EPCC WORKS OF CIKAMPEK

NITROGEN AND OXYGEN PLANT

PROJECT (CNOP)

DOCUMENT NO: REV: 0

TBA
HSE PLAN Page 1 of 5

CLIENT : PT PUPUK INDONESIA UTILITAS

CONTRACTOR : PT WIJAYA KARYA REKAYASA KONSTRUKSI
PROJECT NAME : EPCC WORKS OF CIKAMPEK NITROGEN AND
OXYGEN PLANT (CNOP), CIKAMPEK, JAWA
BARAT

LOCATION : KAWASAN INDUSTRI KUJANG CIKAMPEK (KIKC)

RISK CATEGORY : HIGH RISK

PREP CHECK APPR APPR

REV. DATE DESCRIPTION
PT WIJAYA KARYA REKAYASA KONSTRUKSI

i
 EPCC WORKS OF CIKAMPEK
NITROGEN AND OXYGEN PLANT
PROJECT (CNOP)

DOCUMENT NO: REV: 0

TBA
HSE PLAN Page 2 of 5

REVISION SHEET

No. Rev. Page Date Description

ii
 EPCC WORKS OF CIKAMPEK
NITROGEN AND OXYGEN PLANT
PROJECT (CNOP)

DOCUMENT NO: REV: 0

TBA
HSE PLAN Page 3 of 5

DAFTAR ISI
COVER...................................................................................................................................... i
LEMBAR REVISI....................................................................................................................... ii
DAFTAR ISI.............................................................................................................................. iii
DAFTAR TABEL....................................................................................................................... iv
DAFTAR GAMBAR.................................................................................................................. iv
DAFTAR LAMPIRAN................................................................................................................ iv
1. TUJUAN.............................................................................................................................. 1
2. RUANG LINGKUP..............................................................................................................1
3. DEFINISI............................................................................................................................. 1
4. REFERENSI....................................................................................................................... 3
5. TANGGUNG JAWAB.......................................................................................................... 3
6. SISTEM MANAJEMEN K3LL..............................................................................................7
6.1. Kepemimpinan dan Komitmen......................................................................................7
6.2. Tujuan K3LL.................................................................................................................9
6.2.1. Tujuan K3LL.........................................................................................................9
6.2.2. Sasaran K3LL.......................................................................................................9
6.2.3. Program K3LL.....................................................................................................10
6.3. Identifikasi Bahaya dan Penilaian Resiko...................................................................10
6.4. Work Permit................................................................................................................ 10
6.5. Komunikasi K3LL........................................................................................................10
6.6. Inspeksi K3LL............................................................................................................. 12
6.7. Lock Out & Tag Out (LOTO).......................................................................................12
6.8. Alat Pelindung Diri (APD)...........................................................................................12
6.9. Penanganan Zat Kimia...............................................................................................13
6.10. Kesiapan Tanggap Darurat......................................................................................13
6.10.1. Kondisi Tanggap Darurat..................................................................................13
6.10.1.1. Tanggap Darurat Kebakaran ………………………………………………. 13
6.10.1.2. Tanggap Darurat Gempa Bumi/Tsunami …………………………………. 14
6.10.1.3. Tanggap Darurat Huru-Hara ……………………………………………….. 14
6.10.1.4. Tanggap Darurat Banjir …………………………………………………….. 15
6.10.1.5. Tanggap Darurat Tegangan Listrik ………………………………………... 16
6.10.1.6. Tanggap Darurat Terjatuh dari Ketinggian ………………………………. 17
6.10.1.7. Tanggap Darurat Kebocoran Gas ………………………………………… 18
6.10.1.8. Flowchart Rencana Tanggap Darurat ……………………………………. 18
6.10.2. Pertolongan Pertama Pada Kecelakaan (P3K).................................................19
6.11. Temporary Facilities.................................................................................................21
6.12. Pengaturan Lalu Lintas.............................................................................................23
6.13. Keselamatan Berkendara.........................................................................................23

iii
 EPCC WORKS OF CIKAMPEK
NITROGEN AND OXYGEN PLANT
PROJECT (CNOP)

