Sie sind auf Seite 1von 44

MES - TSW OCCUPATIONAL Project : TJB Exp.

Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

TABLE OF CONTENT

Content Page

TABLE OF CONTENT........................................................................................................................ 1

OCCUPATIONAL HEALTH & SAFETY POLICY.......................................................................... 4

1. SCOPE ....................................................................................................................................... 5

2. OBJECTIVES ............................................................................................................................ 5

3. SAFETY AND ENVIRONMENTAL TARGET ...................................................................... 5

4. RESTRICTED AREA ............................................................................................................... 6

5. IDENTIFICATION OF PERSONNEL ..................................................................................... 6

6. HEALTH AND SAFETY AWARENESS PROGRAM............................................................ 6


6.1 Safety Induction ......................................................................................................... 6
6.2 Toolbox Meeting........................................................................................................ 6
6.3 Safety Mass Meeting ................................................................................................. 7
6.4 Health and Safety Promotion & Campaign................................................................ 7
6.5 Health and Safety Training ........................................................................................ 7

7. ALCHOHOL AND DRUGS...................................................................................................... 7

8. MEDICAL EVACUATION & EMERGENCY RESPONSE ................................................... 7


8.1 Medical Evacuation..................................................................................................... 7
8.2 Emergency Response Team...................................................................................... 8
8.3 Identification of Potential Emergency Condition....................................................... 8
8.4 Emergency Response Plans........................................................................................ 9

9. DUTIES AND RESPONSIBILITIES ....................................................................................... 9


9.1 Site General Manager ................................................................................................ 9
9.2 Project Safety Officer / Supervisor.............................................................................. 9
9.3 Construction Manager ............................................................................................... 10
9.4 Superintendent & Supervisory Personnel.................................................................... 11
9.5 Subcontractors .......................................................................................................... 11

10. SAFETY STANDARDS AND ADMINISTRATIVE REQUIREMENTS ............................... 12


10.1 Regulations and Standards...................................................................................... 12
10.2 Project Management Obligations............................................................................ 12
10.3 Occupational Health and Safety Organization........................................................ 12
10.4 Incident Report........................................................................................................ 12
10.5 Occupational Health and First Aid.......................................................................... 12

Page |1
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
11. SAFETY INSPECTION (PRE-MOBILIZATION & PERIODICAL SAFETY CHECK) ....... 13

12. MACHINERY & EQUIPMENT................................................................................................ 13


12.1 General Requirements............................................................................................. 13
12.2 Manually Operated Chain Hoist.............................................................................. 13
12.3 Heavy Equipments................................................................................................... 13
12.4 Manual & Powered Tools....................................................................................... 14

13. SUBMISSION OF WORK PLANS............................................................................................ 14

14. SAFETY COMMITTEE.............................................................................................................. 14


14.1 Safety Committee Organization Chart.................................................................... 14
14.2 Individual Responsibilities...................................................................................... 15
14.3 Safety Committee Meeting..................................................................................... 16

15. GENERAL TECHNICAL REQUIREMENTS.......................................................................... 16


15.1 Gate and Exit Way.................................................................................................. 16
15.2 Illumination............................................................................................................. . 17
15.3 Ventilation............................................................................................................... 17
15.4 Housekeeping.......................................................................................................... 17
15.5 Fire Prevention & Fire Extinguisher....................................................................... 17
15.6 Protection from Falling Objects.............................................................................. 18
15.7 Protection for Falling Person / Safety Barriers and Railings.................................. 18
15.8 Noise and Vibration................................................................................................ 19
15.9 Avoiding Unauthorized Person............................................................................... 19
15.10 Toilet....................................................................................................................... 19
15.11 Smoking Area.......................................................................................................... 19
15.12 Scaffolding.............................................................................................................. 19
15.13 Ladder..................................................................................................................... 20
15.14 Material Handling and Storage............................................................................... 20
15.15 Housekeeping in Workplace................................................................................... 21
15.16 Painting .................................................................................................................. 21
15.17 Electrical Safety...................................................................................................... 21
15.18 Crane Operation...................................................................................................... 22
15.19 Concrete Operation ................................................................................................ 22
15.20 Abrasive Wheel....................................................................................................... 22
15.21 Excavation............................................................................................................... 22

16. IONIZING RADIATION........................................................................................................... 23

17. WORKING ON OR OVER WATER......................................................................................... 23


17.1 General Requirement.............................................................................................. 23
17.2 Life Jacket and Buoyancy Aids............................................................................... 23

18. ENTRY INTO INERT OR CONFINED SPACES.................................................................... 24

19. ENVIRONMENT...................................................................................................................... 24

20. WASTE DISPOSAL REGULATION........................................................................................ 25

Page |2
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

21. SAFET Y IN THE OFFICE........................................................................................................ 25


21.1 Office Equipments.................................................................................................. 25
21.2 Office Behavior..................................................................................................... 25
21.3 Office Housekeeping............................................................................................... 26

22. PERSONAL PROTECTIVE EQUIPMENT.............................................................................. 26


22.1 General.................................................................................................................... 26
22.2 Face and Eye Protection.......................................................................................... 26
22.3 Head Protection....................................................................................................... 26
22.4 Safety Harness and Life Line.................................................................................. 26
22.5 Foot Protection........................................................................................................ 27
22.6 Working Clothes..................................................................................................... 27
22.7 Respiratory Protection Device................................................................................ 27
22.8 Hearing Protection.................................................................................................. 27
22.9 Hand Protection....................................................................................................... 27

APPENDICES
Appendix 001 Safety induction Training.................................................................................... 28
Appendix 002 Daily Safety Observation.................................................................................... 29
Appendix 003 Toolbox Meeting Record.................................................................................... 30
Appendix 004 Certificate of The Best Safety Performance – Subcontractor............................. 31
Appendix 005 Incident Investigation Report.............................................................................. 32
Appendix 006 Heavy Equipment Check List............................................................................. 36
Appendix 007 Fire Extinguisher Inspection Record.................................................................... 37
Appendix 008 Audit Sheet for Provision of Fire Extinguisher.................................................. 38
Appendix 009 Electrical Work Permit......................................................................................... 39
Appendix 010 Removal of Safety Protection Permit.................................................................. 40
Appendix 011 Hot Work Permit ................................................................................................ 41
Appendix 012 Certificate of Competence.................................................................................. 42
Appendix 013 Hazard Identification, Risk Assessment, and Control Measure.......................... 43
Appendix 014 Safety Violation Sheet........................................................................................ 44
Appendix 015 Temporary Pass Request Form........................................................................... 45
Appendix 016 ID Card Request Form........................................................................................ 46
Appendix 017 Vehicle Gate Pass Request Form........................................................................ 47
Appendix 018 Material Equipment Gate Pass............................................................................ 48
Appendix 019 Monthly Manpower Report................................................................................. 44
Appendix 020 Monthly Safety Statistics....................................................................................... 45
Appendix 021 Sling Inspection Sheet.......................................................................................... 46

Page |3
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

OCCUPATIONAL HEALTH & SAFETY POLICY

General Statement

Management MES-TSW JO regards health and safety at work as a matter of foremost importance and will
ensure that all reasonably practicable steps are taken for the continuing health, safety, and welfare of our
employees and any other persons who may be affected by our construction activities. Company will
allocate the resource necessary to ensure full implementation of this OHS Policy.

MES-TSW JO re-affirms project site commitment to health and safety and gives effect to the policy
through the safety management system which:
 Ensures compliance with relevant statutory legislation and safety requirements.
 Promotes safe working practices through regular use of the Construction Safety Manual (CSM)
 Provides monthly safety statistics to measure the safety performance.
 Sets health and safety objectives.
 Engages the cooperation of employees at all levels through consultation, training, personal
examples, the promotion of safety awareness and regular involvement of safety department staff at
all stages of project from inception through design, planning, and execution to completion and
maintenance.

The responsibility of Project Site Management in implementing this OHS Policy is regarded by MES -
TSW JO as fundamental to the company’s main objectives of operation in an efficient and profitable
manner.

A safety manager with responsibility for health and safety is appointed by the company. He will ensure the
provision of an effective organization and arrangement for the implementation of the OHS Policy.

Responsibility of monitoring compliance with this OHS Policy rests with the Safety Manager and his
Project Safety Officer. This is accomplished by regular site inspections from the project management staff,
reports by safety supervisors, and by planned schedules of safety audits conducted by company auditors.

This OHS Policy will be reviewed annually as a minimum and will be revised as often as may be appropriate.

MES-TSW JO

Project Manager

Page |4
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

1. SCOPE

The safety precautions contained in this OHSS Plan will serve as standard reference for all
construction employees and other personnel concerned, to make the new Tanjung Jati B Coal Fired
Power Plant Expansion Project Unit 3 & 4 (2 x 6600 MW) work site as safe place as possible for all
workers during the course of the entire construction period.

2. OBJECTIVES

o Structuring the project HSE Department within the Project Organization to ensure that all
Health Safety & Environment aspects are conscientiously and actively managed.

o To organize Safety Steering Committee comprising of key supervisory staff to coordinate all
Health Safety & Environment (HSE) activities within our project in order to enhance general
safety performance.

o To develop education and training programs throughout the construction period so as to instruct
our workforce in maintaining safe and healthy working conditions.

o To implement and conduct daily toolbox meetings among the workforce aimed to prevent and
reduce accidents. The most cost-effective away of doing this is by concentrating upon human
factors.

o To discuss all incident and accident reports arising from unsafe actions, unsafe conditions, near
misses, serious and minor injuries including first aid cases.

o To promulgate site safety auditing amongst employees and subcontractors aimed at improving
safety and preventing accidents.

o To create safety awareness with all staff personnel including line supervision and
subcontractors by promoting group discussion and problem solving sessions on all issues
pertaining to improved safety, efficiency and relationship.

o To ensure standardization and continuity of efforts toward safety.

o To enhance communication up and down the line on safety matters.

3. SAFETY AND ENVIRONMENTAL TARGETS

MES-TSW JO shall strive to complete his work with a zero fatality record. Safety will be an issue in
every meeting on all levels. In taking steps to ensure a safe working environment, MES-TSW JO
Management and Subcontractors shall aim to/for:
a. No Fatality
b. Reducing Lost Time Incident (LTI) and accidents. The rationale behind this is that all accidents
are preventable.
c. Provide a safe working environment so that all employees, staff personnel and subcontractors
are adequately protected.

