Hse Close Out Report 2024

CLOSE OUT REPORT
HSE DEPARTMENT
PT GUNANUSA
Period : JUNE 2013 – OCTOBER 2013 UTAMA
FABRICATORS
1st ARTICLE – SUB SEA MANIFOLD PROJECT
HSE CLOSE OUT REPORT 2024
CONTENT
1. INTRODUCTION....................................................................................................3
1.1 PURPOSE........................................................................................................ 3
1.2 SCOPE............................................................................................................. 3
2. HSE MANAGEMENT SYSTEM................................................................................ 3
3. HSE POLICY 2013.................................................................................................. 5
4. PROJECT HSE OBJECTIVE 2013..............................................................................5
4.1 SAFETY OBJECTIVES.........................................................................................5
4.2 OCCUPATION HEALTH OBJECTIVES..................................................................5
4.3 ENVIRONMENTAL OBJECTIVES........................................................................5
5. PROJECT HSE ACHIEVEMENT 2013........................................................................6
5.1 SAFETY OBJECTIVES.........................................................................................6
5.2 OCCUPATION HEALTH OBJECTIVES..................................................................7
6. HSE ORGANIZATION CHART................................................................................. 8
7. HSE PERFORMANCE STATISTIC.............................................................................8
7.1 MAN HOURS EXPOSURE..................................................................................8
7.2 FATALITY (FAT)..............................................................................................10
7.3 LOSS TIME INJURY (LTI).................................................................................10
7.4 MEDICAL TREATMENT CASE (MTC)................................................................10
7.5 FIRST AID CASES (FAC)...................................................................................10
7.6 DAY LOSS...................................................................................................... 10
7.7 NEAR MISS INCIDENT (NMI)..........................................................................11
7.8 MEDICAL RECORDS....................................................................................... 11
7.9 HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)..............................11
7.10 MANAGEMENT QHSE WALKTHROUGH RECORDS........................................11
8. AREA OF CONCERN AND FOLLOW UP FOR CORRECTIVE ACTION.........................11
8.1 AREA OF CONCERN....................................................................................... 11
8.2 FOLLOW UP FO FOR CORRECTIVE ACTION OF CONCERN AREA.......................12
9. SUMMARY OF HSE PROGRAM IMPLEMENTATION..............................................13
1
9.1 INDUCTION AND TRAINING...........................................................................13

9.2 JOB RISK ASSESSMENT.................................................................................. 14
9.3 HSE AUDITS...................................................................................................14
9.4 HSE TRACKING RECORDS...............................................................................14
9.5 HSE INSPECTION PROGRAM..........................................................................14
9.6 HSE COMMUNICATION PROGRAM................................................................15
9.7 HEALTH AND HYGIENE.................................................................................. 16
9.8 ENVIRONMENTAL IMPROVEMENT................................................................16
9.9 HSE PROCEDURE DEVELOPED........................................................................17
9.10 HSE REPORTING SYSTEM.............................................................................17
ATTACHMENT 1 HSE POLICY

ATTACHMENT 2 YARD HSE ORGANIZATION CHART
ATTACHMENT 3 SUMMARY WORK PERMITS YARD ACTIVITY
ATTACHMENT 4 JRA RECORDS
ATTACHMENT 5 MANAGEMENT WALKTHROUGH
ATTACHMENT 6 HSE MASTER DOCUMENT REGISTERS
ATTACHMENT 7 LOAD OUT PICTURE
ATTACHMENT 8 INSPECTION REPORT
1. INTRODUCTION
2
PT. Gunanusa Utama Fabricators HSE dossier is provided as Close Out Report for measurement
of the HSE Management System include HSE Program implementation of FMC Technologies
has been awarded 1st article Project for PT Gunanusa Utama Fabricators yard Grenyang –
Serang Banten.
1.1 PURPOSE
The purpose of this dossier is to report the commitment of PT Gunanusa Utama Fabricator
management on managing the implementation of their HSE policy and other HSE issue
raised during the execution of Project since the Project activities started until the end of
project include the achievement of Project HSE Objectives.
1.2 SCOPE
This HSE Close Out Report (Dossier) is covered the implementation all HSE activities during
engineering, procurement, fabrication and assembly, materials management, Load out
and pre commissioning
PTG has completed successfully all fabrications and SDSS Pipe, Structural Steel, SS Tube
load out (October 24th, 2013).
2. HSE MANAGEMENT SYSTEM
HSE Management System developed based on the integrated of HSE Management System :
- OHSAS 18001:2007 (HSE Management System)

- ISO 14001:2004 (Environmental Management System)
- SMK3 PP No. 5/2012 (OHS Management System of Indonesia)
- ISO 9001:2008 (Quality Management System)
And also to meet and comply of others requirement both International and National statutory
regulations, Industrial Standard Code Practices and client requirement.
The Elements of HSE Management System consist of :
- Leadership & commitment

- Policy & strategic objective
- Organization, responsibility, resources standards and documentation
- Hazards and effect management
- Planning and procedures
- Implementation & performance monitoring
3
- Audit & review
Key Elements Integrated HSE Management System
4
3. HSE POLICY 2013
This policy statement has been produced in pursuance of CTR statutory and contractual
obligations and is designed to promote high standards of Occupational Health and Safety for
duration of the Yard & Site Construction. (see the attachment 1)
4. PROJECT HSE OBJECTIVE 2024
The HSE Objective of CTR stipulated for the year 2024 is to improve the behaviour of all
employees to become habitual by providing more knowledge in understanding the safety
aspect of a project as such to prevent the occurrence of accidents. This objectives shall be
achieved by maintaining the following targets.(Attachment 2)
4.1 SAFETY OBJECTIVES
4.1.1 Safety Objective # 1 - HUMAN DIMENSION

• No fatality,
• No major accident (including lifting and transport), • No major fire,
• No explosion.
4.1.2 Safety Objective # 2 TRIR – Total Recordable Injury Rate < 1.06, 4.1.3
Safety Objective # 3 LTIF – Lost Time Injury Frequency < 0.28, 4.1.4 Safety
Objectives # 4 – HSE Management System and Performance
Management
• Develop HSE Management System,
• Socialization Key Performance Indicator to workforces,
• Control of Key Performance Indicator
4.1.5 Safety Objectives # 5 – SAFETY BEHAVIOR
4.2 OCCUPATION HEALTH OBJECTIVES
1. Ensure availability of emergency equipment’s and maintain medicine stock

2. Reduce occupation illness and sickness
3. Continue improve the implementation of industrial hygiene
4.3 ENVIRONMENTAL OBJECTIVES
1. Improve employee’s environmental awareness by conduct regular training, displayed

label, MSDS hazardous sign.
5
2. Minimize dust exposure during abrasive blasting and minimize oil spills
3. Improve waste management by waste segregation, storage and regular transportation
5. PROJECT HSE ACHIEVEMENT 2013
5.1 SAFETY OBJECTIVES
5.1.1 General Safety Objective # 1 HUMAN DIMENSION
Total man-hours achievement of FMC Project since period June 2013 up to October 2013
are 13.244 (COD: 16 October 2013) which:
- no fatality,
- no major accident,
- no major fire and - no explosion was occurred
Therefore, General Safety Objective # 1 – HUMAN DIMENSION is achieved.
5.1.2 Safety Objective # 2
During execution of FMC Project period May 2024 up to June 2024, the following HSE
performance with total cumulative man hours achieved there were some 13.244 at yard as
of closed date May 16 June, 2024 some accident has occurred as follows.
a. TRIR (Total Recordable Injury Rate)
During execution of KPIL period May 2024 up to June 2024, Total FAT (Fatality) = 0, LTI
(Lost Time Accidents) = 0, RWDC (Restricted Work Day Case) = 0, MTC (Medical
Treatment Case) = 0.
There for base on formula ANSI version below :
TRIR = (FAT+RWDC+MTC+LTI) * 1.000.000

