CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA

MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

HEALTH, SAFETY & ENVIRONMENT

MONTHLY REPORT
NO : 008/PBP/HSE/SAM/09/2021

PERIOD : AUGUST 2021

0 3-Sep-21 BUDI RAHARJO NIXSON DOMINIKUS

PREPARED BY: AKNOWLEDGE BY:

REV DATE
PT. PROSYS BANGUN PERSADA
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

HEALTH, SAFETY & ENVIRONMENT MONTHLY REPORT

PERIOD : AUGUST 2021

Commencement Date : Completion Date :

HSE STATISTIC / PERFORMANCE
NO DESCRIPTION TARGET UP TO LAST MONTH THIS MONTH UP TO THIS MONTH REMARKS

1 TOTAL MANPOWER - 41948 10996 52,944

2 TOTAL MANHOURS - 447358 118703 566,061

3 NEARMISS 3 0 0 0

4 LOST TIME INJURY (LTI) 0 0 0 0

5 FATALITIES 0 0 0 0

6 MEDICAL TREATMENT CASES (MTC) 0 0 0 0

7 FIRST AID CASES (FAC) 0 0 0 0

8 VEHICLE ACCIDENT 0 0 0 0

9 FIRE CASE 0 0 0 0

10 PROPERTY DAMAGE 0 0 0 0

11 ENVIRONMENTAL IMPACT 0 0 0 0

12 FREQUENCY RATE 0

13 SEVERITY RATE 0

HSE PROGRAM & ACTIVITIES

14 TOOL BOX TALK / TOOL BOX MEETING 12 / MONTH 60 7 67

15 HSE MEETING 1 / MONTH 24 6 30

16 HSE INDUCTION - 7 3 10

17 SAFETY ALERT / HSE BULLETIN 1 / MONTH 0 0 0

18 HSE TRAINING - 0 0 0

19 HSE INSPECTION / SITE INSPECTION / JOIN INSPECTION 1 / MONTH 28 4 32

20 SAFETY PATROL 4 / MONTH 20 1 21

21 EQUIPMENT & TOOLS INSPECTION 12 / YEAR 8 2 10

22 PPE INSPECTION 12 / YEAR 2 0 2

23 MANAGEMENT WALKTHROUGH 4 / YEAR 0 0 0

24 HAZARD REPORT 2 10 1 11

25 JOB SAFETY ANALYSIS (JSA) 2 4 7 11

26 WORK PERMIT (HIGH RISK WORK) - 2 0 2

27 HSE REWARD - 2 0 2

28 EMERGENCY DRILL 1 / YEAR 0 0 0

29 ENVIRONMENTAL MONITORING 1 / YEAR 2 0 2 2nd Illumination test

30 FOGGING (PEST CONTROL) 12 / YEAR 0 0 0

HSE REQUIREMENT & COMPLIANCE (CORRECTIVE ACTION)

