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Contract No. CW-GDE-D2P2-002 COMPANY Doc No.

Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004


(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 1 of 78

ROAD & WELL PAD


PREPARATION FOR DIENG 2 &
PATUHA 2 DRILLING CAMPAIGN

PT SUPRACO INDONESIA

Road and Well Pad Preparation for


Drilling Patuha 2
PT Geo Dipa Energi Persero

DOCUMENT TITLE:

CONSTRUCTION ENVIRONMENTAL MANAGEMENT PLAN (CEMP)

ISSUED FOR APPROVAL

Issued for NES CHR AWB GDE GDE


C 03-Oct-2021
Approval
Issued for NES CHR AWB GDE GDE
B 10-Sept-2021
Approval
Issued for GDE GDE
A 05-Augst-2021 NES CHR AWB
Approval
Safeguard
Rev. Date Purpose Issued Checked Approved COMPANY
PMU
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 2 of 78

RECORD OF REVISIONS

THE REVISIONS LISTED BELOW HAVE BEEN INCORPORATED IN THIS COPY OF THE DOCUMENT

RECORD OF REVISIONS

Rev. No. Section Page No. Description of Change

B A1-A13 all Synchronize with CEMP framework and include content

C Section 1 all Revision to comply with ADB IEE requirements


to 13
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 3 of 78

Contents
1 Introduction ..............................................................................................................................................6
1.1 Purpose ................................................................................................................................................6
1.2 Project Overview ..................................................................................................................................6
1.2.1 Project Description ...............................................................................................................................8
1.2.2 Project Components .............................................................................................................................8
1.3 Construction Method Statement .........................................................................................................10
1.3.1 Scope of Work....................................................................................................................................10
1.3.2 Materials and Tools ............................................................................................................................11
1.3.3 Sequence of Work..............................................................................................................................11
1.3.4 Inspection and Testing Requirements ................................................................................................12
1.4 Quality, Health, Safety and Environment Protection Policy ................................................................12
1.5 Roles and Responsibilities .................................................................................................................14
2 Environmental Legislation, Regulations and Guidelines.........................................................................16
2.1 Indonesian Environmental Regulations ..............................................................................................16
2.2 International Standards ......................................................................................................................17
2.3 Environmental and Social Safeguard Documents ..............................................................................17
3 Work Site Hazard and Risk Assesment ..................................................................................................17
4 Environmental Mitigation Measures .......................................................................................................19
5 Environmental Monitoring and Compliance............................................................................................40
5.1 Monitoring ..........................................................................................................................................40
5.2 Audit ...................................................................................................................................................41
5.3 Inspection ...........................................................................................................................................41
6 Incident and Non-Compliance Management ..........................................................................................41
7 Health and Safety and Emergency Response Procedures ....................................................................42
7.1 Emergency Response Plan ................................................................................................................42
7.2 Covid 19 Management Plan ...............................................................................................................44
7.3 COVID-19 Emergency Response ......................................................................................................45
8 Grievance Redress Mechanism .............................................................................................................46
8.1 Current Complaint Handling Process .................................................................................................47
8.2 Project GRM Flow ..............................................................................................................................48
8.3 Filing/Submission of Complaint ..........................................................................................................49
8.4 Record Keeping..................................................................................................................................49
9 Training ..................................................................................................................................................50
10 Reporting, Communication, and Record-Keeping ..................................................................................50
10.1 Reporting............................................................................................................................................50
10.2 HSE Communication ..........................................................................................................................51
10.3 Record keeping ..................................................................................................................................51
11 Key Performance Indicators ...................................................................................................................51
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 4 of 78

12 Management of Change.........................................................................................................................52
13 CEMP Implementation Budget ...............................................................................................................53

List of Table

Table 1. List of Equipment Used During Civil Works ............................................................................. 7


Table 2. Project Components of Patuha Unit 2 ..................................................................................... 8
Table 3. Project Scope of SPC at Patuha 2 ........................................................................................ 10
Table 4. Materials and Tools ............................................................................................................... 11
Table 5. Roles of Responsibility of Identified Personnel ..................................................................... 14
Table 6. Risk Matrix to Identify Severity .............................................................................................. 18
Table 7. Environmental Mitigation Measures ...................................................................................... 20
Table 8. Audit and Inspection Schedule for Monitoring ....................................................................... 36
Table 9. Contact Persons Emergency PT GDE and PT SPC .............................................................. 39
Table 10. Current Complaint Handling Process .................................................................................. 43
Table 11 Lagging Indicators ................................................................................................................ 48

List of Figure
Figure 1. Project Location of Patuha 2 and Dieng 2 .............................................................................. 7
Figure 2. Location of Civil Work Patuha 2 ............................................................................................. 8
Figure 3. Project Component Stage Patuha Unit 2 ............................................................................. 12
Figure 4. SPC QHSE Policy ................................................................................................................ 13
Figure 5. Organization Structure for Environmental Management of Civil Works ................................ 14
Figure 6. Emergency Response Communication Flow ....................................................................... 39
Figure 7. Flow Response Covid-19 Outbreak ..................................................................................... 42
Figure 8. Villages affected by mob demob activity .............................................................................. 43
Figure 9. Project GRM Flow ................................................................................................................ 45
Figure 10. Example of GRM Form ...................................................................................................... 46

List of Appendix
Appendix 1: Hazard Identification and Risk Assessment
Appendix 2: Journey Management Plan
Appendix 3: Noise and Vibration Management Sub-Plan
Appendix 4: Waste Management Sub-Plan
Appendix 5: Erosion, Sedimentation, and Water Resources Control Management Sub-Plan
Appendix 6: Land Clearing Management Sub-Plan
Appendix 7: Chance Find Procedure
Appendix 8: Ambient Air Quality Management Sub-Plan
Appendix 9: Biodiversity Action Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 5 of 78

Appendix 10: Internal Audit Procedure


Appendix 11: Internal Audit Report Template
Appendix 12: Inspection Work Instruction
Appendix 13: Accident/Incident Investigation Report Procedure
Appendix 14: Emergency Response Procedure
Appendix 15: GDE Covid-19 Procedure
Appendix 16: Penanganan Pengaduan dan Keluhan Tingkat Proyek
Appendix 17: Training and Competency Procedure
Appendix 18: Project Training Matrix
Appendix 19: Management of Change Procedure
Appendix 20: MSDS of Strong Grout
Appendix 21: MSDS of Tiga Roda Cement
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 6 of 78

1 Introduction
This Construction Environmental Management Plan (CEMP) is prepared following contract award as
an obligations of contractor for environmental management at the location where they are working.
CEMP applies to all construction activities associated with the project. It provides a management
framework for the planning and implementation of construction activities following environmental
commitments. Significant impacts are identified and evaluated, so some problems of the environment
can be recognized and mitigated accordingly. PT Supraco Indonesia (“SPC”) commits to avoid any
adverse effects that may harm to the environment and community.

This CEMP provides guidance on the environmental and social management system approach to be
adopted by SPC and sub-contractors during the construction phase of the Project. It is supplemented
by various sub-plans and procedures which have been developed to address key environmental and
social aspects identified during the IEE process for which detailed control procedures and associated
responsibilities are defined for implementation by SPC and sub-contractors. These environmental and
social sub-plans have been prepared as separate stand alone documents.

The CEMP is a living document and will be updated as necessary based on the actual condition on
site and/or CEMP implementation evaluation results.

1.1 Purpose
The purpose of a construction environmental management plan is to outline how a construction project
will avoid, minimise or mitigate negative impacts on the environment, personnel working in the project,
and community living in the surrounding area.

1.2 Project Overview


PT Geo Dipa Energi (Persero) or GDE has embarked on Patuha Unit 2 and Dieng Unit 2 to contribute
to the goal of the Government of Indonesia (GOI) to meet the 7% share of geothermal in the national
energy mix by 2025, at the same time, supporting the commitment in COP21 to reduce GHG emissions
at 29% by 2030. Project development of Patuha Unit 2 and Dieng Unit 2 will also help achieve the
national target for 100% electrification by 2020.

