DAILY HSSE ACTIVITY REPORT

(D.H.A.R )
LOCATION : AG Karaha WELL NUMBER : KRH-5.2
DATE : 10 September 2020 RIG TYPE & COMPANY : Rig#25.2/LTO750-M/PDSI
NUMBER : 671/HSSE-DRL/KRH/2020 WEATHER CONDITION Morning : cerah Noon : cerah
Night : cerah Dawn : Berawan
Morning (06:00-12:00), Noon (12:00-18:00), Night (18:00-00:00), Dawn (00:00-06:00)

1 . SURAT KETERANGAN TERDAFTAR (SKT) EBTKE 2. CERTIFICATE LIST

No. Perusahaan Expired Date Perusahaan Expired Date JENIS INSIDEN *
1 Rig (PT. PDSI) 04-Apr-23 Crew (PDC) 20-Jul-23 SKPI Rig 14-Jul-24
2 Cementing (PT. HALLIBURTON) 26-Jul-21 LV (PMS) 31-Dec-20 SKPI Cementing Unit 14-Oct-23
3 Data Unit (PT. PARAMA) 14-Feb-23 Catering (PDC) 20-Jul-23 Mobile Crane 50 ton 31-Jan-22
4 H2S Monitoring (PT. PDSI) 04-Apr-23 Heavy Truck/forklift (CHAS) 05-Mar-21 Crawler Crane 50 ton 20-Sep-23
5 Water Pump (PT. PDSI) 04-Apr-23 Crane (GST) 24-Jul-23 Wheel Loader 8 Ton 20-Dec-21
6 Drilling Fluid (PT. ELNUSA) 15-Apr-23 Manpower Supply (KPP) 24-Jul-23 Wheel Loader 5 Ton 23-Apr-24
7 Running Tools & CH Welder(PT. NMS) 12-Nov-22 Excavator None
8 Wirelined Logging (PT. TIGER) 19-Mar-21 Vibro None
9 General Services (PT. BHS) 09-Aug-23
10 Fishing Tools (PT. WIRA INSANI) 28-Jun-21

