PROGRAM K3LH PERIODE JUNI 2023 DEPT.

HSE SITE KEMBANG JANGGUT

JUNI
NO RENCANA K3LH PIC ITEM KPI EVIDEN PLAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1
K J S M S S R K J S M S S R K J S M S S R K J S M S S R K J S
1 Safety Inspeksi KLKH Pengawas Patrol, Officer, Spv HSE System Dokumentasi, PICA Temuan 60
2 Safety Inspeksi Pit Officer, Spv HSE System Dokumentasi, PICA Temuan 4
3 Safety Inspeksi Workshop & Warehouse Officer, Spv HSE System Dokumentasi, PICA Temuan 4
4 Safety Inspeksi TPS Officer, Spv HSE System Dokumentasi, PICA Temuan 4
5 Safety Inspeksi Jalan Hauling Officer, Spv HSE System Dokumentasi, PICA Temuan 4
6 Safety Inspeksi Jetty Officer, Spv HSE System Dokumentasi, PICA Temuan 4
7 Safety Inspeksi Office Officer, Spv HSE System Dokumentasi, PICA Temuan 4
8 Safety Inspeksi Kantin Officer, Spv HSE System Dokumentasi, PICA Temuan 4
9 Safety Inspeksi Mess Officer, Spv HSE System Dokumentasi, PICA Temuan 4
10 Sosialisasi SOP, Dll. Officer, Spv Permit & Prosedur Dokumentasi, PICA Temuan 4
11 Sidak Jam Tidur Officer, Spv HSE System Dokumentasi, PICA Temuan 4
12 Training HSE Officer, Spv HSE Training Dokumentasi, Daftar Hadir 4
13 Safety Inspeksi APAR Patrol HSE System Dokumentasi, PICA Temuan 4
14 Safety Inspeksi Safety Device Unit Patrol HSE System Dokumentasi, PICA Temuan 4
15 Safety Inspeksi Kelengkapan Unit Patrol HSE System Dokumentasi, PICA Temuan 4
16 Safety Inspeksi Pencahayaan Patrol HSE System Dokumentasi, PICA Temuan 4
17 Sidak Fatique & Wake Up Call Patrol HSE System Dokumentasi, PICA Temuan 30
18 Sidak Kecepatan Unit Patrol HSE System Dokumentasi, PICA Temuan 16
19 Sidak Kata Sandi di Hauling Patrol HSE System Dokumentasi, PICA Temuan 8
20 Sidak Kata Sandi di Pit Patrol HSE System Dokumentasi, PICA Temuan 8
21 Sidak P2H & Prosedur Bekerja Patrol HSE System Dokumentasi, PICA Temuan 4
22 Observasi Area Kerja Pit Patrol HSE System Dokumentasi, PICA Temuan 60
23 Observasi Area Kerja Hauling Patrol HSE System Dokumentasi, PICA Temuan 60
24 Observasi Area Kerja Jetty Patrol HSE System Dokumentasi, PICA Temuan 60
25 Observasi Area Kerja Workshop Patrol HSE System Dokumentasi, PICA Temuan 60
26 Safety Inspeksi P2H Unit Admin HSE System Dokumentasi, PICA Temuan 30
27 Permit Karyawan Admin Permit & Prosedur Data Base Monitoring H+2
28 APD Karyawan Admin Permit & Prosedur Data Base Monitoring 100%
29 Induksi New Hire & Pasca Cuti Admin HSE Training Dokumentasi, Daftar Hadir 30
30 Additional Prosedur (Kondisional) ALL Permit & Prosedur Dokumentasi, Daftar Hadir Kondisional
31 PTO ALL HSE System Dokumentasi, PICA Temuan 30
32 Safe Card ALL HSE System Dokumentasi, PICA Temuan 120
33 Tema HSE Spv HSE Training Topik Learning & Perbaikan 4
34 Sharing Session Officer, Spv HSE Training Dokumentasi, Daftar Hadir 4
35 P5M ALL HSE Training Dokumentasi, Daftar Hadir 60
36 Safety Alert ALL HSE Training Dokumentasi 30
37 Daily Staging Officer, Spv Reporting HSE Dokumentasi, Daftar Hadir 30
38 Weekly Safety Talk ALL Reporting HSE Dokumentasi, Daftar Hadir 4
39 Weekly Meeting Internal Officer, Spv Reporting HSE Report, Daftar Hadir 4
40 Weekly Meeting Klien Officer, Spv Reporting HSE Report, Daftar Hadir 5
41 Meeting HSE Level 2 Dept Produksi Produksi, HSE HSE Facility Notulen, Daftar Hadir 1
42 Meeting HSE Level 2 Dept Plant & Logistic Plant, Log, HSE HSE Facility Notulen, Daftar Hadir 1
43 Meeting HSE Level 2 Dept HRDGA & HSE HSE, HRDGA HSE Facility Notulen, Daftar Hadir 1
