction heavy equipment, cranes,
derricks, trucks, forklifts, vehicles, tools, and machines, etc.
2. All rigging equipment including: wire rope, shackles, chain/level
blocks, slings, manila rope, scaffolds, personnel baskets, gondola’s
and lifts etc.
3. Fire extinguishers, tools and pneumatic equipment.
4. Personal Protective Equipment/Safety equipment; ensures that
supervisors are requiring all employees to make proper use of
mandatory Personal Protective Equipment; such as, head
protection, fall protection, eye protection, clothing, ventilation
equipment, etc.
5. Make spot checks covering housekeeping, unsafe acts practice,
unsafe conditions, condition of equipment, and observance of HSE
rules and regulations.
6. Make individual HSE contacts with subordinate supervisors.
7. Personally reviews all non-lost time incident with injured victim and
victim’s supervisor, and participates in the investigation of all fatal and
lost time incidents.
8. Maintains an effective line of communication of HSE matters with the
workers.
9. Show to all personnel by action, example, and training a sincere
attitude toward HSE and develops a better understanding of efficiency
in incident prevention.
10. Determine that adequate and suitable Safety equipment is furnished
and it is properly utilized, cared of and maintained.
11. Assists with developing and communicating safe job procedures for
unusual or hazardous operations.
12. Utilizes time for HSE training, requiring supervisors to attend and
participate.
6.4.4 LINE SUPERVISOR/SUPERVISOR LINI

Line supervisor had the responsibility for the HSE of his subordinates, the
safe conditions of the assigned work area, and the safe operation of
equipment who is accountable to the Engineer/section leader.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
The responsibilities of the Line Supervisor are follows:

1. Line Supervisors are non-permanent members of the Project HSE
Committee.
2. Enforces all phases of the established HSE Program as well as special
controls issued by the Engineer with all members of his crews and is
responsible for obtaining results.
3. The Health, Safety and Environment controls within his entire work
area, including anybody or anything not connected with his crew,
entering, working in, or leaving the work area.
4. Ensure that all administrative requirements, i.e., Job Safety Analysis,
General Work Permit to work, Entry Permit to hazardous area etc. are
available and understood by all of his subordinates.
5. Inspect his work area to detect hazards, prepare Hazard identification,
analyze risks and control risks and takes necessary prevention and
corrective action (HIRADC).
6. Reports to the Engineer for any conditions which he’s unable to
correct.
7. The inspection includes housekeeping, hazards from electrical and
other utility lines, other energy, traffic, other, inadequate guarding,
employees working over each other, simultaneous operations with
others, etc.
8. Ensure and instructs employees to inspect their personal protective
equipment, tools, machines and scaffold before use, make spot checks
of protective equipment, tools and machines assigned to subordinates
and scaffolding on which they are at work.
9. Inspects major equipment assigned to him and checks with operators
of equipment for any defects.
10. Inspect any types of vehicles assigned to him and checks with driver
or operator for any defects.
11. Maintain continuing inspections and preventive maintenance.
12. Inspects any supporting devices, hoist, hooks, pulleys, wire ropes,
sling, chain etc., assigned to him and maintains continuing observation
of their safe condition and use.
13. Maintain HSE system through knowledge of safe working procedures
and rules contained in the HSE Manual and other HSE regulations,
which are applicable for work being performed.
14. Observe subordinates to see, as far as is possible, whether they are
sufficiently experienced, alert and in evident good physical condition.
15. Enforce the use of fall protection procedures and other personal
protective equipment by employees under his supervision when
required for safe performance of assigned work.
16. Attends and participates in meetings as required by the Engineer,
holds own tool box meeting on daily bases with subordinates.
17. Make individual HSE contacts with each of his employee’s minimum
once a week.
18. Prepare investigation reports on all doctor medical treatment case
injuries.
19. Continue observed subordinates for adherence to HSE rules and HSE
procedures.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
20. Where the Supervisor is unable to effect a correction, he reports it to

the Engineer/Section Leader.
21. Indoctrination of new hires assigned concerning the hazards of the
work or individual task to be performed.
22. Develops a proper and co-operative attitude towards HSE among
subordinates (constant training and by setting a proper example in his
own observance of the work rules and conduct).
23. When conditions warrant, ensures his employees are adequately
trained to recognize hazardous operations or unusual work procedures
and ensures close supervision when applicable.
24. If lack of competence is observed, he shall develop the training needs
and submit request for training to his superior for further action
process; and shall evaluate his subordinates who were trained, to
ensure competence and capability.
6.4.5 SITE HSE MANAGER

It is the responsibility of Site HSE Manager to provide field HSE construction
management and supervision with the necessary service relative PT. Koin
Konstruksi and Client HSE Department Program.
All functions in the HSE organization are members of the Project HSE Team
and Project HSE Committee.
HSE Manager is responsible and accountable to the Project Manager/Site
Manager for the function activities relating to the Corporate and Project
HSE Program.
The responsibilities of HSE Manager are as follow:
1. Site HSE Manager is the Secretary of the Project HSE Committee.
2. Maintain current knowledge of HSE Regulations, provincial/regional
Safety Regulation and other communications and advises Project
Management of compliance and conditions requiring attention.
Provide project activities with the national or provincial/regional safety
regulation.
3. Makes thorough analysis of statistical data inspection, delineates
problem areas, and makes recommendations for solutions.
4. In special cases, where the safety practices and work environment
condition may endanger personnel, visitor or equipment, Site HSE
Manager may take the following actions to minimize, or stop unsafe
practice and or condition by suspending the work, till corrective
improvement action taken by the supervisor or totally suspend the
task till the practices and conditions complies with the rules,
regulations and or standards requirements.
5. Coordinates the efforts of the project HSE Program.
6. Collaborates with the Project Manager and his staff in the
development of required revision of existing procedures, rules and
regulations and submits proposed changes.
7. Takes part in the review of all disabling injuries and assists in
investigating all incidents and near misses.
8. Collaborates with the Project Manager and his staff to development
and preparation of the weekly HSE meeting agenda.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
9. Serves as liaison for PT. Koin Konstruksi with governing agencies and
other groups in related to HSE requirements.
10. Participates with the Engineer in making a pre-job HSE hazard
analysis prior to the commencement of the job, this involves regular
visits to the project.
11. Checks on the use of all types of personal protective equipment,
evaluated their effectiveness, and suggest improvements where
indicated.
12. Conducts independent audits to observe conformance with established
HSE program and determines the effectiveness of individual elements
of the program.
13. Establish good relation and coordination of incident prevention
activities with client and subcontractors.
14. Review all investigative reports, providing instructions and guidance
as needed to maintain flow of accurate, complete and prompt
reporting of all types of incidents.
15. It is primarily the duty of the Site HSE Manager to see that the best
possible medical arrangements are made at the start of each job and
to ensure all governmental insurance are prepared, distributed, and
maintained in a proper manner.
16. Establish written HSE emergency procedures for the project.
7. RISK MANAGEMENT
7.1 HIRADC
1. To describe the measures to be implemented within PT. Koin Konstruksi
project for identification of hazards, and for the assessment and control of
HSE risks.
2. Methodology of identification HSE aspect and risk assessment should be
made by consider scope of work, government regulation, standards and
contract agreement.
3. Engineer, supervisor and subcontractors should make Hazard identification,
risk assessment and determining control (HIRADC) for all job (routine/non
routine).
4. Site HSE Manager and Site Manager at Project together with HSE Manager at
Head Office are responsible to ensure the conformity of HIRADC with all
project activities prior to project starting.
5. Site HSE Manager shall monitor and evaluate the implementation of risk
control operation as follow:
a. Taking improvement action whenever required or when any
deviation/incident are detected;
b. Prepare the determining control implementation report and
submitted to Project Manager as an input to Management Review Meeting
at Project.
7.2 Job Safety Analysis

1. Job Safety Analysis (JSA) relevant for the project in order to control risks of
specific activities which carried out at RDMP Project. Approved JSA shall be
attached to the PTW.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
2. JSA will be required for all jobs performed On or Off site. Construction
Engineer/Superintendent or Supervisor shall be responsible to provide JSA
and understood by all the work team member. HSE are responsible to review
the JSA. Normally during daily Tool Box Meeting (TBM). Employee shall sign
the JSA Attendance list and involving in any review of activity change. New
hazard identified in JSA shall be add on HIRADC register.
3. As minimum JSA shall described breakdown steps for the task and hazards
identified for each step including control measures
8. MANAGEMENT OF CHANGE
8.1 MOC is required to provide a documented process for managing change in order to
achieve an acceptable level of risk. Change can be imposed from external and/or
internal drivers and can occur quickly or over a long period of time. Whatever form
change takes, it must be properly managed at the appropriate level so that
unwanted risks do not evolve.
8.2 Change can be broadly defined as an alteration or modification, replacement,
addition, revision or deletion to any aspect of Contractor’s operations, systems or
business. However, change as it applies to this plan is limited to impacts on
personal health & safety, environmental harm, and regulatory compliance
8.3 Once a change or a need for future change is identified, it is necessary for that
change to be managed by the appropriate person which will be guided by the
associated risk assessment as to whether the proposed change(s) represents an
acceptable level of risk.
9. PRE MOBILIZATION MANAGEMENT

9.1 Premobilization Readiness
Premobilization inspections will be performed prior to mobilization for agreed
scopes of work to ensure readiness prior to mobilization. PT. Koin Konstruksi shall
fulfil all of premobilization readiness requirements before obtaining Contractor
approved and verified of workers SIML (Surat Ijin Masuk Lokasi= Site Entry
Permit) and ID Badge and Permit to Work.
9.2 Manpower Readiness

Requirements for Man Power Readiness that will be collected by PT. Koin Konstruksi
are as follow:
1. Copy of valid competence certificate (including driving license) for specific
position such as heavy and light vehicles driver, heavy equipment operator,
welder, scaffolder, rigger, etc.;
2. Copy Medical Check Up (MCU) result;
3. Complete filled of man power register form (for each personnel);
4. Formal photograph (3x4) with Red colour as a background;
5. Copy of identity card (for each personnel);
6. Copy of Kartu Keluarga (for each personnel);
7. Copy of Surat Domisili (for each personnel);
8. Attend HSE induction
9.3 Equipment/Tools/Vehicle Readiness

DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
All of equipment/tools/vehicles shall pass a premobilization inspection by Client

(including heavy equipment, vehicles, generator set, air compressor, and welding
machine) prior to mobilize to project site.
After mobilize to project site, Client will conduct gate inspection to have a final
check prior to use by PT. Koin Konstruksi. After Pass the inspection, sticker will be
attached to the equipment/tools/vehicles. The requirements related to equipment
/ tools / vehicles readiness are as follow:
1. Copy of valid equipment/tools/vehicles certificates (including KEUR, STNK,
BPKB);
2. Equipment / tools / vehicles manual book;
3. Vehicle shall have Anti-lock Brake System, Air Bag System, safety belt, speed
sensor attached and safety accessories as per Client HSE requirement
9.4 Documentation Readiness

Prior to conduct work at project site, Subcontractor shall prepare several
documents as a requirements of document readiness. Those documents are as
follow:
1. Working procedures (for each activity)/Method Statement;
2. Job Safety Analysis (JSA) (for each activity);
3. Drawing / lifting plan / etc (related to activities).
4. Work Permit has been approved.
10. SUBCONTRACTOR MANAGEMENT

