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Quality Control Support and Inspections for

Humanitarian Projects in Indonesia


POD IDIQ Contract # W912UM-07-D-0004

SUBCONTRACTOR SAFETY
PERFORMANCE QUESTIONNAIRE
LIST OF CONTENTS

I. SUBCONTRACTOR SAFETY PERFORMANCE QUESTIONNAIRE


II. APPENDIXES

II.1 APPENDIX B.01 HES MANAGEMENT PLAN


II.2 APPENDIX B.02 SAFETY PROCEDURE
II.3 APPENDIX B.03 CURRICULUM VITAE
II.4 APPENDIX B.04 INSURANCE
II.5 APPENDIX B.05 HES PLAN / PROGRAM
II.6 APPENDIX B.06 HES TRAINING & CERTIFICATION
II.7 APPENDIX B.07 HES POLICY
II.8 APPENDIX B.08 KPI STATISTIC
HAZOP, STANDARD OPERATION PROCEDUR & JOB SAFETY
II.9. APPENDIX B.09
ANALYSIS
II.10. APPENDIX B.10 VEHICLE INSPECTION
II.11. APPENDIX B.11 HES MEETING
II.12. APPENDIX B.12 REGULATORY COMPLIANCE
Government, Facilities & Infrastructure

SUBCONTRACTOR SAFETY PERFORMANCE QUESTIONNAIRE

Potential subcontractors shall complete this form and submit it to the Contract Administrator (KA) for review by
GF&I H&S. Subcontractors will not be provided RFP’s until GF&I H&S has approved the subcontractor to receive
an RFP. The information provided on this form will be reviewed as part of the selection criteria. Please provide the
requested information in as complete a form as possible to facilitate our review and evaluation.

Project Name: POD IDIQ Contract - Quality Control Support and Project #: W912UM-07-D-0004
Inspections for Humanitarian Projects in Indonesia
Project Manager:

Name of Subcontractor: PT ENCONA INTI INDUSTRI

Address of Subcontractor: BPH MIGAS BUILDING GROUND FLOOR, JL. KAPTEN P. TENDEAN KAV 28 JAKARTA,
INDONESIA
Contact Name: SUTANTO

Phone Number: 62-21-5276711


Date: 24 OCTOBER 2007

GF&I INTERNATIONAL SUBCONTRACTOR SAFETY PERFORMANCE QUESTIONNAIRE 2007 1


1. List activities your company will be performing on CH2M HILL projects and the anticipated hazardous work operations
(for example: excavation work, fall protection, ladders, scaffolding, confined space work, heavy equipment etc.)
Activities: APPENDIX B.02 – SAFETY PROCEDURE
HazOps: APPENDIX B. – HAZOP, SOP, AND JSA
a. Will you subcontract work to other subcontractors? Yes __ No _√__
If yes, please detail what portion of work: __________________________________________________________________
b. Subcontractors to CH2M HILL must pre-qualify subcontractors. Please attach method used to qualify subcontractors

5.2. Does your company have a written occupational safety and health program (Lack of written program may be grounds for
disqualification)?
Yes _√__ No ___ Please provide a copy of your health & safety program.
APPENDIX B.05 – HES PLAN/PROGRAM
3. Does your company conduct field safety inspections to determine compliance with applicable regulations and procedures?
a. Yes _√__ No ___ Please provide sample copy of inspection form.
APPENDIX B.08 – SOP & JSA
APPENDIX B.10 – VEHICLE INSPECTION
b. Who conducts these inspections? (Please provide position/title) SUTANTO - HES MANAGER
c. How often are safety inspections conducted? APPENDIX B.05 – HES PLAN/PROGRAM
4. Does your company have the following on your staff or on retainer?
No Yes How Many Staff Retainer Please give certification number(s)
Certified Safety Professional ___ _√__ _1____ _____ _____ APPENDIX B.05 – CV
Certified Industrial Hygienist ___ ___ _____ _____ _____ _______________________________
Full-time Safety Professional ___ _√__ _2____ _____ _____ APPENDIX B.05 – CV

5. Does your company have an orientation program for new hires? Yes _√__ No ___
Please provide an outline of the orientation and the topics covered
APPENDIX B.01 – HES MANAGEMENT PLAN
APPENDIX B.06 – HES TRAINING AND CERTIFICATION
6.
Has your company implemented any of the following training programs? Please provide the last date this training was
provided. Documented training records may be required prior to the start of work or at the discretion of CH2M HILL.
APPENDIX B.06 – HES TRAINING AND CERTIFICATION
Yes No Date Yes No Date
___ ___ _______ Aerial Lifts/Scissors Lifts ___ ___ _______ Hazardous Waste (40-hour)
___ ___ _______ Asbestos ___ ___ _______ Hearing Conservation
___ ___ _______ Blasting/Explosives ___ ___ _______ Heavy Equipment operation
___ ___ _______ Bloodborne Pathogens ___ ___ _______ Laboratory Safety
___ ___ _______ Confined Space Entry ___ ___ _______ Ladder/Scaffolding
___ ___ _______ Construction (OSHA Certified 10 Hours) ___ ___ _______ Lead
___ ___ _______ Construction (OSHA Certified 30 Hours) ___ ___ _______ Lockout/Tagout
___ ___ _______ Cranes Operations ___ ___ _______ Personal Protective Equipment
___ ___ _______ Electrical Safety ___ ___ _______ Powder-actuated Tools
___ ___ _______ Excavation Competent Person ___ ___ _______ Process Safety Management
___ ___ _______ Fall Protection ___ ___ _______ Radiation Protection
___ ___ _______ Fire Extinguishers ___ ___ _______ Respiratory Protection
___ ___ _______ First Aid/CPR ___ ___ _______ Welding/Cutting
___ ___ _______ Forklift Operations

Who conducts training for your company (name, title)? SUTANTO – HES MANAGER

GF&I INTERNATIONAL SUBCONTRACTOR SAFETY PERFORMANCE QUESTIONNAIRE 2007 2


7. Does your company have a program in place to discipline workers that perform unsafe work practices?
Yes _√__ No ___
Please provide as attachment
APPENDIX B.06 – HES TRAINING AND CERTIFICATION
8. Does your company have written Accident Investigation Procedures?
Yes _√__ No ___
Please provide as attachment
APPENDIX B.01 – HES MANAGEMENT PLAN
9. Please provide a copy of your company program in compliance with applicable state “Right to Know” laws and the OSHA
Hazard Communication Standard. Please provide as attachment
APPENDIX B.05 – HES PLAN/PROGRAM
APPENDIX B.11 – REGULATORY COMLIANCE (IN INDONESIA)
10. Does your company implement a medical surveillance program for employees that work on hazardous waste sites or with
hazardous chemicals (i.e., lead, asbestos, benzene, arsenic, formaldehyde, etc.)? Yes _√__ No ___ N/A ___
Please provide as attachment
APPENDIX B.01 – HES MANAGEMENT PLAN
11. Does your company hold “tailgate/toolbox” safety meetings? Yes _√__ No ___
b. If yes, how often? __________________________________________ Please provide sample copy(s)
12. Has your company worked for CH2M HILL in the past three years? Yes ___ No _√__
If so, what year and what project manager were you working for?

Year:______________ Project Manager: _______________________________________________________________


The undersigned warrants and represents the data provided in this document is accurate in all respects.
Name of Firm: PT ENCONA INTI INDUSTRI
Completed by: SUTANTO
Signature: __________________________________________________________________________________
Title: HES MANAGER
Date: 25 OCTOBER 2002
CH2M HILL USE ONLY

KA Review
Reviewed by: _______________________________________________ Date: ____________
All required data present prior to sending to HS&E: Yes __ No __ If no, please gather data from subcontractor prior to sending.
HS&E Manager Review
Reviewed by: _______________________________________________ Date: ____________
Additional level of planning and operational oversight required: _____________________________________________________
H&S Database Administrator
Entered into database by: ______________________________________ Date: ____________

GF&I INTERNATIONAL SUBCONTRACTOR SAFETY PERFORMANCE QUESTIONNAIRE 2007 3


APPENDIX B.01 - HES MANAGEMENT PLAN
TABLE OF CONTENT

1. SAFETY AND OCCUPATIONAL HEALTH POLICY .....................................................................................1


2. PROJECT SAFETY DESIGN REVIEW..............................................................................................................2
2.1. DESIGN DEVELOPMENT FOR SAFETY ..................................................................................................................2
2.2. THE GUIDE CONCEPT TO BE USED FOR THIS SAFETY DESIGN REVIEW AS FOLLOW: ............................................3
3. PROJECT START UP PROCEDURE .................................................................................................................4
3.1. PROJECT PRE-START SAFETY ASSESSMENT .......................................................................................................4
3.2. PROJECT MANAGEMENT STRUCTURE FOR SAFETY. ...........................................................................................4
3.3. STATUTORY NOTIFICATION................................................................................................................................5
3.4. POST START CHECK LIST. ..................................................................................................................................5
3.5. SAFETY AWARENESS-TENDER STAGE................................................................................................................5
3.6. KICK OF MEETING..............................................................................................................................................5
3.7. METHOD STATEMENT ........................................................................................................................................6
4. EFFECTIVE SAFETY MANAGEMENT. ...........................................................................................................6
4.1. MONTHLY SAFETY PLAN ...................................................................................................................................6
4.2. SAFETY COORDINATION MEETING .....................................................................................................................6
5. SAFETY TRAINING..............................................................................................................................................7
5.1. OBJECTIVE & REQUIRED STANDARD : ...............................................................................................................7
5.2. GENERAL - RECORD KEEPING. ...........................................................................................................................8
5.3. SPECIFIC – CHECKLISTS .....................................................................................................................................8
6. CONSTRUCTION SAFETY COORDINATION ................................................................................................8
6.1. TEMPORARY WORK COORDINATION ..................................................................................................................8
6.2. FIRE AND EMERGENCY PROCEDURES COORDINATOR ......................................................................................10
7. SAFETY AUDIT ...................................................................................................................................................10
7.1. CONSTRUCTION SUPERINTENDENT SAFETY INSPECTION ..................................................................................10
7.2. FIRE PRECAUTIONS AND EMERGENCY PROCEDURES AUDIT ............................................................................11
8. ACCIDENT REPORTING - INVESTIGATION ANALYSIS..........................................................................12
8.1. ACCIDENT REPORTING .....................................................................................................................................12
9. SAFETY AWARENESS.......................................................................................................................................13
9.1. CONTRACTOR SAFETY RATING ........................................................................................................................13
9.2. SITE SAFETY AWARDS .....................................................................................................................................14
9.3. CONTRACTOR SAFETY PERFORMANCE REVIEW MEETING ...............................................................................14
10. ENVIRONMENTAL ........................................................................................................................................15
10.1. ENVIRONMENTAL POLICY ............................................................................................................................15
10.2. ENVIRONMENTAL COORDINATOR ................................................................................................................15

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HEALTH SAFETY AND ENVIROMENT MANAGEMENT PLAN

The Safety and Occupational Health Policy in this Project is managed according to the
company safety Management Procedures.
The Safety Management Procedures is described as follow:
1. Safety and Occupational Health Policy
2. Project Safety Design Review
3. Project Start Up Procedures
4. Effective Safety Management
5. Safety Training
6. Safety Coordination
7. Safety Audit
8. Accident Reporting – Investigation Analysis
9. Safety awareness
10. Environmental Policy

1. SAFETY AND OCCUPATIONAL HEALTH POLICY


The CONTRACTOR’S Policy to maintain Safety Operation and Good House
Keeping to provide a sound Occupational Health and Environmental Protection is
described as follows:
1. Maintain a safe and healthy work environment for all employees. The
company regards Health & Safety as a matter of prime importance, and in
particular to:
ƒ Provide facilities to maintain safe working conditions and practices at the
work place.
ƒ Provide required safety facilities in connection with the use, handling,
storage and transport of all articles and substances.
2. Provide proper, adequate and up to date safety instructions to all levels of
employees
3. Be considerate of safety, health and welfare of the general public as they
relate to the workplace
4. Provide required safety equipment that will be utilized by the employees.
Such equipment to be used during the employee performing the work
functions
5. Provide the employee of available consultation regarding the safety policy,
procedures and all safety matters
6. Promote the involvement of each and every employee in the maintenance
and monitoring of a safe and healthy working environment
7. Emphasize that the co-operation among all employees is vital to enable the
company to perform or comply with any duty or requirement imposed upon it
or under any relevant statutory provision. It should be clearly understood that
the policy is administered for the employees, Although the effectiveness to a
very large degree depends upon the co-operation, active support and
reasonable care of the employee and of any other person who may be
directly or indirectly effected by the employee acts or omissions

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8. The responsibility for the execution and monitoring of the Health & Safety
Policy rest with the Senior Manager the project locations. It will be
accountable to the Board of Directors for the Health, Safety and Welfare of
the employees under such jurisdiction
9. In order to implement the policy the Senior Manager / Superintendent will:
ƒ Comply with all relevant Legislative Requirements, Company and Common
procedures.
ƒ Ensure that individuals who may be delegated safety responsibilities are
trained and diligent in all matters relating to safety.
ƒ Establish procedures and provisions for the proper execution of the Safety
Management System.
ƒ Provide safety equipment and any instructions necessary for their proper
use.
ƒ Provide safety instruction periods to all employees.
ƒ Report, investigate and find solutions to prevent all accidents, hazardous
conditions and violations of the safety procedures.
ƒ Take appropriate action to implement corrective measures on all violations
of the safety procedures.
ƒ Administer the Company Safety Policy and Procedures. Therefore,
identifying that a Safety policy and Procedures exists and ensuring that the
employees understand the same.

2. PROJECT SAFETY DESIGN REVIEW


During the design stage of any project, the chief experts, senior engineers and
engineer in charge will conduct a safety design review meeting/discussion. With
reference to project requirements such as quality, cost limit and time for completion,
and considering any advises from experienced field personnel’s. The objective of this
safety design review is to make sure that the design concepts integrated the safety
codes, regulations and standards within its design decision, i.e., material to be used,
proposed route to haul any raw materials and equipment to the project site, any
possibility to collapse or to catch fire during construction, etc. After careful technical
review and if required, using a simulated computer model of construction method,
construction phase, and possible accident, the design is approved by the authorized
member (chief expert) as a safe design output

2.1. Design development for safety


• Objective and Required Standard:
At the design stage to the greatest extent practicable, remove or
reduce potential hazards.
• Organization and Responsibilities :
The safety input to the design process offers us an opportunity to
reduce or eliminate hazards at the design stage. The Project Manager
is to organize cost (value), constructability and quality studies, which
are all to relate to safety erection. The principal of maximization of
offsite fabrication holds good for safety as well as quality and progress.

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• Specific Process
Work packages often correspond to specific design areas, once a
package is defined then detailed effort will be aimed at packages in
order of priority, under certain circumstances one package may
infringe on another in terms of safety, and yet not be considered
because of incomplete information.

• Construction Methods and Design


At every opportunity influence the design development towards
prefabrication offsite and simple erection methods which eliminate the
need for scaffold. At the same time ensure that CONTRACTOR’S
develop erection equipment that can handle the larger components
involved.

• Refurbishment and Demolition


Make a search for information of the building to be refurbished of
demolished. This information should be provided by the design team,
but we need to satisfy ourselves of it's completeness, accuracy and
any Health and Safety implications.

• Vehicle Control
Consideration must be given to traffic flow scheduling, logistics and
materials delivery or removal programming to reduce environmental
impact.

2.2. The guide concept to be used for this Safety Design Review as follow:
• Safety should be considered at every stage of a project from
acquisition to hand over.

• All members of the project team are involved in safety.

• The commitment of the Project Manager & those seniors to him is vital
to ensure the success of the system.

• Safety must be considered at design, cost planning & pre-contract


stages to reduce or eliminate hazards & to allow an adequate budget
for safety.

