EMERGENCY RESPONSE TEAM

PT.SSSSS

COMMANDER

EMERGENCY RESPONSE TEAM COORDINATOR

Baramulti JKT MANAGEMENT

EQUIPMENT / FIRST AIDER SWEEPER

SUB-LEADER FIRE FIGHTER
TECHNICAL COORDINATOR COORDINATOR
COORDINATOR COORDINATOR
COORDINATOR

OFFICE STAFF/Fire OFFICE STAFF/ Fire OFFICE STAFF/Fire OFFICE STAFF/Fire SWEEPER TEAM/Fire
Warden Warden Warden WArden Warden

Assist the staff to put on the Assist the guest

helmet Take the nearest Fire Standby with the First Aid
Extinguisher and try to Equipment
Disconnect the electrical Make the final check of all
extinguish the fire
flows and secured all room
materials at the location Assist the staff to lock
valuable asset / document
Give the First Aid if there was
Report to ERT Coordinator Lock the doors
an injured staff
wether the fire was out or not
Check the staff names (before
evacuation Last man to report to ERT
Coordinator

Guide the staff to evacuation

zone

Check the staff names (after

evacuation

Report to ERT Coordinator

 GUIDELINE FOR EMERGENCY
Evacuation Zone for Graha Baramulti : Parkir Depan Gedung Total staff at Graha Baramulti : -
Office - excluding japanese staff
- exluding drivers

Lokasi Disability
1 Staff to be concerned due to illness 1 5 Action Guidline :
disability or other serious condition : 2
3 1) When alarm is on :
4
5 For Sub Leder Coordinator : Will be the first to go down to evacuate zone, to check
6 safeness and prepare the evacuation zone.
7

For Sub-leaders : - Assist the staff to put on the helmet

2 Code used during emergency :
3 Responsibility area of sub-leaders :
1 Flag - to be held by Captain & sub-leaders - Assist the staff tolock valuable asset/document
Nama No HP - Check the staff names (before evacuation)
1 Lantai 1 Budi - Guide the staff to evacuation zone
- Check the staff names (after evacuation)
2 Lantai 2 Azhar, Arman, Lita - Report to Sub Leader Coordinator

3 Lantai 3 Lohita, Robi For Staff : - Put on the helmet ot once

Dimas, Taufik - Locked valuable asset/document
5 Lantai 4 Dewi - Follow the sub-leader
Anita - Follow the sub-leader
6 Lantai 5 Rahma
Teguh 2) Sweeper team : - To assist guest
7 Lantai 6 Udin , Ika - To make the final check of all room
- To lock the doors
8 Tangga Darurat lt 2 depan masuk Arman - Last man to report to captain : ...
Tangga Darurat lt 2 depan keluar Lohita
9 Tangga darurat lt 2 guide Azhar 3) Equipment : dedi
Sweeper team :
10 R Meeting No. 2 Lt 2 Lita & Liliani 6 1) Equipment needed for :
R. Meeting No.1 Lt 2 wawan & Suhandi emergency situation
2) Meeting Location
11 R. HRD Arman 3) Musholla Location

3) PERSON IN CHARGE :