SPC, as a civil works contractor, will contribute in implementing environmental friendly activity to avoid
adverse impact to the environment and community at pre-construction, construction, and post-
construction stages by implementing mitigation measures through design, equipment, suitable
engineering construction methods, effective stakeholder engagement (as and when needed),
compliance to EMP and environmental monitoring, and compliance to applicable both national
environmental, health, and safety regulations and international standards on geothermal power plant
construction.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 7 of 78

Figure 1. Project Location of Patuha 2 and Dieng 2

This civil works activity will support the expansion of GDE target to produce 1x55 MW of electricity at
Patuha Unit 2 and produce 1 x 55 MW at Dieng Unit 2. All activities conducted by SPC will be to support
the drilling contractor in the drilling stage preparation.

Table 1. List of Equipment Used During Civil Works

List of Equipment for Patuha 2


No
and Dieng 2
1 Light vehicle
2 Rotary rig drilling
3 Truck mixer
4 Mobile crane
5 Genset
6 Stamper
7 Excavator
8 Vibro roller
9 Total station
10 Concrete vibrator
11 Cutting torch
12 In situ CBR test
13 Speedy test
14 Sand cone
15 Digital weighing scale
16 Water pump
17 Cutting rebar
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 8 of 78

1.2.1 Project Description


WKP Patuha area is located at Pasir Jambu, Ciwidey, and Rancabali Sub Districts (kecamatan), in
Bandung District (kabupaten), West Java Province. The capital of Bandung District is Soreang City and
is about 30 km northeast of the Patuha site. Similar to the existing Unit 1, Unit 2 will be located in
Sugihmukti along with the transmission line to connect to the substation owned by PLN. Project
mobilization will be within the villages Panundaan, Alam Endah, and Sugihmukti.

During mobilization, the contractor will pass through a residential area in Panundaan and Alamendah
Village. While in Sugihmukti Village, the contractor will pass through some farming areas and forests.
The road is segmented into cemented and graveled roads.

Figure 2. Location of Civil Work Patuha 2

1.2.2 Project Components

Table 2. Project Components of Patuha Unit 2

No Location Layout at Patuha 2 Work Area Description

This location is a brownfield


area; there is some existing
infrastructure that supports
Patuha-1. There is 1 well
production, 2 water ponds,
1 Well Pad PPL-07 pipeline, 1 cellar box, 1
security pos, and
telecommunication
infrastructure.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 9 of 78

No Location Layout at Patuha 2 Work Area Description

This location is a brownfield


area; there is some existing
infrastructure that supports
Patuha-1. There is 1 well
production, 2 water ponds,
2 Well Pad PPL-06 pipeline, 1 cellar box, 1
security pos, and
telecommunication
infrastructure.

This location is a brownfield


area; there is some existing
infrastructure that supports
Patuha-1. There is 1 well
production, 1 water pond,
pipeline, 1 cellar box, 1
security pos, and
3 Well Pad PPL-02 telecommunication
infrastructure.

This location is a brownfield


area; there is some existing
infrastructure that supports
Patuha-1. There is 1 well
production, 1 water pond,
pipeline, 1 cellar box, 1
4 Well Pad PPL-04
security pos, and
telecommunication
infrastructure.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 10 of 78

No Location Layout at Patuha 2 Work Area Description

Loc BB is a new well pad


within a protected forest and
will have three wells (i.e.,
PTH-9, PTH-9A, and PTH-
9B). Well-development for
Loc BB will require opening
an area of about 18,000 m2
(i.e., 150 m x 120 m). The
5 Well Pad BB
access road to Loc BB will be
required starting from the
existing well pad, Loc G, to
about 800 m long and 10 m-
wide (or 8,000 m2). Loc BB
and its access road will cause
habitat clearing of
2
approximately 26,000 m .

1.3 Construction Method Statement

1.3.1 Scope of Work


Referring to the contract no CW GDE D2P2-002 between GDE and SPC dated 23 July 2021, the
scopes of work of SPC are as detailed below.

Table 3. Project Scope of SPC at Patuha 2

No Site Location Scope of Work


Patuha 2
1 Mobilization and Demobilization
2 Drilling with Auger (Earthwork)
Well Pad PPL 7,6,2,4 and BB
3 Install Pipe Conductor (Include welding)
4 Cementing / Grouting
5 Cellar Box Work
6 Earth work
a. Demolition;
b. Clearing;
c. Grubbing;
Well Pad BB d. Topsoil Removal and Stockpiling;
e. Excavation;
f. Excavation of foundation for structures;
g. Placing of Fill Material;
h. Compaction;
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 11 of 78

No Site Location Scope of Work


i. Backfilling Against Structures;
j. Temporary Protection Work;
k. Geotextile Installation.
7 Fence Work BRC
8 Concrete Panel Fence Work
9 Wellpad Slope Geotextile Work
10 Retaining Wall
11 Access Road Work (Earthwork)
12 Corrugated bridge

1.3.2 Materials and Tools


The materials and tools will be used during the projet commencement are listed in table below.

Table 4. Materials and Tools

No. Material/Tools Description Volume/Quantity Remarks


A Materials
1 Concret As per Bill of Quantity
2 Stones As per Bill of Quantity
3 Cement As per Bill of Quantity
4 Concret steel As per Bill of Quantity
5 Sands As per Bill of Quantity

B Equipment
1 Excavator 3 2 owned, 1 rental
2 Bulldozer 1 Rental
3 Dump truck 1 Owned

1.3.3 Sequence of Work


The sequence of work is listed in Figure 3 below. The implementation of these work stages will be
determined based on Project Owner’s schedule.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 12 of 78

Figure 3. Project Component Stage Patuha Unit 2

1.3.4 Inspection and Testing Requirements


The inspection and testing is undertaken to all equipments by SPC and GDE prior to mobilization to
site. Detailed information is outlined in Appendix 12.

1.4 Quality, Health, Safety and Environment Protection Policy


SPC is committed to conducting business to prevent injury or illness to workers and the public affected
by our work activities. The objectives are:
• No Accident
• Accomplished tasks without injury or illness
• Causing no harm to the environment and surrounding community
SPC also commits to:
• Actively identify, evaluate, and control environmental aspects and impact in every activity
and work area;
• Implementing waste handling to reduce waste, to minimize environmental impact; and
• Developing and implementing environmental procedures to secure operational activity to
not evoke impact on the environment by complying to the regulation forces.
SPC QHSE Policy is shown in Figure 4.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 13 of 78

Figure 4. SPC QHSE Policy


Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 14 of 78

1.5 Roles and Responsibilities


The following chart shows the organizational structure for environmental management during civil work.

Figure 5. Organization Structure for Environmental Management of Civil Works

The role and responsibility of all personnel identified on the above chart are as below:

Table 5. Roles of Responsibility of Identified Personnel

No Position Responsibility
Communicate CEMP goals to employees
Demonstrate visible safety leadership and behavior of CEMP goals
Resolve conflicting policies and promote ownership of CEMP
Provide required resources and training to implement CEMP
Support Supervisor on environment-related issues and initiatives
1 Project Manager
Ensure all subcontractor activity comply with rules and regulation
Provide overall support and necessary resources to maintain the high
integrity of CEMP and HSE aspects by providing competent personnel
and required equipment, material
Ensure CEMP and HSE resources for the project are adequate and
meet the requirement
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 15 of 78

No Position Responsibility
Provide necessary support to handle emergency
Liaise with GDE team in responding in the emergency
Review, endorse and implement CEMP and HSE Plan
Resolve conflicting policies with sub-contractor management
Coordinate with all onsite project PIC's in ensuring project scope (based
on contract) are performed in a safe manner
Ensure all equipment and material by vendors are requested and have
2 Site Manager passed QAQC before delivery onsite
Monitor and advice site operations and inspections as per plan
Support implementation of CEMP, ERP, and HSE Plan
Assist supervisor to perform notification during an emergency, also
organize additional support as necessary
Notify and coordinate with the project manager and Site client's PIC to
respond to an emergency
Communicate CEMP goals to all personnel
Ensure CEMP, HSE Plan are implemented and use effectively
Coordinate with client coordinator regarding CEMP Implementation
Ensure the correct use of safety forms and tools to implement the CEMP
3 Supervisor and HSE Plan
Implement the corrective actions identified during the project
Lead the evacuation when an emergency happens and activate ERT
onsite to respond to the emergency
Implement the available ERP
Ensure CEMP implemented, including filled form and documentation
Facilitate Project Risk Assessment and communicate the action item
Liaise with Client's Environmental PIC on required Environmental
Requirements based on approved CEMP
Assist Site Manager and Supervisor on CEMP related tasks during
project activity
4 HSE Officer Conduct monitoring Leading and Lagging indicators related to
Environmental and Safety Performance, such as Waste Management,
Waste manifest, Hazardous material handling, Work Permit, etc.
Provide any required assistance to the site ERT respond to the
emergency environment situation
Coordinate with Client's Environment PIC if any environmental issues, a
chance find, etc.
Public Relation / Act as a positive representation of SPC to all stakeholders
5 GRM Focal Develop, maintain, and intensify contacts with stakeholders;
Person? Monitor, coordinate, and communicate strategic objectives of SPC
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 16 of 78