• Detailed safety plan is to be formulated by the CONTRACTOR’S


project team. Safe systems of work are to be agreed & responsibilities
allocated at the monthly Safety Planning Meeting.

• Safety induction Training is essential for everyone on the jobsite.

• Appropriate trade safety skills training of all involved in the


construction process is vital to safe systems of work.

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• It is mandatory to appoint specific coordinators to deal with tasks such


as:
™ Temporary Works
™ Scaffolding
™ Lifting Operations
™ Environmental issues
™ Fire Precautions

• All involved in the line management structure are required to


specifically audit their area [s] of responsibility for unsafe situations
or conditions. This is additional to any periodic auditing by the project
or group safety personnel.

• Safety awareness is to be promoted by every available means.

• All Project Managers must ensure that a fire & emergency plan is
formulated & implemented.

• A Pre - Start Safety Assessment must be carried out for all projects.

3. PROJECT START UP PROCEDURE

3.1. Project Pre-Start Safety Assessment


Objectives & Required Standards :
The objectives of the Safety Assessment is to certain as those safety activities
or situations which will require a direct safety input & involvement before work
is permitted to proceed and to introduce to the Project the Safety Management
Procedures.

Organization & Responsibilities :


On receipt of information that a project is starting, the Project Manager must
arrange a meeting with the CM Coordinator to complete the Safety
Assessment Questionnaire and check list and go through with them their
responsibilities in the Safety Management Procedures.

3.2. Project Management Structure for Safety.


Objective & Required Standards :
To ensure that the responsibilities for all the requirements of the Safety
Management Procedures have been delegated and a formal structure for
safety is established.
After completed the management structure for safety chart should be displayed
and distributed to all Managers detailed on the chart. It will require regular
updating to reflect staff changes.

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Organization and Responsibilities :


The Project Management shall assign the Safety and Occupational Health
officer to coordinate and maintain the record keeping required within the safety
Management Procedures.

3.3. Statutory Notification.


Objective & Required Standards :
To ensure that all the statutory notification actions have been taken before the
start of the project
Organization and Responsibilities :
The check list for this purpose shall be completed by the Project Manager
before any operations commence on site.

3.4. Post Start Check List.


Objective & Required Standards :
To ensure that safety measure has been implemented once the project has
started.
Organization & Responsibilities :
The check list for this purpose shall be completed by the Project Manager
before any operations commence on site.

3.5. Safety Awareness-Tender Stage.


Objective & Required Standards :
The objective of this stage is to ensure that the contractor are made aware of
the safety standards and requirement in this particular project.
Organization & Responsibilities :
The Project Planning and Control Manager is responsible for ensuring that the
questionnaires and check list have been addressed in the tender documents.
The successful tenderer/sub contractor/supplier must be forwarded a copy of
Project Safety Management Procedures and details of the kick off meeting to
be held prior to any commencement of the contract work.

3.6. Kick of Meeting.


Objective & Required Standards :
To ensure that the CONTRACTOR’S has a detailed safety plan, a kick off
meeting must be held The meeting must be held as far in advance of
commencement on site to enable problems raised to be resolved in time. Shall
be followed with safety meeting.

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Organization & Responsibilities :


The Kick off Meeting must be chaired by Project Manager together with project
team and the HSE coordinator.

3.7. Method Statement


Objective & Required Standards :
To ensure that the contractor has a written, detailed and safe system of
particular work prior to start.
Organization & Responsibilities :
The check list for this purpose must be used to provide guidance to contractor
on the requirements of a method statements for acceptability.

4. EFFECTIVE SAFETY MANAGEMENT.

4.1. Monthly Safety Plan


Objective & Required Standards :
Safety is a priority Management function of equal importance to quality,
completion schedule and cost.
The objective of Effective Safety Management is to achieve a consistently
improving safety record as measured by both the accident statistics and audits.
The required standard for each project is to better the company and it's own
safety record for the previous year. This will be the baseline for company
audits.
Organization & Responsibilities :
The Monthly Safety Plan is essential to achieve Effective Safety Management.
The Safety Plan is formulated at a monthly planning meeting chaired by the
Project Manager, attended HSE coordinator & the Safety Officer.
If appropriate, key Contractors personnel should also attend. At this meeting
the program of works for the next month will be tabled & discussed The
discussion is to focus on the safety aspects of the works program.

4.2. Safety Coordination Meeting


Objective & Required Standards :
The objectives of the Safety Coordination Meeting is to draw the management
safety representatives from each subcontractor/supplier together, to out line
the Monthly Safety Plan and to ensure coordination of Project Safety
Requirements.

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Organization & Responsibilities :


The Construction Manager is responsible to organize and chair the Project
Safety Coordination Meeting. Minutes must always be taken using the
standard meeting sheet. The standard meeting minutes sheet. The standard
minutes form is designed to reduce administrative work load but project may, if
they wish, use their own format.

5. SAFETY TRAINING

5.1. Objective & Required Standard :


To ensure that projects are run in a safe manner it is essential that all supervisory
staff & others with specific roles are adequately trained. It is also important that
induction Training is conducted & followed up at regular intervals to maintain a high
level of safety awareness. The following training is required :
1. Management / Supervisory Training
Each Subcontractor/Supplier must provide, for each Manager/Supervisor,
details of 1 day Health & Safety Training within the last 12 months.
2. First Aid Training
Contractors provide a trained First Aider to a ratio of 1 to each 50 employees.
Valid certificates of training are to be produced. [Keep an Up to date list at
each first aid point]
3. Fire Fighting Training
Sufficient personnel, the delegated fire wardens & security staff must be
trained in the use of fire fighting equipment & emergency procedures to ensure
a rapid response to any fire situation.Contractors with long contract periods is
to be included. Record dates of training & follow up sessions.
4. Induction Training
All site personnel must attend a safety induction training session when starting
on the project. Dependant upon the project size this is to be delivered as
follows:
o Daily prior to issue of site pass
o Once a week during the first week on site but prior to the issue
of a permanent site pass. and is to be conducted by either:

5. Safety Refresher Training


To retain the value of safety awareness, following induction training, it is
necessary to conduct refresher training,
Record names by Sub Contractor/Supplier

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6. Tool Box Talks


Contractors are required to conduct short weekly tool box talks which are
intended to highlight relevant safety topics to the site workforce.
Weekly details of tool box talk topics & names of personnel attending are
required for record by CONTRACTOR’S.

7. Skills Training
In order to make a positive contribution towards the prevention of plant related
accidents CONTRACTOR’S requires documentary proof of relevant
training/experience for all personnel operating or using plant or equipment
having a special skill requirement.
For international projects the existence of local training standards is to be
confirmed. Where no appropriate local training standard exists Contractor are
to be required to confirm what plant individuals are competent to operate. No
plant operation is to be permitted without such confirmation received in writing.

5.2. General - Record Keeping.


The site Safety Manager is to set up a Training Record file containing details of
training confirmed against Contractor Alternatively he can require each Contractor to
raise his own record of safety training which will be inspected each month at the
Safety Coordination Meeting.
The site HSE coordinator is to complete the monthly safety training checklist
signifying that the records have been checked.

5.3. Specific – Checklists


The site Safety Manager is to complete the following checklists in respect
Subcontractor information for training type, content & records:
ƒ Induction Training.
ƒ Skills Training.
ƒ Tool Box Talks.

6. CONSTRUCTION SAFETY COORDINATION

6.1. Temporary Work Coordination


Objectives & Required Standards
To ensure a structured system of design & checking is operated for all
Temporary Works Schemes. The system to be operated requires the formal
use of checklists completed by a named coordinator. These record design
responsibilities within the various contractual parties.
Organization & Responsibilities
Every project is to appoint a competent Temporary Works Coordinator.
Regardless of the size of project the Project Manager must appoint a site

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based Temporary Works Coordinator & he must be named in the box above. In
the event of a change of staff a new coordinator must be formally appointed &
recorded in this document.
Responsibility
The temporary Works Coordinator will be responsible for :
ƒ Identifying a temporary works requirements
ƒ Referring to Consultants & obtaining a conceptual solution
ƒ Obtaining a detailed design, including drawings & calculations, from either
the consultant or the Subcontractor
ƒ Getting Subcontractor designs checked by the Consultant
ƒ Obtaining all other necessary design approvals
ƒ Coordinating temporary works proposals between Subcontractors to ensure
that works for one package does not affect another & ensuring that the
stability of the structure as a whole is not impaired
ƒ Ensuring that the Subcontractor checks his erected scheme using a
"competent" person
ƒ Checking himself the completed works before loading
ƒ Monitoring the scheme weekly & recording the result in the scaffold register
The sequence of events above must be followed whatever the forms of
contract.
Competent Coordinator Person
The responsibilities of the Temporary Works Coordinator can be very great but
the need for such work is by no means obvious at the start of a project,
particularly with refurbishment work or the erection or major structures. person
Competent to carry out the task according to the anticipated difficulty (i.e.
Chartered Civil/Structure Engineer, Experienced Manager, etc.)
Engineering Safety Support
The named Temporary Works Coordinator must be authorized to seek support
from a Consulting Engineer with competence in temporary works design. (This
support must extend to the studying of drawings & the actual site to identify
temporary work requirements or the physical check of completed works, if
requested). However, the site based coordinator will remain responsible for
monitoring changes as the work progresses which could affect the temporary
works & seeking advice.
Link with the Scaffold Coordinator
The role of Temporary Works Coordinator should be considered separately
from that of Scaffold Coordinator, depending upon the size of the project, they
may or may not be the same person. There is a clear duty for both to meet and
discuss regularly scaffolding needs.
The temporary Works Coordinator is to control all design & checking

The scaffolding Coordinator is to monitor safe erection and use, the obtaining
of hand over certificates and the operation of the scofflaw system.

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Temporary Works Checklist


The Temporary Works Checklists are included in this section for the following
subjects :
ƒ Mobile Crane
ƒ Hoists
ƒ Scaffolding
ƒ Excavations
ƒ Structural Steel Erection
ƒ Stringing
ƒ Demolition
ƒ Falsework (Temporary Support for Structural Concrete Work)
ƒ Formwork (Molds & Shutters for Structural Concrete Work)
An appropriate checklist must be prepared and completed, for each separate
activity, erection, and operation.
Checklists are to be monitored within a recognized file system on site, for easy
reference by any member of CONTRACTOR,S Management Team

6.2. Fire and Emergency Procedures Coordinator


Objectives and required standard :
To provide a planned management system for the followings :
ƒ Emergency Procedures
ƒ Fire Precautions
ƒ Fire Fighting Arrangements
Organization and Responsibility :
The Project Manager is responsible for emergency procedures and fire
precautions. He must nominate a senior manager to carry out the duties of fire
and emergency procedure coordinator.

7. SAFETY AUDIT

7.1. Construction Superintendent Safety Inspection


Objectives & Required Standards
All jobsite need formal safety inspections, at least weekly, in order to maintain
a high safety standard. This is to be achieved by all Construction
Superintendents / Field Managers carrying out formal safety inspections of
their own or other areas of responsibility. By consistently doing this they will set
a leadership example for Subcontractor/Supplier management who are
expected to carry out similar inspections for their own operations
Organization & Responsibility
It's the Project Managers responsibility to ensure that the Construction Field
staff under his control conduct planned weekly safety inspections. A written

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report, for each area of responsibility, is to be produced listing faults & violation
found. The report is to be forwarded to the Subcontractor/Suppliers concerned
for the action, with a copy to the project manager.
All safety reports and details of the actions or outstanding are to be reviewed,
by the project manager, at the monthly safety plan meeting.
In addition on a day to day basis all the construction field staff are to issue
default noticed for violation of safety codes and procedures.
Safety Inspection for Report Format
A safety inspection report form is to be prepared as a guide to suit specific
project requirements. A memory guide is provided down the left hand side but
detailed guidance can be obtained from the side Accident Prevention Action
Handbook (APAH)
Safety Inspection Record Chart
The record chart is to be prominently displayed in the field office as an
immediate reference as to safety report status. Field Staff are to record their
inspections as completed and the Construction Superintendent is responsible
for monitoring activity.
Default Notices
A default notice is to be designed as a closed loop system and when
completed will confirm that violations of safety codes and procedures have
been actioned, by whom and record maintained.

7.2. Fire Precautions and Emergency Procedures Audit


Objectives & Required Standards
To ensure that the fire and emergency procedures are monitored to maintain a
high standard of emergency preparedness.
The minimum standards for emergency procedures shall comply with suitable
standard.
For project with significant fire hazard a specific fire plan must be prepared
involving the group safety manager.
Organization & Responsibility
The fire and emergency procedures coordinator is to responsible to insure that
emergency procedures are regularly monitored and the project manager is
brief as to the current status.
The audit checklists shall be used to confirm that the requirements are in
place. When a fire warden is employed, confirmation that the checking
procedures under his control are being adequately undertaken, and any
discrepancies remedied must be audited at the same time.
At three monthly intervals, a formal audit must be undertaken a subsequence
review meeting help, with the package work managers

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.
At six monthly intervals, the group safety managers will carry out a through
audit of all emergency procedures. The result will be passed to the project
managers for action when necessary.
An emergency procedures file is to be kept to ensure that all relevant
documentation is available centrally.

8. ACCIDENT REPORTING - INVESTIGATION ANALYSIS

8.1. Accident Reporting


Objectives & Required Standard
To ensure that accidents & injuries are recorded for Statutory, Insurance &
Company requirements. All accidents & injuries necessitating first aid
treatment are to be reported. Near miss/dangerous occurrences which had a
potential for serious injury are to be reported also.
Organization & responsibility
The HSE Coordinator is responsible for ensuring that all accidents are reported
using report where appropriate & that detailed reports on serious accidents are
made (Refer accident investigation). Where projects employ site medical
services personnel they are to be delegated the primary reporting function.
Notification of Accidents & Dangerous Occurrences
ƒ All Fatal, Major Injuries or Dangerous Occurrences must be reported
IMMEDIATELY by phone, facsimile or telex to:
Group Safety Manager :
Telephone :
Hand phone :
Facsimile :

ƒ Followed by an immediate preliminary report & a subsequent detailed report


complete with photographs & statements within 5 days.

ƒ Accidents resulting in more than 3 days absence from work (not counting
the day of the event) & not classified in 1 above are to be reported as soon
as the necessary absence period has passed.

ƒ Minor accidents resulting in no more than 3 days absence (not counting the
day of the event) or only requiring onsite first aid treatment are to be
reported monthly when submitting the monthly accident analysis report.

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Accident Report Forms


Copies of company report forms 'A' & 'B' are attached & are to be used as
follows:
ƒ Report Form A : All accidents as in 3 above.
ƒ Report Form B : All Accidents/Dangerous Occurrences as in 1 & 2 above
Copies of these are to be filed on site & originals passed to Project Engineer
Notification of Accidents & Dangerous Occurrences to Group Insurers
The Senior Construction Superintendent is to ensure that copies of all Report
Forms 'A' or 'B', together with any detailed report, statements & supporting
documentation are forwarded to Contractor’s Insurance Company
Notification of Return to Work Details
The Group Safety Manager & the Group Insurers are to be notified of the
return to work date of all injured persons for whom an Accident Report 'B' was
made out. These details may be attached to the Project Monthly Accident
Analysis Report.
Site Accident Resister
Accident Book must be used as a register for all projects within the Indonesia.
This Must be retained & returned to Operation Manager upon contract
completion. International Projects are to likewise use this book as a site master
record.
Definitions & Detain Guidance
Refer to Definitions of Fatal, Major injuries & Dangerous Occurrences. (A Fatal
Injury is any injury which results in death within 1 year of the event which
caused the injury)

9. SAFETY AWARENESS

9.1. Contractor Safety Rating


Objective
To raise the overall Project safety awareness by categorizing contractors
safety rating on a monthly basis.
Organization & Responsibilities
The HSE coordinator is responsible for reviewing the monthly safety
performance contractor assessing their individual safety rating. The safety
ratings are recorded in detail on the monthly chart & as a progressive total on
the master chart for easy comparison month by month over a project / contract
duration. Both the monthly & master charts are to be prominently displayed to
ensure maximum exposure to contractor representatives.