to maintain all equipment

12 R. Finance Arman
13 R. Direksi Arman
14 R. IT Dedi, Taufik , Robi

15 R. Purchasing Arman

16 Staircase Midle Rahma

17 Evacuation zone Agus M

18 Expart staff assistance Cindy

19 Driver Coordinator Feri

4 Driver @ basement : 1 b1 - Evacuated by building security Tukiyat

2 b2 - Checked by each user Feri
PROSEDUR TANGGAP DARURAT EMERGENCY RESPONSE PROCEDURE
SHIMIZU JAKARTA HEAD OFFICE SETIA BUDI BUILDING SHIMIZU JAKARTA HEAD OFFICE SETIA BUDI BUILDING
KEJADIAN DARURAT INSTRUKSI EMERGENCY EVENTS SAFE INSTRUCTIONS
JIKA TERJADI KEBAKARAN IF YOU DISCOVER A FIRE
1. TETAP TENANG 1. REMAIN CALM
2. JANGAN PANIK 2. DO NOT PANIC
3. USAHAKAN MENGAMBIL ALAT PEMADAM API RINGAN 3. ATTEMP TO EXTINGUISHED THE FIRE, IF POSSIBLE
JIKA MEMUNGKINKAN 4. DO NOT USE WATER SHOULD FIRE CAUSED BY ELECTRICAL
4. JANGAN MENGGUNAKAN AIR JIKA API BERASAL DARI LISTRIK 5. IF THE SITUATION CAN NOT BE CONTROLLED, GENERAL AFFAIR
5. JIKA SITUASI TIDAK BISA TERATASI , TEKAN SIRINE TOMBOL DARURAT PRESSING ALARM BUTTON EMERGENCY SIRINE AND IMMEDIETLY
DAN MINTA BANTUAN KE PIHAK SECURITY BUILDING CALL THE BUILDING SECURITY

JIKA TERJADI GEMPA BUMI IN THE EVENT OF EARTHQUAKE

1. TETAP TENANG 1. REMAIN CALM
2. JANGAN PANIK 2. DO NOT PANIC
3. TETAP BERADA DITEMPAT 3. STAY WHERE YOU ARE IN THE BUILDING (DON'T LEAVE)
4. SEGERA BERLINDUNG DIBAWAH MEJA ATAU TEMPAT SERUPA 4. TAKE SHELTER (AT BEST POSSIBLE) UNDER TABLE OR SIMILIAR
UNTUK PERLINDUNGAN PROTECTION COVERING OR IN ADOOR FRAME
5. JIKA GEMPA BERHENTI SEGERA MENINGGALKAN GEDUNG KE TEMPAT 5. IF EATRHQUAKE HAS STOPPED, LEAVE THE BUILDING AND WALK TO
BERKUMPUL DARURAT DENGAN MENGIKUTI INTRUKSI YANG DIBERIKAN ASSEMBLY POINT WITH FOLLOW THE SUB-LEADER INSTRUCTION
OLEH SUB -LEADER

PADA SAAT EVAKUASI IN THE EVENT OF EVACUATION

1. TETAP TENANG 1. REMAIN CALM
2. JANGAN PANIK 2. DO NOT PANIC
3. PADA SAAT EVAKUASI DILARANG MEMBAWA BENDA MELEBIHI 3. NO PERSON SHOULD CARRY ANYTHING LARGER THAN BRIEFCASE
TAS TANGAN / HANDBAG
4. BERJALAN DAN TURUN MELALUI TANGGA DARURAT, JANGAN 4. WALK DOWN THE EMERGENCY STAIRS DO NOT USE LIFT
MENGGUNAKAN LIFT 5. DO NOT RUN DURING EVACUATION BUT WALK QUICKLY
5. DILARANG BERLARI, TAPI BERJALANLAH DENGAN CEPAT 6. FOLLOW INSTRUCTION GIVEN BY SUB-LEADER
6. IKUTI INSTRUKSI YANG DIBERIKAN OLEH SUB-LEADER 7. ASSIST DISABLE OR INFIRM PERSON
7. BANTULAH ORANG LAIN YANG LEMAH MENUJU TEMPAT BERKUMPUL 8. AT THE GROUND FLOOR, EXIT THE BUILDING / TOWER IMMEDIATELY
8. PADA LANTAI DASAR, PINTU KELUAR BANGUNGAN, SEGERA MENUJU AND PROCEED TO MUSTER POINT / ASSEMBLY AREA
TEMPAT BERKUMPUL

TINDAKAN MEDIS IN MEDICAL EMERGENCY ARISES

1. LETAKKAN KORBAN PADA POSISI YANG AMAN 1. MAKE THE INJURED PERSON COMFORTABLE AS POSSIBLE
2. JANGAN TINGGAL KORBAN SENDIRIAN 2. IN THE CASE OF FALLS OF PERSON, DO NOT REMOVE AND DO NOT
3. HUBUNGI PETUGAS P3K, ATAU BERIKAN PERTOLONGAN JIKA LEAVE THE PERSON UNATTENDED
ANDA TERLATIH 3. CONTACT THE FIRST AIDER TO MITIGATE FIRST AID ACTION
4. JIKA KEADAAN MEMBURUK SEGERA HUBUNGI MOBIL AMBULAN 4. IF THE INJURED PERSON GET WORSE CONDITION, CALL AMBULANCE
DAN HUBUNGI RUMAH SAKIT TERDEKAT AND CONTACT NEAREST HOSPITAL

