HSE PLAN RENTAL SHALE SHAKER UNIT

TENDER NO.CS48586

Medco Energi – PT. SCOMI OILTOOLS

Tender No. CS48586

Rental Shale Shaker Unit

PT. Scomi Oiltools

Prepared by Review by Approved by

QHSE Manager DWM Manager General Manager

Haslan Harun
Boy Imlex
Syaifulloh Amro
 HSE PLAN

Medco Energi – PT. SCOMI OILTOOLS

1. Leadership & Commitment

1.1 General

This HSE (Health, Safety and Environment) Plan is effective as of [Contract

Commencement] and is specific to Medco Energi related to exploration wells under
Contract, Tender No. CS48586 “Rental Shale Shaker Unit”.

This HSE Plan will remain current until the Contract is completed - scheduled for
Medco Energi unless options are exercised to extend contract.

1.1.1 Aims of the HSE Plan

To detail the specific safety related actions to be carried out by SCOMI OILTOOLS
personnel pursuant to operations under Contract Medco Energi. These actions are
generally over and above those routinely conducted, as described in the SCOMI
OILTOOLS Safety Manual, Operations Safety Handbook, and customer’s standard safety
procedures.

1.1.2 Applicability of the HSE Plan

The HSE Plan applies to, and affects all SCOMI OILTOOLS personnel who have
involvement with the Contract Medco Energi. Specifically, on the occasions when, calls
out services under this contract, the field personnel, workshop personnel preparing
equipment and office personnel involved shall all be familiar with this HSE Plan and be
committed to implementing the relevant actions.

2 POLICY STATEMENT

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2.1 Health and Safety Policy

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2.2 Drugs & Alcohol Policy

 G
o
al
&

Objectives
The objectives of this HSE Plan are as follows:

 To identify and highlight Health, Safety and Environment (HSE) requirements associated
with the proposed services;

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 To provide details of HSE organization and the responsibilities of key personnel;

 To present the Job Safety Analysis; and
 To identify the HSE procedures to be implemented during the work.
 Aimed for zero accident, no harm and no environmental pollution for the duration of the
works.

 Policy Distribution

HSE Policy is given to all employee whenever there are any changes. Director send the
policy to the manager per division and the managers give the copy to their employees.
Whenever policy issued, manager will discussed with their employee.

All HSE Policy statement will be posted on staff notice boards in English and Bahasa
Indonesia language.

3 Organization, Responsibilities, Resource, Standards and Documentation

3.1 Project and HSE Organization

General Manager
Haslan Harun

DWM / PM Manager QHSE Manager

Boy Imlex Syaifulloh Amro

Operation Support DWM Coordinator Project Support

A. Hernowo Handoyo Purba Panjaitan

3.2 Project Responsibility and Accountability

 General Manager

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1. To monitor, maintain, and get the report on daily basis from Project
Manager
2. To demonstrate a total commitment to Scomi Oiltools Quality, Health,
Safety & environment strategy and complies with all safety rules, local
authorities’ standards, policies and related legal requirements.
3. To alert management to shortcomings in existing rules, recommend
improvements and ensure that corrective actions are being carried out in
a timely manner
4. To constantly monitor and identify client’s needs, competitive threats and
new market opportunities with special emphasis on New Technology and
cross segments solutions
5. Communicates constantly with Management regarding his operation,
discussing needs and problems before they become a liability or a major
crisis.
6. Responsible for creating and managing local equipment maintenance
procedures, schedules and budgets with Product Line Managers and
liaising with Financial Controller.
7. Work with internal and external customers to meet the Companies
needs, and achieve the organization country goals.

 DWM Manager

1. To monitor, maintain, and get the report on daily basis from Project
Manager
2. To provide technical support to all customers as and when required
3. To maintain good relation and communication with all corporate
customers
4. To enforce and monitor QA/QC
5. To respond to any complaints by customers with regards to any stock
delivery problem or service delivery quality
6. To manage and supervise program for Drilling Waste
Management/Filtration.
7. To assist Project Manager to provide solutions in resolving any drilling
problem.
8. To help in monitoring of invoices and payment.
9. To provide monthly sales report on drilling equipment rental and
engineering services and operations.
10. Ensure that all expenses in supporting field operations are within the
budget and inline with company policies
11. To implement and adhere to Company and Clients Health, Safety and
Environment policy

 Project Manager
1. To monitor, maintain, and get the report on daily basis of the operation
2. To provide technical support to all customers as and when required.

