The close out report summarizes HSE performance for a sub sea manifold project from June to October 2013 at PT Gunanusa Utama Fabricators yard. Key highlights include: - The project achieved its safety objectives of no fatalities, major accidents, fires or explosions. TRIR was 0.00 and LTIF was 0, meeting objectives. - Medical treatment cases were 6 with no lost time injuries. Near miss incidents were 2. - HSE programs like inductions, inspections, audits and management oversight were implemented to improve safety behavior. - Occupational health objectives around emergency equipment, illness reduction and hygiene were also met.

1. CLOSE OUT REPORT
HSE DEPARTMENT
Period : JUNE 2013 – OCTOBER 2013
1st ARTICLE – SUB SEA MANIFOLD PROJECT
PT GUNANUSA
UTAMA
FABRICATORS

2. HSE CLOSE OUT REPORT 2013
CONTENT
1. INTRODUCTION ................................................................................................. 3
1.1
PURPOSE ..................................................................................................... 3
1.2
SCOPE .......................................................................................................... 3
2. HSE MANAGEMENT SYSTEM ............................................................................. 3
3. HSE POLICY 2013 ............................................................................................... 5
4. PROJECT HSE OBJECTIVE 2013 ........................................................................... 5
4.1
SAFETY OBJECTIVES ..................................................................................... 5
4.2
OCCUPATION HEALTH OBJECTIVES............................................................... 5
4.3
ENVIRONMENTAL OBJECTIVES ..................................................................... 5
5. PROJECT HSE ACHIEVEMENT 2013 ..................................................................... 6
5.1
SAFETY OBJECTIVES ..................................................................................... 6
5.2
OCCUPATION HEALTH OBJECTIVES............................................................... 7
6. HSE ORGANIZATION CHART .............................................................................. 8
7. HSE PERFORMANCE STATISTIC .......................................................................... 8
7.1
MAN HOURS EXPOSURE .............................................................................. 8
7.2
FATALITY (FAT)........................................................................................... 10
7.3
LOSS TIME INJURY (LTI) .............................................................................. 10
7.4
MEDICAL TREATMENT CASE (MTC) ............................................................ 10
7.5
FIRST AID CASES (FAC) ............................................................................... 10
7.6
DAY LOSS ................................................................................................... 10
7.7
NEAR MISS INCIDENT (NMI) ....................................................................... 11
7.8
MEDICAL RECORDS .................................................................................... 11
7.9
HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA) .......................... 11
7.10
MANAGEMENT QHSE WALKTHROUGH RECORDS .................................... 11
8. AREA OF CONCERN AND FOLLOW UP FOR CORRECTIVE ACTION ..................... 11
8.1
AREA OF CONCERN .................................................................................... 11
8.2
FOLLOW UP FO FOR CORRECTIVE ACTION OF CONCERN AREA ................... 12
9. SUMMARY OF HSE PROGRAM IMPLEMENTATION........................................... 13
9.1
INDUCTION AND TRAINING........................................................................ 13
1

3. HSE CLOSE OUT REPORT 2013
9.2
JOB RISK ASSESSMENT ............................................................................... 14
9.3
HSE AUDITS................................................................................................ 14
9.4
HSE TRACKING RECORDS............................................................................ 14
9.5
HSE INSPECTION PROGRAM ....................................................................... 14
9.6
HSE COMMUNICATION PROGRAM ............................................................ 15
9.7
HEALTH AND HYGIENE ............................................................................... 16
9.8
ENVIRONMENTAL IMPROVEMENT ............................................................. 16
9.9
HSE PROCEDURE DEVELOPED..................................................................... 17
9.10
HSE REPORTING SYSTEM ......................................................................... 17
ATTACHMENT 1
HSE POLICY
ATTACHMENT 2
YARD HSE ORGANIZATION CHART
ATTACHMENT 3
SUMMARY WORK PERMITS YARD ACTIVITY
ATTACHMENT 4
JRA RECORDS
ATTACHMENT 5
MANAGEMENT WALKTHROUGH
ATTACHMENT 6
HSE MASTER DOCUMENT REGISTERS
ATTACHMENT 7
LOAD OUT PICTURE
ATTACHMENT 8
INSPECTION REPORT
2

4. HSE CLOSE OUT REPORT 2013
1. INTRODUCTION
PT. Gunanusa Utama Fabricators HSE dossier is provided as Close Out Report for measurement
of the HSE Management System include HSE Program implementation of FMC Technologies
has been awarded 1st article Project for PT Gunanusa Utama Fabricators yard Grenyang –
Serang Banten.
1.1 PURPOSE
The purpose of this dossier is to report the commitment of PT Gunanusa Utama Fabricator
management on managing the implementation of their HSE policy and other HSE issue
raised during the execution of Project since the Project activities started until the end of
project include the achievement of Project HSE Objectives.
1.2 SCOPE
This HSE Close Out Report (Dossier) is covered the implementation all HSE activities during
engineering, procurement, fabrication and assembly, materials management, Load out
and pre commissioning
PTG has completed successfully all fabrications and SDSS Pipe, Structural Steel, SS Tube
load out (October 24th, 2013).
2. HSE MANAGEMENT SYSTEM
HSE Management System developed based on the integrated of HSE Management System :
OHSAS 18001:2007 (HSE Management System)
ISO 14001:2004 (Environmental Management System)
SMK3 PP No. 5/2012 (OHS Management System of Indonesia)
ISO 9001:2008 (Quality Management System)
-
And also to meet and comply of others requirement both International and National statutory
regulations, Industrial Standard Code Practices and client requirement.
The Elements of HSE Management System consist of :
-
Leadership & commitment
Policy & strategic objective
Organization, responsibility, resources standards and documentation
Hazards and effect management
Planning and procedures
Implementation & performance monitoring
Audit & review
3

5. HSE CLOSE OUT REPORT 2013
Key Elements Integrated HSE Management System
4

6. HSE CLOSE OUT REPORT 2013
3. HSE POLICY 2013
This policy statement has been produced in pursuance of CTR statutory and contractual
obligations and is designed to promote high standards of Occupational Health and Safety for
duration of the Yard & Site Construction. (see the attachment 1)
4. PROJECT HSE OBJECTIVE 2013
The HSE Objective of CTR stipulated for the year 2013 is to improve the behavior of all
employees to become habitual by providing more knowledge in understanding the safety
aspect of a project as such to prevent the occurrence of accidents. This objectives shall be
achieved by maintaining the following targets.(Attachment 2)
4.1 SAFETY OBJECTIVES
4.1.1
Safety Objective # 1 - HUMAN DIMENSION
•
•
•
•
No fatality,
No major accident (including lifting and transport),
No major fire,
No explosion.
4.1.2
Safety Objective # 2 TRIR – Total Recordable Injury Rate < 1.06,
4.1.3
Safety Objective # 3 LTIF – Lost Time Injury Frequency < 0.28,
4.1.4
Safety Objectives # 4 – HSE Management System and Performance
Management
• Develop HSE Management System,
• Socialization Key Performance Indicator to workforces,
• Control of Key Performance Indicator
4.1.5
Safety Objectives # 5 – SAFETY BEHAVIOR
4.2 OCCUPATION HEALTH OBJECTIVES
1.
2.
3.
Ensure availability of emergency equipments and maintain medicine stock
Reduce occupation illness and sickness
Continue improve the implementation of industrial hygiene
4.3 ENVIRONMENTAL OBJECTIVES
1. Improve employees environmental awareness by conduct regular training, displayed
label, MSDS hazardous sign.
2. Minimize dust exposure during abrasive blasting and minimize oil spills
3. Improve waste management by waste segregation, storage and regular transportation
5

7. HSE CLOSE OUT REPORT 2013
5. PROJECT HSE ACHIEVEMENT 2013
5.1 SAFETY OBJECTIVES
5.1.1
General Safety Objective # 1 HUMAN DIMENSION
Total man-hours achievement of FMC Project since period June 2013 up to October 2013
are 13.244 (COD: 16 October 2013) which :
-
no fatality,
no major accident,
no major fire and
no explosion was occurred
Therefore, General Safety Objective # 1 – HUMAN DIMENSION is achieved.
5.1.2
Safety Objective # 2
During execution of FMC Project period June 2013 up to October 2013, the following HSE
performance with total cumulative man hours achieved there were some 13.244 at yard as
of closed date October 16 June, 2013 some accident has occurred as follows.
a. TRIR (Total Recordable Injury Rate)
During execution of FMC Project period June 2013 up to October 2013, Total FAT
(Fatality) = 0, LTI (Lost Time Accidents) = 0, RWDC (Restricted Work Day Case) = 0, MTC
(Medical Treatment Case) = 0.
There for base on formula ANSI version below :
TRIR = (FAT+RWDC+MTC+LTI) * 1.000.000
Man Hours
TRIR = (0+0+0+0) * 1.000.000
13.244
TRIR = 0,00
Comparing objective TRIR value shall be < 2, 00. it means TRIR archived (0,00 < 2,00)
b. LTIF (Lost Time Injury Frequency)
During execution of FMC Project period June 2013 up to October 2013, Total FAT
(Fatality) = 0, LTI (Lost Time Accidents) = 0
LTIF = (FAT+LTI) * 1.000.000
Man Hours
6