COMPLIANCE STATUS
NO DESCRIPTION LOCATION REMARKS
YES NO

31 HSE COMMITTEE (P2K3) PROJECT - 

32 PROVIDE HSE INFORMATION BOARD FIELD - 
33 HSE CAMPAIGN & BANNER FIELD  -

34 PROVIDE & INSTALL FLAGS (INDONESIAN, HSE & COMPANY) FIELD  -

35 PROVIDE & SOCIALIZE EMERGENCY RESPONSE TEAM OFFICE  -

36 PROVIDE & SOCIALIZE EMERGENCY LAY OUT OFFICE  - Need to install Emergency Evacuation Signs

37 PROVIDE & SOCIALIZE EMERGENCY CONTACT NUMBER OFFICE  -

38 PROVIDE & INSTALL SAFETY SIGNS FIELD  - Need more installation & improvement

39 PROVIDE & INSTALL EMERGENCY SIGNS OFFICE & FIELD  - Need more installation & improvement

40 PROVIDE FIRE EXTINGUISHER OFFICE & FIELD  - Need more Fire Extinguishers installed in the field

41 PROVIDE FIRST AID BOX OFFICE & FIELD  - There is only one and not complete

42 PROVIDE A TRASH CAN OFFICE & FIELD  - Need more trash bins

43 HOUSEKEEPING ACTIVITIES -  - Unscheduled implementation

44 PROVIDE & INSTALL SAFETY NET -  - Installed on railing guards only

45 PROVIDE & INSTALL SAFETY DECK - - -

46 PROVIDE & INSTALL RAILING CONSTRUCTION PERIMETER  -

47 PROVIDE & INSTALL BARRICADE (HOLE, EXCAVATION ETC) -  -

48 LADDER & SCAFFOLDING -  -

49 PROVIDE & INSTALL RAILING ELEVATOR VOID  -

50 PROVIDE & INSTALL BARRICADE (HOLE, EXCAVATION ETC) -  -

51 PROVIDE & INSTALL RAILING TOWER CRANE VOID  -

52

53

54

55
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

RECAPITULATION OF SAFE WORKING HOURS

PERIOD : AUGUST 2021

PT. PROSYS BANGUN PERSADA

WORKING HOURS / DAY TOTAL OVERTIME / DAY TOTAL TOTAL WORKING TOTAL WORKING
NO DAY DATE LOST TIME
HOURS HOURS HOURS PER DAY HOURS
TOTAL WORKER WORKING HOURS TOTAL WORKER WORKING HOURS

1 Sunday 1-Aug-21 0 8 0 0 3 0 0 0 -

2 Monday 2-Aug-21 12 8 96 0 3 0 0 96 96

3 Tuesday 3-Aug-21 12 8 96 0 3 0 0 96 192

4 Wednesday 4-Aug-21 12 8 96 0 3 0 0 96 288

5 Thursday 5-Aug-21 12 8 96 0 3 0 0 96 384

6 Friday 6-Aug-21 12 8 96 0 3 0 0 96 480

7 Saturday 7-Aug-21 4 8 32 0 3 0 0 32 512

8 Sunday 8-Aug-21 0 8 0 0 3 0 0 0 512

9 Monday 9-Aug-21 12 8 96 0 3 0 0 96 608

10 Tuesday 10-Aug-21 12 8 96 0 3 0 0 96 704

11 Wednesday 11-Aug-21 0 8 0 0 3 0 0 0 704

12 Thursday 12-Aug-21 13 8 104 0 3 0 0 104 808

13 Friday 13-Aug-21 13 8 104 0 3 0 0 104 912

14 Saturday 14-Aug-21 5 8 40 0 3 0 0 40 952

15 Sunday 15-Aug-21 1 8 8 0 3 0 0 8 960

16 Monday 16-Aug-21 13 8 104 0 3 0 0 104 1,064

17 Tuesday 17-Aug-21 0 8 0 0 3 0 0 0 1,064

18 Wednesday 18-Aug-21 14 8 112 0 3 0 0 112 1,176

19 Thursday 19-Aug-21 14 8 112 0 3 0 0 112 1,288

20 Friday 20-Aug-21 14 8 112 0 3 0 0 112 1,400

21 Saturday 21-Aug-21 5 8 40 0 3 0 0 40 1,440

22 Sunday 22-Aug-21 3 8 24 0 3 0 0 24 1,464

23 Monday 23-Aug-21 14 8 112 0 3 0 0 112 1,576

24 Tuesday 24-Aug-21 14 8 112 0 3 0 0 112 1,688

25 Wednesday 25-Aug-21 14 8 112 0 3 0 0 112 1,800

26 Thursday 26-Aug-21 14 8 112 0 3 0 0 112 1,912

27 Friday 27-Aug-21 14 8 112 0 3 0 0 112 2,024

28 Saturday 28-Aug-21 5 8 40 0 3 0 0 40 2,064

29 Sunday 29-Aug-21 3 8 24 0 3 0 0 24 2,088

30 Monday 30-Aug-21 14 8 112 0 3 0 0 112 2,200

31 Tuesday 31-Aug-21 14 8 112 0 3 0 0 112 2,312

TOTAL 289 2,312 0 2,312

SAFE WORKING HOURS CUMULATIVE NUMBER OF WORKER

(1)
UP TO LAST MONTH 9,548 1,177

THIS MONTH 2,312 289

(2)