ANCAMAN BOM BOMB THREAT

1. TETAP TENANG
2. JANGAN PANIK
3. TETAP BERBICARA DENGAN PENELEPON (LEBIH LAMA LEBIH BAIK)
4. TULIS INFORMASI YANG DIDAPAT ( LAKI-LAKI/WANITA,
WAKTU TELPON LOKASI BOM, BERPENDIDIKAN ATAU TIDAK)
5. HUBUNGI TEAM EMERGENCY RESPON SETELAH MENERIMA TELPON
6. KETAHUI JENIS ANCAMAN DENGAN BAIK (HANYA SEDIKIT
ORANG YANG DAPAK MENGHINDARI KEPANIKAN)
1. REMAIN CALM
2. DO NOT PANIC
3. KEEP THE CALLER TALKING (THE LONGER THE BETTER)
4. WRITE THE INFORMATION DOWN (MALE OR FEMALE, TIME OF THE
CALL, LOCATION OF THE NEXT BOMB, WELL EDUCATED OR NOT)
5. CONTACT SITE OFFICE IMMEDIATELY AFTER RECEIVING THE CALL
6. ONLY INFORM THOSE ABOUT THE THREAT NEED TO KNOW (THE
FEWER PEOPLE THAT KNOW THE BETTER TO AVOID PANIC)
 EMERGENCY PHONE NUMBER RESPONSIBILITY AREA OF SUB-LEADER
PHONE NUMBER PHONE NUMBER
DIVISION NAME DIVISION NAME
OFFICE MOBILE OFFICE MOBILE

COMMANDER

ERT COORDINATOR

EQUIPMENT / TECHNICAL
COORDINATOR

SUB-LEADER COORDINATOR

FIRE FIGHTER COORDINATOR

FIRST AIDER COORDINATOR

SWEEPER

STAFF TO BE CONCERNED DUE TO ILLNESS DISABILITY OT OTHER SERIOUS

CONDITION
DIVISION NAME REASON

Head Office Otniel Heart Disease

Operation Neuis Knee Replacement

Design Lulu Pregnancy

Planning & Engineering FITRI Pregnancy

HRD RATNA Pregnancy

Design Suroso Injuried Leg

 IMPORTANT PHONE NUMBER
PHONE NUMBER
DIVISION NAME
OFFICE MOBILE

Ambulance 1183

RS Metropolitan Medical Center 021-5273473 (Direct

(MMC) Line) ; 021-5203435

RS Cipto Mangunkusumo 021-3918301

RS Jakarta 021-5732241

Medika Loka 021-5265127

SOS Kuningan 021-5255367

Fire Department 113 ; 344 ; 109 ; 75075

Police 1104

021-5234001 ; 021- SMS: 021-89540220 ;

The Jakarta Police
5234021 1717

Metro Police Setiabudi Sector 021-5250072

021-7694519 ; 021-
South Jakarta Sub-Service
7500113
021-3841216 ; 021-
Central Jakarta Sub-Service
34414942