Man Hours
TRIR = (0+0+0+0) * 1.000.000

13.244
TRIR = 0,00
Comparing objective TRIR value shall be < 2, 00. it means TRIR archived (0,00 < 2,00)
b. LTIF (Lost Time Injury Frequency)
During execution of KPIL period May 2024 up to June 2024, Total FAT (Fatality) = 0, LTI
(Lost Time Accidents) = 0
LTIF = (FAT+LTI) * 1.000.000

6
Man Hours
LTIF = (0+0) * 1.000.000

13.244
LTIF = 0
Comparing objective LTIF value shall be < 0, 75. it means LTIF archived (0
< 0, 75)
Therefore, Safety Objective # 2 – TRIR = 0,00 and LTIF = 0 are achieved
5.1.3 Safety Objective # 3
During the implementation of fabrication period 2013, there was a significant improvement
of safety behaviour by proactive all employees and subcontractors on HSE program
throughout:
1. Participate regularly on meeting program such as Toolbox Meeting in daily basis, mass
meeting in weekly basis, HSE weekly and monthly meeting with client and monthly
Safety Committee meeting
2. Implementation housekeeping (5S) program
3. Discipline on wearing PPE and unsafe practices has been reduced due to the
implementation of violation card system
4. Conduct HSE inspection and internal & external audit in regular basis
5. Implementation safety communication such as safety poster/banner, barricade, HSE
notice board, etc.
6. Management Communication such as management visit / management walkthrough.
At meanwhile, HSE has been recognized for the implementation of HSE Management System
by external audit as below:
1. We successfully in audit surveillance certified by SICS (Sucofindo International

Certification Service) on OHSAS 18001:2007 (HSE Management System), ISO 14001:2004
(Environmental Management System)
2. SMK3 (PERMENAKER No. 5 / 1996 and PP No. 50 / 2012) scored 92 (gold flag) and
certificate will issue on March 2009.
3. We certified by LRQA (Lloyd Register Quality Assurance) on ISO 9001:2008 on Quality
Management System.
4. We conduct internal HSE audit which held by internal auditor. It makes increase
HSE performance.
5. Our corporate HSE manager has been selected as a Chairman of National of
Safety Committee and has been selected as a Chairman of Provincial Banten
Safety Committee by Banten Governor.
Therefore, Safety Objective # 3 – Safety Behavior is achieved

7
5.2 OCCUPATION HEALTH OBJECTIVES
During the project execution contractor has provided adequate of the availability of
medicine stock to cover employee and medical check up are completed performed to all
employee improved to the project.
1. Ensure availability of emergency equipments and maintain medicine stock

Emergency equipments and maintenance facilities has been improve such as New
Clinic building complete with ambulance and clinic facilities and ERT Room building
complete with emergency equipment, etc and also we maintain medicine stock in
regular basis. All documents are recorded and reported to involved parties. Conduct
drill regularly in monthly basis.
2. Reduce occupation illness and sickness

Based on the clinic statistic reported, there was no occupation illness and sickness
occurred.
3. Continue improve the implementation of industrial hygiene

The implementation of industrial hygiene program is we conducted regularly such as
inspection on canteen, noise level check, emission, illumination, UV Light, radiation,
etc. All documents are recorded and reported to involved parties.
We achieved Occupational Health objectives
6. HSE ORGANIZATION CHART
See attachment 3 – Yard HSE Organization Chart
7. HSE PERFORMANCE STATISTIC
7.1 MAN HOURS EXPOSURE
Since FMC Project started from October June 2013 up to October 2013 total cumulative
man hours achieved are 13.244 .
8
SUMMARY OF HSE PERFORMANCE STATISTIC

1st article Project
PERIOD : June 2013 – October 2013
Performance
No Description Remarks
Statistic
WORKED HOURS
A 1 Total Man Power 20
2 Total Man Hours 13244
INCIDENT
1 Fatality Accident 0 No fatality
2 Lost Time Injury (Company) 0 No Lost Time Injury
3 Lost Time Injury(Contractor) 0
4 Day Lost 0 No Lost Day
5 Restricted Workday Case 0
6 Medical Treatment Case 0 No Restricted Work Case
7 High Potential (HiPo) Incident 0 No High Potential
8 First Aid Case (FAC) 0
9 Occupational Illness 0 No Occupational Illness
B 10 Material / Production Loss 0 No Material / Production Loss
11 Pollution / Spill 0
12 Fire (not HPI) 0
13 Damage (not HPI) 0
14 Incident (Near Miss / NC) 0
15 RTA / Incidents 0
16 Security 0
17 External RTA / Road Incidents 0
18 External (Social) 0
19 Vehicles Incident 0 No Vehicle Incident
20 Root Cause Analysis 0
HSE ACTIVITIES
1 Safety Tool Box Meeting (Event) 24
2 Safety Induction (No. of Persons) 20
C
3 HSE Walkabout 8
4 HSE Inspections 7
5 SubContractors HSE Audits 5
9
6 Medical Check up 20
7 HSE Document Preparation 8
8 Safety Weekly Meeting 15
9 Safety Monthly Meeting 1
10 Weekly Construction Meeting 5
D TRIR 1,10
E LTIF 0,26
7.2 FATALITY (FAT)
Since project activities started until the end project there was No Fatality case occurred.
7.3 LOSS TIME INJURY (LTI)
Since project activities started until the end project there was No Lost Time Injury case
occurred.
7.4 MEDICAL TREATMENT CASE (MTC)
Total First Aid cases occurred on June 2013 up to October 2013, there were 6 cases that
occurred at Yard activities. All corrective action as required by Client has been done.
1
7.5 FIRST AID CASES (FAC)
Total First Aid cases occurred since June 2013 up to October 2013, there were 6 cases that
occurred at Yard activities. All corrective action as required by Client has been done.
7.6 DAY LOSS
During the yard activity performed until the end of the construction project there was no
Day Loss occurred.
7.7 NEAR MISS INCIDENT (NMI)
Total Near miss cases occurred since June 2013 up to October 2013, there were 2 cases. All
corrective action as required by Client has been done (See attachment 12 – HSE Event Log
Accident/Incident register)
7.8 MEDICAL RECORDS
Since the starting of the project on June 2013 up to October 2013, the total clinic visitor
were 20 Reported. (See attachment 9 – Summary Medical Record as Yard Clinic Visitor)
7.9 HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)
PT. Gunanusa has applied hazard identification and risk assessment with JRA & weekly
Management walkthrough. All finding of both program had been closed and corrective
action taken.
7.10
MANAGEMENT QHSE WALKTHROUGH RECORDS
Total management QHSE walkthrough issued from contractor and company during
2013 up to October 2013. All of management QHSE walkthrough had been corrected
and closed out (See attachment 10 - Safety Management QHSE Walkthrough Finding
& Close Summary Number)
1
8. AREA OF CONCERN AND FOLLOW UP FOR CORRECTIVE ACTION
8.1
AREA OF CONCERN
Referring to the HSE tracking record there were a lot of HSE issued identified from event log
record, issued include findings and comments by Contractor and Client representative during
HSE regular inspection. The finding areas of concerns that need to be improved were as follow:
a. Unsafe work practice & poor safety behavior