(1) + (2)
UP TO THIS MONTH 11,860 1466
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

RECAPITULATION OF SAFE WORKING HOURS

PERIOD : AUGUST 2021

PT. SAMANEA TANGERANG DEVELOPMENT

WORKING HOURS / DAY TOTAL OVERTIME / DAY TOTAL TOTAL WORKING TOTAL WORKING
NO DAY DATE LOST TIME
HOURS HOURS HOURS PER DAY HOURS
TOTAL WORKER WORKING HOURS TOTAL WORKER WORKING HOURS

1 Sunday 1-Aug-21 0 8 0 0 3 0 0 0 -

2 Monday 2-Aug-21 5 8 40 0 3 0 0 40 40

3 Tuesday 3-Aug-21 5 8 40 0 3 0 0 40 80

4 Wednesday 4-Aug-21 5 8 40 0 3 0 0 40 120

5 Thursday 5-Aug-21 5 8 40 0 3 0 0 40 160

6 Friday 6-Aug-21 5 8 40 0 3 0 0 40 200

7 Saturday 7-Aug-21 0 8 0 0 3 0 0 0 200

8 Sunday 8-Aug-21 0 8 0 0 3 0 0 0 200

9 Monday 9-Aug-21 5 8 40 0 3 0 0 40 240

10 Tuesday 10-Aug-21 5 8 40 0 3 0 0 40 280

11 Wednesday 11-Aug-21 0 8 0 0 3 0 0 0 280

12 Thursday 12-Aug-21 5 8 40 0 3 0 0 40 320

13 Friday 13-Aug-21 5 8 40 0 3 0 0 40 360

14 Saturday 14-Aug-21 0 8 0 0 3 0 0 0 360

15 Sunday 15-Aug-21 0 8 0 0 3 0 0 0 360

16 Monday 16-Aug-21 5 8 40 0 3 0 0 40 400

17 Tuesday 17-Aug-21 0 8 0 0 3 0 0 0 400

18 Wednesday 18-Aug-21 5 8 40 0 3 0 0 40 440

19 Thursday 19-Aug-21 5 8 40 0 3 0 0 40 480

20 Friday 20-Aug-21 5 8 40 0 3 0 0 40 520

21 Saturday 21-Aug-21 0 8 0 0 3 0 0 0 520

22 Sunday 22-Aug-21 0 8 0 0 3 0 0 0 520

23 Monday 23-Aug-21 5 8 40 0 3 0 0 40 560

24 Tuesday 24-Aug-21 5 8 40 0 3 0 0 40 600

25 Wednesday 25-Aug-21 5 8 40 0 3 0 0 40 640

26 Thursday 26-Aug-21 5 8 40 0 3 0 0 40 680

27 Friday 27-Aug-21 5 8 40 0 3 0 0 40 720

28 Saturday 28-Aug-21 0 8 0 0 3 0 0 0 720

29 Sunday 29-Aug-21 0 8 0 0 3 0 0 0 720

30 Monday 30-Aug-21 5 8 40 0 3 0 0 40 760

31 Tuesday 31-Aug-21 5 8 40 0 3 0 0 40 800

TOTAL 100 800 0 800

SAFE WORKING HOURS CUMULATIVE NUMBER OF WORKER

(1)
UP TO LAST MONTH 5,344 668

THIS MONTH 800 100

(2)

(1) + (2)
UP TO THIS MONTH 6,144 768
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

RECAPITULATION OF SAFE WORKING HOURS

PERIOD : AUGUST 2021

PT. CHINA CONSTRUCTION YANGTZE RIVER INDONESIA

WORKING HOURS / DAY TOTAL OVERTIME / DAY TOTAL TOTAL WORKING TOTAL WORKING
NO DAY DATE LOST TIME
HOURS HOURS HOURS PER DAY HOURS
TOTAL WORKER WORKING HOURS TOTAL WORKER WORKING HOURS

