HSE PLAN PT.

APK 2021
HEALTH SAFETY ENVIRONMENT PLAN – PT ANUGRAH PACIFIC KENCANA 2021

PT Anugrah Pacific Kencana

| Gedung Puskopal Koarmada 1 Lantai 2, DKI Jakarta
 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

Abstract
Job Name : Pengadaan Jasa Transportir untuk Support kegiatan Handling
Agen Bunker BBM TNI di Wilayah Jakarta
Client : PT. Pertamina Trans Kontinental
Location : Jakarta Area, Indonesia
Risk Category : High

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

Scope of the Contract HSE Plan:

The HSE Plan is prepared for Contractor Safety Management System PT. Pertamina Trans Kontinental. The
scope includes:
 HSE Policy and HSE Objectives
 Company Organisational Structure.
 HSE Performance Indicator
 Hazard Analysis
 Transport Safety Management
 STP operation & Maintenance
 Training and Familiarization
 Audit and Inspection
 Accident report and investigation
 Emergency Response and Procedure
 HSE Communication
 Medical Check Up

Control of the Contract HSE Plan:

The contract HSE Plan is prepared by the HSE Manager, reviewed by Contract Manager and approved by
the General Manager.

Controlled copies of the HSE Plan shall be issued to above copy holders, Suggestions to amend the HSE
Plan shall be addressed to the HSE Manager.

The copy holders shall be responsible for maintenance of their respective copies of the HSE Plan.

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

1.0 INTRODUCTION
PT. Anugrah Pacific Kencana (APK) memiliki komitmen yang tinggi terhadap Kebijakan K3L dengan melakukan
pengendalian dan pemantauan K3L melalui penerapan prosedur & standard K3L. HSE Plan ini dibuat sebagai
acuan bagi penerapan prosedur & standard K3L selama pelaksanaan proyek.

2.0 PERFORMANCE MONITORING

2.1 HSE Targets

Target
No Performance Indicator Remarks
2021
1 Zero Fatality 0
2 Lost Time Incident Frequency (LTIF) 0
3 Total Reportable Case Frequency (TRCF) 0
4 Oil Spill 0
Total Reportable Occupational Illness Frequency
6 0
(TROIF)
7 Environmental Incidents 0

2.2 HSE Key Performance Indicator (KPI)

No Performance Indicator Target 2020

1 Management Audit / Visit 1 / Month

2 Medical Check Up Ratio 100 %

3 HSE Induction
100 %
4 HSE Training
100 %
5 PPE Compliance
100 %
6 Vessel Emergency Drill 100 %
7 Closed Out Company Vessel Audit 100 %
8 work hazards Identification and Risk Assessment 100 %

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3.0 LEADERSHIP AND COMMITMENT

The Management of PT. APK and various section heads are firmly committed to maintaining and
continuously improving of HSE management system and to protect health, safety of Serious Services
employees and also others who may be affected by its activities and to the protection of environment at all
work places and will ensure that no environmental hazard will be created by the activities of Serious Services
and sub-contractors.

3.1 Visibility

No Action Action Party Target

General Manager /
Management visit to convey safety message, staff
1 Superintendent / Port Monthly
meeting and inspection/audit.
Captain
HSE Manager/Quality Manager visit for inspection,
2 HSE Manager Monthly
compliance audit, meeting, training, QHSE workshop.

Prepare QHSE posters to spread safety and work

3 HSE Manager Feb-2021
hazards message among employees.

7 Distribute HSE maintenance Booklet to All Crew Vessel HSE Manager / HR January-2021

4.0 POLICY AND OBJECTIVES

4.1 HSE Policy Statement

No changes in HSE policy same policy will be continued for the year 2020

4.2 Distribution and availability

Management will ensure that all concerned parties are provided with a copy of the HSE policy statement. The
policy shall be displayed on relevant notice boards, and made available in the relevant working languages of the
employees.

No Action Action Party

Distribute HSE Policy for the year 2016 and display at HSE Manager
1
locations.
Distribute HSE Drug and alcohol Policy and display at HSE Manager
2
locations.

4.3 HSE Policy Dissemination

No Action Action Party Schedule

Communicate HSE Policy, Alcohol & Drug Policy, No-smoking For new
1 HSE Manager
policy to new employees. arrivals

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

4.4 Objectives

The main objective of this plan is to drive HSE improvement throughout the contract in all locations in a
consistent manner and to ensure that the HSE performance targets set out in this plan are achieved through
action items planned.

 Achieve continuous improvement of LTIF, TRCF, MVIF, TROIF

 Attain improvement in Road Safety through the agreed action items from workshop and meetings
with client and Sub-contractors.
 Manage sub-contractors/vendors more effectively for the minimization of incidents through hazard
elimination and control measures.
 Training to ensure competent workforce.
 Meeting the Key Performance Indicators (KPI) targets.