8. HSE CLOSE OUT REPORT 2013
LTIF = (0+0) * 1.000.000
13.244
LTIF = 0
Comparing objective LTIF value shall be < 0, 75. it means LTIF archived
(0 < 0, 75)
Therefore, Safety Objective # 2 – TRIR = 0,00 and LTIF = 0 are achieved
5.1.3
Safety Objective # 3
During the implementation of fabrication period 2013, there was a significant improvement
of safety behavior by proactive all employees and subcontractors on HSE program
throughout:
1. Participate regularly on meeting program such as Toolbox Meeting in daily basis, mass
meeting in weekly basis, HSE weekly and monthly meeting with client and monthly
Safety Committee meeting
2. Implementation housekeeping (5S) program
3. Discipline on wearing PPE and unsafe practices has been reduced due to the
implementation of violation card system
4. Conduct HSE inspection and internal & external audit in regular basis
5. Implementation safety communication such as safety poster/banner, barricade, HSE
notice board, etc.
6. Management Communication such as management visit / management walkthrough.
At meanwhile, HSE has been recognized for the implementation of HSE Management System
by external audit as below:
1. We successfully in audit surveillance certified by SICS (Sucofindo International
Certification Service) on OHSAS 18001:2007 (HSE Management System), ISO 14001:2004
(Environmental Management System)
2. SMK3 (PERMENAKER No. 5 / 1996 and PP No. 50 / 2012) scored 92 (gold flag) and
certificate will issue on March 2009.
3. We certified by LRQA (Lloyd Register Quality Assurance) on ISO 9001:2008 on Quality
Management System.
4. We conduct internal HSE audit which held by internal auditor. It makes increase
HSE performance.
5. Our corporate HSE manager has been selected as a Chairman of National of
Safety Committee and has been selected as a Chairman of Provincial Banten
Safety Committee by Banten Governor.
Therefore, Safety Objective # 3 – Safety Behavior is achieved
5.2 OCCUPATION HEALTH OBJECTIVES
7

9. HSE CLOSE OUT REPORT 2013
During the project execution contractor has provided adequate of the availability of
medicine stock to cover employee and medical check up are completed performed to all
employee improved to the project.
1.
Ensure availability of emergency equipments and maintain medicine stock
Emergency equipments and maintenance facilities has been improve such as New
Clinic building complete with ambulance and clinic facilities and ERT Room building
complete with emergency equipment, etc and also we maintain medicine stock in
regular basis. All documents are recorded and reported to involved parties. Conduct
drill regularly in monthly basis.
2.
Reduce occupation illness and sickness
Based on the clinic statistic reported, there was no occupation illness and sickness
occurred.
3.
Continue improve the implementation of industrial hygiene
The implementation of industrial hygiene program is we conducted regularly such as
inspection on canteen, noise level check, emission, illumination, UV Light, radiation,
etc. All documents are recorded and reported to involved parties.
We achieved Occupational Health objectives
6. HSE ORGANIZATION CHART
See attachment 3 – Yard HSE Organization Chart
7. HSE PERFORMANCE STATISTIC
7.1 MAN HOURS EXPOSURE
Since FMC Project started from October June 2013 up to October 2013 total cumulative
man hours achieved are 13.244 .
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10. HSE CLOSE OUT REPORT 2013
SUMMARY OF HSE PERFORMANCE STATISTIC
1st article Project
PERIOD : June 2013 – October 2013
No
A
Description
WORKED HOURS
1 Total Man Power
2 Total Man Hours
INCIDENT
1 Fatality Accident
2 Lost Time Injury (Company)
3 Lost Time Injury(Contractor)
4 Day Lost
5 Restricted Workday Case
Performance
Statistic
Remarks
20
13244
C
D
E
9
No fatality
No Lost Time Injury
6 Medical Treatment Case
B
0
0
0
0
0
0
No Restricted Work Case
7
8
9
10
11
12
13
14
15
16
17
18
19
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
No High Potential
1
2
3
4
5
6
7
8
9
10
High Potential (HiPo) Incident
First Aid Case (FAC)
Occupational Illness
Material / Production Loss
Pollution / Spill
Fire (not HPI)
Damage (not HPI)
Incident (Near Miss / NC)
RTA / Incidents
Security
External RTA / Road Incidents
External (Social)
Vehicles Incident
Root Cause Analysis
HSE ACTIVITIES
Safety Tool Box Meeting (Event)
Safety Induction (No. of Persons)
HSE Walkabout
HSE Inspections
SubContractors HSE Audits
Medical Check up
HSE Document Preparation
Safety Weekly Meeting
Safety Monthly Meeting
Weekly Construction Meeting
TRIR
LTIF
24
20
8
7
5
20
8
15
1
5
1,10
0,26
No Lost Day
No Occupational Illness
No Material / Production Loss
No Vehicle Incident

11. HSE CLOSE OUT REPORT 2013
HSE Objective & HSE Achievement
Period : June 2013 - October 20132
1.20
1.00
0.80
0.60
0.40
0.20
0.00
June
July
August
September
October
Year 2013
TRIR
1.10
1.10
1.10
1.10
1.10
LTIF
0.26
0.26
0.26
0.26
0.26
7.2 FATALITY (FAT)
Since project activities started until the end project there was No Fatality case occurred.
7.3 LOSS TIME INJURY (LTI)
Since project activities started until the end project there was No Lost Time Injury case
occurred.
7.4 MEDICAL TREATMENT CASE (MTC)
Total First Aid cases occurred on June 2013 up to October 2013, there were 6 cases that
occurred at Yard activities. All corrective action as required by Client has been done.
7.5 FIRST AID CASES (FAC)
Total First Aid cases occurred since June 2013 up to October 2013, there were 6 cases that
occurred at Yard activities. All corrective action as required by Client has been done.
7.6 DAY LOSS
During the yard activity performed until the end of the construction project there was no
Day Loss occurred.
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12. HSE CLOSE OUT REPORT 2013
7.7 NEAR MISS INCIDENT (NMI)
Total Near miss cases occurred since June 2013 up to October 2013, there were 2 cases. All
corrective action as required by Client has been done (See attachment 12 – HSE Event Log
Accident/Incident register)
7.8 MEDICAL RECORDS
Since the starting of the project on June 2013 up to October 2013, the total clinic visitor
were 20 Reported. (See attachment 9 – Summary Medical Record as Yard Clinic Visitor)
7.9 HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)
PT. Gunanusa has applied hazard identification and risk assessment with JRA & weekly
Management walkthrough. All finding of both program had been closed and corrective
action taken.
7.10
MANAGEMENT QHSE WALKTHROUGH RECORDS
Total management QHSE walkthrough issued from contractor and company during
2013 up to October 2013. All of management QHSE walkthrough had been corrected
and closed out (See attachment 10 - Safety Management QHSE Walkthrough Finding
& Close Summary Number)
8. AREA OF CONCERN AND FOLLOW UP FOR CORRECTIVE ACTION
8.1 AREA OF CONCERN
Referring to the HSE tracking record there were a lot of HSE issued identified from event log
record, issued include findings and comments by Contractor and Client representative during
HSE regular inspection. The finding areas of concerns that need to be improved were as follow:
a.
b.
c.
d.
e.
11
Unsafe work practice & poor safety behavior
Lack of PPE/ Fail to wear PPE
Poor of Housekeeping
Lack & unsafe equipment operation
Improper electrical equipment /tools

13. HSE CLOSE OUT REPORT 2013
8.2 FOLLOW UP FO FOR CORRECTIVE ACTION OF CONCERN AREA
Almost all event log, SHOC Card, and Violation card reported have been corrected and
follow up.
Corrective Action & Follow-Up area of concern were as follow:
1. Unsafe work practice and poor safety behavior
Finding:
 Not followed the correct Standard Operational Procedure (SOP)
 The used of equipment and tools with the wrong method
Action taken:
o Conducted safety behavior training.
o Highlight at tool box talk related unsafe work practice by daily basis.
o Conducted on the job training such as: Safe to use grinding machine, safe to use
body harness, safe to use cutting torch.
o Socializing the slogan” Safety is everybody business “, therefore everybody could
have contribution encourage them to control each other’s and immediately
reported by use SHOC card or correct the unsafe practices before incident
occurred.
2. Lack of PPE / Fail to wear PPE
Finding:
 Undisciplined used of safety glasses although already supplied.
 The used improper of Safety shoes
 The used incorrect PPE for specific work such as working at height
Action taken:
o Supply standard PPE as requirement such as : Safety Helmet, safety glasses,
dust mask, earplug, full body harness, Safety shoes.
o Maintain PPE minimum stock and report the PPE stock by weekly basis.
o Performed PPE inspection at entrance gate prior starting the work by daily basis.
o Law enforcement wears PPE at work place.
o Issue violation card
3. Poor Housekeeping
Finding:
 The storage of material in the wrong position and subtract to the way
 The poor condition of work area waste management
 The spread of welding rod
Action taken:
12