44 Meeting HSE Level 2 Dept Engineering Engineering, HSE HSE Facility Notulen, Daftar Hadir 1
45 Meeting HSE Level 1 All All Leader Dept HSE Facility Notulen, Daftar Hadir 1
46 Safety Commite Officer, Spv HSE Facility Dokumentasi, Daftar Hadir 1
47 Monthly Report Admin Reporting HSE Report 1
48 Man Hours dan Man Report Admin Reporting HSE Report 4
49 Pemenuhan Pit Facilicty HSE ALL HSE Facility Dokumentasi 100%
50 Pemenuhan Hauling Facilicty HSE ALL HSE Facility Dokumentasi 100%
51 Pemenuhan Workshop Facilicty HSE ALL HSE Facility Dokumentasi 100%
52 Pemenuhan Office Facilicty HSE ALL HSE Facility Dokumentasi 100%
53 Sosialisasi Shepro, HAC ALL Program HSE Dokumentasi, Daftar Hadir 30
54 Coaching & Counselling Officer, Spv HSE System Dokumentasi, Report 2
Jumlah 825
Hijau Dilakukan Oleh shift 1 dan shift 2
Biru Dilakukan Perminggu
Keterangan: Semua Staf Wajib Melaksankan Abu-Abu Dilakukan Shift 1
Inspeksi Di Area Kerja Merah Dilakukan Di Office
Kuning Dilakukan Perbulan
Orange Dilakukan per 2 minggu
1. Project Manager : 4 kali / Bulan
2. SuperIntendent : 6 kali / Bulan
3. Supervisor : 8 kali / Bulan
4.Foreman : 30 kali / Bulan
 LAPORAN PELAKSANAAN PROGRAM K3LH PERIODE JUNI 2023 DEPT. HSE SITE KEMBANG JANGGUT
JUNI
NO RENCANA K3LH PIC ITEM KPI EVIDEN PLAN
1 2 3 PLAN AKTUAL 4 5 6 7 8 9 10 PLAN AKTUAL 11 12 13 14 15 16 17 PLAN AKTUAL 18 19 20 21 22 23 24 PLAN AKTUAL 25 26 27 28 29 30 1
K J S M S S R K J S M S S R K J S M S S R K J S M S S R K J S
1 Safety Inspeksi KLKH Pengawas Patrol, Officer, Spv HSE System Dokumentasi, PICA Temuan 60
2 Safety Inspeksi Pit Officer, Spv HSE System Dokumentasi, PICA Temuan 4
3 Safety Inspeksi Workshop & Warehouse Officer, Spv HSE System Dokumentasi, PICA Temuan 4
4 Safety Inspeksi TPS Officer, Spv Permit & Prosedur Dokumentasi, PICA Temuan 4
5 Safety Inspeksi Jalan Hauling Officer, Spv HSE System Dokumentasi, PICA Temuan 4
6 Safety Inspeksi Jetty Officer, Spv HSE System Dokumentasi, PICA Temuan 4
7 Safety Inspeksi Office Officer, Spv HSE System Dokumentasi, PICA Temuan 4
8 Safety Inspeksi Kantin Officer, Spv HSE System Dokumentasi, PICA Temuan 4
9 Safety Inspeksi Mess Officer, Spv HSE System Dokumentasi, PICA Temuan 4
10 Sosialisasi SOP, Dll. Officer, Spv Permit & Prosedur Dokumentasi, PICA Temuan 4
11 Sidak Jam Tidur Officer, Spv HSE System Dokumentasi, PICA Temuan 4
12 Training HSE Officer, Spv HSE Training Dokumentasi, Daftar Hadir 4
13 Safety Inspeksi APAR Patrol HSE System Dokumentasi, PICA Temuan 4
14 Safety Inspeksi Safety Device Unit Patrol HSE System Dokumentasi, PICA Temuan 4
15 Safety Inspeksi Kelengkapan Unit Patrol HSE System Dokumentasi, PICA Temuan 4
16 Safety Inspeksi Pencahayaan Patrol HSE System Dokumentasi, PICA Temuan 4
17 Sidak Fatique & Wake Up Call Patrol HSE System Dokumentasi, PICA Temuan 30
18 Sidak Kecepatan Unit Patrol HSE System Dokumentasi, PICA Temuan 16
19 Sidak Kata Sandi di Hauling Patrol HSE System Dokumentasi, PICA Temuan 8
20 Sidak Kata Sandi di Pit Patrol HSE System Dokumentasi, PICA Temuan 8
21 Sidak P2H & Prosedur Bekerja Patrol HSE System Dokumentasi, PICA Temuan 4
22 Observasi Area Kerja Pit Patrol HSE System Dokumentasi, PICA Temuan 60
23 Observasi Area Kerja Hauling Patrol HSE System Dokumentasi, PICA Temuan 60
24 Observasi Area Kerja Jetty Patrol HSE System Dokumentasi, PICA Temuan 60
25 Observasi Area Kerja Workshop Patrol HSE System Dokumentasi, PICA Temuan 60