4.5 Challenges

 Road Safety
 Improving QHSE awareness of staff

5.0 ORGANISATION, RESPONSIBILITIES, RESOURCES, STANDARDS AND DOCUMENTS

PT. APK recognizes that to fulfill the requirement of HSE is the responsibility of line management, hence the
HSE Managers, being overall in charge, is responsible for the implementation and maintaining HSE and Hygiene
requirements. Operations Manager, Superintendent, Port Captain, Master are held responsible for their
respective areas. The role played by HSE Manager, are for consultation, guidance monitoring of the
implementation of the HSE plan and for developing and maintaining HSE Management System.

5.1 Organization chart

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5.2 Roles and Responsibilities

Operations Manager being overall in charge is accountable for the Management of HSE throughout the
contract. However, the team of Operations Manager, Site Manager, Supervisors, Camp Boss and work co-
coordinators, Permit Applicant, Permit Holders and Foreman are responsible for ensuring that activities are
carried out in accordance with the Serious Services HSE Plan.

HSE Manager shall be responsible for monitoring of HSE Plan in the contract and providing professional HSE
advice to the line management. HSE Advisors, Hygienist are responsible to provide professional HSE &
Hygiene advice to the line management, monitoring implementation of HSE Plan of the respective location,
facilities and line management for continuous improvement in HSE across the operation.

No Action Action Party

Ensure availability of tasks and targets for all employees at
1 Operations Manager
site.
Roles and responsibilities to be defined for all HSE critical Operations Manager
2
positions Manager/HSE Manager

5.3 Resources

Serious Services Management shall provide adequate competent human resources, equipment, vehicles,
tools and financial resources for the effective HSE Management System throughout the project.

5.4 Competence

No Action Action Party

Conduct a HSE workshop on supervision of HSE for
1 HSE Manager
supervisory level of staff.
2 HSE competence framework to be developed HSE Manager
HSE competence assessments to be conducted for all HSE
3 HSE Manager
critical positions

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

5.5 HSE in-house Training

No Training Program Trainner Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
General & HSE HSE Mgr;
1. HSE Officer Always
Induction
ISM Code HSE Mgr;
2. HSE Officer
Awareness*
HSE Mgr;
3. First Aid HSE Officer
HSE Mgr;
4. Fire Fighting HSE Officer
Personal Protective HSE Mgr;
5. HSE Officer
Equipment*
HSE Mgr;
6. Defensife Driving * HSE Officer
Incident / Accident HSE Mgr;
7. HSE Officer
Investigation **
HSE Mgr;
8. HIRA* HSE Officer
Enviromental HSE Mgr;
9. HSE Officer
Awareness *
Incident / Accident HSE Mgr;
10. HSE Officer
reporting *

5.6 Environmental Protection

No Action Action Party Schedule

Monitor and report water and electricity consumption. Site Manager/HSE
1 Each month
Advisor
Induct new staff on environmental protection. HSE Manager/
2 New arrivals
Quality Manager

PT. APK is required to comply in the performance of contract. Regular audits/inspections will be planned and
conducted to verify and assess compliance to HSE Management System.

The HSE Manager will monitor contractors compliance at site and non-compliance shall be reported to site
manager and contract manager for appropriate action.

Related HSE statistics shall be included into statistics. All sub-contractors are accountable for their respective
HSE performance and shall be required to meet Key Performance Indicator and targets in line with PDO HSE
objectives.

Control of Suppliers: Vendor/Supplier/Third Party Performing Services for Serious Services or its sub-
contractors that involve Journeys to site and irregular presence on site will not be required to prepare HSE Plan.
They will be monitored by Site Manager/Operations Manager.

5.7 Communication
Communication is a two way process to ensure that relevant HSE information is communicated to all
concerned

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

5.8 HSE Meeting Program

5.11.1 Objectives:

 Review previous Minutes of meeting and ensure that actions are closed-out.
 Active participation and commitment to the HSE-MS.
 Communicate HSE performance and resolve any HSE issues and outstanding items
 Interact between key personals to cascade the HSE messages to the staff.
 Discuss and find way to control hazards, unsafe acts & conditions.
 Get the feedback from employees and pass appropriate message
 Encourage communication and debate

5.11.2 Code of conduct:

1) Shore HSE Meetings: Incorporated with quarterly Management meeting, General Manager, top
management, Commercial manager, operational team, and HSE teams will be participated.

2) Interior HSE Meeting: Interior HSE meeting will be held in s key personals will be participated. Meeting
will be held monthly.

 All proceedings will be recorded, (MOM) distributed and filed.

