Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK-2876

CONTRACTOR : JO SHRP DATE : 07 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U062_RFCC_LPG_Treating_Unit

DISCIPLINE : Mechanical - General SUB-UNIT : C-062-02 Column

IMPACTED : Construction Schedule Safety

No Category Compliance Severity Observation Recommendation

During field observation and monitoring at ISBL area 40 Unit 062, at C062-02
IPMT found not comply for one of subcontractor SSA, for activity Installation and
welding internal tray. Not comply conditions are:

1. When IPMT monitoring and conduct couching IPMT found there is no Permit
in place, the paramedic mention the permit bring by permit cordinator for have
validation approval, while the worker already conduct the job inside the coloumn.
there is welding activity inside the coloumn in WAH condition. NO permit NO
Permit To DNC w/ work. IPMT and JO SHRP waiting until permit arrive in place.
1 High Recommendation: Improvement
Work (PTW) Procedure
JO SHRP have to ensure all activity can not start without the permit in place, in
place meaning at working area. JO SHRP have to revise the process of
permitting system that more effiency and not delay the work schedule activity.
Jo SHRP familiarization for the process of permitting system to all
subcontractor, and ensure all sub contractor will follow procedure 26071-100-
GPP-GHX-00001-000 Work Permit Procedure

IPMT Found there is no basket strecher at working area C062-02 from

theparamedic statement the basket stretcher for emergency its borrow by other
unit area for conduct the simullation drill. Its mean the Subcontractor have
limited stretcher, and not following what they prepare for Emergency response
plan. All emergency equipment must be ready in place if any emergency
situation happen. specially for high risk activity.
Recomendation:
Emergency DNC w/ JO SHRP HSSE and ERT team can not allow subcontractor borrowing each
2 Critical Improvement
Response Procedure others for simulation or drill with the equipment that have to be in place at
working area. and JO SHRP subcontractor must follow the procedure Doc. No.
: 26071-100-GPP-GHX-00002 Rev.001 PROJECT EMERGENCY HANDLING
PROCEDURE and Emegency Rescue Plan that subcontractor prepareand
approve by JO SHRP and Procedure Doc. No. : 26071-100-G01-GHX-00005
HEALTH MANAGEMENT PLAN

First aid bag its not complete and not have log for using the first aid. Found the
eye rinse its empty and some of material have beeen used without record. The
paramedic not maintain the first aid bag condition and inspection.the First aid
bag not have inspection form. Nad the paramedic not understand what her role
and responsible in case of emergency on that working area.
Recomendation:
Emergency DNC w/ Paramedic of Subconractor need to refresh training of her roles and responsible
3 High onsite, specially for emergency situation. she have to understand and follow all Improvement
Response Procedure
procedure. Ensure JO SHRP medical team conduct reguler inspction to all
subcontractor for check and monitoring th subcontractor following Procedure
Doc. No. : 26071-100-G01-GHX-00005 HEALTH MANAGEMENT PLAN

*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :
Name Rika Safutri Date: 07 December 2022
CHECKED 1 :
Name Jumri Date: 07 December 2022
CHECKED 2 :
Name David webb Date: 07 December 2022
REVIEWED :

Name Sakti Puruboyo Date: 07 December 2022

SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :
Name : Date:
VERIFIED :
Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED
Name : Date:

SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)

 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK- 2891

CONTRACTOR : JO SHRP DATE : 02 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U331_Steam_Power_Generation

Electrical - Power
DISCIPLINE : SUB-UNIT :
Generation
IMPACTED : Safety Construction

No Category Compliance Severity Observation Recommendation

During monitoring and observation at EDG found that the procedure for
Entering Confined Spaces was not carried out according to JO
procedures and there was no POB identity at the EDG entrance.
Main Cause : JO SHRP failed to execute Confined Spcae Entry
Confined DNC w/ Procedure referring to JO procedure.
1 Medium Improvement
Space Procedure
Recommendation: Follow doc. No. 26071-100-GPP-GHX-00003-000 Site
Specific Procedure for Confined Space Entry. Provide POB hanging
boards and hang ID badges at the entrance and make sure POB does
not exceed 3 persons. Monitor activities inside EDG and ensure worker
wear adequate PPE all time.
*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :

Name Date: 02 December 2022

Gibson Damanik
CHECKED 1 :
Dec 2, 2022 | 16:49:49 SEAST

Name Date: 02 December 2022

Airlangga Putra
CHECKED 2 :

Name Date: 02 December 2022

David Webb
REVIEWED :

Name Date:
Sakti Puruboyo
SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :

Name : Date:

VERIFIED :

Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED

Name : Date:
SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)
DocuSign Envelope ID: FCAFEF7E-6581-4A7F-9A75-426C57BB4756

Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK-2892

CONTRACTOR : JO SHRP DATE : 07 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U054_Diesel_Hydrotreating_Unit_I

DISCIPLINE : Mechanical - Piping SUB-UNIT : PR-054

IMPACTED : Safety Construction

No Category Compliance Severity Observation Recommendation

Contractor has failed to enforce proper implementation Doc. No. : 26071-100-

GPP GHX 00026 - Preventive Maintenance and Inspection of Plant, Tools &
Equipment, and Doc. No. : 26071-100-GPP GHX-00011 - Crane and Lifting
Operation Procedure. During observation in PR-054 5th floor, found there is no
safety latch on the chain block in position hanging pipe line no 054-HFL-051-
54"-ICB2842-NI.
DNC w/ Recommendation:
1 Cranes & Lifting High Improvement
Procedure CONTRACTOR shall be inspected tools & equipment prior perform job and
remove broken tools & equipment from site. Refer to Doc. No. : 26071-100-
GPP-GHX 00026 - Preventive Maintenance and Inspection of Plant, Tools &
Equipment. And Contractor must be enforce implementation Procedure Doc.
No. : 26071-100-GPP GHX-00011 - Crane and Lifting Operation Procedure.
And please carry out refresh training to all piping crew related Crane & Liftiing
operation procedure

*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :
Name Heru Rusadi Date: 07 December 2022
CHECKED 1 :

Name Jumri M Nur Date: Dec 7, 2022 | 16:23:26 AEDT

CHECKED 2 :
Dec 7, 2022 | 19:22:43 AEDT
Name David A Webb Date:

REVIEWED :

Name Sakti Puruboyo Date:

SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :
Name : Date:
VERIFIED :
Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED
Name : Date:

SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)

 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK- 2893

CONTRACTOR : JO SHRP DATE : 05 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U320_Plant_Feed_and_Product_Tankage

DISCIPLINE : Civil SUB-UNIT :

IMPACTED : Safety Construction

No Category Compliance Severity Observation Recommendation

During monitoring and observation around the Spherical, it was found
that civil works with a depth of more than 1.5 meters where around
works with a depth of more than 1.5 meters were not completely
barricaded. The work was on the road before.
Access / Main Cause : JO SHRP failed to ensure that Subcontractor consistently
DNC w/
1 Egress & Medium barricaded the excavation of holes with a depth of 1.5 or more. Improvement
Procedure
Barricading

Recommendation: Follow doc. No. 26071-100-GPP-GHX-00017-001

Barricade and Signboard Procedure. Provide barricade completely and
Warning sign.
*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :

Name Date: 05 December 2022

Gibson Damanik
CHECKED 1 : Dec 5, 2022 | 10:44:03 SEAST

Name Date: 05 December 2022

Airlangga Putra
CHECKED 2 :

Name Date: 05 December 2022

David Webb
REVIEWED :

Name Date:
Sakti Puruboyo
SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :

Name : Date:

VERIFIED :

Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED

Name : Date:
SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)
 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK-2896