Page |5
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

4. RESTRICTED AREA

o The area within the boundaries of the Tanjung Jati –B- Expansion Project MES-TSW JO Project
Construction Work site is classified as a “RESTRICTED AREA”.

o All visitors, newly recruited employees and workers are required to report to the Security
Department at the gate entrance for security check prior to entry into the project / construction
office or the restricted area.

o The construction site and the entire restricted area is classify as “HARD HAT AREA”.

o Wearing of appropriate personal protective equipment (PPE) such as helmet, protective footwear,
safety belt and protective eye goggle are mandatory and also a standard safety procedure when a
person is exposed to any risk or hazard within the construction surroundings.

o During the construction period, commissioning or handing over of site facility, no one shall enter
any part of the CLIENT’S PREMISES or PLANT FACILITY including the work site, other than
for the purpose of carrying out the work. All personnel needing access to the restricted area will
be required to obtain a Special Security Pass issued by Project Management and to show it, if
requested.

5. IDENTIFICATION OF PERSONNEL

o All employees engaged at the project construction site must wear identification name badge.

o For employees of Subcontractors, Identification badges will indicate the names of employees
and the subcontractor’s company they belong to.

o Identification badges will be given to all employees by MES-TSW JO when they have
completed safety induction training.

o All personnel employed and working on the Project construction site are required to submit three
(3) copies KTP size photographs to MES-TSW JO for processing of identification badge.

6. HEALTH AND SAFETY AWARENESS PROGRAM

6.1 Safety Induction


Safety officer is responsible for conducting safety induction for new employees (at all levels)
that being designated in the project before starting activities for the first time. Safety officer
shall inform the new employees all potential hazards that may present in the premises, how to
control hazard, and how to prevent incident. Safety Induction shall be documented mainly the
attendance list and induction topics. All subcontractors shall submit details of its employees
(key person, staff, and workers) to MES-TSW JO for safety induction and issuance of
identification badges.

6.2 Toolbox Meeting


Attendance of Toolbox Meeting is a group of workers involved directly in the work-place.
Toolbox Meeting can be conducted at any time with relatively short duration of time about 5 to
10 minutes and taken place in the premises. Toolbox Meeting should be conducted either by
supervisor or safety officer in simple way related to daily activities with emphasize to OHS to
Page |6
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
be implemented in every works carried out. Toolbox Meeting being conducted shall be
documented mainly the attendance lists and the topics being discussed. Topic for Toolbox
Talks should include but not limited to:
a. Good preparation of work.
b. Identification of hazards of activities being carried out.
c. Deviation from relevant work standards, practices, procedures, legal requirements,
etc found out during inspections.
d. Incident with its chronology and prevention action to be taken.
e. Instructions and information from project management or client.
f. Use of safe equipments and tools.
g. Safe materials storage and house-keeping.
h. Legal law, procedures, standards, etc.
i. Tidy up work area and tools/equipments at the end of work shift.

6.3 Safety Mass Meeting


Safety mass meeting is attended by managements and employees of main contractor and
subcontractors. Safety mass meeting is held regularly at least once a month. A topic of speech
related to OHS Philosophy or implementation shall be communicated to all employees by
management representative. Safety mass meeting shall be documented mainly the attendance
lists, the topics of safety speech, and photographs.

6.4 Health and Safety Promotion and Campaign.


Safety Committee shall regularly promote and campaign for OHS. Company shall grant award
for subcontractor or employee with the best OHS performance.

6.5 Health and Safety Trainings


Safety Officer shall generate health and safety training. Training shall be conducted regularly
in a certain period of time. Health and Safety Training shall include but not limited to the
following: System of Good Housekeeping, Working at Elevated Heights, Personal Protective
Equipment, Occupational Health and Safety in Construction, Fire Prevention and Control, Fire
Drill and Evacuation, Incident Investigation and Reporting, First Aid Treatment, Safe Use of
Equipments, Safe use of hand-tools. Project management shall ensure that all his personnel and
Sub-Contractor’s personnel under its employment have been given the necessary safety training
required by law and be familiar with MES-TSW JO OHS Plan prior to the start of the work.

7. ALCOHOL AND DRUGS

MES-TSW JO Project Management shall ensure that at any times during the performance of the
work, its personnel are neither under the influence of nor partake of any alcoholic liquor, drugs or
other intoxicating substances, other than for bona fide medical reasons. Anyone found under the
influence of alcoholic, drugs or other intoxicating substances will be removed from site.

8. MEDICAL EVACUATION & EMERGENCY RESPONSE

8.1 Medical Evacuation


 MES-TSW JO shall establish medical arrangement with the relevant hospital authorities
which are located nearby the project site in the event of an emergency. In particular, the
Project management will ensure that all it staff / personnel are familiar with the Essential
Medical Evacuation and Emergency Response Procedure. A schedule showing who is
responsible, what to do in case of emergency, and whom to inform will be placed at the site
entrance and the office building at highly visible locations.
Page |7
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 An emergency first aid facility and ambulance shall be provided by others. If in the early
stages this facility is not functioning each subcontractor shall establish adequate facilities to
serve this purpose, such as: a properly equipped first aid kit in a defined and marked
location; an employee trained in first aid and identified as such; a vehicle that will serve as
an ambulance in the event of an accident.

8.2 Emergency Response Team

Chief
PM/SGM

Evacuation Group Leader First Aid Group Leader


Safety Manager Senior Nurse

Evacuation Group Members First Aid Group Members


1. Site Manager 1. Nurse
2. Safety Officers 2. Safety Officers
3. Supervisors 3. Supervisors

Chief
Chief of Emergency Response Team shall be responsible for the whole process of emergency
activities including trainings for the team, simulation, and drill. Chief of Emergency Response
Team shall lead the team in coping with the emergency situation. Chief of Emergency
Response shall take decision to call for help from fire department, help from hospital, or help
from police station. Chief of Emergency Response Team shall make reports of emergency
situations.

Evacuation Group
Evacuation Group shall arrange evacuation process and guide people to the assembly point.
Evacuation Group shall coordinate with First Aid Group to evacuate injured people.
Evacuation Group shall try to cope with the emergency situation and coordinate with chief to
call for help from related department. Evacuation Group should try to save assets. Evacuation
Group should inventory assets and its defects.

First Aid Group


First Aid Group shall check if any person injured in the incident. First Aid Group shall give
first aid to injured person and evacuate him to save place. First Aid Group should escort
injured person to hospital if need to get further treatment in hospital. First Aid Group should
inform the family of the victim if necessary. First Aid Group shall prepare report of injured
persons.

8.3 Identification of Potential Emergency Condition


Hazard identification, risk assessment, control measure and its application shall refer to OHS
Plan. Emergency condition differs into emergency situation occurring accident with potential
of minor injury, major injury, permanent disability, or casualty or total property damage.

Page |8
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
8.4 Emergency Response Plan
Emergency Response Team shall establish operation method and job description for the team.
Emergency Response Team shall identify the needs of equipments and facilities. Project
Management shall ensure all employees, staff, and management fully aware of emergency
response through conducting sufficient communication and trainings regularly. Emergency
Response Team shall establish schedule of inspection of emergency response readiness,
schedule of training and re-assessment of emergency response readiness, reporting the
readiness of emergency response. Emergency Response Team shall ensure the provision of
sufficient emergency telephone numbers and address as follows: policlinic, hospital, fire
department, police station, electricity department, and rescue department.

9. DUTIES AND RESPONSIBILITIES

9.1 Site General Manager


Site General Manager shall provide his employees under MES-TSW JO Project Management
with a safe working environment and promote safety consciousness among all parties
concerned at all times. He shall:
 Be responsible for the implementation of the OHS Policy on the project.
 Ensure that OHS Policy is understood and carried out by all site employees.
 Assist the Safety Officer on site with the preparation of monthly safety meeting.
 Actively encourage all employees in their efforts to promote positive OHS attitude on site.
 Ensure that the causes of accidents are investigated and that the necessary corrective
measure are planned and followed up to prevent reoccurrence.
 Ensure the coordination of safety procedures is strictly complied with and adhered to by the
Client’s nominated subcontractors as well as MES-TSW JO own subcontractors.
 Formulate OHS audit schedule in consultation with MES-TSW JO Safety Manager and
ensure that the audits are carried out as planned.
 Instruction and training is made available and provided to all employees in order to
promote safe use of equipment, safe working methods and safe behavior.
 Provide personnel protection gear to all employees for the various work condition
applicable to them.
 An emergency plan and casualty evacuation plan will be provided.
 All employees are aware that pollution of the environment must be avoided.
 Keep him self and the Safety Officer informed and acquainted about the local rules and
regulations, updating of Company’s Head Office safety instructions and maintain liaison
with client and local Government authorities.
 Investigate, analyze and report all incidents and accidents.

9.2 Project Safety Officer / Supervisor


MES-TSW JO General Site Manager shall nominate his Safety Officer / supervisor to assist
him in executing his safety programs in every respect. The Safety Officer and Safety
Supervisor must be sufficiently capable to oversee the construction and safety activities at the
site. He shall be responsible for the safety, health, environment, and security aspects of the
project at the construction site. He reports directly to the Project Manager, advises and
supports him in matters of site safety policy, security and pollution. His Job Responsibilities
includes:
 Implementation of the approved OHS Plan.
 Coordinating with the MES-TSW JO Safety Manager in establishing a comprehensive
accident prevention program within the respective work groups.

Page |9
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 Co-ordinate all supporting activities such as induction courses, safety training, toolbox
meeting, weekly safety meeting instruction to the contractor’s supervisors and foreman in
scheduling daily toolbox meeting.
 Approve the use of all safety equipment in accordance with proper industrial standards and
subsequence purchase and maintenance.
 Ensure that all workers are properly trained and briefed by their supervisors on the hazards
pertaining to their respective work assignments and assure that necessary precautionary
measures are taken to avoid injuries.
 Insure that daily tool box meeting are being conducted .and attention is given to younger,
newly engaged, or illiterate workers. Ensure that the workforces are properly informed of
possible work hazards and the precautionary measures to be implemented and inspected by
the supervisor.
 Conduct, investigate and report all incidents and accidents with the accident investigation
team.
 Inspecting the construction area daily and as often as possible and identify appropriate
corrective actions on any unsafe acts & practices. Prepare daily inspection reports and
submit audit reports to the Construction Manager so that the necessary corrective measures
will be implemented.
 Approve and maintain all first aid supplies and medical equipment.
 Inspect and approved equipment such as scaffolding, lifting gears, power tools, welding
sets etc. Implement a tagging system to identify both useable and unfit installations and
equipment.
 Maintain and update the site Emergency and Casualty Plan with the Safety Manager.
 Organize regular safety drills.
 Keep and maintain all safety performance (man-hours) records including an incident /
accident logbook.
 Attend to all Safety related matters.