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3. To maintain good relation and communication with all corporate

customers.
4. To enforce and monitor QA/QC
5. To respond to any complaints by customers with regards to any stock
delivery problem or service delivery quality.
6. To manage and supervise program for Drilling Waste Department.
7. To provide solutions in resolving any drilling problem associated with
solid control.
8. To help in monitoring of invoices and payment.
9. To provide monthly sales report on equipment rental and engineering
services and operations.
10. Ensure that all expenses in supporting field operations are within the
budget and in line with company policies
11. To implement and adhere to Company and Client's Health, Safety and
Environment policy.

 Project Support
1. Manage operations of equipment and services.
2. Maintain good rapport with customers.
3. Recommend hire, training & HR Issues for subordinates.
4. Technical Support for Operations.
5. Reports to accounts department for invoice / sales information.
6. First approval of invoices
7. First Approval of Engineer Time Sheets and Transport Claims.
8. First Approval of Purchase Requisitions (for DWM items)
9. HSE Assessments for Operational Issues.

 DWM Coordinator
1. Operates and Maintains Equipment at Field Operation.
2. Trouble Shoot and provide greater Technical assistance for operational
issues.
3. Report daily activity to Client Rep., Field Spv and Asst. Operations
Manager.
4. Conduct Tool Box Meeting on location.
5. Implement field/site HSE regulation
6. Assist, Engineer and Trainees with all aspect of Operations.
7. Responsible for Good Housekeeping on Site.
8. Maintains good rapport with Client Rep.
9. Drilling Waste Analysis to support drilling activity.

 HSE Manager
1. Checking the project HSE plan to remain in accordance with HSE
policies PT. Scomi Oiltools

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2. Develop, plan and perform the audit to the project HSE

Actively participate in accident reporting, accident investigation, the
determination of corrective actions and communications alert to every
department in the internal environment of PT. Scomi Oiltools so that
similar accidents do not recur.
3. Develop, plan and implement HSE training, communication and
promotion campaign HSE
4. Check and review the HSE report into Client

3.3 HSE Representatives

Where the employees of the Principal have elected a Health and Safety Representative
pursuant to any law, directive, policy or industrial agreement for the purpose of
representing their Occupational Health, Safety and Welfare interests in the workplace,
the Principal shall ensure that the identity of the Health and Safety Representative is
made known to each SCOMI OILTOOLS employee upon accessing the Principal’s
premises or workplace.

The Principal shall maintain free access to the Principal’s Employee Health and Safety
Representative, to enable employees of SCOMI OILTOOLS to consult with and discuss
O.H.S. issues.

3.4 Subcontractor

NA

3.5 HSE Meeting Program

Regular HSE meeting and management review shall be held at all company work
location. The frequency of the meeting will be appropriate to the location

 For office premises monthly meeting are considered appropriate

 On the field operations, these shall complies with the Client premises

The meeting will be attended by management, staff and (if any) sub contractor
representatives. The agendas depend on the project situation and condition and staff
need. The meeting will be chaired by HSE Coordinator/ HSE field representative and/or
Client HSE Officer. The minutes of the meeting will be made and distribute to all
attendees, formal follow up procedures shall be enforced. Schedule of the meeting and
the MOM form for this project are attached.

The monthly HSE Management Meeting is to be chaired by a senior member of

management;

 agenda would includes identify recent accident and incident, as well as new and
outstanding issues

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 issues raised by the workforce through the safety committee

 Schedule

Meeting schedule

QHSE PLAN 2024

Item Ativities Location Contributor Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Remarks
Item Management General Manager &
1.1 x x x Quarterly
Committee Meeting DWM Manager

HSE Safety Committee QHSE Manager & HSE

1.2 x x x x x x x x x x x x Monthly
Meetng Comm. Mamber

 Management Participation

It is of paramount importance that management gives employees the opportunity to ask

questions and raise matters of operational and safety interest to the job in hand, any
hazards, any changes to equipment design or usage a reassessment of the risk

 Meeting follow up and Communication

The company’s safety policies and plans will be communicated to all employees through
the issue of written documents such as procedures, training material and memoranda and
also verbally at departmental safety briefings/meetings.