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Safety Rating System


Typical monthly & master Safety Rating Chart; are shown in this section.
On a monthly basis rate each contractor on a scale of 1-5 for the following
categories:
- Safe Place of Work
- Safe Systems of Work
- Effectiveness of Supervisory Control
- Use of Personnel Protective Equipment [PPE]
- Worker's Attitude to Safety.
The sub-total of these categories is recorded. Points are then deducted for the
monthly totals of :
- Injury
- Incident
The resulting total is divided by 5 to give the contractor's safety rating.
Monthly Safety Shield
The Subcontractor/Supplier which heads the monthly Safety Rating Chart is to
receive acknowledgement of it's achievement. Provide a small wooden shield
with space for the addition, each month, of an engraved plate naming
contractor The contractor is to be given a small memento, similarly engraved,
to retain. Hang the Monthly Safety Shield alongside the Safety Rating Charts.

9.2. Site Safety Awards


Site Safety Award
The monthly safety shield is to be formally presented to the
Subcontractor's/Supplier's Senior Management Representative by the
CONTRACTOR’S Project Manager. This is to be photographed by Polaroid
camera & made up into an A4 size poster. This is to be distributed to all
contractor attached to the minutes of the monthly safety co-ordination meetings

9.3. Contractor Safety Performance Review Meeting


Contractor who rate POOR in the monthly safety ratings are required to attend
a Safety Performance Review Meeting. This is to be chaired by the Project
Manager & HSE coordinator in attendance. Contractor concerned is to attend
with their Managing Director or his Head Office Representative, Project
engineer & HSE coordinator. They are required to make a presentation to
CONTRACTOR’S Engineering which must include :
- Safety Policy
- Their personal commitment to Safety
- Their means for safe systems & places of work
- Their supervisory control, including Safety Manager visits
- Workers' attitude to safety & use of personal protective equipment

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- Their arrangements for braining

Their actual on site performance as against their method statement is then to


be discussed. An action plan to improve their safety performance is to be
agreed & recorded.

10. ENVIRONMENTAL

10.1. Environmental Policy


CONTRACTOR’S recognizes that all industrial activity has an impact on the
environment and that it has a responsibility for both the long and short term
effects of it's operations on local, national and international ecology.
It will be primary to CONTRACTOR’S. and it's subsidiaries to:
- Reduce to a minimum the ecological impact of it's activities and to seek
ways to conserve natural resources.
- Meet or exceed all applicable Government environmental regulations and
establish stringent standards of it's own where such regulation does not
exist.
- Attempt to use non-polluting technologies and improve the energy
efficiency of products and processes.
- Assist, where relevant, Governments and local bodies to develop solutions
to pressing environmental problems.

To implement this Policy, the Company will ensure it's staff are aware of these
aims and of the need to assess and monitor the environmental implications of
activities within their area of responsibility, if necessary providing training to
heighten awareness.

10.2.Environmental Coordinator
Objectives & Required Standard
To ensure that all environmental aspects, including Noise & the Control of
Substances Hazardous to Health (are coordinated & in accordance with
CONTRACTOR’S Policy.
Organization & Responsibilities
On all projects irrespective of size the Project Manager must appoint an HSE
Coordinator.
The appointed coordinator is responsible for completing the following 4 (four)
checklists:
- Good Neighbour Policy
- Noise at Work
- Control of Substances Hazardous to Health
- Pollution.
and that the contractor environmental Register is raised & maintained.

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The overall requirements of the following Safety Memorandum (S.M.) are to be


implemented:
- COSHH Control Plan.
- Environmental Policy Statement
- Summary of Environmental issues
- Checklist for Environmental Protection on site
- Control of :
Noise at Work.
Noise on Construction & Demolition Sites
- Disposal of Waste

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APPENDIX B.102 - SAFETY PROCEDURE
TABLE OF CONTENT
1. SCOPE ....................................................................................................................................... 1
2. GENERAL RULES ................................................................................................................... 1
2.1. IDENTIFICATION............................................................................................................ 1
2.2. TRAFFIC RULES ............................................................................................................. 1
2.3. SITE CLEAN UP............................................................................................................... 2
2.4. POSTER AND SIGNS ...................................................................................................... 2
2.5. FIRE PREVENTION......................................................................................................... 2
2.6. ACCIDENTS ..................................................................................................................... 2
3. PERSONAL PROTECTIVE EQUIPMENT ............................................................................. 3
3.1. GENERAL :....................................................................................................................... 3
3.2. SIGHT AND FACE PROTECTION :............................................................................... 3
3.3. SAFETY BELT AND SAFETY HARNESS : .................................................................. 3
4. WORK AT ELEVATED PLACE ............................................................................................. 3
4.1. GENERAL :....................................................................................................................... 3
4.2. SCAFFOLDING :.............................................................................................................. 3
4.3. RAMPS AND LADDERS :............................................................................................... 4
4.4. MATERIAL HANDLING :............................................................................................... 4
5. HOT WORKS............................................................................................................................ 4
5.1. GENERAL......................................................................................................................... 4
5.2. PERSONNEL PREVENTION INFORMATION AND TRAINING ............................... 5
5.3. WORKPLACE AND TASK EVALUATION................................................................... 5
6. CONFINED SPACE WORK..................................................................................................... 6
6.1. SCOPE ............................................................................................................................... 6
6.2. DEFINITIONS................................................................................................................... 6
6.3. REQUIREMENTS............................................................................................................. 7
7. EXCAVATION ......................................................................................................................... 8
7.1. GENERAL......................................................................................................................... 8
7.2. ENTRY PERMITS ............................................................................................................ 8
7.3. PROTECTION................................................................................................................... 8
7.4. SPOIL ................................................................................................................................ 8
7.5. SUPERVISION.................................................................................................................. 8
7.6. EQUIPMENT .................................................................................................................... 8
8. WELDING WORK.................................................................................................................... 9
8.1. GENERAL......................................................................................................................... 9
8.2. WELDING WORK............................................................................................................ 9
8.3. GAS WORK ...................................................................................................................... 9
9. WORKING PLATFORM........................................................................................................ 10
9.1. GENERAL....................................................................................................................... 10
9.2. EQUIPMENT SELECTION............................................................................................ 10
9.3. EMERGENCY CONTROLS .......................................................................................... 10
9.4. OPERATING INSTRUCTIONS/LIMITATIONS .......................................................... 10
10. TOOLS AND EQUIPMENT............................................................................................... 11
10.1. GENERAL................................................................................................................... 11
10.2. GRINDING TOOLS.................................................................................................... 11
10.3. PNEUMATIC TOOLS ................................................................................................ 11
10.4. GUARDING ................................................................................................................ 11
11. EMERGENCY RESPONSE PROCEDURE....................................................................... 12
11.1. INTRODUCTION ....................................................................................................... 12

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11.2. OBJECTIVE ................................................................................................................ 12
11.3. SCOPE ......................................................................................................................... 12
11.4. POLICY ....................................................................................................................... 12
11.5. TYPE OF EMERGENCY SITUATIONS ................................................................... 12
11.6. EMERGENCY ORGANIZATION ............................................................................. 12
11.7. RESPONSIBILITIES .................................................................................................. 13
11.8. IMPLEMENTATION OF THE RULES DURING EMERGENCY........................... 14
11.9. THE MUSTER POINT................................................................................................ 14
11.10. SECOND ALERT STAGE.......................................................................................... 15
11.11. EXCEPTIONAL CASES............................................................................................. 15
11.12. COMMUNICATION................................................................................................... 16
12. INCIDENT INVESTIGATION PROCEDURE .................................................................. 16
12.1. PURPOSE .................................................................................................................... 16
12.2. DEFINITIONS............................................................................................................. 16
12.3. RESPONSIBILITIES .................................................................................................. 17
12.4. INCIDENT INVESTIGATION AND DOCUMENTATION ..................................... 17
13. HOUSE KEEPING .............................................................................................................. 18
13.1. GENERAL................................................................................................................... 18
13.2. SITE LAYOUT............................................................................................................ 18
13.3. BASIC REQUIREMENTS.......................................................................................... 18
13.4. SANITATION REQUIREMENTS ............................................................................. 19
13.5. ENVIRONMENTAL PROTECTION ......................................................................... 19
14. MOTOR VEHICLE SAFETY............................................................................................. 20
14.1. PURPOSE AND SCOPE............................................................................................. 20
14.2. PROCEDURE.............................................................................................................. 20
15. LADDERS ........................................................................................................................... 23
15.1. PURPOSE .................................................................................................................... 23
15.2. RESPONSIBILITY...................................................................................................... 23
15.3. PORTABLE LADDER................................................................................................ 23
15.4. FIXED LADDERS ...................................................................................................... 24

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SAFETY PROCEDURE

1. SCOPE
This Procedure covers the policy of Project Safety control up to the completion of
project. The work shall be performed in accordance with instruction stated in the
work permit issued for a particular job. In general the construction work permit covers
all work activities.
The primary purpose of this procedure is to prevent accidents, which may occur and
injure personnel and cause damage to the property.
The CONTRACTOR’S should perform the work safely under supervision of assigned
personnel who are fully responsible for the safe execution of the project.
The assigned personnel should observe all regulations, in particular the safety
regulations imposed at job site and provision of any offer regulations and laws of the
regional authorities.
To implement the detail of practical construction safety control CONTRACTOR’S
provides a safety program manual in accordance with this SAFETY PROCEDURE.

2. GENERAL RULES

2.1. IDENTIFICATION

All employees working on the jobsite shall wear a COMPANY issued tamperproof
badge at all times within the Jobsite. This badge shall show the registered number
and category of each workers.

2.2. TRAFFIC RULES

1) Parking : All vehicles shall be parked at the designated area except vehicles in
use for construction work. Motor vehicles and other mobile equipment shall not
be parked adjacent to fire hydrants, fire fighting equipment, building exits,
walkways, etc. In principle, all private cars shall be forbidden to drive inside the
construction area,.
2) Route to the site : All persons engaged in construction shall use the designated
entrances only and should not wander from their work site or loiter around
other areas.
3) Warning Signs : All workers shall obey both statutory and project traffic signs
such as street stop, slow down, etc. Materials hanging over the end or sides of
a vehicle shall be marked with a red flag.
4) Speed Limit : all drivers shall obey not only project speed limit but also
statutory one.

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2.3. SITE CLEAN UP

CONSULTANT shall manage all areas in a neat, clean and orderly condition,
throughout the construction phase.

2.4. POSTER AND SIGNS

Posters and signs shall be adopted as visual aids for accident and fire preventative.
Posters shall be written in two languages of Indonesian and English. They shall be
conspicuously displayed. These posters and signs shall not be removed or replaced
without safety supervisor’s permission.

2.5. FIRE PREVENTION

1) Smoking will be allowed only in the designated areas under controlled


conditions.
2) Fire extinguishers shall be provided where the use is permitted and/or fire
possibly occurs, such as in CONTRACTOR’S field office, warehouses, and
receiving substation.
3) Fire extinguishers shall always be accessible; nothing may be hung on a fire
extinguisher. It must be free of foreign objects.

2.6. ACCIDENTS

1) injuries : At the Jobsite, Safety department shall provide first aid facilities,
meeting with the requirements of the local laws and regulations for all persons
engaged in the construction work. When a person is critically injured, he shall
be taken to the designated hospital immediately after emergency medical
treatment. In addition, if death or serious injuries or serious damage is caused,
the accident shall be reported immediately by telephone or any other possible
means to CONTRACTOR’S Construction Manager or any other supervisory
staffs immediately.
2) Fire : In case of fire, the discoverer shall immediately notify to the
CONTRACTOR’S Supervisor staff by any telephone or possible means, giving
the name of the reporter and the location of the fire. Persons working adjacent
to the site of the fire shall immediately try to put out the fire with fire
extinguishers if the fire is small. If the fire is big, notify to local Fire Station
directly by any possible means immediately.
All road traffic must give the right-of-way to fire truck.
3) Accident Follow-up : Safety Officer shall prepare a written accident report for all
accident and submit it to his site Manager. Accident statistic shall be compiled
monthly. All accidents shall be investigated immediately by the safety
committee to clarify the cause and take corrective measures against
recurrence of similar accident.

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3. PERSONAL PROTECTIVE EQUIPMENT

3.1. GENERAL :

All workers shall wear suitable working clothes. Working with naked or half naked
and working on short pants is prohibited. Every worker shall wear a safety hat, safety
shoes at working places on the jobsite.

3.2. SIGHT AND FACE PROTECTION :

Workers engaged in hazardous work against their eyes or faces such as gas
welding, cutting, etc. shall be required to use goggles or face masks to protect
themselves from injuries. Worker engaged in electric welding, cutting or other similar
operations shall be required to wear helmets with shields and gloves.

3.3. SAFETY BELT AND SAFETY HARNESS :

Workers in heights or confined space or on steep slopes swinging scaffold, structural


steel or unstable workplaces at an elevation 2 meters or more above the ground
shall be secured by safety belts or safety harnesses and independent life lines.
Workers are requested to obey such instruction strictly without option.

4. WORK AT ELEVATED PLACE

4.1. GENERAL :

Scaffolds, ramps, ladders and platforms shall be provided for all work to be done 2
meters or more above the ground.
Erection, replacing and dismantling of scaffold, ramps and platforms shall be directed
by the Field Supervisors.
Unauthorized persons shall be prohibited from entering the erection and dismantling
areas of scaffoldings, ramps and platforms. Barricade ropes and caution signs like
NO ENTRY and DANGER OVERHEAD shall be displayed during such working
period. Wooden materials used for scaffolds, ramps platforms and runway shall be of
good quality.

4.2. SCAFFOLDING :

All scaffolding designing, erecting, dismantling, moving or alterations shall be done


by trained qualified personnel working under the supervision of designated
competent person.
All Employees required to perform work off scaffolds shall be trained by a qualified
person.
Scaffolds shall be inspected daily prior to use by a designated competent person.

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4.3. RAMPS AND LADDERS :

Ramps and Ladders shall be provided to secure safe passage for workers required
to work at a height or depth of more than 1,5 meters.
For slopes of more than 30 degrees, rungs and guard rails shall be provided. The
rungs shall be spaced 30 centimeters apart and nailed firmly. One platform shall be
provided for every 7 meters in height. All ladders, ramps, runways, and the
surrounding areas shall be free of materials, machines, and obstructions at all times.

4.4. MATERIAL HANDLING :

Materials, rubbish and tools shall not be thrown from upper levels or
to the ground. When lowering or moving materials on the ground,
suitable devices, such as chute, bag, container with a rope, or a
device tied securely with rope, shall be used.
During the work, the foreman shall carefully keep watch, provide “NO ENTRY” and
“DANGER OVERHEAD” signs, and rope-off the related work area for safety.
Excess materials shall not be placed on the work floor or runway. Materials, tools,
and equipment which may be displaced or fall shall be secured adequately.

5. HOT WORKS

5.1. GENERAL

The overall responsibility for the prevention of heat-related illnesses rests with
Project Managers and site safety personnel. However, the daily monitoring of
personnel for signs and symptoms of heat-related disorders rests with the
personnel and their first-line supervisors.
1. Project Manager
Assures that these guidelines are implemented and administered to the
extent feasible on the project.
2. Site Safety and Health Personnel
Provides personnel training, program evaluation, and guidance to
operations personnel.
3. First-Line Supervisor
Typically knows their personnel work-related capabilities and limitations,
and it is paramount that they monitor on a regular basis the condition of
each personnel assigned to them. They should pay particular attention to
the personnel's task, environment, and clothing, as well as any engineering
and administrative controls and personal protective equipment in use.
Often as a day-to-day role model for other workers, they shall be aware that
their actions and behavior may influence their subordinates. This is
particularly true for personnel just arriving at the project site. These
personnel may not be fully heat acclimated.