10.1 Subcontractors HSE Program Planning
All subcontractors must submit their HSE plan and submit to PT. Koin Konstruksi
not later than 7 days before start the activities.
10.2 HSE plan shall show in the structure of time schedule, clear and understandable,
the following items are mandatory;
1. HSE and Security Induction/orientation program for all employees.
2. Group Toolbox Meeting.
3. Line Supervisor Safety Meeting
4. HSE Inspection
5. Emergency Procedure
6. Reward & Punishment
7. HSE Training
8. HSE / Accident Investigation and Reporting
9. Safety Campaign
10. Construction Equipment, Tools & Machinery Inspection
10.3 PT. Koin Konstruksi held authority to develop changes in the subcontractors HSE
plan.
10.4 Identification of Hazard & Environmental Aspect;

1. All subcontractors shall develop a hazard & environmental aspect identification
system to identify any possible potential hazard condition or substandard
practical attitude of employee that might caused injury/damage to property.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
2. System shall involve all staff and employee to enable continues improvements
to the subcontractor employee capability to have an overlook to any
substandard condition and or practices.
3. Whenever it is necessary, PT. Koin Konstruksi is entitle to issue suggestions
based on the subcontractor needs and direct /actual findings.
10.5 Subcontractors HSE Organization

1. Subcontractors working in PT. Koin Konstruksi projects shall develop their own
HSE organization
2. HSE organization it shall consists minimum 1 (one) HSE Officer (appropriate
with the subcontractor work scope and work area size).
HSE officer is responsible to implement HSE programs, perform coordination
with subcontractors HSE Committee and PT. Koin Konstruksi and shall
evaluate the performance of their HSE program implementations.
10.6 Subcontractors HSE Committee Organization

1. Subcontractors shall develop their Site Safety Committee who is responsible to
control the implementation of safety program and make safety audit
periodically once every 6 months minimum.
2. Members in Subcontractor HSE Committee shall consists of site manager
(chairman), safety officer (committee secretary) and all section head
(committee member).
10.7 Subcontractors HSE Meeting;

1. Safety Meeting shall conducted periodically, to:
a. Gain the coordination between subcontractor management and their
employees, which shall be done through toolbox meeting.
b. Gain coordination between subcontractors and PT. Koin Konstruksi HSE.
2. Tool Box Meeting;
a. Toolbox meeting is designed to perform and to communicate management
safety message to and among employees.
b. Message given in safety talk shall touch general safety rules and shall be
communicated in the morning meeting by site management.
c. Toolbox Meeting Topic is communicated in the toolbox meeting shall consist
HSE related to the project activities to keep the working environment
healthy and safe.
3. HSE Coordination Meeting with Subcontractors;
a. HSE coordination meeting shall be conducted periodically, minimum once a
month.
b. HSE coordination meeting is conducted by site management to develop HSE
coordination and communications with the lower line management levels.
10.8 Subcontractors HSE Induction and Training;

1. HSE Induction
a. Subcontractors shall conduct HSE induction to all employees.
b. Safety Officer is in charge to give the safety induction.
c. Subcontractors safety inspector shall coordinate with site safety
Engineer/Officer PT. Koin Konstruksi in regards with all HSE technical
methods.
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d. Safety induction given to employee shall include:

e. Subcontractors shall submit report of the induction results to PT. Koin
Konstruksi periodically.
2. HSE Training;
a. HSE training shall given to all of subcontractor employee depending on
work scope / location requirements.
b. Training methods and topics will be in accordance with the subcontractors
needs. PT. Koin Konstruksi assistance is available upon request.
10.9 Incident Investigation;

1. Investigation shall be conducted to all accident cases including near miss and
traffic accident cases.
2. Preliminary investigation shall be submitted by subcontractors immediately
after the case and reported to HSE Committee PT. Koin Konstruksi.
3. Further to complete the preliminary report, subcontractors HSE person in
charge together with PT. Koin Konstruksi shall perform the detailed
investigation and report results within 36 hours after occurrence.
4. Investigation shall be done not less than 18 hour after occurrence, to collect
the evidence and keep the witness memory clear to the investigation.
10.10 Reporting System;

1. Reporting system consists the following:
a. HSE performance reporting system
b. Incident Reporting System;
2. HSE Performance Reporting System;
a. HSE performance report contains data and quantity of accident type, lost
workdays, frequency rate, and severity rate.
b. HSE performance report shall submitted to PT. Koin Konstruksi
3. Incident Reporting System;
a. Any incident case shall be reported to PT. Koin Konstruksi.
b. Preliminary incident report shall be submitted to PT. Koin Konstruksi
maximum 1 hour after the occurrence.
c. Preliminary report was containing data at least as follow: victim identity,
accident type, location and injury type, injury classification, time and
place, witness, accident chronology.
d. Completed accident report shall be submitted to PT. Koin Konstruksi
within 24 hour after accident case.
10.11 Project Manager, Procurement Manager and Construction Manager shall ensure
that all bidders for subcontracting passed PT. Koin Konstruksi & Client CSMS
(Contractor Safety Management System).
10.12 Site Management or Client may sometimes conduct an audit to Subcontractors
by prior appointment arrangement. This audit will be carried out at least 7 days
prior notice, and can be done at Subcontractors Home Office or Project Office
agreed. The results of this audit will be determined as a reference for
Subcontractors CSMS score validity.
10.13 Subcontractor shall provide their employees with proper equipment and skill
certification from relevant authorized government institution, provide adequate
work tools and provide all required personal protective equipment as required in
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the government rules regulations and applicable industrial standard both national
and international.
10.14 All Subcontractors and outsource parties that contribute directly with
Contractor is obliged to provide health/safety and employment insurance facility
to workers, both individually and in groups.
11. TRANSPORTATION MANAGEMENT

11.1 Speed – vehicle speed limit should be clearly posted at construction locations on-
site and should be appropriate for site conditions
11.2 Parking area should be clearly designated and distanced away from the operation
of heavy equipment and construction activity.
11.3 Signage – clear and suitably marked traffic patterns, road rules, speed limits,
turning and parking areas
11.4 Heavy vehicles to be fitted with following items of emergency equipment:
1. Fire extinguisher – securely fitted and easily accessible
2. First aid kit
3. Orange rotating flashing light
11.5 Passengers in vehicles shall ride only with a driver approved by the project, never
drive a vehicle unless authorized, ensure a journey plan has been completed and
approved, ride only in approved project vehicles, wear seat belts and other
required safety equipment, ride only in vehicles provided with seats, not interfere
with the driver or distract driver’s attention, Under no circumstance encourage the
driver to takes risks or speed, know where emergency equipment is stored in the
vehicle, know and obey emergency procedures
11.6 Due to the additional risks associated with night driving, the following
precautions shall be adhered to:
1. All journeys that commence during hours of darkness or are likely to result in
night driving shall be assessed as to whether they are necessary
2. Journeys that result in night driving shall be scheduled and planned to
3. Drivers engaged in night driving activities shall have had a sufficient rest
break prior to commencing a journey and provisions shall be made when
completing the journey plan to ensure that sufficient rest stops are provided
4. Vehicle’s windscreen and windows shall be kept clean at all times to ensure
maximum visibility and to prevent glare from other vehicles.
5. Drivers will drive to road conditions and not exceed posted speed limits under
any circumstance.
11.7 Only driver who possess a valid license, successfully pass all drug and/or alcohol
screening, have at least 2 years of driving experience, have an accident-free
driving record, no felony traffic violations over the past year and pass pre-
employment medical examination.
11.8 Inspections and maintenance of each vehicle shall be maintained based on
manufacturer’s recommendations
11.9 Drivers shall inspect vehicles prior to start of each shift and prior to any journey
exceeding three hours in duration to ensure the vehicle is safe to operate on the
road
11.10 Drivers must observe posted speed limits at all times while driving on or off the
project.
11.11 Drivers will not use mobile telephones, including in “hands-free” mode, while
operating a vehicle. In the event of receiving a telephone call they shall pull over
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when it is safe to use, safely park the vehicle, and then use their mobile
telephone.
11.12 Drivers will not operate project vehicles at any time if they are under the
influence of drugs and/or alcohol.
11.13 In cases where driving ability may be impaired due to taking medication, driver
will not be allowed to operate vehicles. (Where possible, reasonable
accommodations shall be provided).
11.14 Personnel will not drive their private cars around the construction area.
11.15 Scheduled maintenance (by dealers, project mechanics or other certified
facilities) shall cover critical parts and equipment such as brakes, steering
systems, windshield wipers, brake lights, headlights, tires, etc.
11.16 Seat belts shall be utilized on all project vehicles as designated by vehicle safety
equipment requirements
11.17 Seat belts must be worn at all times by both the driver and all passengers when
the vehicle is in motion. Driver must not proceed until all passengers have
fastened their seat belts.
11.18 Employees should not set out on any journey in adverse weather conditions
unless absolutely necessary and then only after the appropriate approval has
been granted
11.19 The multiple transports of employees shall be carefully considered due to the
potential for catastrophic loss of project personnel in the event of an accident. A
project specific risk assessment shall be undertaken and used to develop a set of
guidelines for the drivers regarding all possible risk scenarios and associated
areas of mitigation and control.
12. HEALTH MANAGEMENT

12.1 Biologivcal Hazards
Biological hazards likely to affect workers in specific workplaces will be vary
according to the type of occupation, the location, the weather, the nature of the
work, species known to occur in the region and the environment. Liaison with
specialist advisors may be required to document the type and extent of the
Biohazards relevant to a workplaces and to prepare a risk assessment and
mitigation plan based on that assessment.
Control of Biohazards requires systematic, analytical application of a hierarchy of

control that takes account of the nature of biohazards agent, the workplace, the
nature of work, and the workers.
If the contact with Biohazards cannot be prevented, the employees must use PPE
and adhere strictly to the practice of personal hygiene. PPE will be includes
masks, gloves, protective clothing, eye shields (safety googles), face shields, and
shoe covers
12.2 Drinking Water

1. PT. Koin Konstruksi shall provide drinking water which comply with
government water quality standard for drinking water.
2. It is prohibited to drink water directly from tap water, since tap water is
often not adequately treated.
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12.3 Extended Work and Shift Work

As with other health and safety hazards, the greater exposure to shift work and
extended hours, the more likely the risk of some harm. The risk of working with
shifts and the amount of night work can undermine long term shifts and long
hours of work and safety, those who work them. For that there are several
mitigations that need to be considered among others but not limited to:
1. Plan an appropriate and varied workload.
2. Offer a choice of permanent or rotating shifts and try to avoid permanent
night shifts.
3. Limit shifts to 14 hour including overtime.
4. Encourage workers to take regular breaks and allow some choice as to when
they are taken.
5. Consider the needs of vulnerable workers, such as young or aging workers.
6. Consider providing warm drinking & food (beverage) and proper feeding
zone.
7. Weather condition would be a consideration for providing clothes to keep
body warm.
8. Provide similar facilities as those available during daytime and allow night
time workers time for training and development.
9. Ensure temperature and lighting is appropriate and preferably adjustable.
10. Information on the risks of night time work and ensure the
implementation of toolbox meeting and briefing.
11. Supervisors and management can recognize problems.
12. Consider increasing supervision during periods of low alertness.
13. Provide health assessment for night time workers.
14. Ensure the workplace and surroundings are well it, safe and secure.
12.4 Fitness to Work