Each departmental manager is required to hols a safety meeting on a quarterly basis for
the department’s personnel at site. The meeting will have a prepared agenda or topic any
points raised will be minuted and published within the departments. Attendance will be
noted.

3.6 HSE Promotion and Awareness

 HSE awareness campaign will be performed on this project

As part of the awareness campaign and typical HSE Awareness issue that could feature
in:

 Poster

 Safety observation card (SOC) program

WI-HSE-24 - Consultation and Communication

 Promotion method

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Safety observation is an important pro active tool in risk management, it is Scomi OIltools
policy to use the Scomi Oiltools 12 Safety rules and it is attendant Safety Observation
Card in the workplace to reduce accident an incident, therefore Scomi OIltools using
Hazard Hunt Card method as behavioral safety approach to employee, and will gives
award for best and most submission Hazard Hunt Card to HSE department.

3.7 HSE Competencies Requirement

All employees are required to have medical examination before commence work and also
for new hire.

It is the responsibility of all employees; HSE Department coordinates the medical check-
up schedule by yearly. Department Managers are responsible for coordinates the medical
check-up schedule to the team.

Refer to : Working Instruction - WI-HSE-33 - Medical Check-Up

3.8 HSE Employee Orientation Program

Before designing the beginning, if applicable HSE orientation will be held and given to all
personnel who cover the company's policy. Standard and practice such as safe work
systems and emergency response planning, the use of PPE, risk reporting observations
and other programs.

When orientation, HSE personnel will ensure the completeness of PPE and other safety
equipment in good condition and fit for use.
Upon commencement of employment, all personnel will receive a copy of this HSE
Manual Handbook. Each personnel shall attend an HSE induction conducted by Scomi
HSE Manager. At this meeting, it will be discussed the contents of the Company’s HSE
to ensure that all personnel understand Scomi’s policy and commitments to HSE and
safe work practices and his/her obligations to perform the tasks in a sound manner.
Further items that will be discussed include, among others:

 The Organization structure of the Work and Safety Staff.

 Work procedures.
 Care of the working environment.

At the completion of the briefing session, the HSE representative and new employee will
sign a record of the meeting verifying the employee’s understanding of their obligations
regarding health and safety. PT Scomi Oiltools understands that Client will conduct its
own induction/orientation program for the project personnel prior to commencing the
works.

Refer to: Global HSE Manual Handbook

3.9 General HSE Training

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Where the Principal provides personnel, services, manuals, directives or instructions,

upon which SCOMI OILTOOLS personnel rely in good faith for their personal health,
safety and welfare, the Principal shall ensure:

 Every person required by law to be pre-qualified for performing a particular activity by

possessing a current and valid certificate of competency, license, authorisation or
qualification.

Refer to:

QP-HR-01-HR Development

WI-HR-03-General Training

4 Hazard Handling and Effect

4.1 Risk Management and Hazards Evaluation

All risk assessment will be conducted by people knowledgeable with the work processes
and in accordance with a written procedure or guideline, the person who will carrying the
risk assessment shall be trained in the procedure. The task based risk assessment
process should include the following steps:

 The identification of hazards at workplace

 The description of the risk

 An assessment of the severity and probability of injury

 A note of the control measure required to eliminate, control or minimize the risk

Where risk assessments have been completed, they must be published and made
available to the entire employee in the area addressed by the assessment.

HSE Plan Objective: To demonstrate that SCOMI OILTOOLS systematically manages

all potential risk reasonably likely to be incurred during the course of the contract, to
reduce risks to as low as is practicable.

By Whom When
MR= Management Representative A= Annual

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GM= General Manager AC= At commencement of Contract

QSE= Management Representative Blank= Not started
Safety
SS= Site Supervisor C= Completed
WS= Workshop Supervisor DC= During Contract
PS= Project Supervisor F= Fortnightly
DS= Distribution Supervisor O= Ongoing
OM= Office Manager OC= On completion of Contract
PC= Prior to commencing work
Q= Quarterly
W= Weekly

By Whom When Status

6.3.1 Obtain and review the Customer’s assessment and QSE AC
plans for responding to Major Accident Events (MAE) PS
6.3.2 Obtain and review the Customer’s general site QSE AC
emergency procedures and evacuation plans PS