No Position Responsibility
Collect, analyze, and utilize data and feedback to identify opportunities
to improve the relationship between SPC and stakeholder
Complete CEMP and HSE Induction upon the first arrival to the location
Take ownership in executing the CEMP and HSE program
Stop work immediately if safety and environment issue is detected,
discuss corrective action with supervisor, HSE
Actively participate in Permit to work, Observation and Intervention
6 All Personnel
program
Comply and obey with CEMP, HSE Plan
Wear appropriate PPE, and follow hazardous material handling
procedures or pollution mitigation
Ensure work areas are kept clean

2 Environmental Legislation, Regulations and Guidelines


The following presents the relevant Indonesian and international regulatory frameworks for
environmental and social aspects applicable to the project.

2.1 Indonesian Environmental Regulations


The national applicable environmental regulations are detailed below.

The Law of Republic of Indonesia:


• Law No. 1 of 1970 on Work Safety Act
• Law No. 5 of 1990 on Conservation of Natural Resources and its Ecosystems
• Law No. 41 of 1999 on Forestry (amended by Law No. 19 of 2004)
• Law No.32 of 2009 on Environmental Protection and Management
• Law No. 41 of 1999 on Forestry (amended by Law No. 19 of 2004)
• Law No. 18 of 2008 on Waste Management
• Law No. 36 of 2009 on Health
• Law No. 22 of 2009 on Traffic and Road
• Law No. 11 of 2010 on Cultural Conservation
• Law No. 21 of 2014 on Geothermal
• Law No. 37 of 2014 on Land and Water Conservation

The government of Indonesia regulations:


• GR No. 74 of 2001 on Hazardous Substances Management
• GR No. 76 of 2008 on Forest Rehabilitation and Reclamation
• GR No. 43 of 2008 on Groundwater
• GR No. 10 of 2010 on Procedures for Changing of Forest Use and Function
• GR No. 24 of 2010 on Forest Area Utilization
• GR No. 50 of 2012 on the Implementation of Safety and Occupational Health Management
System
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 17 of 78

• GR No. 81 of 2012 on Management of Domestic Waste and Similar Type


• GR No. 104 of 2015 on Procedures for Changing of Forest Use and Function
• GR No. 22 of 2021 on the Implementation of Environmental Protection and Management

The Indonesian Ministry regulations and decrees:


• Ministry of Health Regulation No. 528 of 1982 on Groundwater Quality Related to Health
• Ministry of Health Regulation No. 528 of 1982 on Groundwater Quality Related to Health
• Ministry of Environment Decree No. KEP-48/MENLH/11/1996 on Noise Level Standard
• Ministry of Environment Decree No. KEP-49/MENLH/11/1996 on Vibration Level Standard
• Ministry of Environment Decree No. KEP-50/MENLH/11/1996 on Odour Level Standard
• Ministry of Environment Decree No. 37 of 2003 on Surface Water Quality Analysis Method and
Sampling
• Ministry Forestry Regulation No. 12 of 2009 on Forest Fire Control
• Ministry of Environment Regulation No. 18 of 2009 on Obtaining Permits for Storage, Treatment
and Disposal of Hazardous Waste
• Ministry of Health Regulation No. 492 of 2010 on Drinking Water Quality
• Ministry of Manpower and Transmigration Regulation No. 13 of 2011 on Physical and Chemical
Factors Threshold at Workplace
• Ministry Forestry Regulation No. 4 of 2011 sets the Guidelines on Forest Reclamation
• Ministry of Environment Decree No. 55/MENLH/2013 on Wastewater Discharge Standards
• Ministry of Public Works and Settlements No. 50 of 2015 on Water Resources Utilization Permit
• Ministry of Environment and Forestry Regulation No.6 of 2021 on Procedure and Requirement
of Hazardous Waste Management

2.2 International Standards


Aside from compliance to national environmental standards, the ADB Safeguard Policy Statement
(SPS) 2009 will be reference for project commencement.

2.3 Environmental and Social Safeguard Documents


The following documents prepared based on the above regulations will be reference for project
commencement:
• Rencana Pengelolaan Lingkungan (RKL) dan Rencana Pemantauan Lingkungan (RPL)
• Initial Environmental Examination (IEE) 2019 including Environmental Management Plan
(EMP) and Biodversity Action Plan (BAP)
In addition, SPC will ensure the compliance of CEMP implementation against the HSE, Gender and
Safeguard Requirements as specified in Section 6 of Contract Document.

3 Work Site Hazard and Risk Assesment


SPC will conduct hazard identification to identify and define hazards that exist before and during work.

SPC will make a HIRA that will be used for all projects involving SPC At least 2 days must be completed.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 18 of 78

• HIRA-1 is completed before mobilization for the project. All mobilization personnel must attend the
HIRA meeting, which will be coordinated by the QSHE Coordinator.
• HIRA-2 must be completed on site, before starting work. HIRA-2 will involve review of HIRA-1, and
the addition of new or unexpected activities or hazards.

HIRA is installed in a prominent location in the workplace, to be seen by all employees. All employees
are required to read the HIRA, and understand the control steps needed for each activity. Hazard
identification assessment refers to the Risk Management Procedure and Danger List.

Possibilities/possibilities occur
1. Rare = practically impossible
2. It is impossible = can happen at a time
3. Maybe = can happen or "I've heard that happened."
4. Very likely = known to have happened or "has happened."
5. Almost certain = occurs in most recurring situations or events

Seriousness/possibility of being effective is a personal matter


1. Not significant = no treatment is needed, short injury time
2. Small = first aid, Onsite release immediately contained (environ)
3. Medium = MTI or LTI with a doctor's certificate, Onsite release held with outside assistance (environ)
4. Significant = permanent disability or single death, Off-site release with no detrimental effects
(environ)
5. Disaster = several deaths, Toxic release off-site with detrimental effect (environ)

Impact on Assets / Equipment / Environment


1. Not significant = loss <5,000,000.
2. Small = 5,000,001 <loss <50,000,000.
3. Moderate = 50,000,001 <losses <500 billion
4. Major = 500,000,000,000 <losses <1,000,000,000.
5. Disaster = loss> Rp1,000,000,000

The severity of the Risk Matrix can be seen in the Table below.

Table 6. Risk Matrix to Identify Severity

Processes will be maintained to evaluate (assess) risks and effects of identified hazards against
screening criteria, taking into account the probabilities of occurrence and severity of consequences for:
• People
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• Environment
• Assets
• Community
It should be noted that any evaluation technique provides results that may be subject to a range of
uncertainties—consequently, formal risk evaluations of the methods of inexperienced judgment
personnel, regulators, and the community. Risk evaluation will:
• Include effects of activities, products, and services
• Address effects and risks arising from both human and hardware factors
• Solicit input from personnel directly involved with the risk area
• Be conducted by qualified and competent personnel
• Be conducted according to appropriate and documented methods
• Be updated at specific intervals

Evaluation of health safety and environment risks and effects will include, where appropriate,
considerations of:
• Personnel Injuries
• Occupational Hazard
• Erosion, Landslide, and Water contamination
• Fire
• Biodiversity loss

Hazard identification and risk assessment is tabulated in Appendix 1.