 Attendance will be recorded for all meetings
 All action items arising from meetings will be tracked and closed within target dates
 Preparation of Agenda will be decided with the discussion of concerned persons.

5.11.3 Meeting Structure:

Area Timing Participants

Management Team, Operations Team
Shoer HSE Meeting Quarterly
& HSE Team
Key personals group
Weekly Location staff
meeting
Serious Services & Sub-contractors
Location HSE Meeting Monthly
Key personals
QHSE Alert discussion and
communication Quarterly Location Staff

5.9 HSE Performance

HSE LTI notice boards will be updated at corporate and location daily and the project HSE performance shall
be communicated with the employees during the HSE meeting.
No Action Action Party
HSE Advisor/
1 Update HSE LTI board on daily basis
HSE Assistant
Arrange celebration and award gift to staff for the
2 Operational Manager
achievement of 2 years LTI free.
Update HSE performance data and communicate to HSE Manager/
3
management and contract holder.
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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

5.10 Standards and Document Control

Applicable HSE Procedures, standards, guidelines and documents shall be used for the entire scope of work
in different locations. documents shall be revised as and when required. HSE Manager shall maintain these
documents for reference and use.

6.0 HAZARDS AND EFFECTS MANAGEMENT PROCESS

6.1 Methods and Procedures for Hazards and Effects Management

Hazards have been identified and assessed for all activities including sub-contractors activities in the contract
and documented. Copies of the Hazard and Control Sheets will be distributed to Master and sub-contractors
for reference in their respective activities.

The work coordinators and Supervisors will ensure that control measures mentioned are implemented. The HSE
Advisor will carry out periodic check on awareness among site personnel of the hazards and report any non-
compliance for corrective action. Documents will be reviewed for the changes required and will be updated
accordingly.

No Action Action Party

Prepare scope of work including accomAPKtion and
1 HSE Manager
distribute to location.
2 Conduct a HSE workshop on for supervisory staff. HSE Manager
Presentation to Operations Manager on critical control points
3 Quality Manager
amendment.
4 Refer to Hazard Register for preparing Job HSE Plans. Supervisor

6.2 Road Transport/Journey Management

No Action Action Party

1 Execute inspection/audit on each vehicle for the compliance HSE Manager
2 Make available updated vehicles HSE Manager
3 Carry out drivers on job assessment and analyze the result. HSE Manager
Continue with campaign to promote awareness about the use
HR
6 of private vehicle hazards and encourage to use company
/ HSE Advisor
provided transport.
Ensure sub-contractor vehicle and drivers comply with
7 HSE Manager / HR
Management System

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

6.3 Behavior Based Programme

No Action Action Party

1 Analyze behavior findings and report to HR HSE Manager / HR
2 Carry out behavior observations. HSE Manager / HR

6.4 Chemical Handling

No Action Action Party

Ensure SHOC/MSDS are available at site for the HSE Manager
1
chemical in use, update chemical list
2 Conduct Toolbox talks on risks of chemical exposure. HSE Manager
Ensure all staff and sub-contractors staff issued the HSE Manager
3
right PPE for handling of chemicals.

7.0 PLANNING AND PROCEDURES

Emergency Drills shall be conducted as scheduled to test the proficiency of the workforce to handle the
specific emergency. Any action points arising out of the drill will be discussed with the employees and
corrective actions will be taken.

7.1 HSE Plan

No Action Action Party

Conduct HSE workshop to set the action items for HSE Contract Manager/
1
plan with location key staff. HSE Manager
2 Distribute HSE Plan to the concerned. HSE Manager
Arrange a workshop to communicate HSE Plan action Site Manager/
3
items to staff. HSE Advisor
Prepare HSE Plan compliance report and submit to
4 HSE Manager
contract holder.

7.2 Emergency Response

No Action Action Party Schedule

1 Conduct emergency drills with observers as scheduled. HSE Manager Refer 7.3

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

7.3 Emergency Drill

MONTH
TYPE OF Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

DRILL
Fire Drill
Oil Spill Prev. Drill
Abandon Ship Drill
Man Overboard Drill
Safety Device Testing

7.4 Medical Facilities

No Action Action Party Schedule

Record and report sickness and absenteeism to
1 HSE Advisor Monthly
Management.
Arrange Routine Medical Fitness examinations to
2 HSE Advisor Monthly
employees.

7.5 First Aid

No Action Action Party Schedule

Refresh first aiders training and display first aiders name at
1 HR / HSE Monthly
prominent places.
Inspect first aid kits are available at worksite, office, camp,
2 HR / HSE Monthly
vehicle, workshop.

8.0 IMPLEMENTATION, MONITORING & CORRECTIVE ACTION

management and as a team all employees shall be held responsible for HSE performance. HSE personnel
will assist in implementing various activities and will monitor HSE performance by visits, inspections and
audits.