1. To achieve good performance in doing work or tasks must be equipped with
physical and mental fitness. Through this plan, it is necessary to ensure that
employees who work in the area must be in good condition to carry out work
by conducting a health check (MCU).
2. The results of the medical check-up (MCU) will be reviewed by the Doctor at
the Site clinic to determine fitness by considering the work required by his
supervisor. Only Fit to Work people will get an ID badge and enter the
project area to work.
3. To be in line with the Project HSE Policy, PT. Koin Konstruksi will conduct
drug and alcohol tests for employees. A minimum of 1% of the total number
of employees per month will be the target for this test.
12.5 Hygene and Occupational Health

1. Hygene
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All workplace environments must be hygienic and safe for employees and
visitors. This applies to all, not just the workplace involved in handling
personal food and products.
A solid workplace hygiene policy is the best way to ensure that employees
maintain a clean workplace.
Basic hygiene in the workplace can be put down to four different things:
personal hygiene; work area cleanliness; clean restroom facilities; and a clean
kitchen.
2. Fatique Management
Fatigue control strategies should be prepared by supervisors to minimize risks
associated with fatigue in the workplace
Enforcing procedures if performing moderate to very high risk work during
periods of high fatigue
Considering job rotation and scheduling (including time of day), for repetitive
or monotonous work, or work that involves heavy physical exertion
12.6 Housekeeping
1. Housekeeping practices and clean-up of all project facilities will be
maintained by construction team
2. The work area shall be maintained to a high standard of cleanliness, and
supervisors will be expected to review and rectify their respective work areas
as required on a daily basis.
3. Waste material shall not be burned in site and shall be segregated when
disposed of in the bins.
12.7 Heat Stress

1. PT. Koin Konstruksi shall implement Heat Stress Monitoring especially during
hot weather and conditions.
2. PT. Koin Konstruksi must ensure that adequate supplies of cold water for
drinking, together with shaded rest areas, are provided around the work
areas. Personnel will be permitted reasonable access to water and rest,
sufficient to prevent heat stress.
3. All employees who are exposed or potentially exposed to heat stress will
receive training regarding heat stress-related injuries and prevention
measures.
4. PT. Koin Konstruksi shall ensure that all employee understand the early
symptom of heat stress
13. ENVIRONMENTAL MANAGEMENT

This plan applies to any surplus material (solid, liquid, or mixture) as waste of
requirements during construction work or maintenance work.
1. Hazardous Waste (B3): contains materials contaminated with hydrocarbon
solvents, chemically treated lumber, fuels, oils, lubricants, paints, coatings, residue,
heavy metals, and similarly toxic materials including medical waste .
Hazardous waste generated on site which meet the hazardous waste criteria are as
follow:
• Flammable
• Combustible
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• Reactive
• Toxic
• Infectious
• Corrosive
• Poisonous
PT. Koin will ensure following requirements are implemented to manage waste of
hazardous chemical:
• Symbol and label shall be affixed on the hazardous chemical waste containers.
• The condition of the hazardous waste container/drum shall be inspected on a
daily basis.
• Containers intended for hazardous waste disposal should not be used for other
purpose.
• The waste should be kept at a proper temporary hazardous waste storage not
more than 90 days.
• The hazardous waste temporary storage should be provided with
license/permit from authorized body.
• PT. Koin will provide third-party (who have license) to handle hazardous waste.
• Transfer of all hazardous wastes to a third-party should be accompanied by
manifest/document hazardous waste. Copies of document hazardous waste
should be maintained.
• Hazardous waste temporary storage shall comply with applied regulation and
shall be equipped with Fire extinguisher, PPE and spill kit equipment.
• Basic waste management training periodically will conduct and must be followed
by personal who involved with waste of hazardous chemicals.
• Waste such as empty containers or drums with residue of flammable liquid
should be stacked in isolated area away from building and installation. Have
notice displayed forbidding smoking or naked lights. These containers should be
thoroughly steam- cleaned or washed before use.
2. Non Hazardous Waste: Includes untreated lumber, garbage, solid sewage waste,
scrap metals, and other waste not designated as hazardous by AMDAL, RKL
standards.
Non hazardous waste shall be moved to the designated waste collection area, where
it shall be segregated
3. Waste Segregation.
Given the complex nature of the waste expected on the project, waste segregation
shall be implemented involving sorting and separating waste on the basis of its
characteristics.
Waste materials shall be segregated at source by providing marked (with universal
symbols and writing in English/Bahasa Indonesia) bins for storing the waste as
follows:
a. Hazardous wastes.
b. Organic.
c. Non organic.
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Bins shall be labeled with labels, which clearly describe in English, Indonesian, and
International symbols, the types of waste and the precautions when handling the
waste.
Bins shall be placed in offices, constructions project, mess centers, and clinics. No
waste collection bin shall be allowed to overflow before it is emptied, and waste
storage receptacles shall be replaced promptly, in the event damage.
A sufficient number of bins shall be placed for each type of waste at waste collection
points, depending on the variety and quantity of the wastes expected from the
location.
HSE bins shall be placed and emptied in an effective and timely manner in the
various the waste disposal areas.
4. Collection and Cleanliness.

All solid wastes shall be managed and properly packaged and disposed of. The camp
and work project shall be kept in a neat, clean and safe condition and remove and
properly dispose of all debris and rubbish.
A squad shall be employed to operate a service for the storage, collection and
disposal of garbage, cleaning of roads, buildings, living quarters and sanitary
facilities. Garbage pick-up points accessible to camp attendants and garbage trucks
shall be provided as required, and include following:
1. Provide a garbage truck specifically designed and manufactured for the purpose
of picking up garbage and transporting it in a safe and sanitary manner. The
garbage shall either be taken in plastic bags or in drums with tight fitting lids.
2. Collect food wastes from all food establishments daily, and refuse from work
projects and from living quarters not less than twice weekly.
3. Use of a sufficient number of fly proof bins or containers for all food
establishments, camp areas, and work projects to maintain cleanliness. Bins shall
be cleaned immediately after being emptied
5. Waste Management Flow Chart
Waste
Explosive, Flammable,
Reactive, Poison,
Listed on Infection, Corrosive,
table Toxicology
Yes
No
B3 Waste
Non B3 Waste
Collection, Temporary Storage
Documentation, Symbol / Label /
Inventory Non B3
Waste
Transportation
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
B3 Waste Transportation
(Third Party)
Dispose off at
Dispose off at B3 Waste Treatment Facilities waste landfill
(Third Party)
14. OPERATING PROCEDURES AND SAFETY STANDARD

14.1 Lifting and Rigging Requirement
14.1.1 Designated Operator
Only designated operators are allowed to operate cranes, hoists and
other types of lifting equipment.
The designated operator must at least meet the following requirement:
1. Qualify to operate the equipment (had a Government Crane
Operator’s License/SIO issued by Ministry of Manpower)
2. Have basic knowledge of crane inspection
3. Understand the Crane Capacity Charts
4. Understand the proper programming and set up the Load Moment
Indicator (LMI)
5. Stable in character, physically fit and capable of reacting quickly to
unforeseen hazards
14.1.2 Safe Crane Operation

The following primary rules shall be enforced at all times regarding use
of cranes in any work area:
1. No crane shall lift any load in any configuration, unless there is, in
or on the crane, a current, published load rating chart from the
crane manufacturer, valid for the crane in the configuration in which
it is to be used. Any crane that has not a rating load chart in or on
the crane shall be prohibited from any operation, except movement
off the site, until such a proper rating load chart is provided.
2. All cranes used on this site shall be equipped with anti-two-block
devices.
3. All such equipment must also have been inspected by a competent
person.
4. Crane swing and lift areas must be flagged with barricade and
signage to prevent unnecessary personnel entering the site.
5. Outriggers must be fully extended unless crane has chart for partial
extension and or “On Rubber” capabilities. Prior to deploying or
retracting outriggers, ensure all personnel are clear.
6. Steel pads must be placed under outriggers when the under
outrigger pad ground condition is unknown. Outrigger pads should
never be set up on top of concrete.
7. Only the signalman can give signal to the operator.
8. Standard signals to the operator shall be in accordance with the
ANSI Standard B30.5, unless voice communication equipment
(telephone, radio, or equivalent) is utilized. Signals shall be
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10 MAY 2021
discernible or audible at all times. No response shall be made

unless signals are clearly understood.
Table 1
Required Clearance for Normal Voltage

in Operation Near High Voltage Power Line
9. Operating Near Power Line

Except where the electrical distribution and transmission lines have
been de-energized and visibly grounded at point of work or where
insulating barriers not a part of or an attachment to the crane have
been erected to prevent physical contact with the lines, cranes shall
be operated proximate to, under, over, by, or near power lines in
accordance with the following (see table 1):
a. For lines rated 50kV or below, minimum clearance between the
lines and any part of the crane or load shall be 10 feet.
b. For lines rated over 50kV minimum clearance between the lines
and any part of the crane or load shall be 10 feet plus 0.4 inch
for each 1 kV over 50 kV, or use twice the length of the line
insulator but never less than 10 feet.
10. A crane with or without a load shall not be traveled with the boom
so high that it may bounce back over the cab.
11. Mobile cranes must not be operated in an out of level position.
12. Cranes shall not be operated without the ballast or counterweight
being in place as specified by the crane manufacturer
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13. When a crane is parked and left unattended overnight, the crane
will be secured in a manner that prevents unauthorized startup,
operation, or movement of the machine.
14.1.3 Fire Extinguisher

1. A portable fire extinguisher, with a basic minimum extinguisher
rating of 10 BC, shall be installed in the cab or at the machinery
housing.
2. Operating and maintenance personnel shall befamiliar with the use
and care of the fire extinguishers provided.
14.1.4 Crane Inspection and Certification

1. Only inspected and tested cranes shall be utilized for lifting work on
worksite.
2. No crane shall be allowed to perform any lifting work on the site
unless a copy of the current Certification (Surat Ijin Layak
Operasi/SILO) for crane is submitted.
3. Crane Operators must inspect their crane before each shift of
operation and record their inspection.
4. Pendant lines will be inspected periodically and taken out of service
when any of the following conditions exist
a. More than one broken wire within one rope diameter at the end
connection
b. More than two broken wires in one rope lay beyond the end
connection
c. Any kinking or crushing resulting in distortion of the rope
structure
d. Severe corrosion as evidenced by pitting
5. A color coding system is used to ensure that all equipment in use
has been either inspected or tested.
14.1.5 Lifting Tools

1. Lifting tools shall be thoroughly inspected by a competent and
knowledgeable person for the following warning signs:
a. Cable clips: Check for wear on saddle. Check that original parts
are in place and in good condition. Check for cracks. Check for
proper size of the wire rope.
b. Shackles: Check for wear and cracks on the saddle pin. Check
that the pin is straight and properly seated. Check that legs of
shackle are not opening up.
c. Hooks: Check for wear twisting and cracks. Make sure the hook
is not opening up.
d. Turnbuckles: Check for cracks and bends. Check rods for
straightness and damage to threads.
e. Chains shall be inspected for: worn or cracked fittings,
flattening, corrosion, stretching/elongation, damage from heat
or chemicals, missing parts.
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2. Wire Rope shall be thoroughly inspected by a competent and

knowledgeable person for the following warning signs:
a. Broken wires: Replace rope if there are 6 or more broken wires
in one lay, 3 or more broken wires in one strand in one lay, 3 or
more broken wires in one lay in standing ropes.
b. Worn/abraded wires: Replace rope if outer wires become flat
from friction, becomes shinny from wear and the wear exceeds
1/3 of the diameter.
c. Stretch: Replace 6 strand rope if stretch reduces diameter by
more then 1/16
d. Corrosion: Difficult to detect because it is inside the rope. Look
for rust, discoloration, and pitting inside.
e. Cuts/burns: Replace rope if any wires or strands are cut or
burned.
f. Damaged ends can be removed and seized. Otherwise rope
must be replaced.
g. Bird-caging: Look for strands opening up in cage-like clusters.
Rope must be replaced.
h. Core protrusion: Replace rope when inner core starts poking
through strands.
i. Kinks: Kinks seriously reduce wire rope strength. Sections with
kinks should be cut off. Otherwise rope must be discarded.
3. Color coding system shall apply for all lifting tools in site
4. Particular, daily, weekly, monthly and pre use inspections for lifting
devices should be done
5. Preventive Maintenance as a essential system should be deployed at
the system
6. All examinations and tests must be recorded in a lifting equipment
register. Any lifting gear which fails during an operation must not be
moved until an investigation has been carried out
14.1.7 Lifting Plan

