Professional Documents
Culture Documents
Pre
Qualification
Questionnaire
SISTEM PENGELOLAAN
KESELAMATAN, KESEHATAN KERJA DAN LINGKUNGAN
KONTRAKTOR
dalam
pengelolaan
K3LL?
Answer: The Managing Director accepts the overall responsibility of the policy. The managing director delegates
his responsibility to the technical director who delegates to Head of Departments and the Supervisors in ensuring
that the policy, together with the Safety and Health procedural requirements and instruction are read and
understood by all employees as well as conductors and their associates.
b) Provide evidence of commitment at all levels of the organization ?
Berikan bukti komitmen pada semua jenjang organisasi?
Lampirkan : HSE MOM and participants list
Answer: By distribution all HSE manual, HSE policies, HSE procedure and HSE issues
By training to all employees
Demonstrated on the wall
Communicate with HSE office in the field
SECTION 2: POLICY AND STRATEGIC OBJECTIVES
SECTION 2: Kebijakan dan Strategi Objektif
2.1. HSE Policy & Documents
a) Does your company have an HSE policy document?
Yes
No. If Yes, please attach.
Apakah perusahaan anda mempunyai dokumen tertulis mengenai kebijakan K3LL? Jika Ya, lampirkan.
Lampirkan : HSE Policy
Answer:
Yes, there are PT. Promatcon Tepatguna HSE Policy, Drugs and Alcohol Policy, PPE Policy, STOP Policy.
And also Company Rules.
Pre
Qualification
Questionnaire
b) Who has overall and final responsibility for HSE in your organization?
Siapakah yang mempunyai tanggung jawab akhir dan menyeluruh untuk K3LL dalam organisasi anda?
Lampirkan: Struktur Organisasi HSE
Answer:
All personnel have a responsibility for HSE. However overall and final responsibility for HSE are
managing Director and / or Technical Director. And if the Managing director / Technical Director is not
on office, they delegate to HSE Steering Committee Coordinator.
c) Who is the most senior person in the organization responsible for this policy being carried out at the
premises and on site where his employees are working?
Siapakah pejabat yang paling senior dalam organisasi yang bertanggung jawab untuk pelaksanaan
kebijakan ini di areal perusahaan dan tempat dimana karyawan bekerja?
Lampirkan: Struktur Organisasi Perusahaan
Answer:
Please see our attachment
2.2. Availability of Policy Statements to Employees
a) Itemize the methods by which you have drawn your policy statement to the attention of all your employees
?
Sebutkan metode-metode yang anda pergunakan untuk menarik perhatian semua karyawan anda
terhadap pernyataan tertulis mengenai kebijakan perusahaan anda?
Lampirkan : Bukti sosialisasi HSE Policy
Answer:
a. By implementing inspection for site HSE implementation
b. Poster, booklet
c. Safety talk
d. Induction for new employee
e. HSE Board
b) What are your arrangements for advising employees of changes in the policy?
Pengaturan apakah yang anda lakukan untuk memberitahukan karyawan mengenai perubahan-perubahan
kebijakan?
Lampirkan : Bukti sosialisasi HSE Policy
Answer:
The changes will be distributed by email and signed off by all employees. Please see our previous answer
Pre
Qualification
Questionnaire
Answer:
Senior managers and staff are all personally involved in achieving, developing and improving HSE-MS.
He is given the authority and responsibility to ensure that the requirements of the HSE are implemented
and maintained.
b)
Lampirkan : Group meeting with clear topic and speaker. Attendants list
Answer:
By established HSE management system, distributed to all manager. Manager conduct safety manner to
supervisor and crew. And All manager give input related to HSE to HSE manager.
Manage
Top
SPV
Employe
HSE
Pre
Qualification
Questionnaire
What provision does your company make for HSE communication meeting?
Ketentuan apa yang dibuat oleh perusahaan anda untuk pertemuan komunikasi K3LL?
Answer:
Please see our Prosedur Komunikasi, Partisipasi dan Konsultasi No. 02/018/OHS/2007
Answer:
Yes, Training is given to Managers, Supervisor (Field team leader) by external training and in house
training. Example PPE training (in-house training), Bosiet training (external training). (Please see
attachment PT. Promatcon Tepatguna Training Matrix)
3.3. Competence and General HSE Training/Kemampuan dan Pelatihan K3LL Umum
a) What arrangements does your company have to ensure employees have knowledge of basic industrial HSE,
and to keep this knowledge up to date?
Pengaturan apa yang telah dibuat perusahaan anda untuk memastikan bahwa karyawan mempunyai
pengetahuan tentang K3LL dasar dalam industri, dan untuk menjaga agar pengetahuan tersebut selalu
tidak ketinggalan perubahan?