1 Sunday 1-Aug-21 419 8 3,352 407 3 1,221 0 4,573 4,573

2 Monday 2-Aug-21 419 8 3,352 407 3 1,221 0 4,573 9,146

3 Tuesday 3-Aug-21 424 8 3,392 412 3 1,236 0 4,628 13,774

4 Wednesday 4-Aug-21 434 8 3,472 422 3 1,266 0 4,738 18,512

5 Thursday 5-Aug-21 434 8 3,472 422 3 1,266 0 4,738 23,250

6 Friday 6-Aug-21 434 8 3,472 422 3 1,266 0 4,738 27,988

7 Saturday 7-Aug-21 434 8 3,472 422 3 1,266 0 4,738 32,726

8 Sunday 8-Aug-21 434 8 3,472 422 3 1,266 0 4,738 37,464

9 Monday 9-Aug-21 434 8 3,472 422 3 1,266 0 4,738 42,202

10 Tuesday 10-Aug-21 434 8 3,472 422 3 1,266 0 4,738 46,940

11 Wednesday 11-Aug-21 434 8 3,472 422 3 1,266 0 4,738 51,678

12 Thursday 12-Aug-21 434 8 3,472 422 3 1,266 0 4,738 56,416

13 Friday 13-Aug-21 434 8 3,472 422 3 1,266 0 4738 61,154

14 Saturday 14-Aug-21 434 8 3,472 422 3 1,266 0 4738 65,892

15 Sunday 15-Aug-21 434 8 3,472 422 3 1,266 0 4738 70,630

16 Monday 16-Aug-21 434 8 3,472 422 3 1,266 0 4738 75,368

17 Tuesday 17-Aug-21 47 8 376 45 3 135 0 511 75,879

18 Wednesday 18-Aug-21 434 8 3,472 422 3 1,266 0 4738 80,617

19 Thursday 19-Aug-21 350 8 2,800 338 3 1,014 0 3814 84,431

20 Friday 20-Aug-21 228 8 1,824 216 3 648 0 2472 86,903

21 Saturday 21-Aug-21 228 8 1,824 216 3 648 0 2472 89,375

22 Sunday 22-Aug-21 228 8 1,824 216 3 648 0 2472 91,847

23 Monday 23-Aug-21 183 8 1,464 171 3 513 0 1977 93,824

24 Tuesday 24-Aug-21 183 8 1,464 171 3 513 0 1977 95,801

25 Wednesday 25-Aug-21 183 8 1,464 171 3 513 0 1977 97,778

26 Thursday 26-Aug-21 199 8 1,592 187 3 561 0 2153 99,931

27 Friday 27-Aug-21 288 8 2,304 276 3 828 0 3132 103,063

28 Saturday 28-Aug-21 288 8 2,304 276 3 828 0 3132 106,195

29 Sunday 29-Aug-21 288 8 2,304 276 3 828 0 3132 109,327

30 Monday 30-Aug-21 288 8 2,304 276 3 828 0 3132 112,459

31 Tuesday 31-Aug-21 288 8 2,304 276 3 828 0 3132 115,591

TOTAL 10607 84,856 6,888 115,591

SAFE WORKING HOURS CUMULATIVE NUMBER OF WORKER

(1)
UP TO LAST MONTH 432,466 40,103

THIS MONTH 115,591 10,607

(2)

(1) + (2)
UP TO THIS MONTH 548,057 50,710
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