A lift plan should be prepared prior to lifting tilt-up or pre-cast panels.
The plan should show a dimensioned site plan with the following
information detailed:
1. Crane set-up position(s) on site;
2. Locations where the panels are to be lifted from and to, with the
operating radius of the crane shown;
3. Areas on site where obstacles such as walls or braces may be in the
traveling or slew path of the crane;
4. Areas where the crane cannot be set up (i.e. trenches and covered
penetrations on site)
5. The type and set up of lifting gear to be used.
6. Certainty Crane able to lift the load by calculating the crane lifting
capacity compared with the crane load chart on a certain lift radius
and certain conditions.
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7. Wind effects must be included when calculating the crane lifting

capacity margins. Lifts should never be attempted in winds of
greater than 50 km/h. Consideration to postponing the lift should be
given in winds exceeding 30 km/h.
14.1.8 Handling the Load

1. Size the load
a. No crane shall be loaded beyond the specifications of the load
rating chart
b. The load to be lifted shall be within the rated capacity of the
crane in its existing configuration
c. When loads that are not accurately known are to be lifted, the
designated person responsible for supervising the lifting
operations shall ascertain that the weight of the load does not
exceed the crane ratings at the maximum radius at which the
load is to be handled
2. Attaching the load

a. The hoist rope shall not be wrapped around the load
b. The load shall be attached to the hook by means of slings or
other devices of sufficient capacity.
c. All loads being picked and carried shall be tied off and
accompanied by a signalman.
3. Holding the load

a. The operator shall not leave the controls while the load is
suspended
b. No person should be permitted to stand or pass under a
suspended load.
4. Moving the load

a. The person directing the lift shall see that:
1. The crane is level and, where necessary, blocked.
2. The load is well secured and balanced in the sling or lifting
device before it is lifted more than a few inches.
3. The lift and swing path is clear of obstructions.
4. All persons are clear of the swing radius of the crane
counterweight.
b. Before starting to lift, the following conditions should be noted:
1. The hoist rope shall not be kinked.
2. Multiple-part lines shall not be twisted around each other.
3. The hook shall be brought over the load in such a manner as
to minimize swinging.
4. If there is a slack rope condition, it shall be determined that
the rope is seated on the drum and in the sheaves as the
slack is removed.
5. The effect of ambient wind on the load and on crane
stability.
c. During lifting operations, care shall be taken that
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1. There is no sudden acceleration or deceleration of the

moving load.
2. Load, boom, or other parts of the machine do not contact
any obstruction.
d. The operator should avoid carrying loads over people.
e. Horn must be sounded before each lift when other personnel are
near lift area.
f. When rotating the crane, sudden starts and stops shall be
avoided. Rotational speed shall be such that the load does not
swing out beyond the radius at which it can be controlled
g. Tag Lines should be used to control loads being lifted. Taglines
must be free of knots and of an appropriate length.
h. When two or more cranes are used to lift one load, one
designated person shall be responsible for the operation. That
person shall analyze the operation and instruct all personnel
involved in the proper positioning, rigging of the load, and the
movements to be made. Decisions such as the necessity to
reduce crane ratings, load position, boom location, ground
support, and speed of movement shall be in accordance with
this analysis.
i. Personnel shall not be permitted to ride the bare hook or a load
of material suspended from the hook.
14.2 Compress Gas Cylinder

14.2.1 Transportation & Handling.
1. Do not abuse or miss-handle gas cylinder. They should never be
dropped, permitted to strike each other, or to strike any other
object.
2. Rope or chain slings should never be used to carry cylinders. If
necessary to hoist, use a proper designed basket.
3. Empty cylinders should be labeled “empty” and segregated from full
cylinders.
4. Protecting valve caps should always be used when valves on
cylinders are not in use.
14.2.2 Storage.
1. Cylinders must be stored on a upright (standing) position and tied or
otherwise made secure.
2. Cylinders should not be stored near highly flammable substances.
3. Do not store cylinders near aisles, or in locations where moving
objects may strike or fall on them.
4. Cylinders containing acetylene should always be stored in a separate
group, never with store together with oxygen cylinders.
14.2.3 Usage.
1. Never mix gases in a cylinder.
2. Never attempt repairs to valves or gauges, return them to the
Maintenance Department.
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3. Make sure that the threads on regulators correspond to those on the

cylinder valve outlet.
4. Never force connections that do not fit. Different threads and thread
sizes are used on cylinders to prevent interchange of equipment.
5. Cylinder valves should be opened slowly to avoid pressure surges.
6. When “cracking the valve”, opening the valve for an instant to clear
the opening for dust or dirt, the following precautions should be
taken:
1. Never open a valve near a flame or other sources of ignition.
2. Always point the valve opening away from the body, but not
toward anyone else.
3. Compressed gas cylinders containing highly toxic gas should not
be opened to atmosphere.
7. Never permit the gas to enter a regulator suddenly. Open all valves
slowly.
8. Before removing regulator from cylinder, close the cylinder valve
and release all gas from the regulator.
9. Never attempt to stop a leak between a cylinder and a regulator by
tightening the adjusting nut, unless the cylinder valve has been
closed.
10. Do not allow sparks, molten metal, electric current, excessive heat
or flames to come in contact with the cylinder, the hose or the
regulator.
11. Do not use oil or grease on attachments for oxygen cylinders.
(BEWARE DANGER OF EXPLOSIVE).
12. When valve protection hoods become frozen or filled with ice, let
them melt out in a warm room. Never use steam or any other
sources to melt them out.
13. Cylinders should never be used for any purpose other than
containers for the particular gases for which they were designed.
14. Cylinders must be used in an upright position, they must be secured
to a substantial structure to prevent their falling over.
15. Never use compressed gas to dust off clothing.
16. Cylinder valves should be tightly closed when not in use or empty.
17. Cylinders with leaking valves should be removed to a safe location
and tagged as having a defective valve.
18. Oxygen should never be used as a substitute for air and should
always be designated by its proper name.
14.3 Confined Space

1. A confined space is Any space which is not designed for human occupancy,
but which is large enough to enter to perform work which has limited
means of access and/or egress, not designed for continuous occupancy by
the employee; and where there is an inadequate, or restricted, natural
ventilation and where exists the possibility of lack/excess oxygen, or
accumulation of flammable and/or toxic vapors/gases
2. A confined space could be an enclosed or partially enclosed space, located
either above or below the ground or deck level where entry is physically
possible.
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ENVIRONMENT PLAN
DATE OF ISSUED :
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3. All confined spaces activities must be risk assessed. The identified control
measures by the JSA have to be reviewed and fully implemented on the
field prior to work commencing.
4. The following signage “CONFINED SPACE – PTW REQUIRED FOR
ENTRY”shall have posted at all site confined spaces entrance
5. Prior entering a confined space, gas testing must be conducted. The gas
testing equipment shall have a valid certificate of calibration and checking
by a certified third party for the parameters oxygen, carbon monoxide,
flammable gases and toxic gas
6. The gas testing shall be undertaken at least once per shift and/or at the
frequency specified in the PTW form
7. All basic PPE applicable on site and all specific PPE identified during the
JSA shall be provided before work is started
8. Ventilation (by either natural or mechanical means) is necessary and has to
be installed prior to work commencing. There are some particular places
(e.g. excavations, big diameters open tanks, etc.) which forced ventilation
is not necessary. The JSA will establish more precisely if ventilation is
required or not and it will be mentioned on the PTW
9. A minimum one stand-by man has to be designated for one confined space
activities
10. This person can be a part of the working team, but his duties must not take
him away from the vicinity of the entry of the confined space to control the
entrance workers in a confined space
11 Prior to work commencing, during the JSA, all the required means access
must identify.
12. The access will have to consider that all have to be suitable for emergency
evacuation. All platforms have to be dimensioned to accept a stretcher or a
winch and the people around these rescue means
13. Electrical earthling in the confined space will be done to prevent
electrocution by a faulty electrical tools or wire and by a discharge of
electrostatic charge resulting from the functioning of forced ventilation or
grit/sand blasting operations.
14. All possible ignition sources will bel be removed from the immediate area
where the installation or application of flammable or combustible
substances is required within the confined space.
15. Adequate fire protection means suitable to the risk(s) involved will be
provided for all confined spaces work locations.
16. During any hot works activities (e.g. welding, cutting, grinding, etc.) there
will be sufficient artificial air movement installed at entrance/exit points to
ensure fumes, etc. are forced out of the confined space and breathing air is
continuously replenished. In some cases, local exhaust may be required to
directly remove fumes.
14.4 Electrical Safety

1. All electrical power panel should be grounded and use ELCB (Earth Leakage
Circuit Breaker).
2. Electric socket and plug should be used a weatherproof material and shall
be of industrial type complying with IEC. For application in hazardous area,
appropriate equipment shall be used (e.g. explosion protection).
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ENVIRONMENT PLAN
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10 MAY 2021
3. All lamps shall be of industrial type and shall only be used for their intended
purpose (e.g. lamps to be mounting on walls/sealing shall not be used as
ground floor lamps). All lamps shall be suitably installed.
4. Lamps to be installed at Flammable Chemical Storage area shall have
explosion protection.
5. Extension Cables shall be of industrial type complying with IEC. For
application in hazardous area, appropriate equipment shall be used (e.g.
explosion protection).
6. Cable Management (Cables shall be buried where practicable or laid in such
a way that they do not create slip/trip hazards)
7. All electrical equipment and cables should be protected from the risk of
damage from mechanical shock
8. The generating set shall be equipped with an output circuit breaker,
overcurrent, overload, earth fault protection and Residual Current Device /
GFCI (having a rated residual operating current not exceeding 30 mA).
9. The generator and associated equipment shall conform with Applicable
Laws and standards relating to electrical installations and electrical safety.
10. All electrical connections to the generator shall be affected and certified by
a qualified electrician.
11. Grounding for Generator set, Welding Transformer etc.
12. Temporary lighting will be install when work site activities are scheduled to
take place during darkness
13. Temporary lighting brightness shall be sufficient to allow for safe working
conditions at the work site and at access routes and passageways.
14.5 Fire Prevention and Protection

1. Required fire protection equipment shall be provided for every hot work
activities.
2. Depending on the locations of a job, generally use and availability of
multipurpose fire extinguisher.
3. A definite procedure for hot work burning/cutting shall be set up and means
of fire protection shall be maintained where work must be done.
4. Mandatory at all fire hazardous areas that “NO SMOKING” sign shall be
posted
5. To control hot work / welding, burning and cutting in hazardous areas, Hot
Work Permit system is applicable (following project regulation).
6. No hot work shall be performed without written permit approved by process
owner/client.
7. Flashback arresters should be installed on both the torch and the
regulators during flame cutting, gas welding and similar process
14.5.1 Flammable Combustible Liquid Storage and Handling