14. HSE CLOSE OUT REPORT 2013
o
o
o
o
Assign cleaning team who placed at every work place
Perform daily housekeeping lead by supervisor after finish work
Highlight at Tool Box Talk related this topic by daily basis
Provide adequate fire protection equipment, to cover hazardous area when
welding, cutting, grinding and sand blasting work performed
4. Lack and Unsafe Equipment Operation
Finding:
 Used homemade tools that unsafe
 Lack of inspection to all equipment and tool
Action taken :
o Removed unsafe equipment and tools from work place
o Performed all equipments regularly
5. Improper Electrical Equipment/Tools
Finding:
 Improper connection cable for electrical
 Lack of inspection of electrical equipment
Action taken:
o Performed electrical equipment inspection regularly
o Conducted basic electrical training
9. SUMMARY OF HSE PROGRAM IMPLEMENTATION
9.1 INDUCTION AND TRAINING
9.1.1
Induction
HSE induction has conducted for all new hire including Visitor. In HSE induction all new
hire were given information regarding safety rules and knowledge of HSE matters.
During period June 2013 to October 2013, PTG HSE dept has been conducted induction
for PTG & subcontractor and visitors.
9.1.2
Training
In order to comply the Contractor and client requirement those are project employees
are participating. During period June 2013 to October 2013, PTG HSE dept has been
conducted training as per training matrix, training syllabus, training schedule and
training need analysis. PTG has provided two training room which 20 seat capacity and
equipped by computer and LCD projector and audio. (See Attachment 7 – HSE Training
Record)
13

15. HSE CLOSE OUT REPORT 2013
PTG also have conducted some safety training with Topic:
1. Acceptance Scaffolding
2. HSE Awareness
3. Lifting and rigging practice
4. Job Risk Assessment
5. Radiography
6. Accident Incident investigation
7. First aid & CPR
HSE passport has been implemented and recognized the workers who attended and
participated the training. Also the attendances were given a certificate
9.2 JOB RISK ASSESSMENT
PTG – FMC for 1st Articles Project. HSE Department has proposed HIRADC/JRA issued at yard as
required by client prior to commencement of specific work since All JRA has socialized to all
workers prior execute the job. (See attachment 9 – Job Risk Analysis Record)
9.3 HSE AUDITS
HSE Audit is determined as follow:
1. HSE Internal Audit
2. Internal audit integration Quality and HSE
3. HSE external by Third Party
5. HSE Audit for Subcontractor
PTG was performed HSE Audit for all Sub contractor prior commencement the work. The
external Audit from Sucofindo for SMK3, OHSAS 18001, ISO 14001 also to be held during
execution project. PTG has awarded SMK3, OHSAS 18001, ISO 14001 certification.
9.4 HSE TRACKING RECORDS
HSE Dept has established a system for tracking the status finding of:
• HSE Join inspection (QHSE Management Walkthrough)
• Equipment Inspection
• HSE Audit
9.5 HSE INSPECTION PROGRAM
9.5.1
Join Inspection
FMC and PTG joint inspection on PTG operations and facilities was conducted regularly since
June 2013 to October 2013. The corrective actions/follow up status is submitted to FMC
regularly in weekly basis. The participants were FMC Project Management Team and PTG Project
Management and conducted HSE management review meeting after yard walk around. (See
Attachment 10 – QHSE Management Walkthrough)
14

16. HSE CLOSE OUT REPORT 2013
9.5.2
Equipments, Tools Inspection
To ensure all equipment & tools is used in safe and proper condition therefore the inspection
has to perform regularly. The equipment & tools inspection is performed by Safety inspector and
yard facility inspector as per schedule, the inspection including:
1. Lifting gears applied as color code.
2. Heavy vehicles such as : Cranes, Loaders, forklift, trailer, excavator
3. Electrical equipments such as : Generator set,
4. Powered tools and hand tools
5. Scaffolding and accessories
6. Equipment such as : Compressor, Air receiver tank
7. Light vehicles
8. Firefighting equipment
9. Gas cylinders and accessories
10. Welding equipment and accessories
11. Over Head Crane
12. Radiography equipments
9.6 HSE COMMUNICATION PROGRAM
9.6.1
Pre Start Job Meeting
Pre start job meeting was conducted by Safety personnel, Supervisors at yard with
the workers in daily basis of each working shift before start work and the foreman
have to fill the Pre job check list.
9.6.2
Tool Box Meeting
Toolbox meeting are conducted by PTG Safety and Supervisors in daily basis. The
agenda was to review the incidents, Near miss cases occurred in the previous week
and other safety issued if any. The main topic is generally decided in the weekly
Safety Coordination Meeting with sub contractors based on the priority of the most
critical and significant incident and/ or Near miss of the week.
9.6.3
Safety Coordination Meeting
This meeting is conducted by PTG in weekly basis attended by AGJV and PTG, in
addition to the discussion of important safety issues, the topics of toolbox meeting in
the coming weekly are decided also in this meeting.
9.6.4
15
Project Management Review Meeting

17. HSE CLOSE OUT REPORT 2013
Project Management Review Meeting was conducted by PTG Management in monthly basis
and attended by PTG Top Management, Yard Manager, Yard Construction Manager, Corp
HSE Manager or Project HSE Manager.
9.6.5
HSE Internal Meeting
HSE Internal Meeting was conducted by PTG corp HSE Manager in weekly basis and
attended by All HSE personnel (Safety and Medic).
9.7 HEALTH AND HYGIENE
Health and hygiene matters is maintained and inspected by Medical doctor and
Environmental officer with concern:
1. Aqua Maker for drinking water and supply all employee at the Yard.
2. To ensure the process of aqua maker meet the health and hygiene standard, the water
has been sent to third party laboratory for examination every month.
3. Canteen and kitchen.
4. The inspection is performed by PTG Doctor ,PTG GA Officer and Environmental Officer
by monthly basis
9.8 ENVIRONMENTAL IMPROVEMENT
All environmental matters have been improved with concern:
1. Noise mapping
Noise mapping have available as per the result of noise measurement at work place
area.
2. Oil Spill Management
Provide Secondary containment, Oil Absorbent and drip pan to prevent oil spill from
generator set or compressor felt to the ground directly.
3. Hazardous material handling
Give labeling at chemical containers, drums and cans to identify the potential hazard,
provide MSDS box at each work shop and has socialized to workers.
4. Water spraying
Water spraying used water tank was performed to prevent dust pollution impact
when dry season coming at yard.
5. Environmental Awareness
PTG has conducted environmental awareness, hazardous handling material, and
Audit ISO version 14001 to increase the employee’s environmental awareness. A PTG
employee also has attended external training and seminar such as: Oil Spill
Management, Seminar of new environmental regulation of Banten Government.
6. Yard Facility Improvement
PTG has improved yard facility such as: Upgrading Jetty 1, add new Office building,
new access road, Parking area, boundary, new water drainage, TSA Chamber, RT
Chamber, New clinic building, New temporary waste disposal building.
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18. HSE CLOSE OUT REPORT 2013
9.9 HSE PROCEDURE DEVELOPED
PTG has improved and issued some HSE procedure and has approved by AGJV such as HSE
Manual. (See attachment 11 – HSE Master Document Register)
9.10
HSE REPORTING SYSTEM
PTG have been implemented HSE Reporting System as required in Daily basis, Weekly basis and
Monthly Basis. The Reporting System that issued to PTG and AGJV as a followed:
 HSE Performance Statistic input report include HSE Training record, HSE Inspection record,
Medical record, PPE stock, reported in Weekly basis.
 Environmental Report (included waste management, Oil spill management, and other
environmental matters) reported in Monthly basis.
17

19. HSE CLOSE OUT REPORT 2013
ATTACHMENT 1
HSE POLICY
18

24. HSE CLOSE OUT REPORT 2013
ATTACHMENT 2
YARD HSE ORGANIZATION
CHART
19

26. HSE CLOSE OUT REPORT 2013
ATTACHMENT 3
SUMMARY WORK PERMIT
20

27. 1st Articles Project
WORK PERMIT REGISTER OVERALL
Period : September 2013 - October 2013
PT. GUNANUSA UTAMA FABRICATORS
Cut Of Date : 24 October 2013
EXECUTION
NO.
WORK PERMIT
NUMBER
ACTIVITY
LOCATION
DESCRIPTION OF WORK
Work
Planned to
start
PERSONNEL IN CHARGE
Actual start
Valid
Date
Finish
REMARKS
STATUS
REQUESTER
Time
Spv./FM
COORD.
SAFETY
1
HPP/HSE/IX/FMC/13/01
High Pressure
Potential
Workshop 1
Pre-Hydrotest for piping
24-Sep-13
24-Sep-13
07:30 - 17:00
25-Sep-13
25-Sep-13
CLOSED
Donny N.
Andy
Siswadi
2
HPP/HSE/IX/FMC/13/02
High Pressure
Potential
Workshop 1
Hyfrojetting 100 bar
25-Sep-13
25-Sep-13
13:30 - 17:00
26-Sep-13
26-Sep-13
CLOSED
Donny N.
Donny N.
Siswadi
3
HPP/HSE/IX/FMC/13/03
High Pressure
Potential
Workshop 1
Hyfrojetting 100 bar
26-Sep-13
26-Sep-13
12:00 - 17:00
27-Sep-13
27-Sep-13
CLOSED
Donny N.
Donny N.
Sobari
4
HPP/HSE/IX/FMC/13/04
High Pressure
Potential
Workshop 1
Hydrotest 1,000 Psi, During 8
hours
31-Sep-2013
31-Sep-2013
11:00 - 17:00
CLOSED
Donny N.
Donny N.
Sobari
5
HPP/HSE/X/FMC/13/05
High Pressure
Potential
Workshop 1
Hydrotest 1,000 Psi,
1-Oct-13
1-Oct-13
07:30 - 17:00
2-Oct-13
2-Oct-13
CLOSED
Donny N.
Donny N.
Sobari
6
HPP/HSE/X/FMC/13/06
High Pressure
Potential
Workshop 1
Hydrotest 1,000 Psi,
2-Oct-13
2-Oct-13
07:30 - 17:00
3-Oct-13
3-Oct-13
CLOSED
Donny N.
Donny N.
Sobari
7
HPP/HSE/X/FMC/13/07
High Pressure
Potential
Workshop 1
Flushing
3-Oct-13
3-Oct-13
07:30 - 17:00
4-Oct-13
4-Oct-13
CLOSED
Donny N.
Donny N.
Sobari
8
LIFT/HSE/X/FMC/13/01
LIFTING
Workshop 5
Lift for test manifold
4-Oct-13
4-Oct-13
07:30 - 17:00
4-Oct-13
4-Oct-13
CLOSED
Donny N.
Donny N.
Sobari
9
LIFT/HSE/X/FMC/13/02
LIFTING
Workshop 1
Load out manifold
24-Oct-13
24-Oct-13
10:00 - 12:00
24-Oct-13
24-Oct-13
CLOSED
M. Zen
Ardan
Sobari
Prepared by,
Fitri Ifony
HSE Engineer
Page 1
31-Sep-2013 31-Sep-2013

