CV.HARIS SIREGAR

CURRICULUM VITAE
Name : HARIS SIREGAR
Place,date of Birth : Tanjungbalai, 11 April 1968
Sex : Male
Marital Status : Married ( 3 childrens)
Religion : Moslem
Nationality : Indonesian
Address : Pondok Cilegon Indah Blok D83 no.1 Cilegon 42423
Indonesia
Mobile Phone :+62-85282779655
Passport No. :A 0480839
ID :3672011104680001
E mail address :haris_srgr@yahoo.com
SUMMARY:
7 years of working experience as Permit to Work Coordinator and 18 years as Safety
Supervisor in the areas of oil and gas industry, specifically in the field of HSE, focusing on
Fabrication yard, onshore and offshore oil & gas EPC activities.
FORMAL EDUCATION
1996-2003 : Faculty of Administration S1, UniversitasTerbuka.Serang.
1987-1991 : Faculty of Japanese Language D3,Universitas SumateraUtara (USU) Medan.
WORK EXPERIENCES
 5 Oct 2015 ~ 27 Feb 2016
EPC Management & Construction Contract for Plant Changes, Minor, Base & Medium Projects.
Qatar-Kentz for Qatar Shell GTL project. QATAR.
.
as PERMIT TO WORK COORDINATOR / HSSE Officer

 6 Feb 2012 until 31 Aug 2015
TRIPATRA-SAMSUNG CONSORTIUM
- For EPC-1 Production Processing Facilities Banyu Urip Field Development Project-
Mobil Cepu Ltd at site BOJONEGORO-East Java.
- Achievement : 20 Milions Manhours without LTI (March 2015).
- as PERMIT TO WORK COORDINATOR/ SHE SUPERINTENDENT
Responsibilities :
1.Register all issued Permit To Work (PTW).
2.Conduct daily routine site tour monitoring PTW application.
3.Act as focal point for all matters relating to Permit Issue and Control.
4.Attend work planning and scheduling meetings.
5.Carry out audits on the PTW system.
6.Maintain an Audit Register.
7.Ensure that all certificate relevant to the PTW are recorded and ensure that cross
reference PTW and accurately recorded on the PTW prior to issue.
8.As Trainer Conduct PTW Construction and Commissioning training for employess.
 16 Jul 2011 ~ 31 Dec 2011
PT.GUNANUSA FABRICATORS. :
1 For PTTEP Bongkot Field Development Project GBS-4A.Supply and Installation of
Quarters Platform (QPS),Flare Tripod and PPS.
Hook up and Commissioning activity at offshore Gulf of THAILAND.
1. As Permit To Work Coordinator for Contractor PT.Gunanusa Utama Fabricators.
2. As Assistant Permit To Work Controller Operation for Company PTTEP Thailand
for Contractor Hyundai Heavy Industries (HHI).
 1 Nov 2009 ~ 15 Jul 2011
PT.GUNANUSA FABRICATORS.for PTTEP Bongkot Field Development Project GBS
4A.Supply and Installation of Quarters Platform (QPS) and Flare Tripod.
Construction, Pre commissioning and Commissioning activity at CILEGON-INDONESIA
As Permit To Work Coordinator.
 4 Feb 2009 ~ 31 Oct 2009
PT.GUNANUSA FABRICATORS.for Total E & P Indonesie
TP11S / EPSC 1+2 Project.
As Permit To Work Coordinator for Hook up at site Delta Mahakam SPU Tunu Nubi
Island near Samarinda East Kalimantan.