Following are the requirements for flammable combustible liquid
storage:
1. Since vaporization (the formation of vapor) increases when the
temperature is raised or when these liquids are more exposed to
the air it is essential that they are stored in a relatively cool place
and in closed tanks, drums or cans. Open containers should never
be used for storing flammable and combustible liquids.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
2. Storage in the open - in field conditions drums should be placed so

that they are not exposed to the direct rays of the sun, or any other
source of heat.
3. The storage area should have a warning sign clearly displayed
indicating that flammable and combustible liquids are stored there
and that no smoking or naked lights are permitted.
4. A shallow trench or dike should be constructed around the storage
area to prevent any spillage or vapor spreading to lower ground
areas where they might contact a source of ignition and cause a
flashback fire.
5. The storage area must be at least 50 feet from any ignition source
(e.g. open fire, workshop area where grinding tools, or flame
cutting equipment is used).
6. Storage indoors - ideally, storage of flammable and combustible
liquids should be in a separate isolated building. If this is not
possible, they should be stored in a special room with fire resistant
walls, doors, ceilings and floors.
7. The storage indoor should be protected with an automatic fire-
protection system (sprinklers, foam, and carbon dioxide). The
room should be well ventilated, be equipped with explosion proof
lighting and electrical fixturesand have a warning sign at the
entrance indicating that no smoking or naked lights are permitted.
8. Any storage area, whether in the open or indoors, should have a
portable fire extinguisher (approved for Class B fires) available
outside the entrance. This extinguisher may be of the foam type,
carbon dioxide type, dry chemical type of liquefied gas (halon)
type. Personnel must be trained in the use of the extinguisher.
During flammable liquids are transferred from one container to another,

there is a possibility of static electricity build-up which is a dangerous
ignition source. To prevent build-up of static electricity, following
requirements are required during handling of flammable liquids:
1. Flammable liquids storage shall be provided with grounding
(earthing) and bonding facility. This is to minimize potency of build-
up static electricity during transfer of flammable liquids.
2. Grounding facility for storage must be periodically tested to ensure
it is still working properly.
3. Safety glasses, protective gloves and long sleeves uniform should
be worn if there is any chance of skin contact. Liquids should be
washed from the skin with non-abrasive soap or hand cleaner. It is
recommended to provide safety shower facilities and/or proper
water supply near to storage area.
4. The liquids should be used only in well ventilated areas to avoid
breathing vapours and fumes. If ventilation is not possible (e.g. in
confined spaces) an approved respirator must be worn.
If any personnel are splashed with a harmful or burning liquid, they

must be taken to a source of running water immediately and the
splashed area should be flushed with water for at least 15 minutes.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
Contaminated clothing should be removed and medical attention sought

immediately.
14.5.2 Smoking Area

It is prohibited to have smoking shelter and do smoking in brownfield
and greenfield area.
14.5.3 Mobile Cell Phone

It is prohibited to bring and use mobile phone at Brownfield and
Greenfield area.
14.5.4 Fire Extinguisher and Fire Watcher

1. Fire extinguisher shall be inspected every month by HSE.
2. Seal and Pin shall in place and not broken.
3. Pressure Gauge is showing in the green acceptable levels.
4. Check the body of the extinguisher are free from defects and
corrosions.
5. Work supervisor and Fire watcher are responsible to maintain the
conditions and requirements listed on the Hot Work permit.
6. Work supervisor and Fire watcher must Stop the job if observe
any condition that you consider being hazardous.
7. The fire watcher shall have no other duties. Do not leave the
jobsite while welding or spark-producing operations are in
progress. If other duties required to leave the jobsite, he/she
must first stop the job.
8. The fire watcher shall be provided with a Florescent Vest, and
a 20lb. fire extinguisher. If the fire extinguisher has been
discharged, return it to the tool room for replacement.
9. The fire watcher shall continually survey the work area for
combustible materials.
10. More than one fire watcher may be required depending on
potential impact on other areas, such as floors below the hot work
activity.
11. If there is a fire that the fire watcher cannot extinguish quickly
and safely, the emergency notification and evacuation shall be
activated.
12. A Fire Watcher shall remain in the area for 30 minutes after the
Hot Work is completed. He/she must ensure there is no potential
of fire could happen at his/her working area.
13. Hose on the extinguisher is not dry rotted or cracked
14.6 Fall Prevention and Protection

1. A 100% tie-off policy applies whenever potential falls exposure more than
1.8 meters to a lower level or on all temporary platforms
2. Tie-off is not needed for complete scaffolding supported by ground or other
permanent floors, except as shown below:
1. When working on ladder; when climbing or descending a temporary
ladder which is more than 6 meters high, it is installed in a fixed
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
position for more than 4 hours and no cage or resting platform is

provided.
2. During scaffold erection/dismantling
3. Personnel working at heights that there is the fall hazards are eminent
such as working in the edge/side of guard rails
4. Not properly inspected & clipped gratings
3. Lifelines, retractable lifelines, ladder safety devices or rope grabs shall be
used to provide tie-off means where necessary.
4. A drop zone must be established below the elevated position where
overhead work is to be performed and there is a risk of equipment,
materials or tools falling from the elevated position.
5. Warning signs must be established to warn employees that they are
approaching the edge or unprotected edge.
6. An approved fall arrest system will be worn when working from unprotected
elevations greater than 1.8 meters and when working in powered man-lifts.
Approved fall arrest system consists of a full body harness.
7. Full Body Harnesses
1. A full body harness and a fall-arresting device system shall only be
worn as a last resort where it is not practicable to have physical
barriers in place.
2. Full body harnesses should only be used by persons working at height
when:
a. They are working outside the guard railing or in an area where
there is no railing (eg. a roof, on beams etc).
b. They are working out of a suspended work cage or similar.
c. There is any risk of a fall from height
3. Standards required is a full body harness with:
a. Double lanyards shock absorbing devices must be attached in
each lanyard
b. A safety harness shall be approved by OSHA or other International
standards (CE or ANSI).
c. Two side D-rings is needed for attachment to the sliding
attachment point.
4. Each employee must visually inspect his harness and lanyard prior to
each use
5. All harnesses and related equipment that have been subjected to
shock loading or other obvious damage shall be destroyed and all
others inspected as indicated above and, if suitable shall be returned
to storage.
14.7 Floor and Wall Opening

14.7.1 If openings are made in walls on overhead floors or if openings are
created in floors and/or walking surfaces of overhead structures, or if
handrails are removed, the following precautions must be taken:
1. Barricade tape can be used to warn of the hazard as long as
personnel working on the opening/hole attend the opening/hole.
2. Permanent and temporary floor openings must have warning tags
and standard guard railing.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
3. Grating Removal permit shall be obtained prior to removing (for any

reason) any permanent or temporary floor openings (Grating,
Checker Plate, Floor Plate, Stair Tread or any Temporary Hole
Cover) or standard guardrail, handrail system.
4. Grating Removal permits shall be issued after visual inspection to
the openings and assure that the proper precautions have been
taken.
5. Floor holes into which persons can accidentally walk must be
guarded by either a standard railing with standard toe-boards on
all exposed sides, or a floor hole cover of a minimum 3/4” plywood
if one dimension is 18” or less; otherwise 2” lumber is required
14.7.2 The covering shall be secured against accidental displacement and
clearly labelled “Floor Opening — Do Not Remove”. At any time DO
NOT leaving open holes without covering.
14.8 Heavy Mobile Equipment

1. Vehicles shall not be older than 5 years for light vehicles and 10 years for
trucks and another heavy vehicle.
2. All vehicles and heavy equipment’s must have reverse alarm installed.
3. Project Management shall ensure that all vehicle drivers and heavy
equipment operators are fit to work and shall have a valid license for driving
and/or operating issued by Government or authorized institution.
4. All heavy mobile equipment and vehicles must be in a safe operating
condition at all times. They are to be checked at the beginning of each shift.
All heavy mobile equipment and vehicles shall be attached by fire
extinguisher, first aid equipment, seat belt and flame/spark arrestor.
5. The number of passengers of vehicles or equipment’s must follow the
availability of seat belt and it is prohibited to utilize the bed of truck and/or
vehicles for passengers.
6. Inspection to all heavy mobile equipment and vehicles will be done regularly.
Inspection Sticker will be attached to the heavy mobile equipment and
vehicles after pass the Inspection.
14.9 Hazardous Chemical Handling
1. The list of Chemical and Hazardous Materials to be used shall be available
including Safety Data Sheet (SDS).
2. Required PPE as mention in SDS shall be used during handling with the
chemicals.
3. Required equipment and tools as mention in SDS to control any accidental
release of hazardous chemicals shall be provided.
4. Before beginning a task where a hazardous substance is to be used, the
risks, the precautionary measures to be taken and the actions to be taken in
the event of a spillage (if applicable) or injury will be explained during the
Pre-Job Safety Meeting (PJSM).
5. It is recommended to use less harmful substances to minimise the risk to
health and to the environment.
6. Only trained personnel should handle hazardous materials using the
precautionary measure that have to be taken, as instructed in the SDS.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
7. Used containers of hazardous substances/chemical will be disposed of as

hazardous waste.
8. Hazardous chemicals will be disposed as per the instructions available in the
SDS. Never litter, or scatter used/empty chemical containers or used it for
other storage purpose or handling as it may be harmful to life and
environment.
9. Project Management must provide adequate eye-wash, shower and first aid
boxes with medicines at locations were hazardous chemicals are stored and
handled, if deemed necessary. Also, to ensure that it is well maintained and
inspected regularly for defects or malfunctioning.
10. Employees are to be given information with regards to working with
hazardous substances and use and maintenance of applicable PPE. At
minimum this shall be given as part of the individuals Induction Training.
11. Storage of Hazardous Substances/Chemical shall consider following
requirements:
1. All chemicals containers must be labelled.
2. Warehouse shall ensure that adequate storage cabinets/ store rooms are
available for the proper segregation and storage of different types of
hazardous substances/ chemicals.
3. Incompatible chemicals shall be stored separately.
4. Hazardous substance storage areas are to be identified with the
correct signage,indicating contents of the storage area and ‘No Smoking’
signs.
5. Spill kits shall be provided where hazardous substances are being stored
or used.
6. Hazardous substance storage areas will be well ventilated and kept in
hygienic manner at time
7. Appropriate portable fire extinguishers and safety shower shall be
provided at the storage facilities and employees will be trained to use
them effectively during an incident with hazardous substances/chemical.
14.10 Hand and Power Tools

1. A portable hand and power tools shall be inspected prior to use. Contractor
site management shall ensure that all tools are maintained in a safe condition
and used in a safe manner by all personnel.
2. Defective tools must be removed from service until repaired or replaced.
3. Site Supervisor must ensure that workers understand how to use the tools
correctly and care about other workers.
4. Machine Guarding must be checked to ensure that it can be operated
effectively.
5. Guards and safe protection of the devices must remain in place and in
operable condition on all tools. Wooden handles on tools must be free of
cracks or other defects. Tape or other coverings that will hide defects are not
to be placed on these handles.
6. The colour code must be posted on the device to determine the
condition of the equipment (Good or Not Good).
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ENVIRONMENT PLAN
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10 MAY 2021
7. Damaged or defects tools should not be used and removed from site.
Reinspection should be done for these tools after repair.
8. Daily checks shall be done by tools user to ensure that tools is in good
condition and safe.
9. Always use appropriate tools for every job. Do not use improvised or
modified tools
10. Non-spark, explosion proof or intrinsically safe tools are mandatory to be
used at several hazardous or flammable area.
11. Impact surfaces of tools including, but not limited to, hammers, wrenches,
drift pins, chisels must be kept free of mushroomed heads.
14.11 Ladder Use and Inspection