28. HSE CLOSE OUT REPORT 2013
ATTACHMENT 4
JRA RECORD
21

29. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
1
Work on construction Yard
1.1
Unfamiliar with the
construction work activity,
uncontrolled activities
Risks & Possible
Accidents Scenario
Contact with hot metal
particles, under load swinging
by crane, use of tools
improperly, etc.
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
4
3
12
P
1.1.1
1.1.2
1.1.3
1.1.4
1.1.5
1.1.6
1.1.7
1.1.8
Ensure all working personnel are qualified and familiar with the
construction activity
HE
IR
2
3
6
Ensure all working personnel have passed the medical examination
prior to first day of work
All working personnel must complete safety induction
Appropriate trainings are conducted for all working personnel
Mandatory PPE (hard hat, eyewear, footwear, long sleeves shirt)
must be worn when entering the construction Yard
Additional PPE is selected and worn as per activity to be performed
Toolbox Meeting is conducted regularly at the first shift and prior to
commencing critical work
Personnel who are going to do critical task such as scaffolder for
work at height shall pass appropriate medical check conducted
regularly
Traffic Management
HR
HR & HSE
HR
Warehouse
Yard Manager
Warehouse
Supervisor
Permit to work established for critical tasks namely confined space
entry, heavy lifting, radiography test, hydrotest, leak test, pressure
test, excavation, working at height, energi isolation
1.1.10 Ensure the lighting is adequate for work at night
Doctor of PTG
2.1
Vehicle movements
Struck by vehicles, collision
1.2.1
4
3
12
Establish the emergency preparedness and response system
HSE
1.2.2
1.2.3
Designated Muster Points for evacuation are established
Emergency drill conducted regularly
HSE
HSE
2.1.1
Provide separate entry and exit gateways for pedestrians and
vehicles
2.1.2
1.2
2
Medium
Responsible Person
for Checking
Implementation
Doctor of PTG
1.1.9
Poor response for emergency
Mass panic, late evacuation
case
Residual
Risk
Ensure that drivers driving out onto public roads can see both ways
along the footways before they move onto it
2
3
6
Yard Manager
Yard Manager
2.1.4
2.1.5
2.1.6
2.1.7
2.1.8
Clear the road access from any obstruction such as material
storage to minimise reversing
Install barrier between the road access and fabrication area
No private or motorbike car allowed to go to site
Provide car parking away from site
Control the gateway from entry and exit vehicle
Apply speed limit at Yard (15 km/hours)
Supervisor
Yard Manager
Yard Manager
Yard Manager
Yard Manager
2.2.1
Place standard road signs in place where appropriate and visible
HSE
2.1.3
2.2
Lack of information
Collision
Supervisor

30. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Using vehicles and mobile
plant
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
Risks & Possible
Accidents Scenario
P
HE
IR
Failure vehicles, mobile plant
4
3
12
P
3.1
Poor vehicles, mobile plant
3.1.1
Select suitable vehicles or mobile plant for purpose
3.1.2
3.1.3
3.1.4
3
HE
IR
2
3
6
Residual
Risk
The vehicles have adequate visibility for driver/operator
Visibility aids such as mirror and CCTV provided
Effective braking system and steering provided and function
Headlights, horn, windscreen wiper and warning devices such as
reversing alarm and sign lamp provided and function
3.1.5
Medium
Responsible Person
for Checking
Implementation
Yard Manager
Supervisor
Supervisor
Supervisor
Supervisor
3.1.6
3.1.7
3.2.1
Supervisor
Driver/operator conduct inspection of vehicle prior to use (daily
basis)
Driver/Operator
Driver/operator are in fit condition to work and medical examination
will be check prior to commencing critical work
Supervisor
3.2.4
Driver/operator are fully understand the operating procedure of the
vehicle
Supervisor
3.2.5
Driver/operator respect to speed limits
Driver/Operator
3.2.6
Park vehicle on flat ground with engine switched off, handbrake
applied and use wheel chock if necessary
Driver/Operator
3.2.7
Collision
Driver/operator are competent person (trained and certified) as per
class of machine
3.2.3
Unsafe driving
Supervisor
Supervisor
3.2.2
3.2
Seat belt provided and function
Inspection and maintenance conducted regularly
Provide designated turning areas if applicable to minimise vehicle
reversing
Yard Manager
3.2.8 Check the condition behind vehicle prior to reversing
3.2.9 Use signalman to guide vehicles for reverse movement
3.2.10 Signalman in safe position during reversing vehicles
4
Material delivery
4.1
Poor loads arrangement
Material fall from vehicles,
injured person
4
3
12
Driver/Operator
Driver/Operator
Signalman
4.1.1
Load platform, bodywork and anchorage points are appropriate for
for the load
4.1.2
Put the material as per maximum load capacity of vehicle
Supervisor
4.1.3
Load placed on the center of gravity of load platform if applicable to
keep the stability of vehicle
Supervisor
4.1.4
The larger and heavier load placed at the bottom
Supervisor
4.1.5
When a load is stacked, the lower packages should be strong
enough to support the others when the vehicle is braking, cornering
or accelerating
Supervisor
2
3
6
Medium
Supervisor

31. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
4.1.6
Supervisor
4.2.1
Appropriate securing equipments such as clamps, special bolts,
steel wire ropes, chains, webbing harnesses, sheets, nets, ropes
and shoring barsare available on vehicle
Supervisor
The securing equipment regularly inspected for wear or damage
No misuse for securing equipment
Supervisor
Supervisor
4.2.4
The steel wire rope or other equipment should have safe working
load
Supervisor
4.2.5
The load must be packed tightly before applying the restraints
Supervisor
4.2.6
The load must be checked for security and the lashings tested for
adequate tension
Supervisor
4.2.7
Material fall from vehicles,
injured person
The load should be arranged so that it does not obstruct the driver’s
field of vision including rear view through the driving mirrors
4.2.2
4.2.3
Poor load restraint
Supervisor
4.1.7
4.2
The weight of heavy loads of small dimensions should be distributed
across the vehicle platform by the use of load spreading devices.
(e.g.. pallets, large wooden board etc.)
Check that cargo doors are locked and that locking mechanisms are
in good condition.
Supervisor
Lashings must be properly tensioned at all times using a tensioning
4.2.8
device specified by the manufacturer of the lashing.
4.2.9 The angle of lashing not exceed 60 degree from horizontal position
4.2.10 At least one lashing every 1.5m along the length of the load
Lashings must be protected against abrasion and or cutting by the
4.2.11
use of corner protectors or protective sleeves
Supervisor
Supervisor
Supervisor
Supervisor
4.2.12 Suitable dunnage as additional equipment to restraint load
4.2.13 Beware of crushing when opening the tie of load
5
Loading and unloading
materials
Supervisor
Personnel
5.2
Collision, turning vehicle
Personnel move up and down
Fall from height
the load platform
4
3
12
Load and unload vehicle on level ground away from passing traffic,
overhead hazards.
Positioning vehicle so that it does not effect to vehicle stability
Apply braking system during loading and unloading
Use wheel choke if necessary
Supervisor
Driver/Operator
Driver/Operator
5.1.6
Crowded area
5.1.2
5.1.3
5.1.4
5.1.5
5.1
Determine the exclusion zone during loading unloading activity and
place barricade surround it
Supervisor
5.2.1
Suitable means of access used to move up and down to load
platform
Supervisor
5.2.2
The access facilitates three points contact
Supervisor
2
3
6
Medium
Supervisor

32. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Load positioning, unstable
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
Lifting operations by crane
6.1
Failure of crane/lifting gears
Material fall
Fatality, Property Damage
4
4
16
Check the load from movement prior to unloading
Keep the load on the position until unloading starts
Supervisor
Supervisor
Use appropriate means of unloading if the loads become unstable
during transport
Supervisor
5.3.4
5.3.5
5.3.6
5.3.7
6
5.3.1
5.3.2
5.3.3
5.3
Extended exclusion zone during such unloading activity
No roll off load out of vehicle
No load tied on an object to drag it off by moving the vehicle
Beware of crushing when opening the tie of load
Supervisor
Supervisor
Supervisor
Personnel
6.1.1
6.1.2
6.1.3
Use certified crane & lifting gears
Crane to be checked prior to use by the operator
Visual inspection for sling & shackle to be done prior to use
Control/check and make sure that the weight of the material is not
over the SWL of crane & lifting gears
6.1.4
4
3
12
Medium
Supervisor
Supervisor
Rigger
Rigger
6.1.5
6.2
Load fall down / drop object
6.3
7
Using lifting gears
Pinch point
7.1
Poor lifting gear condition
Failure lifting gear when in
use
Inappropriate lifting gears to
3
12
Ensure that safety signal work properly
Supervisor
Use tag line to control movement of lifted object
No body under the load during lifting
Only competent & experience personnel who operate the crane
Rigger
Rigger
Supervisor
6.3.1
6.3.2
4
Supervisor
Supervisor
Supervisor
6.2.2
6.2.3
6.2.4
Personal injury
Rigger
Only competent & experience personnel who operate the crane
No lifting activity during bad environment such as raining and dark
Clear access of over head crane at workshop
6.2.1
Property damage, Fatality,
Injured person
Nobody under the load during lifting
6.1.6
6.1.7
6.1.8
Pinch bar to be used to remove plate clamp on the ground
Workers to wear rigger gloves for protection
Rigger
Supervisor
7.1.1
Conduct inspection regularly to ensure that lifting gears are in good
condition
7.1.2
Find out the purpose of use for each lifting gears
Supervisor
7.1.3
Find out the correct way of each lifting gears
Supervisor
7.1.4
Ensure that working load limit statement is stamped from
manufacture
Supervisor
3
2
6
Medium
Supervisor

33. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
Supervisor
Ensure the load is secured
Supervisor
Avoid sharp bends, pinching and kinks in rigging equipment
Supervisor
7.2.4
Never wrap wire rope sling completely around a hook
Rigger
7.2.5
Make sure the load is balanced in the hook
Supervisor
7.2.6
Never point-load a hook unless it is designed and rated for such use
Supervisor
7.2.7
Never wrap the crane hoist rope around the load
Rigger
7.2.8
Avoid bending the eye section of wire rope sling around corner or
near any attached fitting
Rigger
7.2.9
Load fall down
Consider the best method of slinging relative to weight, shape,
center of gravity, lifting points and load stability
7.2.3
Incorrect sling configuration
7.2.1
7.2.2
7.2
Understand the effect of sling angle on sling load or pull angle on
beam load
Supervisor
7.2.10 Ensure the riggers are able to tie basic knots and hitches
With two or more slings on hook, use shackle as supporting to sling
7.2.11
balance
Supervisor
Supervisor
7.2.12 Use tag line for control, attached to the load
7.2.13 Block loose loads before unhooking
Using lever hoist
Rigger
7.2.14 Stay back when slings are pulled out under the loads
8
Supervisor
Rigger
8.2
Poor lever hoist
Poor application
Failure lever hoist when in use
Chain break, shock pressure,
object fall
4
3
12
8.1.1
Conduct check prior to use
8.1.2
8.1
Do not use deformed hook
Supervisor
8.2.1
Do not overload or perform excessive fixed dragging
Supervisor
8.2.2
Check the position of holder pawl
User
3
2
6
Medium
Supervisor

34. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
8.2.3
Material falling, forklift over
turn
4
3
12
Supervisor
Do not get the load dragged against floor
User
Avoid using two blocks for suspending a load
User
Do not pull up too far or pull down slamming fast
User
Do not turn around the chain block as loaded
User
Stop pulling when the load is 10 cm above the floor, check for break
action
User
Do not step in under the load
User
9.2.8
Material handling and stacking
10.1 Wrong operation
by forklift truck
Do not overload the chain hoist
9.2.7
10
Supervisor
9.2.6
Overload, load fall, chain
break
Do not use deformed hook
9.2.5
12
Conduct check prior to use
9.2.4
3
9.1.1
9.2.1
4
User
9.2.3
Poor application
Failure chain hoist when in
use
Ensure the chain is free from kink or twist
9.2.2
9.2
Poor chain hoist
User
User
User
User
9.1.2
9.1
Do not unwind or wind the load
Avoid using two blocks for suspending a load
Keep the improper lever hoist in the storage
Keep the chain alignment with both of hooks
8.2.8
Using chain hoist
User
8.2.4
8.2.5
8.2.6
8.2.7
9
Keep the object into the saddle of hook
Keep the chain alignment with both of hooks
User
10.1.1
Forklift completed with load backrest, overhead guard, audible
warning and light
10.1.2 Operator restraint (seat belt) worn all the times
Suitable attachment i.e. fork extension or barrel clamp as per
10.1.3
manufacturer instruction
3
2
2
3
6
6
Medium
Medium
Supervisor
Supervisor
Operator
Supervisor

35. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
10.1.4 The rate capacity marked on attachment
Nobody allowed to be lifted by forklift truck unless using certified
10.1.5
safe working platform
Supervisor
Supervisor
10.1.6 Lower the fork on the ground when parking
10.1.7 No over reach or over load when loading
10.1.8 Avoid violent braking or sudden change of direction
Where possible, travel with the fork arms lowered to within 150 mm
10.1.9
(6’’) of level ground and mast tilted slightly back
10.1.10
Operator
Operator
Operator
Operator
When loaded, travel down or up slopes with the fork arms facing
uphill
Operator
Before raising a load ensure there is sufficient clearance overhead
10.1.11 to do so and that objects which could fall and injure people nearby
will not be dislodged
10.2 Unstable forklift position
11
Manual Handling
11.1 Wrong position
Back Injury
Operator
Before the mast/boom is raised/lowered or extended, the truck
10.2.1 should be stationary with the parking/handbrake applied and
transmission disengaged before the hydraulics are used.
10.2.2 No stacking or destacking allowed on incline position
10.2.3 Adjust the fork spread to suit the load
Material falling, forklift over
turn
4
2
8
11.1.1 Avoid the need to move loads manually
Operator
Operator
Operator
2
2
4
Low
Fully utilise mechanical handling devices, eg lift trucks, pallet trucks,
11.1.2
trolleys
Material storage at yard
12.1 Flammable liquid (fuel, oil)
Fire, explosion
4
3
12
12.1.1 Keep the flammable liquid in the appropriate tanks
Place the tanks into secured designated area that away from
12.1.2
construction area
Supervisor
Supervisor
11.1.3 Try to avoid heavy lifting especially repetitive lifting over a long
Pay attention for moving heavy objects, awkward load shapes,
strenuous pushing and pulling, stacking above shoulder height,
11.1.4
uncomfortable working positions, repetitive work (eg packing) and
use of excessive force
11.1.5 Use hand handle to lift the load if applicable
11.1.6 Ensure no obstruction of sight when handling
11.1.7 Avoid lifting carrying object with awkward position
11.1.8 Do not lift a load not exceed 20 kg
11.1.9 Apply good handling technique for lifting equipment
12
Responsible Person
for Checking
Implementation
Supervisor
Worker
Worker
Worker
Worker
Worker
Worker
2
3
6
Medium
Supervisor
Supervisor

36. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
12.1.3
12.1.4
12.1.5
12.1.6
12.3
Tubular steel (pipe,
scaffolding pipe)
Supervisor
Supervisor
Supervisor
Supervisor
12.1.7
12.2 Compressed gas cylinder
Provide adequate suitable fire extinguishers in the storage area
Only authorised person could enter the storage area
Place appropriate warning sign
Maintain the drainage of spillage
Use small locked drum or container and put it away from hot work
activity when it is in use on construction or maintenance activity
Supervisor
Put the cylinder in upright position all the times
Keep the cylinder in appropriate basket
Ensure the basket in stable position
Use lifting lugs to lift the basket otherwise use forklift truck
Keep the basket in safe clear distance from hot work activity
12.2.5
otherwise protect it by fire blanket
Gas leak, fire, explosion
12.2.1
12.2.2
12.2.3
12.2.4
Non tubular steel (beam,
channel)
Stacked material collapse,
material damage
12.5 Garnet mesh
13
Electricity
Put scaffolding pipe on designated rack
Use appropriate stopper under stacked pipes
Use appropriate clamp to lock pipe movements
Place barricade or other barrier surround the stacked pipes
12.4.2
12.4.3
12.5.1
12.5.2
12.6.1
12.6.2
12.6.3
12.6.4
12.6.5
12.6.6
Fire, explosion
Contact with live equipment,
Electric shock, burns, electric
13.1 poor installation, faulty
arc, fire and explosion
equipment, source of ignition
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
12.4.1 Put the material on appropriate support placed on level ground
Dust
12.6 Paint and solvent
Supervisor
12.3.1 Put the pipes on appropriate support placed on the level ground
Rolling pipe, material damage
12.3.2
12.3.3
12.3.4
12.3.5
12.4
Supervisor
Supervisor
Supervisor
Supervisor
4
3
12
Put small size materials on pallet
Sort the position orderly and tidy
Keep the garnet in the bag prior to use
Put the bag on pallet to make it tidy and orderly
Keep the material in designated room
Ensure the room is well ventilated
No smoking area applied for the room
Personnel wear appropriate masker when work in the room
Keep the paint into designated drum or container prior to use
Provide designated waste bins for contaminated material of paints
13.1.1
Personnel working on electrical equipment or system are competent
person
Supervisor
13.1.2 Ensure the electrical installation is safe as per suitable standard
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
2
3
6
Medium
Supervisor
Supervisor

37. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
13.1.3
13.1.4
13.1.5
13.1.6
13.1.7
Provide adequate socket outlet to prevent overloading socket
Use suitable equipment for working environment
Use wireless equipment to eliminate electrical risk if applicable
Use adequate insulated equipment
Provide clearly marked switch on equipment
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
13.1.8
For earthing cable, the end of cable firmly clamped to stop wire
pulling out of the terminal
Supervisor
13.1.9 Use proper connector to joint the length of cable
13.1.10 Protect light bulb or other equipment that could be easily damaged
13.1.11 Limit the supply voltage to the lowest needed
Supervisor
Supervisor
Supervisor
Ensure the main switchboard, socket outlet or equipment are
13.1.12 equipped with RCD that have rated current tripping not more than 30
mA
Supervisor
13.1.13 Regular inspection and maintenance conducted
13.1.14 Pre-use check conducted by user
No work on live equipment or installation unless permit to work has
13.1.15
been approved
14
Using powered equipment
14.1 Use improper equipment
14.2 Unsafe electrical supply
Electrocute, electric shock
Overheating, source of
ignition
4
3
12
14.1.1 Check the equipment is in good condition
Check the plug is in good condition and is properly secured with no
14.1.2
internal wire visible
Check the electrical cable is not damaged, not repaired with
14.1.3
insulating tape or unsuitable connector
Position any trailing wires so that it avoid trip hazard or get
14.1.4
damaged
Supervisor
User
Supervisor
2
3
6
Medium
Supervisor
Supervisor
Supervisor
Supervisor
14.2.1 Check that the electrical equipment is suitable for electrical supply
Supervisor
14.2.2 Check the electrical supply is safe to use
Supervisor
14.2.3
Use Residual Current Devices (RCD) on electrical supply with
tripping current < 30 mA
Supervisor

38. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
15
Working on live equipment
15.1 Unplanned work
Risks & Possible
Accidents Scenario
Contact with energy
(electricity, mechanical,
rotating equipment, stored
energy, pressure)
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
4
4
16
P
15.1.1 Propose appropriate work permit prior to work
15.1.2 Identify the circuit or equipment to be worked
15.1.3
Know the drawing of electrical system for details information and
work to be done
HE
IR
3
2
6
Residual
Risk
Medium
Responsible Person
for Checking
Implementation
Supervisor
Supervisor
Supervisor
15.1.4 Plan and manage the work
Supervisor
15.1.5 Specify correct system of work and its procedures
Supervisor
15.1.6 Only trained person can do this job and specify level of supervision
Supervisor
15.1.7 Provide appropriate protective equipment
Supervisor
15.1.8 Provide appropriate information, tools and instrument
Supervisor
15.1.9 Disconnect the equipment from any source of electrical energy
Supervisor
15.1.10 Isolate the lived equipment or relevant part with it
Supervisor
Ensure the means of disconnection is secured by safety lock having
15.1.11
unique key
Supervisor
15.1.12 If a plug has been withdrawn, ensure that it can not be reconnected
Supervisor
15.1.13 If a fuse has been removed, ensure that it can not be reinserted
Supervisor
15.1.14 Post notice to let everyone knows that work is being done
Supervisor
Completed the notice with name of person working and contact
15.1.15
number
Supervisor
15.1.16 Test the isolated equipment to ensure the power is off
Supervisor
15.1.17 Use earthing devices if necessary
Supervisor
Ensure the equipments have adequate working space, access and
15.1.18
lighting
Supervisor

39. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Apply a permit to work after all precautions have been taken,
especially for high-voltage system
Remove all safety lock used for securing equipment when work has
15.1.20
finished
15.1.19
Supervisor
Supervisor
15.1.21 Close work permit when work has finished
16
Using hand tools
16.1
Flying debris, broken handle
when using cold chisel
Injury
3
2
6
16.1.1 Used to cut or shape soft metals as well as concrete and brick
Responsible Person
for Checking
Implementation
Supervisor
3
1
4
Low
Supervisor
16.1.2 Avoid using the chisel with mushroom head, it should be ground off
16.1.3 Use hand gloves and eye protection when using chisel
Flying head, broken handle
when using hammer
16.2.1 Ensure that head is secure and tight prior to using it
Injury
User
16.2.2 Replace damaged handle or stem
Hit the target with head of sledgehammer to avoid weakening the
16.2.3
stem and flying head
16.2
User
User
User
User
As with any striking or struck tool, use eye protection when using
16.2.4
sledgehammer
17
Using pneumatic tools
(blasting, painting, chipping)
17.1 High pressure
Personal injury
4
2
8
17.1.1 Only trained person allowed to operate pneumatic tools
17.1.2
17.1.3
17.1.4
17.1.5
17.1.6
17.1.7
17.1.8
17.1.9
18
Cutting by torch
18.1 Sparks, spatter
Fire, burn, explosion
4
4
16
User
2
2
4
Low
Marked capacity of power tools is readible
Keep all tools in good condition with regular maintenance
Use the right tool for the job
Examine each tool from damage before use
Operate according to the manufacturer's instructions
Disconnected the power when replacing anything
Conduct inspection regularly
Proper PPE to be use while working with pneumatic tools.
Flash back arrestor/check valve is installed on both cutting torch &
regulator
Secured the connection between hose to cylinders & hose to cutting
18.1.2
torch by proper mechanical clamps
18.1.1
18.1.3 Oxygen & LPG cylinder stored on the rack
Supervisor
User
User
User
User
User
User
Supervisor
User
3
2
6
Medium
Supervisor
User
Supervisor

40. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
18.1.4 Conduct test to check gas leak by soapy water
Remove flammable materials from work area otherwise protect it by
18.1.5
fire blanket
18.1.6 Provide fire extinguisher and watchman to be stand by
18.1.7 Use appropriate PPE (faceshield and glove)
19
Compressed gas handling
19.1
Flammable gas, oxydizing
Fire, Explosion, Personal
gas, toxic gas, akwark shape Injury
5
3
15
19.1.1 Put cylinders in the appropriate rack/ basket
19.1.2
19.1.3
19.1.4
19.1.5
19.1.6
19.1.7
19.1.8
19.1.9
19.1.10
20
Grinding/ Cutting by grinding
machine
20.1 Electricity
Electric shock
4
3
12
User
User
User
User
2
2
4
Low
Always turn the gas supply off at the cylinder when the gas is not in
use
Regularly check all connections from fault and leaks
Avoid taking gas cylinder in to poorly ventilated rooms or confined
spaces
Store gas cylinders outside whenever possible or in a well ventilated
place
Never allow oil or grease to come into contact with cylinder fittings
Cylinder containing flammable gases, must not be stored in close
proximity to open flames
Cylinders shall be stored protected from direct sunrays
To protect the valve during transportation, the cover cap should be
screwed on hand tight and remain on until the cylinder is in place
Cylinders should never be rolled or dragged when removing
20.1.1 Only trained person that allowed to operate powered tools
20.1.2 Keep all tools in good condition with regular maintenance
20.1.3 Examine each tool from damage before use
20.1.4 Operate according to the manufacturer's instructions
Mandatory PPE + faceshield to be use while working with powered
20.1.5
tools.
20.1.6 Good electrical cable insulation and grounding
20.1.7 The electrical cable has been tested & tagged
20.1.8 Use hand glove for protection
To ensure that all electrical cables & equipments are installed by
20.1.9
designated trained electrician
Turn off/unplugged the power of grinding machines during
20.1.10
replacement the disc
20.1.11 Ensure cable insulation in good condition
20.1.12 Provide ELCB
Responsible Person
for Checking
Implementation
Supervisor
User
User
User
User
User
User
Supervisor
User
User
2
3
6
Medium
Supervisor
Supervisor
User
User
Electrician
User
Supervisor
User
User
Supervisor
User
User
Supervisor
Electrician

41. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
20.1.13 Inspect equipment prior to use
20.1.14 Use approved grinding disc only
20.1.15 Grinding machine is equipped with dead man switch
20.2
20.2.1 Use proper PPE for grinding activity: safety glass, face shield
User
20.2.2 Limitation access to the work area
Flying small particles from the
Eye injury
activity
User
Supervisor
20.2.3
Use spark shield during grinding activities for protection to other
workers/visitors
User
20.4
21
Welding, Gouging
Sparks come to flammable
material
21.1 Electricity
20.3.1 Use only approved grinding machine that has passed the inspection
Injured personnel
User
User
Remove flammable materials from the area otherwise protect the
20.4.1 materials by fire blanket. Keep the safe distance from the flammable
material and grinding activity
20.4.2 Provide portable fire extinguisher
Fire, burn
Electric shock
User
20.3.2 Make sure grinding machine rotation speed (RPM) less than
grinding disc allowable rotation
20.3.3 Proper replacing/installing/tightening grinding disk
20.3 Grinding disc broken
5
3
15
21.1.1 Always be sure the work cable makes a good connections
21.1.2 Connection shall be close as possible from the welding point
21.1.3 Be certain of a good electrical grounding
Maintain the electrode holder, work clamp, welding cable and
21.1.4
welding machine in good condition
When working at height use full body harness to avoid falling down
21.1.5
in case of electric shock
User
User
5
2
10
Medium
Supervisor
Welder
Welder
Welder
Welder
21.2 UV-IR-Light radiation
Eyes and skin irritation
21.2.1 Use a shield with proper filterand cover plates
21.2.2 Use suitable cloathing made from durable flame resistant material
21.2.3 Protect others by installing an appropriate screening
Welder
Welder
Welder
21.3 Fumes and gas
Ill-health
21.3.1 Weld within a ventilated area
Provide blower when welding in confined space or where there is a
21.3.2 risk that the concentration of fumes and gases could be too high,
welder must wear individual breathing protection
Supervisor
Welder

42. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
21.4 Sparks, spatter
21.5 Noise
22
Work in the extreme
environment
22.1 Poor lighting
Risks & Possible
Accidents Scenario
Risk Category
P
HE
IR
P
HE
IR
Residual
Risk
21.4.1 Remove flammable material in the risk zone
21.4.2 Screen off the area
21.4.3 Make sure that sufficient fire extinguisher is available
21.4.4 Welding shields or barriers shall be used to protect workers from
flash
21.4.5 Use appropriate PPE for welding (appron, welding hand glove)
Fire and Burns
Welder
Welder
21.5.1
21.5.2
21.5.3
21.5.4
3
3
9
22.1.1 Provide good light including natural light and avoid glare
Responsible Person
for Checking
Implementation
Supervisor
Welder
Welder
Use individual ear protector
Install noise absorber
Screen off noisy work area
Use quiter tools for grinding and removing slag
Using a suitable welding process and welding technique can
21.5.5
minimise grinding and slag removal
Ill-Health (deft)
Visual fatigue
Acceptable Risk
Additional Risks Reduction Measures
Supervisor
Welder
Welder
Welder
Welder
3
2
6
Medium
Supervisor
22.1.2 Provide a good level of local lighting in place where necessary
Supervisor
22.1.4 Provide special fittings for flammable and explosive atmosphere
Supervisor
22.1.5 Conduct inspection for the luminance
22.2 Exposure of dust, fume or gas Ill-health
Supervisor
22.1.3 Provide suitable form of lighting
Supervisor
22.2.1 Provide proper respiratory protective equipment for employees
Supervisor
22.2.2
Inform all employee the need of using respiratory protective
equipment in some certain workplaces
Supervisor
22.2.3 Look after the respiratory protective equipment given
22.2.4 Conduct inspection for using of respiratory protective equipment
Noise from machine
22.3
operation, gouging activity
Ill-health (deft)
Supervisor
Supervisor
22.3.1 Provide proper hearing protection for employees
Supervisor
22.3.2 Monitor the sound level at workplace
Supervisor
Inform all employee the need of using hearing protection in some
22.3.3
certain workplace
Supervisor
22.3.4 Look after the hearing protection given
Supervisor
22.3.5 Conduct inspection for using of hearing protection
Supervisor

43. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
23
Working at height
Risks & Possible
Accidents Scenario
Improper access, work area is
23.1 not safe to prevent people
Personnel falling, drop object
from falling
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
4
4
16
P
23.1.1 Avoid working at height
23.1.2
23.1.3
23.1.4
23.1.5
23.1.6
HE
IR
3
2
6
Residual
Risk
Medium
In existing place, provide appropriate permanent access and edge
protection
Provide work equipment with collective fall protection that protect all
those at risk (scaffolding, MEWP)
Provide work equipment with collective fall protection that protect
the individual (fall restrain system)
Minimize distance and consequences of fall and protect all those at
risk (nets, soft landing systems
Minimize distance and consequences of fall and protect the
individual (fall arrest system, rope access)
Responsible Person
for Checking
Implementation
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
23.1.7 Provide working at height awareness training
23.1.8 Use podium steps or ladders for light duty
Working at height, personnel
falling
24.2 Scaffolding collapse
Injured person, Fatality
Injured person, Fatality
4
4
16
Supervisor
23.1.11 Use rope and pulley to move material up and down
24.1
Supervisor
23.1.10 Keep materials into the box or secure it
Erecting and Dismantling
scaffolding
Supervisor
23.1.9 Closure or segregate area from unauthorized people
24
Supervisor
Supervisor
24.1.1
24.2.1
24.2.2
24.2.3
24.2.4
24.2.5
24.2.6
24.2.7
Wear safety harness and hand gloves during erecting or dismantling
scaffolding
Only certified and competent scaffolder allowed to erecting or
dismantling scaffolding
Conduct inspection regularly (weekly basis)
To use approved material scaffolding (tubing, wood plank and
clamp)
Applied tagging system
No modification allowed without authorization from
supervisors/inspector concerned
Inspector shall recertified acceptance of the scaffold after
modification (if any)
Scaffolding shall be connected to the permanent structure to prevent
collapse
3
2
6
Medium
Scaffolder
Supervisor
Supervisor
Supervisor
Inspector
Supervisor
Supervisor
Supervisor

44. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
24.2.8
HE
IR
Residual
Risk
Scaffolding must be based on firm, level foundation and avoid soft
ground
Responsible Person
for Checking
Implementation
Supervisor
24.2.9 Provide extra support as necessary
25
Working on scaffolding
Material/tools dropped from
height
25.1 Personnel falling from height
Supervisor
To ensure all tools and materials must be tied off and all small
24.3.1 materials shall be stored in the basket and no dropping down any
materials from high level
Barricading system to be applied during erecting and dismantling
24.3.2
scaffolding
Injured person
Injured person
Supervisor
24.2.11 Design duty rating to the scaffolding
24.3
Supervisor
24.2.10 Stabilize by bracing & tightening to permanent structure
4
4
16
25.1.1 Check the tag of scaffolding prior to use
Scaffolder
Scaffolder
3
2
6
Medium
User
25.1.2 No one allowed to make a modification of scafffolding
25.1.3 Contact scaffolder to repair or make modification of scaffolding
16
User
25.1.8 Use rope and pulley to move material up and down
4
User
25.1.7 Keep materials into the box or secure it
4
User
25.1.6 Minimize storage material on work platform
26.1 Use improper safety harness Injured person
User
25.1.5 Do not overload the scaffolding, use scaffold as its duty rating
Wearing safety harness
User
Do not climb on or lean over handrail, work on platform only
25.1.4
otherwise provide fall arrest system
26
User
User
26.1.1 Conduct visual check prior to use
26.1.2 Ensure the hook still function properly
26.1.3
Scaffolder must wear safety harness with double lanyard completed
with shock absorber
2
2
4
Low
User
User
User

45. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
Using ladder
Incorrect method of using
safety harness
Personnel falling
27.1
Unstable or potential to slip
position
Personnel falling
4
4
16
User
User
26.3.1 Remove snap hooks one by one to move around
Personnel falling
26.3
27
26.2.1 Keep lanyard being connected to safe anchor points
Keep lanyard as high as possible and away from the edge if
26.2.2
possible
26.2 Hook not anchored
User
27.1.1 Conduct visual and functional inspection
3
2
6
Medium
User
27.1.2 Used for light duty & short-duration work
27.1.3 Put ladder on level stable surface
27.2.1 Maintain three point of contacts
28.1 Lack of awareness
People drowning
4
4
16
User
User
27.2.3 Do not use top, second or three rung
Working above water
User
27.2.2 Do not overreach
28
User
27.1.5 Use rule of thumb “one out for every four up” to get the correct angle
Insecure hand, feet and body
Personnel falling
position
User
27.1.4 Secure ladder position – hold it or tie it off at top
27.2
User
User
28.1.1 Provide safe system of work
3
2
6
Medium
Supervisor
28.1.2 Worker must be properly trained
Supervisor
28.1.3 Provide suitable emergency equipment
Supervisor
28.1.4 Provide barrier as guard rail to stop people falling
Supervisor
28.1.5 Provide life jacket (with auto-inflating)
Supervisor
28.1.6 Provide buoyancy aids
Supervisor

46. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
28.1.7 Arising alarm if anyone has fallen eg. using whistle and light
Working with chemicals or
products contain chemicals/
Activities generate fumes,
dust, mists, vapors
Working with hazardous
substances
29.1
Burn, asphyxiation, ill-health
3
3
9
29.1.1
Checking information that came with the product, eg a safety data
sheet
29.1.2
29
Working personnel
User are trained to understand the information such as the symbols
and hazards
2
2
4
Low
Supervisor
Supervisor
29.1.3 Wear appropriate PPE recommended by the safety data sheet
Ensure control equipments are in place and properly function eg
29.1.4
local exhaust ventilation
29.1.5
Responsible Person
for Checking
Implementation
User
Supervisor
Provide emergency equipment such as eye wash near the
workplace
Supervisor
Provide suitable hygiene facilities for decontaminating skin and
29.1.6
facilities for cleaning personal protective equipment.
30
Blasting/Painting
30.1
30.2
30.3
30.4
30.5
30.6
Dust Exposure
Noise
Broken Hose
Hose realese from extension
Expose by sand stain
Eye Irritation
Contamination air in blasting
hood
30.8 Chemical fire
30.7
Ill-Health
Ill-Health
Personal Injury
Personal Injury
Personal Injury
Ill-Health
4
3
12
Supervisor
Provide suitable means for disposal of the substance and
29.1.7
contaminated materials only
Supervisor
30.1.1
30.2.1
30.3.1
30.4.1
30.5.1
30.6.1
30.6.2
30.7.1
30.8.1
30.8.2
30.8.3
30.8.4
Use suitable masker
Use Ear Protection
Check the hose condition must be good before start to work
Every connection secured with anti whip
Use long forearm uniform
Use safety glass
Provide eye wash
Change the filter breathing carbon periodically (consult to
manufacture instruction)
Prohibited to smoking in painting area
Proper paint storage
No smoking sign and MSDS shall be provided at paint storage and
painting area.
Risk and hazard of painting shall be socialized to crew based on
MSDS recommendation
2
2
4
Low
Worker
Worker
Worker
Worker
Worker
Worker
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor

47. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Risk Category
Hazards
31
Confined Space Entry
Acceptable Risk
Additional Risks Reduction Measures
Risks & Possible
Accidents Scenario
P
HE
IR
Existing of toxic gas, lack of
31.1 oxygen, flammable and toxic
residue
Toxicity, Asphyxiation, Fatality
4
4
16
P
31.1.1 Issued appropriate Permit to Work prior to work
31.1.2
31.1.3
31.1.4
31.1.5
31.1.6
31.1.7
31.1.8
31.1.9
31.1.10
31.1.11
31.1.12
31.1.13
31.1.14
31.1.15
31.1.16
32
Excavation
32.1 Live underground services
Electric shock, explosion
4
3
12
HE
IR
3
2
6
Residual
Risk
Medium
Communicate permit to all affected personnel and posted
All person involved are competent to do the work
All source of energy affecting the space have been isolated
Conduct gas test before entering confined space
Certified gas tester to performed gas test
Check gas content periodically with calibrated gas detector
Control ventilation system
Check electric cable insulation system
Provide DC lighting or pneumatic lamp
Permanently stand by man on the man hole (Attendance) and he
must be identified by hand arm
Provide breathing apparatus if necessary
Provide board for registering time in and out of entering person
Provide rescue kits
Trolley for rescue person must be available at the main hole
Medical examination by doctor or paramedic prior to entering the
confined space
Provide accurate, clear, readable plans showing the locations of
buried service
Any doubt about identification of buried service, cables and pipes
32.1.2 should be treated as if it were electricity cable and gas pipe until
proved otherwise
Pinpoint any buried services by means of locating device to
32.1.3
determine the possible location
32.1.1
32.1.4 Only a well-trained or experienced person can use locating device
Get written confirmation of disconnection from the owner operation
32.1.5
area
Make digging alongside or above the buried service by hand tools
32.1.6
first i.e. spade, shovel
Responsible Person
for Checking
Implementation
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Doctor of PTG
3
2
6
Medium
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
Supervisor
32.1.7 Use insulated hand tools for digging nearby the power line cable
Supervisor
Do not use buried service as hand or foot hold to climb out of the
32.1.8
excavation
Supervisor

48. GENERIC HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)
FOR FMC SUBSEA FABRICATION
TRA Ref : TRA-Yard-2013-001
Revision : 0
Date : 10-Jan-12
Location: Construction Yard, Cilegon
PT. Gunanusa Utama
Fabricators
JRA Team :
Leader : M. Natsir
Description of the job : General Fabrication & Erection
Hazards - Risks & Possible Accidents Scenario
Task
Hazards
Risks & Possible
Accidents Scenario
Risk Category
Acceptable Risk
Additional Risks Reduction Measures
P
HE
IR
P
HE
IR
Residual
Risk
Responsible Person
for Checking
Implementation
32.1.9 Avoid large piece of rock or hard core for backfilling
Radiography
33.1 Using isotop
Ionizing, Ill- health
4
4
16
Supervisor
32.1.11 After backfilling, place sign indicating the presence of buried service
33
Supervisor
The backfilling should be suitably compacted, use suitable support
32.1.10
to the buried service if necessary
Supervisor
Keep the source into the locked isotop camera and put it into the
appropriate designated pit (bunker) when not in use
33.1.2 Only appropriate person that handle the camera
33.1.1
3
2
6
Medium
Supervisor
Supervisor
33.1.3 Check the source of isotope regularly
Authorized Person
Supervisor
Supervisor
33.1.8 Issued Permit to Work
Noted :
P : Probability
HE : Hazard Efect
IR : Individual Risk
Authorized Person
33.1.4 Check periodically validity of ID card protection
Check radiography exposure use survey meter before conduct
33.1.5
radiography activity
33.1.6 Warning sign and barricade to be installed
33.1.7 Provide rotary light when operation during night time
Supervisor
Authorized Person

49. HSE CLOSE OUT REPORT 2013
ATTACHMENT 5
MANAGEMENT WALTHROUGH
22

50. PT. GUNANUSA UTAMA FABRICATORS
Gunanusa Yard, Cilegon
Telp. : +62254-500088
Fax. : +62254-500091
WEEKLY HSE WALKABOUT
PROJECT: Subsea Manifold
WALKABOUT NO.: 02
DATE/TIME: 18 July 2013 / 09.00 am
Attendees:
FMC – Tey Arn Soon; Hadi Purwanto
PTG – Iman Triwahyudi; Andi S.H; Wahyu Ardi; M. Natsir; Sabrawi;
NO
1
LOCATION
Subsea Manifold
Fabrication
Workshop No. 2
DATE OF
FINDING
Subsea Manifold
Fabrication
Workshop No. 2
TARGET
DATE
REMARKS
19 July 2013
Closed
Data Kususma
18 July 2013
Welding cable:
• Should placed neatly
(S-Shape)
2
RECOMMENDATION
ACTION BY
Sulaiman
Sarman
FINDING
19 July 2013
Closed
• Hanger the provide
18 July 2013
Drilling Workbench:
• At first, it was placed at • Moved to above
unstable place
ground and now

51. (stacked beam),
stopped work by Mr.
Tey.
3
Subsea Manifold
Fabrication
Workshop No. 1
Herry Budiman
Subsea Manifold
Fabrication
Workshop No. 1
5
Subsea Manifold
Fabrication
Workshop No. 1
Closed
19 July 2013
Closed
Data Kusuma
19 July 2013
Closed
• Lighting is
completed to repair
18 July 2013
Hose:
• At first placed at
passage way
19 July 2013
Ondo Nababan
18 July 2013
Lighting:
• Lack of lighting
• Broken Lamp
4
welded to beam to
have better stability.
• Moved to storage
area to prevent
blockage
18 July 2013
Pallet:
• Found have lost partial • Discarded, then
legs, unstable
replace with the new
condition
one

52. 6
Subsea Manifold
Fabrication
Workshop No. 1
18 July 2013
Siswanto
High Pressure:
• High Pressure without
completed with
antiwipe
19 July 2013
Closed
• Has completed with
antiwipe
Prepared by:
Verified by:
Acknowledgement by:
Witness by:
Alnidi S. Bratanegara
Corporate HSE Secretary
M. Natsir
Corporate HSE Manager
Iman Triwahyudi
Project Manager
Tey Arn Soon
Asst. Fabrication Manager

53. HSE CLOSE OUT REPORT 2013
ATTACHMENT 6
HSE MASTER DOCUMENT
REGISTER (MDR)
23

54. PT. GUNANUSA UTAMA FABRICATORS
LIST OF FMC HSE PROCEDURES
Date : 22-May-2013
No.
Title of Documents
Document No.
Rev.
Status
Reviewed
Date
1
HSE Management Plan
ID-GNU-FMC-47688727HSE-0001
A
IFC
22-May-13
2
Personal Protective Equipment (PPE)
Inspection, Controling Program and
Distributuion System Procedure
ID-GNU-FMC-47688727HSE-0002
A
IFC
22-May-13
3
Hazard Identification and Risk
Assessment
A
IFC
22-May-13
4
Generic Risk Assessment
A
IFC
22-May-13
5
Lifting and Rigging Procedure
A
IFC
22-May-13
6
Confined Space Entry Procedure
A
IFC
22-May-13
7
Lifting and Rigging With Categories
A
IFC
22-May-13
8
Permit to Work Procedure
A
IFC
22-May-13
ID-GNU-FMC-47688727HSE-0003
ID-GNU-FMC-47688727HSE-0004
ID-GNU-FMC-47688727HSE-0005
ID-GNU-FMC-47688727HSE-0006
ID-GNU-FMC-47688727HSE-0007
ID-GNU-FMC-47688727HSE-0008
Prepared by:
Acknowledge by:
Alnidi Safarach Bratanegara
Corporate HSE Secretary
M. Natsir
Coprporate HSE Manager

55. HSE CLOSE OUT REPORT 2013
ATTACHMENT 7
LOAD OUT PICTURE
24

56. LOAD OUT
Sub Sea Manifold Picture

57. HSE CLOSE OUT REPORT 2013
ATTACHMENT 8
INSPECTION REPORT
25

58. SUBSEA MANIFOLD
PROJECT
INSPECTION REPORT
: 2 UnitTruck Trailler
: 6 Unit
Stand by Welding Rectifier (Cable Power
not yet Connected)
Stand by Welding Rectifier (Ready for
used)
Inspection – Welding Rectifier
Green Tag Inspection Welding Rectifier
Inspection Report
1-2

59. Calibration date welding rectifier
Inspection – Distribution Panel
Inspection – Distribution Panel
Green Tag Inspection Distribution Panel
Inspection – Extension Panel
Inspection – Extension Panel
Inspection Report
2-2