DOCUMENT NO: REV: 0

TBA
HSE PLAN Page 4 of 5

6.14. Pelatihan dan Kompetensi........................................................................................23

6.15. Electrical Safety........................................................................................................24
6.16. Confined Space........................................................................................................24
6.17. Working at Height.....................................................................................................24
6.18. Scaffolding................................................................................................................ 24
6.19. Sanitasi dan Higienitas.............................................................................................25
6.20. Commissioning.........................................................................................................25
6.20.1. Divisi Commissioning Perusahaan...............................................................26
6.20.2. Tahapan Commissioning...............................................................................26
6.21. Pengelolaan Lingkungan..........................................................................................26
6.22. Unsafe Act & Unsafe Condition................................................................................27
6.23. Program Kesehatan..................................................................................................27
6.24. Site Security Procedure............................................................................................28
6.24.1. Pengawasan Entry............................................................................................28
6.24.2. Pengendalian Material di Site...........................................................................30
6.25. Pencegahan COVID-19............................................................................................30
6.26. Tinjauan................................................................................................................... 32

DAFTAR TABEL
Tabel 3.1 List Definisi ……………………………………………..…………………………………. 2
Tabel 6.1 Sasaran K3LL ……………………………………………………………………………... 9
Tabel 6.2 Jumlah Pekerja, Jenis Kotak P3K, dan Jumlah Kotak P3K …………………………. 19
Tabel 6.3 Isi Kotak P3K …………………………………………………………………………….. 20
DAFTAR GAMBAR
Gambar 6.1 Flowchart Rencana Tanggap Darurat Proyek …………………………………….. 19
Gambar 6.2 Contoh Layout Temporary Facility pada Proyek ………………………………….. 22
Gambar 6.3 Contoh Layout Laydown Area pada Proyek ………………………………………. 22
Gambar 6.4 Contoh Pemasangan Scaffolding yang digunakan dalam Proyek ……………… 25
Gambar 6.5 Flowchart Penanganan Karyawan yang Terpapar COVID-19 ………………….. 31
Gambar 6.6 Flowchart Penanganan Karyawan Subkontraktor yang Terpapar COVID-19 …. 32

DAFTAR LAMPIRAN

Lampiran 1 KEBIJAKAN SISTEM MANAJEMEN ………………………………………………. 33

Lampiran 2 KEBIJAKAN K3LL …………………………………………………………………… 34
Lampiran 3 KEBIJAKAN ALKOHOL DAN OBAT TERLARANG ……………………………… 35
Lampiran 4 KEBIJAKAN STOP WORK ACTION ………………………………………………. 36
Lampiran 5 KPI SHE ………………………………………………………………………………. 37
Lampiran 6 STRUKTUR ORGANISASI P2K3 PROYEK ……………………………………… 38
Lampiran 7 PROGRAM KERJA SHE …………………………………………………………… 39
Lampiran 8 MATRIX TNA ………………………………………………………………………… 41
Lampiran 9 DAFTAR PERATURAN-PERUNDANGAN & EVALUASI KEPATUHAN
iv
 EPCC WORKS OF CIKAMPEK
NITROGEN AND OXYGEN PLANT
PROJECT (CNOP)

DOCUMENT NO: REV: 0

TBA
HSE PLAN Page 5 of 5

PERUNDANGAN …………………………………………………………………….. 42
Lampiran 10 HIRARC ……………………………………………………………………………… 58
Lampiran 11 EAII …………………………………………………………………………………… 79
Lampiran 12 WORK PERMIT ……………………………………………………………………... 83
Lampiran 13 DAFTAR INDUK PROSEDUR & INSTRUKSI KERJA SHE ……………………. 93
Lampiran 14 STANDAR APD ……………………………………………………………………... 95
Lampiran 15 SERTIFIKAT CSMS.;………………………………………………………………...115