3. PERSONNEL ON BOARD (* Bekerja 12 Jam/hari) 4. LAGGING INDICATOR

Total Personnel Total Man Hours JENIS INSIDEN Today YTD Cumm
No. Perusahaan
Today YTD Cumm Today YTD Cumm Fatality - - -
A PT. PERTAMINA GEOTHERMAL ENERGY Day Away From Work Case - - -
(Drilling Manager, Co Man, ATL, 6 395 401 72 4.724 4.796 Restricted Work Case - - -
Geologis, Reservoar, HSSE) Medical Treatment Case - - -
B KONTRAKTOR (Under PGE) First Aid (P3K) - - -
1 Parama (Data Unit) 4 194 198 48 2.268 2.316 Nearmiss - - -
2 SDI (DD MWD) - - - - - - Property Damage ≥ USD 1 Jt - - -
3 Elnusa (Drilling Fluid) 2 72 74 24 840 864 Property Damage < USD 1 Jt - - -
4 Pertamedika (Tim Medik) 3 255 258 36 3.066 3.102 Tumpahan Minyak ≥ 15 Bbls - - -
5 PDSI (H2S) 5 227 232 60 2.652 2.712 Tumpahan minyak < 15 Bbls - - -
6 PDSI (Water Pump) 14 596 610 168 7.076 7.244 TOTAL - - -
7 Halliburton (Cementing Unit) 4 274 278 48 3.296 3.344
8 PDSI (Air Drilling+RBOP) 2 75 77 24 876 900 5. LEADING INDICATOR
9 BHS (GS & Security) 10 724 734 120 8.614 8.734 JENIS INDICATOR Today YTD Cumm
10 Weatherford (Fishing) 3 15 18 36 180 216 1. HOC
11 NMS & TNG(RT & Casing Head) - 54 54 - 648 648 - Unsafe Condition 61 2.023 2.084
12 Tiger (Logging) - 33 33 - 396 396 - Unsafe Action 10 542 552
13 - Safe Condition 27 949 976
C KONTRAKTOR Rig (PDSI & Under Rig) - Safe Action 6 985 991
1 PDSI (Rig) 2 267 269 24 3.210 3.234 104 4.499 4.603
2 Heavy Truck Equipment 14 671 685 168 7.992 8.160 2. HSE Meeting
3 PDC (Catering) 10 475 485 120 5.616 5.736 - Tailgate/Pre-Tour Meeting 2 133 135
4 CHASS (Alat Berat) - 248 248 - 3.012 3.012 - Pre-Job Safety Meeting/ Tool Box - 38 38
5 PDC (rig crew+hse) 46 3.337 3.383 552 40.006 40.558 - Coordination Meeting - 1 1
6 PDSI (Top Drive) 4 311 315 48 3.740 3.788 - Safety Stand Down Meeting 2 6 8
7 PMS (Driver) 4 325 329 48 3.920 3.968 - Weekly Meeting - 5 5
8 Transportir - 94 94 - 1.128 1.128 - Health Talk - 3 3
9 - Safety Talk 1 2 3
10 - Others Meeting - 2 2
11 3. Work Permit 4 157 161
12 4. Job Safety Analysis 4 181 185
13 5. Risk Assesment - 3 3
14 6. Management Walkthrough - 1 1
15 7. Inspection
16 - Inspeksi APAR - 2 2
D VISITOR - Inspeksi Fire Pump - 5 5
1 Tuboscop - 76 76 - 912 912 - Inspeksi PPE - 6 6
2 Visitor (Petro Oil) - 1 1 - 12 12 - Inspeksi Welding Unit - 7 7
3 - Inspeksi Alat Fall Arrest - 3 3
- Inspeksi SCBA - 3 3
TOTAL KONTRAKTOR 127 8.324 8.451 1.524 99.460 100.984 - Inspeksi Crane - 2 2
TOTAL PGE + KONTRAKTOR 133 8.719 8.852 1.596 104.184 105.780 - Inspeksi Forklift - 4 4
- Inspeksi Kendaraan Ringan - 5 5
6. LOG BOOK LIMBAH B3 - Inspeksi Kendaraan Berat - 14 14
JENIS LIMBAH B3 (Masuk) Masuk (m3) Keluar (m3) - Inspeksi Drop Object - 5 5
Today YTD Cumm Today YTD Cumm - Inspeksi Spill Kit - 7 7
Oli Bekas - - - - - - - Inspeksi light measurement - 2 2
Drum Kaleng - - - - - - - Inspeksi Noice Level/Kebisingan 1 1 2
Drum Plastik - - - - - - - Inspeksi eye wash - 4 4
Karbois - - - - - - - Inspeksi Housekeeping - 7 7
Sax Semen - - - - - - 8. Induction - 56 56
Sax Chemical - - - - - - 9. Training - 2 2
TOTAL VOLUME LIMBAH B3 - - - - - - 10. Audit - - -
11. Emergency Preparedness Simulation - 6 6
7. LOG BOOK CUTTING 12. Reward - 5 5
JENIS KELUHAN Today YTD Cumm 13. Punishment - - -
Jumlah yang disimpan - - -
Jumlah yang dimanfaatkan - - -
TOTAL SISA CUTTING DI LOKASI - - - TOTAL 14 678 692
 DAILY HSSE ACTIVITY REPORT
(D.H.A.R )
LOCATION : AG Karaha WELL NUMBER : KRH-5.2
DATE : 10 September 2020 RIG TYPE & COMPANY : Rig#25.2/LTO750-M/PDSI
NUMBER : 671/HSSE-DRL/KRH/2020 WEATHER CONDITION Morning : cerah Noon : cerah
Night : cerah Dawn : Berawan
Morning (06:00-12:00), Noon (12:00-18:00), Night (18:00-00:00), Dawn (00:00-06:00)
8. PEMANTAUAN LINGKUNGAN 9. MONITORING TEMUAN INSPEKSI/MWT/SWAT
Jumlah Status Pemantauan CUTTING PEMBORAN Today YTD Cumm
JENIS PEMANTAUAN
Today YTD Cumm Good Not Good Cumm Finding Inspeksi/MWT/SWAT 91 91
Pemantauan Emisi Udara - 1 1 1 - 1 Close Out Inspeksi/MWT/SWAT 1 89 90
Pemantauan Limbah Cair - - - - - -
TOTAL PEMANTAUAN - 1 1 1 - 1 PENDING FINDING (1) 2 1

