Project Title LIMA Subsidence Remediation Project Contract No.: STC #0677 Authors Organization Installation PT.

TIMAS SUPLINDO

Document Number LIMA-Z-PLA-1026 Validation 2 Years Expired Date 7-June-2015

LIFTING PLAN PERSONNEL TRANSFER FROM DLB01 TO PLATFORM/BOAT AND VICE VERSA

Approval Sheet Name Oto Gurnita Asning Suryo Gilbert Manurung Winardi/Tegoeh Marhaendratno Toni Hadiastono Project Manager Project Engineer Lifting Technical Expert Project Onshore Lifting Responsible Person Project Construction Lead Title Date Signature

Revision Status Rev 1 Issue Date 7-June-2013 By CAY Chk FW/OS App JB Issue Purpose Approved for Construction Owner Signature

LIFTING PLAN FORM STANDARD LIFTING PLAN TITLE

DOCUMENT NUMBER REVISION NUMBER DATE
LIMA-Z-LPA-1026/BTP A 7-Jun-13 1 dari 2

LIFTING PLAN - PERSONNEL TRANSFER BETWEEN BARGE & PLATFORM SHEET

EQUIPMENT TAG / DESCRIPTION Billy Pugh Personnel Transfer Basket TYPE / SIZE X-904-6 (6 pax capacity) AREA LCOM/LSER/LPRO /LA LOCATION/SITE Platform Main Deck

DESCRIPTION OF WORK Lift & Transfer personnel between Barge to Platform/Platform to Barge

W.O. NUMBER

LIFTING PLAN CHECK LIST

I LIFTING PURPOSE
Remove Material from Boat to P/F Remove Material from P/F to Boat Remove & Dismantle Equipment
PICK-UP POINT DLB01 Main Deck/Platform Main Deck

Remove Material from Landing Area to Working Area Remove Material from Working Area to Landing Area Install Equipment (temporary hold by crane before tack weld)
SET-DOWN POINT Platform Main Deck/DLB01 Main Deck

II

SITE ORIENTATION
1 VIEW 2 SPACE LIMITED 3 MULTI APPLIANCES REQUIRED CLEAR YES YES OBSTRUCTED NO NO 4 LIFTING OVER PLANT 5 LIFTING SKETCH ATTACHED 6 LAST WIND SPEED DATA<25 KNOTS YES YES YES NO NO NO

III IV

LIFTING CATEGORY
Routine Simple Complicated Complex

LOAD IDENTITY
WEIGHT SIZE CONTENT LIFTING POINT

1.50 T 2 x 2 x 2.5 mtr 1 ea

LIFTING APPLIANCES REQUIRED

BARGE CRANE (DLB01) CRAWLER CRANE (DLB01) OVERHEAD CRANE CHAIN HOIST OTHER LIFTING DISTANCE (m) LIFTING DISTANCE (m) MIN MIN CAPACITY (TON) CAPACITY (TON) CAPACITY (TON) 24.4 MAX MAX 85.3 CAPACITY (TON) CAPACITY (TON) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) MIN MIN 10 MAX MAX 10

VI

LIFTING ACCESSORIES
SINGLE LEG WIRE SLING TWO LEG WIRE SLING FOUR LEG WIRE SLING WEB/ROUND SLING SHACKLE DIAMETER (INCHES) DIAMETER (INCHES) DIAMETER (INCHES) SIZE (INCHES) SIZE (INCHES) SIZE (INCHES) SPECIAL TOOLS 1 LENGTH (M) LENGTH (M) LENGTH (M) LENGTH (M) SWL (TON) SWL (TON) 4.75 1 SWL (TON) SWL (TON) SWL (TON) SWL (TON) 8 QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) 1 2 1

Billy Pugh Personnel Transfer Device, 6 pax capacity (c/w 4 way rigging, shock absorber, safety sling, master links)

VII

POTENTIAL HAZARD
DESCRIPTION 1 BAD WEATHER 2 EARTH QUAKE 3 DROP OBJECT 4 FLYING OBJECT 5 HIGH PRESS POTENSIAL
HIGH HIGH HIGH HIGH HIGH LOW LOW LOW LOW LOW