26 Safety Inspeksi P2H Unit Admin Reporting HSE Dokumentasi, PICA Temuan 30
27 Permit Karyawan Admin Permit & Prosedur Data Base Monitoring H+2
28 APD Karyawan Admin Permit & Prosedur Data Base Monitoring 100%
29 Induksi New Hire & Pasca Cuti Admin HSE Training Dokumentasi, Daftar Hadir 30
30 Additional Prosedur (Kondisional) ALL Permit & Prosedur Dokumentasi, Daftar Hadir Kondisional
31 PTO ALL HSE System Dokumentasi, PICA Temuan 30
32 Safe Card ALL HSE System Dokumentasi, PICA Temuan 120
33 Tema HSE Spv HSE Training Topik Learning & Perbaikan 4
34 Sharing Session Officer, Spv HSE Training Dokumentasi, Daftar Hadir 4
35 P5M ALL HSE Training Dokumentasi, Daftar Hadir 60
36 Safety Alert ALL HSE Training Dokumentasi 30
37 Daily Staging Officer, Spv Reporting HSE Dokumentasi, Daftar Hadir 30
38 Weekly Safety Talk ALL Reporting HSE Dokumentasi, Daftar Hadir 4
39 Weekly Meeting Internal Officer, Spv Reporting HSE Report, Daftar Hadir 4
40 Weekly Meeting Klien Officer, Spv Reporting HSE Report, Daftar Hadir 5
41 Meeting HSE Level 2 Dept Produksi Produksi, HSE HSE Facility Notulen, Daftar Hadir 1
42 Meeting HSE Level 2 Dept Plant & Logistic Plant, Log, HSE HSE Facility Notulen, Daftar Hadir 1
43 Meeting HSE Level 2 Dept HRDGA & HSE HSE, HRDGA HSE Facility Notulen, Daftar Hadir 1
44 Meeting HSE Level 2 Dept Engineering Engineering, HSE HSE Facility Notulen, Daftar Hadir 1
45 Meeting HSE Level 1 All All Leader Dept HSE Facility Notulen, Daftar Hadir 1
46 Safety Commite Officer, Spv HSE Facility Dokumentasi, Daftar Hadir 1
47 Monthly Report Admin Reporting HSE Report 1
48 Man Hours dan Man Report Admin Reporting HSE Report 4
49 Pemenuhan Pit Facilicty HSE ALL HSE Facility Dokumentasi 100%
50 Pemenuhan Hauling Facilicty HSE ALL HSE Facility Dokumentasi 100%
51 Pemenuhan Workshop Facilicty HSE ALL HSE Facility Dokumentasi 100%
52 Pemenuhan Office Facilicty HSE ALL HSE Facility Dokumentasi 100%
53 Sosialisasi Shepro, HAC ALL Program HSE Dokumentasi, Daftar Hadir 30
54 Coaching & Counselling Officer, Spv HSE System Dokumentasi, Report 2
Jumlah 825
DEPARTMENT HSE
PT. BIMA NUSA INTERNASIONAL SITE KEMBANG JANGGUT
PERIODE : WEEK 25 TAHUN 2023 (TGL.18-24 JUNI 2023)
#wajib mingguan, bulanan.
WEEKLY YEARLY
NO INDIKATOR PERFORMA BOBOT SATUAN
TARGET AKTUAL ACH SCORE TARGET AKTUAL ACH FY23 (SCORE) DEVIASI
PERMIT & PROSEDUR 10% PENCAPAIAN 100.00% #DIV/0! #DIV/0! #DIV/0! 100.00% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
1.A. PERMIT 20% Hari 2 #DIV/0! 2 #DIV/0!
1.B. APD 20% % 100% 0% 100% 0%
1
1.C. INSPEKSI TPS 20% Jumlah 1 0% 25 0%
1.D. ADDITIONAL PROSEDUR 20% Jumlah 100% 100% KONDISIONAL
1.E. SOSIALISASI SOP 20% Jumlah 1 0% 25 0%
REPORTING HSE 10% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% 0.00% 0% 0.00% -10.00%
2.A. DAILY STAGING 15% Daily 7 0% 175 0%
2.B. WEEKLY KPI 25% Weekly 1 0% 25 0%
2
2.C. WEEKLY MEETING KLIEN 25% Weekly 1 0% 25 0%
2.D. MONTHLY REPORT 25% Tgl.3 25% 0% 575% 0%
2.E. INSPEKSI P2H UNIT & TINDAK LANJUTNYA 10% Daily 7 0% 175 0%
HSE TRAINING 10% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% 0.00% 0% 0.00% -10.00%
3.A. PEMBUATAN TEMA MINGGUAN 15% Weekly 1 0% 25 0%
3.B. DAILY HSE ALERT 15% Daily 7 0% 175 0%
3 3.C. P5M SESUAI TEMA 15% Shiftly 14 0% 350 0%
3.D. INDUKSI DAN REFRESH INDUKSI 15% Daily 7 0% 175 0%
3.E. SHARING SESSION 20% Weekly 1 0% 25 0%
3.F. TRAINING INTERNAL (HSE) 20% Weekly 1 0% 25 0%
HSE FACILITY 10% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% 0.00% 0% 0% -10.00%