9.3 Construction Manager


The Construction Manager is responsible for the execution of the construction works as well as
safety in regard to working methods and safety procedures. He has the daily supervision over
all personnel, activities and operations at the work site and is responsible for security, pollution
control, safe working methods, safe equipment and safe behavior of employees. In order to
accomplish his task and duties in matter of health and safety, he will act in close co-operation
with the Project Safety Officer. He shall:
 Organize work methods / safety procedures to protect workers as far as practicable against
risks of accidents and injuries to health. For operation entailing an increased potential risk
( i.e. heavy lifting ) he will see to it that the necessary lifting plans, method statements and
safety briefing will be made available or applied in time and he will take care that proper
supervision and safety precautionary measures are taken prior to the execution of such
activities.
 Ensure that all machines, appliances, vehicles or other equipment conform to all official
safety regulations and requirements applicable to them. If there are none, it will be so
designed or protected in such a manner that they can be operated safety.
 Provide adequate supervision to ensure that workers perform their work in a safe and
healthy environment. Carry out safety audits and site inspections on the work site on a daily
basis.
 Co-ordinate work interfaces that are done jointly by a number of persons and organize
meetings aiming to instill co-operation and mutual understanding among all for the
avoidance of risks ; and ensure that hazardous work be specially supervised by a qualified
or competent person.

P a g e | 10
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 Only assign qualified and competent supervisors and workers who are suited by their age,
physique, state of health and skill.
 Ensure the instruction and notices should as far as practicable be in the language of the
workers employed, being Bahasa Indonesia and/or English.
 Make available at the site office, for the use of workers, copies, drawings, or summaries of
national or local regulations and where appropriate, instruction and notices relating to
protection against accidents and injuries to health, or post such texts up in prominent
positions at suitable places.
 In case emergency situation, he will take the leadership of emergency and evacuation
operations and adhere to the Emergency and Evacuation Plan in as much as is practicable.
 Ensure that regular safety drills, such as personal transfer over water and man overboard
drill, man down due to fall etc., are being conducted at suitable intervals to test and enhance
the medical evacuation operation.
 Do not permit machines, equipment or workplaces in which dangerous defects have been
found to be utilized until the said defect had been remedied or corrective action taken.
 Adjust or coordinate construction work, based on the detailed work planning and schedules
taking into account a risk analysis, as well as safety factors, particularly during adverse
weather and rough sea conditions for offshore work.
 Take immediate corrective actions when so requested by the client.

9.4 Superintendent & Supervisory Personnel


The Superintendent and Supervisor shall instruct his workers to comply with the following:
 Before beginning work, workers should examine their workplaces and the equipment that
they are to use and should forthwith report to their superintendent / supervisor or any other
competent superior in regard to any dangerous defect that they may find.
 Worker should make proper use of all safeguards, safety devices and other appliances
furnished for their protection or the protection of others.
 Except in emergency, no worker, unless duly authorized, should interfere with, remove,
alter, or displace any safety device or other appliance furnished for his protection or the
protection of others, or interfere with any method or process adopted with the view of
avoiding accidents and injuries to health.
 Workers should not interfere with equipment such as machines and appliances that they
have not been duly authorized to operate.
 Workers should not sleep or rest in dangerous places such as scaffolds, garages, or in the
vicinity of hot work areas; storage places for dangerous or toxic substances; at locations of
running machines or vehicles and heavy equipment.
 Workers should acquaint themselves with and obey all safety rules and health instructions
pertaining to their work.
 Workers should refrain from careless or reckless practices or actions that are likely to result
in accidents or injuries.

9.5 Subcontractors
 Subcontractors shall inform MES-TSW JO names of their employees and obtain MES-
TSW JO Project Management approval prior to their assignment.
 Subcontractors shall ensure that their employees be informed of, and have the opportunity
to participate in, the safety activities required by MES-TSW JO and which subcontractors
are obliged to initiate in pursuant to the contract.
 Subcontractors shall take active steps in the implementation of site safety regulations, as
well as work procedures which are identical to those required from MES-TSW JO. The
project Safety Department shall regularly check the subcontractors to ensure compliance
with safety requirements.

P a g e | 11
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 MES-TSW JO Project Management may refuse access to its work site to any of
subcontractor’s personnel who, in its opinion, do not comply with MES-TSW JO working
standards for safe and good workmanship, for reason of poor work attitude, lack of co-
operation, lack of skill or insufficient training and experience; any or all of which that
might jeopardize safety discipline or pose a safety risk to them and others.

10. SAFETY STANDARDS & ADMINISTRATIVE REQUIREMENTS

10.1 Regulations and Standards


MES-TSW JO with commitment to implementing OHS Plan shall in the execution of work be
fully responsible for the compliance with relevant local laws and regulation, standards, and
codes of practice.

10.2 Project Management Obligations


 Providing well arrangement of work areas, equipments, work environments, and work
methods in order to protect employees from any accidents.
 Ensuring machines, vehicles, and other means needed in the project complying with health
and safety regulation, and those means shall be safely operated.
 Ensuring employees working under adequate supervision in order to supervise employees
working in health and safety manner.
 Designating competent person as safety officer who due to his position in the organization
authorized to supervise all task being carried out in order to prevent any possible hazards
and accidents.
 Providing suitable tasks for employees considering their skill, age, sex, and physical
condition.
 Ensuring all employees received safety orientation and informed about hazards of their
tasks and the efforts of prevention, contractor shall provide signage, warning boards, and
any other necessary steps.
 Ensuring Safety officer taking responsible for regular checking of work-areas, equipments,
all means of accident prevention, work-environments, and safe work methods.

10.3 Occupational Health and Safety Organization


 MES-TSW JO that employs minimum 100 employees or in case of demanded by project
situation shall establish Safety Committee.
 MES-TSW JO shall:
a. Provide Safety Committee with necessary facilities for their activities.
b. Consult with Safety Committee in all aspects related to occupational health and
safety in the project.
c. Take practical steps to set effect of recommendation issued by Safety Committee.
 Subcontractors joined in MES-TSW JO project shall cooperate in establishing OHS
activities.

10.4 Incident Report


Every dangerous incident or accident shall be reported to related party. Incident report shall
cover the statistic that:
a. Showing record of accident of each task, each employees, and
b. Showing pictures of accident and the causes.

10.5 Occupational Health and First Aid


 MES-TSW JO shall ensure all employees undergo medical check-up.

P a g e | 12
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
a. Before starting the work for the first time (Medical checkup before starting the job
emphasize to physical and individual health)
b. Periodically depending on the risks of the tasks.
 Data of medical checkup shall be recorded and documented for reference.
 Emergency response and first aid plan shall be prepared involving all related local
components as first aid officers, equipments, means of communication, and traffic rout.
 First aid in occurrence of accident or illness shall be carried out by doctor, nurse, or
competent person trained in first aid.
 Adequate first aid equipments and first aid kits shall be provided in the premises with
condition of free from dust and in an appropriate humidity, etc. First aid kit shall contain,
but not limited to, adhesive bandages, gauze pads, large-triangular bandages, sold pack,
iodine antiseptic, eye lotion, medicine, scissors and cotton clip, etc. Contains of first aid kits
shall be checked regularly so that they remain complete, first aid kits shall not be empty.
 If employees designated in areas where hazards of drowning or poisonous gases considered
present, means of rescue shall be located close to their work areas.
 Quick response shall be well prepared to evacuate ill or injury employees to the nearest
hospital.

11. SAFETY INSPECTION (PRE-MOBILIZATION & PERIODICAL SAFETY CHECK)

o Prior to commencement of work, all construction equipment shall be checked to ensure their
safety, reliability and in safe operation condition.

o A monthly maintenance plan or inspection schedule shall be implemented to assist the smooth
execution of the work.

12. MACHINERY & EQUIPMENT

12.1 General
Project Management shall provide and operate its equipments in compliance with the company
safety requirements or Local Legislative Safety Pertaining (Building Operation and Works of
Engineering Construction (Regulation) 1985.

12.2 Manually-Operated Chain Hoists


Chain hoists shall be of larger/adequate capacity than the regular work requires. Supports of
the hoist shall be strong enough to carry the load to be handled.

12.3 Heavy Equipments


 Heavy equipment shall be operated only by authorized person. Operators of mobile heavy
equipment and trailers shall be licensed by the Local Authority. Periodic inspection shall be
made to ensure that the condition is maintained at all times. Operators shall be responsible
for proper care and cleanliness of the equipment assigned to them and shall make reports of
defect or unusual conditions found therein. Operators shall be in good physical and mental
condition and shall be capable of holding responsibility for safe operation of their
equipment. The operator shall not allow any unauthorized persons to operate the equipment
assigned to him nor shall he allow such persons to ride on the equipment while it is moving.
Operator shall never leave equipment with the engine running. When equipment is left
overnight, it shall be locked, blocked, and otherwise barricaded so that unauthorized
persons cannot get in to start or move it.
 Equipment that is electrically operated shall be properly grounded at all times. No

P a g e | 13
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
equipment shall be operated where there is danger that it may contact high-voltages lines.
Equipment shall not be oiled while it on operation and shall not be refueled while the
engine running. Employee shall not get "ON" or "OFF" moving equipment.

12.4 Manual and Powered Tools


Manual tools or power tools shall be in good condition. Tools shall be regularly cleaned,
inspected and maintained. Tools shall be regularly inspected. Do not use if the tool is damaged.
Use the correct tools in performing the job. Power tool shall only be operated by competent
person. Portable electric tools shall completed by proper guards. Tools shall be placed in safe
place and proper position to avoid tripping hazard. Power tools shall be hoisted or lowered by
hand line, never by the cord to avoid any damage of it.

13. SUBMISSION OF WORK PLANS

Subcontractors will be employed at least one week prior to the commencement of the project
construction work. They must submit a copy of a total work plan to MES-TSW JO Project
Management for review and approval. The WORK PLAN should include:
 List of personnel to be engaged in the Work
 Organogram including safety organization chart, indicating names of supervisory staff and
foreman and number of personnel to be mobilized.
 Entire work schedule and / or work procedure
 Manpower and equipment mobilization charts.
 List of safety protective equipment to be supplied for each job profession.