6.3.3 Identify and document reasonably foreseeable hazards

arising from: QSE AC
* employees - customer, SCOMI OILTOOLS, PS
other contractors SS
* other contractors - interdependent and
interfacing with SCOMI OILTOOLS
* technology
* processes - air drilling, cuttings injection,
filtration, solids control
* hazardous substances - obtain Material Safety
Data Sheets (MSDS)
* designated plant - compressors
* systems and activities - rig up, operations, rig
down
* interfaces and communications - customer and
other contractors
* environmental conditions - waste disposal
* management systems - dependence on others
* other causes

By Whom When Status

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6.3.4 Assess likelihood of risks/ hazards occurring PS/SS

* review Incident Data Reports PC
* perform Job Safety Assessment - employee
involvement
6.3.5 Assess consequences of risks/hazards if they occur - SS
* review Incident Data Reports PS O
* perform Job Safety Assessment - employee
involvement
6.3.6 Analyse causes - QSE
* review Incident Data Reports AM O
PS
6.3.7 Develop control measures -
* employee involvement PS
* liaise with Customer to reduce or eliminate risk SS O
6.3.8 Document risk management - PS
* systems and procedures QSE PC

4.2 Hazards Identification and Risk Assessment

Hazards will be identified and assessed to determine the level/rating of a

particular risk. These risks should then be controlled via a combination of administrative
or physical controls. Scomi Oiltools will submit an initial HSE Risk Evaluation in the form
of a Job Safety Analysis (JSA) to Medco Energi.

During the project the steps of identifying, assessing and controlling the hazards
include JSA shall be repeated as part of an ongoing process, especially when there are
changes to the workplace. This shall be conducted with the full engagement of crews for
all critical tasks, jobs with a history of or potential for injury or incident, new jobs, changes
in any job & when new personnel are performing the task or there is new knowledge on
hazards observed or changes in legislation requirements. JSA form is attached to this
HSE Plan.

Reference:

WI-HSE-07- Hazard Identification and Risk Assessment

WI-HSE-11- How to Prepare Job Safety Analysis

JSA for this job

4.3 Handling of Hazardous Material/Chemicals

Where the Principal provides scheduled poisons or hazardous substances to

SCOMI OILTOOLS employees or contractors for use in the performance of a contract,

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the Principal shall supply a Material Safety Data Sheet (MSDS) for each poison or
hazardous substance so provided.

The principal shall ensure that every SCOMI OILTOOLS employee exposed to or
required to use or likely to be affected by Dangerous Goods or Hazardous Substances
are fully informed of their properties, hazards and effects, and all risks associated with
their use or exposure.

Where respiratory or other protective devices are reasonably required to safely

work with any scheduled poison or hazardous substance, and that requirement is known
to the Principal, the Principal shall either provide all necessary devices prior to
commencement of work or notify SCOMI OILTOOLS to enable suitable respiratory
protective devices to be supplied prior to commencement of work.

Reference:

WI-HSE-06-Control of Hazardous Substances

WI-HSE-09-Chemical Handling and Storage
WI-HSE-10-Chemical Spill

4.4 Hazards Management and Personal Protective Equipment

All Supervisors and Managers ensure that the work activities with which they are
involved are assessed for hazards.

This assessment comprises the following elements:

(i) Information on any hazardous substances which may be used or arise as a

result of the work (MSDS).
(ii) Information on the exact nature of the work, which will be conducted, and
potential hazards, who will carry out the work and how the work will be
performed.
(iii) Requirement for PPE is noted on the Work Permit/JSA.

All PPE shall be inspected before use by the wearer to check for any damage or soiling
which may obviously be detrimental to its performance. In the case of any doubt, the
item of PPE shall be replaced from stores.

To minimise, as far is practicable, exposure to hazards, SCOMI OILTOOLS will provide

each employee with protective clothing and equipment including, but not limited to,
appropriate:-

 Coverall
 safety gloves;
 hearing protection
 safety glasses, safety goggles and face shields
 steel-capped safety boots
 hard-hat

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Conforming to current Indonesian Standards.

Each SCOMI OILTOOLS employee has a statutory duty to use such protective clothing
and equipment as is provided, in a manner in which the employee has been properly
instructed to use it.