Taxi Blue Bird 021-7941234

Express 021-500122
 KEBAKARAN FIRE
KEBAKARAN
DIKETAHUI OLEH FIRE OCCURRED
SESEORANG

1. MENGINFORMASIKAN KEPADA PERSONIL LAINNYA 1. PERSONNEL TO INFORM OTHERS

2. MENGINFORMASIKAN KEPADA TIM TANGGAP DARURAT 2. INFORM THE EMERGENCY RESPONSE TEAM

TEAM TANGGAP DARURAT EMERGENCY RESPONSE TEAM

MENGAMBIL TINDAKAN TAKE ACTION

INFORMATION TO OWNER EMERGENCY RESPONSE TEAM IMMEDIATELY

INFORMASIKAN KEPADA: TTD SEGERA MENGEVAKUASI SECURITY BUILING. EVACUATE :
MEMADAMKAN API SECURITY BUILDING/MANAGEMENT 1. ORANG2 DI SEKITAR LOKASI
EXTINGUISH FIRE USING 1. PEOPLE SURROUNDING THE LOCATION
MENGGUNAKAN APAR BUILDING 2. ALAT / MATERIAL DI LOKASI FIRE EXTINGUISHERS MANAGEMENT BUILDING 2. EQUIPMENT / MATERIAL IN LOCATION

5 MENIT TIDAK PADAM 5 MENUTE NO OFF

API PADAM FIRE

EXTINGUISHED

SWEEPER : P3K : SUB-LEADER : TEKNIK / SWEEPER : FIRST AID SECURITY EQUIPMENT /

PERALATAN : SECURE AND TECHNICAL :
PERIKSA SEMUA BERIKAN AMANKAN LOKASI LAST CHECK TO ALL GIVE FIRST AID INSTRUCT TO
HUBUNGI : RUANGAN DAN CONTACT: ASSEMBLE AT DISCONNECT THE
PERTOLONGAN DAN ARAHKAN PUTUSKAN ALIRAN ROOM AND REPORT TREATMENT IF
LAPORKAN KEPADA PERTAMA BILA ORANG2 UNTUK
TO THE CAPTAIN THE MUSTER ELECTRICAL
1. DINAS PEMADAM KAPTEN DIPERLUKAN BERKUMPUL DI
LISTRIK DAN
1. FIRE STATION IF NECESSARY POINT /
MUSTER POINT /
AMANKAN
NECESSARY FLOWS AND
KEBAKARAN BILA PERLU
TEMPAT
PERALATAN ASSEMBLY SECURED ALL
2. PIHAK BERWAJIB YANG DISEKITAR LOKASI 2.RELATED AGENCIES AREA
TERKAIT
BERKUMPUL MATERIALS AT
THE LOCATION

KIRIM KORBAN KE RS. TERDEKAT

SIDIK ASAL / SEBAB
SETELAH MENDAPATKAN P3K INVESTIGATION ON SEND TO VICTIMS OF HOSPITAL
TERJADI KEBAKARAN CAUSE OF FIRE AFTER FIRST AID TREATMENT

CAPTAIN EMERGENCY RESPON TEAM

KAPTEN TIM TANGGAP DARURAT REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN : MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 CAPTAIN EMERGENCY RESPON TEAM
KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN :
MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 GEMPA BUMI EARTHQUAKE
IMMEDIATELY HIDE UNDER THE
SEGERA BERSEMBUNYI DIBAWAH TABLE, OR PROTECT HEAD WITH
TERJADI GEMPA ANY HARD COVER AND WAIT
BUMI
MEJA, ATAU LINDUNGI KEPALA
DENGAN ORDNER ATAU BENDA EARTHQUAKE INSTRUCTIONS OR SIGNS OF
EVACUATION
KERAS LAINNYA, TUNGGU ABA -
ABA EVAKUASI DARI PETUGAS

TEAM TANGGAP DARURAT EMERGENCY RESPON TEAM

SEGERA MEMBUNYIKAN ALARM IMMEDIATELY RING THE ALARM
DAN MENUNGGU ABA - ABA AND WAIT FOR
EVAKUASI EVACUATION INSTRUCTIONS

TEAM TANGGAP DARURAT EMERGENCY RESPONE TEAM TAKE

MENGAMBIL TINDAKAN ACTION

TEAM TANGGAP DARURAT SEGERA MENGEVAKUASI TECHNICAL OFFICER / ER TEAM IMMEDIATELY EVACUATE PERSONNEL
PETUGAS TEKNIK / PERALATAN
SEGERA PUTUSKAN ALIRAN
ORANG UNTUK BERKUMPUL DI MUSTER POINT / TEMPAT
EQUIPMENT IMMEDIATELY TO THE ASSEMBLY AREA / MUSTER POINT
BERKUMPUL
LISTRIK DISCONNECT ELECTRIC