b. Lack of PPE/ Fail to wear PPE
c. Poor of Housekeeping
d. Lack & unsafe equipment operation
e. Improper electrical equipment /tools
8.2 FOLLOW UP FO FOR CORRECTIVE ACTION OF CONCERN AREA
Almost all event log, SHOC Card, and Violation card reported have been corrected and
follow up.
Corrective Action & Follow-Up area of concern were as follow:
1. Unsafe work practice and poor safety behavior
Finding:
 Not followed the correct Standard Operational Procedure (SOP)  The used of
equipment and tools with the wrong method
Action taken: o Conducted safety behavior training. o Highlight at tool

box talk related unsafe work practice by daily basis.
o Conducted on the job training such as: Safe to use grinding machine, safe to use
body harness, safe to use cutting torch.
o Socializing the slogan” Safety is everybody business “, therefore everybody could
have contribution encourage them to control each other’s and immediately
reported by use SHOC card or correct the unsafe practices before incident
occurred.
2. Lack of PPE / Fail to wear PPE Finding:

 Undisciplined used of safety glasses although already supplied.  The used
improper of Safety shoes
1
 The used incorrect PPE for specific work such as working at height
Action taken: o Supply standard PPE as requirement such as : Safety Helmet,

safety glasses, dust mask, earplug, full body harness, Safety shoes.
o Maintain PPE minimum stock and report the PPE stock by weekly basis. o
Performed PPE inspection at entrance gate prior starting the work by daily basis.
o Law enforcement wears PPE at work place.
o Issue violation card
3. Poor Housekeeping
Finding:
 The storage of material in the wrong position and subtract to the way
 The poor condition of work area waste management
 The spread of welding rod
Action taken:
o Assign cleaning team who placed at every work place o Perform daily
housekeeping lead by supervisor after finish work o Highlight at Tool
Box Talk related this topic by daily basis
o Provide adequate fire protection equipment, to cover hazardous area
when welding, cutting, grinding and sand blasting work performed
4. Lack and Unsafe Equipment Operation
Finding:
 Used homemade tools that unsafe
 Lack of inspection to all equipment and tool
Action taken :
o Removed unsafe equipment and tools from work place o
Performed all equipments regularly
5. Improper Electrical Equipment/Tools
Finding:
 Improper connection cable for electrical
 Lack of inspection of electrical equipment
Action taken:
1
o Performed electrical equipment inspection regularly o

Conducted basic electrical training
9. SUMMARY OF HSE PROGRAM IMPLEMENTATION
9.1 INDUCTION AND TRAINING
9.1.1 Induction
HSE induction has conducted for all new hire including Visitor. In HSE induction all new
hire were given information regarding safety rules and knowledge of HSE matters.
During period June 2013 to October 2013, PTG HSE dept has been conducted induction
for PTG & subcontractor and visitors.
9.1.2 Training
In order to comply the Contractor and client requirement those are project employees
are participating. During period June 2013 to October 2013, PTG HSE dept has been
conducted training as per training matrix, training syllabus, training schedule and
training need analysis. PTG has provided two training room which 20 seat capacity and
equipped by computer and LCD projector and audio. (See Attachment 7 – HSE Training
Record)
PTG also have conducted some safety training with Topic:

1. Acceptance Scaffolding
2. HSE Awareness
3. Lifting and rigging practice
4. Job Risk Assessment
5. Radiography
6. Accident Incident investigation
7. First aid & CPR
HSE passport has been implemented and recognized the workers who attended and
participated the training. Also the attendances were given a certificate
9.2 JOB RISK ASSESSMENT
PTG – FMC for 1st Articles Project. HSE Department has proposed HIRADC/JRA issued at yard as
required by client prior to commencement of specific work since All JRA has socialized to all
workers prior execute the job. (See attachment 9 – Job Risk Analysis Record)
1
9.3 HSE AUDITS
HSE Audit is determined as follow:

1. HSE Internal Audit
2. Internal audit integration Quality and HSE
3. HSE external by Third Party
5. HSE Audit for Subcontractor
PTG was performed HSE Audit for all Sub contractor prior commencement the work. The
external Audit from Sucofindo for SMK3, OHSAS 18001, ISO 14001 also to be held during
execution project. PTG has awarded SMK3, OHSAS 18001, ISO 14001 certification.
9.4 HSE TRACKING RECORDS
HSE Dept has established a system for tracking the status finding of:
• HSE Join inspection (QHSE Management Walkthrough)
• Equipment Inspection
• HSE Audit
9.5 HSE INSPECTION PROGRAM
9.5.1 Join Inspection
FMC and PTG joint inspection on PTG operations and facilities was conducted regularly since
June 2013 to October 2013 . The corrective actions/follow up status is submitted to FMC
regularly in weekly basis. The participants were FMC Project Management Team and PTG Project
Management and conducted HSE management review meeting after yard walk around. (See
Attachment 10 – QHSE Management Walkthrough)
9.5.2 Equipments, Tools Inspection
To ensure all equipment & tools is used in safe and proper condition therefore the inspection has
to perform regularly. The equipment & tools inspection is performed by Safety inspector and
yard facility inspector as per schedule, the inspection including:
1. Lifting gears applied as color code.
2. Heavy vehicles such as : Cranes, Loaders, forklift, trailer, excavator
3. Electrical equipments such as : Generator set,
4. Powered tools and hand tools
5. Scaffolding and accessories
6. Equipment such as : Compressor, Air receiver tank
1
7. Light vehicles
8. Firefighting equipment
9. Gas cylinders and accessories
10. Welding equipment and accessories
11. Over Head Crane
12. Radiography equipments
9.6 HSE COMMUNICATION PROGRAM
9.6.1 Pre Start Job Meeting
Pre start job meeting was conducted by Safety personnel, Supervisors at yard with
the workers in daily basis of each working shift before start work and the foreman
have to fill the Pre job check list.
9.6.2 Tool Box Meeting
Toolbox meeting are conducted by PTG Safety and Supervisors in daily basis. The
agenda was to review the incidents, Near miss cases occurred in the previous week
and other safety issued if any. The main topic is generally decided in the weekly
Safety Coordination Meeting with sub contractors based on the priority of the most
critical and significant incident and/ or Near miss of the week.
9.6.3 Safety Coordination Meeting
This meeting is conducted by PTG in weekly basis attended by AGJV and PTG, in
addition to the discussion of important safety issues, the topics of toolbox meeting in
the coming weekly are decided also in this meeting.
9.6.4 Project Management Review Meeting
Project Management Review Meeting was conducted by PTG Management in monthly basis
and attended by PTG Top Management, Yard Manager, Yard Construction Manager, Corp
HSE Manager or Project HSE Manager.
9.6.5 HSE Internal Meeting
HSE Internal Meeting was conducted by PTG corp HSE Manager in weekly basis and
attended by All HSE personnel (Safety and Medic).
1
9.7 HEALTH AND HYGIENE
Health and hygiene matters is maintained and inspected by Medical doctor and
Environmental officer with concern:
1. Aqua Maker for drinking water and supply all employee at the Yard.
2. To ensure the process of aqua maker meet the health and hygiene standard, the water
has been sent to third party laboratory for examination every month.
3. Canteen and kitchen.
4. The inspection is performed by PTG Doctor ,PTG GA Officer and Environmental Officer by
monthly basis
9.8 ENVIRONMENTAL IMPROVEMENT
All environmental matters have been improved with concern:

1. Noise mapping
Noise mapping have available as per the result of noise measurement at work place
area.
2. Oil Spill Management
Provide Secondary containment, Oil Absorbent and drip pan to prevent oil spill from
generator set or compressor felt to the ground directly.
3. Hazardous material handling
Give labeling at chemical containers, drums and cans to identify the potential hazard,
provide MSDS box at each work shop and has socialized to workers.
4. Water spraying
Water spraying used water tank was performed to prevent dust pollution impact
when dry season coming at yard.
5. Environmental Awareness
PTG has conducted environmental awareness, hazardous handling material, and
Audit ISO version 14001 to increase the employee’s environmental awareness. A PTG
employee also has attended external training and seminar such as: Oil Spill
Management, Seminar of new environmental regulation of Banten Government.
6. Yard Facility Improvement
PTG has improved yard facility such as: Upgrading Jetty 1, add new Office building,
new access road, Parking area, boundary, new water drainage, TSA Chamber, RT
Chamber, New clinic building, New temporary waste disposal building.
9.9 HSE PROCEDURE DEVELOPED
PTG has improved and issued some HSE procedure and has approved by AGJV such as HSE
Manual. (See attachment 11 – HSE Master Document Register)
1
9.10 HSE REPORTING SYSTEM
PTG have been implemented HSE Reporting System as required in Daily basis, Weekly basis and
Monthly Basis. The Reporting System that issued to PTG and AGJV as a followed:
 HSE Performance Statistic input report include HSE Training record, HSE Inspection record,
Medical record, PPE stock, reported in Weekly basis.
 Environmental Report (included waste management, Oil spill management, and other
environmental matters) reported in Monthly basis.
1
ATTACHMENT 1
HSE POLICY
1
ATTACHMENT 2
YARD HSE ORGANIZATION
CHART
19
ATTACHMENT 3
SUMMARY WORK PERMIT
20
1st Articles Project
WORK PERMIT REGISTER OVERALL
Period : September 2013 - October 2013
Cut Of Date : 24 October 2013
PT. GUNANUSA UTAMA FABRICATORS

EXECUTION
Actual start
Work PERSONNEL IN
Planned to Valid Finish CHARGE
start
WORK PERMIT Date Time REQUESTER Spv./FM COORD. SAFETY
NO. NUMBER ACTIVITY LOCATION DESCRIPTION OF WORK STATUS REMARKS
High Pressure 07:30 -

1 HPP/HSE/IX/FMC/13/01 Workshop 1 Pre-Hydrotest for piping 24-Sep-13 24-Sep-13 25-Sep-13 25-Sep-13 CLOSED Donny N. Andy Siswadi
Potential 17:00

2 HPP/HSE/IX/FMC/13/02 Workshop 1 Hyfrojetting 100 bar 25-Sep-13 25-Sep-13 26-Sep-13 26-Sep-13 CLOSED Donny N. Donny N. Siswadi
Potential 17:00

3 HPP/HSE/IX/FMC/13/03 Workshop 1 Hyfrojetting 100 bar 26-Sep-13 26-Sep-13 27-Sep-13 27-Sep-13 CLOSED Donny N. Donny N. Sobari
Potential 17:00
High Pressure Hydrotest 1,000 Psi, During 8 11:00 - 31-Sep- 31-Sep-

4 HPP/HSE/IX/FMC/13/04 Workshop 1 31-Sep-2013 31-Sep-2013 CLOSED Donny N. Donny N. Sobari
Potential hours 17:00 2013 2013

5 HPP/HSE/X/FMC/13/05 Workshop 1 Hydrotest 1,000 Psi, 1-Oct-13 1-Oct-13 2-Oct-13 2-Oct-13 CLOSED Donny N. Donny N. Sobari
Potential 17:00

6 HPP/HSE/X/FMC/13/06 Workshop 1 Hydrotest 1,000 Psi, 2-Oct-13 2-Oct-13 3-Oct-13 3-Oct-13 CLOSED Donny N. Donny N. Sobari
Potential 17:00

7 HPP/HSE/X/FMC/13/07 Workshop 1 Flushing 3-Oct-13 3-Oct-13 4-Oct-13 4-Oct-13 CLOSED Donny N. Donny N. Sobari
Potential 17:00
07:30 -
8 LIFT/HSE/X/FMC/13/01 LIFTING Workshop 5 Lift for test manifold 4-Oct-13 4-Oct-13 4-Oct-13 4-Oct-13 CLOSED Donny N. Donny N. Sobari
17:00
10:00 -
9 LIFT/HSE/X/FMC/13/02 LIFTING Workshop 1 Load out manifold 24-Oct-13 24-Oct-13 24-Oct-13 24-Oct-13 CLOSED M. Zen Ardan Sobari
12:00
Prepared by,
Fitri Ifony
HSE Engineer
Page 1
ATTACHMENT 4
JRA RECORD
21
GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
PT. Gunanusa TRA Ref : TRA-Yard-2013-

Utama Fabricators
001
Location: Construction Yard, Cilegon
Revision : 0
Date : 10-Jan-12
Leader : M. Natsir JRA
Team :
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario Risk Category Acceptable Risk Responsible Person
Residual for Checking
Task Risks & Possible P HE IR Additional Risks Reduction Measures P HE IR Risk Implementation
Hazards Accidents Scenario
Unfamiliar with the Contact with hot metal
Work on construction construction work particles, under load Ensure all working personnel are qualified and familiar
1 1.1 4 3 12 1.1.1 2 3 6 Medium HR
Yard activity, uncontrolled swinging by crane, use with the construction activity
activities of tools improperly, etc.
1.1.2 Ensure all working personnel have passed the medical Doctor of PTG
examination prior to first day of work
1.1.3 All working personnel must complete safety induction HR & HSE
1.1.4 Appropriate trainings are conducted for all working HR
personnel
1.1.5 Mandatory PPE (hard hat, eyewear, footwear, long Warehouse
sleeves shirt) must be worn when entering the
construction Yard
1.1.6 Additional PPE is selected and worn as per activity to Yard Manager
be performed
1.1.7 Toolbox Meeting is conducted regularly at the first shift Warehouse
and prior to commencing critical work
Personnel who are going to do critical task such as
1.1.8 scaffolder for work at height shall pass appropriate Supervisor
medical check conducted regularly
Permit to work established for critical tasks namely
confined space entry, heavy lifting, radiography test,
1.1.9 Doctor of PTG
hydrotest, leak test, pressure test, excavation, working
at height, energi isolation
1.1.10 Ensure the lighting is adequate for work at night
1.2 Poor response for Mass panic, late 1.2.1 Establish the emergency preparedness and response HSE
emergency case evacuation system
1.2.2 Designated Muster Points for evacuation are HSE
established
1.2.3 Emergency drill conducted regularly HSE
2 Traffic Management 2.1 Vehicle movements Struck by vehicles, 4 3 12 2.1.1 Provide separate entry and exit gateways for 2 3 6 Yard Manager
collision pedestrians and vehicles
Ensure that drivers driving out onto public roads can
2.1.2 see both ways along the footways before they move Yard Manager
onto it
2.1.3 Clear the road access from any obstruction such as Supervisor
material storage to minimise reversing
2.1.4 Install barrier between the road access and fabrication Supervisor
area
2.1.5 No private or motorbike car allowed to go to site Yard Manager
2.1.6 Provide car parking away from site Yard Manager
2.1.7 Control the gateway from entry and exit vehicle Yard Manager
2.1.8 Apply speed limit at Yard (15 km/hours) Yard Manager
Place standard road signs in place where appropriate
2.2 Lack of information Collision 2.2.1 and visible HSE

Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
Using vehicles and Poor vehicles, mobile Failure vehicles, mobile Select suitable vehicles or mobile plant for purpose
3 mobile plant 3.1 4 3 12 3.1.1 2 3 6 Medium Yard Manager
plant plant
3.1.2 The vehicles have adequate visibility for driver/operator Supervisor
3.1.3 Visibility aids such as mirror and CCTV provided Supervisor
3.1.4 Effective braking system and steering provided and Supervisor
function
3.1.5 Headlights, horn, windscreen wiper and warning Supervisor
devices such as reversing alarm and sign lamp
provided and function
3.1.6 Seat belt provided and function Supervisor
3.1.7 Inspection and maintenance conducted regularly Supervisor
Driver/operator are competent person (trained and
3.2 Unsafe driving Collision 3.2.1 certified) as per class of machine Supervisor
Driver/operator conduct inspection of vehicle prior to

3.2.2 use (daily basis) Driver/Operator
Driver/operator are in fit condition to work and medical

3.2.3 examination will be check prior to commencing critical Supervisor
work
Driver/operator are fully understand the operating
3.2.4 procedure of the vehicle Supervisor
3.2.5 Driver/operator respect to speed limits Driver/Operator
Park vehicle on flat ground with engine switched off,
3.2.6 handbrake applied and use wheel chock if necessary Driver/Operator
Provide designated turning areas if applicable to

3.2.7 minimise vehicle reversing Yard Manager
3.2.8 Check the condition behind vehicle prior to reversing Driver/Operator

3.2.9 Use signalman to guide vehicles for reverse movement Driver/Operator
3.2.10 Signalman in safe position during reversing vehicles Signalman
Material fall from Load platform, bodywork and anchorage points are
4 Material delivery 4.1 Poor loads arrangement vehicles, injured person 4 3 12 4.1.1 appropriate for for the load 2 3 6 Medium Supervisor
4.1.2 Put the material as per maximum load capacity of Supervisor

vehicle
Load placed on the center of gravity of load platform if
4.1.3 applicable to keep the stability of vehicle Supervisor
4.1.4 The larger and heavier load placed at the bottom Supervisor
When a load is stacked, the lower packages should be
4.1.5 strong enough to support the others when the vehicle Supervisor
is braking, cornering or accelerating
PT. Gunanusa Utama Fabricators TRA Ref : TRA-Yard-2013-

001
Revision : 0
Date : 10-Jan-12
Team :
The weight of heavy loads of small dimensions should
be distributed across the vehicle platform by the use of
4.1.6 Supervisor
load spreading devices.
(e.g.. pallets, large wooden board etc.)
The load should be arranged so that it does not
4.1.7 obstruct the driver’s field of vision including rear view Supervisor
through the driving mirrors
Appropriate securing equipments such as clamps,
Material fall from special bolts, steel wire ropes, chains, webbing
4.2 Poor load restraint 4.2.1 Supervisor
vehicles, injured person harnesses, sheets, nets, ropes and shoring barsare
available on vehicle
4.2.2 The securing equipment regularly inspected for wear or Supervisor
damage
4.2.3 No misuse for securing equipment Supervisor
The steel wire rope or other equipment should have
4.2.4 safe working load Supervisor
4.2.5 The load must be packed tightly before applying the Supervisor
restraints
The load must be checked for security and the lashings
4.2.6 tested for adequate tension Supervisor
Check that cargo doors are locked and that locking

4.2.7 mechanisms are in good condition. Supervisor
4.2.8 Lashings must be properly tensioned at all times using Supervisor

a tensioning device specified by the manufacturer of
the lashing.
4.2.9 The angle of lashing not exceed 60 degree from Supervisor
horizontal position
4.2.10 At least one lashing every 1.5m along the length of the Supervisor
load
Lashings must be protected against abrasion and or
4.2.11 cutting by the use of corner protectors or protective Supervisor
sleeves
4.2.12 Suitable dunnage as additional equipment to restraint Supervisor
load
4.2.13 Beware of crushing when opening the tie of load Personnel
Loading and unloading Load and unload vehicle on level ground away from
5 materials 5.1 Crowded area Collision, turning vehicle 4 3 12 5.1.2 passing traffic, overhead hazards. 2 3 6 Medium Supervisor
5.1.3 Positioning vehicle so that it does not effect to vehicle Supervisor

stability
5.1.4 Apply braking system during loading and unloading Driver/Operator
5.1.5 Use wheel choke if necessary Driver/Operator
Determine the exclusion zone during loading unloading
5.1.6 activity and place barricade surround it Supervisor
Personnel move up and Suitable means of access used to move up and down
5.2 down the load platform Fall from height 5.2.1 to load platform Supervisor
5.2.2 The access facilitates three points contact Supervisor


Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
Incorrect sling Consider the best method of slinging relative to weight,

7.2 Load fall down 7.2.1 shape, center of gravity, lifting points and load stability Supervisor
configuration
7.2.2 Ensure the load is secured Supervisor
7.2.3 Avoid sharp bends, pinching and kinks in rigging Supervisor

equipment
Never wrap wire rope sling completely around a hook
7.2.4 Rigger
Make sure the load is balanced in the hook

7.2.5 Supervisor
Never point-load a hook unless it is designed and rated

7.2.6 for such use Supervisor
Never wrap the crane hoist rope around the load

7.2.7 Rigger
Avoid bending the eye section of wire rope sling

7.2.8 around corner or near any attached fitting Rigger
Understand the effect of sling angle on sling load or

7.2.9 pull angle on beam load Supervisor
7.2.10 Ensure the riggers are able to tie basic knots and Supervisor
hitches
With two or more slings on hook, use shackle as
7.2.11 supporting to sling balance Supervisor
Use tag line for control, attached to the load

7.2.12 Supervisor
Block loose loads before unhooking

7.2.13 Rigger
Stay back when slings are pulled out under the loads
7.2.14 Rigger
Failure lever hoist when Conduct check prior to use