14. SAFETY COMMITTEE

14.1 Safety Committee Organization Chart

Chairman
Site General Manager

Secretary
Safety Manager

Non Executive Members Executive Members


Engineering Manager Construction Manager
Procurement Manager Site Engineer
Finance & Adm. Manager Safety Officer
QA/QC Manager Subcontractor Site Manager
Subcontractor Safety Officer

P a g e | 14
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

14.2 Individual Responsibility

Responsibility of Chairman:
a. Chairman shall plan, develop, review, and implement health and safety programs,
procedures and standards.
b. Chairman shall ensure provision and maintenance of safe plants, equipments, and
workplaces.
c. Chairman shall ensure that employees, subcontractors, visitors, and public members
on premises under control of the company.
d. Chairman shall ensure safe working practices at all times and in accordance with
relevant statutory regulations, codes of practices, guidance note, or other recognized
advice on safe working procedures.
e. Chairman shall provide for and ensure that employees at all levels receive adequate
training and instruction to enable them to carry out their duties in a competent and
safe manner.
f. Chairman shall create safety culture and safety awareness by promoting safety
meeting and talks, encouraging safety training, enforcing reward and punishment.
g. Chairman shall review reports of inspections, accident investigation includes the
near-misses, unsafe conditions and acts, etc. and make final recommendations.
h. Chairman shall set a personal example on the premises by performing safety
behavior and wearing appropriate PPE at all times.

Responsibility of Secretary of Safety Committee


a. Secretary shall advise senior management about the duty care of the company and
the responsibility of employees in order to achieve compliance to health and safety
regulations, procedures, and standards.
b. Secretary shall be aware of and keep up to date all relevant health and regulations,
codes of practice, guidance notes and safety procedures etc. for reference and to
provide advice and recommendations regarding their application.
c. Secretary shall initiate health and safety committee meeting at least once a month.
d. Secretary shall arrange workplace inspections to ensure that safe working methods
are maintained with compliance to health and safety regulations, with authority to
introduce alternative arrangements or improvements if considered necessary.
e. Secretary shall prepare reports of accident investigation includes the near-miss
accidents, unsafe conditions and acts, etc. and make rectification recommendations
to prevent re-occurrence in the future.
f. Secretary shall liaise with government inspectors, insurance companies, and other
authorities as required.
g. Secretary shall provide necessary training as first aid training, fire fighting training,
fire drill and evacuation training, safe use of equipments training, etc.
h. Secretary shall ensure that new employees attending induction training before
commencing work on the premises.
i. Secretary shall recommend Best Safety Performance – Subcontractor.
j. Secretary shall recommend reprimand, suspension, fines, dismissal of health and
safety regulation violators to chairman of committee.
k. Secretary shall stop the operation in cases where endangering the employee, clients,
subcontractor, visitor, and properties.
l. Secretary shall ensure emergency response procedure is available and understood by
employees, especially in obtaining medical and ambulance services in case of
serious injury.

P a g e | 15
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

Responsibility of Non Executive Members:


a. Non executive members shall attend health and safety committee meeting and
contribute advices related to safety issues in the project.
b. Non executive members shall educate employees through performing personal
example of observance to health and safety regulation in the premises
c. Non executive members shall perform safety behavior and wear PPE at all time in
the premises.
d. Non executive members shall participate in health and safety trainings and seminars.

Responsibility of Executive Members


a. Executive members shall establish and organize operation under their control to
ensure that work is carried out in a safe manner complying with acceptable
standards with minimum risk to all persons, property equipment and materials.
b. Executive members shall be aware of and observe the requirements of the Health
and Safety at Work Act., construction regulation, other relevant statutory
requirements, and approved-codes of practice, guidance notes, and safety procedures
appropriate to the operation under their control.
c. Executive members shall carry out instructions of operation under their control with
particular reference to safety procedures and keep records of each inspection. Ensure
that statutory registers and records etc. are completed accurately as required by
regulations and other instructions. Arrange for any remedial or improvement work to
be carried out without delay.
d. Executive members shall ensure employees in the premises under their control have
received adequate working instructions, commencing tasks in safe area, and means
of prevention of accidents and unnecessary risks are carried out.
e. Executive members shall ensure subcontractors and their employees observe
adequate safety procedures and statutory regulations, shall review any confusion
about areas of responsibility, and shall liaise with clients or other representatives to
ensure the safety of all persons affected by the works in the premises.
f. Executive members shall ensure that PPE is available and being worn by employees
as required by statutory regulations.
g. Executive members shall encourage the observance of health and safety regulation
by personal example.

14.3 Safety Committee Meeting


Safety Committee Meeting shall be held weekly and attended by: Project Manager, General
Site Manager, Construction Manager, Safety Manager, Safety Officer, and Subcontractors Site
Manager, and Subcontractor Safety Officer. Subcontractors shall be responsible for
maintaining and enhancing the safety awareness of their staff and laborers, by introducing
their own daily tool-box meeting and Weekly Production Meeting which should include safety
matters as the first item of the agenda.

15. GENERAL TECHNICAL REQUIREMENTS

Premises and Equipments

15.1 Gate and Exit Way


Gate and emergency exit shall be made in the premises. Gate, exit way, equipments, and
accessories in those places shall be well maintained. Gate shall be provided with safety sign
posts in order to remain the people entering premises obligated to follow safety regulation.
Gate and exit way shall not be obstructed by any materials, equipments, activities, and etc.
P a g e | 16
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

15.2 Illumination
Illumination is need of lights in work area to carry out activities effectively. In case of natural
illumination is not adequate, appropriate artificial illumination shall be provided in the whole
area including all passage-ways. Means of illumination shall be safely fixed and able to
provide adequate illumination, and shall be maintained by competent persons to ensure no
occurrence of hazards related to those means. Natural or artificial illumination shall be
arranged effectively to avoid dazzling lights.

15.3 Ventilation
Adequate ventilation for fresh air circulation shall be provided in closed work-area. If
necessary to prevent health hazard due to dust and gases contaminated air, exhaust fan shall be
provided. In case of elimination of hazardous dust and gas is technically impracticable,
employees shall be equipped with appropriate Personal Protective Equipment (PPE) to prevent
hazardous gas penetrating their respiratory system.

15.4 Housekeeping
Waste and unused materials shall be moved to a safe particular place. All protruding nails shall
be removed or bent to prevent accident as punctured by nail. Small materials and equipments
shall not be scattered on the floor to prevent slipping and tripping hazards. Waste of materials,
rubbish, and equipments shall not be accumulated in work area. Work areas and passage-ways
that slippery due to oil spillage shall be immediately cleaned or poured by sands. Easily
moveable tools and equipments shall be returned to storage after being used.

15.5 Fire Prevention and Fire Extinguisher


 Occupied work areas shall be equipped with adequate fire extinguishers.
 All supervisor and some workers shall be trained to use fire extinguishers and designated as
fire marshals. Fire marshals shall attend work area during working time.
 Fire extinguishers shall be well maintained and checked regularly in certain period by
competent persons. Means of fire fighting as water-hoses, portable fire extinguisher, and all
accesses to those means shall be well maintained and free from any obstructions. Means of
fire fighting shall be positioned in easily seen and reachable places.
 Means of fire fighting shall be provided at least one number for:
a. In a room where combustible materials being stored.
b. In every place where hot work being carried out.
c. On every level/floor of under construction building with presence of combustible
materials.
 Means of fire fighting made from dry chemical materials shall be provided for:
a. Places with presence of flammable liquid.
b. Places with presence of oil, gasoline, gases, and heating appliances.
c. Places with presence of asphalts and asphalt-boiler.
d. Places with presences of electric hazards.
 Means of fire fighting shall be checked and maintained regularly to avoid technical defects.
 Means of fire fighting containing chlorinated hydrocarbon or carbon tetrachloride shall not
be used in narrow or closed spaces.
.
Heating Appliances
Heating-appliances as charcoal stove shall only be used in a well ventilated area. Heating-
appliances with open flame shall not be positioned near exit way. Appliances with risk of fire
as gasoline stove and charcoal stove shall not be put on wooden floor nor any other floor made
from combustible materials. Plastic sheet, canvas materials, etc. shall not be placed close to
heating-appliances with open flame and to be placed in safe area to avoid any fire hazards.

P a g e | 17
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

Flammable Materials
Flammable materials as sawdust, oily clothes, and unused pieces of wood shall not be
accumulated on work area. Overall uniform sprayed with oil shall not be kept in a closed area.
Chemical materials that reactive to water shall be kept dry. Inside building, waste of oil shall
be placed in closed-cans. No smoking and no naked flame close to flammable materials.

Flammable Liquid
Flammable liquid shall be stored, transported, and used in a particular safe way to avoid
occurrence of fire. Fuel for heating-appliances shall not be stored inside building or equipment,
except stored inside fire-proof designed can or equipment. Fuel shall not be stored close to
doors and exit way.

Inspection and Supervision


Regular inspection shall be carried out in places where fire hazards considered exist. Those
include places close to heating-appliances, electricity installations, store of flammable
materials, areas with hot work as welding. Personnel in charge for fire watchman shall standby
during working time or even resting time.

Emergency Information and Signage


Information board shall be fixed in attractive and strategic places with information of:
a. Nearest fire alarm.
b. Telephone number of nearest Local Fire Department

Fire Exit and Assembly Points


Adequate fire exit shall be provided on the premises with clear signage displayed on the wall.
Fire exit shall be free from any obstructions and in good housekeeping to prevent tripping and
slipping hazards. Assembly points shall be arranged in a large-safe area outside the premises
and marked with clear signage. Assembly points shall be free from obstructions and hazards as
falling objects, fire, falling, hitting by vehicles, etc.

15.6 Protection from Falling Objects


 Effective means shall be fixed to protect employees from falling objects. Scaffolding
materials, waste of materials, tools and equipments shall not be thrown from height as they
may become a danger for other people. In case of materials and equipments are not safely
moveable from height, necessary steps of precaution shall be taken as installation of fences,
warning and signage, or provision of separate access in order to avoid people harmed in
accident.
 Employees are prohibited to enter silo, warehouse, storage of fuel/coal, with exception:
a. Holding authorization to
b. Outlet of silo shall be closed with protection
c. Employees shall use full body harnesses with lanyards anchored to firm and strong
object/holder.
d. Employees shall work under strict supervision.