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4. Personnel
Every person tolerates heat differently. Since no empirical measure can
determine when an individual begins to sense heat stress, the primary
responsibility for heat stress monitoring should be the appropriately trained
personnel's determination of his/her condition.

5.2. PERSONNEL PREVENTION INFORMATION AND TRAINING

Heat stress awareness training should be provided at least once a year to all
project personnel. This training should include:
1. The hazards of heat stress
2. Recognition of predisposing factors, warning signs, and symptoms
3. First-aid procedures for, and potential health effects of, heat stroke and
other heat disorders
4. Personnel responsibilities in avoiding heat stress
5. Dangers of the use of drugs, including prescription and over the
counter medicines, and alcohol in hot work environments
6. Proper use of engineering and administrative (work practice) controls
7. Proper use of personal protective equipment
8. Measures personnel can take to minimize the effects of heat stress
(hydration, work pace, helpful nutritional habits, etc.)
9. What to do during a Heat Awareness Condition

5.3. WORKPLACE AND TASK EVALUATION

A thorough evaluation of the workplace may be necessary to identify tasks and conditions
that present a potential heat stress hazard. This evaluation should include observations,
discussions with workers and supervisors, and the review of any reported heat-related
disorders. Information that can help to determine heat stress potential and appropriate
control measures includes the following:
1. Job Location
Analyze the specific locations of each task, including proximity to heat producing
equipment.
2. Work Duration and Schedule
What is the frequency at which the task shall be performed and how much time is
required to perform the work? How much time is required for preparation, setup,
actual task performance, and any normal breaks? Excessive overtime work,
piecework, and machine-paced work are additional factors to consider. Each can
cause fatigue and increase heat stress potential.
3. Clothing
What workers wear can make a big difference in how much heat they build up. The
use of semi-impermeable or impermeable protective clothing and respiratory
protection shall increase heat load and metabolic rate. However, clothing can
shield a person from radiant heat. Cotton clothing generally retains less body heat.
Next is polypropylene, then polyethylene. Workers should avoid excessive layering
of clothing when heat stress is a potential hazard.

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4. Metabolism
Working muscles produce metabolic heat. Heavy work can create excess body
heat that is a major element in heat stress because it can increase body core
temperature and affect the brain's thermoregulatory control (thermostat).
5. Environmental Conditions
Air temperature, humidity, wind speed, and direct sunlight all affect heat stress
potential.
6. Existing Controls
What existing heat stress controls are being used? Considerable work can be
accomplished in very hot environments if appropriate control measures are taken.
On the other hand, simply standing in direct sunlight, for example, can cause heat
stress if no controls are in place.

6. CONFINED SPACE WORK

6.1. SCOPE

This procedure applies to all personnel who may authorize entry, supervise, or
monitor entrants and associated conditions, or enter into confined spaces.

6.2. DEFINITIONS

1. Acceptable Entry Conditions - The conditions that must exist in a permit space to
allow entry and to ensure that personnel involved with a permit-required confined
space entry can safely enter into and work within the space.
2. Attendant - An individual stationed outside the permit space who monitors the
authorized entrants and who performs all attendant's duties assigned in the permit
space program.
3. Authorized Entrant - An employee who is authorized by to enter a permit space.
4. Blanking or Blinding - The absolute closure of a pipe, line, or duct by the fastening
of a solid plate (such as a spectacle blind or a skillet blind) that completely covers
the bore and that is capable of with standing the maximum pressure of the pipe,
line, or duct with no leakage beyond the plate.
5. Confined Space - A space that is large enough and so configured that an
employee can bodily enter and perform assigned work, and has limited or
restricted means for entry or exit (e.g., tanks, vessels, silos, storage bins, hoppers,
vaults, and pits are spaces that may have limited means of entry), and is not
designed for continuous employee occupancy.
6. Double Block and Bleed - The closure of a line, duct, or pipe by closing and locking
or tagging two in-line valves and by opening and locking or tagging a drain or vent
valve in the line between the two closed valves.
7. Emergency - Any occurrence (including any failure of hazard control or monitoring
equipment) or event internal or external to the permit space that could endanger
entrants.
8. Engulfment - The surrounding and effective capture of a person by a liquid or finely
divided (flow able)solid substance that can be aspirated to cause death by filling or

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plugging the respiratory system or that can exert enough force on the body to
cause death by strangulation, constriction, or crushing.

6.3. REQUIREMENTS

6.3.1. General
A secondary function of the confined space entry program is to formulate plans
for emergency rescues of personnel from various confined spaces in the event
they would experience health problems that would prohibit unassisted egress
from the confined space.

6.3.2. Hazard Recognition


The work place shall be evaluated to identify all spaces with the following
attributes:
1. Is large enough and so configured that an employee can bodily enter and
perform assigned work, and
2. Is not designed for continuous employee occupancy, and
3. Has limited or restricted means of entry or exit (e.g., tanks, vessels, silos,
storage bins, vaults, hoppers, and pits are spaces that may have limited
means of entry).
4. Contains or has a potential to contain a hazardous atmosphere, and/or
5. Contains a material that has the potential for engulfing an entrant, and/or
6. Has an internal configuration such that an entrant could be trapped or
asphyxiated by inwardly converging walls or by a floor which slopes
downward and tapers to a smaller cross section, and/or
7. Contains any other recognized serious safety or health hazard.
8.
6.3.3. Hazard Control Measures
Management shall inform personnel that the workplace contains confined
spaces and that confined space entry is allowed only through compliance with
the requirements of this standard. Whenever personnel must enter a specific
permit-required confined space, management shall:
1. Apprise the Entry Supervisor of the elements, including the hazards
identified and any experience with the space, that make the space in
question a confined space.
2. Apprise the Entry Supervisor of any precautions or procedures for the
protection of personnel in or near confined spaces where personnel will be
working.
3. Coordinate entry operations with the Entry Supervisor, when personnel will
be working in or near permit space

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7. EXCAVATION

7.1. GENERAL

The purpose of this standard is to specify requirement for safety in earth


excavation works and concrete breaking.This standard applies to all excavation,
trenches, shafts and earth works.

7.2. ENTRY PERMITS

An excavation entry permit shall be issued prior to entry by personnel have


otorisation.
• The entry permit shall be posted at work site
• Excavation shall be inspected daily by a designated competent person.

7.3. PROTECTION

Employees who enter excavation 1.2 meters or more in depth shall be protected by
a system of shoring, hoping of the ground, benching, or other alternate means.
Protection of employees who work in excavations less than 1.2 meters in depth
shall be provided with protection when examination by a qualified person indicates
that hazardous ground movement may be expected.

7.4. SPOIL

Excavated material shall be prevented from falling back into the excavated area
where are working.

7.5. SUPERVISION

Work in an excavation shall, at all times, be under immediate supervision of a


qualified person.

7.6. EQUIPMENT

An employee working near operating excavation is required to work in a safe


portion such that the employee is not in danger of falling into or contracting the
machine’s moving parts.

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8. WELDING WORK

8.1. GENERAL

All welding and cutting apparatus shall be inspected daily. Defective apparatus and
equipment shall be replaced or repaired. Combustible materials equipment such as
gas cylinders, rubber hoses, and debris shall be removed or shielded from heat,
spark, and slag from welding and cutting.

Welding or cutting work at elevated places shall be conducted only


under safe conditions. A safety belt shall be worn.

Welding or cutting in a area where flammable vapor may be present shall be


carried out carefully after, under the supervision safety engineer, conforming with a
gas detector that the area is safe. When welding or cutting in confined areas for a
long time, the space shall be well ventilated. During the work, the concentration of
oxygen in the air must be greater than 18 percent. When working in a confined
area, the workers should at least be paired to avoid accidents and air blower shall
be provided.

8.2. WELDING WORK

Welding machines shall be placed 15 centimeters above the ground to keep them
dry. Welding machines shall be placed level and secure with a suitable wedge to
keep them in a horizontal position. All electric welding machines shall be effectively
grounded.
The ground lead for the welding machines shall be mechanically strong and
electrically adequate for the service required. Approved connectors shall be used
to connect the welding cable between the welding machine and electrode holder.
Only electrode holders that have passed the inspection shall be used. Whenever
welding work is suspended or the welder leaves the construction area, the switch
shall be turned off and the welding rod disconnected form the holder.

8.3. GAS WORK

Cylinders shall be stored in a well ventilated location and shielded from direct
sunlight with steel plates or incombustible canvas.
It is preferred to have the cylinders in service secure in portable racks or hand
carts and their testing certificate still valid.
Cylinders transported by crane, hoist, or derrick shall be loaded on cradles, nets, or
skid pans, but never in slings or chains or by magnets. Cylinder caps must be
screwed on transit, and whenever the regulator is not in place. Acetylene cylinders
shall be in an upright position during use and secured to prevent displacement,
Oxygen cylinders and fittings shall be kept away from oil or grease and not handled
by oily hands or gloves. All cylinders shall be tagged “FULL” or “EMPTY”, and
empty cylinders shall be returned immediately to the storage area.

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All connections between hoses, hose and torch, and hose and regulator shall be
tightened rigidly with hose band.
Pressure gauges with cracked glass or damaged regulators shall be renewed.
Before starting work, a leakage test shall be made at all connections with a Soapy
solution.
The torch valve shall be closed, and the gas supply shall be shut off whenever
work is suspended.
When work is completed, the cylinder’s block valve shall be closed, and regulators
and hoses shall be removed and put in the tool box.
A flame arrester should be installed between hose and cylinders.

9. WORKING PLATFORM

9.1. GENERAL

The purpose of this standard is to specify requirements for the setup, operation,
safety, and maintenance of aerial work platforms.

9.2. EQUIPMENT SELECTION

The equipment shall be matched to the anticipated work, taking into


consideration such things as:
1. Boom length
2. Method of propulsion
3. Terrain

9.3. EMERGENCY CONTROLS

Equipment shall have “emergency" controls on the carrier from which all
functions can be controlled.

9.4. OPERATING INSTRUCTIONS/LIMITATIONS

1. Set up only on firm, level ground.


2. Outriggers (if equipped) shall be set prior to raising basket.
3. No more than two personnel shall occupy the basket at one time (or more
than the manufacturer’s specifications).
4. A safety harness shall be worn with lanyard attached to the handrail, or
other designated attachment.
5. Top and mid-rail shall not be used to stand on.
6. Basket shall not be used to raise material other than small parts and hand
tools; no rigging from the basket or boom.
7. Personnel shall stay in the basket when aloft and not use it for access to
elevated work locations unless authorized by the HSE coodinator and the
Project Engineer.
8. Baskets shall not be rested on piping, conduit, cable tray or similar
structures.

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9. Control levers shall be clearly labeled and guarded to prevent accidental


tripping.
10. The basket or boom shall not be operated within 20’ of any energized
overhead electrical lines.
11. Counterweight swing shall be barricaded if counterweight extends beyond
the carrier or tires and creates a crush point hazard.
12. Baskets shall never be used to free the carrier from mud or similar stuck
positions. Aerial lifts can be severely damaged if the basket is forced down
onto the ground to create leverage for freeing stuck carriers.

10. TOOLS AND EQUIPMENT

10.1. GENERAL

All tools shall be kept in satisfactory condition and used only for the purpose for
which they are designed. Prior to use, all hand power tools shall be inspected and
tested to ensure safe operating condition. Periodic inspection shall be made to
assure safe operating conditions, detective tools shall not be used.
When work is being carried out at an elevated position, tools not in use shall be
secured or place in holders.
Hurling tools or materials from one location to another, from one worker to another,
or dropping them to lower levels shall be prohibited.
Only non-sparking tools shall be used in locations where hazardous vapors exist
which may initiate a fire or explosion. Power tools shall be operated only by
designated personnel.
Flexible rubber cable shall be used for all portable electric tools. Waterproof
connectors shall be used for cable connections.
Electric hand tools shall be grounded.

10.2. GRINDING TOOLS

Use of cracked or damage grinding wheels shall be prohibited.

10.3. PNEUMATIC TOOLS

Compressed air shall be exhausted from the line before disconnecting tools from the
line. Air hoses shall be pressure-rated by the manufacturer, and this pressure shall
not be exceeded. Defective hoses shall not be used. Hoses shall not be left on
ladders, steps, scaffolds or walkways. The use of compressed air for blowing dirt
from the hands, face, or clothing is prohibited

10.4. GUARDING

1. When power operated tools are designed to accommodate guards, they shall be
equipped with such guards when in use.
2. Belts, gears, shafts, pulleys, sprockets, spindles, drums, fly wheels, chains, or
other reciprocating, rotating or moving parts of equipment shall be guarded if such

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parts are exposed to contact by personnel or otherwise create a hazard. Guarding


shall meet the requirements set, Safety Code for Mechanical Power-Transmission
Apparatus.
3. One or more methods of machine guarding shall be provided to protect the
operator and other personnel in the machine area from hazards such as those
created by point of operation, ongoing nip points, rotating parts, flying chips, and
sparks. Examples of guarding methods are barrier guards, two-hand

11. EMERGENCY RESPONSE PROCEDURE

11.1. INTRODUCTION

Emergency Situation Rarely can be anticipated and usually require immediate action
by those involved. This emergency control phase provided a systematic approach
that will help to normalize a confusing situation as rapidly as possible.

11.2. OBJECTIVE

To provide an action plan to be used as a general guide by personnel, if and when a


Emergency should occurred.

11.3. SCOPE

This plan is for CONTRACTOR’S personnel, include all contractors / third parties
who involved on site of CONTRACTOR’S activities.

11.4. POLICY

Proper response to all accidental occurrences will be provided including containment


and central and corrective measures.

11.5. TYPE OF EMERGENCY SITUATIONS

• Fire in accommodation
• Security incident
• Medical incident / medical evacuation

11.6. EMERGENCY ORGANIZATION

A Team group who have the commanding position or be responsible to execute the
emergency response should be established.
A typical emergency response team at a project job site comprise of the following :
Team Leader : Project Manager
Deputy I Team Leader : HSE coordinator
Deputy II Team Leader : HSE inspector
Public Information Officer/
Community Relation : Project Engineer
Security Officer : Security Officer

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11.7. RESPONSIBILITIES

The authority and responsibility of each member of the team is described as follows

11.7.1. Team Leader


• To take command on the entire organization in case of emergency.
• To give instruction on how the personnel should response in case of emergency.
• To receive report from subordinates and evaluate them to develop further actions.
• Be responsible for successful execution of the emergency escape.

11.7.2. Deputy Team Leader I


• Assist the Team Leader to organize the emergency escape.
• Control the entire works site to assure that condition is according to the
requirement of an emergency situation.
• Coordinate with other leading personnel.

11.7.3. Deputy Team Leader II


• Assist the Team Leader to organize the emergency escape.
• Be responsible on the safety aspect during the emergency situation.
• Coordinate with other leading personnel.

11.7.4. Security Officer


• Be responsible on the security aspect during the emergency escape.
• Control the traffic flow during the emergency.
• Control the entire works site to assure that nobody is still at the work site.
• Coordinate with other leading personnel.

11.7.5. Public Information Officer/Community Relation


• Responsible for announcing several stages of the emergency condition.
• Assist in directing the route of the emergency escape.
• Responsible for the counting of personnel at the point of assembly.
• Communicated with the neighborhood to inform about the current situation.
• Coordinate with Community Leader to prepare for further movements.
• Provide guidance to the community through the community leaders about the
emergency escape.

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11.8. IMPLEMENTATION OF THE RULES DURING EMERGENCY

The Emergency Alarm


o Initial Stage/Major Emergency : 2 minutes continuous
o Second Stage/Evacuation : 5 minutes continuous
o All Clear : 30 second continuous
The Emergency alarm related to COMPANY Emergency Procedure

The Place of Assembly


This is usually called the “muster point” that is an open area where the people
will assembly during an emergency situation.
This place of assembly should be spacious to accommodate the number of
employees.
A pole with metal plate on top of it is placed at the muster point. The metal plate
painted blue bears the words “MUSTER POINT” in white letters.