4 Environmental Mitigation Measures


SPC Indonesia has identified potential risks to occur during the period of works. SPC has developed
mitigation measures and control to be implemented in order to minimize the negative impacts.
Environmental mitigation measures is summarized in Table 7.
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Table 7. Environmental Mitigation Measures

Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
Mobilization and Demobilization
- Clear and visible
danger and warning
signs/posters will be
installed temporarily in
areas affected by
mobilization (i.e.,
Kampung Alam
Endah, Sugih Mukti,
and Panundaan)
- Provide temporary Kampung
Community
crossing that will Alam
Mobilization of safety risk Monitoring and
accommodate During the Endah, SPV and HSE
Equipment and during Communication GDE
women, children and mobilization Sugih Mukti, SPC
Materials equipment with stakeholder
persons with and
mobilization
disabilities Panundaan)
- Will coordinate with
village head on the
schedule of
mobilization of heavy
equipment and
machinery
- Staff/worker will be
assigned to manage
traffic within the
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communities affected
- Emergency system
and equipment such
as fire-fighting,
ambulance, etc., will
be made available
during mobilization
along Kampung Alam
Endah and
Panundaan including
the provincial road in
Bandung that will be
used during
mobilization in case of
accident
- Contractor will be
required to prepare
traffic management
plan in consultation
with local authorities
in Panundaan, Sugih Kampung
Mukti, and Alam Alam
Endah and the Monitoring and
Disruption to During the Endah, SPV and HSE
provincial agency in Communication GDE
local traffic mobilization Sugih Mukti, SPC
Bandung with stakeholder
and
- Conduct public
Panundaan)
consultations on the
route that will be
taken for mobilization
- Conduct pre-
mobilization survey of
the route to be taken
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to assess if adequate
space or corridor is
available, load
capacity of bridges,
the condition of public
roads including
buildings/houses
close to the roads
(~100 m) the
condition of public
roads and dwellings
along the routes as
baseline for road
rehabilitation or
damage claims
- A staff will be
designated to manage
traffic along the route
for mobilization
- Trucks that will deliver
dust generating
construction materials
will be covered with a Daily and at all
tarp or other suitable times during
material to minimize mobilization
Inspection gas
dispersion Gas emission SPV and HSE GDE
Ambient air emission
- Watering the road to test at least one SPC
quality certificate
minimize dust spread (1) time during
deterioration - Regular maintenance the project
and inspection of duration
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equipment/ vehicle
(emission testing
certificate)
- Avoid engine idle for
more than 30 minutes
- Detailed mitigation
measures refers to
Journey Management
Plan or JMP
(Appendix 2) and
Ambient Air Quality
Management Sub-
Plan (Appendix 8)
- Inspection exhaust
vehicle and conduct
maintenance
necessary
incremental Vehicle Initial prior
Noise generation - Workers who will be inspection mobilization and SPV and HSESPC
Checklist and as per complaint
assigned to high GDE
GRM Report event
level noise-
generating works
e.g. 100 dB(A) will
be rotated every two
hours aside from
wearing of PPEs
- For any complaints
received related to noise
refer to Grievance
Redress Mechanism
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- Detailed mitigation
measures refer to Noise
and Vibration
Management Sub-Plan
- (Appendix 3)
- Socialization to the
stakeholder (Desa Letter to relevant
Traffic incident Alamendah, Pokja, stake holders, Pre- mobilization
related to Ormas, etc.) before Complaint and as per event SPV and HSESPC GDE
adjacent received from the
Mob/Demob
community community
- Conduct road survey
- from driver prior
mobilization
- Detailed mitigation
measures refer to
JMP(Appendix 2)
- Provide proper PPE for
all workers
- Provide first aid kit, Inspection and
chemical, spill kit, fire Documentation,
Occupational extinguisher, flashlight, GRM received During the SPV and HSESPC GDE
health risk related to traffic mobilization
and tool kit (Refer to JMP
occupational
in Appendix 2) incident
- Refer to Grievance
- Redress Mechanism
(Section 8)
- Conduct trainings on
safety and health
hazards at least
monthly
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- Provide sanitary
facilities and safe
drinking water at the
construction site
and at the workers’
camp
- Provide workers with
PPEs such as
googles, safety
shoes, etc. and its
use will be mandatory
- Conduct daily
toolbox meetings to
emphasize safety
and health
procedures
- Site Engineers to
encourage brief
exercise routine to
highlight the value
of health in the
workplace
- Employees of
contractor(s) will be
ensure and test
health driver before
driving
- Install clear and visible
warning signs as well
as sufficient lighting
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- Install portable
secondary containment
- All fuel vehicle will carry
container bags,spill kit
Fuel spill and soil materials, and tools for Inspection and Petrol Vehicle Operator
Petrol refueling contamination theclean up and Daily Checklist Daily refueling andHSE SPC GDE
grounding system area
- Containers will be
enclosed and covered by
tarpaulin
Chemical spill kit will
ready within the working
location
Drilling with Auger

- Soil waste will be


disposed at designated
areas (PPL04)
- Utilize drilled soil as PPL 04,
backfill for fill area PPL-07,
Soil waste - Stockyard will be
Soil Drilling with Inspection and PPL-06, SPV and HSE
disposal not inthe Weekly GDE
auger covered during the non- Monitoring PPL-02 and SPC
designatedareas
working period PPL-09 (PAD
- Detailed mitigation BB)
measures refer to Waste
Management Sub-Plan
- (Appendix 4)
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
- Make bund wall to the
soil waste disposal area
PPL 04,
- Maintenance of bund
PPL-07,
wall GDE
Inspection and Planning and PPL-06, SPV and HSE
Erosion - Detailed mitigation
Monitoring weekly PPL-02 and SPC
measures refer to
PPL-09
Erosion, Sedimentation,
(PAD BB)
and Water Resources
Control Management
Sub-Plan (Appendix 5)
Install Pipe Conductor

Occupational - Using a respiratory anda


health issue welding mask for
(respiratory and personnel performing During the At working
eyes health welding activity location
welding task Inpection HSE SPC GDE
related problem)
- Waste segregation of
hazardous waste
- Welding rod waste will be
collected in a closed
Welding Environmental container and will be
contamination stored temporarily at the
due to poor
designated area Hazardous waste
housekeepingof Temporary
- An information signage manifestand Monthly HSE SPC GDE
welding rod storage
will be installed at the Inspection
waste
hazardous waste
temporary storage
- Hazardous waste
containers will be
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equipped by symbol and
- Label
- Hazardous waste will be
transported regularly
offsite by a licensed third
party
- Detailed mitigation
measures refer to Waste
Management Sub-Plan
- (Appendix 5)
- Provide proper PPE for
workers
- Develop lifting plan prior
commencement of work Joint inspection
- Conduct pre-use and
Documentation, SPV and HSESPC
inspection
- Crane operator should Lifting Plan, Pre- GDE
have a valid Surat Izin use inpection Pre- lifting and
Lifting andrigging Occupational Operator (SIO) checklist, SIO, during the lifting At work site
Incident - Crane (equipment) should SILO, and rigging work
have a valid Surat Izin certificates, GRM
Laik Operasi (SILO) received
- Rigger should have a
valid lifting and rigging
certificate
Ensure the clearance of
working area,
for example: install
safety barrier, signage, etc
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
- Refer to Grievance
Redress Mechanism
(Section 8) to solve any
grievances received

- Develop lifting plan prior


commencement of work Joint inspection
- Conduct pre-use
and
inspection
- Crane operator should documentation,
have a valid Surat Izin Lifting Plan,
Property
Operator (SIO) Pre-use SPV and HSE
damage At work site GDE
- Crane (equipment) should inpection SPC
(falling object)
have a valid Surat Izin checklist, SIO,
Laik Operasi (SILO) SILO, and
- Rigger should have a
rigging
valid lifting and rigging
certificate certificates

Cementing / Grouting
- MSDS of hazardous
Chemical spill substances will be made
and available at the working Inspection and
During the Cementing
Cementing wastewater location documentation, SPV SPC
discharge the activity area
- Chemical handling and JSA GDE
environment storage refers to MSDS.
MSDS of chemicals to be
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
available onsite are
presented in Appendix 20
(String Grout) and
Appendix 21 (Tiga Roda
Cement)
- Install tarpaulin and
bundwall
as groundmat to avoid
chemical spill to the
environment
- Chemical spill kit ready
within the working
location
- Excavate sump pit(s)
temporarily to
accommodate
wastewater generated
during
the mixer washing activity

