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PRAKARSALANGGENG MAJU BERSAMA

JAWA 9&10 (2x1000 MW) Coal Fired Steam Power Plant
Suralaya - Banten
SAFETY PERFORMANCE RECORD

2022
No DESCRIPTION 2021 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC CUM
1 Man-hours Worked 0 0 0 0 4483 8561 16086 15270 18575 19689 16653 15095 15422 129,834
2 No. of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 No. of Lost Time Injury (LTI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 No. of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 No. of Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 No. of First Aid Treatment (FA) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 No. of Near-Miss Incident 0 0 0 0 0 1 0 0 0 0 0 0 0 1
8 No. of Occupational Illness 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 No. of Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 No. of Environment Pollution 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Lost Time Injury Freq Rate ** 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
11 Total Recordable Freq Rate ** 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Notes :
** Lost Time Injury Freq Rate = ( No of Cases x 1,000,000 ) : (No of Man Hours)
Total Recordable Freq Rate = <No of Cases (2,3,4,5) x 1,000,000> : No of Man Hours

Prepared by Approved by Known by

EHS Admin EHS Coordinator Site Manager

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MONITORING KEY PERFORMANCE INDICATOR ( KPI )

Subcontractor Name : PT. PRAKARSALANGGENG MAJUBERSAMA

Project Title : JAWA 9&10 COAL FIRED STEAM POWER PLANT
Project Location : SURALAYA, CILEGON
No . Deskripsi Target
Jan Feb Mar Apr Mei Jun Jul Aug Sep Okt Nov Des Total Persentase
Lagging Indicator
1 Fatality Zero, immediate report 0 0 0 0 0 0 0 0 0 0
2 Lost Time Incident / Number of LTI Zero, report within 24 hours 0 0 0 0 0 0 0 0 0 0
3 Medical Treatment Case Zero, report within 24 hours 0 0 0 0 0 0 0 0 0 0
Minimum Case, report in daily
4 First Aid Case
report
0 0 0 0 0 0 0 0 0 0
Zero, serious case -
immendiate response &
5 Number of Environmental Violation
report. Others, within 24
0 0 0 0 0 0 0 0 0 0
hours
6 Asset Damage Zero 0 0 0 0 0 0 0 0 0 0
7 Security Incident Zero 0 0 0 0 0 0 0 0 0 0
8 Vehicle Incident Zero 0 0 0 0 0 0 0 0 0 0
9 Fire Incident Zero 0 0 0 0 0 0 0 0 0.0 0
10 Restricted Work Case Zero 0 0 0 0 0 0 0 0 0 0
11 Number of Recordable Cases Zero 0 0 0 0 0 0 0 0 0 0
12 TRFR (per 1.000.000 man-hours) 0.4 0 0 0 0 0 0 0 0 0 0
Leading Indicator
13 Project HSE Induction 100% 38 20 8 13 3 3 1 0 2 88
14 Number of Management Visit Once / Project 0 2 0 0 1 0 0 1 1 5
15 Number of HSE Joint Inspection Monthly 1 1 1 2 1 1 1 1 1 10
16 Number of Site Hygiene Inspection Weekly 4 4 4 4 4 4 4 4 4 36
17 Number of Emergency Drill Once / Project 0 0 0 0 0 0 0 0 0 0
18 Number of HSE Meeting Monthly 2 4 4 4 4 4 4 4 4 34
19 Number of Toolbox Meeting Daily 19 22 40 42 38 38 32 38 30 299
20 Job Safety Analysis Prior start the job 1 1 1 1 1 1 1 1 1 9
21 Inspection of Emergency Equipment Monthly 1 1 1 1 1 1 1 1 1 9
22 Monthly Safety Talk Monthly 4 4 4 4 4 4 4 4 4 36
23 Hazard Observation Card (OHC) 1 card / person / Week 71 222 186 44 50 - - 30 4 607
24 Inspection of Heavy Equipment Monthly 1 1 1 1 1 1 1 1 1 9
25 Inspection of Light Vehicle Monthly 1 1 1 1 1 1 1 1 1 9
26 Inspection of Hand & Power Tools Quarterly 1 1 1 1 1 1 1 1 1 9
27 Inspection of Machine & Electrical Quarterly 1 1 1 1 1 1 1 1 1 9
28 Inspection of Work Place Monthly 1 1 1 1 1 1 1 1 1 9
29 Inspection of PPE Monthly 19 22 28 28 30 30 31 30 30 248
30 Control of MCU result 100% 38 20 8 13 3 3 1 0 4 90
31 Gas Test in Confined Space Daily 0 0 28 28 30 30 31 30 30 207
32 B3 Waste Disposal Monitoring Monthly 0 1 1 0 0 0 0 0 0 2
33 Tracking system closure rate 80% from finding 100 80 90 90 100 100 100 95 100 855
34 Preventive Virus Corona 100% 1 1 1 1 1 1 1 1 1 9

Prepared by Approved by Known by

EHS Admin EHS Coordinator Site Manager

 HEALTH REPORT
REV 0

DATE December-22

NO ACTIVITIES NUMBER DESCRIPTION

1 Bold pressure All pekerja Sebelum WAH Activity

2 Senam Pagi All pekerja Weekly

3 Cleaning toilet and shelter 1 Daily

4 Ceklist Eyewash 1 Daily

5 Pengisian Eyewash 1 per 7 hari

6 Suplay air minum 194 galon per 30 hari

Prepared by,

EHS Maju Bersama

 HSE ACTIVITY PLAN
Tahun : 2022

Site : Jawa 9 & 10

No Activity PIC December Remark

A INSPECTION D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
P
1 Heavy Equipment HSE/Opt A
P
2 Vehicle HSE A
P +
3 Lifting Equipment HSE/Rigger A
P
4 Hand Tools HSE/Ws A
P
5 Grinding Machine HSE/Electric A
P
6 Welding Machine HSE/Electric A
P
7 Power Tools HSE/Electric A
P
8 First Aid Kit First Aider A
P
9 APAR HSE A
P
10 Area Kerja HSE/SPV A
P
11 Eyewash HSE A
P
12 PPE HSE/SPV A
P
13 Scaffolding HSE/SPC Scf A
B Training
P
1 Safety Induction HSE A
P
2 Training Bekerja Di Ketinggian HSE A
P
3 Training Confined Space HSE A
P
4 Training APAR HSE A
P
5 Training Watchman/Loto HSE
C Meeting
P
1 Toolbox Meeting All Dept A
P
2 Safety Talk All Dept A
P
3 Safety Meeting All Dept A
P
4 Safety Patrol HSE/SM/SPV A
D Emergency Preparedness
P
1 Emergency Drill HSE A
D HSE Event
P
1 HSE Reward HSE A

62-MRP-PLMB-R-00

Keterangan :
A : Action
P : Plan
: Hari Libur

Diset
Prepared by Approved by known by
ujui
oleh

Arief Agrian Galih Respati Nana Sukmana

EHS Admin EHS Coordinator Site Manager