CONTROL
YES YES YES YES YES NO NO NO NO NO

DESCRIPTION 6 HIGH VOLTAGE 7 HIGH TEMP 8 HIGH PRESS 9 SLIP 10 VISIBILITY

POTENSIAL
HIGH HIGH HIGH HIGH HIGH LOW LOW LOW LOW LOW

CONTROL
YES YES YES YES YES NO NO NO NO NO

VIII LIFTING TEAM

POSITION 1 CRANE OPERATOR 2 HOIST OPERATOR 3 SIGNAL MAN/RIGGER 1 man*/shift N/A 2 men*/shift Y NAME EXPERIENCE (YEARS) CERTIFIED/TRAINED YES NO Y NOTES

* : to be completed at offshore by project lifting team before

IX

COMMUNICATION METHOD 1 Hand Signal

2

Using Radio

Combination Hand Signal and Radio

OTHER SAFETY REQUIREMENT 1 Risk Assessment Task 2 Prejob Meeting

YES YES NO NO

3 Pre-use Inspection 4 Plant Shut Down

YES YES

NO NO

5 T.E. Approval

YES

NO

XI

ATTACHMENT OF LIFTING PLAN

1 List of personnel with competency, certifecate and expiry 2 List Lifting Accessories, lifing equipment with their SWL 3 Lifting sketch of lifting accessories attachment to the load 4 Lifting sketch of lifting equipment attachment to lifting accessories, skecth of lifting equipment radius and movement, sketch of working area (Slewing area) 5 Engineering calculation for uncertain structure or soft soil etc 6 Engineering calculation for uncertain load or unclear load SWL 7 L2RA
YES YES YES NO NO NO

YES
YES YES YES

NO
NO NO NO

XII WORK STEP 1 Tool Box meeting to discuss Lifting Plan. Revise Lifting Plan if any condition changes from previous site orientation 2 Assign personnel as their competency 3 Prepare lifting equipment as required 4 Attach lifting accessories to load as per lifting sketch no 1 (attach) 5 Prepare lifting equipment to straight above the load and lowering crane hook to attach the lifting accessories. Maximum radius as per sketch no 1 (attach) 6 Raise the hoist untill all sling tight. Check for any obstruction or unproper attachment 7 Get the personnel to be transferred to get into the personnel transfer device and put their bags/belongings on the designated place 8 Check all personnel ready (hands holding the net properly, safety lash secured, work vest worn properly) 9 Raise the hoist untill load lifted about 5 cm. stop and check for unssafe condition 10 Continue to move the load to designed point as per lifting skecth no 2 (attach) 11 Lower the crane and set the personnel transfer device onto deck 12 Disconnect crane, house keeping & end of lifting

REMARKS
1 Wind Speed shall lower than 25 knot 2 Maximum Load = 80% SWL 3 Maximum Load = 80% SWL

PREPARED BY

APPROVED BY

Timas Lifting Team

NOTES DATE ISSUED CONTROLLED NO UNCONTROLLED NO

safety sling from manufacturer

shock absorber from manufacturer

masterlink from manufacturer

4 way rigging from manufacturer

LEVEL 2 RISK ASSESSMENT FRONT SHEET

INSTALLATION: PHE ONWJ DEPARTMENT/SYSTEM/LOCATION: LOCATION/AREA: LIMA F/S DESCRIPTION: REASON FOR ASSESSMENT: WCC No.: DATE: TRA REF No.

Front sheet: 1 of
RISK ASSESSMENT TEAM (FIRS NAMED - TRA TEAM LEADER) NAME SIGNATURE POSITION/JOB TITLE

LIFTING ACTIVITY (GENERAL)

EXPECTED DURATION OF THE TASK DRAWING NUMBERS:

Mandatory
7 Days N/A

RISK TASK RISK ASSESSMENT (NORMAL) OPERATIONS RISK ASSESSMENT (ORA) ASSESSMENT ISOLATION RISK ASSESSMENT (IRA) TYPE

REFERENCES AND OTHER RELEVANT INFORMATION:

e.g. Emergency provision required, Competency requierement, Tool & Equipment, Additional PPE, P&IDs, Drawings, PTW, Procedures, Certificates, other Risk Assessment

I TRA Team Leader confirm that the risk for the task described have been reviewed and the controls which are recommended reduce the risk to ALARP and I it is safe so the task can proceed