HUBUNGI : P3K : SUB-LEADER SWEEPER : CALL : FIRST AID : SUB-LEADER: SWEEPER :

1. DINAS PEMADAM BERIKAN AMANKAN LOKASI DAN PERIKSA SEMUA 1. FIRE STATION IF GIVE FIRST AID SECURE AND LAST CHECK TO ALL
KEBAKARAN BILA PERLU PERTOLONGAN ARAHKAN ORANG2 RUANGAN DAN NECESSARY TREATMENT IF INSTRUCT PERSONNEL ROOM AND REPORT
2. PIHAK BERWAJIB YANG PERTAMA BILA UNTUK BERKUMPUL DI LAPORKAN KEPADA 2. PROJECT MANAGER NECESSARY TO ASSEMBLE AT THE TO THE CAPTAIN
TERKAIT DIPERLUKAN MUSTER POINT / TEMPAT MUSTER POINT /
KAPTEN 3. THE COMPULSORY IN
BERKUMPUL ASSEMBLY AREA
CONNECTION

KIRIM KORBAN KE RS. TERDEKAT SEND VICTIMS TO THE HOSPITAL

SETELAH MENDAPATKAN P3K AFTER FIRST AID TREATMENT

KAPTEN MEMBERIKAN CAPTAIN REPORT TO THE HIGHER

LAPORAN KEPADA PIMPINAN : MANAGEMENT :

1. KRONOLOGIS KEJADIAN 1. CHRONOLOGY OF EVENTS

2. KONDISI AKHIR 2. LATEST CONDITIONS
 ANCAMAN BOM THREAT BOMB
ANCAMAN BOM
BOMB THREAT
DIKETAHUI OLEH
KNOW BY SOMEONE
SESEORANG

IMMEDIATELY REPORT TO INFORM TO

SEGERA LAPORKAN KEPADA
INFORMASIKAN KEPADA
1. DEPUTY GENERAL MANAGER BUILDING MANAGEMENT /
1. DEPUTY GENERAL MANAGER
BUILDING MANAGEMENT / 2. CAPTAIN EMERGENCY RESPON TEAM PT Jakarta Setiabudi
2. CAPTAIN EMERGENCY RESPON TEAM
PT Jakarta Setiabudi Internasional 3. EMERGENCY RESPON TEAM Internasional
3. EMERGENCY RESPON TEAM

APABILA INSTRUKSI MANAGEMENT BUILDING TIDAK ADA RESPONS, IF INSTRUCTIONS BUILDING MANAGEMENT DELAY OR NO RESPONSE,
TEAM TANGGAP DARURAT MENGAMBIL TINDAKAN EMERGENCY RESPONSE TEAM TAKE ACTION

TEAM TANGGAP DARURAT SEGERA MENGEVAKUASI EMERGENCY RESPON TEAM IMMEDIATELY EVACUATE PERSONNEL
LAPORKAN / HUBUNGI : ORANG UNTUK BERKUMPUL DI MUSTER POINT / TEMPAT REPORT / CONTACT : TO THE ASSEMBLY AREA / MUSTER POINT AND ABANDON FROM THAT
BERKUMPUL DAN SEGERA MEGELUARKANNYA DARI AREA AREA
1. POLSEK SETIA BUDI 1. POLSEK SETIA BUDI
2. DINAS PMK JAKPUS 2. DINAS PMK PUSAT

P3K : SUB-LEADER : SWEEPER : FIRST AID: SUB-LEADER : SWEEPER :

AMANKAN LOKASI DAN ARAHKAN
BERIKAN PERTOLONGAN PERTAMA ORANG2 UNTUK BERKUMPUL DI
BILA DIPERLUKAN MUSTER POINT / TEMPAT
BERKUMPUL DAN MENGHITUNG
JUMLAH STAFF
SECURE AND DIRECT PERSONNEL
PERIKSA SEMUA RUANGAN GIVE FIRST AID IF NECESSARY TO ASSEMBLE AT THE MUSTER LAST CHECK TO ALL ROOM
POINT / ASSEMBLY AREA AND AND REPORT TO THE CAPTAIN
DAN LAPORKAN KEPADA
CHECK THE STAFF NAME
KAPTEN

