Key Performance Indicator Schedule /

No Frequency
Program Descriftif
1. Manhours and KM Driven (Daily Update to database)
a Total Man Power Monthly
b Total Man Hours Monthly
c Total Vehicle Monthly
d KM Driven Monthly
2. Management Walk Through√
a Management Visit Quarterly
b HSE Meeting Refer to
1. General Coordination Meeting Quarterly
2. Internal Safety Meeting Monthly
3. Safety Stand Down Program Refer to
4. Daily Toolbox Meeting Daily
5. HSE Forum Refer to
3. HSE Inspection
a Fire Extinguuisher Monthly
b First Aid Box Monthly
c Hand tools, Machine and Power tools Inspection
- Pre Use Inspection Daily
- Weekly Weekly
- Monthly Monthly
- Quarterly Quarterly
d Eyes Wash Weekly
e PPE Monthly
f LV
- Weekly Weekly
- Monthly Monthly
- Quarterly Quarterly
e Housekeeping Quarterly
f MSDS Monthly
g Camp / Accomodation and Office Inspection Yearly
4. Audit
a Internal Audit Yearly
5. Driving Safety
a Pre-trip Inspection Daily
b Commentary Driving Semester
6. Hazard Mitigation Plan
a Observation HSE (PEKA/BBS/STOP Card/I-care) 5 Per Trip
b BBS Report 1 Per Trip
c Fundamental HSE Practice Yearly
d HSE Training / Prosedure Kerja 4 Per Yearly
7. Socialization
a SOP Socialization Monthly
b HSE Plan Socialization Yearly
c Kebijakan Perusahaan Yearly
8. Emergency Preparedness
a Emergency Drill
- BFF Yearly
- BFA Yearly
- Oil Spill Yearly
9. Reward & Punishment
a Man of the Month Monthly
b Best Driver Monthly
c Recognation Program Quarterly
10. Pelatihan
a Personnel Competency Assessment Yearly
b Mandatory Training Refer to
a monitoring perilaku berkendara Monthly
11. HSE Promotion
a Buletin K3 Monthly
b Bulan K3 Yearly
c Safety Campaign Monthly
d Be Safety Leader Monthly
e Sharing Knowladge Monthly
12. Healty Program
a Medical Check Up Yearly
b Fit For Duty Yearly
c Senam Sehat bi Weekly
13. Enviromental Proram
a Industrial Hyginie Semester
b Pengukuran Lingkungan
- Rumah Mandah Semester
- Tempat Kerja & Office Semester
14. Performance Reports
a Training Documentation and Reporting Refer to
b HSE Inspection and Reporting Monthly
c Safety Meeting Documentation and Reporting Monthly
d HSE Performance Report Monthly
 2019
Target PIC Juli Aug Sep Oct Nov
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1

Person HSE, P2K3 √ √ √ √

Hours HSE, P2K3 √ √ √ √
Unit HSE, P2K3 √ √ √ √
KM HSE, P2K3 √ √ √ √

Director / Manager Site Manager

All Employee SM, HSE, P2K3

All Employee SM, HSE, P2K3
All Employee Refer to
All Employee HSE, P2K3
All Employee Refer to

All Employee Warden

All Employee Petugas P3K

All Employee All Employee

All Employee Group Leader
All Employee Supervisor
All Employee HSE, Supervisor
All Employee All Employee
All Employee HSE, Supervisor

All Employee Group Leader

All Employee Supervisor
All Employee HSE, Supervisor
All Employee Group Leader
All Employee HSE, Supervisor
All Employee HSE, Supervisor

Refer to Refer to

Each Car Driver

Ea Traineer

Person Supervisor
Pengawas Pengawas
All Employee HSE, P2K3
All Employee Traineer
All Employee SM, Supervisor, HSE
All Employee SM, Supervisor, HSE
All Employee SM, Supervisor, HSE

All Employee HSE, P2K3

All Employee HSE, P2K3
All Employee HSE, P2K3

All Employee SM, HSE, P2K3

All Employee SM, HSE, P2K3
All Employee SM, HSE, P2K3

All Employee SM, HSE, P2K3

All Employee Traineer
All Employee HSE

P2K3 P2K3
P2K3 P2K3
All Employee P2K3
All Employee P2K3
All Employee P2K3

All Employee HSE

All Employee HSE
All Employee HSE, P2K3

SM, HSE, P2K3

SM, HSE, P2K3

SM, HSE, P2K3

SM, HSE, P2K3

SM, HSE, P2K3
SM, HSE, P2K3
SM, HSE, P2K3
 2020
Nov Dec Jan Feb Mar Apr May June
2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

√ √ √ √ √ √ √ √
√ √ √ √ √ √ √ √
√ √ √ √ √ √ √ √
√ √ √ √ √ √ √ √
 Schedule Toolbox Meeting - HSE Training
PT. EPSINDO JAYA PRATAMA - PERTAMINA EP ASSET 1 RAMBA