- Install whip check on


hose connection Workshop
Occupational - Provide proper PPE Monitoring and and
(body harness and As per event SPV SPC GDE
Incident documentation cementing
raincoat) for personnel
performing cement area
Mixing
- MSDS socialization
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
Waste Waste not
generating from - Re-Use bucket refer to
being Inspection and During the Cementing
waste management
cement package managed SPV SPC GDE
- Segregate waste of Documentation activity area
or grouting properly due to
cement package
additive bucket poor
housekeeping
Access Road Work and Preparation Wellpad (Cut and Fill Activity)
- Mapping area for land
Planning,
clearing plan, Prior land Temporary
Induction and HSE and SPV
- Conduct EHS Induction clearing being site office nd GDE
Inhouse SPC
specifically designed for commenced work area
Training
Loc BB works
- Install bund wall on the
slope (especially at
Cut and Fill Land
Erosion/ extreme slope)
Clearing Pad BB
Landslide - Land clearing waste
(Sediment (e.g.: tree logs) will be
Prior land
Run-Off) utilized as bund wall Planning; HSE and SPV
clearing being STA 250 GDE
construction Inspection SPC
commenced
- Detailed mitigation
measures refer to Land
Clearing Management
Sub-Plan (Appendix 6)
and Erosion,
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
Sedimentation and Water
Resources Control
Management Sub-Plan
(Appendix 5)
- Propose Silt Fence
installation
(Polypropylene
Planning;
Geotextile, 30cm above
Inspection SPC and GDE GDE
ground, 15cm inside the
ground, steel wire strap)
on runoff track
downstream
- Propose to construct
Water control box for monitoring
Planning; Once a week
contamination sedimentation (Permit to SPC and GDE GDE
Inspection
local government by
GDE)
- Install bund wall filter on
runoff track downstream
- Implement Erosion,
Planning;
Sedimentation, and SPC and GDE GDE
Inspection
Water Resource Control
Management Sub-Plan
(Appendix 5)
appropriately
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
- Install a sign on no
burning waste and open
Inspection SPC and GDE GDE
fire at all construction
sites and port a camp
- Propose additional free
space from boundary Planning;
Prior land SPC and GDE GDE
area to slope bottom Inspection
Forest Fire clearing
normally 20m space
commenced
- Propose construct
temporary fence Using
zinc and wood frame Planning;
SPC and GDE GDE
along boundary IPPKH to Inspection
protect working area from
unauthorized people
- Biodiversity induction to
all personnel in charge
Prior land
(PIC) for construction, Attendance list SPC and GDE GDE
Biodiversity clearing
supervising, and All land
disturbance commenced
monitoring clearing
and during the
- Implement Land Clearing areas
Planning; land clearing
Management Sub-Plan SPC and GDE GDE
Inspection activities
(Appendix 6)
- Follow existing Pre land SPC and GDE GDE
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
documents including clearing map
IPPKH and map,
vegetation inventory,
conceptual design, etc.
- Joint survey with relevant
PMU's representative
and Perhutani to identify
IPPKH boundary and Joint inspection SPC and GDE GDE
demarcate working area
before construction
commencement.
- Do not trespass IPPKH
boundary barricade lines
and sign this information
SPC and GDE GDE
will be included in the
HSE Attendance list
Induction
- Providing for pre-clearing
surveys to be undertaken
by a suitably qualified Pre clearing
ecologist to mark and survey SPC and GDE GDE
map hollow-bearing checklist
trees, logs, and existing
nest boxes that would
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
require fauna
management during
removal
- Vegetation removal
works during land
clearing should be
supervised by a suitably
qualified ecologist for
native or endemic Joint inspection SPC and GDE GDE
species to West Java-
Coordination and
communication with
personnel involved
(Contractor, LH, GDE)
- Hunting and poaching is
prohibited. This will be
enforced to all personnel
working and visiting the
site (Loc BB) and will be Inspection;
SPC and GDE GDE
informed via HSE Attendance list
Induction. A no hunting
and paching sign will be
made installed at the
working area
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
- Should any wildlife
encounter during the land Documentation
clearing process, wildlife and reporting to
shepherding refers to GDE
Biodiversity Action Plan
- Hollow tree felled, shall
not be cut, removed or
piled for another 24 hours
to provide chance for
animals to move away.
The hollow trees shall
then be placed in the area
of habitat or the substitute
habitats.
- Biodiversity protection (no During the land
tree cutting outside clearing
IPPKH boundary and activities
marking for tree retaining,
no poaching/hunting,
invasive/alien Species
introduction)
- Providing wildlife
corridors as per wildlife
expert recommendation
- Obtaining clearance from
biodiversity experts on
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
biodiversity resources
(flora and fauna) to be
retained for wildlife
corridor and camera traps
installation site (for future
monitoring)
- Management of PCR will
be undertaken following
the Chance Find
Procedure (refer to
Appendix 7), including
but not limited to:
- Isolated cultural heritage
Disturbance on
exposed in an excavation Documentation
physical cultural
or spoil heap must be and reporting to Daily SPC and GDE GDE
resources
retrieved before it is GDE
(PCR)
covered by further spoil
from the excavation and
set aside
- Client will be notified
immediately
- Set up boundary/marking
area using a safety line
Machinery and Occupational - Personal will be required Inspection and Prior PAD BB SPV and HSE
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
manual hand incident - PPE (ear plugs and/or Planning commencement
tools operation Disturbance to ear muff), single or of work
adjacent double protection
settlement - Rotate worker every 2
areas hours (maximum time
allowed to perform task)
- Limit noise generating
activities during day time
periods
- Detailed mitigation
measures refer to Noise
and Vibration PAD BB SPV and HSE GDE
Management Sub Plan
(Appendix 3)

Disturbance to - Refer to Biodiversity


wildlife Action Plan (Appendix 9)
- Install tarpaulin and
Chemical spill bund wall as ground
and soil mat Inspection During of work
contamination - Chemical Spill kit ready
within the working
location
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Activities Risk Responsible party


Mitigation Measures Verification Frequency Location
Identification
Implementation Supervision
Loss - Minimize forest
Vegetation clearance alongside
Visual
cover in right of way and around
Inspection
specific areas well pads.
of the project (Appendix 9)
- Take care to avoid
introduction of new
invasive species to, and
spread of existing invasive
species within, the Project
area through:
Introduction of - washing of vehicles,
invasive alien equipment and supplies Inspection During the land
Land Clearing,
species. before entry to the Project clearing PAD BB SPC and GDE GDE
Cut and Fill
area; activities
- monitoring for invasive
species; and
- control/eradication of
invasive species where
found)
Modification - Retain tree canopy
and connectivity over the new
fragmentation road wherever possible
of habitat due - Install appropriate canopy
to loss of bridges to increase Inspection
vegetation connectivity over the road
cover. for primates
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5 Environmental Monitoring and Compliance


5.1 Monitoring
Environmental monitoring and compliance have been defined for the project following the GDE and
ADB requirements. The plan focuses on environmental compliance monitoring and environmental
quality monitoring (ambient and emission monitoring, e.g., air, water, soil, vibration, and noise) during
the construction phase. It also covers ecological surveys at well pad BB. The PMC will primarily conduct
environmental compliance monitoring, and environmental quality monitoring will be conducted by a
licensed monitoring entity contracted by GDE. Monitoring arrangements defined for this project are
described in Table 8.