KIRIM KORBAN KE RUMAH SAKIT SEND VICTIM TO THE HOSPITAL

SETELAH MENDAPATKAN P3K AFTER FIRST AID TREATMENT

KAPTEN MEMBERIKAN CAPTAIN REPORT TO THE HIGHER

LAPORAN KEPADA PIMPINAN : MANAGEMENT :
1. CHRONOLOGY OF EVENTS
1. KRONOLOGIS KEJADIAN
       2. LATEST CONDITIONS
2. KONDISI AKHIR
 TUMPAHAN MINYAK OIL SPILL
TUMPAHAN MINYAK TUMPAHAN MINYAK
DIKETAHUI OLEH OIL
DIKETAHUI
SPILL OCCURED
OLEH
SESEORANG SESEORANG

1. MENGINFORMASIKAN KEPADA PERSONIL LAINNYA PERSONNEL TO INFORM

1. MENGINFORMASIKAN OTHERS
KEPADA PERSONIL LAINNYA
2. MENGINFORMASIKAN KEPADA TIM TANGGAP DARURAT INFORM THE EMERGENCY
2. MENGINFORMASIKAN KEPADARESPONSE TEAM
TIM TANGGAP DARURAT

TEAM TANGGAP DARURAT EMERGENCY

TEAM TANGGAP
RESPONSE
DARURAT
TEAM
MENGAMBIL TINDAKAN MENGAMBIL
TAKE ACTION
TINDAKAN

E
LOKALISIR TUMPAHAN DENGAN JIKA TERJADI CECERAN, GUNAKAN LOKALISIR TUMPAHAN DENGAN JIKA TERJADI
IN CASE CECERAN,
OF POOLS GUNAKAN
OF SPILL, USE THE M
KAIN MAJUN AGAR TIDAK LOCALIZATION OF THE SPILL USING KAIN
"MAJUN" MAJUN
CLOTH TO AGAR
PREVENTTIDAK
SOAKING E
MENGGUNAKAN PASIR, TANAH, MENGGUNAKAN PASIR, TANAH, R
MENYERAP KE TANAH AVAILABLE SAND, SOIL, SAWDUST INTO THE GROUND
MENYERAP KE TANAH
SERBUK KAYU YANG TERSEDIA SERBUK KAYU YANG TERSEDIA G
TO PREVENT SPREADING
AGAR TIDAK MELUAS AGAR TIDAK MELUAS E
N
C
TERKENA MATA / KULIT TERKENA ON
EXPOSED MATA
EYES
/ KULIT
/ SKIN Y
R
E
S
P
O
CUCI BERSIH DENGAN CUCI
IMMEDIATELY
BERSIH DENGAN
WASH N
AIR WITHAIR
WATER S
E
JIKA TIDAK MEMBAIK JIKA
IF CONDITION
TIDAK MEMBAIK
NOT BE BETTER T
E
A
M
P3K : P3KAID
: :
FIRST I
MEMBERIKAN MEMBERIKAN M
BANTUAN ABANTUAN
GIVEPENGOBATAN
MEDICAL HELP
M
E
PENGOBATAN D
I
A
JIKA TETAP TIDAK MEMBAIK JIKA
IF CONDITION
TETAP TIDAK
STILL
MEMBAIK
NOT BE BETTER
T
E
L
Y
E
V
KIRIM KORBAN KE RS. TERDEKAT SENDKORBAN
KIRIM TO VICTIMS
KE OF
RS.HOSPITAL
TERDEKAT A
SETELAH MENDAPATKAN P3K AFTER FIRST
SETELAH AID TREATMENT
MENDAPATKAN P3K C
U
A
T
E
:
1
.
CAPTAIN EMERGENCY RESPON TEAM
KAPTEN TIM TANGGAP DARURAT KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER P
LAPORAN KEPADA PIMPINAN : LAPORAN KEPADA PIMPINAN :
MANAGEMENT: E
O
P
1. KRONOLOGIS KEJADIAN 1.
1. KRONOLOGIS KEJADIAN
CHRONOLOGICAL INCIDENT L
2. KONDISI AKHIR 2. KONDISI AKHIR
2. FINAL EVENT E