- Offshore General Lifting Procedure (LIMA-Z-PRC-1020) - Peraturan dan standart Penggunaan dan pemeliharaan peralatan angkat ( PHEONWJ-U-SOP-0100) - Station TRT, 500 m check-list zone, ERP lifting
TASK DESCRIPTION: Ensure enough level of detail is provided - list all major/critical tasks
Transfer personnel between Barge and Platform : - Preparation of WORK - Equipment/ gear check - Transfer personnel by using crane barge - Post lifting activity/house keeping

NAME (PRINT): SIGNATURE: DATE: I am satisfied that the controls identified when in place will reduce the risk level to ALARP. The task / action / change is permitted to proceed. CONFIRMED AND APPROVED BY: Ops TA/ Ops/Drilling OIM/SC Wells TA Manager NAME (PRINT): SIGNATURE: DATE:

Ops Director

STOP THE TASK & REPORT TO AA - If see something unsafe, unsure what is going on and work condition is significantly changing/emergency

TASK DESCRIPTION : Personnel Transfer from Barge to Platform

11. ACTIONS 8. PERSON OR ROLE REPSONSIBL E 1. SUB-TASK NO. 1 2 10. ALARP 2. SUB-TASK ACTIVITY / DESCRIPTION 5. EXISTING CONTROL MEASURES 9. RESIDUAL RISK E P Actions closed? (for next shift/day) D1

3. HAZARD DESCRIPTION

4. HAZARD EFFECT

6. INITIAL RISK

7. LIST ALL CONTROL MEASURES REQUIRED

- Tempat kerja yang tidak aman Persiapan pekerjaan - Pekerja terjebak - Tersandung, tergelincir, terjatuh

Injury/Medical treatment, Property damage

Lifting Plan, work pack

- Tool box meeting sebelum memulai pekerjaan - Pastikan existing control dilakukan dengan benar - Pastikan kondisi deck bebas dari rintangan - Menggunakan PPE yang sesuai - Pastikan dilakukan oleh pekerja yang kompeten - gunakan existing control sebagai acuan kerja - Pastikan bahwa semua peralatan telah diinspeksi, memiliki valid sertifikat dan color code - Menggunakan PPE yang sesuai - Line communication to approximately workers. - Install baricade & safety sign. - Do not blocking passage way. - DO not blocking safety device / emergency. - Report to AA amy unsafe condition.

PA

Equipment & lifting gear check

- Terjepit, tersandung, tergelincir, terjatuh

Injury/Medical treatment

Maintenance management system, lifting register

PA

Third party hazard

MT due to injury

N/A

PA

Transfer Personnel using personnel basket personnel basket Failure - personnel basket Certification - Daily personnel basket Inspection

Fatality

- Make sure personnel basket certificate still valid. - Make sure daily pre-use inspection conduct. - Use certified and valid lifting gear/equipments. - Pre-use inspection and regular maintainance of lifting equipments - Routine inspection. - Free fall feature must be isolated and locked. 12 - Pre- lift test. - Lifting only 80 percent of load lifted. - Designated communication channel to be dedicated. - Good communication and proper signal. - Pre-lift briefing. - Spare batteries and radio ( Back-up ) - Acknowledgement of signal by reponse via walkie-talkie. - No lifting during barge / vessel rolling. - Monitoring weather forecast by radio or paging system. - Line communication beetwen station. - Immediately announce the important weather forecast info.

PA

Radop

Bad Weather & Squal

Fatality

- Weather Forecast - Win Speed

12 - Obey STOP Criria of wind and waves: * Small boat - >20 knot & >1.5 m * Medium boat - > 25 knot & > 2 m * Stop immediately if any squal information. - Stop immediately when rain, wind or lightning. - Line of communication with the boat master. - Check for compliance with 500 m check list - If an unsafe condition, stop lifting. - If the ship drifting & personnel basket is still related: * Do not panic and passengers remain in personnel basket. *Report AA / IOM for assistance. * Continue to seek a safe position of the ship. * Stretching crane wire rope. * Lower the passengers of the personnel 12 basket if it is safe. *Remove the hook and slide it out of the ship. * Immediately raise the hook. * Immediately secure the crane and lifting stop. - If the ship is drifting and personnel basketfree: * Raise the personnel basket immediately. * Immediately secure the crane and lifting stop. -Follow the AA / IOM for ERP. - Check the adequacy of lighting. - Choose a safe standing position. - Inadequate number and length of the tagline. - Prevent excessive movement of the ship. - Keep your work area is quite clear, min 4 mx 12 4 m. - Position the personnel basket just below the boom head. - Perform a slow motion swing. - Hold the personnel basket if it had been below the waist. - Stop & report to AA if in doubt or insecurity. - Check that the deck is quite clear. - Check that the personnel basket was not caught. 12 - Check the safety belt quite a bond. - Lift the personnel basket with a full alert. - Do not forcibly remove if the personnel basket got stuck. - Certified rigging equipment & color coding. - Bring your luggage in a luggage bag. - Do not take a personnel basket while carrying luggage. - Use this gracious cargo net non personal 12 baggage.. -Avoid overload. - Avoid hard swing and impact. - Exit the ship bit by bit. - Check the state before the command lift. Do not pass nder the cargo