15.7 Protection for Falling Person/Safety Barriers and Railings


Safety barriers and railings to protect slab openings, wall openings, high position working
areas shall be made from good and strong materials and construction. Rail, rope, or connection
chain shall be fixed in the middle between upper toe board and lowest part of the upper
railings. Posts in adequate numbers shall be installed to ensure stability. Toe-board shall be
free from sharp edges and to be maintained properly.

P a g e | 18
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

Open Slab and Opening on slab


Opening on the slab shall be protected using cover, barriers, and other effective means. In case
those means of protection need to be removed to allow materials or personnel movement,
when the movement finished those means of protection shall be reinstalled or replaced
immediately. Cover of slab openings shall be safe for people and if necessary for vehicles
moving on it. It shall be on the same level with the slab and not to obstruct the traffic.

Openings on the wall


Openings on the wall which is with potential of falling person hazards shall be protected with
barriers. Small openings on the wall shall be protected with toe-board.

Elevated Work-Area
Work-area which is more than two meters high above the floor shall be completed with safety
railings. Elevated work-area shall be completed with particular access as ladder. If necessary
to avoid hazard of working in elevated place more than 2 meter, use full body harness.

Prevention of Falling into Water


Employees presented in an area with hazards of falling into water and drowning shall use life
jacket or buoys. Means of rescuing people falling into water shall be provided in the vicinity
and easily be accessed.
.
15.8 Noise and Vibration
Hazardous noise and vibration exposed to employees shall be reduced and considered under
acceptable limit. In case of noise cannot be reduced, employees shall use means of hearing
protection.

15.9 Avoiding Unauthorized Person


Premises shall be fenced. Unauthorized person shall be prohibited to enter premises, unless
escorted by authorized person and wearing appropriate personal protective equipment.

15.10 Toilet
Toilet is sanitary facility covering bath room, WC, and wash basin to be used by employees
during work-time. Toilet for ladies shall be separate from toilet for gents. Toilet shall be
cleaned by house-keeper regularly. Toilet shall be free from insects and rats. Water used in
the toilet shall be clean and appropriate with toilet needs.

15.11 Smoking Area


Non-smoking policies in the premises shall be implemented strictly to avoid fire hazard.
Smoking area for smoking person shall be provided by contractor outside or inside the
premises. Smoking area shall be well ventilated and if necessary to be completed with exhaust
fan. Smoking area shall be completed with sand-box for cigarette buts. Adequate means of
fire fighting shall be provided in the smoking area. Smoking area shall be cleaned regularly to
avoid presence of waste and combustible materials.

General Construction Work

15.12 Scaffolding
 All scaffolds shall be erected or dismantled by competent person. All scaffoldings or
temporary floors materials shall meet the requirements in strength and rigidity.
Scaffoldings or working platforms shall be securely fastened to the building or structure.
 All runways, scaffolds, or other working surface more than two meters high above an
adjoining surface shall be effectively guarded with strong railings. Such railings shall be
P a g e | 19
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
minimum one meter high.
 Suspended scaffolds shall have railings, intermediate railings and toe boards. Scaffoldings
shall not be used for the storage of materials. Lifting heavy materials shall not be carried
out from ladders of scaffoldings. Scaffoldings shall not be overloaded beyond their
working capacity.
 Workers assigned to work in the scaffoldings or temporary floors shall wear safety
harness with lanyards anchored to lifelines. Life-lines shall be in sufficient length to allow
workers moving freely in commencing their works.
 Scaffoldings shall be inspected regularly. Scaffoldings and platforms erected by sub-
contractors shall be carefully inspected and certified before used. Supports or braces of
scaffoldings shall not be removed until the works completed.
 Workers shall not jump to or from scaffoldings, drop heavy materials from scaffoldings,
throw objects from or to scaffoldings. Workers shall not carry out any tasks during high
wind with speed of 50km/hour.
 A safe means of access to the scaffold, either by stair or permanent ladder shall be
provided.

15.13 Ladder
 Ladders used shall be in accordance with standards. In placing a ladder, the distance from
foot of ladder to building against which it is leaning shall be approximately one-fourth of
the length of the ladder. In other words, if a 12-feet ladder shall be placed, the foot shall
be three feet away from the building. Ladders with weak rungs shall not be used. Ladder
shall not be placed in front of door without first locking the door or designating a
watchman. Stepladder shall be fully spread before used.
 Workers shall grip side rails while using ladder. If it is not practical to grip side rails,
workers shall grip rungs securely with both hands while descending or ascending.
Workers shall not work on a high ladder during wind with speed of 50 km/hour. Workers
shall not carry any tools in both hands when climbing or descending. Workers shall face
ladder when climbing or descending and keep eyes on rungs while climbing, there might
be broken rungs. Workers shall ensure their shoes cleaned and not slippery before
climbing or descending. Workers shall not lean too far to one side of ladder.
 Ladder shall not be loaded by more than one person at one time. Ladders shall not be
placed against window glass nor leaned against unsteady backings such as loose boxes or
barrels.

15.14 Materials Handling and Storage


 Safe load limit for frequent lifting of compact objects is 25 kg for average male worker. If
worker is doubt about weight of the object, a test lift shall indicate whether or not it is
within his lifting capacity. If the object is too heavy for him, he shall ask for assistance. A
similar help shall also be sought when lifting bulky or unhandy load or when the object
lies in an awkward position.
 When lifting heavy objects, worker shall make sure that his footing is secure, assume a
squatting position with his back erected and then raise the object by straightening legs.
This technique shall bring legs muscles into use and lessens back strain.
 Workers shall ensure their hands free from any oily, greasy, or slippery substance, and
fully grip the object before lifting it. Workers shall keep front end high and rear end low
especially at corners or in places where vision is obstructed when carrying long materials
such as pipes, lumbers, ladders, etc. Before lifting and carrying heavy object from one
point to another, worker shall first inspect route to be taken, make sure there is no
obstruction or slippery substance spilled on the floor which might cause him tripping or
slipping, and shall ensure there is sufficient clearance.
 Materials stored inside under construction buildings shall not be placed within two meters

P a g e | 20
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
from hoist way, and floor openings. Stairways, passageways, gangways, and access ways
shall be free from materials, supplies and obstructions at all times.
 Storage yards shall be free from unusable combustible materials. Sources of ignition shall
be prohibited in areas where flammable liquids are stored, handled and processed. Suitable
warning and "NO SMOKING" signs shall be posted in all such areas. Rubbish or other
combustible materials shall be kept from areas where flammable and combustible
materials are stored, handled or processed. Spillage of flammable and combustible liquids
shall be cleaned up immediately. Accumulation of combustible and flammable liquids on
floors, walls, etc. is prohibited.

15.15 Housekeeping in the Workplace


 Materials shall be stored in an orderly manner and properly secured to prevent them from
falling. Employees shall observe the standard procedures and instructions on materials
handling applicable to their crafts. Materials shall be stored in such a way as not to
obstruct fire exits, fire protection system, vehicular traffic, electrical boxes and stairways.
Remove or bend all protruding nails. Cracks, splinters, ruts and breaks on the floor shall
be reported and/or repaired as soon as they are discovered.
 Spillage of oil, grease or other slippery substances shall be wiped off or removed from
ramps, pathways, shower rooms, floors, etc. Leftovers or cuttings on the job such as
lumbers, re-bars, steel, welding butts, etc., shall not be left around where they shall pose a
tripping and/or stored if still usable. Flammable liquids, oily rugs and other highly
combustible materials shall be stored properly in separate and safe place.
 It is the responsibility of the supervisor/foreman to see to it that the working area is kept
clean and tidy. Waste or trash drums/cans shall be placed in strategic places in the work
area.

15.16 Painting
 Paint soaked rags shall not be left in lockers or in coverall pockets. They shall be spread
out to dry or put into metal containers. Paint in which turpentine has been used as thinner
shall not be used on hot surfaces. This might cause vapors to ignite or the fumes emitted
might suffocate workers.
 Spray hose shall be securely fastened to a scaffold so it shall not become loose and hit or
drag a man off.
 Adequate ventilation to prevent the accumulation of flammable vapors to hazardous levels
of concentration shall be provided in all areas where painting is done or paints are mixed.
 No smoking, open flame, exposed heating elements, or other sources of ignition of any
kind shall be permitted in area or rooms where spray painting is done.
 Workers shall clean their skin thoroughly of any coating materials. Do not use thinners to
remove paint from hands or skin. Use only recommended creams and cleaners.

15.17 Electrical Safety


 Employees shall not wear rings, watches, or carry keys, lighters, or other similar metallic
objects while working on electrical equipment. Employees shall wear suitable and
required personal protective equipment as safety shoes, hand gloves, etc. and it shall be
dried. Employees shall be instructed in the use of electrical equipment and shall be
prohibited from tampering and blocking circuit breakers, using wrong fuses, or by-passing
fuses. Employees shall not work on, or in proximity of unprotected live circuits unless
adequate safety measures have been taken (Permit to Work)
 Electrical switchgear shall be labeled to identify the equipment controlled. Adequate
warning signs shall be placed in all electrical equipment.
 Water shall not be used on electrical equipment fires. When possible, electrical equipment
shall be “OFF” before attempting to extinguish an incipient stage fire.

P a g e | 21
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 Electrical installation and all electrical equipment shall be periodically inspected and
tested by the authorized persons to assure continued satisfactory performance and to detect
deficiencies. The power supply source shall be disconnected before repairs or services are
performed on power tools. Electrical tools and equipment shall be adequately earthed
 Authorized personnel shall be allowed to perform all electrical works. Reparation of
electrical equipments shall be carried out by authorized personnel.
 Portable electrics tools and extension leads shall be fitted with proper plugs and sockets
and shall not be connected by inserting bare wires into the sockets. Electric leads shall be
preferable hung in safe positions, not lying on the ground, and especially not in wet area.

15.18 Crane Operation


 Cranes, hoists, and etc. shall be operated and maintained in a safe manner to comply with
local standards. Cranes and lifting gear shall have current test certificates. Authorized and
competent persons shall act as banks men and shall use the hand signals prescribed by
acceptable Standards. Banks men shall know color code for the use of slings etc.
 Licensed, well trained, and experienced operators shall operate cranes. Operators shall test
hoist, travel, slings, brakes, etc. at the start of each shift. Operator shall not allow anyone
to ride on load and hook chains during lifting work.
 Banks men shall arrange loads correctly balanced prior to lifting operation. Operators and
banks men shall aware of obstacles within lifting radius. Banks men shall never use point
of hook for lifting. Banks men shall ensure lifting area is clear and all workers in the
vicinity aware of loads being lifted.
 Banks man acting as signaler shall stand in a secure position where he can see the load and
can be seen clearly by operator. Signaler shall face the operator if possible. Signaler shall
ensure signals given distinctly.