CONTRACTOR : JO SHRP DATE : 06 December 2022

SECTION 1 OBSERVATION
: REPORT

DEPARTMENT : Construction UNIT : U065_Alkylation

DISCIPLINE : Steel Structure SUB-UNIT : C-065-01-I Coalescer Internal

IMPACTED : Construction Safety Quality Schedule

No Category Compliance Severity Observation Recommendation

During site assessment and surveillance of Unit 065 & 066 Alkylation (U065-
066/Area 50) on 05 December 2022, we found :

- The Contractor (JO-SHRP) failed to control the electrical cable/power line and
hose fireproofing applicator arrangement, JO Construction and HSSE team (JO-
SHRP) must close monitoring and apply the procedure running correctly.

Contractor is required to comply and follow up.

- Based on Document Management, Review, and Approval Procedure, Follow

the required Procedure (please see the details below) and need to expedite
DNC w/ action by the relevant Department.
Unsafe - Need quick action, resocialization requires and follow up on the finding ASAP
1 Method Medium Improvement
Condition (3 days), and good housekeeping and tools, materials, and equipment
Statement
arrangement at the site (Documentation record and Implementation Evidence)
- 26071-100-G01-GHX-00002 Rev.002 PROJECT HSE PLAN
- 26071-100-GPP-GCX-00001 Rev.001 CONSTRUCTION EXECUTION
PLAN

#Area 50/Unit 065-066 Alkylation (Subcont. ETI Fire Proofing #02)

*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 R
: EPORT PREPARATION AND REVIEW STATUS
DEPARTMENT: HSSE

PREPARED : Dec 6, 2022 | 18:22:41 AEDT

Name ASBUDILLAH Date:
CHECKED 1 :
Dec 6, 2022 | 18:26:02 AEDT
Name JUMRI Date:
CHECKED 2 :
Name DAVID WEBB Date:
Dec 6, 2022 | 18:27:26 AEDT
REVIEWED :
Name SAKTI PURUBOYO Date:

SECTION 3 F
: OLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :
Name : Date:
VERIFIED :
Name : Date:

SECTION 4 F
: OLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED
Name : Date:
SECTION 5 A
: TTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)

Poor Electrical cable/power and hose arrangement

 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK- 2901

CONTRACTOR : JO SHRP DATE : 06 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U331_Steam_Power_Generation

Electrical - Power
DISCIPLINE : SUB-UNIT : A-331-01A HHP Boiler Package
Generation
IMPACTED : Safety Construction

No Category Compliance Severity Observation Recommendation

During monitoring and observation around R41 (PT. Wifgasindo PKT #7)
found that there is no JSA in the PTW document and not all workers did
DCU (the number of workers who attended TBM was 14 people while the
number of DCU workers was only 10 people).
Main Cause : JO SHRP fails to ensure that Subcontractors consistently
Permit To DNC w/ provide JSA at the workplace and all workers are required to conduct
1 Medium Improvement
Work (PTW) Procedure DCU prior to employment.
Recommendation: Provide JSA at work place. JO needs to verify and
check DCU results rendomly to subcontractors due to DCU results. Make
sure the Oxy meter is calibrated or valid). All workers in RDMP RU V
project must do DCU to ensure a healthy start of work and prevent the
possibility of Patique.
*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :

Name Date: 06 December 2022

Gibson Damanik
CHECKED 1 : Dec 6, 2022 | 20:41:23 SEAST

Name Date: 06 December 2022

Airlangga Putra
CHECKED 2 :

Name Date: 06 December 2022

David Webb
REVIEWED :

Name Date:
Sakti Puruboyo
SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :

Name : Date:

VERIFIED :

Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED

Name : Date:
SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)
 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK-2910

CONTRACTOR : JO SHRP DATE : 08 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : Construction UNIT : U054_Diesel_Hydrotreating_Unit_I