8 Using lever hoist 8.1 Poor lever hoist 4 3 12 8.1.1 3 2 6 Medium Supervisor
in use
Do not use deformed hook
8.1.2 Supervisor
8.2 Poor application Chain break, shock 8.2.1 Do not overload or perform excessive fixed dragging Supervisor
pressure, object fall
Check the position of holder pawl
8.2.2 User

Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
8.2.3 Keep the object into the saddle of hook User

8.2.4 Do not unwind or wind the load User
8.2.5 Avoid using two blocks for suspending a load User
8.2.6 Keep the improper lever hoist in the storage User
8.2.7 Keep the chain alignment with both of hooks User
Ensure the chain is free from kink or twist
8.2.8 User
Failure chain hoist when Conduct check prior to use

9 Using chain hoist 9.1 Poor chain hoist in use 4 3 12 9.1.1 3 2 6 Medium Supervisor
Do not use deformed hook

9.1.2 Supervisor
Overload, load fall, Do not overload the chain hoist

9.2 Poor application chain break 9.2.1 Supervisor
Do not get the load dragged against floor

9.2.2 User
Avoid using two blocks for suspending a load

9.2.3 User
Do not pull up too far or pull down slamming fast

9.2.4 User
Do not turn around the chain block as loaded

9.2.5 User
Stop pulling when the load is 10 cm above the floor,

9.2.6 check for break action User
Do not step in under the load
9.2.7 User
Keep the chain alignment with both of hooks

9.2.8 User
Material handling and Material falling, forklift Forklift completed with load backrest, overhead guard,
10 stacking by forklift truck 10.1 Wrong operation over turn 4 3 12 10.1.1 audible warning and light 2 3 6 Medium Supervisor
10.1.2 Operator restraint (seat belt) worn all the times Operator
10.1.3 Suitable attachment i.e. fork extension or barrel clamp Supervisor
as per manufacturer instruction

Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
Hazards - Risks & Possible Accidents Scenario Risk Category Acceptable Risk Responsible
Residual Person for
Task Risks & Possible P HE IR Additional Risks Reduction Measures P HE IR Risk Checking
Hazards Accidents Scenario Implementation
10.1.4 The rate capacity marked on attachment Supervisor
Nobody allowed to be lifted by forklift truck unless
10.1.5 using certified safe working platform Supervisor
10.1.6 Lower the fork on the ground when parking Operator

10.1.7 No over reach or over load when loading Operator
10.1.8 Avoid violent braking or sudden change of direction Operator
Where possible, travel with the fork arms lowered to
10.1.9 within 150 mm (6’’) of level ground and mast tilted Operator
slightly back
10.1.1 When loaded, travel down or up slopes with the fork
arms facing uphill Operator
0
Before raising a load ensure there is sufficient
10.1.1 clearance overhead to do so and that objects which
Operator
1 could fall and injure people nearby will not be
dislodged
Material falling, forklift Before the mast/boom is raised/lowered or extended,
over turn the truck should be stationary with the
10.2 Unstable forklift position 10.2.1 Operator
parking/handbrake applied and transmission
disengaged before the hydraulics are used.
10.2.2 No stacking or destacking allowed on incline position Operator
10.2.3 Adjust the fork spread to suit the load Operator
11 Manual Handling 11.1 Wrong position Back Injury 4 2 8 11.1.1 Avoid the need to move loads manually 2 2 4 Low Supervisor
Fully utilise mechanical handling devices, eg lift trucks,

11.1.2 pallet trucks, trolleys Supervisor
11.1.3 Try to avoid heavy lifting especially repetitive lifting Supervisor

over a long
Pay attention for moving heavy objects, awkward load
shapes, strenuous pushing and pulling, stacking
11.1.4 above shoulder height, uncomfortable working Worker
positions, repetitive work (eg packing) and use of
excessive force
11.1.5 Use hand handle to lift the load if applicable Worker
11.1.6 Ensure no obstruction of sight when handling Worker
11.1.7 Avoid lifting carrying object with awkward position Worker
11.1.8 Do not lift a load not exceed 20 kg Worker
11.1.9 Apply good handling technique for lifting equipment Worker
12 Material storage at yard 12.1 Flammable liquid (fuel, Fire, explosion 4 3 12 12.1.1 Keep the flammable liquid in the appropriate tanks 2 3 6 Medium Supervisor
oil)
12.1.2 Place the tanks into secured designated area that Supervisor
away from construction area

Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
12.1.3 Provide adequate suitable fire extinguishers in the Supervisor
storage area
12.1.4 Only authorised person could enter the storage area Supervisor
12.1.5 Place appropriate warning sign Supervisor
12.1.6 Maintain the drainage of spillage Supervisor
Use small locked drum or container and put it away
12.1.7 from hot work activity when it is in use on construction Supervisor
or maintenance activity
12.2 Compressed gas Gas leak, fire, explosion 12.2.1 Put the cylinder in upright position all the times Supervisor
cylinder
12.2.2 Keep the cylinder in appropriate basket Supervisor
12.2.3 Ensure the basket in stable position Supervisor
12.2.4 Use lifting lugs to lift the basket otherwise use forklift Supervisor
truck
12.2.5 Keep the basket in safe clear distance from hot work Supervisor
activity otherwise protect it by fire blanket
Tubular steel (pipe, Rolling pipe, material Put the pipes on appropriate support placed on the
12.3 scaffolding pipe) 12.3.1 level ground Supervisor
damage
12.3.2 Put scaffolding pipe on designated rack Supervisor
12.3.3 Use appropriate stopper under stacked pipes Supervisor
12.3.4 Use appropriate clamp to lock pipe movements Supervisor
12.3.5 Place barricade or other barrier surround the stacked Supervisor
pipes
Non tubular steel Stacked material Put the material on appropriate support placed on level
12.4 (beam, channel) collapse, material 12.4.1 ground Supervisor
damage
12.4.2 Put small size materials on pallet Supervisor
12.4.3 Sort the position orderly and tidy Supervisor
12.5 Garnet mesh Dust 12.5.1 Keep the garnet in the bag prior to use Supervisor
12.5.2 Put the bag on pallet to make it tidy and orderly Supervisor
12.6 Paint and solvent Fire, explosion 12.6.1 Keep the material in designated room Supervisor
12.6.2 Ensure the room is well ventilated Supervisor
12.6.3 No smoking area applied for the room Supervisor
12.6.4 Personnel wear appropriate masker when work in the Supervisor
room
12.6.5 Keep the paint into designated drum or container prior Supervisor
to use
12.6.6 Provide designated waste bins for contaminated Supervisor
material of paints
Contact with live Electric shock, burns, Personnel working on electrical equipment or system
equipment, poor electric arc, fire and are competent person
13 Electricity 13.1 installation, faulty explosion 4 3 12 13.1.1 2 3 6 Medium Supervisor
equipment, source of
ignition
13.1.2 Ensure the electrical installation is safe as per suitable Supervisor
standard