Responsibilities as Permit To Work Coordinator :
1.Identification of hazards and risk associated with the work.
2.Implementation of precautions and compensatory measures to reduce and control the risk.
3.Coordination of various works with possible interference to ensure compatibility.
4.Information of the various parties involved particularly the team performing the works.
5.Registration of main work permit.
6.Ensuring works are completed and installation is safe before putting it back in operation.
 17 Mar 2008 ~ 3 Feb 2009
TP11S / EPSC 1+2 Project Fabrication Shop – Yard Grenyang – Serang – Banten.
As Safetyman.
Responsibilities as Safetyman :
1. Encourage all employees to wear PPE is mandatory became its habits.
2. Monitoring daily activity at all workplaces.
3. Monitoring unsafe condition and unsafe action at all workplaces.
4. Ensure all safety equipment are in place and good maintain.
5. Ensure all workers are familiar with emergency procedures.
6. Advice the workers if observe any potential hazard.
 1 Mar 2007 ~ 16 Mar 2008
TP11S / EPSC 1+2 Project Fabrication Shop – Yard Grenyang – Serang – Banten.
As Safety Administration.
Responsibilities as Safety Administration :
All HSE administration, HSE Documents and Safety Health Observation Card (SHOC)
Controller and make SHOC analysis and then report to client.
 26 Sep 2005 ~ 28 Feb 2007
PT.GUNANUSA FABRICATORS.For BP Tangguh Develovement Project for GAS
Production Facilities Project.Fabrication Shop – Yard Grenyang – Serang – Banten.
As Safety Administration.
Responsibilities :
All HSE administration, HSE Documents and Safety Health Observation Card (SHOC)
Controller and make SHOC analysis and then report to client.

 3 Jun 1991 ~ 15 Sep 2004
PT.SUMIMAGNE UTAMA (Sumitomo Special Metal Corporation Group) As Safety Officer /
Staff.
Responsilibilities :
1.Supervising and monitoring overall implementation of the Health , Safety and Environmental
action plan.
2.To advise and assist Management as Secretary of Committee member (P2K3) for solve all
regularly, review the implementation of Safety and Health program.
Main duties :
1.To conduct regular safety inspections of all plant activities, and maintain record as such
inspections detailing the finding and recommendations.
2.To prepare report to Safety Manager on daily basis by using proper form.
3.To conduct safety induction to new hired as required.
4.To conduct safety talk, tool box meeting to site employees at work place in
various topic.
5.To conduct in house training ,in various item as required to site employees as per scheduled.
6.To assist Safety manager to maintain an accurate record all injuries ,damage and loss / safety
program are statistic on weekly basis.
7.To monitoring work permits issued.
8.To set a good sample and monitoring discipline on workers.
9.To encourage site personnel and to report any unsafe action, unsafe conditions
Using KYT (Risk Assessment Japan Company style) form., take corrective action and report to
Management every week.
COURSE / TRAINING & SEMINAR
1 Training During Work in Qatar Kentz -Qatar.(4 items).
No Course/Training Conducted by / Instructor Conducted on
1 Breathing Apparatus Training Qatar Shell GTL 15 Dec 2015
2 Line of Fire QPH (Qatar Shell Project Hub) 2 Dec 2015
3 QPH Site Induction QPH (Qatar Shell Project Hub) 2 Dec 2015
4 Qatar Shell Asset Induction QISC (Qatar International
Safety Centre)
13 Oct 2015

2 Training During Work in PT.Tripatra Engineering and Constructor.
(3 items)
1 H2S level-1 PT.Tripatra Engineering 12 Jun 2013
2 Petugas Pertolongan Pertama
Pada Kecelakaan (P3K)/di
TempatKerja/First Aider
PT.KartikaBinaMedikatama
(Medika Plaza) and
Kemenakertrans RI
1-2 Sep 2012 and 10
Apr 2013
3 EPC-1 Banyu Urip project
Leadership Training
Mr.Agus Uditomo
SHE Manager
PT.Tripatra Engineering
10 Apr 2012
3 Training During Work in PT.Gunanusa Utama Fabricators Cilegon –
Serang (84 items)
84
83
Ahli K3 Umum (Occupational
Health and Safety Expert)
Permit to Work and Log out Tag
out Training.
PT. Phitagoras Global Duta,
Training & Consulting
Services,Jakarta
PTTEP Co.Ltd.
Mr.JohnnyPamonag
9 – 21 Jan 2012
27 Jun 2011
82 T-BOSIET (Tropical Basic
Offshore Safety Induction and
Emergency Training).
PT.Samson Tiara
Cilegon
15-17 Jun 2011
81 Working at Height Awareness
Training,
Mr.JamesQuaile 29 May 2010
80 Safety Harness Awareness
Training
Mr.JamesQuaile 29 May 2010
79 Permit to Work and Lock out
Tag out Awareness.
PT.GunanusaUtama Fab.
Mr.Christopher Joseph
29 Mar 2011
78 Emergency Response Team
(ERT) for Rope Rescue.
Mr.TonyAdiPutranto 9 Nov 2010
77 Work Permit Procedure
Training
Mr.Garrick Vincent (PJC
WPC SPU TP11S EPSC1+2
Nubi Island East Kalimantan)
10 Feb 2009
76 HSE Awareness Jean Champion 3-5 Nov 2008
75 Vertical Clamp Training PT.Gunanusa Utama Fab.
(Richard M.Keller)
18 Oct 2008