DISCIPLINE : Mechanical - Piping SUB-UNIT : PR 054

IMPACTED : Safety Construction

No Category Compliance Severity Observation Recommendation

During joint inspection IPMT with JO SHRP at ISBL area 29 unit 054 at PR-054
IPMT found the unsafe action from one of JO SHRP workers who conduct
piping erection or stagging at the 1st level of pipe rack. the worker using
scafolding pipe to lift the pipe. scafolding pipe design not for lifting tools. this
unsfae behaviour will damage the scafolding pipe. and this behaviour not comply
with the manual lift following ergonomic manual lift can cause injury for the
workers, maximum load of the pipe.
Recommendation:
JO SHRP must ensure all worker understand the SOP and methode statement
DNC w/ for every each work activity that they will conduct. Using proper tools for manual
1 Unsafe Action High Improvement
Procedure lift, not using scafolding pipe. the workers need to refresh training about lifting &
rigging awareness and specific about ergonomy system for their activity. for all
worker must understand and following the Doc. No. : 26071-100-G01-GHX-
00005 HEALTH MANAGEMENT PLAN . And all activity of piping such as
stagging and pipe erection must following based on the approved methode
statement.

*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :
Name Rika Safutri Date: 08 December 2022
CHECKED 1 :
Name Jumri Date: 08 December 2022
CHECKED 2 :
Name David webb Date: 08 December 2022
REVIEWED :

Name Sakti Puruboyo Date: 08 December 2022

SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :
Name : Date:
VERIFIED :
Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED
Name : Date:
SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)

Scafolding pipe using for manual lift of the Pipe

 Project Monitoring Action Report

PROJECT NAME : RDMP RU V BALIKPAPAN REPORT NO. : 402000-00540-CM-CHK-2914

CONTRACTOR : JO SHRP DATE : 09 December 2022

SECTION 1 OBSERVATION REPORT

DEPARTMENT : HSSE UNIT : Main road of ISBL and intersection

DISCIPLINE : Inspection SUB-UNIT : Jl. 113, Jl 523, JL. 534

IMPACTED : Safety

No Category Compliance Severity Observation Recommendation

During monitoring ISBL area around 40,44,4139,37 IPMT found few driver not
following one of life saving rules "Safety driving rules" on the main road of ISBL
area . The driver not buckle up the safety belt and definetly found the passenger
also not buckle up the seat belt. some of driver put the safety belt in to plug but
behind they back. very less driving safety understanding
Recommendation:
JO SHRP must monitor all vehicle and driver of vehicle following the Doc. No.:
26071-100-GPP-GHX-0007 TRANSPORTATION AND JOURNEY
MANAGEMENT PLAN. Driver need to refresh the training for driving safety
DNC w/ training and understand what their rols and responsible for every vehicle that he
1 Unsafe Action High Improvement
Procedure drive with. The Daily inspection checklist must maintain by JO SHRP and
conduct properly. For increase the awareness of the driver, JO SHRP suggest
to have a program spot check at at least one a month, for check the vehicle
condition inside field area ISBLor OSBL and check the mandatory regulation
following by all drivers on site.

*Notes: Only one Category per PMAR - if two different categories, make a separate PMAR
Only one Unit per PMAR

SECTION 2 REPORT PREPARATION AND REVIEW STATUS

DEPARTMENT: HSSE

PREPARED :
Name Rika Safutri Date: 09 December 2022
CHECKED 1 :
Name Jumri Date: 09 December 2022
CHECKED 2 :
Name David webb Date: 09 December 2022
REVIEWED :

Name Sakti Puruboyo Date: 09 December 2022

SECTION 3 FOLLOW UP ACTION (FILL-UP BY CONTRACTOR)

RESPONDED :
Name : Date:
VERIFIED :
Name : Date:

SECTION 4 FOLLOW UP ACTION (FILL-UP BY IPMT)

VERIFIED
Name : Date:
SECTION 5 ATTACHMENT(S) WITH DESCRIPTION (I.E PHOTOS, ETC)