15.19 Concrete Work


Employee shall avoid to ride concrete-buckets or to work under concrete-buckets while
operated. Employees shall be required to wear proper PPE to prevent cement burns.
Employees applying cement, sand, and water mixtures through a pneumatic hose shall wear
face protection in addition to safety glasses. Employees designated to place or tie
reinforcement steel at height more than 2 meters shall use proper scaffolding/ladder and
safety harness.

15.20 Abrasive Wheel


Employee shall be strictly prohibited to operate an abrasive wheels unless he has been trained
and authorized by his employer to undertake this duty. Abrasive wheel shall not be fitted
other than to the correct spindle. Abrasive wheel especially on portable equipment shall be
operated carefully to avoid damage or crack. Abrasive wheel shall be guarded to avoid
accident related to it. Employees shall not wear loose uniform, necklace, watch, ring, and long
hair to avoid entangled hazard. Employees shall wear proper eye protection while operating
abrasive wheel.

15.21 Excavation
 Safety barriers shall be installed around excavation to prevent entry of unauthorized
person. Safety signpost warning deep excavation shall be placed around excavation where
it can be easily seen. Heavy vehicle shall not pass near edge of excavation as it may cause
collapse of edge and vehicle. Employee shall wear appropriate PPE for working inside
excavation.
 Safe access to excavation shall be provided for employees prior to commencing any work
in the excavation. Material shall not be stacked on the edge of excavation as it may slide
into excavation and causing damage to material and harm to employee. Material shall be

P a g e | 22
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
stacked with safe distance from edge of excavation as engineer recommendation.
Sufficient Illumination shall be provided for the excavation. Means of pumping water out
of excavation when necessary is to be provided.

16. IONISING RADIATION

o Any work involving ionizing radiation shall be executed as much as possible outside normal
working hours.

o A component radiation protection advisor and radiation protection supervisor must be appointed
and procedures established to comply with statutory regulation and be at least as stringent as the
guide lines set out in the Ionizing Radiation Safety Guide. The following points are noted :
a. All activities involving ionizing radiation shall be conducted, by a minimum of two
persons.
b. Qualified / classified persons, authorized by the contractor.
c. Personnel executing activities shall carry calibrated, personnel radiation metering devices
at all times (which must be worn in the correct position).
d. The work area shall be protected against unauthorized entry by adequate barriers or roped-
off by plastic tape including warning signs prior to starting work. Safe distance to be
specified.
e. Radiation matter evaluation and calibration intervals to be specified and recorded. Record
shall be available on site.
f. No radio-active material shall be left unattended unless stored in a designated, fit for
purpose storage.
g. Storage area shall be equipped with relevant warning signs and shall be locked to reduce
the risk of unauthorized access.
h. Established emergency response procedures to handle such events as damaged source
containers and fires in the storage area.

17. WORKING ON OR OVER WATER

17.1 General Requirement.


 Where there is a risk of person falling from a structure into water, a secure barrier must be
provided. This can be removed for access and movement of materials, but must be
replaced back as soon as possible.
 Safety nets, if used, must be properly erected.
 If safety nets are not being used or some other forms of effective barrier are not in place,
then safety harness must be used in combination with a life jacket.
 Warning signs must be placed near the edges of the working area.
 Adequate lighting must be placed near the edges of the working area.
 Special care must be exercised in inclement weather, particularly high winds.
 A life buoy / lifeline system must be to hand.
 A rescue vessel must be on stand-by within the immediate vicinity.
 Be aware of the possible source of fumes / gases that could render someone unconscious
and take suitable additional precautions (e.g., respirators, increased support, and
evacuation procedures).

17.2 Life jackets and Buoyancy Aids.


 Life-jackets should be worn for all works conducted from floating platforms or vessel (and
working over water if no effective barriers are in place).

P a g e | 23
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
 All life jackets shall be designed to turn and support a floating unconscious wearer face up.
 If there is a danger that the employee could be swept away by currents or may not be seen
(if working at night) then the life jackets must be equipped with a whistle and a water
activated light.
 Employee shall be given instruction on the use of life jackets, rescue equipment and all
related procedures.
 All personnel shall work in pairs or more and be counted frequently.
 All equipment is to be checked on a regular basis.
 A man overboard or man in the water exercise should be undertaken prior to work
starting.

18. ENTRY INTO INERT OR CONFINED SPACES

o A confined space is an enclosed working place which has restricted access and inadequate natural
ventilation. Typical confined spaces are barge manholes of water ballast tanks, sewers, shafts,
funnels & cellars.

o The three main hazards are suffocation (due to lack of oxygen), fire and explosion (flammable
gases) and poisoning (overcome by toxic gases).

o Entering a confined space will only be allowed when safety procedures are being followed in line
with the “Entry into confined Spaces” safety procedure.

o Employees designated in confined space shall be competent persons.

o Employees designated to work in confined space shall fully understand the emergency response
procedure in emergency situation.

o Employee shall not work alone in confine space. There shall be one partner designated as
watchman outside confined space who will act immediately in emergency situation exposing
employee working inside confined space.

o Confined space shall be provided with sufficient ventilation and illumination.

o Confined space shall be free from fumes, oil, gases, and flammable materials.

o Employees shall wear suitable personal protective equipment.

o Confined space temperature shall be control by any means to obtain acceptable temperature for
human body

19. ENVIRONMENT

o MES-TSW JO and subcontractors shall pay due regard to the environment by preserving air,
water, soil and plant life from adverse effect of the construction activities, and minimize any
nuisance which may arise from such operations.

o Spillage of oil or chemicals shall be avoided by containment around tanks and other practical
methods, however should spillage occur it must be cleaned up immediately in view of the hazards
from fire, slippery surfaces, toxic substances, etc.

P a g e | 24
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
o Appropriate safety precautions shall be taken during the clearing up operation.

20. WASTE DISPOSAL REGULATIONS

o HSE Department will be the focal point for waste control and monitoring. They will advise the
relevant departments of the approved waste disposal methods and shall keep a record of all
inventories of waste and their movements.

o Dense waste is all disposed materials in dense form included disposable from industrial activities.

o Liquid waste is all waste in the form of liquid includes feces.

o All parties generating waste must inform HSE department of their waste inventories at the end of
each week.

o Store, transportation, an annihilation of domestic waste shall comply with local legislation.

o All hazardous materials and waste generated must be properly sorted, treated if necessary, and
disposed of following the GOI regulations on B3 waste.

o Before B3 waste can be removed or disposed of, the waste transporter must fill in the waste
disposal application form and submit to HSE department for clearance approval.

o The contractor transporters should be licensed. They should understand and be trained on waste
handling safety and disposal procedures.

o All non-toxic and non-hazardous waste including domestic waste must be dumped at approved
local dumping grounds with permission from the local authorities.

o All toxic waste generated shall not be dumped into the drainage system.

o All toxic waste shall be neutralized where possible and stored in secure steel drums marked
“POISON, KEEP OFF” and moved to a safe and secured location for disposal later following
approved methods.

21. SAFETY IN THE OFFICE

21.1 Office Equipments


Office furniture shall free from sharp edges / corners. Desk drawers shall be closed to prevent
tripping over them. Plugs of all electric machines and equipments shall be removed from the
sources during after office hours. Cables and wires shall be arranged in particular way to
avoid presence of tripping hazard. All electric office machines shall be provided with
equipment grounding before used. Liquid things or items shall not be placed on top of
electrical or electronic equipments due to wetting sensitive parts thereof could load to
equipment shorting, breakdown, and damaged.

21.2 Office Behavior


Employee shall be prohibited running in office. Door shall not be pushed nor opened abruptly
or slammed when closing. Nobody shall stand within the path of the door swing. Employees
shall ensure able to see over and around when carrying a stack of materials and walking in
office. Employees shall be prohibited scooting across the floor while sitting on a chair.
Employees shall avoid leaning out from the chair to pick up objects on the floor since it
P a g e | 25
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
considered dangerous. Blade of paper cutter shall not be left in the upright positioned.
Breakable objects shall not be left on the edge of desk or table where they can be easily
pushed off. Materials and documents shall be filed neatly and firmly to prevent them from
crumbling on the floor or fall over. The heaviest and largest pieces shall be on the bottom of
the files..

21.3 Office Housekeeping


Office housekeeping shall be maintained regularly. Littering in office shall not be allowed.
Any liquids spillage shall be wiped immediately. Broken glass shall be swept immediately
and disposed off in a safe place. Tripping hazards such as defective floors, rugs, floor mats,
electric cords shall be reported to the maintenance personnel for immediate replacements
and/or repair.

22. PERSONAL PROTECTIVE EQUIPMENT

22.1 General
MES – TSW JO Project Management shall ensure provision of qualified PPE and effective
use PPE. Personal Protective Equipment (PPE) is means used by employee to protect a whole
or parts of human body from potential hazards or work-related accident. Use of PPE is the
last effort of hierarchy in controlling hazards after elimination, substitution, engineering
control, and administrative control.

22.2 Face and Eye Protection


Eye protection shall be worn by employee whose duties indicate the need for protection.
Impact type safety goggles or glasses shall be worn during activities involving flying or
falling objects or particles such as but not limited to chipping, grinding and hammering.
Safety glasses or goggles are also required in areas that include but not limited to: use of
compressed air to clean or blow out debris, potential dust hazards, cutting and tying of cables
or wire rope, operations where there may be danger from spraying of oils and chemicals. Arc
welding work requires the use of welding mask.

22.3 Head Protection


Standard safety helmet shall be worn in job site. Before used, helmet shall be inspected for
cracks, signs of impact or rough treatment and wear that might reduce the degree of safety
originally provided. Those found damaged should be replaced. Alterations of any kind shall
not be made on the helmets such as painting, etching, and cutting as these would impair the
performance of the headgear.