The Escape Execution


The initial stage alert.
After hearing the alarm all workers should :
• Cease working
• Stop all engines
• Disconnect all electric power
• Descend from elevated places and proceed to the direction of the “Muster Point”
• Walk orderly to the escape route
• Follow instructions from the leading personnel.

11.9. THE MUSTER POINT

• Arriving at the Muster Point the worker shall assemble together with their work
groups.
• The worker shall report their work group leader (foremen or supervisor)
• The work leader shall count the number of the workers of their work group.
• All personnel should wait for further instructions.

The Deputy Leader I

Inspects the entire work site and make necessary notes and take necessary
steps depending on the situation.

¾ In case of a fire : As reported by a worker who could not extinguish


the fire with a portable fire extinguisher, the deputy
I leader mobilizes the fire brigade and fire engine
to extinguish the fire.

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¾ In case of explosion : Causing damage to materials such as machines


and structure the area is roped off by the deputy
leader I or his designee.
Only authorized persons are allowed to enter the
affected area to do investigations.
¾ In case there are :

Victims of the disaster : Save life first providing help to the persons who
are still alive.
Mobilize a crew who assists in rendering help to
the victims.
Mobilize an ambulance to transport the victims
(injured and/or death persons if any).

11.10. SECOND ALERT STAGE

If the second alert stage alarm is given all persons at the muster point should be
prepared to proceed to other designated places.

¾ The Team Leader:


Give specific instruction to all leading personnel how to proceed.

¾ Leading Personnel
Lead all work groups to the vehicles, which are ready to take them to the (safer)
designated places.
The evacuation should be executed in an orderly manner and the persons are
requested not the panic.

All Clear Alarm after the second alert

If after the second alert the all clear alarm is communicated all personnel should
return to the work area and resume their previous work.

The location of the next (safer) area should be designated in advance and should
be able to accommodate the number of all project personnel.

The Logistic supply should at least cover the supplies for about seven days.

11.11. EXCEPTIONAL CASES

If it is necessary to evacuate personnel who need intense care, an agreement should


be settled down with a owner hospital.
If it is extremely necessary to evacuate a person to other (better) medical facilities,
transport through air should be available.

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Helicopter transportation with its facilities (Air Traffic Control, Landing Pad, etc.)
should be establish.

11.12. COMMUNICATION

To establish communication a Very High Frequency device is recommended.


Hand held radio equipment shall be used.
Other communication equipment are :
¾ Mass announcing loudspeakers / Megaphones
¾ Paging system
¾ Telephone
¾ Cellular telephones
¾ Duplex transmitting devices
Frequency of the radio equipment should be determined.
Internal telephone numbers and telephone numbers of authority outside the
organization/project should be known and posted at easy to view locations.

12. INCIDENT INVESTIGATION PROCEDURE

12.1. PURPOSE

The purpose of this procedure is to describe the Contractor’s incident reporting


and recording requirements and the procedure for accident/incident investigation.
The following procedure specifies who is responsible for reporting, recording and
investigating of incidents, and the process to report hazards / incidents.

12.2. DEFINITIONS

12.2.1. Incident
An incident is an unplanned event, which may or has lead to injury to persons
or damage to property or equipment
12.2.2. Hazard
A hazard is a source of potential harm to people or a situation with potential to
cause injury or loss to plant, property or equipment.

12.2.3. Workplace
Any place, whether or not in a building or structure, where employees or self–
employed persons work.

12.2.4. Notifiable Incidents


A notifiable incident is an incident which results in:
1. The death of any person; or
2. Person requiring medical treatment within 48 hours of exposure to a
substance; or
3. A person requiring immediate treatment as an in patient in a hospital; or

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4. A person requiring immediate medical treatment for:


• the amputation of any part of his or her body; or
• a serious head injury; or
• a serious eye injury; or
• the separation of his or her skin from underlying tissue (such as de-
gloving or scalping); or
• electric shock; or
• a spinal injury; or
• the loss of a bodily function; or
• serious lacerations

12.2.5. Notifiable Dangerous Occurrence


A dangerous occurrence is an incident at a workplace which exposed a person
in the immediate vicinity of the incident to an immediate risk to the person’s
health and safety through:
• The collapse, overturning, failure or malfunction
• Collapse or failure of an excavation or of any shoring supporting an
excavation; or
• The collapse or partial collapse of any part of a building or structure;
or
• An implosion, explosion or fire; or
• The fall or release from a height of any plant, substance or object.

12.3. RESPONSIBILITIES

HSE manager are responsible for incident reporting and investigation within
areas under their control.
This includes:
• Signing the incident report form, which indicates that the signatory, knows
about the incident, is reasonably sure that the information is correct and is
committed to an agreed prevention action.
• Ensuring that preventative controls are auctioned.
While there may be occasions when an employer is not aware of an incident
until sometime later, procedures should be in place to ensure swift notification
as soon as the employer becomes aware. If any work poses an immediate
threat to the health or safety of any person, management representatives and
health and safety representatives may, after consultation, direct that work shall.

12.4. INCIDENT INVESTIGATION AND DOCUMENTATION

When an incident / hazard has been reported an investigation to the causes must
take place within 24hours of the event by the relevant manager / supervisor of
the area.

When investigating the incident/hazard all events leading up to the incident


should be reviewed. An effective investigation will look for the design,

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environmental and behavioral components of an incident and not look for a single
cause. The investigation should:
• Identify causes, such as design, environment, behavioral or
management factors
• Identify problem areas or particular hazards
• Recommend corrective action
• Provide information that can be used as a preventative tool
• Provide management, supervisors, health and safety representatives
and committees with data about health and safety problems
• Provide information that can be used to analyze the need for training
programs
• Provide information to assist with the preparation of compensation
claims.
All investigations must be documented and preventative controls put in place.
The Occupational Health and Safety Section will investigate/assist in
investigation of all notifiable incidents and dangerous occurrences in consultation
with the area managers.

13. HOUSE KEEPING

13.1. GENERAL

It is the responsibility of the Site Manager to ensure that all managers enforce
good housekeeping practices..

13.2. SITE LAYOUT

A planned, clean, orderly project site is mandatory. Worksites, shop areas and
lay down areas shall be kept clear of scrap and unnecessary materials. Materials
necessary for work shall be properly stacked and kept out of roadways to allow
proper access for fire fighting equipment. Lay down areas shall be planned and
laid out in sections with access roadways adequate for fire fighting and materials
handling equipment.

13.3. BASIC REQUIREMENTS

1. Scrap lumber, scrap materials, form work, etc. shall be picked up, de-nailed,
and stored or put in waste bins as the work progresses.
2. Full waste bins shall be removed from site on a daily basis.
3. Waste bins shall not be overfilled.
4. Areas where personnel are expected to pass or work shall be kept free of
tripping hazards such as small pipe scrap materials, rolled steel, etc.
5. Trash barrels are located throughout the project site and shall be used.
6. Surplus materials shall be returned to the stockpile at the completion of each
job.

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7. Tools and materials shall be kept in gang boxes or returned to the tool room,
and not be left where they create a hazard for others.
8. Oily rags shall be placed in approved metal containers.
9. Spilled liquids shall be wiped up immediately.
10. Soiled clothes, food scraps and soft drink bottles/cans shall not be left to
accumulate.
11. If drinking cups are used, they shall be deposited in the containers provide
12. Periodic checks shall be made on the cleanliness of drinking water and eye
wash.
13. Sandwich wrappers, paper bags, and food waste shall be deposited in covered
containers.
14. Toilets, wash-up facilities, and drinking water cans are provided for employee
convenience and comfort, and shall be kept clean and sanitary.
15. Flagging placed to designate hazardous areas shall be tagged by the
supervisor placing it, maintained, and off the ground or removed when
unnecessary.

13.4. SANITATION REQUIREMENTS

All toilet facilities shall be maintained clean on a continuous basis cleaning, and
disposal services for the toilet facilities and sources of water. All facilities shall be
furnished in accordance with these requirements and any other applicable
Indonesian laws.
1. One toilet shall be furnished for each 15-20 workers of each sex and located
within a reasonable distance to each work area. Toilets shall be located at
designated areas only.
2. A minimum of one washing facility shall be established on each job.
Additional facilities shall be provided as needed to assure workers adequate
facilities to promptly remove any harmful chemicals, oil, grease, etc. in order
to minimize dermatitis, infection and food contamination.
3. Hand soap or similar cleaning agent shall be provided. In addition, provision
of individual paper hand towels is suggested as a sanitary means to dry the
hands. This shall minimize the exposure to toxic materials that can cause
serious physical harm or death.

13.5. ENVIRONMENTAL PROTECTION

All site personnel shall comply with the following:


1. Do not allow any oils, fuels, lubricants, paints, solvents, acid or alkali’s,
chemicals, or contaminated wastewaters to migrate into the plant ditch
system or discharge any of this material on the ground.
2. Spills of petroleum products, chemicals or other materials shall be reported
immediately to the CONTRACTOR’S HSE Coordinator and immediate spill
containment and clean up actions shall be taken.
3. Washing and maintenance of vehicles may only be done in contained areas
specifically designated by CONTRACTOR’S

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4. All tank age, storage and loading/ unloading of chemicals, fuels and similar
bulk materials (except refueling of equipment from motorized fuel tankers)
shall be in curbed or dike areas.
5. There shall be no open burning of materials, brush, tires, construction
materials, oils, etc.
6. Nontoxic waste such as office trash, construction materials, concrete rubble
and scrap metal generated from a project shall be properly disposed of on a
daily basis.

14. MOTOR VEHICLE SAFETY

14.1. PURPOSE AND SCOPE

As part of its goal to provide a safe and healthful workplace, This procedure
applies to all employees who operate motor vehicles in the performance of their
job duties.

14.2. PROCEDURE

14.2.1. General Rules. All drivers shall:


1. Have a valid driver’s license.
2. Obey the laws and regulations of the state/territory in which the vehicle is
operated.
3. Inspect vehicles (at least monthly) in accordance with operator’s manual
and manufacturer’s recommendations. It is also recommended that vehicles
be inspected prior to making a long trip or driving off-road
4. Have seat belts fastened when driving and ensure that passengers also
fasten their seat belts.
5. Carry a two-way radio or cellular phone, if available.
6. Be prepared with the following emergency equipment in case the vehicle
breaks down:
• Flashlight
• Jumper cables
• Flares or reflective triangles

14.2.2. Motor Vehicle Accidents.


When an accident occurs, all drivers shall:
1. Get vehicle to the side of the road, if possible.
2. Put on flashers.
3. Set out reflective triangles or road flares to warn other drivers.
4. Notify authorities as soon as possible if an accident occurs and follow
reporting procedures .

14.2.3. Driving in Rainy Conditions.


The following guidelines are recommended for safe driving in winter conditions:
1. Ensure that the vehicle is in proper operating condition prior to each trip:
• Cooling system is full.

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• Tires are inflated and have sufficient tread to handle slippery conditions.
• Wiper blades are in good condition, the windshield washer works and
washer fluid reservoir is full.
• The battery is fully charged.
2. Follow safe-driving tips:
• Check tire chains for broken hooks, worn or broken cross links, and bent
or broken side chains. Carry the right number of chains and extra cross
links.
• Start slowly in slippery conditions.
• Avoid making any sudden changes in direction or speed.
• Keep the headlights on.
• Be prepared with the following emergency equipment in case the vehicle
breaks down.
14.2.4. Driving in Hot Weather.
When driving in hot weather conditions all drivers should:
1. Check the tire mounting and air pressure.
2. Check to determine if air conditioning system is in operating condition.
3. . Periodically check the water temperature or coolant temperature
gauge.
14.2.5. Railroad Crossings.
Railroad crossings, especially unprotected crossings in remote areas, can pose
a hazard to drivers. At railroad crossings all drivers shall:
1. Slow the vehicle to allow time to look in both directions of the crossing
for anon coming train.
2. Listen for the sound of a train whistle. This may require turning down or
turning off the vehicle’s radio and/or interior fan.
3. Proceed through the crossing with caution.

14.2.6. Driving off the Road.


The following guidelines are for drivers when driving off-road:
1. Inspect vehicles in accordance with operator’s manual and manufacturer’s
specifications
2. If carrying a load, be sure that the load is properly balanced. Heavy items
should be placed forward of the rear axle for better traction. Avoid using
roof racks as this could lead to vehicle instability in steep terrain.
3. If available, acquire a map of the area in which you will be traveling.
4. Alert the supervisor about the travel plans including time of departure,
estimated time of arrival and planned route.
5. When conditions appear difficult, stop and park the vehicle. Get out and
survey the area on foot to help in determining the safest route.
6. When negotiating slopes, keep the use of the clutch (if applicable) and
brake toe minimum. This reduces chances of sliding and losing control of
the vehicle.

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7. When descending steep slopes, use first gear. Braking should be provided
by the engine. Apply the accelerator carefully so that you do not cause the
wheels to spin.
8. Avoid any existing wheel ruts and obstacles which may not be cleared by
the chassis. Be aware of the need to maintain ground clearance.
9. If the ground is soft, you may reduce the tire pressure to a minimum and
clear clogged tire treads to improve traction.
10. As a rule, do not take chances in dangerous terrain. Choose another route
or turn back.

14.2.7. Emergency Flashers, Horns, and Signaling.


To ensure proper communication of actions to other drivers or pedestrians,
follow the guidelines below:
1. Signal before making a turn.
2. Signal before changing lanes.
3. Use emergency flashers when parked at the side of the road.
4. Use headlights when driving during daylight and night-time hours.
5. Use horn to warn other drivers of the dangerous situation.

14.2.8. Leaving the Road.


When leaving the road all drivers should follow these guidelines where
possible:
1. Avoid braking. If possible, avoid using the brakes until speed has dropped
to about 20 mph.
2. Keep one set of wheels on pavement if possible;
3. Stay on the shoulder.
4. Signal and check your mirrors before pulling back onto the road.

14.2.9. Cellular Phone Use.


Cellular phones can be a lifesaver in case of automobile accidents, vehicle
breakdown or when personal safety is in danger. However, unsafe operation of
a cellular phone in a non-emergency situation may become a cause of an
accident. To ensure safety while operating the phone, practice the following
guidelines:
1. Avoid using the phone while driving, unless an emergency call must be
made. Do not use the phone when driving under hazardous conditions.
2. Do not take notes or look up numbers while driving. If necessary, pull off to
a safe area and make the necessary notes or check needed numbers.
3. Do not engage in stressful or distracting conversations while driving. Let the
other party know you are driving and, if necessary, suspend the
conversation until a later time.
4. Become familiar with all the features and operations of the phone. Read the
instruction manual and learn the use of valuable features such as one-touch
dialing, auto re-dial and memory dial. Work to memorize the keypad so that
you can dial without taking your eyes off of the road.
5. Keep your phone within easy reach. Keep it where you can reach it without
taking your eyes off the road.

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6. When available, use hands-free devices. A number of hands-free phone


accessories are readily available.

7. Dial important number if assistance is needed in an emergency.

15. LADDERS

15.1. PURPOSE

The procedure are safe practices addresses the placement and use of ladders.

15.2. RESPONSIBILITY

All areas using ladders must comply with the standard. All employees must
understand the safe ladder use and practice.

