Lampiran 1 Pedoman Wawancara I. Data Umum 1. Nama : 2. Umur : 3. Jenis Kelamin : 4. Pendidikan Terakhir : II. Data Khusus 1. Berapa jumlah kegiatan dalam setiap program HES Leading Indicator yang dilaksanakan untuk mendukung program tersebut 2. Kapan waktu dilaksanakannya kegiatan dalam setiap program tersebut 3. Apa tujuan dan sasaran dilaksanakannya kegiatan dalam program tersebut 4. Apa hambatan dalam pelaksanaan kegiatan program tersebut 5. Apa upaya yang dilakukan dalam mengatasi hambatan pelaksanaan kegiatan program tersebut 120
Lampiran 2 121
Lampiran 3 122
Lampiran 4 Dokumentasi Ket Gambar : Toolbox meeting yang dilakukan bagian dari HES Program, Communication and Consultation
Ket Gambar : Morning talk yang dilakkukan oleh anggota HES 123 Ket Gambar: Salah satu bagian materi dari MVSP Training Ket Gambar: Pekerja dikumpulkan untuk diarahkan dapat mengerti alarm tanda bahaya
WIS - CONSORTIUM HES MANAGEMENT PROGRAM EPC SERVICE AREA-13 NDD PROJECT Jan-15 Feb-15 Mar-15 Apr-15 MAY-15 Jun-15 Jul-15 AUG-15 Sep-15 OCT-15 Nov-15 DEC-15 Total No Description Frequency Unit Remarks 1 2 3 4 Risk Management Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act 1.1. Develop HIRARC for every scope of work Pre-Job Start Activity 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1.2. Job Hazard Analysis / Qualified SOP Pre-Job Start Times 1 1 1 1 1.3. On Site JSA up date and review Daily Times 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 200 2200 2200 1.4. Specific assessment for JMP Pre non routine trip Times 2 2 1 2 4 3 HES Consultation and Communication 2.1. Kick Off Meeting Pre-Work Times 1 0 0 1 2.2. Tool Box Meeting Daily Times 24 20 30 30 30 30 30 25 30 20 20 20 20 20 20 20 20 25 20 20 20 20 20 250 284 2.3. Safety Morning Talk Weekly Times 0 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 44 2.4. General Safety Talk and Exercise Monthly Times 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 2.5. HES Committee Meeting Monthly Times 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 2.6. HES Department Coordination Meeting Weekly Times 1 2 4 2 4 2 4 2 4 2 4 2 2 2 2 2 2 2 2 2 4 2 2 22 35 2.7. Driver Forum Monthly Times 0 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 44 2.8. Supervisor Safety Forum Monthly Times 0 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 44 2.9. In-Cab coaching / IIF in action for driver Monthly Times 0 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 44 HES Inspection 3.1. Premobilization equipment inspection Pre-Operation Times 8 18 0 26 3.2. Equipment & Tools Inspection Quarterly Times 0 2 2 2 2 2 2 6 6 3.3. Pre Trip Inspection Daily Times 20 25 32 20 25 20 27 15 20 18 25 20 25 12 18 20 25 12 16 10 16 12 18 184 267 3.4. HES Site Inspection Weekly Times 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 48 3.5. Enviro & industrial hygiene Inspection Weekly Times 0 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 44 3.6. House Keeping / 5R Inspection Weekly Times 5 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 44 49 3.7. PPE Inspection Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 12 Personal protective 3.8. Fire Extinguisher Inspection Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 12 3.9. Scaffold Inspection Pre-used & weekly Times 1 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 45 3.10. Management Safety Patrol Weekly Times 0 3 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 3 4 3 4 33 35 3.11. MSW Assessment Weekly Times 2 4 3 3 3 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 35 36 Managing Safe Work 3.12. Vehicle Operation spot check Monthly Times 0 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 12 12 Training and Development 4.1. IIF Orientation As per recruitment Times 1 1 1 1 Incident Injury Free 4.2. IIF Living In Action As per recruitment