Contractors to SCOMI OILTOOLS, and their employees, are also bound by statute to the
above conditions.
Each line Manager is responsible for ensuring that the appropriate PPE is requisitioned
and issues to departmental personnel and that everyone understands how to use the
equipment issues

The line manager is responsible for enforcing the correct use of personal protective
equipment in his area of responsibility. Managers will give best demonstrate safety
leadership by wearing PPE themselves, when visiting work areas. Employee shall be
trained or briefed in the correct use of PPE.

Standard issue PPE is to be appropriated to the work hazards to which the employee will
be exposed. All manual and offshore workers are required to wear coveralls and safety
boots at all times. Clothing will be provided to protect personnel exposed to the bad
weather effects of rain and the extremes of cold and heat. Hearing protection must be
provided to personnel working in areas where noise levels may exceed 85 decibels.
Safety hats shall be provided where appropriate. Safety glasses should be provided to all
personnel and worn in defined hazardous areas. The appropriate eye protection in the
form goggles, welding goggles shall be worn by any persons engaging in or observing,
the hazardous activities of welding, burning, grinding, hard stamping or handling of
chemicals. Additional PPE will be provided if required for special hazardous task.

Type Specification Amount*

Head Protection TOP Guard ANSI Z89.1-1986 2

V Guard ANSI Z89.1.1997

Eye protection ANSI Z87.1-1989 2

Hearing ANSI S3.19-1974 2

protection

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Respiratory MSHA, NIOSH, ANSI Z88.2 2

protection

Hand protection ANSI, NFPA, ASTM F739-97, NIOSH, SII/SNI 2

(for canvas gloves only)

Body protection FRC No. 06/08 Coveralls antiflame, Reflective 2

3M-USA, art 8935 comply NFPA 1971,
2112,2113

Foot protection ANSI Z 41-1991, ANSI Z41, 1999, SNI/SII (for 2

toe cap)

*1 for engineer, 1 for spare

Reference:

WI-HSE-13 - How to Choose Appropriate PPE

WI-HSE-14 - How to Issue PPE (and Training for Users)

5 Planning and Procedures

5.1 HSE List Procedure

The Procedures-Working Instruction will be used in this project are as follows:

1. WI-HSE-01- HSE Project Planning and Implementation

2. WI-HSE-02- Incident-Accident Reporting and Investigation
3. WI-HSE-03- Emergency Response Plan
4. WI-HSE-04- Permit to Work System
5. WI-HSE-05- Personal Protective Equipment
6. WI-HSE-06- Control of Hazardous Substances
7. WI-HSE-07- Hazard Identification and Risk Assessment
8. WI-HSE-08- Waste Handling
9. WI-HSE-09- Chemical Handling and Storage
10. WI-HSE-10- Chemical Spill
11. WI-HSE-11- How to Prepare Job Safety Analysis
12. WI-HSE-12- How to Conduct Toolbox Talks
13. WI-HSE-13- How to Choose Appropriate PPE
14. WI-HSE-14- How to Issue PPE (and Training for Users)
15. WI-HSE-15- How to Conduct Safety Inspection

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16. WI-HSE-16- Evacuation Procedure (Jakarta Office)

17. WI-HSE-17- Confined Space Entry
18. WI-HSE-18- Working at Height
19. WI-HSE-19- Crane Safety
20. WI-HSE-20- Energy Isolation
21. WI-HSE-21- Vehicle Maintenance
22. WI-HSE-22- Lock Out - Tag Out
23. WI-HSE-23- HSE Organisation and Responsibilities
24. WI-HSE-24- Consultation and Communication
25. WI-HSE-33- Medical Check Up
26. QP-QMS-01- Control of Document & Record
27. QP-QMS-02- Internal Audit
28. QP-QMS-05- Calibration Procedure
29. QP-HSE-03 - Journey Management Plan

The progress of the implementation of the HSE Procedures and Program is tracked on a
quarterly basis at the Management Review meetings to ensure:
 Continued applicability/suitability of controls;
 Changes to operation, or outside influences that may change the risk significance;
 Opportunities for improvement (risk elimination, reduction); and
 Re-determination of risk ranking and priority and consequent review of objectives and
targets.