A PA

Transfer Personnel using personnel basket

Vessel drifting

Fatality

- 500 Meter Check List - Lifting Operation Procedure

PA

Excessive Sliding and Motion of the personnel Fatality basket

Lifting Operation Policy & Standard A PHEONWJ-U-SOP0100

PA

Transfer Personnel using personnel basket

Lifting Operation personnel basket Stuck Fatality due to crane Policy & Standard A the Deck failure PHEONWJ-U-SOP0100

PA

Drop object

Fatality

Cargo Manifest rigging equipment certificate

PA

STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency

Page 1 of 2

TASK DESCRIPTION : Personnel Transfer from Barge to Platform

11. ACTIONS 8. PERSON OR ROLE REPSONSIBL E 1. SUB-TASK NO. 10. ALARP 2. SUB-TASK ACTIVITY / DESCRIPTION 5. EXISTING CONTROL MEASURES 9. RESIDUAL RISK E P Actions closed? (for next shift/day) D1

3. HAZARD DESCRIPTION

4. HAZARD EFFECT

6. INITIAL RISK

7. LIST ALL CONTROL MEASURES REQUIRED

Transfer 3 Personnel using personnel basket

Engine trip/ hose be broken when transfer

Load test official report Fatality Daily Check List Crane Inspection A M

- Report to AA and IOM for assistance. - Do not panic and passengers remained in the personnel basket. - Continue to seek a safe position of the ship. - Check for damage and start the engine. - If this fails and the personnel basket is still related in the ship: *Lower the passengers of the personnel basket if it is safe. * Perform manual lowering. * Remove the hook and slide it out of the ship. * Secure the position of the vessel. -If this fails and personnel basket below maindeck: 12 *Secure the position of the vessel. * Do ship maneuvering back. * Perform manual lowering. * Immediately lower the passenger if it is safe. * Remove the hook and slide it out of the ship. * Secure the position of the vessel. - JIf this fails and the personnel basket is above maindeck: * Secure the position of the vessel. *Perform manual lowering. * Immediately lower the passenger if it is safe. -Consultation AA / IOM / OM for ERP. - Stop lifting and evaluation of the root problem. - Check that the spark arrester properly functioning - Immediately secure the crane / turn off the 12 engine. - Instruct the vessel away from the location - Alert life vest in the crane cabin. - Follow the command of TRT Station. 5 Use ear plugs, Muff, or a combination of appropriate noise rating work location.

PA

HC/gas release

Fatality

ERP Lifting Crane

PA

Noise

MT karena cedera

N/A

PA

Transfer Personnel using personnel basket at high altitude / above the water

Fatality

SOP personnel basket

Check & Notify personnel basket compliance procedures: - Wear helmet, glass & live vest type 1. -Wear safety belt and hold the handle. 12 - No kidding. -f there are crane problems : * Relax and do not panic. *Follow the command of signalman. * Moving deftly as instructed. 5 - Clean and tidy work area. - Arange placement tools and equipment properly. - Install baricade. - Stay calm in the personnel basket. - Do not release body part. - Waering safety belt.