Utama Fabricators
001
Revision : 0
Date : 10-Jan-12
Team :
Hazards - Risks & Possible Accidents Scenario Risk Category Acceptable Risk Responsible
Residual Person for
Task Risks & Possible P HE IR Additional Risks Reduction Measures P HE IR Risk Checking
Hazards Accidents Scenario Implementation
13.1.3 Provide adequate socket outlet to prevent overloading Supervisor
socket
13.1.4 Use suitable equipment for working environment Supervisor
13.1.5 Use wireless equipment to eliminate electrical risk if Supervisor
applicable
13.1.6 Use adequate insulated equipment Supervisor
13.1.7 Provide clearly marked switch on equipment Supervisor
For earthing cable, the end of cable firmly clamped to
13.1.8 stop wire pulling out of the terminal Supervisor
13.1.9 Use proper connector to joint the length of cable Supervisor

13.1.1 Protect light bulb or other equipment that could be Supervisor
0 easily damaged
13.1.1 Limit the supply voltage to the lowest needed Supervisor
1
Ensure the main switchboard, socket outlet or
13.1.1 equipment are equipped with RCD that have rated
Supervisor
2 current tripping not more than 30 mA
13.1.1 Regular inspection and maintenance conducted Supervisor
3
13.1.1 Pre-use check conducted by user User
4
13.1.1 No work on live equipment or installation unless permit
to work has been approved Supervisor
5
14 Using powered 14.1 Use improper Electrocute, electric 4 3 12 14.1.1 Check the equipment is in good condition 2 3 6 Medium Supervisor
equipment equipment shock
14.1.2 Check the plug is in good condition and is properly Supervisor
secured with no internal wire visible
14.1.3 Check the electrical cable is not damaged, not repaired Supervisor
with insulating tape or unsuitable connector
14.1.4 Position any trailing wires so that it avoid trip hazard or Supervisor
get damaged
14.2 Unsafe electrical supply Overheating, source of 14.2.1 Check that the electrical equipment is suitable for Supervisor
ignition electrical supply
14.2.2 Check the electrical supply is safe to use Supervisor
Use Residual Current Devices (RCD) on electrical

14.2.3 supply with tripping current < 30 mA Supervisor
TRA Ref : TRA-Yard-2013-001

Location: Construction Yard, Cilegon Revision : 0
PT. Gunanusa Utama Date : 10-Jan-12
Fabricators
Leader : M. Natsir JRA Team :
Fabricators

PT. Gunanusa Utama Fabricators Location: Construction Yard, Cilegon TRA Ref : TRA-Yard-2013-
001
Revision : 0
Date : 10-Jan-12
Team :
21.4 Sparks, spatter Fire and Burns 21.4.1 Remove flammable material in the risk zone Supervisor
21.4.2 Screen off the area Welder
21.4.3 Make sure that sufficient fire extinguisher is available Welder
21.4.4 Welding shields or barriers shall be used to protect Welder
workers from flash
21.4.5 Use appropriate PPE for welding (appron, welding Welder
hand glove)
21.5 Noise Ill-Health (deft) 21.5.1 Use individual ear protector Supervisor
21.5.2 Install noise absorber Welder
21.5.3 Screen off noisy work area Welder
21.5.4 Use quiter tools for grinding and removing slag Welder
21.5.5 Using a suitable welding process and welding Welder
technique can minimise grinding and slag removal
22 Work in the extreme 22.1 Poor lighting Visual fatigue 3 3 9 22.1.1 Provide good light including natural light and avoid 3 2 6 Medium Supervisor
environment glare
22.1.2 Provide a good level of local lighting in place where Supervisor
necessary
22.1.3 Provide suitable form of lighting Supervisor
22.1.4 Provide special fittings for flammable and explosive Supervisor
atmosphere
22.1.5 Conduct inspection for the luminance Supervisor
22.2 Exposure of dust, fume Ill-health 22.2.1 Provide proper respiratory protective equipment for Supervisor
or gas employees
Inform all employee the need of using respiratory
22.2.2 protective equipment in some certain workplaces Supervisor

Fabricators
22.2.3 Look after the respiratory protective equipment given Supervisor
22.2.4 Conduct inspection for using of respiratory protective Supervisor
equipment
22.3 Noise from machine Ill-health (deft) 22.3.1 Provide proper hearing protection for employees Supervisor
operation, gouging
activity
22.3.2 Monitor the sound level at workplace Supervisor
22.3.3 Inform all employee the need of using hearing Supervisor

protection in some certain workplace
22.3.4 Look after the hearing protection given Supervisor
22.3.5 Conduct inspection for using of hearing protection Supervisor
Supervisor
Fabricators

PT. Gunanusa Utama Fabricators Location: Construction Yard, Cilegon TRA Ref : TRA-Yard-2013-
001
Revision : 0
Date : 10-Jan-12
Team :
Arising alarm if anyone has fallen eg. using whistle and
28.1.7 Working personnel
light
Working with chemicals

or products contain
Working with hazardous Burn, asphyxiation, ill- Checking information that came with the product, eg a
29 29.1 chemicals/ Activities 3 3 9 29.1.1 2 2 4 Low Supervisor
substances health safety data sheet
generate fumes, dust,
mists, vapors
User are trained to understand the information such as
29.1.2 the symbols and hazards Supervisor
29.1.3 Wear appropriate PPE recommended by the safety User

data sheet
Ensure control equipments are in place and properly
29.1.4 function eg local exhaust ventilation Supervisor
Provide emergency equipment such as eye wash near

29.1.5 the workplace Supervisor
Provide suitable hygiene facilities for decontaminating

29.1.6 skin and facilities for cleaning personal protective Supervisor
equipment.
Provide suitable means for disposal of the substance
29.1.7 and contaminated materials only Supervisor
30 Blasting/Painting 30.1 Dust Exposure Ill-Health 4 3 12 30.1.1 Use suitable masker 2 2 4 Low Worker
30.2 Noise Ill-Health 30.2.1 Use Ear Protection Worker
30.3 Broken Hose Personal Injury 30.3.1 Check the hose condition must be good before start to Worker
work
30.4 Hose realese from Personal Injury 30.4.1 Every connection secured with anti whip Worker
extension
30.5 Expose by sand stain Personal Injury 30.5.1 Use long forearm uniform Worker
30.6 Eye Irritation Ill-Health 30.6.1 Use safety glass Worker
30.6.2 Provide eye wash Supervisor
30.7 Contamination air in 30.7.1 Change the filter breathing carbon periodically (consult Supervisor
blasting to manufacture instruction)
hood
30.8 Chemical fire 30.8.1 Prohibited to smoking in painting area Supervisor
30.8.2 Proper paint storage Supervisor
30.8.3 No smoking sign and MSDS shall be provided at paint Supervisor
storage and painting area.
30.8.4 Risk and hazard of painting shall be socialized to crew Supervisor
based on MSDS recommendation

Fabricators
P : Probability
HE : Hazard Efect
IR : Individual Risk
Supervisor

Gunanusa Yard, Cilegon
Telp. : +62254-500088
Fax. : +62254-500091
ATTACHMENT 5
MANAGEMENT WALTHROUGH
WEEKLY HSE WALKABOUT

