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MANAGEMENT SYSTEM
‘CONTRACTOR SAFETY, HEALTH AND ENVIRONMENTAL MANAGEMENT SYSTEM (CSS)
PBB energy | sisreu manasesn xestHs7an, kESELAMATAN KERIA AN INDUNG LNGKUNGAN KONTRARTOR | Rev: 00
opendiey
se Puan AUDIT cHECKUST
‘Kast temuan/
Classification of
findings
No Klausul/ Clause rie. Catatan! Remarks
fa anaraU SHE aie Satine
v Penglauar‘elrg XL mash Dour
trcanpatansearakeseunan
11 | Aoskah KebfaanKOL dan BRIGHT STAR tmgatan areas? seapacan sora hess
‘Seeste SHe pay an BIGHT Sa bog paced n sratags ae Sean Meranang fs chat regency
scant te ssuah psi
v a
‘Stupokan to ss pera dP
+2 | azakan Kebjtan ROL san BRIGHT STAR dtomunastan? fon
‘teste SHE ple ad BRON STAR ang Somnune a8 Sean = Kabotan stan canpakan
omen? aah ash on
v Serra fats ss & eae
‘Apakah kebjekan KL dan BRIGHT STAR oimerget poker?
‘De employees understand SHE poloy dan BRIGHT STAR?
Dpkumentae erlang past Wada
Tanjtobservat akan dim sang.
V | taporan” she obserasl BK
‘dkomunkasian ke poker
‘aes al spec ob being competed with Paral fo Work System"?
3 | Does SHE Onservation report being communicated to workers? ‘Saren : harus cipalporkan ke seluruh
poker
7 TP RTS ERO
‘ia beberape peje yang meribave
‘38D eand'dansebaginn carn dat
‘pata kenakor menyediskan APD can melkutan plan Pruaaan, Pl fan” sO ha
9) | psoas A a Saran’ APO hans dsedakon ol
Prote aig permanoen, Pestana APD” pers
Giambaniah fecal" dengan sesh
tana cr pterat treat
APO jan sacl Sega POSEN
Apakah semua pekera menggutatan APD dengan ener etl eso Belum "sesua yong singitan ata
72 | janpmemaparye? anor salty
‘ret crows ug PPE property eocordance wh isk xposue? Saran s PPE Standard yong somal
dengan petersan po darian
113 | Apskahspeatias APD sus yang dyeratan? ‘Ghasess carpi) yang took mere
oes ne PPE spectoaton met requteets? ‘Sondre
Saran Menggent APD yang eeeyau
sandra
EE ee ET |
S| Huacarddonfcaton and Mek Assos
a | APS pekejaa yang lak sudan rerio HRAT
(Sine pb boty done steady hav HPA?
Masi oda babaraps_pokaabour
. pahom trang ar arpa HRA Bud
82 | Sees vutA being Commonttod 0 at ted workers? Sek ratemeri|
Sern sorva avian peteean rar
tedolumentasi dan deosatetsan
[TE Wan Para SerPoMaETO HE
7 IW reqs sera bess oiokss
‘x4 | Apskahpekrean sudh mami parma > wo? me ener ieee rece Sel
ke peeoja PI_HEXA Safety Offer)
Stott‘Saran PTW requestor yang atule @
PTW harus orang. yang_bertnggung
Jawab ‘clopangen’ seiama pexerzan
borangsung
85
“Apakah pekasan yang membutunian ios energy lah mam Logout
‘Tegout permit"?
‘oa he oe energy alton hav capita wih "ot apo
NA
86
‘Apacah pekejaan drag Verbal (wah rem "cotned space permit?
‘Does the ob af confined space locaton having completed wit conned
space permit”
a7
‘Apakah pekeraah Bares ap lah emi "hat work parm?
‘Boost ab wit fire lgntn risk having completed wt "Hot Werk Permit
‘sysen"?
oo
“Apakah pekeraan yang me ran-akffan Seton pernadarn Rebararen lah
‘emilee mparment permit’?
Does th 2b which require fo deacbvate fre protection system having
conpetea win “Fre impairment perm?
NA
ao
‘Apakah peketjaan ai ketegian Wah meni working at heGht pemnie?
(Doas the ob at height having completed wih "Working st Height perm?
210
on
‘Apakah peketaan penggalian telah mii “excavaton pent”?
‘Doas the excavation jod having conpieted wrth Excavevon Permit?
‘Apakatpokejaan yang mengeluarkan atau merggunakan radia toh
‘memik "radiography permit’?
Does th job wih rateactva risk or use radioactive materials having
‘ompisted with Radiography Perm"?
WA
WA
Bataya HOSIADS bazards
on
‘Apakah konaktor mem prosedur gawatdaruat H25?
‘Bows the contractor have Emergency Procedures for H2S?
Te prosedur yang dbuta peu siperbami
prosecure yang sudai cbust
hats otandatangan Sieh crexst poset
92
‘Apakah Korantor mem alt aeteior HOS yang cukup?
‘Daas the coniacor has suficont H2S Gas Dotoctors?
manager
‘lst HOS marggunaian SEG WW
Personal Detector)
93
‘Apakah gtup poke yang bexera di atea Deesio M25 diengKapl aeieior
tas?
‘Doss the group of workers who work at HS area having completed wth
sutton H2S detectors?
0
Persyratan pokeraan 3 Ranga iarig of Height Rquamonis
Xeott-101
‘pai alt fora untuk Kotnggianseaval standard Gan Kandla yang yak?
‘Does equipment for werking at haight in adequate conan ard meet the
‘slanoar?
v ‘sk palndurg_Jatih—sudahsesuat
‘setandard, hanya penggunaannya pels
‘SeostlsaicnaKembal
02
Span rab bokyj tran lexpserg dan enakin?
oes working at helt safety sign berg instalied and adequete?
VY Yaak acs rabu rambu yang wrpaSaTg
‘Saran nary buat dan dipasang kota
sa pekoysan di ketnggian
‘psa APO wniuk botera i Keshgpin eneokupSesal Standard ean
103] dpe degen arr oar pase?
tes PE toa he an on wo prop led ores?
1 Petyeatartegatnpogeraatn fey che Aogtomens
Tro cn carla rman EOTKE yr lc Ooo Poy Wa
eon as a CTH cr?
saz | Mak oben mann elt naa? wa
Sie terete a aes
aap
v ee ere a
‘24 aah om apt i tpareo sah dat Ser yong furng™ Seaeree™ mash
{Pactra ecco hob at? fon
Sean rom ng lange
v ipl mana aad Gagan
‘22 oaahkptan ree cleat cosa ieee arg toa bt cea
(Toe hoster sees cat ct cn aca? Feat ntancongen yg etn
paren
23
‘Aoskah heal tenon inepoks!dindak init?
‘ae he results othe inspection ncngsfeflowed up?
Vast temoan nspeks balun ad Bakr
asl tineakan fotow up nya dar pak
‘management PT-HEXA
Soran Has! temuan inepeks pay
indak lant’ segera apabla sudah
‘dan
"i3_| Persyatatan seriaraan Venile Requrerents
‘Vv [Darbeberapaendaraan yang
‘lgunakan tidae sesus) dengan requss!
an ftayaraa oar ren SEH mh mai tie aaa Geen nireat orve
| tha contactor voile at SEGW area has a “vee perma"?
Ssepergetshuan orirater supervisor!
User''SEG™) dan kondarsan yang
igunakan setarangbelsm adn.
Hoe:‘Saran ‘Ket ata pangganiian
endaraenharusdinformeskan x2
ontak supervisor User can pekeraan
flak boley “diakukan