PA

Slip/trip

MT due to injury

N/A

PA

Collision

MT due to injury

N/A

PA

Third party hazard

MT due to injury

N/A

Drop object (hook block) Fatality 4 Post lifting activity

Cargo Manifest rigging equipment certificate

Mechanical hazard

MT due to injury

N/A

- Line Communication to approximately workers. - Install baricade & safety sign. - Report to AA any unsafe condition. - Boom down slowly. - Keep safe distance hook block & boom head. 12 - Do not be under hook block area. - Following signalman instruction until boom rest. - Beware of dangerous part. - Use appropriate Inspection tools. 5 - Prevent direct contact to the sharp edge - Wearing polka-dot glove. 5 5 Wear ear plug, muff or combination according the rating of work area

PA

PA

PA

Noise

MT due to injury

N/A

PA

STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency

Page 2 of 2

LIFTING PLAN FORM STANDARD LIFTING PLAN TITLE

DOCUMENT NUMBER REVISION NUMBER DATE
LIMA-Z-LPA-1026/BTB A 7-Jun-13 1 dari 2

LIFTING PLAN - PERSONNEL TRANSFER BETWEEN BARGE & BOAT SHEET

EQUIPMENT TAG / DESCRIPTION Billy Pugh Personnel Transfer Basket TYPE / SIZE X-904-6 (6 pax capacity) AREA DLB01 LOCATION/SITE DLB01 Main Deck

DESCRIPTION OF WORK Lift & Transfer personnel between Barge to Platform/Platform to Barge

W.O. NUMBER

LIFTING PLAN CHECK LIST

I LIFTING PURPOSE
Remove Material from Barge to Boat/LCT/Material Barge Remove Material from Boat/LCT/Material Barge to Barge Remove & Dismantle Equipment
PICK-UP POINT DLB01 Main Deck/Boat(or LCT or Material Barge)

Remove Material from Landing Area to Working Area Remove Material from Working Area to Landing Area Install Equipment (temporary hold by crane before tack weld)
SET-DOWN POINT Boat (or LCT or Material Barge)/DLB01 Main Deck

II

SITE ORIENTATION
1 VIEW 2 SPACE LIMITED 3 MULTI APPLIANCES REQUIRED CLEAR YES YES OBSTRUCTED NO NO 4 LIFTING OVER PLANT 5 LIFTING SKETCH ATTACHED 6 LAST WIND SPEED DATA<25 KNOTS YES YES YES NO NO NO

III IV

LIFTING CATEGORY
Routine Simple Complicated Complex

LOAD IDENTITY
WEIGHT SIZE CONTENT LIFTING POINT

1.50 T 2 x 2 x 2.5 mtr 1 ea

LIFTING APPLIANCES REQUIRED

BARGE CRANE (DLB01) CRAWLER CRANE (DLB01) OVERHEAD CRANE CHAIN HOIST OTHER LIFTING DISTANCE (m) LIFTING DISTANCE (m) MIN MIN CAPACITY (TON) CAPACITY (TON) CAPACITY (TON) 24.4 MAX MAX 85.3 CAPACITY (TON) CAPACITY (TON) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) MIN MIN 10 MAX MAX 10

VI

LIFTING ACCESSORIES
SINGLE LEG WIRE SLING TWO LEG WIRE SLING FOUR LEG WIRE SLING WEB/ROUND SLING SHACKLE DIAMETER (INCHES) DIAMETER (INCHES) DIAMETER (INCHES) SIZE (INCHES) SIZE (INCHES) SIZE (INCHES) SPECIAL TOOLS 1 LENGTH (M) LENGTH (M) LENGTH (M) LENGTH (M) SWL (TON) SWL (TON) 4.75 1 SWL (TON) SWL (TON) SWL (TON) SWL (TON) 8 QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) QUANTITY (UNIT) 1 2 1

Billy Pugh Personnel Transfer Device, 6 pax capacity (c/w 4 way rigging, shock absorber, safety sling, master links)

VII

POTENTIAL HAZARD
DESCRIPTION 1 BAD WEATHER 2 EARTH QUAKE 3 DROP OBJECT 4 FLYING OBJECT 5 HIGH PRESS POTENSIAL
HIGH HIGH HIGH HIGH HIGH LOW LOW LOW LOW LOW

CONTROL
YES YES YES YES YES NO NO NO NO NO

DESCRIPTION 6 HIGH VOLTAGE 7 HIGH TEMP 8 HIGH PRESS 9 SLIP 10 VISIBILITY

POTENSIAL
HIGH HIGH HIGH HIGH HIGH LOW LOW LOW LOW LOW

CONTROL
YES YES YES YES YES NO NO NO NO NO

VIII LIFTING TEAM

POSITION 1 CRANE OPERATOR 2 HOIST OPERATOR 3 SIGNAL MAN/RIGGER 1 man*/shift N/A 2 men*/shift Y NAME EXPERIENCE (YEARS) CERTIFIED/TRAINED YES NO Y NOTES

