Emergency Drill Report

Drill Location : Drill Leader : Date:

Quarry Area – Gudang Handak Ferry Chandra October, 27th 2023

Drill Scenario: Description of Drill:

1 Fire Drill With Simulated evacuation Pada hari Jumat, 27 Oktober 2023 tepat pada pukul 15.00 WIB seorang

petugas security melihat kumpalan asap disekitar kaki gunung Gudang

Penyimpanan Bahan Peledak (Peka detonator) area Quarry, LHO Plant. Pada
2. Height Angle w/ simulated evacuation
saat itu kondisi cuaca sedang kemarau sehingga api dengan mudah menjalar

disekitaran area tersebut. Security yang berada pada area tersebut

3. Collision Drill w/ simulated evacuation
memeriksa langsung ke lokasi kejadian.

Security yang melihat api mulai menyebar dan membesar langsung

4. Man Overboard Rescue
merespon dan menghubungi Kepala Teknik Tambang (KTT). KTT yang

mendengar hal tersebut langsung ke lapangan.

5. Road Accident w/ simulated Evacuation Drill
KTT menginformasikan ke shift manager untuk melibatkan tim ERT

setempat agar melakukan proses pemadamaan api disekitar. Namun api yang
6. Medical Emergency Response Drill
tadinya kecil mulai membesar dan mendekati area Gudang Penyimpanan Peka

Detonator yang berpotensi terjadinya ledakan besar pada area tersebut

7. Confined space Drill w/stimulated evacuation
namun Api semakin tidak dapat dikendalikan.

KTT menginstruksikan untuk mengaktifkan alarm darurat sebagai tanda

8. Sea water Drill w/stimulated evacuation
evakuasi karyawan disekitar Gudang Bahan Peledak (Gudang Lubrikasi dan

Workshop MAK) menuju ke titik evakuasi sejauh 300 m dari sumber potensi

ledakan, dan mengisolasi area tersebut dibantu dengan personil Quarry .

9. Explosion Drill w/stimulated evacuation
KTT memastikan semua personil tidak ada yang hilang dan sudah di

evakuasi ke titik evakuasi. Namun terdapat salah satu personil mengalami

cedera pada bagian kaki akibat dari proses evakuasi. KTT yang melihat

kejadian itu langsung menghubungi Klinik untuk meminta bantuan P3K.

Tim emergency merespon dengan menggunakan ambulance langsung

menuju ke titik evakuasi untuk melakukan tindakan P3K. Korban dibawa

menuju klinik untuk dilakukan observasi dan tindakan lanjutan.

KTT yang melihat kondisi area tersebut sudah mulai kondusif dan

mengarahkan tim pemadam kebakaran untuk melakukan proses pemadaman

pasca ledakan untuk menghindari api menjalar ke area lain.

Tim ERT meilhat kondisi api masih merambat disekitaran area lalu

melakukan proses pendinginan pada area atau bagunan sekitar bertujuan agar

panas tidak merambat ke area lain yang berpotensi terjadinya efek domino.

KTT melaporan kejadian potensi peledakan ke incident controller dan

pihak KAIT. KTT menangani dan memimpin proses penanganan kondisi

darurat melakukan laporan awal & melanjutkan proses investigasi incident

ledakan.

Setelah proses investigasi selesai KTT bersama tim yang lainya berupaya

mengevaluasi area tersebut agar dapat dilakukan pemulihan pasca potensi

10. Tsunami Drill w/stimulated evacuation ledakan.
Was Emergency Drill Unannounced? Yes No Time of Unannounced Drill:

Communication System

Emergency alarm signal sounded Time : 15.03 WIB

Emergency call by radio Time : 15.04 WIB

Emergency call by mobile phone Time : 15.05 WIB

Clear communication between ER team (clinic) Time : 15.07 WIB

All clear sounded Time : 15.07 WIB

Fire & Rescue Equipment Inspection Report:

No Description YES NO N/A Condition

1. Push Pull alarm are proper function ? -

2. Ambulance ready to use and easy access ? -

3. Height angle equipment are ready to use ? -

4. Radio communication are clear ? Frekuensi radio lemah pada saat melakukan drill.

5. Fire suit are clear and proper to use ? -

6. Life Jacket are clear and proper to use ? -

7. Full Body harness are ready to use ? -

8. Hydrant system are ready to use and well maintained ? -

9. Fire Extinguisher are near and easy for access ? -

10. SCBA devices are inspected and ready to used? -

Drill Process:

No YES NO N/A Condition

1. CRO was informed? -

2. Traffic was controlled? -

3. Another employee and contractor worker were -

involved?
4. Evacuation were performed according to plan? It still need improvement
5. Fire exthinguiser was used accordingly? -

6. Hydrant hose was connected properly? -

7. Hydrant nozzle and hose were operated -

accordingly?
Hydrant hose was treated accordingly? -
8.

9. Hydrant pressure enough to reach location? -

10 Hydrant water reaches the target? -

10. Victim was evacuated accordingly? -

11 Rescue team was protected accordingly? -

12 Victim was treated accordingly by first aider? -

Fire brigade and rescue were fully involved? Only the rescue team
13

14 Security was informed? -

15 Shift leader was informed? -

PPE enough for rescue? -

16

17 PPE were worn accordingly? -

18 Breathing apparatus was worn accordingly? -

19 Victim was evacuated to ambulance accordingly? The victim's evacuation has’t been done properly

20 Victim was treated accordingly by nurse at clinic? -

Government fire brigade and rescue team were -

21
involved?