Times 1 1 1 1 4.3. MSW Training As per recruitment Times 1 1 1 1 4.4. MVSP Training As per recruitment Times 1 1 1 1 Motor Vehicle Safety 4.5. WTL Orientation Pre WTL assignment Person 20 20 20 20 Work Team Leader 4.6. SSE Orientation, mentoring & Evaluation As per needed Person 25 25 25 25 Short Services Emplo 4.7. Commentary drive Quarterly Person 10 10 10 10 4.8. BBS Observer Training As per recruitment Person 20 20 20 20 Behaviour Base Safe 4.9. First Aid Training As needed Person 20 20 20 20 4.10. Fire Watcher Training As needed Person 20 20 20 20 4.11. Supervisor Safety Training As needed Person 5 5 5 5 4.12. Escorting Training As needed Person 20 20 20 20 4.13. Confined Space Entry Training As needed Person 20 20 20 20 4.14. Work At Height Training As needed Person 20 20 20 20 4.15. Dumpman / flagman / spotter training As needed Person 20 20 20 20
Jan-15 Feb-15 Mar-15 Apr-15 MAY-15 Jun-15 Jul-15 AUG-15 Sep-15 OCT-15 Nov-15 DEC-15 Total No Description Frequency Unit Remarks 5 6 7 8 Emergency Response Plan Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act Plan Act 5.1. Develop specific ERP and posting at site Pre-Job Start Ea 1 1 1 1 5.2. Site Clinic and Ambulance Operation Daily Times 1 1 1 1 2 2 2 2 2 2 2 2 2 1 2 1 2 1 1 1 1 1 18 15 5.3. Emergency Drill Quarterly Times 1 1 1 1 1 1 3 3 HES Monitoring & Operational Control 6.1. HES Inspector daily walk-thru Daily Times 10 10 12 15 12 15 10 15 10 15 10 15 12 15 12 15 10 15 12 15 12 15 122 160 6.2. DIMS operation Daily Times 10 10 10 10 12 15 12 15 10 10 10 10 10 10 10 15 10 15 10 15 10 15 114 140 Driving Improvemen 6.3. MSW Implementation Daily Times 15 15 12 15 12 15 10 15 10 14 10 15 10 15 10 13 10 13 10 12 10 12 119 154 6.4. SWA / SSWA report When Occurred Times 1 1 1 1 1 1 3 3 Stop Work Authority 6.5. Journey Management Plan Pre-journey start Times 1 1 1 1 6.6. Traffic Management Plan As needed Times 1 1 1 1 1 1 3 3 6.7. Waste Management Daily Times 10 10 15 15 12 15 10 10 10 10 15 15 10 10 10 10 10 10 10 10 10 10 122 125 6.8. Employees Medical Examination As per recruitment Person 20 25 25 25 45 50 6.9. Environment Aspect Monitoring 6 Monthly Times 1 1 1 1 2 2 6.10. Traffic Sign / Warning Sign Daily Number 10 10 10 10 10 10 10 12 10 12 10 14 10 14 10 12 10 10 10 14 10 10 110 128 HES Awareness and Campaign 7.1. Reward & recognition Monthly Times 1 2 1 1 1 2 1 1 1 2 1 1 1 2 1 1 1 2 1 1 1 2 11 17 7.2. HES Achievement reward As per achievement Times 2 4 2 2 2 3 2 5 8 14 7.3. Information Board Updated weekly Times 4 4 4 3 4 3 4 4 4 3 4 3 4 4 4 4 4 4 4 4 4 4 44 40 7.4. HES Performance Notice Board Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 7.5. BBS Observation Weekly Times 4 1 4 1 4 3 4 2 4 2 4 2 4 4 4 1 4 1 4 0 4 0 44 17 7.6. Deliver Safety Moment Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 7.7. Banner / poster / flag / billboard Monthly Number 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 7.8. Nearmiss / hazard observation report When Occurred Times 0 1 1 1 1 2 1 1 1 1 1 1 5 7 HES Evaluation 8.1. HES Weekly report Weekly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 8.2. HES Monthly Report Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 8.3. BBS Observation Report Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 8.4. DIMS Report Weekly Times 4 3 4 4 4 2 4 3 4 4 4 2 4 3 4 2 4 3 4 4 4 4 44 34 Evaluation of government regulation 8.5. compliance Monthly Times 1 1 1 0 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 9 Incident investigation, root cause analysis 8.6. and reporting When Occurred Times 1 1 1 0 1 1 3 2 8.7. Project Management Review Monthly Times 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11 11 8.8. Subcontractor HES Audit 6 Monthly Times 1 1 1 1 2 2 Prepared by, Approved by, Willem Luturmas HES Manager Richard D. Clemente Project Manager