4.A. PIT 17% Weekly 4 0% 100 0%
4.B. COAL HAULING ROAD 17% Weekly 4 0% 100 0%
4.C. WORKSHOP & WAREHOUSE 17% Weekly 4 0% 100 0%
4.D. OFFICE 9% Weekly 4 0% 100 0%
4
4.E. MEETING HSE LEVEL 2 DEPT. PRODUKSI 8% Monthly 25% 0% 575% 0%
4.F. MEETING HSE LEVEL 2 DEPT. PLANT & LOGISTIC 8% Monthly 25% 0% 575% 0%
4.G. MEETING HSE LEVEL 2 DEPT. HSE & HRDGA 8% Monthly 25% 0% 575% 0%
4.H. MEETING HSE LEVEL 2 DEPT. ENGINEERING 8% Monthly 25% 0% 575% 0%
4.I. MEETING HSE LEVEL 1 ALL LEADER DEPT. 8% Monthly 25% 0% 575% 0%
INCIDENT REPORT & INVESTIGATION 12% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
4.A. BERITA ACARA KERUSAKAN 10% as Case 1 0% #DIV/0! REKAPITULASI BA
4.B. CLOSING TINDAK LANJUT BERITA ACARA 25% as Case 100% 0% #DIV/0! DOKUMENTASI CLOSING TINDAKAN PERBAIKAN
5
4.C. INVESTIGASI 20% as Case 1 0% #DIV/0! DAFTAR HADIR & DOKUMENTASI
4.D. LPI 15% as Case 1 0% #DIV/0! SOSIALISASI LPI
4.E. CLOSING TINDAK LANJUT LPI 30% as Case 100% 0% #DIV/0! DOKUMENTASI CLOSING TINDAKAN PERBAIKAN
HSE SYSTEM 25% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% 0.00% 0% 0 -25.00%
4.A. INSPEKSI KLKH PENGAWAS 4% Weekly 7 0% 175 0%
4.B. INSPEKSI PIT 4% Weekly 1 0% 25 0%
4.C. INSPEKSI WORKSHOP DAN WAREHOUSE 4% Weekly 1 0% 25 0%
4.D. INSPEKSI JALAN HAULING 4% Weekly 1 0% 25 0%
4.E. INSPEKSI JETTY 4% Weekly 1 0% 25 0%
4.F. INSPEKSI OFFICE 4% Weekly 1 0% 25 0%
4.G. INSPEKSI KANTIN 4% Weekly 1 0% 25 0%
4.H. INSPEKSI MESS 4% Weekly 1 0% 25 0%
4.I. SIDAK JAM TIDUR KARYAWAN 4% Weekly 2 0% 50 0%
4.I. INSPEKSI APAR 4% Weekly 1 0% 25 0%
4.I. INSPEKSI SAFETY DEVICE UNIT 4% Weekly 1 0% 25 0%
6 4.I. INSPEKSI KELENGKAPAN UNIT 4% Weekly 1 0% 25 0%
4.I. INSPEKSI PENCAHAYAAN 4% Weekly 1 0% 25 0%
4.I. SIDAK FATIQUE & WAKE UP CALL 4% Weekly 2 0% 50 0%
4.I. SIDAK KECEPATAN UNIT 4% Weekly 2 0% 50 0%
4.I. SIDAK KATA SANDI DI HAULING 4% Weekly 2 0% 50 0%
4.I. SIDAK KATA SANDI DI PIT 4% Weekly 2 0% 50 0%
4.I. SIDAK P2H & PROSEDUR KERJA 4% Weekly 2 0% 50 0%
4.I. OBSERVASI AREA KERJA DI PIT 5% Shiftly 14 0% 700 0%
4.I. OBSERVASI AREA KERJA DI HAULING 5% Shiftly 14 0% 700 0%
4.I. OBSERVASI AREA KERJA DI JETTY 5% Shiftly 14 0% 700 0%
4.I. OBSERVASI AREA KERJA DI WORKSHOP 5% Shiftly 14 0% 700 0%
4.I. PTO 4% Weekly 1 0% 25 0%
4.I. SAFE CARD 4% Shiftly 14 0% 350 0%
SAFETY PROGRAM (PENCAPAIAN SHEPRO PROJECT) 5% PENCAPAIAN 100.00% 0.00% 0% 0% 100.00% 0.00% 0% 0% -5.00%
4.A. HSE DEPT. 50% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
4.B. PRODUKSI DEPT. 10% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
7 4.C. PLANT DEPT. 10% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
4.D. LOGISTIC DEPT. 10% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
4.E. HRDGA DEPT. 10% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
4.F. ENGINEERING DEPT. 10% Weekly 25% 0% 575% 0% DATA PENCAPAIAN SHEPRO DEPT.
SAFETY PERFORMA PROJECT 18% % 100.00% 90.00% 90% 16% 100.00% 90.00% 90% 16% -1.80%
4.A. LTI 10% Weekly 0.0 100% 0.0 100%
4.B. FATAL INJURY 10% Weekly 0.0 100% 0.0 100%
4.C. MINOR INJURY 10% Weekly 0.0 100% 0.0 100%
8 4.D. SR 10% Weekly 0.0 100% 0.0 100%
4.D. FR 10% Weekly 0.0 100% 0.0 100%
4.E. PROPERTY DAMAGE 20% Weekly 0.0 100% 0.0 100%
4.F. PROPERTY DAMAGE COST 20% Weekly 7,500,000 100% 187,500,000 100%
4.G. COACHING & COUNSELLING 10% Weekly 2 0% 50 0%
TOTAL / SCORE 100% #DIV/0! #DIV/0!
 KEY PERFORMANCE INDICATOR TAHUN 2023
DEPARTMENT HSE
JOBSITE : INDO BARA PRATAMA
DEPARTMENT : HSE DEPT.
PROCESS LEVEL: ( ALL )