10. LAPORAN KEGIATAN PARAMEDIC 11. LAPORAN VISIT CLINIC

JENIS KELUHAN Today YTD Cumm JENIS KELUHAN Today YTD Cumm
MCU Document Check (MCU, SKS, Covid, dst) - 42 42 ISPA - 35 35
Pemeriksaan Tekanan Darah (Tensi) 78 4.697 4.775 Asthma - - -
Pemeriksaan NAPZA & Alcohol - - - Sakit Kepala - 28 28
Pemeriksaan Kolesterol, GD dan As. Urat - 2 2 Sakit Mata - 4 4
Ambulance Inspection - 1 1 Sakit Telinga - - -
Hygiene + P3K Inspection - - - Gigi dan Mulut - 10 10
Medicine Stock Inspection - 1 1 Sendi/Pegal - 37 37
Fogging - - - Maag - 7 7
TOTAL 78 4.743 4.821 Perut/Saluran Cerna - 6 6
Kolesterol - 2 2
12. Operation Activities Asam Urat - - -
H-7 Tekanan Darah - 5 5
Kedalaman: 2407.6 mMD Gula Darah - - -
Kegiatan : M/U dan masuk normal rangkaian pahat 9-7/8" RR + BHA#10 (Slick Assy), Usaha masuk lebih dalam rangkaian pahat 9- Jantung - - -
7/8” + BHA#10 (Slick Assy), Cabut normal, M/U dan masuk normal rangkaian Bull Nose 6-1/2” + BHA#11 (Slick Assy) Kulit 1 13 14
Infeksi - - -
Luka Bakar - - -
Status : Masuk rangkaian rangkaian Bull Nose 6-1/2” + BHA#11 (Slick Assy) Trauma/Injury - - -
Plan : Lanjut masuk rangkaian bullnose 6-1/2” + BHA#11 (Slick Assy) dari 1695 s/d 2407 mMD, Cabut rangkaian bullnose 6-1/2” + Demam - 1 1
BHA#11 (Slick Assy) dari 2407 mMD s/d Permukaan Lain-lain - 13 13
1 161 162

13. HSSE Activities 14. SIKA & JHSEA

- Tailgate meeting pagi dan malam : ( HSE Marshal, Program kerja dan aspek hsse) - JSA : Masuk Rangkaian Bit 9 7/8", Cabut Rangkaian Bit 9 7/8", Cabut masuk
- Monitoring aspek HSSE pekerjaan KURS sumur KRH-5.2 Rangkaian Bullnose 6 inch, Pengangkatan dan swing
- Monitoring housekeeping di area KRH-5 dan Base camp
- Monitoring pekerjaan redress casing
- Sharing Session Halliburton dengan topic "Finger Injury"
- SSD Kecelakaan sepeda motor menyenggol pintu gerbang dan terjatuh di WPS Cikaro AG Kamojang
- Inspeksi Kebisingan/Noise Level

15. HSSE Issued 16. Follow Up / Corrective Action

- None

HSSE Coordinator Company Man / ATL

(Diaz Primaditya) (Andi Mangkona/Adi Krishamidan/Firman Hilmi H)