* : to be completed at offshore by project lifting team before

IX

COMMUNICATION METHOD 1 Hand Signal

2

Using Radio

Combination Hand Signal and Radio

OTHER SAFETY REQUIREMENT 1 Risk Assessment Task 2 Prejob Meeting

YES YES NO NO

3 Pre-use Inspection 4 Plan Shut Down

YES YES

NO NO

5 T.E. Approval

YES

NO

XI

ATTACHMENT OF LIFTING PLAN

1 List of personnel with competency, certifecate and expiry 2 List Lifting Accessories, lifing equipment with their SWL 3 Lifting sketch of lifting accessories attachment to the load 4 Lifting sketch of lifting equipment attachment to lifting accessories, skecth of lifting equipment radius and movement, sketch of working area (Slewing area) 5 Engineering calculation for uncertain structure or soft soil etc 6 Engineering calculation for uncertain load or unclear load SWL 7 L2RA
YES YES YES NO NO NO

YES
YES YES YES

NO
NO NO NO

XII WORK STEP 1 Tool Box meeting to discuss Lifting Plan. Revise Lifting Plan if any condition changes from previous site orientation 2 Assign personnel as their competency 3 Prepare lifting equipment as required 4 Attach lifting accessories to load as per lifting sketch no 1 (attach) 5 Prepare lifting equipment to straight above the load and lowering crane hook to attach the lifting accessories. Maximum radius as per sketch no 1 (attach) 6 Raise the hoist untill all sling tight. Check for any obstruction or unproper attachment 7 Get the personnel to be transferred to get into the personnel transfer device and put their bags/belongings on the designated place 8 Check all personnel ready (hands holding the net properly, safety lash secured, work vest worn properly) 9 Raise the hoist untill load lifted about 5 cm. stop and check for unssafe condition 10 Continue to move the load to designed point as per lifting skecth no 2 (attach) 11 Lower the crane and set the personnel transfer device onto deck 12 Disconnect crane, house keeping & end of lifting

REMARKS
1 Wind Speed shall lower than 25 knot 2 Maximum Load = 80% SWL 3 Maximum Load = 80% SWL

PREPARED BY

APPROVED BY

Timas Lifting Team

NOTES DATE ISSUED CONTROLLED NO UNCONTROLLED NO

safety sling from manufacturer

shock absorber from manufacturer

masterlink from manufacturer

4 way rigging from manufacturer

LEVEL 2 RISK ASSESSMENT FRONT SHEET

INSTALLATION: PHE ONWJ DEPARTMENT/SYSTEM/LOCATION: LOCATION/AREA: LIMA F/S DESCRIPTION: REASON FOR ASSESSMENT: WCC No.: DATE: TRA REF No.

Front sheet: 1 of
RISK ASSESSMENT TEAM (FIRS NAMED - TRA TEAM LEADER) NAME SIGNATURE POSITION/JOB TITLE

LIFTING ACTIVITY (GENERAL)

EXPECTED DURATION OF THE TASK DRAWING NUMBERS:
RISK TASK RISK ASSESSMENT (NORMAL) ASSESSMENT ISOLATION RISK ASSESSMENT (IRA) TYPE

Mandatory
7 Days N/A
OPERATIONS RISK ASSESSMENT (ORA)

REFERENCES AND OTHER RELEVANT INFORMATION:

e.g. Emergency provision required, Competency requierement, Tool & Equipment, Additional PPE, P&IDs, Drawings, PTW, Procedures, Certificates, other Risk Assessment

I TRA Team Leader confirm that the risk for the task described have been reviewed and the controls which are recommended reduce the risk to ALARP and I it is safe so the task can proceed NAME (PRINT): SIGNATURE: DATE: I am satisfied that the controls identified when in place will reduce the risk level to ALARP. The task / action / change is permitted to proceed. CONFIRMED AND APPROVED BY: Ops TA/ Ops/Drilling OIM/SC Wells TA Manager NAME (PRINT): SIGNATURE: DATE:

- Offshore General Lifting Procedure (LIMA-Z-PRC-1020) - Peraturan dan standart Penggunaan dan pemeliharaan peralatan angkat ( PHEONWJ-U-SOP-0100) - Station TRT, 500 m check-list zone, ERP lifting
TASK DESCRIPTION: Ensure enough level of detail is provided - list all major/critical tasks
Transfer personnel between Barge and Boat/LCT/Material Barge : - Preparation of WORK - Equipment/ gear check - Transfer personnel by using crane barge - Post lifting activity/house keeping