 Permit to work

As per COMPANY requirements and procedures. These shall include such permits as
the following, suited to the Contractor’s and Sub-Contractor’s scope of works:
- Confined Space Entry Permit
- Electrical Permit
- Hot Work Permit

Reference: WI-HSE-04- Permit to Work System

Medco Energi may have own formal work permit policy. It is the responsibility of Scomi
OIltools employees to know and follow any Permit To Work policy and system in force at
any location

5.2 HSE Standard & Basic Regulation

 All controlled documents (procedure) is place in public folder, and all of employee can
access the documents in lock pdf format

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 Each new employee and for refreshment, Scomi Oiltools given global HSE manual. And at
the end of page of this manual, employee who already read and understand the manual,
put their signature on it as the application of safe working practices and forward to HSE
Department and or Human Resources Department

Refer to:

HSE Regulation Scomi

5.3 Emergency Response Preparedness

The Principal shall provide and designate a safe area away from the workplace,
accommodation and ablution facilities to which SCOMI OILTOOLS personnel may
assemble with confidence.
The Principal shall ensure that all safe assembly areas are suitably identified and
signposted, and that their location is clearly communicated to SCOMI OILTOOLS
personnel.
In the case of serious health or injury situations requiring urgent medical treatment, the
Principal shall provide appropriate means of transportation and suitably qualified
personnel to ensure that the SCOMI OILTOOLS employee or contractor is treated with
due care and diligence.
All work has a potential to cause a variety of injuries that could require first aid or
emergency treatment. The field teams will carry an approved first aid kit with them. The
following items represent the key procedural issues that must be followed for all fieldwork:

 Project Managers/HSE representative must ensure that all fieldwork briefs contain an
emergency telephone contact list;
 Every onshore field survey team must carry a first aid kit set with them in the field;
 All injuries must be reported immediately following first-aid treatment. The approved
Accident Report Form will be submitted by the General Manager/HSE representative
for each job related accident or incident. If necessary, the employee will be referred to
an emergency room for further treatment.
 In the event of serious trauma the employee should be stabilized by one group of
employees while the emergency phone number list is consulted and evacuation
procedures initiated. Workers with suspected back or neck injuries are NOT to be
moved unless their life is immediately threatened by surrounding circumstances until
professional emergency assistance arrives.
 All survey team members should be particularly aware of the risks of heat exhaustion,
and should monitor each other constantly for warning signs. Any team member who
feels that he is suffering from the effects of heat should IMMEDIATELY inform his
nearest colleague for assistance.

Scomi Oiltools will be responsible for providing necessary medical services and first aid
facilities for all its personnel employed on the Project for the duration of the work.

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Medivac SCOMI OILTOOLS – MEDCO ENERGI

Haslan Harun 08118588830
GENERAL Manager

Boy Imlex
DWM Manager
0811988356

Yulfi Erni 081282307945

Syaifulloh Amro 0858 778837

HR MANAGER
QHSE MANAGER

HSSE MEDCO ENERGI

HSE Rep & Team Leader

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The Emergency Procedure includes are:

1. Fire Evacuation Procedure

2. Flood Evacuation procedure
3. Emergency Response Process
4. Emergency Team Structure
5. Crisis Trigger
6. Chemical Spill Response

 Emergency Response Plan

 A responsible person will be assigned the duty to check Fire Fighting Equipment
on a monthly basis and ensure it remains in operational conditions. This check will
be recorded
 Scomi OIltools location will maintain a fire evacuation procedure for any facilities,
regular fire drills are mandatory. As minimum evacuation drills are to be conducted
twice a year
 The emergency response precautions will include provision for environmental spill
 kits at strategic locations at major basis and operational locations.

Refer to: WI-HSE-03 - Emergency Response Plan

WI-HSE-10 - Chemical Spill
Emergency Contact and Medevac
 Fire Fighting Equipment
 Fire Extinguishers
 Fire Fighting Protective Clothing
 Fire Fighting Apparatus

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The Principal shall provide appropriate means of responding to fires of a kind reasonably
likely to occur at the workplace.
 Fire Alarms
 Evacuation Procedures
The Principal shall ensure that in the event of a fire, all personnel are promptly
notified of any hazard or risk and evacuated to a designated safe area.
 Fire Fighting Personnel
The Principal shall provide appropriately trained and experienced fire fighting personnel.
Except in the case of minor fires associated with SCOMI OILTOOLS plant or equipment
and for which SCOMI OILTOOLS employees and contractors have been trained and
equipped to respond, all fire-fighting activity shall be performed by the Principal, or his
nominee.