74 Advance Fire Fighting PT.Samson Tiara Cilegon 19-21 Aug 2008
73 HSE Workshop PT.GunanusaUtamaFab.
(John Martin)
16 Dec 2007
72 Lifting Workshop PT.GunanusaUtamaFab.
(Richard M.Keller)
16 Dec 2007
71 Internal Auditor PT.GunanusaUtamaFab.
(M.Natsir)
Dec 2007
70 Gas Detector PT.GunanusaUtamaFab.
(Sunarno)
6 Nov 2007
69 Training for Trainer PT.GunanusaUtamaFab.
(M.Natsir)
27 Oct 2007
68 Basic Scaffolding PT.GunanusaUtamaFab.
(Rizal Sofianto)
1 Oct 2007
67 Hearing Conservation Program PT.GunanusaUtama Fab.
(Sunarno)
26 Sep 2007
66 Ergonomi PT.GunanusaUtama Fab.
(dr.SriHidayati)
19 Sep 2007
65 First Aider PT.GunanusaUtama Fab.
(dr.SriHidayati)
11-12 Sep 2007
64 Introduction OHSAS 18000 PT.GunanusaUtama Fab.
(Ir.M.Natsir)
10 Sep 2007
63 Kebijakan dalam pengangkatan
material
PT.GunanusaUtamaFab.
(Sunarno)
5 Sep 2007
62 Degeneratif PT.GunanusaUtama Fab.
(dr.SriHidayati)
27 Aug 2007
61 Pencegahan HIV dan AIDS YayasanKusumaBuana
(Carolina PurwaniHendrawati)
22 Aug 2007
60 Industrial Hygiene PT.GunanusaUtama Fab.
(Ir.M.Natsir)
14 Aug 2007
59 SMK3 PT.GunanusaUtama Fab.
(Ir.M.Natsir)
10 Aug 2007
58 Self Contained Breathing
Apparatus (SCBA)
(T.Siswadi)
31 Jul 2007
57 Antisipasi Teror Bom. PT.GunanusaUtama Fab.
(Kapten Sutanto)
10 Jul 2007
56 Energy Isolation
(Log Out Tag Out)
(Ir.M.Natsir)
5 Jun 2007
55 Team Work Building PT.GunanusaUtama Fab.
(Ir.M.Natsir)
14 May 2007
54 Safe Grinding PT.GunanusaUtamaFab.
(YaconiaGultom)
9 May 2007
53 Fire Fighting PT.GunanusaUtama Fab.
(T.Siswadi)
1 May 2007
52 Emergency Response Team PT.GunanusaUtamaFab.
(Ir.M.Natsir)
1 May 2007