15.3. PORTABLE LADDER

15.3.1. Procedure
1. Place the ladder base at a 1:4 ratio from the vertical (horizontal/vertical). For
every 4 feet of working length the base of ladder should be 1 foot out from the
top support
2. Extend ladder 3 feet above the top support point.
3. Use ladders only in a vertical position. Ladders are not a substitute for a
scaffold or a runway between two elevated surfaces.
4. Keep ladder directly off of window panes or sashes.
5. Keep ladders away from front of a door that opens toward the ladder unless the
door is locked, blocked, or guarded.
6. Place a portable ladder so both side rails have secure footing. Provide solid
footing on soft ground to prevent the ladder from sinking.
7. Place the ladder feet on a substantial and level base not on movable objects.
8. Lean ladder against secured backing.
9. Securely lash or otherwise fasten ladder to prevent slipping when using a
ladder for access to high places.
10. Secure bottom and top of ladder to prevent displacement when using ladder for
access to a scaffold.
11. Keep ladder away from electrical wiring.
12. One person at a time will be on a ladder.

15.3.2. Inspections
Make periodic ladder inspections for structural integrity.
Conduct quarterly inspections as a minimum. Record all inspections made.
Remove defective ladders from service when noted during inspection. Tag it
with "DANGEROUS - DO NOT USE". Do not use until ladder is repaired.
Destroy any ladder that cannot be repaired.

PT ENCONA INTI INDUSTRI


Doc. No : 05.CHM.513/ZAi/B.337
Revision : 00
Date : October 22, 2007
Page : 24 of 25

15.3.3. Ascending/Descending Ladder


1. Both hands must be used on ladders. Raise/lower needed material by
mechanical means.
2. Keep the center of gravity centered as much as possible between the hands
and the foot that is in contact with the ladder.

3. Always face the ladder going up or coming down.


4. Never slide down a ladder.
5. Make sure shoe bottoms are not greasy, muddy, or slippery before you
climb.
6. Do not climb higher than the third rung from the top on extension or straight
ladders or the second tread from the top on step ladders.

15.3.4. Other Practices


1. Make sure step ladder is fully opened and the metal spreader locked before
you start to climb ladder.
2. Keep ladders clean and grease free.
3. Do not use ladders during a strong wind except in emergency and only then
when tied securely.
4. Do not leave placed ladders unattended.
5. Avoid using metal ladders around energized electrical circuits or equipment.

15.4. FIXED LADDERS

15.4.1. Definition
Fixed ladders cannot be moved. Provide access to specific elevated locations.
All fixed ladders over 20 feet in length must have a cage or well.

15.4.2. Other Characteristics


1. Pitch of 75-90 degrees
2. Designed to bear a load of 200 pounds
3. 3/4 inch rung diameter
4. Rungs 16 inches wide
5. Rungs spaced no more than 12 inches apart
6. Hand or side rails extending 3 ½ feet above the landing
7. Minimum clearance of 2 ½ feet on the climbing side of ladders with 90
degree pitch and 3 feet for a 75 degree pitch
8. Clear width of 15 inches on each side of the center line of ladder
9. 7 inch clearance in back of ladder to assure adequate footing
10. Painted, if metal or appropriately treated to prevent deterioration if
conditions indicate

PT ENCONA INTI INDUSTRI


Doc. No : 05.CHM.513/ZAi/B.337
Revision : 00
Date : October 22, 2007
Page : 25 of 25

15.4.3. Requirements
Projects requiring the installation of fixed ladders must be done under the
direction of a professional engineer.

When fixed ladders are used on towers, tanks, or chimneys, use appropriate
ladder safety devices. A ladder safety device is an appliance that will arrest the
fall of an individual.

PT ENCONA INTI INDUSTRI


APPENDIX B.103 - CURRICULUM VITAE
CURRICULUM VITAE

SUTANTO

1. PROPOSED POSITION : HES MANAGER


2. NAME : Sutanto
3. DATE OF BIRTH : Wonogiri, March 06th, 1950
4. NATIONALITY : Indonesia
5. EDUCATION : - Akademi Teknologi Negeri (ATN), Semarang
Graduated in Chemical Industry, 1973
- Indonesia University, Jakarta
Graduated in Public Health, 1999
- Jenderal Sudirman University, Purwokerto
Graduated in Economic (Management), 2001
6. PROFESSIONAL COURSES :
FOREIGN :
June 1994 : Technical Symposium on Halon Alternative, Tennesee – USA.
June 1994 : Chemical Process Safety Management, American Society of
Safety Engineers, Las Vegas – Nevada.
June – Dec 1993 : Technical Training EHS Specialist Mobil Oil EHS Inc., USA.
1992 : Poly Propilen Project Safety Review, Pertamina UP III, Plaju,
Sungai Gerong - Japan
Sept 1991 : Safety Conference, Group Safety Centre BP International Limited,
UK.
Aug – Oct 1990 : International Diploma in Health and Safety Management Course
British Safety Council, UK.
1987 : Technical Job Training as safety Inspector Engineer with The
British Petroleum Company PLC, UK.
Oct 1985 : Liquefied Gas Safety Technology Course, Energy Analysis, Inc.,
Singapore.
INTERNAL :
Sept 2003 : Lokakarya K3LL, Pertamina, Semarang.
Oct – Dec 2002 : Workshop Pertamina Hazops Leadership, Jakarta.
Aug 2001 : Lokakarya Fungsi K3LL Pertamina, Jakarta.
June 2001 : Seminar Penerapan Teknologi dalam Penyelamatan Kehidupan
Melalui Kerjasama yang Berkelanjutan, Cilacap.
March 2001 : Seminar Nasional Penerapan K3 di Perusahaan dan Pengelolaan
Lingkungan Hidup dalam Pelaksanaan Otonomi Daerah dan
Menyongsong AFTA 2003, Semarang.
Nop 2000 : Kursus Audit Lingkungan, Undip Semarang.
Oct 2000 : Refinery Risk Recommendation Workshop, Pertamina, Dumai.
Oct 1999 : Penataran fire and Safety, Pertamina, Bandung.
Oct 1999 : Kursus Penilai Amdal (Tipec), Undip Semarang.
Sept 1999 : Temu Karya LK3 ke VII Tahun 1999 Direktorat Pengolahan,
Jakarta.
June 1999 : Seminar Penerapan System Manajemen Keselamatan dan
Kesehatan Kerja Indonesia, Semarang.

STT PT Encona Inti Industri Page 1 of 3


CURRICULUM VITAE

April 1999 : One Day Lead Awareness Course, Associated Octel Cilacap.
Feb 1999 : Workshop environmental Management System ISO !$))!, Surveyor
Indonesia Institute for The development of Professional Process,
Jakarta.
Dec 1998 : Pelatihan Pembinaan Penguasaan dan Penerapan Teknologi
Lindungan Lingkungan Kegiatan Migas dan Pabum Departemen
Pertambangan Energi, Dirjen Migas.
Aug 1998 : Seminar Sehari lingkungan Hidup
Strategi dan Kiat-kiat Menuju Krisis Peduli Lingkungan yang
Kompetitif dalam Mengantisipasi Pengembangan Otonomi Daerah
dan Perdagangan Bebas.
Bapedal bekerjasama dengan Lembaga Kegiatan Ekobnomi &
Bisnis, Jakarta.
May 1998 : Workshop Performance Management system, Profesional
Development program dan Reward System, Pertamina, Cilacap.
March 1998 : workshop Competency Based Interviewing bagi Line Manager,
Pertamina, Cilacap.
June 1997 : Semina 2 Hari Pengelolaan Mutu Terpadu bagi Pimpinan Manajer,
Pertamina, Cilacap.
June 1997 : Process Safety Management Implementation Course, Mobil EHS
Surabaya.
March – May 1997 : Kursus Kader pimpinan Angkatan XI/1997, Pertamina, Jakarta.
April 1996 : Lokakarya Kelembagaan yang Efektif dalam Pengelolaan
Lingkungan di Lembaga Pemerintahan dan Perusahaan
swasta/BUMN, Jakarta.
Jan 1995 : Seminar Sehari Keselamatan dan Kesehatan Kerja Proses Safety
Manajemen,, Pertamina, Sumbagsel.
June 1994 : Lokakarya Bidang Pembinaan Kesehatan dan Keselamatan Kerja,
Jakarta.
Feb 1994 : Temu Karya ke-2 Fungsi KK-LL, Plaju.
Jan – Feb 1993 : Penataran Kewaspadaan Nasional (Tarpadnas) Angkatan XXI,
Jakarta.
Jan 1993 : Seminar Nasional Keselamatan dan Kesehatan Kerja Tahun 1993,
Jakarta.
Jan 1992 : konvensi Nasional Keselamatan dan Kesehatan Kerja Tahun 1992,
Jakarta.
June 1991 : penataran Peradilan Tata Usaha Negara, Pertamina, Plaju.
May 1991 : Safety and Environmental Workshop, Pertamina, Jakarta.
June 1990 : Bimbingan Keahlian Teknik FS/LL Lanjutan, Pertamina, Jakarta.
March 1989 : Insurance Course PT Tugu Pratama Indonesia, Cirebon.
Aug – Sept 1988 : Kursus Basic Refinery Operations & Economic, Bandung.
Feb – March 1988 : Kursus Keselamatan Kerja dan Hiperkes Bagi Teknisi Perusahaan,
Dept. Tenaga Kerja dan Pertamina, Cirebon, Jakarta.
Feb 1987 : Seminar Pengembangan Manajemen Panitia Pembinaan
Keselamatan dan Kesehatan Kerja, Jakarta.
April 1985 : Kursus Pengawas Keselamatan Kerja Angkatan III, Jakarta.
Nop – Dec 1984 : Kursus Teknik Mengajar, Pertamina, Jakarta.
Feb 1982 : Lokakarya Asuransi Properti, Tugu pratama Indonesia, Balikpapan.

STT PT Encona Inti Industri Page 2 of 3


CURRICULUM VITAE

Jan 1981 : Loss Control Management workshop, Frank & Davis and
Associates of Sydney Australia, Jakarta.
Nop 1980 : Advanced Supervisory Course III/80, Pertamina, Balikpapan.
Oct 1979 : Penataran Fire & Safety, Pertamina, Bandung.
July 1978 : Lokakarya Penyusunan Norma-norma Ergonomi di Tempat Kerja,
Depnaker, Bogor.
Aug 1975 : Safety Inspector Course II, Pertamina UP-III, Plaju.

7. LANGUAGE AND DEGREE : language speak write read


OF PROFICIENCY Indonesia mother tongue
English fluent good good
8. MEMBERSHIP OF : --
PROFESSIONAL SOCIETY

9. WORK UNDERTAKEN WHICH BEST ILLUSTRATES CAPABILITY TO HANDLE THE TASK ASSIGNED:

Sept 2005 – present : HES Coordinator for Engineering & Construction Management
Project, PT Chevron Pacific Indonesia
May 2005 : HES Manager for Tangguh LNG Project Proposal, JGC/PT Brown
Root & Indonesia.
2002 – April 2005 : Ahli Utama Keselamatan & Kesehatan Kerja HSE Pengolahan –
Dit. Hilir PT Pertamina Persero
1997 – 2002 : Kabid LKKK (Lingkungan Keselamatan dan Kesehatan Kerja)
Pertamina UP IV – Cilacap
1989 – 1997 : Kabid LKKK Pertamina UP III – Plaju & Sungai Gerong
1981 – 1989 : LKKK Pertamina UP V – Balikpapan as Safety Officer, Fire Officer
(Pjs. Ka. LKKK)
1975 – 1981 : Ka. LKKK Pertamina UEP IV Lap. Tanjung Kalsel.

Note:
lLKKK (Lingkungan Keselamatan dan Kesehatan Kerja), or LK3, or K3L = Occupational Health and Environmental Safety

STT PT Encona Inti Industri Page 3 of 3


APPENDIX B.04 INSURANCE
APPENDIX B.05 - HES PLAN / PROGRAM
APPENDIX B.06 - HES TRAINING & CERTIFICATION
APPENDIX B.07 - HES POLICY
APPENDIX B.06 - HES CERTIFICATE
AND KPI STATISTIC
PT Chevron Pacific Indonesia PT ENCONA INTI INDUSTRI

Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 3 of 28

1 SCORE CARD

PM
SG Weight
(Perform Current Weight
KPI Indicator Indicator Description Weight MIN PM (Stretch YTD Current
ance Month YTD
Goal) Month
Measure)
HES
Training The safety training including
FSWP mandatory training and
5% 50% 80% 100% 100% 100% 5% 5%
any other HES training
requirement.
FSWP Performance will be measured
implementation by the amount of
implementation of FSWP against 10% 80% 100% 100% 60% 60% 0% 0%
the projects:
Number of projects implementing FSWP
Number of projects
FSWP score % of project with FSWP score
15% 90% 100% 100% 66.67% 66.67% 5% 5%
equal or more than 4
LTI (Lost Time Days Away From Works
15% 0 0 0 0 0 15% 15%
Incident) / DAFW
TRI (Total Total recordable injuries =
Recordable Injury) number of fatalities + number
15% 0 0 0 0 0 15% 15%
of medical treatment (above first
aid)
MVC (Motor Number of motor vehicle
Vehicle Crash) accident associate with routine 15% 0 0 0 0 0 15% 15%
job / activities
Portion of HES 75% 55% 55%
BUSINESS CONDUCT AND ETHIC
Business Conduct Compliance with the Law and in
and Ethic Code accordance with the Business 10% 0 0 0 0 0 10% 10%
Conduct and Ethic
Portion of Business Conduct and Ethic 10% 10% 10%
ENGINEERING
Schedule Amount of completed projects
Milestone against total scheduled projects:
15% 95% 100% 100% 50% 66.67% 0% 0%
Achievement Number of completed projects
Number of scheduled projects
Portion of Engineering 15% 0% 0%
OVERALL SCORE CARD 100% 65% 65%

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
Date : 11 Apr. 07
PT Chevron Pacific Indonesia PT ENCONA INTI INDUSTRI

Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 4 of 28

2 EXECUTIVE SUMMARY

• FMCS Weekly Meeting on 2, 9, 16, 23 and 30 March 2007 in Duri


• Monthly CEB DRB Meeting on 27 March 2007 in Rumbai

2.1 HES
• During this month no accident reporting.
• Safety Inspection for Duri Medical HVAC Improvement project on 1 and 2 March 2007 in Duri
• Safety Inspection for Duri TS Lab Panic Button project on 1 March 2007 in Duri
• Project Safety Meeting for Duri Medical HVAC Improvement project on 5 March 2007 in Duri
• Project Safety Meeting for TS Lab Panic Button project on 5 March 2007 in Duri
• Project FSWP Assessment for Duri Medical HVAC Improvement project on 6 March 2007 in Duri
• Project FSWP Assessment for TS Lab Panic Button project on 6 March 2007 in Duri
• SOP and JSA Preparation of AHU Handling for Duri Medical HVAC Improvement on 7 March 2007
in Duri
• FSWP Training for PT Sumaraja and PT APAR on 8 March 2007 in Duri
• Safety Inspection for Duri CSS-5 project on 12 March 2007 in Duri
• FSWP Refreshment for Duri CSS-5 project on 13 March 2007 in Duri
• Safety Inspection for Duri Medical HVAC Improvement project on 14 March 2007 in Duri
• Safety Inspection for TS-Lab and Commissary project on 15 March 2007 in Rumbai
• Survey for Electrical Workshop Chimney project on 20 March 2007 in Duri
• FSWP Refreshment for Duri Medical HVAC Improvement project on 21 March 2007 in Duri
• FSWP Assessment for Rumbai TS-Lab project (PT. Squat) on 22 March 2007 in Rumbai
• Safety Inspection for Rumbai Commissary project (PT. Sumaraja) on 22 March 2007 in Rumbai
• Safety Inspection & FSWP Refreshment for RCC project (PT. APAR) on 22 March 2007 in Rumbai
• Environmental Survey at Duri MSS on 23 March 2007 in Duri
• Safety Inspection for Duri Medical project on 23 March 2007 in Duri
• Monthly Vehicle Inspection for ECM on 26 March 2007 in Duri
• Construction Safety Refreshment and Training for ECM on 26 March 2007 in Duri
• Project Safety Meeting for Duri Medical on 26 March 2007 in Duri
• Safety Meeting and Inspection for Duri CSS-5 project on 27 March 2007 in Duri
• Safety Inspection for Rumbai Commissary project (PT. Sumaraja) on 29 March 2007 in Rumbai
• Safety Inspection for RCC project (PT. APAR) on 29 March 2007 in Rumbai
• Safety Inspection for Duri Medical project on 30 March 2007 in Duri
• KM Driven: 2,098 KM; YTD: 54,205 KM
• No. of Man hours: 3,400 hrs; YTD: 47,805 hrs