Ops Director

STOP THE TASK & REPORT TO AA - If see something unsafe, unsure what is going on and work condition is significantly changing/emergency

TASK DESCRIPTION : Personnel Transfer from Barge to Boat/LCT/Material Barge

11. ACTIONS 8. PERSON OR ROLE REPSONSIBL E 1. SUB-TASK NO. 1 2 10. ALARP 2. SUB-TASK ACTIVITY / DESCRIPTION 5. EXISTING CONTROL MEASURES 9. RESIDUAL RISK E P Actions closed? (for next shift/day) D1

3. HAZARD DESCRIPTION

4. HAZARD EFFECT

6. INITIAL RISK

7. LIST ALL CONTROL MEASURES REQUIRED

- Tempat kerja yang tidak aman Persiapan pekerjaan - Pekerja terjebak - Tersandung, tergelincir, terjatuh

Injury/Medical treatment, Property damage

Lifting Plan, work pack

- Tool box meeting sebelum memulai pekerjaan - Pastikan existing control dilakukan dengan benar - Pastikan kondisi deck bebas dari rintangan - Menggunakan PPE yang sesuai - Pastikan dilakukan oleh pekerja yang kompeten - gunakan existing control sebagai acuan kerja - Pastikan bahwa semua peralatan telah diinspeksi, memiliki valid sertifikat dan color code - Menggunakan PPE yang sesuai - Line communication to approximately workers. - Install baricade & safety sign. - Do not blocking passage way. - DO not blocking safety device / emergency. - Report to AA amy unsafe condition.

PA

Equipment & lifting gear check

- Terjepit, tersandung, tergelincir, terjatuh

Injury/Medical treatment

Maintenance management system, lifting register

PA

Third party hazard

MT due to injury

N/A

PA

Transfer Personnel using personnel basket personnel basket Failure - personnel basket Certification - Daily personnel basket Inspection

Fatality

- Make sure personnel basket certificate still valid. - Make sure daily pre-use inspection conduct. - Use certified and valid lifting gear/equipments. - Pre-use inspection and regular maintainance of lifting equipments - Routine inspection. - Free fall feature must be isolated and locked. 12 - Pre- lift test. - Lifting only 80 percent of load lifted. - Designated communication channel to be dedicated. - Good communication and proper signal. - Pre-lift briefing. - Spare batteries and radio ( Back-up ) - Acknowledgement of signal by reponse via walkie-talkie. - No lifting during barge / vessel rolling. - Monitoring weather forecast by radio or paging system. - Line communication beetwen station. - Immediately announce the important weather forecast info.

PA

Radop

Bad Weather & Squal

Fatality

- Weather Forecast - Win Speed

12 - Obey STOP Criria of wind and waves: * Small boat - >20 knot & >1.5 m * Medium boat - > 25 knot & > 2 m * Stop immediately if any squal information. - Stop immediately when rain, wind or lightning. - Line of communication with the boat master. - Check for compliance with 500 m check list - If an unsafe condition, stop lifting. - If the ship drifting & personnel basket is still related: * Do not panic and passengers remain in personnel basket. *Report AA / IOM for assistance. * Continue to seek a safe position of the ship. * Stretching crane wire rope. * Lower the passengers of the personnel 12 basket if it is safe. *Remove the hook and slide it out of the ship. * Immediately raise the hook. * Immediately secure the crane and lifting stop. - If the ship is drifting and personnel basketfree: * Raise the personnel basket immediately. * Immediately secure the crane and lifting stop. -Follow the AA / IOM for ERP. - Check the adequacy of lighting. - Choose a safe standing position. - Inadequate number and length of the tagline. - Prevent excessive movement of the ship. - Keep your work area is quite clear, min 4 mx 12 4 m. - Position the personnel basket just below the boom head. - Perform a slow motion swing. - Hold the personnel basket if it had been below the waist. - Stop & report to AA if in doubt or insecurity. - Check that the deck is quite clear. - Check that the personnel basket was not caught. 12 - Check the safety belt quite a bond. - Lift the personnel basket with a full alert. - Do not forcibly remove if the personnel basket got stuck. - Certified rigging equipment & color coding. - Bring your luggage in a luggage bag. - Do not take a personnel basket while carrying luggage. - Use this gracious cargo net non personal 12 baggage.. -Avoid overload. - Avoid hard swing and impact. - Exit the ship bit by bit. - Check the state before the command lift. Do not pass nder the cargo