S
 R
G
E
N
C
Y
R
E
S
P
O
N
S
E
T
E
A
M

I
M
M
E
D
I
A
T
E
L
Y

E
V
A
C
U
A
T
E

:
1
.
CAPTAIN EMERGENCY RESPON TEAM
KAPTEN TIM TANGGAP DARURAT KAPTEN TIM
REPORT TO THETANGGAP
HIGHER DARURAT P
LAPORAN KEPADA PIMPINAN : LAPORAN KEPADA
MANAGEMENT: PIMPINAN : E
O
P
1. KRONOLOGIS KEJADIAN 1.
1. KRONOLOGIS KEJADIAN
CHRONOLOGICAL INCIDENT L
2. KONDISI AKHIR 2.
2. KONDISI AKHIR
FINAL EVENT E

S
U
R
R
O
U
N
D
I
N
G

T
H
E

L
O
C
A
T
I
O
N
2
.

E
Q
U
I
P
M
E
N
T
/

M
A
T
E
R
I
A
L

I
N

L
 BANJIR FLOOD
BANJIR DIKETAHUI
OLEH SESEORANG
FLOOD OCCURRED

1. MENGINFORMASIKAN KEPADA PERSONIL LAINNYA 1. PERSONNEL TO INFORM OTHERS

2. MENGINFORMASIKAN KEPADA TIM TANGGAP DARURAT 2. INFORM THE EMERGENCY RESPONSE TEAM

TEAM TANGGAP DARURAT EMERGENCY RESPONSE TEAM

MENGAMBIL TINDAKAN TAKE ACTION

INFORMATION TO OWNER EMERGENCY RESPONSE TEAM IMMEDIATELY

MENYINGKIRKAN SAMPAH INFORMASIKAN KEPADA: TTD SEGERA MENGEVAKUASI GET RID OF GARBAGE OR SECURITY BUILING. EVACUATE :
ATAU APAPUN YANG DAPAT SECURITY BUILDING/MANAGEMENT 1. ORANG2 DI SEKITAR LOKASI ANYTHING THAT CAN INHIBIT THE 1. PEOPLE SURROUNDING THE LOCATION
BUILDING 2. ALAT / MATERIAL DI LOKASI WATER CHANNELS MANAGEMENT BUILDING 2. EQUIPMENT / MATERIAL IN LOCATION
MENGHAMBAT JALANNYA AIR

MONITOR KEADAAN MONITOR SITUATION

SEKITAR DAN AROUND AND CLAIMED
DINYATAKAN AMAN TO SECURE

SWEEPER : P3K : SUB-LEADER : TEKNIK / SWEEPER : FIRST AID SECURITY EQUIPMENT /

AMANKAN LOKASI PERALATAN : SECURE AND TECHNICAL :
PERIKSA SEMUA BERIKAN DAN ARAHKAN LAST CHECK TO ALL GIVE FIRST AID INSTRUCT TO
HUBUNGI : RUANGAN DAN ORANG2 UNTUK CONTACT: ASSEMBLE AT DISCONNECT THE
PERTOLONGAN
BERKUMPUL DI PUTUSKAN ALIRAN ROOM AND REPORT TREATMENT IF
LAPORKAN KEPADA PERTAMA BILA
TO THE CAPTAIN THE MUSTER ELECTRICAL
1. PETUGAS KEAMANAN KAPTEN DIPERLUKAN MUSTER POINT / LISTRIK DAN
1. SECURITY OFFICER NECESSARY POINT /
TEMPAT AMANKAN
2.RELATED AGENCIES FLOWS AND
2. PIHAK BERWAJIB YANG BERKUMPUL PERALATAN ASSEMBLY SECURED ALL
TERKAIT DISEKITAR LOKASI AREA MATERIALS AT
THE LOCATION