5.4 HSE Equipment

Equipment Maintenance and Inspection

Routine Certification
Inspection
No Equipment
Lifting Certificate Valid until
date

1 Shaker double deck V JAN 08, 2024

JULI 8, 2023
VSM 300
2 Shaker double deck V
JULI 8, 2023 JAN 08, 2024
VSM 300

3 V JULI 8, 2023 JAN 08, 2024

FLC 500 Derrick
4 V JULI 8, 2023 JAN 08, 2024
3. FLC 2000
Derrick
HSE Aspect this equipment includes are:

1. Equipment Maintenance Work Instruction

Refer to:
WI-DWM-MNT-06 Maintenance Checklist Weekly/6-12 Monthly

5.5 Occupational Health

Scomi Oiltools is responsible for controlling all hazards at the place of work, to prevent
harmful effect resulting in the ill health of its employees. This is achieved through the

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provision of certain medical services; the control of the working environment and of
harmful substances and effects found there; the issue and correct use of PPE.

Information on any occupational health hazard and guidance to promote healthy living will
be provided on a staff notice board.

5.5.1 Medical Support

 All employment candidates are to receive a medical examination prior tp

commencement of employment, subject to local regulation, established and
accepted practice

 First aid facilities provided at work are to meet the minimum legislative
requirement; whenever possible the level of fisrt aid facilities abd other
medical support services should reflect the isolation of the workplace from
hospitals and other advanced medical services

 Scomi Oiltools reserves the right to require an employee to have their health
and fitness checked by a medical doctor during or after a period of sickness
or injury

WI-HSE-33 - Medical Check Up

5.5.2 Health Promotion and Housekeeping

HSE department will promote the Health issue to the employee through

 HSE Poster

Scomi shall apply General housekeeping whenever works at the office nor at the
project site.
Especially on site project this guideline must be apply:
 Ensure all of the workplace include camp always clean and hygiene
 All of the equipment stored and place orderly
 Use the right PPE (Personnel Protective Equipment) when cleanup workplace

Reference:

QP-HSE-02 - Waste Disposal Handling

5.6 Environment

Before and during the operation we will always minimize the direct impact on the
environment, and this goal will be achieved by protecting water, air, land, wildlife and
humans from the impact of our operations in the area of drilling projects. We refer to the
legislation in force in the territory of Indonesia.

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Medco Energi – PT. SCOMI OILTOOLS

5.6.1 Waste Management Plan and Procedure

Scomi use third party (Waste disposal Company) to manage and arrange disposal
process of waste and we received.

Refer to:
QP-HSE-02 - Waste Disposal Handling
WI-HSE-08 - Waste Handling
WI-HSE-10 - Chemical Spill

5.7 Journey Management

Transportation is essential to our business. Even when Scomi Oiltools not

responsible for the transportation provided, Scomi Oiltools have a duty of care to ensure
that the employee going to travel safely, by being trained, instructed, informed and aware.
Scomi OIltools does not recommend unsafe transport. This applies to all forms of transport
that we use: cars, boats, helicopter, airplanes, motorbike etc. All should be used safely and
correctly.

Scomi Oiltools always plan the route and advise the base of departure time and
estimated arrival time. Phone the base upon arrival.

Our Journey Management Objectives:

 To maintain the complience to driving policy
 To ensure every driving activity is planned and as per purpose
 Optimization of operational cars avalaible

Vehicle Requirements:
 All vehicles must fulfill the requirements stated under the contract scope of service
and always comply with Local regulation.
 All vehicles shall have a valid Police Registration (STNK).
 All commercial vehicles (Bus, Truck, and Pickup) shall possess a valid KIR.
 Seat belts shall be securely fitted and in good condition as required by Government
of Indonesia regulations.
 All vehicles shall be maintained in a safe working condition. In particular the
following items/systems shall be in good operating order.