22.4 Safety Belt/Harness and Lifelines


Safety belt/harness is a device worn around portion of the body that will provide protection to
wearer from a fall. Lanyard is a rope (could be manila or steel cable) suitable for supporting
one person with one end fastened to a safety harness and the other end secured to a life line,
structure or substantial object. Life line is cable or rope string horizontally or vertically from
one substantial object to another providing a means of traveling between those two objects
and maintaining full protection between those objects. All persons working on elevated
structures such as steel-erections, steel-men, painters, welders, carpenters etc shall wear
safety belt / harness or lifelines. Safety harness shall be securely fastened on rigid and firm
braces, framings, life lines, and the like. Lifelines shall be tied to permit as little slack as
possible and thus stop a man with minimum free fall. Safety harnesses and lanyards shall be
worn and used in the following circumstances:
a. On all stages, floats and any other type of suspended scaffolding
b. On all scaffold with incomplete decking or incomplete guardrail
P a g e | 26
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
c. On sloping roofs
d. Within 2m of the edge of floors or roofs where there are no guardrails or wire rope
railing
e. In any unprotected elevated location 2 m high or more

22.5 Foot Protection


Employees shall wear foot protection appropriate for the activity and conditions. Alterations,
mutilations, and defacing of safety shoes should be prohibited. Safety shoes should be kept
clean.

22.6 Working Clothes


Employees shall wear prescribed working clothes for a particular job. Loose clothes shall not
be allowed while working around moving machines or energized lines or equipment.

22.7 Respiratory Protection Device


Respiratory protection devices shall be used for activities that cannot be safely controlled by
engineering methods, such as for highly toxic materials application; and when the working
atmosphere is or may be oxygen deficient, if so, air supplied respirators shall be used.
Supervisor shall ensure respiratory used suitable with the hazard present.

22.8 Hearing Protection


Employee shall wear hearing protection as ear plugs or ear muff if exposed to noise above
85dB with exposure duration 8 (eight) hours. Hearing protection used shall be comfortable
and able to reduce the noise to lower than 85dB. Hearing protection used shall not humping
working activities carried out.

22.9 Hands Protection


MES-TSW JO Project Management shall select and require employees to use appropriate
hand protection when employees' hands are exposed to hazards such as those from skin
absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures;
chemical burns; thermal burns; and harmful temperature extremes. Employee shall wear
appropriate hand gloves at all time when their hands are exposed to hazards that may harm
their hands.

P a g e | 27
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 001

Safety Induction Training

I have attended Safety Induction Training and received information related to:

1. Potential hazards and risks in work area:


a. Falling from height, falling into deep hole, falling into the sea.
b. Cut, scratched, punctured, lacerated, sliced by sharp materials.
c. Trapped in a fire or explosion, experienced electric shock or hot surface.
d. Falling objects, be pinned under heavy object, hit by heavy equipment or vehicle, and crushed
by rotating parts.
e. Exposed to harsh weather as storm, heavy rain, and high temperatures.
f. Bit by noxious animals or insect such as snake, scorpion, etc.
g. Exposed to extreme noise, radiation, poisonous materials.

2. Control and prevention of risk in the work area:


a. Installment of safety barrier, cover for openings, over head protection.
b. Placement and storage of equipments and materials in tidy and safe manner.
c. Postage of warning sign, banner, and posters.
d. Use of PPE suitable for the hazards.

3. Attitude and behavior in work area:


a. Bewared of hazards at all time, commencing work in safe manner, avoiding unsafe action that
may endanger people; equipments; or materials.
b. Complying with site safety regulation, paying attention to and abide by safety and warning
signs in work area.
c. No fighting, no horseplay, no gambling, no stealing, no alcohol, no illegal drugs on work area.
d. No weapon (cold steel or gun) on work area.
e. Unauthorized person is prohibited to operate machine/equipment/heavy equipment.
Machine/equipment/heavy equipment shall only be operated by authorized competent person.
f. Reporting unsafe conditions, unsafe action, near misses, incident, and accident to supervisor.
g. Keeping good housekeeping of work area, no littering, dumping garbage to garbage bin.
h. No smoking on work area. Smoking is only allowed in designated smoking area.

Tubanan, Date……………………………………..

Name of attendance: …………………………………… Signature: ……………………………

Acknowledged by,

Name of trainer: ………………………………………. Signature: …………………………...

P a g e | 28
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 002

DAILY SAFETY OBSERVATION

Name : Date :
Trade : Signature :

OBSERVATION RISK PRECAUTION


(H, M, L)

Acknowledged by,

…………………………..
Safety Manager

P a g e | 29
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 003

TOOLBOX MEETING RECORD

Topic Date
Location Conducted By

ATTENDANCE

No. Name Sign No. Name Sign

1. 23.

2. 24.

3. 25.

4. 26.

5. 27.

6. 28.

7. 29.

8. 30.

9. 31.

10. 32.

11. 33.

12. 34.

13. 35.

14. 36.

15. 37.

16. 38.

17. 39.

18. 40.

19. 41.

20. 42.

21. 43.

22. 44.

P a g e | 30
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 004

SAFETY COMMITTEE
MES – TSW JOINT OPERATION

To Certify
………………………………
As
The Best Safety Performance – Subcontractor

(Periode of …………….…..)

We Thank You for The Outstanding Contribution in Promoting Health and Safety Culture in
Tanjung Jati B Expansion Coal Fired Power Station Project Unit 3 & 4

Jepara,……….,
…………...

…………………………
Committee Chairman

P a g e | 31
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 005

INCIDENT INVESTIGATION REPORT


Purpose of Investigation
The purpose of completing this investigation is to identify all of the essential and contributing factors so that
action can be taken to prevent the incident from happening again.
PROJECT DETAILS

PROJECT REPORT NO.

PROJECT MANAGER COMPANY

NO INVESTIGATION TEAM MEMBERS POSITION SIGNATURE

1.
2.
3.
4.
5.

INCIDENT DETAILS

DATE/TIME OF OCCURENCE

LOCATION

WEATHER CONDITIONS
□ Work related Shift worked From: From :
□ Day □ Night Shift hours Overtime
To : To :
□ Journey/Work travel related

□ Injury occurred
□ Property damaged □ Near Miss
(Complete Form A-details of injured person)
Fist aid □ Hospitalized □ Fatality □

NOTIFICATIONS
OFF SITE NOTIFICATIONS DATE / TIME HOW
Head Office

Main Contractor

Labor Department

Police

Fire Department

Hospital

Others

P a g e | 32
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

Incident Description
Where did the incident
happen?
What was the task?

Description of incident

What equipment, tools, PPE


and materials were being used?

Detail of injuries/damage

What was the apparent cause?


(General and specific comments
as required)

Where possible, include photos,


Sketches and witness
Statement. Use additional
attachment if needed.

WITNESS NAME OCCUPATION EMPLOYER

P a g e | 33
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

ROOT CAUSES OF INCIDENT/HAZARD/NEAR MISS (Review the lists below and tick those that are thought to have contributed to the cause of incident)

Equipment Worker Environment Management

 Poor Lighting  Fatigue/ Stress  Ambient conditions (wind,  Hazardous work method
dust, rain etc) specified
 Excessive Noise  Physical/disability affecting  Excessive Noise  Lack of supervision
performance
 Difficulty in Operating  Culpable Act  Terrain  Provision of correct safety
(tools, equipment, etc) equipment or clothing
 Manual Handling  Skylarking or misconduct  Temperatures  Inadequate training provided

 Congested / bad work area  Possible personal problem  Poor Housekeeping  Poor Housekeeping Standard

 Hazardous machine, tool or  Inexperience in task being  Building surface conditions  Poorly maintained equipment
equipment performed (stairs, floors)
 Malfunction or defect in  Failure to use safety clothing  Storage/ stacking of material  Suitable plant/equipment
machine, equipment unavailable
 Unsuitable safety clothing  Hazardous work method used  Exposure or contact chemicals  Inadequate or no documented
or equipment or other harmful material procedures
 Difficult to maintain  Possible influence of alcohol or  Exposure to infectious sickness/  Insufficient inadequate
drugs disease instruction or information
 Inadequate guarding or  Act or omission of another  Visibility  Production pressure
protection person

State the Action to be Taken to Prevent it Happening Again


Short Term Action PIC Date of Completion

Long term action PIC Date of Completion

Reported by,

Safety Officer …..…………………………………………………….. Sign ……………….. Date ………………………………............

Acknowledged by,
EMS SM …………………………………………………………………… Sign ………………... Date …………………………………………..

EMS SGM. Sign …………………. Date ……………………………………………

FORM A
P a g e | 34
Incident Investigation Report
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-

DETAILS OF INJURED PERSON


(Complete a Separate Sheet for Each Person)
Note: if personal details have already been completed as required by a statutory authority or client, attach a copy of the completed details to this
investigation report.
Name Position

Date of Birth Age: Female Male


Employed in the Project
Employer Name Since

Experience In Current Occupation

INJURY DETAILS
Body Part Injured
Head/Neck Arms Hands Back Chest
Abdomen Feet Legs Skin Eyes
Internal Organs Others

Type of Injury
Amputation Concussion Fracture Crush Burn
Sprain/Strain Bruising Abrasion Laceration Dermatitis
Exposure Other

Mechanism of Injury
Knocked Chemicals Electricity Flying object Manual Handling
Falling object Vehicles Drowned Tools Knife
Trip/Slip/Fall Machinery Other Moving object

PROTECTIVE CLOTHING & EQUIPMENT (What Protective Clothing and Equipment was being worn at the time of incident/hazard/near miss?)
Safety Glasses Safety Shoes Goggles Gloves Overalls

Respirator Protection Hearing Protection Body Harness Safety Helmet Others

DAMAGE CLASSIFICATIONS
Initial Treatment Work consequences Work consequences Work consequences
Initial Prognosis - immediate - after 24 hours - after 3 days

First aid Return to pre-injury duties Return to pre-injury duties Return to pre-injury duties
Hospitalized Restricted duties Restricted duties Restricted duties
Fatality Off work Off work Off work

Date Ceased Work Date Resumed Work No of Days Absent:


Duties: Disease Yes No
Modified Normal Date symptoms were first recognized
This damage is considered to be:
Aggravation of previous personal damage The source of the personal damage

Additional Note:

P a g e | 35
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 006
Type :
Serial No :

HEAVY EQUIPMENT CHECK LIST Company :


PIC :

Equipment / Machinery :
Operator's Name : Date :
Signature :
NO. ITEMS CHECK REMARK
OK NO
1 Engine Oil
2 Water Cooling
3 Fuel Tank
4 Transmission Oil
5 Hydraulic Oil
6 Brakes System Brake Fluid
Brake Cup
Brake Disk
Hose Brake Systems
Master Brake Systems
Handle Brake Systems
7 Lifting Systems Lifting Disk
Master Lifting Systems
Hose Lifting Systems
Handle Lifting Systems
8 Sling Systems
9 Crawler System Gear Crawler
Crawler Joint
10 Steering Systems
11 Clutch System Clutch Handles
Clutch fluids
Clutch hoses
12 Battery
13 Light Front Light
Signal Light
Cabin Light
Brakes Light
14 Body and Chassis Bolt Tightness
15 Gantry
16 Stay & Stay Cylinder
17 Suspension System
18 Boom
19 Fuse System
20 Alarm & Reverse Light
21 Glass/Mirror
22 Fire Extinguisher
23 Horn
24 Guy Line
25 Adapter
26 Leader Support
27 Counterweight
28 Outrigger

P a g e | 36
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 007

Fire Extinguisher Inspection Record

Date of Inspection Condition* Signature of


OK NO Inspector

*Thick (√) where appropriate

P a g e | 37
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 008

Audit Sheet for Provision of Fire Extinguisher


(Compliance to Labor Minister Regulation No. Per/ 04/Men Year 1980)

Company: ……….…………………………………. Date of audit: ………………………………………………….