1. Access ladders or other means of access shall be placed at regular distances
(max. 7.5m) so that workers only have to travel a short distance to escape if
there any emergency situations. Access ladders shall be placed at least 1 m
protruding over surfaces and must be tied off to prevent any movements.
2. Ladders with the following defects shall not be used, and shall either be
tagged as unusable if kept on board, or shall be removed from the site:
1. Broken, split or missing rungs, cleats or steps;
2. Broken or split side rails;
3. Missing or loose bolts, rivets or fastenings;
4. Defective ropes; or
5. Any other structural defect.
3. Ladders shall be inspected for defects before each day's use, and after any
occurrence, such as a fall, which could damage the ladder.
4. Frame ladders are possible to be used only with following criteria:
1. No defects or structural damages.
2. Only use ladders for their designed purpose and load capacity.
3. Cannot use ladders near to power lines or electrical equipment’s.
4. Maintain 3-point contact when climbing/descending ladders.
5. Use barricade to keep traffic away from the ladder.
6. Only put ladder on a stable and level surface that is not slippery.
7. Implement buddy system when working with ladder.
8. Cannot use ladder horizontally like a platform
14.12 LOTO/Energy Isolation

1. Permitting
The personnel involved in the maintenance work shall determine all the
equipment to be servicing or maintaining on and then apply a LOTO permit
2. Prepare for Shutdown
The Authorized Employee shall evaluate the equipment to be serviced and
identify all sources of hazardous energies and the methods necessary to
control them
3. Notify all Affected Employees
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
Before turning off the power, the Authorized Employee shall notify Affected
Employees in the work area that power will be shut off, the reason for the
shutdown, and that the equipment will be locked/tagged out.
4. Shutdown Equipment
The equipment/machine shall be shut down by the normal stopping
procedure. When appropriate, a “DO NOT OPERATE” tag shall be affixed to
the power switch.
5. Isolate Equipment
The equipment/machine shall be de-energized, secured and isolated form
hazardous energy sources. An orderly shutdown must be utilized to avoid any
increase of additional hazards to employees.
6. Lockout/Tag out
The Authorized Employee shall place locks and/or tags in the appropriate
energy isolating locations.
7. Release Stored Energy
After lockout devices have been placed on the equipment, all stored
electrical, gravitational, mechanical, and/or thermal energy must be
disconnected and drained to a zero-energy or otherwise made safe by
blocking or repositioning of equipment. This can be accomplished by:
a. Releasing pressure lines such as hydraulic, air, steam. gas, and water;
b. Release spring-loaded equipment;
c. Blocking mechanical equipment with moving, rotating, or elevated parts.
8. Verify Isolation
Before performing maintenance on the machine, the Authorized Employee
verifies the system is isolated. This is generally accomplished by first
establishing that no personnel are exposed and then turning the machine
switch to the ON position using normal operating controls. Verification of
isolation must be continued if there is a chance of the re-accumulation of
stored energy during the service/maintenance activity.
9. Perform the Service/maintenance Activity
Service or maintenance activities can be perform after verification of isolation
10. Removal LOTO

1. Inspect the work area.
Ensure that the equipment/machine is fully assembled and operational, all
tools and non-essential items are removed, and all safety guards are
reinstalled.
2. Ensure that all employees are clear of the equipment/machine.
3. Remove the LOTO device(s).
Each device must be removed by the person who attached it.
4. Reenergize the Equipment/Machine.
5. Notify Affected Employees that servicing has been completed and the
machine is ready for use.
6. Close the permit
14.13 Personal Protective Equipment

1. Every employee shall use Personal Protective Equipment required for work.
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ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
2.
When additional equipment is necessary for the safe performance of
assigned work, it shall be requested when not available in stock or issued
from the warehouse on the request of Supervisor’s and HSE Officer
authorized signature.
3. The Supervisors/Superintendent with assistance of Project HSE Officer shall
determine the type[s] of personal protective equipment required for the
job.
4. Description of minimum requirement of Personal Protective Equipment
(PPE);
Refer to the UU No. 1-1970 regulated regulations and corporate policy, type
and specification of Basic Personnel Protective Equipment, as follows:
a. Hard hat
b. Safety Glasses
c. Safety shoes/rubber boots with toe cap
5. Additional Personal Protective Equipment will be considered depend on
work activity.
6. Recording of PPE Distribution:
a. All PPE released from warehouse should be acknowledged and
approved by concerned Line Supervisor and Project HSE Officer.
b. Project HSE Officer should be recorded and documented the request in
order to keep correctly update PPE distribution data to monitor loss
control. This responsibility and authority shall be regulated in form of
field work instruction.
b. Project HSE administrator shall develop written instruction subject to
monitor the PPE requisition, ordering, receiving, storage, and
distribution. This shall be done in coordination with project Warehouse
Section.
c. Those PPE is mandatory and shall be worn at all times at project.
Mandatory signs to remind all personnel shall be placed at assigned
locations where PPE is mandatory to avoid any injury to person.
d. Additional equipment and similar safety items may be required
depending on the nature of the work and the work area involved.
e. When the possibility of loose particles or flying projectiles exists, proper
safety protection devices shall be worn.
14.14 Pneumatic Tools
1. Pneumatic tools include Chippers, Drills, Hammers, and Sanders. Pneumatic
power tools shall be secured by proper clamps and whip checks.
2. In addition to mandatory PPE, eye protection (goggles) or a face shield (with
safety glasses or goggles), and hearing protection are required for working
with pneumatic tools.
3. Pneumatic tools may be used only by employees who are properly
instructed and familiar with these tools.
4. Employees must follow safe practices for operating pneumatic tools, including
the following:
1. Before assembling the system, check all hoses for cuts, breaks, and loose
connections.
2. Blow out all hoses before hooking up the equipment. If the connector has
a rubber seal.
Remove it before (and replace it after) blowing.
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3. When possible, run air lines through areas with little traffic. If possible,
avoid laying lines across roads. Protect air lines or hoses against trucks
and pedestrians either by building runways over the hose or suspending
the hose overhead with the lowest part of the hose at least 7 feet (2
meters) above the ground.
4. Tighten hammer-joint connections with a hammer. Do not tighten them
by hand. Hoses equipped with special connections require special
tightening techniques or equipment. One example is hammer-union
connections, which must be tightened with a hammer. Another example
is spanner-wrench connections, who must be tightened with a spanner
wrench. Do not tighten these connections by hand.
5. Do not turn on air valves until the hose connections are secure.
6. Do not point an open-air hose at anyone.
7. Compressed air shall not be used for cleaning purposes except where
reduced to less than 30 psi, and then only with effective chip guarding
and proper personal protective equipment.
8. Unless the equipment has quick change connectors (with internal check
valves), shut off the air at the air supply valve ahead of the hose before
breaking the connection.
14.15 Pedestal Bench and Portable Grinders

1. Machinery, such as grinders or buffers, must be secured to a work bench or
pedestal and the bench or pedestal, in turn, must be secured to the floor to
prevent walking or moving.
2. Pedestal or bench mounted grinders shall have an emergency stop button
and be fitted with a properly adjusted tool rest. Pedestal grinders must be
securely fixed to the floor to prevent them from walking when in operation.
14.16 Falling Object and Protection

The most effective way to eliminate/minimize the potential personnel exposure
to falling tools, materials and/or debris is to never allow employees to work and
walk below others in that are working at an elevated work area.
1. Whenever possible, to secure below area of an elevated work location with

barricade.
2. Tools, equipment, material, etc., will be kept and arranged in an orderly
manner and good housekeeping will be practiced throughout the work day.
3. Controlling/restricting the amount of material taken to the elevated work
areas; only stage/store what is needed to perform the task.
4. Minimize hand carrying or handing material from person to person by hands.
5. Use racks, baskets, containers, etc. to raise tools and materials.
6. “Bundles” of long materials, such as scaffold tubes, will be banded together,
rigged with a minimum of two chokers/slings and will be kept horizontal
7. Loose material should be properly secured to prevent effect of wind.
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8. Scaffolding and work platforms shall require toe boards around the edge.
9. Tools and equipment will be stored in appropriate containers/boxes to
prevent dropped objects.
10. Hot Work will not be performed overhead in areas where the potential for
hot slags, sparks or molten metal to contact employees working below
without covering by fire blanket or other similar protections.
11. Tools, materials, will never be placed or stored on beams, pipes, valves
unless they are secured.
12. Proper tool holsters shall be used when working at height/elevated area.
14.17 Site Office, Stores, Workshop

Project Management must ensure that site office, stores, workshop,
accommodation block and canteens are designed in manner which prevents
injury, damage or loss.
1. All such facilities shall contain adequate number of suitable fire extinguisher.
Contractors must conduct periodical inspection to ensure fire extinguisher
and others emergency equipment maintained in good condition.
2. Each facility shall have evacuation procedure posted at regular interval
throughout. Shall ensure that the facility evacuation procedures remain in
clear view to all.
3. All facility occupants shall be made aware of the evacuation procedures and
the relevant assembly/muster points for that facility.
4. Lightning protection shall be provided to all such facilities. The electrical
installation of such facilities shall be approved standard and comply with
regulation electrical installation.
5. All emergency exits, shall be clearly marked by an A4 sized poster/notice. All
emergency exits shall remain free from obstruction at all time. Any
obstruction found shall be removed immediately.
6. At no time will rubbish, refuse and combustible materials be permitted to
accumulate within any facility. All rubbish, refuse and combustible shall be
removed from yard to a designated tipping area. Open burning of rubbish,
refuse and combustible material generated by such facilities will not be
permitted at any location within project boundary.
7. All facilities must be kept clean and tidy at all time. Any spillage shall be
cleaned immediately.
14.18 Signage and Barricades

1. Any floor opening and around any location where the hazards are present
will be protect with hard barricade and signage.
2. Hard barricades must be constructed of a tube and coupler scaffold.
3. Soft barricades can be placed on this type of barricade
4. Yellow and black tape materials are used to represent caution where unsafe
conditions exist
5. Red and white ribbons are used for danger and unauthorized people are
not allowed to enter
14.19 Scaffolding
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
1. Scaffold material and structures shall conform to Applicable Laws, local and
standards
2. Only tubular and coupling scaffolding material allowed for erection of
scaffolding. A / H-Frame scaffolding is restricted to 6 m in height / 3 tier
high.
3. Scaffolds shall only be assembled, dismantled and modified by competent
persons from the scaffold company with appropriate training and
certification.
4. The work area must be clearly identified by signs and barriers during the
assembly and dismantling of scaffolds.
5. Signs marked with "DO NOT USE SCAFFOLD" shall be clearly displayed at
all potential access points to avoid unauthorized use of the scaffold during
its construction, disassembly, and modification and before it has been
approved for use.
6. Scaffold inspections shall only be performed by competent persons certified
by an appropriate level of training and formally authorized by their
employer to perform scaffold inspections.
14.20 SIMOPS
1. SIMOPS is define as execution of 2 or more operations with potential
interaction that could lead to an increase of risk or introduction of new
hazards to each other’s.
2. SIMOPS procedure should be established as a guideline to identify and
manage simultaneous activities. Construction will provide the SIMOPS
procedure with the participation of HSE and other required discipline.
14.21 Welding, Cutting and Grinding