51 HSE Procedure PT.GunanusaUtamaFab.
(Ir.M.Natsir)
24 Apr 2007
50 Time Sheet Axapta Program PT.Gunanusa Utama Fab.
(Ahmad Nur Fitria)
13 Apr 2007
49 Job Risk Assessment (JRA) for
TP11S/EPSC 1+2 Project
TOTAL E & P INDONESIE
TOTAL E & INDONESIE
(Ferry Delima)
5 Apr 2007
48 Document Control PT.GunanusaUtama Fab.
(RahadiMujiono)
4 Apr 2007
47 Safety Induction
For TP11S/EPSC 1+2 Project
TOTAL E & P INDONESIE
(Sunarno)
3 Apr 2007
46 Safety Health Observation Card
(SHOC)
(Sunarno)
3 Apr 2007
Apparatus (SCBA) & Personnel
Protective Equipment (PPE)
(Deny Irawan)
22 Mar 2007
44 Chemical Safety / MSDS PT.GunanusaUtama Fab.
(Ir.M.Natsir)
16 Dec 2006
43 Permit To Work BP Company
(Chris Norgaard)
13 &18 Dec 2006
42 How to Use CO2 Fire
Extinguisher
PT.Saipem Indonesia
(T.Siswadi)
11 Dec 2006
41 Leaders Toward Safety Aliansi 21 Jkt
(Ir.SatrioPratomo)
26 Nov 2006
40
Job Safety Analysis (JSA) BP Company
(Ir.M.Natsir)
14-15 Nov 2006
39 Safe Use Full Body Harness PT.Saipem Indonesia
(Chris Norgaard)
19 Oct 2006
38 Lock Out and Tag Out
Procedure
(Ir.M.Natsir)
27 Sep 2006
37 Offshore Safety PT.GunanusaUtama Fab.
(Ir.M.Natsir)
14 Sep 2006
36 Work on Barge PT.GunanusaUtama Fab.
(Ir.M.Natsir) 14 Sep 2006
35 Safe Use Full Body Harness BP Company
(Mr.ChrisNorgaard)
12 Sep 2006
34 Safety Behavior for Supervisor BP Company
(Mr.ChrisNorgaard)
16&30 Aug 2006
33 Incident & Accident
Investigation Report
(Ir.M.Natsir)
29 Jun 2006
32 Radiography PT.GunanusaUtama Fab.
(Ir.M.Natsir)
Jun 23,2006

31 Permit To Work PT.GunanusaUtama Fab.
(Ir.M.Natsir)
Jun 5,2006
30 Program STOP for Supervisor PT.GunanusaUtama Fab.
(Ir.M.Natsir)
10 May 2006
29 Stroke PT.Saipem Indonesia
(dr.AntonOjong)
3 May 2006
28 Environmental Management
System ISO 14001
(Ir.M.Natsir)
17 Apr 2006
27 Defensive Driving Course PT.GunanusaUtama Fab.
(Ir.M.Natsir)
11 Apr 2006
26 Safety in Painting Jotun (Paint Company)
(S.Rubianto)
11Apr 2006
25 Waste Management PT.GunanusaUtama Fab.
(Ir.M.Natsir)
27 Mar 2006
24 Handling of Liquid Argon &
Oxygen
PT.Anekagas
(Ir.SaptoWibowo)
23 Mar 2006
23 Environmental Procedure PT.Saipem Indonesia
(ZakiAskar)
20 Mar 2006
22 Accident Reporting Process
System
PT.Saipem Indonesia
(Prashant)
15 Mar 2006
21 Basic Rigging PT.GunanusaUtama Fab.
(Ir.M.Natsir)
10 Mar 2006
20 Quality Awareness ISO 9001-
2000
(RahadiMujiono)
8 Mar 2006
19 Scaffolding Inspection PT.Saipem Indonesia
(Maria Sirait,SKM)
7 Mar 2006
18 Confined Space Entry PT.GunanusaUtama Fab.
(Ir.M.Natsir)
2 Mar 2006
17 Welding Safety PT.GunanusaUtama Fab.
(Ir.M.Natsir)
1 Mar 2006
16 Environment Audit ISO versi
14001
(Ir.M.Natsir)
22 Feb 2006
15 Oil Spill Management PT.GunanusaUtama Fab.
(Ir.M.Natsir)
20 Feb 2006
14 Risk Assessment (RA) and Job
Safety Analysis (JSA)
(Ir.M.Natsir)
14 Feb 2006
13 Permit To Work System PT.GunanusaUtama Fab.
(Ir.M.Natsir)
29 Nov 2005
Apparatus (SCBA) & PPE
(Ir.M.Natsir) 28 Nov 2005
11 OSHA Log 300 PT.GunanusaUtama Fab.
(Ir.M.Natsir)
25 Nov 2005