A PA

Transfer Personnel using personnel basket

Vessel drifting

Fatality

- 500 Meter Check List - Lifting Operation Procedure

PA

Excessive Sliding and Motion of the personnel Fatality basket

Lifting Operation Policy & Standard A PHEONWJ-U-SOP0100

PA

Transfer Personnel using personnel basket

Lifting Operation personnel basket Stuck Fatality due to crane Policy & Standard A the Deck failure PHEONWJ-U-SOP0100

PA

Drop object

Fatality

Cargo Manifest rigging equipment certificate

PA

STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency

Page 1 of 2

TASK DESCRIPTION : Personnel Transfer from Barge to Boat/LCT/Material Barge

11. ACTIONS 8. PERSON OR ROLE REPSONSIBL E 1. SUB-TASK NO. 10. ALARP 2. SUB-TASK ACTIVITY / DESCRIPTION 5. EXISTING CONTROL MEASURES 9. RESIDUAL RISK E P Actions closed? (for next shift/day) D1

3. HAZARD DESCRIPTION

4. HAZARD EFFECT

6. INITIAL RISK

7. LIST ALL CONTROL MEASURES REQUIRED

Transfer 3 Personnel using personnel basket

Engine trip/ hose be broken when transfer

Load test official report Fatality Daily Check List Crane Inspection A M

- Report to AA and IOM for assistance. - Do not panic and passengers remained in the personnel basket. - Continue to seek a safe position of the ship. - Check for damage and start the engine. - If this fails and the personnel basket is still related in the ship: *Lower the passengers of the personnel basket if it is safe. * Perform manual lowering. * Remove the hook and slide it out of the ship. * Secure the position of the vessel. -If this fails and personnel basket below maindeck: 12 *Secure the position of the vessel. * Do ship maneuvering back. * Perform manual lowering. * Immediately lower the passenger if it is safe. * Remove the hook and slide it out of the ship. * Secure the position of the vessel. - JIf this fails and the personnel basket is above maindeck: * Secure the position of the vessel. *Perform manual lowering. * Immediately lower the passenger if it is safe. -Consultation AA / IOM / OM for ERP. - Stop lifting and evaluation of the root problem. - Check that the spark arrester properly functioning - Immediately secure the crane / turn off the 12 engine. - Instruct the vessel away from the location - Alert life vest in the crane cabin. - Follow the command of TRT Station. 5 Use ear plugs, Muff, or a combination of appropriate noise rating work location.

PA

HC/gas release

Fatality

ERP Lifting Crane

PA

Noise

MT karena cedera

N/A

PA

Transfer Personnel using personnel basket at high altitude / above the water

Fatality

SOP personnel basket

Check & Notify personnel basket compliance procedures: - Wear helmet, glass & live vest type 1. -Wear safety belt and hold the handle. 12 - No kidding. -f there are crane problems : * Relax and do not panic. *Follow the command of signalman. * Moving deftly as instructed. 5 - Clean and tidy work area. - Arange placement tools and equipment properly. - Install baricade. - Stay calm in the personnel basket. - Do not release body part. - Waering safety belt.

PA

Slip/trip

MT due to injury

N/A

PA

Collision

MT due to injury

N/A

PA

Third party hazard

MT due to injury

N/A

Drop object (hook block) Fatality 4 Post lifting activity

Cargo Manifest rigging equipment certificate

Mechanical hazard

MT due to injury

N/A

- Line Communication to approximately workers. - Install baricade & safety sign. - Report to AA any unsafe condition. - Boom down slowly. - Keep safe distance hook block & boom head. 12 - Do not be under hook block area. - Following signalman instruction until boom rest. - Beware of dangerous part. - Use appropriate Inspection tools. 5 - Prevent direct contact to the sharp edge - Wearing polka-dot glove. 5 5 Wear ear plug, muff or combination according the rating of work area

PA

PA

PA

Noise

MT due to injury

N/A

PA

STOP the task and report AA - If see something unsafe, unsure what is going on and condition is significantly change or emergency

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