1. Prior to beginning welding or cutting operations, welders must:
1. Check that the machine, all electrode holders and cable are capable of
carrying the maximum current, are properly insulated and grounded,
and have been maintained in good working condition.
2. Check that any cable splices have been performed with insulating
quality equal to that of the cable, and that there are no splices within
10 feet of the electrode.
2. When arc welding is performed in wet or high humidity conditions, personnel
must use additional protection against electric shock (e.g., rubber pads or
boots).
3. To protect workers or other personnel from the arc rays, noncombustible or
flameproof screens or shields shall be used, or personnel in the area shall
wear appropriate goggles.
4. Manual electrode holders must be specific to welding and capable of handling
the maximum current required for the operation. All current carrying parts
gripped by the user must be insulated against the maximum voltage to
ground.
5. Arc welding cables must be insulated, flexible, capabled of handling the
maximum current required by the operation, taking into account the duty
cycles, and must not have bare or worn conductors. Cables must be free of
repair or splice from 10' of the electrode holder unless insulated connectors
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
or splices with insulating quality equal to that of the cable are provided.
Exposed metal parts must be insulated.
6. Ground return cables must have current carrying capacity equal to or
exceeding the total maximum output capacities of the welding unit. Do not
use electrical conduits or structures or pipelines containing gas or flammable
liquids as part of the grounding circuit system.
7. Arc welding rames must be grounded, either through a third wire in the cable
containing the circuit conductor or through a separate wire at the source of
the current. Grounding circuit resistance must be low enough to permit
sufficient current to flow to cause the fuse or circuit breaker to interrupt the
current.
8. When machines are not in use, the power supply switch shall be shut off and
the electrodes removed and the holders placed to prevent employee injury.
9. Always wear safety glasses, face shield, protective gloves, suitable
protective clothing, hard hat, steel toe boots and hearing protection and
dust mask if necessary. Keep other employees away while operating power
tool
10. Always use proper guard with grinding wheel, it protects operator from
broken wheel fragments. Turn the wheel guard so that the closed area is
towards the operator.
11. Ensure that sparks produced during work do not constitute a risk to the
user or other personnel and are not able to ignite inflammable substances.
Endangered areas must be protected with flame-resistant covers. Make
sure that fire-risk areas are always provided with suitable fire extinguishers.
12. Never use cutting discs for grinding purposes. Cutting discs must not be
subjected to any lateral pressure
13. Disconnect the plug form the power source before making any adjustments,
changing accessories, or storing the tool. Such preventive safety measures
reduce the risk of starting the tool accidentally.
14. Jewelry, long hair or loose clothes can be caught in moving parts. Keep
them away
15. Avoid accidental starting. Be sure switch is off before plugging in. Carrying
tools with your finger on the switch or plugging in tools that have the
switch on invites accidents.
16. Ensure that the accessories used always fulfill the following minimum
requirements. Respect the maximum grinding-disc diameter. The diameter
of the central hole in the grinding disc (3) must fit the inner flange (10)
without any play. Do not use any adapters or reducers.
14.22 Work Permit Procedures

1. Work permits must describe the type of permit, work details, work time and
specific precautions to protect workers, environment, and equipment from
hazards
2. The permit requestor should be made a job safety analysis (JSA) and work
method and ensure their briefed to all related workers before submitting
the request of work permit
3. The permit holder had to ensure that related workers are competent to
carry out the work.
4. JSA and work method should be attached in all request of work permit
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
5. Permit requestor should be submitted the request of a new work permit 1

(one) day before work activities
6. The permit issuer should made a verification to ensure that all requirement
on the permit has been completed before approved the permit.
7. The approved permit should be kept by permit holder and must be posted
near the work activities.
14.23 Welfare
1. Site management will provide service and maintain reasonable Site facilities
according to the number of its personnel, Applicable Laws and general
standards of health and hygiene and responsible for maintaining its
facilities.
2. Site management shall install and maintain hygiene and sanitary facilities
fully adequate in size, number and configuration
3. Site management shall be responsible for providing fresh drinking water for
its personnel
4. Rest shelters must be provided to protect the workers from severe weather
conditions
15. TRAINING AND COMPETENCY

15.1 HSE training program is an important part of HSE activities to keep and
continuously improve the awareness and seriousness of HSE implementation at
the project.
Project HSE training shall be conducted on regular basis, refresher courses as
continuous improvement program shall shown the safe work competence results:
a. Ability / competence of using standard safe operating procedures / work
practices.
b. Evaluating scope of responsibility and authority.
c. Capability to analyze critical task / hazards at work.
d. Capability to analyze HSE inspection and audit results.
e. Review work incident- incident investigation.
15.2 Project HSE training is an important tool and shall guarantee safe work
competence required to achieve HSE performance goals.
a. HSE training procedure is developed referring to the company training
procedure.
b. HSE trainings are permanent agenda in the project HSE program.
c. HSE training needs depend on the project HSE requirement, managed
under coordination by HSE section and Project HRD-Personnel Section [as
project training administrator].
d. HSE training program implementation and other evaluation notes shall
be documented to ensure effectiveness of the program.
e. Trainings are integrated with new personnel hiring selection and
performance evaluation program.
15.3 HSE Training contents of:

a. Preliminary HSE Orientation, which conducted for new employees.
b. Technical HSE Training based on & depends on the Project Training
Needs Analysis (TNA).
c. Training needs shall be communicated with Project Training Department.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
d. The trainings shall be conducted internal by Project HSE Team,

government and or outhouse training by training provider.
e. PT. Koin Konstruksi requires that all personnel trained to able
handling potential hazards that may exist on the job, the known of hazards
that exist and the procedures to be complied to perform all tasks safely.
f. All supervisors shall be trained in their respective HSE responsibilities and
primary activities they are expected to perform.
g. All supervisors are responsible to train their personnel with the
assistance of HSE Section.
h. HSE Training results are subjected to review by the Project
Management and reported monthly to the Corporate HSE at Head Office.
i. Documentation shall be available at Project HSE Section.
16. COMMUNICATION
16.1 Tool Box Meeting
Tool Box Meeting shall be conducted daily. Supervisor shall instruct their
personnel to work safely on the projects, during tool box meetings and as
otherwise needed.
Tool Box Meetings:
1.Continues HSE education at the project performs through an effective “Tool
Box Meeting”. To accomplish this objective company decided the use of
“TBM”.
2.The “TBM” is a two-way directions communication pattern, which shall
inform each employee of any additional or new HSE messages not
delivered during his period of indoctrination; briefings shall determine
task, hazards/ risk at task be performed; tool and equipment which will
be used, readiness of personnel, both physically and mentally; Details
shall be recorded by an assigned personnel in each group; Supervisor in-
charge shall monitor and keep documentation of his group.
3.Information from the HSE Section, information about other general aspects,
and any new subject shall be transmitted to the supervisor, who in turn
instructs his subordinates. In case of any HSE information or questions,
which the workers have, shall be transmitted to their supervisor, for direct
follow up or in turn pass it along to Superintendent.
4.The “TBM” shall be considered means of two-way communication. To
have an effective and efficient TBM, all Line Supervisor’s shall
prepare:
5.Cover topics related to HSE aspects in his task and prevention to avoid
injury /damages:
a. HSE of workers (physical & mental) on the job.
b. Critical steps, Hazards on the job and hazard prevention (JSA).
c. Tools and equipment condition.
d. Understanding of the workers how to perform safely – aware and
seriousness.
e. Spirit announcement – theme shall be in accordance with the
existing HSE campaign launched.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
f. Time during Tool Box meeting shall not be used for general
grouping or social conversation, but used for the constructive
transmission of valuable information.
6. TBM lead by the HSE and Supervisor
a. The Supervisor conducts the meetings for his personnel, assign person
to record notes and obtains a signed attendance list of all
participants for each meeting.
b. The record and attendance list shall be given every day to HSE Section
administrator.
16.2 External Meeting

Client HSE Coordination Meeting is according to the client requirement.
17. STOP WORK AUTHORITY

1. The SWA should be initiated for conditions or behaviours that threaten danger or
Imminent Danger to person(s), equipment or the environment. Everyone who
observe dangerous actions and conditions could STOP the work and request for
rectification before resume the work again.
2. The affected area(s) will be reopened for work by personnel with restart authority.
All affected workers and contractors will be notified of what corrective actions were
implemented and that work will recommence.
3. No work will resume until all issues and concerns have been addressed.
18. EMERGENCY RESPONSE PLAN

18.1. First aid boxes shall be furnished by the Project HRD Officer and Site HSE
Manager. Responsibilities are primary to handle emergencies, i.e. work incident
injuries, but not limited for handlings of employees other illness/sickness.
18.2. Emergency preparedness and response team the project shall be stay 7 days a
week. Emergency team may handle emergency medical assistance.
18.3. Emergency contact address list consisting contact person’s name, detailed
address/location and phone number– Client’s Emergency Clinic, Local /
Provincial Doctor’s, Fire Brigade, Police and Military Quarter, National SAR Body
shall be posted and visible to anybody.
18.4. Nearest general hospital and emergency ambulance service contact address
shall be posted and visible to anybody.
18.5. Emergency Number:
The following telephone numbers must be posted by project:
a. Client’s Ambulance & Emergency Facility
b. Local Hospital
c. Police Department
d. Fire Department
This shall enable the caller to expedite emergency medical services in the event
of a catastrophic incident.
18.6 Emergency preparedness and response organization chart
EMERGENCY PREPAREDNESS &

RESPONSE TEAM LEADER
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
SECURITY ELECTRICAL &

MAINTENANCE
EMERGENCY AREA
COORDINATOR
FIRST AID EVACUATION TEAM FIRE TEAM
18.7 Emergency Preparedness & Response Plan

The emergency action plan address emergencies reasonably expected to occur
in relation to project type and physical location.
1. This project shall develop an emergency evacuation plan, in accordance
with Client requirements and existing project lay-out plan, during the start
up phase and the plan shall be educated to employees when they receive
project HSE orientation.
2. The emergency evacuation plan shall be re-educated to keep personnel well
informed of the procedures or when any changes in the implementation
occurs.
3. Project Manager and Site HSE Manager shall act as the consultant, guiding
supervisory management through the process of identifying potential
emergency events and developing primary plans for response to them.
4. PT. Koin Konstruksi supervisory personnel must be extensively trained to act
as evacuation leaders so that employees can be swiftly moved from the
danger location to designated safe areas.
5. PT. Koin Konstruksi Project Management is responsible to manage the
evacuation process for their sub - tiers.
6. Designated floor plans or workplace maps which clearly show the
emergency escape routes, need to be posted for PT. Koin Konstruksi
personnel, visitors and Subcontractors and shall be clearly visually observed.
7. Color coding HSE maps and associated exit routes shall aid employees in
determining their route assignments.
18.8 Emergency Response Drill

The Emergency Drill is one part of the Emergency Management Planning
Process. This means that the Emergency Response Plan, such as emergency
communication flow, emergency scenario, etc. must be tested to ensure that all
existing provisions and guidelines can be implemented and implemented properly
In addition, the Emergency Response Guidelines are dynamic and must be
renewed to maintain their effectiveness in accordance with the developments
and changes that exist.
Therefore, the Major Emergency Drill that involves all personnel must be carried
out at least 1 (one) a year.
18.9 Muster Point/Assembly Point

DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
When an emergency evacuation is activated, all employees gather to the nearest

assembly point. Assembly point as the first destination that is considered safe
and becomes the pick-up point for workers before heading to the muster point if
needed.
Assembly points will be set at each point of work, if there are several work
points in an area, it will be agreed and marked as a flag with the initial’s "A"
indicating the assembly point. Workers and guests will be directed to the nearest
muster poin
19. INCIDENT INVESTIGATION

19.1 Incident Investigation Limitation :
1. Any Work Incident case.
2. Nearmiss cases that have a high risk of loss and the rate of repetition of
events that will occur.
19.2 Incident Investigation Team :

1. Supervisor.
1. Responsible for conducting investigations for minor incidents (first aid).
The Supervisor is required to make an initial report of the Incident
Event for a greater incident category (medical treatment, LTI and
fatal).
2. Supervisors as executors of incident investigation must have in-depth
knowledge of their technical work, hazard identification, occupational
safety standards and regulations, subordinate conditions and work
environment.
3. Supervisors should be able to determine what could be the cause of the
incident and determine the corrective action should be taken within
their group to prevent similar events.
2. Superintendent/Engineer
1. Responsible as the executor of the investigation for the case of accident
over first aid. Superintendent / Engineer shall obtain correct information
from employees involved in the event, for the completeness of the
investigation and follow-up on the improvements to be suggested.
2. Responsible for possible incident impact on work / personnel in other
work areas
3. Compulsory to know the calculation of the cost of losses arising as a
result of an incident
4. The Superintendent acts as a member of the investigation team.
3. HSE Manager/Officer.
1. Responsible as an HSE expert staff, always assisting the investigation
team and always provide directions, suggestions and inputs related to
rules, procedures, instructions, standards, codes of ethics etc.
2. Acting as vice chairman of the investigation team.
4. Project/Site Manager
1. Acting as Chairman of the investigation team
2. Responsible for monitoring investigation process and reviewing the
results of the investigation (incident review)
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
5. Site HSE Committee.

Responsible for monitoring the investigation by following every step taken
by the investigating team and with the relevant parties trying to find the
best way to get a plan for improvement of HSE management system.
19.3 Investigation Time Planning.

The investigation shall be conducted no later than 24 hours for all investigation
team personnel and related parties to be present so as to obtain the optimum
progress and investigation results.
19.4 Incident Investigation Step:

1. Immediate action to handle incident quickly and appropriately.
2. Conduct a clear collection of information about the incidents that occurred:
1. Identify any evidence on the incident location.
2. Identify any factors that involved to the incident.
3. Collect and keep the evidences found.
4. Take a picture as necessary for additional evidence (authentic).
5. Sketch the case location and the incident chronological
6. Conducting interviews with the witness / observer / head of the area
where the incident occurred
3. Conduct reconstruction of incident events if necessary
4. Make a preliminary note using the 5W & 1H basic formula.
5. Analyze all possible causes that are based on evidence and interview results
6. Conducting an incident review meeting to determine the corrective action to
be performed
19.5 Incident Report

1. Incident Preliminary Report
Brief report (written and oral) by project Site HSE Manager through any
communication media to the Corporate HSE at Head Office and shall be
forwarded to the Project Manager and Client HSE Representative at the
same time not later than 12 hours after the occurrence (for written report).
Oral report shall be reported not later than 1 hour after the occurrence.
2. Investigation Report
If potential is found to lead to a greater risk of loss (LTI & Fatal), an
incident investigation report should be made
3. Detailed Work Incident Report

Contains details of the investigation findings to analyze for corrective action,
gain substandard proofs for taking further improvement action steps,
improve human resource capacity, capability, competence etc., shall be
submitted to the company head office not later than 36 hours after the
occurrence, witness statement, doctor certificate/statement, police (if
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
necessary), victim detailed data’s and other authentic data’s, shall be

attached to the report.
4. Client Written Detailed Incident Report

Contains details of the investigation findings as per requirement to be
reported to client by using client official incident report form.
20. HSE INSENTIVES AND CONSEQUENCIES

20.1 HSE Incentives
1. These programs will be expected to increase employee participation and
they will be more aware with HSE issues in their working environment.
2. HSE incentive programs will be rewarded to the following criteria:
1. Displaying good/improvement initiative on HSE manner.
2. Setting a good example of safe work practices.
3. A qualified hazards observation report focusing on the work
process/system improvement – gives a beneficial input for
work/process improvement.
4. Influencing others in the working environment of positive/safe
behaviour.
5. Exceptional participation in HSE programs, in terms of quantity and
quality.
20.2 HSE Consequences

1. HSE Consequences program is designed to limit safety violations by
imposing a set of measures that would eventually lead to persistent
violators being removed from the project to ensure that all employees
comply with HSE rules and requirements.
2. Disciplinary actions shall be applied to employees who violate safety rules
and requirements up to
21. PERFORMANCE EVALUATION

21.1 Audit
21.1.1 Audit Implementation
1. An opening meeting should be held by the auditor to reinforce the
scope of the audit. The meeting may be conducted with the
Manager or Supervisor of the area.
2. Collect information by appropriate sampling to determine whether
requirements have been met. Methods to collect information
include conducting interviews, observation of activities and the
review of documents and records. Only information that is
verifiable may be recorded as audit evidence.
3. If any non-conformity findings at the time of the Audit, a non-
conformance report (Finding Report/NCR/CPAR) should be applied.
4. When the audit has been completed, a closing meeting of the
auditor, auditee and relevant employee (Manager included) should
be held to present audit findings. Non-conformances and
recommendations should be discussed and diverging opinions
resolved.
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
21.1.2 Audit Report

1. The auditor should document the findings and recommendations
from the audit on an internal audit report as soon as is reasonably
practicable
2. The audit report should be forwarded to the Site HSE Manager for
review, incorporation of further information if required.
3. The Site HSE Manager should release the report to the Manager of
the area as soon as is reasonably practicable.
4. The Site HSE Manager should retain completed audit checklists and
reports.
21.1.3 Corrective Action

1. Corrective and preventative actions should be prioritized, have an
agreed time for them to be completed based on their risk profile
and be monitored for completion
2. Corrective or preventative actions may require a subsequent audit
or specific follow up to make sure actions have been effective.
3. The Site HSE Manager should monitor the corrective action register
and provide a quarterly report to the HSE Committee and
Management Team that includes the status of corrective and
preventative actions, trends in audit findings and other relevant
information.
4. The Management Team should direct action when corrective or
preventative actions have not been completed within timeframes
allocated or when issues with implementation of actions occur.
21.2 Construction Equipment/Vehicle Tools & Machinery Inspection

Is a mandatory inspection to all equipment, vehicle, tool, and machines shall be
performed in accordance with PT. Koin Konstruksi and client HSE requirement
for Construction Equipment/Vehicle, Tools & Machinery; covering all HSE aspects
regulated for Construction Equipment/Vehicle, Tools & Machinery.
1. Heavy Equipment inspection i.e. Crane, Lifting & Hauling etc.
2. Heavy Vehicles inspection i.e. Trailer, Truck, Forklift etc.
3. Light Vehicles inspection i.e. Jeep, Pick-up, etc.
4. Power tools and lifting devices/supporting equipment i.e. sling, shackle,
chain /lever/pulley blocks etc.
5. Fire extinguisher and other protection apparatus inspection etc.
6. Scaffold inspection
7. Machinery inspection i.e. generator-set, welding machine, etc.
8. Special tool inspection i.e. grinding, drilling machine, etc.
9. Lifting devices load test Inspection, etc.
21.3 Project Management Site Visit

The following persons shall perform HSE inspections periodically:
DOCUMENT NUMBER:
ENVIRONMENT PLAN
DATE OF ISSUED :
10 MAY 2021
1. Daily observation by Project HSE Officer – duty is assurance of HSE

system implementation.
2. Weekly Project HSE Committee Patrol – duty is to review observation
report of past week performance.
21.4 HSE Reporting

1. Site HSE manager, shall periodically monitor and report the HSE
Performance achievement, its conformance toward the HSE management
program, legal requirements, standard, contract, and any incidents or other
disturbance to HSE aspects.
The monitoring and measurement shall be conducted at a daily, weekly or
monthly interval at the Project Site,
2. HSE Reporting are:

1. Daily Report
The HSE daily report reported includes:
a. General Talks and Tool Box Meeting
b. HSE Daily Observation
2. Weekly Report
The HSE weekly report reported includes Site Management Visit, HSE
Patrol etc
3. Weekly Performance Report to PT. Koin Head Office
4. Monthly Performance Report including Environment Report
5. Incident Report including nearmiss
3. All monitoring and measurement results shall be recorded and used as

a basis for analysis/evaluation and to define the preventive and corrective
action

1. Project HSE Plan C-21007 (Rev. 0)

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PROJECT HEALTH SAFETY AND ENVIRONMENT PLAN 1 OF 54

DOCUMENT NUMBER : REVISION : DATE OF ISSUED :

NO CONTENT PAGE APPROVED BY,

SITE HSE MANAGER

1.1 Project Name : CFSPP JAWA 9&10 (2X1.000MW) SURALAYA

4. DEFINITION & TERMS

Incident : Work-related event(s) in which an injury or ill health

Medical : A Medical Treatment Case is a case that further

Risk : Effect of uncertainty on objectives. It could refer to

6. LEADERSHIP AND COMMITMENT

6.2 Strategic Objective and KPI

Management Site Visit Once/project Top Management

6.3 Project HSE Organization

PROJECT CORPORATE HSE

HSE FIELD HSE ENVIROMENT

6.4 Roles & Responsible

6.4.1 PROJECT MANAGER

7. Reviews and evaluates the individual HSE performance of all members

6.4.2 SITE MANAGER

6.4.3 ENGINEER/SECTION LEADER

1 Enforces all phases of the established HSE Program as well as special

6.4.4 LINE SUPERVISOR/SUPERVISOR LINI

The responsibilities of the Line Supervisor are follows:

20. Where the Supervisor is unable to effect a correction, he reports it to

6.4.5 SITE HSE MANAGER

7.2 Job Safety Analysis

9. PRE MOBILIZATION MANAGEMENT

9.2 Manpower Readiness

9.3 Equipment/Tools/Vehicle Readiness

All of equipment/tools/vehicles shall pass a premobilization inspection by Client

9.4 Documentation Readiness

10. SUBCONTRACTOR MANAGEMENT

10.4 Identification of Hazard & Environmental Aspect;

10.5 Subcontractors HSE Organization

10.6 Subcontractors HSE Committee Organization

10.7 Subcontractors HSE Meeting;

10.8 Subcontractors HSE Induction and Training;

d. Safety induction given to employee shall include:

10.9 Incident Investigation;

10.10 Reporting System;

11. TRANSPORTATION MANAGEMENT

12. HEALTH MANAGEMENT

Control of Biohazards requires systematic, analytical application of a hierarchy of

12.2 Drinking Water

12.3 Extended Work and Shift Work

12.4 Fitness to Work

12.5 Hygene and Occupational Health

12.7 Heat Stress

13. ENVIRONMENTAL MANAGEMENT

4. Collection and Cleanliness.

5. Waste Management Flow Chart

14. OPERATING PROCEDURES AND SAFETY STANDARD

14.1.2 Safe Crane Operation

discernible or audible at all times. No response shall be made

Required Clearance for Normal Voltage

9. Operating Near Power Line

14.1.3 Fire Extinguisher

14.1.4 Crane Inspection and Certification

14.1.5 Lifting Tools

2. Wire Rope shall be thoroughly inspected by a competent and

14.1.7 Lifting Plan

7. Wind effects must be included when calculating the crane lifting

14.1.8 Handling the Load