10 Contractor
Safety Management System
(Ir.M.Natsir)
Nov 23,2005
9 Accident & Incident
Investigation Report
(Ir.M.Natsir)
Nov 17,2005
8 Basic Scaffolding PT.GunanusaUtama Fab.
(Ir.M.Natsir)
Nov 17,2005
7 Basic Electrical Safety PT.GunanusaUtama Fab.
(Ir.M.Natsir)
Nov 10,2005
6 Handling Hazardous Material
System
(Dian Suryoputro,SKM)
Nov 10,2005
5 The 8 BP Golden Rules of
Safety
(Bachtiar H Lewai)
Oct 26,2005
4 Fire Fighting & Emergency
Response
(Siswanto)
Oct 25,2005
3 First Aid PT.GunanusaUtama Fab.
(dr.SasIwin)
Oct 21,2005
2 Safety Supervisor Course PT.GunanusaUtama Fab.
(M.Natsir)
Oct 19,2005
1 Safety Induction
For BP Tangguh Dev. Project
PT.Gunanusa Utama Fab.
(Novly Engelbert Lucas)
Sep 26,2005
4.Training During Work in PT.Sumimagne Utama Cilegon ( 17 items)
1 The Internal Environmental
Auditor Course Based ISO 14001
Requirements
Trends Corporation Jkt 30 Sep,1 Oct & 15
Oct 2002
2 Environmental Aspects & Impacts
Identification
Trends Corporation Jkt 22 Apr 2002
3
Understanding The Environmental
Management System ISO 14001
Standard
Trends Corporation Jkt 8 Apr 2002
4 Leadership for Supervisor /
Course of Indonesia-Japanese,
Work Ethics & Corporate Culture
Japan International
Cooperation Agency (JICA )
Jakarta
18 Oct & 3 Nov
2000
5 Evaluation of Training Effectivity Media Total Performa.Jkt. 23-24 Feb 2000

6 Hazard Prediction (Japan KYT
version)
DK3N DepnakerJkt 5 May 1999
7 Quality SystemRequirements QS
9000
Trends Corporation Jkt 2 Feb &10 Feb 1999
8 Training Needs and Performance
Analysis (TNA)
Media Total Performa.
Jakarta /
The Acacia Hotel Jakarta
29-30 Sep 1998
9 How to problema solving PT.Sumimagne Utama 6 May 1998
10
KeselamatanKerja PT.Sumimagne Utama 18 Aug 1997
11
Computer program Microsoft
Word & Microsoft Excel
PT.Sumimagne Utama 1 Apr ~ 6 Jul 1997
12 Safety for Secretary of Safety
Comittee Members (Pelatihan K3
untuk Pengurus Panitia Pembina
Keselamatan dan Kesehatan
Kerja)
Depnaker RI, Jakarta 17 – 20 Mar 1997
13 Basic Concept Of Quality /
Introduction to ISO-9000 Series
TrendsCorporationJkt 28 Oct 1996
14 ComputerSeminar University of Tirtayasa
Cilegon
14 Sep 1996
15 Hubungan Industrial Pancasila Depnaker Serang 14 Aug 1996
16 Ferrite Magnet Process /
Technical
Sumitomo Special Metal
Corporation
in Saga City Kyushu Japan
21 Jun – 24 Jul 1991
17 Certificate Japanese Language
Proficiency Level 3
Japan Consulate General in
Medan
17 Feb 1990
Best regards,
Haris Siregar

CV.HARIS SIREGAR

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