Hsse Program Petko 2024

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1.

LAGGING INDICATOR

Column1 Column2 Column3 Column4


NO HES MATRIX TARGET

1 Fatality 0
2 Lost Time Incident 0
3 Restricted Work Day Case - RWDC 0
4 Medical Treatment Case - MTC 0
5 First aid case - FAC 0
6 Nearmiss 0
7 Property Damage 0
8 Oil Spill 0
9 Security Incident 0
10 Motor Vehicle Case 0
11 Fire Case 0
2. LEADING INDICATOR

NO HES MATRIX TARGET PROGRESS


(%)
1 Tailgate Meeting
2 Monthly HSSE Meeting
3 Stand Down Meeting
4 Record NM/HO/SWA
5 Ramadhan Mitigation
6 Assessment SWP/ CLSR
7 Assessment MVS
8 Assessment Tools/ Peralatan
9 SPT/ Housekeeping FUMS PETKO
10 Exercise/ Drill
11 Jumat Bergerak
12 Joint T-SEP
13 Schedule HSE Report
14 Work Lifting
Column5 Column6 Column7 Column8 Column9 Column10
LAST JAN FEB MAR APR MAY

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

Frequency JAN FEB MAR APR MAY

Daily 21 20 21 20
Monthly 1 1 1 1
If Any 1 0 1 0 1
If Any 0 0 0 0 0
Anualy 0 0 4 0 0
Weekly 2 2 2 2 1
Monthly 2 2 2 2
Monthly 2 2 2 2
Semester 2 2 2 2
Anualy 0 0 0 0
Weekly 4 4 4 4 2
Monthly 1 1 1 1
Monthly 2 2 2 2
If Any 3 1 3 6 3

Man Power
PHR 8 Orang
KMI 16 Orang

PERTA MC Orang
1
Total 25 Orang
Column11 Column12 Column13 Column14 Column15 Column16
JUN JUL AUG SEP OCT NOV

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

JUN JUL AUG SEP OCT NOV


Vehicle
PHR 3 Units
KMI 3 Units

Perta Mc 1 Unit

Total 7 Units
Column17 Column18 Column19
YTD
DEC YTD From 2024
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

DEC YTD YTD


From 2024
82
4
3
0
4
9
8
8
8
0
18
4
8
16
TARGET

NO KEY PERFORMANCE INDICATOR Frequency Unit


MIN PM

A. LAGGING INDICATOR
1 Fatality Case 0 0
2 Lost Time Incident Case 0 0
3 Restricted Work Day Case - RWDC Case 0 0
4 Medical Treatment Case - MTC Case 0 0
5 First aid case - FAC Case 0 0
6 Nearmiss Case 0 0
7 Property Damage Case 0 0
8 Oil Spill Case 0 0
9 Security Incident Case 0 0
10 Motor Vehicle Case Case 0 0
11 Fire Case Case 0 0
B. LEADING INDICATOR
A Manhours & KM Driven
A.1 Manhours
1 PHR 8
2 KMI 16
3 Perta M C 1
A.2 KM Driven
1 PHR 3
2 KMI 3
3 Perta M C 1
B HES Meeting
1 Tailgate Meeting Daily # 82
2 Montly HES Meeting Monthly # 4
3 Standown Meeting If Any 3
C Hazard Mitigation
1 Record NM/HO/HH/SWA/SSWA Monthly If Any -
2 Mitigation Ramadhan Anualy # 4
D HES Visit, Assesssment, Inspection
1 SWP/ CLSR Weekly # 9
2 MVS/ KENDARAAN Monthly # 8
3 TOOLS /PERALATAN Monthly # 8
4 SPT/ HOUSE KEEPING FACILITAS FUMS Semester # 8
E Emergency Preparedness
1 Exercise/ Drill ( PETKO) Semester # -
F Healthy
1 Jumat Bergerak Weekly # 18
G OTHER
1 Schedule HSSE Report Schedule # 8
2 Working Lifting Record If Any 16
TARGET
MONITO
PIC REMARKS
SG RING