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
Date : 11 Apr. 07
PT Chevron Pacific Indonesia PT ENCONA INTI INDUSTRI

Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 9 of 28

ELIGIBLE DESIGN ENGINEER

Estimate
No. Personnel Project Title Current Status
Completion
1. AKW Minas; Rest Park Building 16 Mar 2007 • Review construction drawing for PIC approval
MOC No: FMCS/MOC/019/VI/06 • On hold
2. AKW Minas; Roof Construction for WTP Will be • Construction drawing has been send to ARD
Flocculation & Storage Tank reschedule after • Waiting confirmations
MOC No: FMCS/MOC/007/I/06 confirmation • On hold
3. AKW Rumbai; Sanggar Pramuka 30 Mar 2007 • Develop structure design
• On hold
4. AKW Minas; Mushala at LPT office (MOC) 28 Feb 2007 • Concept design has been approved and continue to
develop detail drawing that doing by Drafter
• On hold
5. AKW Petapahan; Renovate Laundry 08 May 2007 • Review construction drawing for PIC approval
Building Petapahan • On hold
MOC No: FMCS/MOC/012/V/06
6. AKW Petapahan; Integrated Petapahan 21 Mar 2007 • Develop landscape design for Integrated Petapahan
Camp project Camp project focus on site development
• On hold
7. AKW Rumbai; Helipad Waiting Room 14 Feb 2007 • Revise alternative as per DRB recommends
Renovation • On hold
MOC No: FMCS/MOC/004/II/07
8. AKW Rumbai; New Gate Proposed 14 Feb 2007 • Coordination with security and AO,
• This project has been hold, (Issued by ARD)
9. AKW Petapahan; Renovation of Wisma 02 May 2007 • Develop alternative layout
Kuantan A-B-C Petapahan • Develop drawing, focus in 2D Design,
(Integrated Wisma Garo) • On hold
10. AKW Petapahan; SLS Office 02 May 2007 • Develop alternative layout
• Develop drawing, focus in 2D Design,
• On hold
11. AKW Rumbai; RCC Renovation 21 Mar 2007 • Develop building and site drainage focus to rain
gutter and site drainage
• On hold
12. AKW Rumbai; Main Office Renovation 27 Mar 2007 • Develop CPDEP phase -1
• On hold
13. AKW Duri, Talang Renovation 10 Apr 2007 • Survey / site visit for 30 houses
• Develop MOC
• Develop Scope Of Work (SOW)
14. MUL Rumbai; MO Security Shelter 23 Feb 2007 • New alternative has been coordinated to security
and AO
• On hold
15. MUL Petapahan; Integrated project 21 Mar 2007 • Develop alternative floor plan for :
• Medical Clinic
• Fire Station
• Main Office (SLS Office) Petapahan
• On hold

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
Date : 11 Apr. 07
PT Chevron Pacific Indonesia PT ENCONA INTI INDUSTRI

Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 10 of 28

Estimate
No. Personnel Project Title Current Status
Completion
16. MUL Rumbai; Renovation Executive 14 Feb 2007 • Concept design has been approved and continue to
Guest House develop detail drawing that doing by drafter
• On hold
17. MUL Rumbai; SBQ Renovation 08 May 2007 • Develop another new alternative, suggested by DRB
MOC No: FMCS/MOC/005/II/07 meeting (February 2007)
• On hold
18. MUL Rumbai; RCC Renovation 21 Mar 2007 • Develop alternative exterior design focus to 3D
Design
• On hold
19. MUL Rumbai; 7 Units House Renovation 24 Nov 2006 • Concept design has been approved and continue to
develop detail drawing that doing by drafter
• On hold
20. MUL Petapahan; Fire Offices 02 May 2007 • Develop alternative lay out
• Develop drawing, focus in 2D design,
• On hold
21. MUL Petapahan; Medical Clinic 02 May 2007 • Develop alternative lay out
Improvement • Develop drawing, focus in 2D design,
• On hold
22. MUL Petapahan; Security Offices 02 May 2007 • Develop alternative lay out
• Develop drawing, focus in 2D design,
• On hold
23. MUL Duri, Talang Renovation 10 Apr 2007 • Survey / site visit for 30 houses
• Develop MOC
• Develop Scope Of Work (SOW)
24. ARS Dumai; Install Genset for Kitchen 31 Mar 2007 • Site Survey completed
DCC (Phase 3) • Electrical Basic Design on progress
• On hold
25. ARS Rumbai – Duri; Data Center 7 Mar 2007 • Phase 1 completed (15/1/07)
Improvement (Phase 1, 2 & 3) (phase 2) • Phase 2 being reviewed by HBD
26. ARS Dumai; Integrated Fire Alarm 30 April 2007 • Phase1 completed (24/11/06)
System (Phase 1, 2 & 3) (phase 3) • Phase 2 completed (24/01/07)
• Redrawing Existing Building by Draftsman
27. ARS Duri; Spotlight Golf Driving Range 28 Feb 2007 • MOC Completed and Routing approval
MOC No.: FMCS/MOC/009/II/07 • Prepare Detail Electrical Design
• On hold
28. ARS Duri; Improvement Lighting System 3 Apr 2007 • Site Survey completed (13/03/07)
at Duri Warehouse (MOC) • Prepare Electrical Basic Design
• On hold
29. ARS Duri; Gabus Office Improvement • Revise Electrical Parking Lot Design
• On hold
30. ARS Duri, Talang Renovation 10 Apr 2007 • Survey / site visit for 30 houses
• Develop MOC
• Develop Scope Of Work (SOW)
31. STU Dumai; LPT Parking & Traffic 22 Dec 2006 • MOC document completed
Arrangement • Routing approval
MOC No: FMCS/MOC/002/I/07 • Phase 3 on progress

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
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Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 11 of 28

Estimate
No. Personnel Project Title Current Status
Completion
32. STU Dumai; NMO Modification of 8 Dec 2006 • MOC document completed
Accounting Office for Security • Routing approval
Check Point & Sitting Lobby • Phase 3 on progress
MOC No: FMCS/MOC/001/I/07
33. STU Dumai; Marine Escape Ladder 8 Dec 2006 • Detail Drawing completed, need to be revised
MOC No: FMCS/MOC/026/XII/06 • Exhibit completed, to be reviewed by BBC
34. STU Dumai; Develop WTP Extension 4 Jan 2006 • Proposed Layout & View to be reviewed by BBC
Office (Phase 3)
35. STU Duri; Cendana School Improvement 2 Jan 2007 • Drawings and Exhibit (Sr. High School) completed
(Phase 3) • Proceed with Jr. High and Elementary School Design
36. SFH Duri; Warehouse 125 JDE Processor 8 Mar 2007 • Proceed to phase 3
Room & waiting area (MOC & Ph-3)
37. SFH Duri; Fire Conference Room 8 Mar 2007 • Proceed to phase 3
Emergency Escape (MOC)
38. SFH Dumai; DCC New Patin Conference 8 Mar 2007 • Proceed to phase 3
Room Emergency Escape & Pantry
39. SFH Duri; Additional Office Room at 26 Jan 2007 • MOC document on progress
Duri Patin 2 Office
40. SFH Duri; Upgrade Operator Room CGS 30 Jan 2007 • Develop existing building layout
5 (MOC & Phase 3)
41. SFH Duri; Construct Sodium Tank 2 Feb 2007 • Develop MOC Document
Support at WTP (MOC & Phase 3)
42. SFH Duri; Construct Chemical Hood ( 9 Feb 2007 • Develop MOC Document
Chimney ) at WTP (MOC & Phase 3)
43. SFH Duri; Upgrade & Additional Office 15 Mar 2007 • Develop MOC Document
Room at Duri Patin 4 Office (MOC
& Phase 3)
44. FRM Rumbai; Main Office AC - • Pending
Replacement (Phase 2)
45. FRM Dumai; WTP Cooling System (Phase - • Spec and BQ on progress
3) • DSP and DRB document on progress
46. FRM Rumbai; Housing AC System - • Final BQ, Technical Spec and MOC document
Improvement completed (04/04/07)
MOC No: MOC/003/II/07
47. FRM Dumai Water Tank (Phase 3) • Tank Seminar by HCT on 14/03/07
48. FRM Avian Influenza Building at Duri • Assessment completed, being reviewed by HBD
Medical
49. FRM Duri, Talang Renovation 10 Apr 2007 • Survey / site visit for 30 houses
• Design Calculation, Exhibit, Spec on Progress

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
Date : 11 Apr. 07
PT Chevron Pacific Indonesia PT ENCONA INTI INDUSTRI

Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 12 of 28

3.2 PROJECT COMPLETED BY ENGINEERING

Completion
No. WAF / MOC No. Project Title Location Phase Remarks
Date
1. 011/FMCS/IX/05 Improvement of Dumai WTP Storage Dumai 1,2 & 3 26 Jan 2007 WAF
Tank
2. 023/FMCS/WO/III/06 Duri & Dumai Camp Master Plan Study Duri - 2 22 Jan 2007 WAF
Dumai
3. 080/FMCS/XII/05 Rumbai & Minas Master Plan Study Rumbai 2 22 Jan 2007 WAF
4. Data Center Improvement Rumbai - 1 15 Jan 2007 Eligible (ARS)
Duri
5. Improvement Warehouse Lighting Duri 1 24 Jan 2007 Eligible (ARS)
System
6. Integrated Fire Alarm System Duri - 2 24 Jan 2007 Eligible (ARS)
Dumai
7. Improvement of Server Room at SCADA Duri MOC 19 Feb 2007 Eligible (SFH)
PG&T by providing Fire Retardant
material
8. MSS Duri; Construction of Chimney Duri 3 19 Feb 2007 Eligible (SFH)
9. Construction of Concrete Pad at One of Duri MOC 19 Feb 2007 Eligible (SFH)
Warehouse 125 yard
10. FMCS/MOC/006/II/07 Improvement Electrical System for HKBP Duri MOC 08 Mar 2007 Eligible (ARS)
Church
11. FMCS/MOC/019/VI/06 Rest Park Building Minas MOC 08 Mar 2007 Eligible (ARS)
12. Cendana School Improvement Duri 3 08 Mar 2007 Eligible (ARS)
13. 019/FMCS/IX/05 Gabus Office Improvement Duri 3 07 Mar 2007 WAF
14. 046/FMCS/WO/V/06 Ramayana Building Renovation Dumai 3 26 Jan 2007 WAF
15. 190/FMCS/WO/VIII/06 STP Project Sawit & Randu Complex Rumbai 3 09 Mar 2007 WAF
16. FMCS/MOC/012/V/06 Renovate Laundry Building Petapahan Petapahan MOC Eligible (ARS)
17. Construction of 34 Security Posts All Exhibit 23 Mar 2007 Eligible (STU)
District
18. CGS-10 Duri Exhibit 23 Mar 2007 Eligible (STU)
19. Data Center Rumbai - 2 19 Mar 2007 Eligible
Duri (FRM)

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


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Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 14 of 28

Vehicle List

PT. Encona Inti Industri

ID
Body
No. Police No. Vehicle Type Year Plate User/In Charge DDC Permit
Color
Color

1 BM 8347 AJ Pick Up – Ford Ranger/4 x 4 2005 Silver Black Sutanto √ √

Support Duri
2 BM 8590 DC Pick Up – Suzuki Caribian/4 x 4 2006 Silver Black √ √
(Darmawi)

Support Rumbai
3 BM 1621 DN Minibus – Suzuki APV/4 x 2 2006 Dark Blue Black √ √
(Alex KW)

Support Duri
4 BM 1620 DN Minibus – Suzuki APV/4 x 2 2006 Dark Blue Black √ √
(Ario Seno)

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


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Doc. Title : MONTHLY REPORT AS OF 31 MARCH 2007 Page 18 of 28

DURI MEDICAL HVAC IMPROVEMENT DURI MEDICAL HVAC IMPROVEMENT


Safety Inspection Safety Inspection

DURI MEDICAL HVAC IMPROVEMENT DURI MEDICAL HVAC IMPROVEMENT


Material Housekeeping FSWP Assessment

DURI TS LAB PANIC BUTTON DURI TS LAB PANIC BUTTON


Material Housekeeping FSWP Assessment

ECM – ENCONA INTI INDUSTRI Doc. No. : ECM CPI MR 019


March 2007 Rev. : 00 Status: -
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FSWP TRAINING FOR PT Sumaraja & PT APAR FSWP TRAINING FOR PT Sumaraja & PT APAR
Training Attendees Training Attendees

FSWP TRAINING DURI CSS-5 OPERATOR ROOM RENOVATION


Training Session Overall View of the Project

DURI CSS-5 OPERATOR ROOM RENOVATION DURI CSS-5 OPERATOR ROOM RENOVATION
Worker with PPE & Safety Body Harness Worker with PPE

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DURI CSS-5 OPERATOR ROOM RENOVATION DURI CSS-5 OPERATOR ROOM RENOVATION
Safety Inspection by HES Coordinator FSWP Assessment by HES Coordinator

DURI CSS-5 OPERATOR ROOM RENOVATION DURI CSS-5 OPERATOR ROOM RENOVATION
FSWP Assessment (Material Housekeeping) FSWP Assessment by HES Coordinator (Material Housekeeping)

DURI CSS-5 OPERATOR ROOM RENOVATION DURI CSS-5 OPERATOR ROOM RENOVATION
Material Housekeeping with Safety Signage Project Overall View with Safety Signage

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DURI MEDICAL HVAC IMPROVEMENT DURI MEDICAL HVAC IMPROVEMENT


Workers with PPE Workers with PPE

DURI MEDICAL HVAC IMPROVEMENT DURI MEDICAL HVAC IMPROVEMENT


Workers with PPE and Material Housekeeping FSWP Procedures

Minas TS Laboratory Panic Button – PT Squat Minas TS Laboratory Panic Button – PT Squat
Safety Inspection to PT Squat Safety Inspection to PT Squat

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Minas TS Laboratory Panic Button – PT Squat Minas TS Laboratory Panic Button – PT Squat
Assembly Panic Button Panic Button Box

Commissary Rumbai AC System Improvement – PT Sumaraja Commissary Rumbai AC System Improvement – PT Sumaraja
Access Control Safety Inspection to PT Sumaraja

Commissary Rumbai AC System Improvement – PT Sumaraja Duri Medical HVAC System Improvement – PT Seltech
Fabrication HVAC Ducting

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Duri Medical HVAC System Improvement – PT Seltech Duri Medical HVAC System Improvement – PT Seltech
Ducting Installation Ducting Installation

Construct Chimney Duri MSS-5 Construct Chimney Duri MSS-5


Site Assessment to Electrical Workshop Outdoor Chimney MSS-5 Building

Construct Chimney Duri MSS-5 Construct Chimney Duri MSS-5


Electrical Workshop equipment Electrical Workshop material

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Duri Medical HVAC System Improvement – PT Seltech Duri Medical HVAC System Improvement – PT Seltech
FSWP Refreshment for PT Seltech FSWP Refreshment for PT Seltech

Duri Medical HVAC System Improvement – PT Seltech Duri Medical HVAC System Improvement – PT Seltech
Waste Disposal Waste Disposal and Temporary Lavatory

Rumbai TS Laboratory Panic Button – PT Squat Rumbai TS Laboratory Panic Button – PT Squat
FSWP Refreshment FSWP Refreshment

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Rumbai TS Laboratory Panic Button – PT Squat Rumbai TS Laboratory Panic Button – PT Squat
Panic Button Material House Keeping