Performance Indicators: HSE Manager will monitor the compliance every month. Manager will check the
compliance every month and performance will be discussed in corporate quarterly HSE meeting.

Achievement of Milestones: The HSE Manager will specify achievement of milestone in the month end
report. Achievement will be discussed in Quarterly HSE meeting.

Close out action items: The reports of closing items from inspections and audits shall be sent to the particular
location Operations Managers for action and the HSE Manager will monitor the actions.

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

Road Safety Checks: Daily and monthly vehicle checks will be conducted and report will be maintained by
HSE and for further action report will be sent to transportation manager through HSE Manager.

Compliance against targets: HSE plan sets the targets for the contract. The HSE Manager shall monitor
and update the performance achieved against targets on monthly basis.

Feedback / Analysis:
The results of performance indicators shall be reviewed in management review meeting and corrective actions
shall be allocated to the responsible persons.

Comparison of performance:
The HSE Manager shall maintain comparison of performance between different locations.

8.1 Implementation

No Action Action Party Schedule

Ensure that all control and recovery measures are in place at
Supervisors/ Site
1 site during the execution of work and tool box talk is Daily
Manager
conducted.
Develop HSE plan monitoring chart and ensure the HSE Manager/ Monthly
2
implementation. HSE Advisor
Prepare trend analysis on HSE performance indicators,
STOP, incident analysis, occupational illness, sickness
3 Quarterly
absenteeism and recommend improvement and initiate HSE Manager
action.
Develop HSE activity program for HSE meetings, HSE
4 HSE Advisor Monthly
inspections, audits, emergency drills, HSE trainings.

8.2 Monitoring

No Action Action Party Schedule

Monitor HSE Performance Indicator, identify areas for
HSE Manager/
1 improvement and recommend corrective action in corporate Quarterly
Quality Mgr
Management HSE Meeting
Monitor and report the progress on HSE compliance of sub-
2 Site Manager Monthly
contractors in HSE meeting.

8.3 Corrective Action

No Action Action Party Schedule

After the
Prepare inspection/audit report and distribute to the HSE Manager/
1 inspection/
concerned locations site manager for corrective actions. Quality Manager
Audit
HSE Manager/ on agreed
2 Follow-up and close out actions items
Quality Manager target date

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 ( GENERAL TRADING, BUNKER AGENT, TRANSPORTIR BBM, SHIP BROKERINGS )

8.4 Accident/incident

No Action Action Party Schedule

Written report will be passed to HSE Manager on
Site Manager/ Within 24 hrs of
1 all accidents/incidents occurring at site or any
other concerned work places. HSE Advisor occurrence
Contract Manager/
Investigate medium and high potential Within a week
2 HSE Manager/
accidents/incidents and prepare report. after occurrence
Quality Manager
Review and close out the recommended action Contract Manager/ On agreed target
3
items. HSE Manager date

9.0 AUDIT & INSPECTION

9.1 Audit Plan

2021
NO JENIS INSPEKSI
JUN JUL AUG SEP OCT NOV DES JAN FEB MAR APR MAY

1 Equipment
Ispection
Vessel
2 Performance
Inspection
3 Compliance &
Safety Vessel
Inspection
Office Inspection
3

9.2 Inspections

No Action Action Party Schedule

1 Carry out inspection in location during site visit. HSE Manager/ Monthly
Port Captain
Conduct inspection in worksite, maintenance, call of HSE Manager
2 Monthly
work.
Carry out inspection in facilities and HSE Manager / OS
3 Monthly
accomAPKtions.

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10.0 REVIEW
Management review meeting will be held Yearly at head office. Effectiveness of the HSE activities will be
reviewed. Senior Management, Operations team and QHSE team will be participated in the review meeting
and reviews HSE Management System, its effectiveness and suitability in:
 Managing HSE risks
 Reinforcing efforts to continually improve HSE performance
 Ensuring its continuing suitability and effectiveness
The issues to be addressed as part of the review process typically include:
 Any recommendations which have been made in audit reports.
 Any recommendations made in investigating incidents.
 Extent of follow-up on audit and incident action items
 The continuing suitability of Serious Services HSE policy
 The continuing suitability of HSE objectives and consequent amendments to the HSE Plan and HSE
Management System documentation if necessary
 Performance against targets
 Resources allocated to achieve HSE objectives.

No Action Action Party

Contract Manager/
Review HSE Management System, QHSE
1 HSE Manager/
Performance, and Accident/incident review.
Quality Manager
Review critical control point of operation and
2 Quality Manager
prepare documentation for implementation.
Contract Manager/
3 HSE Plan compliance review.
HSE Manager
4 Review HSE Plan and its implementation. HSE Manager

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