HEALTH AND SAFETY PERFORMANCE

PERIOD : AUGUST 2021

SAMANEA MIXED USE PROJECT, CIKUPA TANGERANG

NO DESCRIPTION UNIT UP TO LAST MONTH OWNER CONST. MANAGEMENT CONTRACTOR THIS MONTH UP TO THIS MONTH REMARKS

1 Manhours Hours 447,358 800 2312 115591 118703 566,061

2 Nearmiss Cases - - - - - -

3 Lost Time Injury (LTI) Cases - - - - - -

4 Non Lost Time Injury (Non-LTI) Cases - - - - - -

5 Fatalities Cases - - - - - -

6 Total Workdays Lost (TWL) Days - - - - - -

7 Medical Treatment Cases (MTC) Cases - - - - - -

8 First Aid Cases (FAC) Cases - - - - - -

9 Illness Due To Work Cases - - - - - -

10 Vehicle Accident Cases - - - - - -

11 Fire Cases Cases - - - - - -

12 Property Damage Cases - - - - - -

13 Environment Impact Cases - - - - - -

14 Frequency Rate 0

15 Severity Rate 0

Note :
Manhours : Number of working hour
Nearmiss : The number of conditions or situations where an accident nearly occurred
Lost Time Injury (LTI) : Number of accidents that cause lost work days (Unable to work again after 2 x 24 hours)
Non Lost Time Injury (Non-LTI) : Number of work accidents that do not cause loss of working days / victims can immediately work before 2x 24 hours
Fatalities : The number of occurrences of accidents causing death
Total Workdays Lost (TWL) : The number of days lost due to an accident at work
Medical Treatment Cases (MTC) : The number of work accidents handled with the help of paramedics, for example actions at the clinic or hospital
First Aid Cases
First(FAC)
Aid Cases (FAC) : The number of work accidents handled only with first aid measures
Illness Due To Work : Occupational diseases such as people working in the generator room have decreased hearing ability
Vehicle Accident : Number of vehicle accidents in the project area
Fire Cases : Number of fire case occured
Property Damage : The number of work accidents that cause property damage without human casualties

Environment Impact : The number of work accidents that cause environmental damage

Frequency Rate : To identify the number of injuries that caused the inability to work
Formula : Frequency Rate = (number of work accidents with lost work time x 1,000,000) / Total Manhours
If the number of workers> 500 people, use a coefficient of 1,000,000, if the number of workers <500 people, use a coefficient of 200,000
The total workforce of 500 people, the number of working hours reached 1,150,000 hours, causes a loss of work time of 70 days, due to 46 work accidents. Then the Frequency Rate = (46 x 1,000,000)
Example :
/ 1,150,000 = 40

Severity Rate : Indicators of lost work days due to work accidents

Formula : Severity Rate = (number of lost work days x 1,000,000) / Total Manhours
If the number of workers> 500 people, use a coefficient of 1,000,000, if the number of workers <500 people, use a coefficient of 200,000
The total workforce of 500 people, the number of working hours reached 1,150,000 hours, causes a loss of work time of 70 days, due to 46 work accidents. Then the Frequency Rate = (70 x 1,000,000)
Example :
/ 1,150,000 = 60
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

ENVIRONMENTAL PERFORMANCE
PERIOD : AUGUST 2021

CONSTRUCTION MANAGEMENT

NO DESCRIPTION UNIT UP TO LAST MONTH OWNER PMC CONTRACTOR THIS MONTH UP TO THIS MONTH REMARKS

Number of Heavy Equipment with emissions exceeding

1 Unit - - - - - -
threshold values

Number of generators with emissions in excess of the

2 Unit - - - - - -
Threshold Value

Number of operational vehicles whose emissions

3 Unit - - - - - -
exceed the Threshold Value

The number of air conditioners and refrigerants that

4 Unit - - - - - -
use CFC materials

5 Use of Water m 3
- - - - - - No data

6 Use of Fuel Liter - - - - - - No data

7 Use of Electrical Energy kVA - - - - - - No data

8 Use of Paper Ream 12 - - - 0 12

9 Environmental complaints Cases - - - - - -

Case of Spills of Hazardous and Toxic Materials and

10 Cases - - - - - -
liquid waste from Hazardous and Toxic Materials
 CONSTRUCTION MANAGEMENT CONSULTATION SERVICES FOR SAMANEA
MIXED USE PROJECT, CIKUPA TANGERANG - INDONESIA

USE OF HAZARDOUS AND TOXIC MATERIAL

PERIOD : AUGUST 2021

CONSTRUCTION MANAGEMENT (PROSYS)

NUMBER OF USAGE
HAZARDOUS AND TOXIC
NO DESCRIPTION LOCATION CHARACTERISTICS REMARKS
MATERIAL USED THIS MONTH
UP TO LAST MONTH UP TO THIS MONTH

1 Lighting Office Fluorescent lamps Poisonous 4 0 4

2 Printer Office Cartridge / Ink Poisonous 1 0 1

3 Air Conditioner remote Office Battery Corrosive 2 0 2

4 Photocopy Office Toner Powder Poisonous 0 0 0

10

11

12

13

14

15