KIRIM KORBAN KE RS. TERDEKAT

SIDIK ASAL / SEBAB
SETELAH MENDAPATKAN P3K INVESTIGATION ON SEND TO VICTIMS OF HOSPITAL
TERJADI BANJIR CAUSE OF FLOOD AFTER FIRST AID TREATMENT

CAPTAIN EMERGENCY RESPON TEAM

KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN : MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 CAPTAIN EMERGENCY RESPON TEAM
KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN : MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 DEMONSTRASI DEMONSTRATION
DEMONSTRASI DEMONSTRATION
DIKETAHUI OLEH
OCCURRED
SESEORANG

1. MENGINFORMASIKAN KEPADA PERSONIL LAINNYA 1. PERSONNEL TO INFORM OTHERS

2. MENGINFORMASIKAN KEPADA TIM TANGGAP DARURAT 2. INFORM THE EMERGENCY RESPONSE TEAM AND
DAN PETUGAS KEAMANAN SECURITY OFFICER

TEAM TANGGAP DARURAT EMERGENCY RESPONSE TEAM

MENGAMBIL TINDAKAN TAKE ACTION

INFORMATION TO OWNER EMERGENCY RESPONSE TEAM IMMEDIATELY

MENEMUI PARA PENDEMO INFORMASIKAN KEPADA: TTD SEGERA MENGEVAKUASI SEEING THE EVENT SECURITY BUILING. EVACUATE :
JIKA TERJADI SECURITY BUILDING/MANAGEMENT 1. ORANG2 DI SEKITAR LOKASI BRUTALITY 1. PEOPLE SURROUNDING THE LOCATION
MANAGEMENT BUILDING 2. EQUIPMENT / MATERIAL IN LOCATION
KEBRUTALAN BUILDING 2. ALAT / MATERIAL DI LOKASI DEMONSTRATORS

IF THERE IS AN
JIKA TERJADI AGREEMENT
KESEPAKATAN
SWEEPER : FIRST AID SECURITY
SWEEPER : P3K : SUB-LEADER : SECURE AND
AMANKAN LOKASI LAST CHECK TO ALL GIVE FIRST AID INSTRUCT TO
PERIKSA SEMUA BERIKAN DAN ARAHKAN ROOM AND REPORT TREATMENT IF ASSEMBLE AT
HUBUNGI : RUANGAN DAN ORANG2 UNTUK CONTACT: TO THE CAPTAIN THE MUSTER
PERTOLONGAN
BERKUMPUL DI NECESSARY POINT /
LAPORKAN KEPADA PERTAMA BILA
MUSTER POINT / 1. SECURITY OFFICER
1. PETUGAS KEAMANAN KAPTEN DIPERLUKAN
TEMPAT
ASSEMBLY
2. PIHAK BERWAJIB YANG BERKUMPUL
2.RELATED AGENCIES AREA
TERKAIT

KIRIM KORBAN KE RS. TERDEKAT

SETELAH MENDAPATKAN P3K INVESTIGATION ON CAUSE OF SEND TO VICTIMS OF HOSPITAL
SIDIK ASAL / SEBAB DEMONSTRATION AFTER FIRST AID TREATMENT
TERJADI DEMONSTRASI

CAPTAIN EMERGENCY RESPON TEAM

KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN : MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 CAPTAIN EMERGENCY RESPON TEAM
KAPTEN TIM TANGGAP DARURAT
REPORT TO THE HIGHER
LAPORAN KEPADA PIMPINAN : MANAGEMENT:
1. KRONOLOGIS KEJADIAN 1. CHRONOLOGICAL INCIDENT
2. KONDISI AKHIR 2. FINAL EVENT
 EMERGENCY EQUIPMENT LIST
NAME QUANTITY REMARKS

Fire Extinguisher 15 units 5 units (ABC Powder) , 10 units (CO2)

Each worker has its own Helmet and should be placed on

Safety Helmet their own desk

Flash Light 17 pieces

Emergency Lamp

Stretcher 3 units

First Aid Bag 2 units

First Aid Box 3 units

Whistle 14 pieces

Battery A1 pieces