No KEY PERFORMANCE INDICATOR BOBOT TARGET

1 PERMIT & PROSEDUR 10% 100%
- Permit 30% 2 HARI
- APD & Prosedur 35% TIDAK ADA LOST TIME
- Regulasi 35% TIDAK ADA LOST TIME
2 Reporting HSE 10% 100%
- Daily Staging 15% DAILY
- Weekly KPI Report 25% MINGGU
- Weekly Report Klien 25% JUMAT
- Monthly Report 25% TGL. 3
- P2H Unit 10% DAILY
3 SHE Training (all employee) 10% 100%
- Induksi Pasca Cuti 50% All Karyawan

- Training Dasar (First Aid, Defensive Driving, dll) 50% All Karyawan

4 HSE Facility 15% 100%

- Pit 50% 100%
- Workshop 40% 100%
- Office 10% 100%
5 Incident report and investigation 12% 100%
- BA Premature Lost / Kerusakan 20% 100%
- Investigation 35% 100%
- Incident Report 25% 100%
- Follow Up 20% 100%
6 HSE System 20% 100%
- Verifikasi 20% PROGRAM PATROL
- Obervasi 20% PROGRAM PATROL
- Early Warning & Control System 20% PROGRAM PATROL
- Sidak 20% 4X per BULAN
- Audit 6% 1x per TAHUN
- Reward & Punishment 7% by Condition/Request
- Coaching & Counselling 7% by Condition/Request
7 SAFETY PROGRAM : 5% 100%
- SHEPRO All Tim 100% 100%
8 HSE (SITE) 18% 100%
- LTI 15% 0.0
- Fatal Injury 15% 0.0
- Minor Injury 15% 0.0
- SR 15% 0.0
- FR 15% 0.0
- Property Damage Cost 25% Rp 30.000.000,- / Bulan
TOTAL 100% 100%

DISETUJUI OLEH,

JOKO SUSILO ELSAN VERNANDO S. MOCHAMMAD ROBBY NUR

Supervisor HSE HSE Officer Project Manager