PROJECT: Subsea Manifold WALKABOUT NO.: 02 DATE/TIM
Attendees:
FMC – Tey Arn Soon; Hadi Purwanto
PTG – Iman Triwahyudi; Andi S.H; Wahyu Ardi; M. Natsir; Sabrawi;
DATE OF
NO LOCATION FINDING FINDING RECOMMENDATION ACTION BY
22
Subsea Manifold
Sulaiman
1 Fabrication 18 July 2013
Sarman
Workshop No. 2
Welding cable:
• Should placed neatly • Hanger the provide
(S-Shape)
Subsea Manifold
2 Fabrication 18 July 2013 Data Kususma
Workshop No. 2
Drilling Workbench:
• At first, it was placed at • Moved to above
unstable place ground and now
(stacked beam), welded to beam to

stopped work by Mr. have better stability.
Tey.
Subsea Manifold
3 Fabrication 18 July 2013 Herry Budiman
Workshop No. 1
Lighting:
• Lack of lighting • Lighting is
• Broken Lamp completed to repair
Subsea Manifold
4 Fabrication 18 July 2013 Ondo Nababan
Workshop No. 1
Hose:
• At first placed at • Moved to storage
passage way area to prevent
blockage
Subsea Manifold
5 Fabrication 18 July 2013 Data Kusuma
Workshop No. 1
Pallet:
• Found have lost partial • Discarded, then
legs, unstable replace with the
condition new one
Subsea Manifold
6 Fabrication 18 July 2013 Siswanto
Workshop No. 1
High Pressure:
• High Pressure without • Has completed with
completed with antiwipe antiwipe
Prepared by: Verified by: Acknowledgement by:

Witness by:
Alnidi S. Bratanegara M. Natsir Iman Triwahyudi

Tey Arn Soon
Corporate HSE Secretary Corporate HSE Manager Project Manager
Asst. Fabrication Manager
ATTACHMENT 6
HSE MASTER DOCUMENT
REGISTER (MDR)
23
LIST OF FMC HSE PROCEDURES
Date : 22-May-2013
No. Title of Documents Document No. Rev. Status Reviewed
Date
ID-GNU-FMC-
1 HSE Management Plan A IFC 22-May-13
47688727HSE-0001
Personal Protective Equipment (PPE)

ID-GNU-FMC-
2 Inspection, Controling Program and A IFC 22-May-13
47688727HSE-0002
Distributuion System Procedure
Hazard Identification and Risk ID-GNU-FMC-
3 A IFC 22-May-13
Assessment 47688727HSE-0003
ID-GNU-FMC-
4 Generic Risk Assessment A IFC 22-May-13
47688727HSE-0004
ID-GNU-FMC-
5 Lifting and Rigging Procedure A IFC 22-May-13
47688727HSE-0005
ID-GNU-FMC-
6 Confined Space Entry Procedure A IFC 22-May-13
47688727HSE-0006
ID-GNU-FMC-
7 Lifting and Rigging With Categories A IFC 22-May-13
47688727HSE-0007
ID-GNU-FMC-
8 Permit to Work Procedure A IFC 22-May-13
47688727HSE-0008
Prepared by: Acknowledge by:
Alnidi Safarach Bratanegara M. Natsir

Corporate HSE Secretary Coprporate HSE Manager
ATTACHMENT 7
LOAD OUT PICTURE
24
LOAD OUT
Sub Sea Manifold Picture
ATTACHMENT 8
INSPECTION REPORT
25
SUBSEA MANIFOLD
PROJECT
INSPECTION REPORT
: 2 UnitTruck Trailler : 6 Unit
Stand by Welding Rectifier (Cable Power Stand by Welding Rectifier (Ready for used)
not yet Connected)
Inspection – Welding Rectifier Green Tag Inspection Welding Rectifier
Inspection Report 1-2

Calibration date welding rectifier Inspection – Distribution Panel
Inspection – Distribution Panel Green Tag Inspection Distribution Panel
Inspection – Extension Panel Inspection – Extension Panel

Inspection Report 2-2

Hse Close Out Report 2024

Uploaded by

Copyright:

Available Formats

Hse Close Out Report 2024

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Hse Close Out Report 2024

Uploaded by

Copyright:

Available Formats

CLOSE OUT REPORT

9.1 INDUCTION AND TRAINING...........................................................................13

ATTACHMENT 1 HSE POLICY

2. HSE MANAGEMENT SYSTEM

- OHSAS 18001:2007 (HSE Management System)

The Elements of HSE Management System consist of :

- Leadership & commitment

- Audit & review

Key Elements Integrated HSE Management System

3. HSE POLICY 2013

4. PROJECT HSE OBJECTIVE 2024

4.1 SAFETY OBJECTIVES

4.1.1 Safety Objective # 1 - HUMAN DIMENSION

4.1.5 Safety Objectives # 5 – SAFETY BEHAVIOR

4.2 OCCUPATION HEALTH OBJECTIVES

1. Ensure availability of emergency equipment’s and maintain medicine stock

4.3 ENVIRONMENTAL OBJECTIVES

1. Improve employee’s environmental awareness by conduct regular training, displayed

5.1 SAFETY OBJECTIVES

5.1.1 General Safety Objective # 1 HUMAN DIMENSION

Therefore, General Safety Objective # 1 – HUMAN DIMENSION is achieved.

5.1.2 Safety Objective # 2

a. TRIR (Total Recordable Injury Rate)

There for base on formula ANSI version below :

TRIR = (FAT+RWDC+MTC+LTI) * 1.000.000

TRIR = (0+0+0+0) * 1.000.000

b. LTIF (Lost Time Injury Frequency)

LTIF = (FAT+LTI) * 1.000.000

LTIF = (0+0) * 1.000.000

Therefore, Safety Objective # 2 – TRIR = 0,00 and LTIF = 0 are achieved

5.1.3 Safety Objective # 3

1. We successfully in audit surveillance certified by SICS (Sucofindo International

Therefore, Safety Objective # 3 – Safety Behavior is achieved

5.2 OCCUPATION HEALTH OBJECTIVES

1. Ensure availability of emergency equipments and maintain medicine stock

2. Reduce occupation illness and sickness

3. Continue improve the implementation of industrial hygiene

We achieved Occupational Health objectives

6. HSE ORGANIZATION CHART

See attachment 3 – Yard HSE Organization Chart

7. HSE PERFORMANCE STATISTIC

7.1 MAN HOURS EXPOSURE

SUMMARY OF HSE PERFORMANCE STATISTIC

7.2 FATALITY (FAT)

7.3 LOSS TIME INJURY (LTI)

7.4 MEDICAL TREATMENT CASE (MTC)

7.5 FIRST AID CASES (FAC)

7.6 DAY LOSS

7.7 NEAR MISS INCIDENT (NMI)

7.8 MEDICAL RECORDS

7.9 HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)

8. AREA OF CONCERN AND FOLLOW UP FOR CORRECTIVE ACTION

a. Unsafe work practice & poor safety behavior

8.2 FOLLOW UP FO FOR CORRECTIVE ACTION OF CONCERN AREA

Corrective Action & Follow-Up area of concern were as follow:

1. Unsafe work practice and poor safety behavior

Action taken: o Conducted safety behavior training. o Highlight at tool

2. Lack of PPE / Fail to wear PPE Finding:

Action taken: o Supply standard PPE as requirement such as : Safety Helmet,

4. Lack and Unsafe Equipment Operation