0 All All
0 All All
0 All All
0 All All
0 All All
0 All All
0 All All
0 All All
0 All All
0 All All
0 All All

Orang
Orang
Orang

Units
Units
Unit
Man Hours 2024

Bulan Last Year Employee Januari Februari Maret April Mei Juni Juli
PHR 8 - - - - - -
KMI 15 - - - 2,520 - -
PERTA M C 1 - - - - - -
Total - - - - 2,520 - -
Total
Agustus September Oktober November Desember
This Year
- - - - - -
- - - - - 2,520
- - - - - -
- - - - - 2,520
Bulan ( units ) Last Year Januari Februari Maret April Mei Juni Juli Agustus
PHR ( 3 )
KMI ( 3 )
PERTA M C ( 1 )
Total ( 7 ) - - - - - - - -
September Oktober November Desember YTD
-
-
-
- - - - -
Lifting Report 2024
Colu Column2 Column3 Column4 Column5
No Pekerjaan Lokasi Tanggal Temuan
1 KB GS 24-Jan-24 Tidak ada
Pengangkatan Pergantian aerator
Permukaan tanah
yang lunak pada
tapa jack outrigger
2 Pengangkatan pompa Shipping Suram GS 24-Jan-24

3 Pengangkatan Aerator KB GS 25-Jan-24 Tidak ada


4 Pengangkatan Elmot IRC Pump Suram GS 26-Feb-24 Tidak ada
5 Pengangkatan WTP PH GS 7-Mar-24 Tidak ada
6 Pengangkatan Aerator KB GS 12-Mar-24 Tidak ada
7 Pengangkatan Aerator KB GS 27-Mar-24 Tidak ada
8 Pengangkatan HTC Pump HPS PH GS 4-Apr-24 Tidak ada
9 Pengangktan Elmot WIP 1003 PH GS 6-Apr-24 Tidak ada
10 Pengangkatan IRC Pump Suram GS 8-Apr-24 Tidak ada
Pengangkatan JB Panel Elmot PH GS 24-Apr-24 Tidak ada
11 WIP 1003
12 Pengangktan Pillow Block F10-E1 KB GS 26-Apr-24 Tidak ada
13 Pengangktan Elmot FFC F10-H2 KB GS 27-Apr-24 Tidak ada
14 Pengangkatan Elmot F5-A2 KB GS 8-May-24 Tidak ada
15 Pengangkatan Pillow Block KO dr KB GS 3-May-24 Tidak ada
16 Pengangkatan Quincy KB GS 6-May-24 Tidak ada
Lifting Gear Record 2024
Column6 Colum Column2 Column3
Remark No Nama Alat Jumlah

1 Wire Rope sling 3/8'' (1 ton) 1

Crane di geser sedikit


pada area yang padat, 2 Wire Rope Sling 3/8" (3,2) Ton 1
dan sudah di approval
oleh lifting engginer PT
Prosyst
3 Wire Rope Sling 1/4" (1,4) Ton 1
4 Wire Rope Sling 3/8" (3) Ton 1
5 Wire Rope Sling 5/8" (3,2) Ton 1
6 Wire Rope Sling 3/4" (3) Ton 1
7 Wire Rope Sling 1/2" (2) Ton 1
8 Wire Rope Sling 1/2" (2) Ton 1
9 Webbing sling (2 ton) 1
11 Webbing sling (3 ton) 1

12 Chin Hoist (3 ton) 1


13 Chin Hoist (5 Ton) 1
14 Chin Hoist (2 Ton) 1
15 Lever Hoist (3 Ton) 1
16 Shackle 3/4'' (4 ton) 1
16 Shackle 3/4'' (4 ton) 1
17 Floor Crane Mini (1.8 Ton) 1

18 Hand Pallet (1 Ton) 1


Record 2024
Column32 Column4
Tanggal Inspek exp

12/18/2023 12/18/2024

12/18/2023 12/18/2024

12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024

12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024
12/18/2023 12/18/2024

12/18/2023 12/18/2024
Kendaraan Operational FUM PETKO
Column1 Column2 Column3 Column4 Column5
No KendaraanKondisi Finding Remarks
1 KMI 130
2 KMI 132
3 KMI 158
Jan-24 Plan 1 2 3 4 5 6 7 8