Reference:
QP-HSE-03 - Journey Management Plan
 Light and Heavy Vehicles Operations

Vehicles that used by PT. Scomi Oiltools are categorized by:

1. Light vehicle

All light vehicle work (Cars, pickups, light trucks <5 ton)

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Medco Energi – PT. SCOMI OILTOOLS

2. Heavy vehicle

All heavy vehicle work (FOCO, Trailer, Forklift, Crane (> 5 ton)

All of vehicle use in this project will be maintained and inspection regularly either
owned by Company or rented by the Company.

Reference:

WI-HSE-21 - Vehicle Maintenance

 Maintenance and Inspection

All company transport shall be maintained and serviced on a regular basis on :

 Daily basis
 Weekly basis
 3 month
 6 month
Either owned by Scomi or rented by Scomi.
Reference:

WI-HSE-21 - Vehicle Maintenance

6 Implementation and Performance Monitoring

6.1 HSE Performance Measurement

It is the responsibility of HSE Representatives of Scomi to provide monthly and annually

HSE performance and forward to Project Manager and QHSE Manager. This report will
be accumulated onto monthly HSE Statistic Performance. This HSE Statistic
Performance incorporates the information of:
1. Output (accident)
 Fatality
 Lost Time Injury Case (LTI)
 Restricted Work/Day case
 Medical Case
 First Aid Case
 Oil spill
 Property Damage
 Others (Near miss)
 Vehicles
 Traffic accident
 Vehicle incident rate
2. Input
 Training Hours
 Site Inspection

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Medco Energi – PT. SCOMI OILTOOLS

 Toolbox
 HSE Meeting
 Observation card
 Performance Monitoring
Performance monitoring can be done in two basic ways:
 Active monitoring of preventive plans and controls in place to reduce the
probability of accident happening at all
 Reactive monitoring to events as they occur, followed by corrective action

To monitor HSE performance during the project, Scomi plans to maintain the following
documentation, among others:
 Work permits issued;
 JSA;
 HSE meeting minutes (Toolbox and Induction meetings);
 Incident reporting and investigation reports;
 Inspection reports and follow up action reports;

 Target & Program

QHSE DEPARTMENT TARGET 2024

PERFORMANCE INDICATOR YEAR 2024 REMARK

Output Indicator

1 LTI <1
2 TRC <1
3 MTC <1
4 Chemical Spill 0
5 Property Damage <1
6 Near Miss <1
7 Motor Vehicle Incident Frequency 0
8 RWC <1

Input Indicator
1 Employee Training Hours 12000
2 Meeting 352
3 Toolbox Talks 730
4 Inspection 48
5 Observation 250

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Medco Energi – PT. SCOMI OILTOOLS

 HSE Performance Records

Data for the above Performance Indicators will be collected and analysed by the
Operation Manager at monthly intervals.

Statistical data is reported monthly to the Oiltools International global Safety Adviser,
located in Aberdeen, Scotland, for trends analysis and comparison with equivalent
performance indicators from Oiltools International operations in more than thirty
countries.

Statistical data is consolidated and circulated to all divisions for information and
performance comparison.

3.1 Accident/Incident Report and Investigation

Scomi Personnel Team responsible for the activity being performed shall report all
accidents, incidents, unsafe acts and near misses. At all times SCOMI OILTOOLS
Accident & incident report forms will be used and submitted within 12 hours of incident.
SCOMI OILTOOLS shall also use Accident & Incident reports, or either COMPANY
template if required.

All Managers and Supervisors shall ensure that any incident or incident that happens
within their department or areas of responsibility is property reported and investigated

Managers shall encourage employees to report any incident, incident or hazardous

situation in accordance with the procedure,

Reference:

WI-HSE-02 - Incident-Accident Reporting and Investigation

7 HSE Audit and Review

7.1 Internal Audit Schedule

Scomi scheduled for internal audit on 6 monthly basis periods January 2024, please see
attachment HSE program for detail

3 days prior, QHSE manager inform to Project Manager to conduct HSE Management
system audit. QHSE Manager can inform the audit plan through audit plan letter and
should signed by project manager

Flow process:
1. Develop audit program
2. Prepare audit team
3. Opening audit

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Medco Energi – PT. SCOMI OILTOOLS

4. Audit
5. Closing audit
6. Corrective action
7. Close the CPAR (close out audit)
8. Documentation

Reference:
QP-QMS-02 - Internal Audit
QP-QMS-04- Control of Non-Conformity
QR-HSE-04- Workplace Inspection Checklist

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