Table 8. Audit and Inspection Schedule for Monitoring

Potential Responsible Unit


Environmental Monitoring Frequency
Implemen Monitor
Impact
ting Unit ing Unit
Regular maintenance and inspection
Emission Once a month SPC GDE
of equipment/vehicle
Waste generating from Inspection of availability of garbage
cement package or bins; condition of location of the
- SPC GDE
grouting additive temporary collection area; disposal
bucket method, MSDS, etc
Pre mobilization inspection of Initial prior SPC and
Emission GDE
equipment/vehicle by Client mobilization GDE
Mapping area for land clearing plan,
Prior land SPC and
Erosion/ landslide socialization to personnel involved, GDE
clearing GDE
and monitoring
River condition (control box): SPC and
Water contamination - GDE
Temperature, TDS GDE
Loss of vegetation, Invasive alien, During the
Displacement of species due to noise, land clearing SPC and
Biodiversity loss GDE
presence of machinery and phase GDE
equipment, and a company of the staff (Weekly)

In addition, management Sub-plans outline a monitoring, inspection, and audit programs for specific
potential hazards. These programs will involve PMU and PMC.
a. Noise and vibration Management Sub-Plan (Appendix 3)
b. Waste Management Sub-Plan (Appendix 4)
c. Erosion, Sedimentation, and Water Resources Control Management Sub-Plan (Appendix 5)
d. Land Clearing Management Sub-Plan (Appendix 6)
e. Ambient Air Quality Management Sub-Plan (Appendix 8)
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 41 of 78

5.2 Audit
SPC will agree on commitments and implementation with the HSE Management System will discuss
during project implementation to ensure that the process is carried out appropriately. HSE performance
indicators are defined, communicated and understood at all levels of the organization. Performance
indicators are assessed, evaluated and reviewed and the results communicated to the organization's
top management and all employees. Corrective and corrective action is an important component in the
improvement of the management system that is carried out and corrections found for irregularities are
made. HSE plans to schedule formal audits, routine monitoring and measurement, and structured
management completion to complete management system suitability, adequacy, and management.
Internal audit is invaluable in providing input into key areas for better management improvement. Audit
results and corrective action plans will be documented. SPC has established an Internal Audit
Procedure and Form which are presented in Appendix 10 and Appendix 11, respectively.

5.3 Inspection
HSE inspection is a formal verification to measure compliance with CEMP. Generally inspection will be
done using a checklist, carried out by the management team and the HSE when conducting field visits
or work facilities. The inspection will be carried out by the crew working in the field. All inspection reports
will be recorded. Inspection Work Instruction is included in Appendix 12.

6 Incident and Non-Compliance Management


Non-conformity is a case that affects any requirement or any standard, including quality, safety, and
environment. The example of nonconformity such as follow but are limited to:
• The provision of management systems such as procedure and regulation
• Incident (Accident, near miss, chemical spill, biodiversity damage, etc.)
• The nonconformity of procedure and the system found during the audit process
• The nonconformity found during the inspection process and complaint

Incidents include accidents, work diseases, near misses; the environmental impact should be reported,
evaluated, and action taken. Correction is the action to miss the direct cause of identification of the
nonconformity. In other words, corrections should be taken just to cut the direct cause, not the primary
root cause. Corrective action is action to miss the nonconformity which is identified or other situation
which is not expected. In other words, corrective action is the action to ignore the root cause which
causes the nonconformity. Preventive action is the action taken based on the result of the corrective
action to prevent the same dissent happen again.

All Incident, Near Miss, and Non-Conformity will be reported by SPC to GDE. Nearmiss and Incident in
the form of First-Aid Cases, Medical Treatment Cases, Restricted Work Cases and Lost- Time Incidents
will be carried out by SPC. Resource persons are required to provide correct information during
investigative activities. The results of the incident investigation will be informed to all personnel by SPC
through a safety stand down (SSD) mechanism, email notifications (broadcast email) notifications on
bulletin boards and monthly HSE communications.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 42 of 78

Every incident that has been investigated will find the root cause of the incident using the SCAT method.
SPC has established an Accident/Incident Investigation Report Procedure as described in Appendix
13.

No matter how small, an accident / incident concerning a work or work relationship will be reported to
each supervisor/supervisor and PMU (refer to Figure 6 for communication flowchart). Each accident
must be reported 1x24 hours to the SHE Coordinator Site, Branch, and Center. (Person in charge:
Supervisor).

7 Health and Safety and Emergency Response Procedures


SPC has an emergency response procedure that will be used as an emergency ambience to ensure
that appropriate actions are taken to minimize risks, protect personnel and the environment, reduce the
impact of injury or loss of personnel equipment. The emergency response process will be adjusted
according to GDE emergency conditions referred to include, Fire, Natural Disasters, Oil Spills, land
transportation incidents, Riots, Gas Release, and terrorism.
Emergency procedures will be disseminated to security workers to ensure success in carrying out
actions when there is an emergency. Emergency Response Procedure established by SPC is presented
in Appendix 14.

In addition, each potential hazard generates from project activity have a response which may refer to:
a. Noise and vibration Management Sub-Plan (Appendix 3)
b. Waste Management Sub-Plan (Appendix 4)
c. Erosion, Sedimentation, and Water Resources Control Management Sub-Plan (Appendix 5)
d. Land Clearing Management Sub-Plan (Appendix 6)
e. Ambient Air Quality Management Sub-Plan (Appendix 8)

SPC has developed an emergency response flowchart (as shown in Figure 6) emergency COVID-19
procedure and will be applied if there are workers who are suspected of having contracted COVID-19.
SPC will be responsible for further handling, bringing personnel to hospitals that have collaborated to
handle COVID-19, reporting to GDE and conduct investigations and carry out recommendations from
the results of these investigations. SPC will conduct exercises related to handling and COVID-19
prevention in the workplace.

7.1 Emergency Response Plan


No matter how small, an accident / Incident concerning a work or work relationship must be reported to
each supervisor/supervisor. Each accident must be reported 1x24 hours to the SHE Coordinator Site,
Branch, and Center. (Person in charge: Supervisor). Emergency response communication flowchart is
presented in Figure 6. Emergency contacts of PMU and SPC are summarized in Table 9 .
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 43 of 78

Figure 6. Emergency Response Communication Flow

Table 9. Contact Persons Emergency PT GDE and PT SPC

Company Name Phone Number Title


Project
PT Geo Dipa Energi
Agung Wisnu M 0821 6999 0099 Manager/Manager
PMU
Engineering
PT Geo Dipa Energi HSE and Safeguard
Hefi Hendri 081 1860 2034
PMU Manager
PT Geo Dipa Energi Health and Safety
Ray Armand 0812 8810 0057
PMU Assistant Manager
PT Geo Dipa Energi Environment Safeguard
Sari Ramadhani P 0813 1235 2020
PMU Assistant Manager
Government Relation
PT Geo Dipa Energi
Agdya Pratami P 0812 8663 0630 and Social Safeguard
PMU
Assistant Manager
PT Geo Dipa Energi Site Manager/PM –
Budi Sutrisno 0822 1674 7722
PMU – Patuha 2 Patuha 2
PT Geo Dipa Energi HSE and Safeguard
Aditya Rahman 0812 8294 2596
PMU – Patuha 2 Superintendent
PT Geo Dipa Energi Health and Safety
Bambang Umbara 0812 2267 4548
PMU – Patuha 2 Supervisor
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 44 of 78

Company Name Phone Number Title


PT SPC Anjar Wibisono 0813 1626 2353 Project Manager
PT SPC Christo Banurea 0852 9697 2525 Site Manager Patuha
PT SPC Andi Lio Laya 0812-8011-2803 Site Supervisor
Health Safety and
PT SPC Nur Eko Saputro 081210456694
Environment
PT SPC Risal Taopik 0812 2170 1718 HSE Officer

7.2 Covid 19 Management Plan


SPC controls the condition of the COVID-19 outbreak (Appendix 18 IK-SHE-019 - Emergency Respons
COVID-19) by making a particular policy to prevent disease transmission to employees through other
people who are under ODP (Person under Supervision), PDP (Patient Under Monitoring), or confirmed
COVID-19 -19. By taking the following actions:

Elimination
At the elimination level, measures are taken to eliminate the potential for transmission of COVID-19.
The potential for this transmission is through direct contact with a person exposed to COVID-19. Actions
that can be taken to eliminate this transmission are as follows:
• Do not travel to areas affected by COVID-19.
• Avoid activities that involve many people (social/physical distancing).
• Doing independent isolation or not leaving the house is not very necessary

Substitution
The action that can be taken at the substitution level is to change the method of work that is usually
done in places where there are many people in the following ways:
• Working in the office has been transferred to the concept of working from home or Work From
Home (WFH).
• SPC uses communication media for coordination and meetings by replacing face-to-face/face-to-
face methods with virtual methods such as Email, Telephone, SMS, Whatsapp, Zoom, M-Team,
and others.
• Replace the handshake with the name greetings without touch to avoid direct contact with other
people

Technical Control
• Spraying disinfectant fluid around the building/building work area and work tools regularly.
Schedule and monitoring in this program need to be done
• Provide a thermometer or thermal scanner used to check body temperature in offices or other
facilities.
• Provide washing facilities (washing sinks) and hand sanitizers in several places in the office and
work activity areas.
• Enforce temperature checks for every employee or guest who enters the work area.
• Every employee is required to maintain body condition, implement Clean and Healthy Behavior
(PHBS), not touch the face before washing hands with soap and running water
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 45 of 78

Personal Protective Equipment (PPE)


PPE is used according to needs, referring to the protocol issued by the Task Force for the Acceleration
of Handling COVID-19 RI. For employees at work, you can use a cloth mask or a 2-layer surgical mask;
for employees who show symptoms use a 3-layer surgical mask.