September

November

December
February

October
January

August
NO HSE SAFETY FOCUS TOPIC

March
ITEM TRAINING PERIODE

W1
W2
W3
W4
W5
NO
April

June
May

July
Safety Goal Commitment & HSE Training
1 Dasar-dasar K3LL X X X
1
Annual Safety Personal Commitment, Review Yearly Learning and incident, Evaluate training complience, Develop Training Plan
√
2 HIRADC X X Jan - Feb
Land Transportation and Water Transportation
2
Land Transport & Road Management, MVI Battle campaign, Speedboat and Marine
√ 3 Job Safety Analysis X X X

Animal Hazard & Environmental

4 MSDS X X
3 Wildlife Encounter Procedure, Signage, PPE, Pest Control, Housekeeping, waste management, spill prevention, PROPER
performance evaluation
√
5 House Keeping Awareness X X X March - Apr
Isolation, LOTO & Confined Space
4
Flange Management, isolation practice, confined space practice
√ 6 Motor Vehicle Safety Training X X

Electrical Safety
7 Basic First Aid X X X
5
Electrical Appliances, connection, grounding-bonding, receptacle, junction box - in line with EEHA and ESI
√
8 Basic Fire Fighting X X May - Jun
Working at Height & Slip, Trip, and Fall
6
WAH Procedure, Rescue Plan, PPE & Equipment, Personnel Competency, Scaffolding, Housekeeping
√ 9 PPE Awareness X X X

Emergency Response
10 Leadership X X
7
Procedures, equipment sufficiency, personnel competency, resources
√
11 Basic Hand Tool X X X Jul - August
Camp, Catering & Industrial Hygiene
8
EAP, Housekeeping, Noise, Vibration, Heat Exposure, Medical Surveillance, Hygiene and Sanitation
√ 12 Using Measuring Devices X X

General Safety
13 Technical Drawing Recognition X X X
9
PTW, Human protection for moving parts, heat exposure hazards, pinch point, PPE, hand tools
√
14 Document Control X X Sep - Oct
Process Safety, Asset Integrity & MOC
10
Bypass register, SCEARA, IAAN, MOC facility and personnel compliance
√ 15 Permit To Work X X X

Lifting, HDE, Excavation

16 Using Multi Tester X X
11 √
17 Hazmat & Material Handling X X X Nov - Des
Hazardous Chemical Management and Fire Protection
12 √ 18 Basic Electrical Safety & LOTO X X

Periode 2020
NO Item TBM
Sun Mon Tue Wed Thu Fri Sat
1 Sosialisasi HSE Plan / SOP + TBM √
2 HSE Focus / Analysis of PEKA submited & discuss internally within workforce + TBM √
3 Sharing Insiden/Nearmiss discussion to workforce + TBM √
4 Sharing Knowledge / Training HSE + TBM √
5 Promote & Campingn LSR to workforce + TBM √
6 Stretching & PPE Inspection+ TBM √
7 Sport Day & Sharing Intervention + TBM √
 No Isi Kotak A Total
1 Kasa Steril terbungkus 20 80
2 Perban (lebar 5 cm) 2 8
3 Perban (lebar 10 cm) 2 8
4 Plaster (lebar 1,25 cm) 2 8
5 Plester Cepat (Hansaplast) 10 40
6 Kapas 25 gram 1 4
7 Kain Segitiga / mitela 2 8
8 Gunting 1 4
9 Peniti 12 48
10 Sarung Tangan sekali pakai 2 8
11 Perban Elastis 4 16
12 Masker 1 4
13 Pinset 2 8
14 Lampu senter 1 4
15 Gelas Cuci mata 1 4
16 kantong plastik bersih 1 4
17 Aquades (100 ml lar. Saline 1 4
18 Pavidon Iodin (60ml) 1 4
19 Alkohol 70% 1 4
20 Buku Panduan P3k ditempat kerja 1 4
21 Buku catatan daftar isi kotak 1 4

Note : tempat penyimpanan P3K sebaiknya menggunakan media pelastik agar

tetap terjaga kebersihannya

Reward & Recognation Quantity Duration Total

1 Kaos
- Best Employee 12 3 36
- Best Driver 4 3 12
48
2 Piagam Penghargaan
 - Best Employee 12 3 36
- Best Driver 4 3 12
48
3 Recognation Closing Project to all employee
- Backpack Eiger 25 1 25
25
 No Item Quantity Remarks
1 Papan HSE Performance Record 1 Ea 1.5 x 2 m
2 P3K 4 Box 2 Ea LV, 1 Ea Mess, 1 Ea Office
3 APAR 9 Kg 8 Ea 2 Ea LV, 4 Ea Office, 4 Ea Mess
4 Poster K3 12 Item 24 Inch
5 Spanduk K3 2 Item 2 Meter
6 Snake Cather 3 Ea 1 Ea Office, 1 Ea Mess, 1 Ea LV
7 Keset Kaki 4 Ea 2 Ea Office, 2 Ea Mess
8 Papan Info HSE 1 Ea
9 Tempat Sampah Kuning & Hijau 4 Ea 2 Ea Office, 2 Ea Mess
10 Muster Point 2 Ea Office, Mess
11 UU No. 1 Tahun 1970 1 Ea Poster
12 Plastik Laminating 1 Rim F4
13 Mesin Laminating 1 Ea
14 Papan POB 1 Ea Office
15 Sign (Evacuation Route) Office, Mess
16 Kertas A4 Biru 1 Rim Pembatas dokumen HSE KPI
17
18
19
20
21

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