Actual 1
Feb-24 Plan 1 2 3 4 5 6 7 8
Actual 0 1 1
Mar-24 Plan 1 2 3 4 5 6 7 8
Actual 1 1 1
Apr-24 Plan 1 2 3 4 5 6 7 8
Actual 1 1 1 1 1 1
May-24 Plan 1 2 3 4 5 6 7 8
Actual
Jun-24 Plan 1 2 3 4 5 6 7 8
Actual
Jul-24 Plan 1 2 3 4 5 6 7 8
Actual
Aug-24 Plan 1 2 3 4 5 6 7 8
Actual
Sep-24 Plan 1 2 3 4 5 6 7 8
Actual
Oct-24 Plan 1 2 3 4 5 6 7 8
Actual
Nov-24 Plan 1 2 3 4 5 6 7 8
Actual
Dec-24 Plan 1 2 3 4 5 6 7 8
Actual
Note :

: SWP Prosedure inspection


: Kelengkapan (KP,Badge PMcoW,Trining personal)
: LV (APAR, P3K, tools,PTI,Kondisi Mobil)
: Hand Tools, Padlock/Loto,Lifting Gear
: House keeping & Waste Monitoring

: SPT
: Actual
Jadwal Inspection Internal FUM PETKO
Periode 2024
9 10 11 12 13 14 15 16 17 18

1 1
9 10 11 12 13 14 15 16 17 18
1 1
9 10 11 12 13 14 15 16 17 18
1 1
9 10 11 12 13 14 15 16 17 18
1 1 1 1
9 10 11 12 13 14 15 16 17 18
1
9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

9 10 11 12 13 14 15 16 17 18

)
PETKO

19 20 21 22 23 24 25 26 27 28

1 1 1
19 20 21 22 23 24 25 26 27 28
1 1 1
19 20 21 22 23 24 25 26 27 28
1 1 1 1 1 1
19 20 21 22 23 24 25 26 27 28
1 1 1 1 1
19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28

19 20 21 22 23 24 25 26 27 28
29 30 31

29 30 31

29 30 31

29 30 31

29 30 31

29 30 31

29 30 31

29 30 1

29 30 31

29 30 31

29 30 31

29 30 31
Data Badge, KP, MCU MK FUM PETKO

Colu Column2 Column3 Column4 Column5 Column6


No Nama TIM Badge exp KP exp MCU
1 Agus Riadi Mechanic 2/15/2025 6/30/2024 2/15/2025
2 Boy Hendra Mechanic 6/30/2024 5/16/2024 4/30/2025

3 Hasudungan Naibahao Mechanic 5/5/2024 4/13/2024 7/21/2024

4 Hotdin Sibarani Mechanic 7/13/2024 7/13/2024 7/13/2024


5 Imam Nawawi Mechanic 6/30/2025 6/30/2024 4/29/2025
6 Rahman Hadi Mechanic 8/1/2024 8/1/2024
7 Ril Aidi Mechanic 6/30/2024 5/4/2024 4/20/2025
8 Sandi Mechanic 8/9/2024 8/9/2024 8/9/2024
9 Wanda Pradhana Putra HSSE 1/19/2025 6/21/2024 1/19/2025
10 Anggara Gilang ICES 2/15/2025 2/15/2025
11 Axcel Visionuary ICES 1/19/2025 1/19/2025 1/19/2025
5/8/2024 5/8/2024
12 Denny Fatahillah ICES 5/8/2024
13 Febri Ki Kubela ICES 6/30/2024 5/5/2024 2/21/2025
14 I Rafael G ICES 2/21/2025 1/21/2025 21/201/2025
15 Marsha Andrian ICES 6/30/2024 6/30/2024 4/28/2025
16 Yudi Eko Setiono ICES 6/30/2024 4/28/2025

Colu Column2 Column3 Column4 Column5 Column6


No Nama TIM Badge Exp KP Exp MCU
1. Farla Kurnia Perta M C 7/17/2024 7/14/2024 12/9/2024
Column7 Column8
Badge PMcoW
Remarks
exp
3/29/2025
6/30/2024
menunggu
approval
6/30/2024 CCPM
8/8/2024
6/30/2024
8/8/2024
6/30/2024

3/29/2024

Menunggu
6/30/2024 hasil MCU
6/30/2024
3/29/2025
6/30/2024
6/30/2024

Column7
Remarks

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