GDE has established a guidance on Covid-19 management at the workplace, therefore SPC will also
comply to GDE guidance. GDE Covid-19 Guidance is outlined in Appendix 15.

7.3 COVID-19 Emergency Response


Follow up if there are COVID-19 findings in the work area / On-duty.
Phase 1:
• Initial detection starts with complaints from workers or based on routine checks carried out in the
work area. The initial criteria are if the following conditions are obtained: Body temperature ≥ 37.3
° C accompanied or not accompanied by flu, cough, or sore throat symptoms
• The medical team in the field will assess and provide treatment and monitor the condition of the IP
(Illness Person) every day - If the employees of SPC show symptoms
• suspect COVID-19, the Medical team in the field recommends an evacuation to the COVID-19
referral hospital
Phase 2:
• Representatives from SPC (Project Manager and Crew Coordinator) pick up IP at the Port /
Terminal / Airport / to bring IP using an ambulance that is available in the field or that will be
provided by SPC to the COVID-19 Reference Hospital for inspection and handling continued
according to hospital protocol
Phase 3:
• After an examination at the hospital and the results are negative for COVID-19, the IP will continue
treatment and self-isolation at home until it recovers. After being checked, roommates and co-
workers identified as close contacts can return to work and found negative Covid-19 results.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 46 of 78

Figure 7. Flow Response Covid-19 Outbreak

8 Grievance Redress Mechanism


The Grievance Handling Mechanism (GRM) aims to handle complaints promptly in a clear and
transparent process that is easily accessible to anyone at no cost and without retaliation to the
complainant. SPC will implement the GRM according to GDE’s SOP for Project GRM as specified in
GDE’s director decree No.034 of 2020, Appendix 16 SOSCIO ECONOMIC ACTION, BAB III (see
Appendix 16. In addition, SPC will appoint a dedicated personnel to join Project GRM Committee for
coordination purpose with GDE and other related contractors.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 47 of 78

Figure 8. Villages affected by mob demob activity

8.1 Current Complaint Handling Process


SPC as a project partner will jointly implement procedures with GDE, which has a three-level process
for dealing with complaints from affected people in the areas where they operate. To carry out the
process of handling complaints that have aspects of Health, Safety, and Environment. Complaint
process whose mechanism is described in table below.

Table 10. Current Complaint Handling Process

Stage Description Procedure

1st level Complainant Informs local village head (kepala desa) about the
concern
2nd level Village Head Sends a formal letter to GDE about the issue that was
generated on behalf of the complainant.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 48 of 78

Stage Description Procedure

3rd level SPC i. Only complaints filed through a formal letter


from the village head are considered
ii. Community relations and HSE staff at the site
office check the site or impacted area to assess
and verify the complaint and to identify solutions
to the complaint at their level
iii. If the complaint requires further investigation on
compensation such as crop damages,
verification can be done with relevant
government agencies (e.g., agriculture,
representative of GDE insurance company,
etc.)
iv. After verification and assessment, identifies a
solution to the complaint
v. Works with the relevant government agency to
estimate damages (i.e., may be supported by
the independent agricultural assessor)
vi. Informs/communicates with the village head of
the cost estimates
vii. Together with the village head, negotiates the
final solution/compensation with the
complainant
viii. Bank transfers issue compensates for the
complainant through GDE insurance
companies.

8.2 Project GRM Flow


To support procedures for handling complaints and be consistent with international best practices, the
SPC will assist the PMU in establishing a GRM and a grievance redress committee (GRC).

The goal of GRM is to resolve complaints due to projects in a time-bound and transparent manner.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 49 of 78

Figure 9. Project GRM Flow

8.3 Filing/Submission of Complaint


Complaints can be lodged either verbally or written. Verbal complaints can be by phone call, walk-in, or
person, while written complaints could be through mail/letter, comments/suggestions drop-box, GDE
website, email, or fax. A sample complaint form is given in Table 8.3. GDE will designate staff as the
GRM Focal Person, and a suggestion/comments drop-box will be installed at the project site office. The
GRM Focal Person will check the suggestion/comments drop-box weekly (every Monday). The Public
Relations Staff in Patuha Unit 2 will be the GRM Focal person.

8.4 Record Keeping


The GRM Focal Person will receive, record, and sort complaints, forward the complaints to the proper
person and monitor the complaints' status. A logbook complaint registration and monitoring database
will be created to ensure that complaints are resolved and acted on promptly. A complaint record will
include: (i) contact details 157 of the complainant, (ii) date the complaint was received, (iii) nature and
type of complaint, (iv) decisions or actions taken, and (v) the date the complainant was informed of the
decision.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 50 of 78

Figure 10. Example of GRM Form

9 Training
SPC will ensure that all personnel related to this job have competencies appropriate to their job. The
competence of personnel is proven by a competency certificate which is still valid during the
implementation of the work. Competent personnel must obtain approval from GDE can conduct tests
to ensure the competency of the proposed personnel if deemed necessary. If there is a change of
personnel during work, the new personnel must have the required competencies.
SPC will carry out training that has been planned and approved by PMU according to the competency
matrix and training schedule. Training and Competency Procedure is presented in Appendix 17.
Project Training matrix plan is summarized in Appendix 18.

10 Reporting, Communication, and Record-Keeping


10.1 Reporting
HSE Monthly progress reports by SPC to PMU. SPC will submit monthly progress report to the PMC.
These reports will include reporting on CEMP implementation performance, including HSE performance
status (leading and lagging indicators), staffing, safety training conducted, grievances received,
accidents/near-misses, waste manifest, and other parameters requested by the PMU.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 51 of 78

10.2 HSE Communication


SPC will maintain HSE communication system within internal SPC organization through Toolbox
meeting in daily basis. SPC will also participate in HSE communication media which will involve other
contractors and GDE. These meetings include:
• HSE Meeting (weekly basis);
• HSE Plan Socialization; and
• Safety Talk (weekly basis).

HSE Meeting shall be well structured with an agenda to discuss:


• On going HSE Performance (HSE KPI on lagging/trailing and leading matrix);
• HSE lesson learned and knowledge sharing; and
• Other HSE issues.

SPC will record and document minutes of meeting to monitor action plan resulted from the meeting and
communicate them to all relevant personnel.

10.3 Record keeping


SPC will keep all documents for documentation purpose at the minimum until the end of the project life.
Prior completion of the project, all documents will be delivered and kept at SPC Head office in Jakarta.
Record will include but not limited to waste manifest, meeting notes, correspondence, or records of
telephone conversations. Compliance reports and other appropriate records will be logged in to
document control or admin. Meanwhile, forms will be used to document field inspection activities.

11 Key Performance Indicators


Key Performance Indicators (KPIs) are quantitative or qualitative measurements used to gauge
performance over time. They are used to assess the effectiveness of control measures and
demonstrate on-going performance during steady state operations. SPC has identified leading and
lagging indicators as well as KPI within the management sub-plans. KPIs are linked to specific
monitoring and audit requirements as follows:
• 100% investigation, reporting and rectification to the satisfaction of SPC HSE performance
regarding any HSE related incident or accident that are related to SPC work activities;
• 100% investigation, reporting and rectification of any communities complaint, dispute, incident or
grievance that are related to SPC work activities; and
• Compliance with the mitigation and control measures in the CEMP.