RCC AC System Improvement – PT APAR RCC AC System Improvement – PT APAR


Safety Inspection & FSWP Refreshment Safety Inspection & FSWP Refreshment

RCC AC System Improvement – PT APAR RCC AC System Improvement – PT APAR


Access Control Safety Signage

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Commissary Rumbai AC System Improvement – PT Sumaraja Commissary Rumbai AC System Improvement – PT Sumaraja
Site Office with Safety Signage Safety Signage

Commissary Rumbai AC System Improvement – PT Sumaraja Duri Medical HVAC System Improvement – PT Seltech
Access Control Safety Meeting

Duri Medical HVAC System Improvement – PT Seltech Duri Medical HVAC System Improvement – PT Seltech
Safety Meeting Ducting Fabrication
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Duri Medical HVAC System Improvement – PT Seltech ECM Monthly Vehicle Inspection
Waste Disposal The Vehicle

ECM Monthly Vehicle Inspection ECM Monthly Vehicle Inspection


Smith System Refreshment Vehicle Inspection

ECM Training Rumbai Main Office Landslide


Construction Safety Refreshment and Training Underground Utilities Survey
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Rumbai Main Office Landslide Rumbai Main Office Landslide


Underground Utilities Survey Underground Utilities Survey

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APPENDIX B.08 -
HAZOP
STANDARD OPERATION PROCEDUR
AND JOB SAFETY ANALYSIS
TABLE OF CONTENT

HAZOP STUDY PROCEDURE ............................................................................................................... 2

1. Scope ................................................................................................................................. 2
2. Purpose ............................................................................................................................. 2
3. Definition............................................................................................................................ 2
4. Limitations ......................................................................................................................... 3
5. General Application of HAZOP ...................................................................................... 3

HAZOP PREPARATION .......................................................................................................................... 4

6. Initial Program................................................................................................................... 4

HAZOP EXECUTION ................................................................................................................................ 5

7. HAZOP Technical Procedure ......................................................................................... 5

REPORT PREPARATION AND ISSUE ................................................................................................. 6

8. Report Contents ............................................................................................................... 6


9. Report Draft Issue ............................................................................................................ 8
10. Report Authorization ........................................................................................................ 8

FOLLOW-UP .............................................................................................................................................. 9
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HAZOP STUDY PROCEDURE

1. Scope
This document describes the requirement and guideline to conduct HAZOP
Study for a process plant/facility. HAZOP Study will be conducted together by
CH2MHILL and ENCONA.

2. Purpose
The purpose of a Hazard and Operability Study (HAZOP) is to identify problems
associated with potential hazards and deviations of facility or plant operation
from the design intentions and/or specifications, which could lead to hazardous
situations or operability problems. These might include:
ƒ Safety and Occupational Health hazards to workers;
ƒ Damage to equipment/asset;
ƒ Operability/Maintainability problems;
ƒ Plant non-availability;
ƒ Product quality;
ƒ Environmental emissions;
ƒ Construction and commissioning hazards.

3. Definition
A HAZOP study is carried out by a team leaded by an independent Chairman
provided by ENCONA that shall be approved by CH2MHILL. It is a formalized
and systematic technique for identifying hazards and operability problems; not
for solving or quantifying them. It is carried out by multidisciplinary team
following a structure that includes a series of “guide words”. The system or
procedure to be studied is divided into small elements and the design intention
of each of these elements is explained to the team. Any particular areas to be
included on the study should be identified in the scope and briefed to the team
before the start of the study. A checklist of “Guide words” is then systematically
used to identify potential hazards and operability problems, which might arise
from deviations from that design intention. The possible causes of such
deviations are listed together with the consequences, the existing safeguards
and the team recommendations to limit severity or reduce the possibility of
hazard arising. The results of this study are dependent upon the quality of
information on the process or plant and the experience of the team members.
The scope should formally be agreed between the CH2MHILL and ENCONA
(HAZOP Study Chairman) before the study commences. It should not be
assumed that the CH2MHILL always knows what a HAZOP study is, the
requirements for an effective study, the limitations of the technique or the extent
of the responsibilities of the HAZOP team. In particular, it should be
emphasized that the HAZOP study is primarily concerned with identifying
hazards and operability problems; not solving them or quantifying risk. The
ENCONA shall facilitate the HAZOP study that will be conducted. The
personnel involved in this HAZOP study, both from CH2MHILL and ENCONA,
can be seen on section 4.2. The ENCONA shall prepare the report of study,
consist of findings and recommendations, both of at the end of each session
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and at the end of the study. CH2MHILL shall decide whether to implement the
recommendation maximum one-month after the end of the study.
If the CH2MHILL requires the HAZOP team to carry out further HAZOP studies
on solutions to the identified problems proposed by the project, this requirement
should be covered at the outset. Follow up studies should only be undertaken
when the main study is completed and must not be allowed to disrupt the main
study. It is equally important to identify areas and levels of detail not covered by
the study (e.g. hydraulic systems etc); perhaps they are not hazardous, not
safety critical or being covered by other reviews. Such supplementary
requirements should therefore be separately identified in the HAZOP terms of
reference.

4. Limitations
The HAZOP methodology is primarily designed to review the information shown
on P&ID and in associated operating procedures. Information not shown on the
P&ID (e.g. layout details) and modes of operation not covered by the
procedures made available to the team will not be covered fully and will need to
be covered by separate reviews.
HAZOP studies usually only consider hazards arising from one or at most two
credible failures and therefore will tend not to cover all low frequency
catastrophic or multiple failure events.
The effectiveness of the study in identifying and assessing credible hazards
relies on the knowledge, experience and motivation of the team members as
well as the competence of the Chairman leading the study.

5. General Application of HAZOP


The HAZOP technique was developed to identify the hazards associated with
complex chemical processes but can be applied to any system which has a
process flow sequence. It can also be applied to batch or sequential operations
and by careful selection of “guide words”, to the review of procedures. It is
equally applicable to well operations particularly where novel techniques are to
be employed.
5.1.1. Application to New Facilities
All new continuous and batch process designs, including selected
hazard related utility systems, are subjected to a HAZOP study.
The technique is normally applied when the design is essentially
completed. However, it is increasingly used earlier in the design.
Therefore, most of the problems can be addressed during the detailed
design phase. It can reduce the number of actions arising from the
main HAZOP on completion of the design.
All subsequent design changes, including those resulting from HAZOP
recommendations should be reviewed and where appropriate
subjected to a follow up HAZOP study.
The best time to conduct HAZOP study in this application is the phase
when the drawings before issued for construct.
5.1.2. Application to Existing Facilities
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Particular attention should be paid to tie-ins to existing plant.


Minor changes to plant and operations can be subject to a Critical
Safety Review whereby the review team decides on the selective use
of HAZOP techniques appropriate to the change.
The Management of Change procedures should give guidance on the
mechanism whereby appropriate use is made of HAZOP and other
hazard identification techniques.

HAZOP PREPARATION

6. Initial Program
In order to ensure that the HAZOP study can be carried out effectively, the
team should be prepared with as follows:
ƒ A brief description of the process by process engineer (including mitigation
systems such as fire protection, deluge systems, and detector).
ƒ One set of full size up-to-date P&ID’s of the facility and a reduced set (30
cm by 50 cm or the nearest equivalent) for each study team member.
ƒ Process operating procedures, including startup, normal operation,
shutdown and emergency shutdown, for the unit or for similar units.
ƒ Inspection record data for the unit or similar units (as applicable or
available).
ƒ Incident report, including “near misses”, covering releases and injuries, on
the unit or on similar units.
ƒ Equipment and instrumentation data sheets, including relief valve sizing
criteria.
Following the design briefing by the process engineer, it may be appropriate to
formally or informally review some general aspects of the design before starting
the conventional HAZOP process. The Topics might include:
ƒ Materials of Construction/Corrosion Prevention;
ƒ Maintenance Philosophy;
ƒ Startup/Shutdown Procedures;
ƒ Pressure Containment/Relief Philosophy;
ƒ Inventory Isolation and Depressurization;
ƒ Layout Drawings/Model;
ƒ Noise and Safety Data Sheets;
ƒ Environmental Emissions.
This initial review will help the team understand the overall picture and if the
general findings are recorded in the normal manner, it may reduce the need for
repetition of general concerns of the study.
The conclusion of this initial review may redefine the scope of the study and/or
recommend that separate reviews are required to cover some of these aspects
in more detail.
Following completion of the initial briefings and other general team discussions
the Chairman will initiate the HAZOP process by selecting a starting point for
the study; typically one of the main process feed lines.
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To minimize the cost and schedule time for these reviews and to achieve the
best result from the effort, several essential requirements for the HAZOP team
are as follows:
ƒ The team members must have the necessary background and knowledge
to answer in the meetings most of the questions that arise.
ƒ The key team members are always present during the HAZOP, with little or
no substitution of team personnel.
ƒ Key team members, who typically have other significant responsibilities
outside the HAZOP should avoid interruptions during the study period

HAZOP EXECUTION
A thorough HAZOP study can be accomplished in five steps, the first step being to
define the scope and purpose of the study. The scope includes the specific areas of
the process to be studied as well as what type of hazard consequences will be
considered. The object of the study is included within the purpose.
The second step is to select a team to carry out the study. Ideally, this team includes
five to seven members from different areas within the operation. A team leader is
chosen who should have a good general knowledge of the process being studied as
well as experience in conducting HAZOP studies.
Once the team has been formed, information gathering must begin. The quality of the
study depends on the source of the information used in conducting it. Suggested
materials include P&ID, flow diagrams, layouts, and any equipment information that
may be available. During data collection, the team leader should determine the
sequence of study or study nodes. Each study node is a specific portion of the design
that will be studied individually. The leader also should compose a list of “guide words”
such as those summarized in attachment C.
The team then will carry out a review of the process, examining each study node
individually and applying all “guide words” to each of its components. Since the
deviation found, analyze the possible causes of the deviations and the global
consequences of the deviations. Refer attachment D and E as a guideline.
The flow diagram on attachment H suggests a typical sequence to follow when carrying
out this study. Each member of the team should contribute equally to the hazard
analysis and the final tabulated report.
The final report for a HAZOP study should contain all information in tabular format.
Each table should include the “guide words” used, the deviation from the expected
operation, the causes of that deviation, any consequences, and suggested actions to
alleviate or eliminate the problems. The main purpose of HAZOP studies is to find
problems, not to solve them, so that, only obvious solutions need be suggested. Each
parameter should be addressed in an individual table. These tables may be
accompanied by a report that includes the scope of the study and any suggestions or
general recommendations.

7. HAZOP Technical Procedure


The general procedure to perform HAZOP study is as follows:
i Define the element of process (node) to be studied.
ii Establishing design intentions.
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iii Select a line section including process equipment, which may be


considered as a sub-system.
iv Select a “guide word”, e.g. “NONE”, consider a deviation of process
condition applying the “guide word” to the line.
For the case “No Flow”, then question and answer your self the followings:
ƒ Could there be no flow?
ƒ If so, how could it occur?
ƒ What are the consequences of no flow?
ƒ How will the operators know that there is no flow (safe guard)?
ƒ Are the consequences hazardous, or do they prevent efficient
operation?
ƒ If so, can we prevent no flow by changing the design or method of
operation?
ƒ If so, does the size of the hazard or problem justify the extra expense?
v List up the results of above study.
vi Repeat the procedure (iii) and (iv) applying other “guide word” to the line.
vii Repeat the procedure (ii) to (v) for all line sections in the system.
viii After all of sections or nodes have been completed, rank the risk on each
of item with refers to Attachment G.
ix Provide recommendation based on section 7.
x The recommendations that cause the change on the process facility shall
be accommodated on the as-build drawing (e.g.: PID, Layout, isometric,
etc).
xi Record all of the data in tabular format (work sheet).
xii Prepare the comprehensive final report of HAZOP study result.
xiii Authorizing and issuing the report.

REPORT PREPARATION AND ISSUE

8. Report Contents
A typical HAZOP report should consist of the following Sections:
8.1.1. Contents list
8.1.2. Summary
8.1.3. Introduction
This should include:
ƒ reference to the formal initiation document for the study
ƒ scope of study
ƒ the team members
ƒ Study session dates.
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This section should cover the study methodology (particularly any


novel aspects). It should identify any difficulties in meeting the terms
of reference (e.g. deficiencies in documentation available for review)
and include recommendations for any further studies.
8.1.4. Description of the Systems
8.1.5. This is a brief description of the process studied and the modes of
operation.
8.1.6. Principal recommendations from the HAZOP study
8.1.6.1 General Recommendation
General recommendations and findings not specific to any
single element of the design, e.g. drawing discrepancies,
general design and operating features.
8.1.6.2 Recommendations relating to Specific Worksheet Actions
These are groupings of principal recommendations, some of
which refer to several P&ID elements, e.g. HP/LP interfaces,
piping specifications.
Note however, that for follow up/action tracking purposes it is
suggested that all recommendations should be numbered and
included on the worksheets including any supplementary
Chairman recommendations.
8.1.7. References
ƒ List of P&ID subjected to HAZOP Study (including Revision
numbers).
ƒ List of Other Drawings and Documents Consulted
8.1.8. HAZOP Checklist
As a basis for selecting the “guide words” the HAZOP Chairman
should use the check lists together with any additional “guide words”
added to reflect the particular nature of the system studied.
8.1.9. HAZOP Team Worksheets
All worksheets should be typed and included as A4 copies of the
original A3 masters.
8.1.10. Distribution List
Distribution lists will be specific for different studies, however
distribution should typically include:
ƒ CONTRACTOR: Project Manager, Engineering Manager and
ENCONA HAZOP team member.
ƒ CH2MHILL: Project Manager, Project Engineer, Operation
representative and CH2MHILL, HAZOP team member.
ƒ HAZOP Chairman (CONTRACTOR)
ƒ Project file
8.1.11. Appendices
Appendices should be included:
ƒ Formal terms of reference/proposal memorandum for the HAZOP
study
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ƒ Reference reports/items (if any).


8.1.12. Report Numbers
Each report should have a unique number provided by the Project.

9. Report Draft Issue


Draft record sheets should preferably be issued to the team for comment at the
end of each session and at the end of the study.
The purpose of this draft review is mainly to correct any factual errors and
ensure that the identified hazards and associated recommendations are clearly
stated and understood. This is defined by ENCONA.

10. Report Authorization


ƒ All reports should be signed by the HAZOP Chairman.
ƒ All reports should be authorized by ENCONA Project Manager and Head of
Safety Engineering.
ƒ All reports should be authorized by the Project Manager, CH2MHILL.
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FOLLOW-UP
It is the responsibility of the Project Engineer and/or the Asset Job Officer (if
appropriate) to formally follow-up the actions arising from a HAZOP study.
Recommendations may be accepted, modified, referred to further consideration or
rejected. The reasons for not accepting the recommendation should be recorded as
part of the follow up documentation. Care should be taken that modified
recommendations still fully address the concern identified by the HAZOP team.
Project Team should assign responsibility for assessing the responses to all HAZOP
study recommendations to ensure they have been accurately interpreted by Project,
whether further Studies are required and whether responses can be closed-out.
Normally the Project response will be audited as part of the CH2MHILL Technical
Safety Audit Procedure.
Project should establish a design change procedure, which should include a sequential
design change list. All design changes after the main HAZOP should be assessed by
a Safety Engineer and the appropriate discipline engineer (usually Process) to
determine if fresh HAZOP studies are required. If the HAZOP is addressed to the new
facilities, so that all design changes shall be accommodated on the EPC stage
(Change of Scope, based on original EPC Scope of Work). However, if the HAZOP is
addressed to the existing facilities, the design changes shall be implemented as a
stand-alone project.
To maintain an editable record, all report recommendations and Project Team
responses must be retained.
APPENDIX B.09 - VEHICLE INSPECTION
APPENDIX B.10 - HES MEETING
APPENDIX B.11 - REGULATORY COMPLIANCE