Names of employees participating in drill

1. Dr. Farhan M – OHS 16. Zainal Abidin – PT Dahana 31. Danny Trisnadi – Quarry
2. Hermansyah – OHS 17. Hendra Marwan – PT Dahana 32. M Yasar – Quarry
3. Irwansyah – OHS 18. Uzir – PT Dahana 33. Adi Handarbeni - Quarry
4. T. Zulhardi – OHS 19. Azwar – PT Dahana 34. Supardi - Security
5. Istaklan – PT MAK 20. Anwar – PT Dahana 35. Fikri A – Security
6. Badrul Akmal – PT MAK 21. Dian Annisa – PT Dahana – INT 36. Zalmurdani – Security
7. M. Akbar – PT MAK 22. Siddiq – PT Andalusia 37. Afwardi – Security
8. Hanan Asyorawi – PT MAK 23. Agus Zulman – PT Andalusia 38. Zulkifli – Security
9. Hendra S – PT MAK 24. Jaswadi – PT MJK 39. Rahmad Saiful – Security
10. Mukhlis – PT MAK 25. Ananda Hafiz F - OHS – INT 40. Juardi- Security
11. Usnazar – PT MAK 26. Sarah Rahmatillah - Quarry 41. Khairil – Security
12. Rizqa I Adha – PT MAK 27. M Furqanul – Quarry - INT
13. Indra Jaya S – PT MAK 28. Safira Nurul R – Quarry – INT
14. M. Ilman Rasyad – PT Dahana 29. Zulfan Fauzi – Quarry
15. Afrizon – PT Dahana 30. Heri Munardi – Quarry

Emergency drill ini dilakuakan untuk uji coba dan mengukur kesesuaian prosedur Kesiapsiagaan keadaan darurat:
Poin : 5.12. Kebakaran dan Peledakan
Tentang : Evakuasi potensi peledakan

Review & Action log :

No Findings Action Plan Due Date Status

1. Melakukan refresh training Evakuasi, transfer
Evacuation:
pasien dan rujukan menggunakan ambulans.
1 Keliru pada saat proses evakuasi transfer korban 2. Refresh training P3K/ BHD khusus Tim Driver
ke evacuation chair kedalam ambulans,
Ambulans

1. Melakukan inspeksi rutin dan perbaikan pada

sirine tanda evakuasi.
Alarm:
2. Melokasikan alram pada tempat yang strategis
2 Sirine alarm evakuasi kurang keras, sehingga agar mampu terdengar kesegala arah .
kurang terdengar.
3. Melakuakan penambahan alarm pada area
Workshop MAK

Communication: 1. Menentukan frekuensi radio yang tepat untuk

Frekuesnsi pada radio telekomunikasi kurang evakuasi.

efektif menyebabkan komunikasi dua arah kurang
3
maksimal.
Timbul kekeliruan pada saat komunikasi dua arah
dengan KTT. Apakah melalui telfon atau radio.
2. Menentukan arah komunukasi yang tepat agar
first responder dapat berkomnikasi secara
efektif dan efesien dengan KTT.

Pedestrian Evacuation Rute: 1. Melakukan perbaikan dan membersihkan jalur

Jalur evakuasi untuk pejalan kaki dari Workshop evakuasi agar dapar digunakan semestinya.
4 MAK ke area Crusher sudah tertutupi pasir besi
dan rumput, sehingga evakuasi tidak berjalan pada
rute yang seharunya.

1. Melakukan training untuk persiapan potensi

Emergency Response Team (Fire Fighter):
kebakaran besar.
5 Tim Pemadaman tidak ikut serta dalam proses 2. Menghadirkan tim pemadam agar drill dapat
drill.
berjalan secara maksimal.

Job Responsibilities: 1. Mensosialisasikan kembali kepada pekerja

6 Pada saat proses evakuasi, operator atau pekerja agar tidak lupa mematikan peralatan ataupun
meninggalkan mesin dalam keadaan menyala. benda pada saat meninggalkan pekerjaan.
 Prepared By: Drill Commander:

ADI HANDARBENI

Appendix:
- Drill Documentation

The process of briefing with the crew before an activity begins. The first responder contacted the incident commander to inform
about the situation and request approval for evacuation.

The first responder contacted the incident commander to inform

about the situation and request approval for evacuation. The Incident Commander (KTT) responded to this and issued an
order to activate the evacuation alarm.
The process of evacuating employees to the evacuation point. Security conducted a sweep of the entire work area to ensure that
all employees in the area had been evacuated.

All employees have reached the evacuation point The officer instructs the employees to check on their colleagues'
Within 5 minutes. conditions and ensure that all employees have been evacuated.

Tim ERT has arrived and will evacuate the lightly injured victims to
Emergency response teams to the assembly point. the ambulance.
 The victim was evacuated using an evacuation chair to the
Tim ERT provides first aid to the victim. ambulance.

The victim was evacuated by an ambulance and taken to

KTT provides instructions to employees.
a clinic for further treatment.

The KTT and Security ensure that the area is in a safe condition.
- Attendance List