Compliance of CEMP KPIs is the responsibility of SM where the measurement and collection of data is
the responsibility of HSE. KPIs will also be used for tracking the progress and status on CEMP
implementation and include in the monthly progress report. Progress of CEMP programs
implementation will be reviewed for room of improvements and corrective actions.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 52 of 78

Table 11 Lagging Indicators

Lagging Indicator
Description PREV. TODAY CUMM.
1 Fatality 0 0 0
2 LTI 0 0 0
3 MTI 0 0 0
4 First Aid 0 0 0
5 MVA 0 0 0
6 Property Damage 0 0 0
7 Oil / Chem Spill 0 0 0
8 Fire 0 0 0
9 Theft and Public Unrest 0 0 0
10 Near Miss 1 0 1
11 Biodiversity Damage 0 0 0
12 Dust, Noise and Emission 0 0 0
13 Unreported Chance Find 0 0 0
14 Erosion & Flood 0 0 0
15 Forest Fire 0 0 0

12 Management of Change
During project implementation, changes may be required to address foreseen or unforeseen conditions
or situations. CEMP incorporates a Management of Change (MOC) procedure to ensure that during the
construction phase, planned or unplanned project design and/or method changes that have the potential
to result in negative impacts to environment and social are managed or otherwise mitigated in
compliance with the Sub-plans. SPC Management of Change Procedure is presented in Appendix 19.
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 53 of 78

13 CEMP Implementation Budget


The costs of these mitigation measures towards potential impact can be estimate as per table below.

PT Supraco Responsible
Indonesia Scope Unit
of Work / Estimate Cost
Mitigation / Control Measure Implem Monit
Potential (IDR)
enting oring
Environmental
Unit Unit
Impact
Mobilization and Demobilization
- Trucks that will deliver dust
generating construction materials
will be covered with tarpaulin or
other suitable material to minimize
Noise and dust 60,000,000 SPC GDE
dispersion
- Socialization to stakeholder (Desa
Alamendah, Pokja, Ormas, etc.)
prior Mob/Demob
- Regular maintenance and
inspection of equipment / vehicle
Emission 120,000,000 SPC GDE
- Avoid engine idle for more than 30
minutes
- Socialization and coordination to
stakeholder (Desa Alamendah,
Public Unrest Pokja, Ormas, etc.) prior 20,000,000 SPC GDE
Mob/Demob
- Road survey from driver prior mob
Drilling with Auger
- Utilize drilled soil as back fill for fill
area
Drilled Soil 51,000,000 SPC GDE
- Make bundwall to the soil waste
area
Install Pipe Conductor
- Using respiratory mask for
36,000,000 SPC GDE
personnel involved
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 54 of 78

PT Supraco Responsible
Indonesia Scope Unit
of Work / Estimate Cost
Mitigation / Control Measure Implem Monit
Potential (IDR)
enting oring
Environmental
Unit Unit
Impact
Smoke generating
- Waste segregation of hazardous
from welding and
waste
welding rod waste
- Trucks that will deliver dust
generating construction materials
will be covered with tarpaulin or
other suitable material to minimize
Noise and dust dispersion 36,000,000 SPC GDE
- Regular monitoring and inspection
of sound level at nearest village
every 1 weeks (Alamendah, sugih
mukti, rancabali)
- Pre mobilization inspection of
SPC
equipment / vehicle by Client
Emission 120,000,000 and GDE
- Avoid engine idle for more than 30
GDE
minutes
Cementing / Grouting
- Install tarpaulin and bundwall as
groundmat
Chemical Spill,
- Install whipcheck on hose 28,800,000 SPC GDE
soil contamination
conncection
- MSDS socialization
Waste generating - Re-Use bucket
from cement
package or - Segregate waste of cement 9,600,000 SPC GDE
grouting additive package
bucket
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 55 of 78

PT Supraco Responsible
Indonesia Scope Unit
of Work / Estimate Cost
Mitigation / Control Measure Implem Monit
Potential (IDR)
enting oring
Environmental
Unit Unit
Impact
Access Road Work & Preparation Wellpad (Cut and Fill Activity)
- Trucks that will deliver dust
generating construction materials
will be covered with tarpaulin or
other suitable material to minimize
Noise and dust dispersion 60,000,000 SPC GDE
- Regular monitoring and inspection
of sound level at nearest village
every 1 weeks (Alamendah, sugih
mukti, rancabali)
- Pre mobilization inspection of
SPC
equipment / vehicle by Client
Emission 120,000,000 and GDE
- Avoid engine idle for more than 30
GDE
minutes
- Mapping area for land clearing
plan, Socialization to personnel
involve and monitoring
- Make bundwall on slope
- Make run off water parimeter
- Design change (resize ROW) to SPC
Erosion/Landslide
maximize slope percentage 1,501,000,000* and GDE
- In case limited space/area on GDE
boundary access road, PT Supraco
Indonesia propose to construct
additional retainning wall
- Request additional IPPKH land
area (If possible) (By GDE)
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 56 of 78

T Supraco Responsible
Indonesia Scope Unit
of Work / Estimate Cost
Mitigation / Control Measure Implem Monit
Potential (IDR)
enting oring
Environmental
Unit Unit
Impact
- Propose Silt Fence installation
(Polypropylene Geotextile, 30cm
above ground, 15cm inside ground,
steel wire strap) on run off track
downstream SPC
Water
- Propose to construct control Box 185,000,000* and GDE
contamination
for monitoring sedimentation GDE
(Permit to local government by
GDE)
- Install bundwall filter on run off track
downstream
- Sign installation (No burning of
solid or liquid wastes and other
combustible materials will be
allowed within the construction
sites and portacamp)
- Propose additional free space from SPC
Forest
boundary area to end of slope (kaki and GDE
Fire/Damage 368,000,000*
slope) normaly 20m space GDE
- Propose construct temporary
Fence Using zink & wood frame
along boundary IPPKH to protect
working area from unauthorized
people
- Sign Installation : SPC
Biodiversity
- Do not tresspass IPPKH area by 384,000,000* and GDE
damage
boundary barricade line and sign GDE
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 57 of 78

PT Supraco Responsible
Indonesia Scope Unit
of Work / Estimate Cost
Mitigation / Control Measure Implem Monit
Potential (IDR)
enting oring
Environmental
Unit Unit
Impact
- Coordination and communication
with personnel involve (Contractor,
LH, GDE)
- Hunting is prohibited
- Propose additional free space from
boundary area to end of slope (kaki
slope) normaly 20m space
- Propose construct temporary
Fence Using zink & wood frame
along boundary IPPKH to protect
working area from unauthorized
people
- Isolated bone exposed in an
excavation or spoil heap must be
retrieved before it is covered by
further spoil from the excavation
SPC
and set aside;
Chance Find 12,000,000* and GDE
- Notify client GDE
- Boundary/Marking area using
safety line

- Following client/GDE regulation

Note:
*: Subject to discuss with GDE
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 58 of 78

APPENDIX 1:
Hazard Identification and Risk Assessment
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 59 of 78

APPENDIX 2:
Journey Management Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 60 of 78

APPENDIX 3:
Noise and Vibration Management Sub-Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 61 of 78

APPENDIX 4:
Waste Management Sub-Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 62 of 78

APPENDIX 5:
Erosion, Sedimentation, and Water Resources Control
Management Sub-Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 63 of 78

APPENDIX 6:
Land Clearing Management Sub-Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 64 of 78

APPENDIX 7:
Chance Find Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 65 of 78

APPENDIX 8:
Ambient Air Quality Management Sub-Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 66 of 78

APPENDIX 9:
Biodiversity Action Plan
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 67 of 78

APPENDIX 10:
Internal Audit Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 68 of 78

APPENDIX 11:
Internal Audit Report Template
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 69 of 78

APPENDIX 12:
Inspection Work Instruction
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 70 of 78

APPENDIX 13:
Accident/Incident Investigation Report Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 71 of 78

APPENDIX 14:
Emergency Response Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 72 of 78

APPENDIX 15:
GDE Covid-19 Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 73 of 78

APPENDIX 16:
Penanganan Pengaduan dan Keluhan Tingkat Proyek
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 74 of 78

APPENDIX 17:
Training and Competency Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 75 of 78

APPENDIX 18:
Project Training Matrix
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 76 of 78

APPENDIX 19:
Management of Change Procedure
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 77 of 78

APPENDIX 20:
MSDS of Strong Grout
Contract No. CW-GDE-D2P2-002 COMPANY Doc No.
Construction Environmental Management Plan PTH2-HS-000-PLN-SPC-40004
(CEMP) Revision: C Status: IFA
Doc Type: PLN KKS Code: 000 Discipline: HS Revision Date: 03-OCT-21
Contractor Doc No. 04/HSE/PTH2-SPC/VIII/2021 Page: 78 of 78

APPENDIX 21:
MSDS of Tiga Roda Cement

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