Company Representative: ………….…………. sign Auditor: …………..………………………………………..sign

List of question

1.Number of fire extinguisher on the premises: ……………………………… tubes


- Is the number of fire extinguisher considered sufficient? Yes / No
Comment: …………………………………………………………………………………………………….
..………….……………………………………………………………………………………….

2. Location of fire extinguisher


- Is the route to fire extinguisher free from obstruction? Yes / No
- Is the fire extinguisher can be easily seen and reached? Yes / No
Comment: ………………………………………………………………………………………………….
..………….…………………………………………………………………………………….

3. Type of Fire Extinguisher


- What is the type of fire extinguisher available? ………………………………………………………
- Is the type of fire extinguisher suitable for type of fire that may present? Yes / No
Comment: ………………………………………………………………………………………………….
..………….…………………………………………………………………………………….
4. Condition of Fire Extinguisher
- What is the condition of pressure of the fire extinguisher? Full / Less / Empty
- Is the cylinder being rusted or defected? Yes / No
Comment: ………………………………………………………………………………………………….
..………….…………………………………………………………………………………….

5. Inspection Record
- Is there any prove of monthly inspection for fire extinguisher? Yes / No
- Is the inspection of fire extinguisher carried out regularly? Yes / No
Comment: ………………………………………………………………………………………………….
..………….…………………………………………………..……………………………….

6. Expire Date
- Is there any tag showing “expire date” on fire extinguisher? Yes / No
- Is the fire extinguisher still valid? Yes / No
Comment: ………………………………………………………………………………………………….
..………….………………………………………………………………………………….

7. Sign of Fire Extinguisher


- Is there any sign of fire extinguisher on the premise? Yes / No
- Is the sign properly posted and can be easily seen? Yes / No
Comment: ………………………………………………………………………………………………….
..………….………………………………………………………………………………….

P a g e | 38
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 009

ELECTRICAL WORK PERMIT

Permit No. : _____________________


Subcontractor : __________________________________________________________________
Scope of work : ___________________________________________________________________

Potential Hazards to Anticipate:


 Electrocution / burnt
 Electrical explosion
 Fire caused by ignition of combustible or explosive materials
 Sudden activation of equipment
 Others (specify): _____________________________________________________

Special Precaution: Yes No N/A


Lock and tag for isolation   
Ground arrangement   
Earthen Leakage Circuit Breaker (ELCB)   
Proper illumination   
Signage / barricade   
Area is free from liquid   
Area is free from flammable materials as gas, oil, vapour, etc.   
Operatives have been trained in hazard and precaution   
Cable arrangement   
Fire extinguisher   
Method statement   

PPE and equipments needed:


Hand gloves suit for high voltage   
Safety shoes   
Hard hat   
Safety glasses   
Harness / life lines   
Scaffolding   
Ladder (aluminium with rubber insulation)   
Man lift / scissor lift   
Man basket   
Personnel carrying out the work
Name: __________________________________________ Designation: ____________________
Name: __________________________________________ Designation: ____________________
Name: __________________________________________ Designation: ____________________
Name: __________________________________________ Designation: ____________________
Name: __________________________________________ Designation: ____________________

Permit Initiator Declaration


I conform that the documented controls and precautions have been examined and that the personnel listed are competent to carry
out the work.

Requested by, Approved by,

_________________ __________________
Sub-con / Supervisor Safety Department

P a g e | 39
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 010

REMOVAL OF SAFETY PROTECTION PERMIT

Permit No.: ______________________

Section 1
 Slab opening cover  Toe board
 Safety railings / posts  Warning Tape
 Safety life line  Catch plat form
 Safety net / catch net  Over head protection

Location: _______________________________________________________________________

Scope of work: ___________________________________________________________________

Sub-con/supervisor: _______________________________________________________________

Time required / validity from: _________________ to: _______________

Section 2

Person Carrying Out the Work

Name: ____________________________________ Designation: ___________________


Name: ____________________________________ Designation: ___________________
Name: ____________________________________ Designation: ___________________
Name: ____________________________________ Designation: ___________________
Name: ____________________________________ Designation: ___________________

Additional safety precaution (if any): ___________________________________________________


________________________________________________________________________________
________________________________________________________________________________

I agreed on behalf of subcontractor/supervisor that all above safety requirements have been provided /
examined, and that any removal of safety barriers will be re-installed immediately after the work.

Requested By, Approved By,

____________________ ___________________
Sub-con / Supervisor Safety Department

P a g e | 40
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 011

HOT WORK PERMIT

A. PERMIT NUMBER :
B. DATE :
C. WORK DESCRIPTION :
D. LOCATION :
(use attached sketch if necessary)
E. VALIDITY From: To:
F. SAFETY PRECAUTIONS
No. Precautions Yes No. Remark
1 The adjacent areas has been clear of flammable / combustible materials (at least 5 m
distance)

Immovable combustible / flammable materials have been protected by a fire blanket / or


2 other suitable protective cover / devices

3 Suitable fire extinguishers are available at the point of work (one fire extinguisher for one
point).

4 The fire watch person has been briefed on the hazard of work
5 The water hose in the area has been checked and the system is charged (if not, see point 3)

6 Welding gas / LPG cylinders are in vertical position, secured on trolley, and fitted with
regulator and flash back arrestor

7 The working area is well ventilated or exhaust ventilation has been used for suitable
amount of time

8 Suitable PPE: Eye protection (welding mask), clean flame retardant clothing, welders apron,
welding blanket, welding gloves are provided and used

9 Other safety precaution / control (if any): 


- 
- 

G. PERSONNEL CARRYING OUT THE WORK


No. Name Occupation
1

H. PERMIT INITIATOR DECLARATION


I conform that the documented controls and precautions have been examined and that personnel listed are compete to carry out the
work.

Requested By,
Approved By,

Sub-con/ Supervisor Safety Department

P a g e | 41
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 012

CERTIFICATE OF COMPETENCE
(…………………….OPERATOR)

Operator’s Name : _______________________________

Date Of Birth : _______________________________

Previous Assessment: __________________________ Date: ________

Manufacturer’s Instruction Understood : Yes/No

Eyesight, Hearing, And Distance Judgment Acceptable / Medical Certificate Attached : Yes/No

Physically Capable Of Accessing And Operating Crane Controls : Yes/No

Safety Devices Pointed Out And Understood : Yes/No

Items Subject To Routine Maintenance Identified : Yes/No

On Site Test With Banks-man Carried Out Satisfactorily Using Instruction In English : Yes/No

I Have accessed the ability of Mr. ………………… to operate …………………………………. and found him competent.

Plant Manager: ________________________________ Sign/date: _______________

Safety Manager: _______________________________ Sign/date: _______________

P a g e | 42
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 013

HAZARD IDENTIFICATION, RISK ASSESSMENT, AND CONTROL MEASURE (HIRAC)

Project Name Assessor(s) :


:
Doc. Ref. No. :

Activity :

Job/Task People At Risk Hazard Adverse Effect Likeli-hood Severity RFN Control Residual Risk Assessment PIC
Identified Measure
A B C D E F G=EXF H I J K

Prepared by Signature : Approved by : Signature:


:

Position : Date : Position : Date :

Likelihood Severity Risk Factor Number

1. Improbable 1. Negligible 1-2 Trivial

2. Remote 2. Slight 3-5 Acceptable Risk

3. Quite Possible 3. Moderate 5-9 Moderate/Acceptable with Review

4. Probable 4. Critical/High 10-15 Substantial

5. Frequent 5. Catastrophic/Very High 16-25 Unacceptable Risk

P a g e | 43
MES - TSW OCCUPATIONAL Project : TJB Exp. Project #3&4
JOINT OPERATION HEALTH & SAFETY PLAN Doc. Ref : DM-TJST-SSP-001
Date : 11 / Feb / 2009
Rev. : -1-
Appendix 014

SAFETY VIOLATION SHEET

Project : …………………………… Date : ……………………………

Contractor : …………………………… Subcontractor : ……………………………

Name : …………………………… Designation : ……………………………

Card No. : …………………………… Observed By : ……………………………

(Name of Site Safety Officer)

Area / Location: …………………………………………………………………………………….

Name of Foreman / Charge-hand: …………………………………………………………………

Signature of Issuing Authority: ……………………………………………………………………

Safety Violation First Warning Second Third Warning Remarks


Warning
1.

2.

3.

Note:
A – Minor safety violation
B – Disobey safety orders / instructions posted at working area / or understood by the workers that resulted to a dangerous
occurrence.
C – Gross Negligence that resulted to serious injuries to persons or damage to properties.

Gravity of Offence First Time Second Time Third Time Fourth Time Fifth Time
A 1 day wage fine 2 days wage fine 3 days wage fine 5 days wage fine Dismissal
(See Note)
B 5 days wage fine 5 days wage fine 5 days wage fine 5 days wage fine Dismissal
(See Note)
C 5 days wage fine Dismissal
(See Note)

Acknowledged By,

Safety Manger

Cc: 1. Project Manager


2. General Site Manager
3. Finance Manager

P a g e | 44

Das könnte Ihnen auch gefallen