PT Chevron Pacific Indonesia Practice 995 653 8145

Flexible Program Management 5 November 2007

No: 1523 – OM Page 1 of 4

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TF HES RECORDS MANAGEMENT PROCEDURE

PURPOSE / TUJUAN
The purpose of this procedure is to provide minimum requirements for what
documents must be retained for a given period of time and what information must be
provided in a close-out report.

Tujuan dari prosedur ini adalah untuk memberikan keperluan minimum terhadap
dokument yang harus diserahkan pada periode tertentu dan informasi apa yang
harus disediakan untuk laporan close out.

SCOPE / RUANG LINGKUP

The scope provides a list of documents that must be maintained during Tripatra Fluor
site activities and retained after site closure.

In addition, this procedure details the information to be included in an HES close-out

report.

Tujuan nya memberikan list dokument yang harus dipelihara selama kegiatan
lapangan Tripatra Fluor dan diserahkan setelah kontrak berakhir.

Pada kenyataannya, prosedur ini memberikan informasi detail yang harus

dimasukkan kedalam Laporan Close Out HES.

APPLICATION / APLIKASI

This procedure applies to all Tripatra Fluor Projects.

Prosedur ini berlaku untuk keseluruhan Project Tripatra Fluor.

DEFINITIONS / DEFINISI

MIER

Monthly Incident Experience Report

Laporan Kejadian Kecelakaan Bulanan

Project

Any workplace.

Setiap lokasi project.

TF - FPM
Site Specific HES Procedures
PT Chevron Pacific Indonesia Practice 995 653 8145
Flexible Program Management 5 November 2007
No: 1523 – OM Page 2 of 4

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TF HES RECORDS MANAGEMENT PROCEDURE

1.0 HSE RECORDS RETENTION / PENYIMPANAN DATA HSE

The guidelines for the retention of HSE related documents as required by Corporate
and Australian regulations are detailed below.

The referenced documents should be maintained on the project while the project is
active. Upon closure of the project, the referenced documents should be stored in
Records Management with other project records and documents.

See HES Record Retention – Attachment 1.

Due to the consortium agreement individual responsibilities between Tripatra and

Fluor and CPI documentation retention responsibilities, the approved HES records
retention requirement for this project is shown as Attachment 2

Petunjuk untuk penyimpanann dokumen yang berhubungan dengan HES merupakan

ketentuan dari Corporate dan peraturan Australia seperti detail berikut ini.

Dokumen-dokumen yang ditentukan harus dimaintain pada project tersebut selama

project itu aktif. Menjelang project berakhir, semua dokument harus disimpan didalam
Management Record bersamaan dengan catatan dan dokument project lainnya.

Lihat HES Record Retention – Attachment 1.

Sehubungan dengan tanggung jawab individu perjanjian konsorsium antara Tripatra

dan Fluor, serta tanggung jawab penyimpanan dokument CPI, maka semua catatan
HES untuk project ini bisa dilihat di Attachment 2.

2.0 HSE DOCUMENT CONTROL / DOKUMENT KONTROL HSE

The following information shall be compiled for HSE close-out reports at the
completion of a Fluor project.

Informasi berikut ini harus dilengkapi untuk laporan close out pada masa project Fluor
berakhir.

2.1 Procedure / Prosedur

At the start of de-mobilization of a project, the following information must be gathered

for the close out report.
 Total project number of Lost Time Injuries
 Total project number of Medical Treatment Injuries
 Total project number of First Aid Cases
 Total project number of Near Miss Incidents
 Total project Total Recordable cases (all incidents)]

TF - FPM
Site Specific HES Procedures
PT Chevron Pacific Indonesia Practice 995 653 8145
Flexible Program Management 5 November 2007
No: 1523 – OM Page 3 of 4

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TF HES RECORDS MANAGEMENT PROCEDURE

 Total project work hours completed for total project

 Total project Workers’ Compensation Cases.
 Details of any environmental incident.

A written explanation should be completed in relation to any Lost Time Injury or

environmental incident sustained during the life of the project.

A graphical explanation should be made of the types of injuries sustained, e.g.,

foreign bodies in eyes, hand injuries, and leg injuries.

The report should have a summary of achievements and awards received in relation
to the HSE performance of the project, and shall be inclusive of dates presented to
the project.

A copy of the final MIER ( Procedure 995 653 8160) should be appended to the report
as a verification document to the statistics being presented within the report body.

The HSE report shall form part of the project close-out report to the client and to Fluor
HSE.

Pada masa permulaan awal suatu project, informasi berikut ini harus dikumpulkan
untuk laporan close out:

 Total Lost Time Injuries selama project perlangsung

 Total Medical Treatment Injuries selama project berlangsung
 Total First Aid Cases selama project berlangsung
 Total Near Miss Incidents
 Total Total Recordable cases (semua insiden)
 Total jam kerja selama project berlangsung
 Total Kasus Ganti Ruga yang diberikan kepada Karyawan.
 Rincian setiap insident terhadap lingkungan

Penjelasan secara tertulis harus dilengkapi sehubungan dengan setiap kasus Lost
Time Injury atau insiden terhadap lingkungan yang dialami selama project berjalan.

Penjelasan secara grafik harus dibuat untuk menentukan jenis-jenis cedera yang
dialami seperti cedera mata, tangan ataupun cedera pada kaki.

Laporan itu juga harus memiliki rangkuman pencapaian dan penghargaan yang
diterima sehubungan dengan Performance HES dan harus menampilkan tanggal
penyerahan pada masa project tersebut.

Salinan laporan akhir MEIR( Procedure 995 653 8160) harus dilampirkan pada
laporan sebagai dokumen verifikasi yang ditampilkan pada dihalaman laporan.

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Site Specific HES Procedures
PT Chevron Pacific Indonesia Practice 995 653 8145
Flexible Program Management 5 November 2007
No: 1523 – OM Page 4 of 4

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TF HES RECORDS MANAGEMENT PROCEDURE

Laporan HES harus merupakan bagian darilaporan close out project kepada client
dan Fluor HSE

2.2 Project Close Out / Project Close Out

A project close out plan has been prepared to meet Client, Tripatra and Fluor requirements. This
plan covers return of company assets, demobilization of staff, report preparation and document
retention.

For reference, see TF HES Department Project Close Out Plan.

Suatu rencana project close out harus disiapkan sebagai salah satu persyaratan yang dibutuhkan
client. Rencana ini mencakup pengembalian asset perusahaan, pembubaran karyawan, persiapan
laporan dan penyimpanan dokumen.

Sebagai bahan pertimbangan, bisa dilihat pada TF HES Department Project Close Out Plan.

3.0 REFERENCES / REFERENSI

Practice/Procedure # Corporate HSE

995 653 8160 Monthly Incident Experience Report (MIER)
TF HES Project Close Out Plan

4.0 ATTACHMENTS / LAMPIRAN

Attachment # File Title

Attachment 1 Fluor Records Retention List
Attachment 2 Approved Records Retention List – TF FPM

TF - FPM
Site Specific HES Procedures