Lampirkan : ref 3.2
Answer:
Giving HSE training to all employees regularly. Their knowledge is up-dated on a regular basis by
regular meetings, seminars and training. In addition, a start of fieldwork all field teams are given a
safety briefing / safety induction meeting on site
b) What arrangements does your company have to ensure new employees, including sub contractors, also
have knowledge of your HSE policies and practices?
Pengaturan apa yang telah dibuat perusahaan anda untuk memastikan bahwa karyawan, termasuk
subkontraktor, juga memahami kebijakan dan tata cara K3LL anda?
Lampirkan : training certificate & Induction prg.
Pre
Qualification
Questionnaire
Answer:
All new employees and subcontractor employees are given HSE induction meeting/ HSE training before
they start to the fieldwork. Their knowledge is up-dated on a regular basis by regular meetings / safety
induction meeting on site. And all employees and subcontractors employees have a copy all HSE policies
and signed off when they read the policies.
Before go the site they have a copy of HSE document, there is : PT. Promatcon Tepatguna HSE
Implementation Scheme for each project
c) What arrangements does your company have to ensure new employees and new subcontractor employee
have been instructed and have received information on any specific hazards arising out of the nature of the
activities? What training do you provide to ensure that all employees are aware of company requirements?
Pengaturan apa saja yang telah dibuat perusahaan anda untuk memastikan bahwa karyawan dan
karyawan subkontraktor yang baru telah diberi dan menerima informasi mengenai bahaya khusus yang
timbul dari sifat pekerjaan? Pelatihan apa yang telah anda berikan untuk memastikan bahwa semua
karyawan mengetahui semua persyaratan-persyaratan Perusahaan?
Lampirkan: Risk analisis, HSE induction & training certificate or attendance list.
Answer:
We give Safety Induction for new employees and subcontractor.
We conduct daily toolbox meeting, work permit for special job, and of course HIRARC every new process
established. Please see our attachement
d) What arrangements does your company have to ensure existing staff HSE knowledge is up to date? If
training is provided in-house please give details of content!
Pengaturan apa yang telah dibuat perusahaan anda untuk memastikan bahwa pengetahuan K3LL
karyawan yang sekarang selalu up to date? Jika pelatihan dilakukan in-house berikan rincian materi
pelatihan!
Lampirkan: TNA, trg schedules, HSE handbook, Observation/audit system (STOP&ASA)
Answer: We give the existing staff Re-Induction training and conduct HSE handbook
3.4. Specialized Training/Pelatihan Khusus
a) How have you identified areas of your companys operations where specialized training is required to deal
with potential hazards? Please itemize and provide details of training given?.......
Bagaimana anda telah mengidentifikasi lokasi dalam operasi anda dimana pelatihan khusus diperlukan
untuk menghadapi bahaya yang mungkin teerjadi? Berikan daftar dan rincian dari pelatihaan yang
diberikan?
Lampirkan : Hazards list and Training program for each first aid, fire fighting, evacuation drill
Answer:
Directors and senior managers have >10 years experience operations. And they have identified
potential hazards that are generally common. However PT. Promatcon Tepatguna prepared
Emergency Response Procedure) to ensure all employees are aware of onsite work risk and guide all
employees on do the safety jobs.
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Pre
Qualification
Questionnaire
b) If the specialized work involves radioactive, asbestos removal, chemical or other occupational health
hazards, how are the hazards identified, assessed and controlled?
Jika suatu pekerjaan khusus melibatkan radioaktif, pembuangan asbes, bahan kimia atau bahaya
kesehatan kerja lainnya, bagaimana bahaya tersebut diidentifikasi, dinilai dan diatasi?
Lampirkan : procedures and implementation records (samples), HSE certificates
Answer:
We use very professional subcontractor or qualified staff if doing jobs above. Initially, we conduct JSA to
make sure the job execute on the right path.
3.5.
Answer:
For ensure every employee have basic requirement we have HSE manager, whom give several in house
training. If we need to provide special training, we send employee to certified provider.
3.6.
Answer :
Please see our Prosedur Subkontraktor No. 02/020/OHS/2007
b) Where do you spell out the standards you require your contractors to
Dimana anda menjelaskan standar yang anda tuntut agar dipenuhi oleh kontraktor anda?
meet?
Pre
Qualification
Questionnaire
Lampirkan: copy halaman contract yang menunjukkan HSE statement dan sanksinya.
Answer:
We speel out in the Work Order
c) How do you ensure these standards are met and verified?
Safety training for employee working.
Recruiting process for employee working for your work.
Employees understand the company, commitments, policy, objective & standard.
Interface plan with sub-contractor? If any?
Bagaimana anda memastikan standar-standar di bawah ini telah dipenuhi dan diperiksa?
Pelatihan keselamatan bagi karyawan yang bekerja
Proses penerimaan karyawan yang kan bekerja untuk proyek anda
Karyawan memahami komitmen, kebijakan, tujuan dan standar perusahaan
Rencana berhubungan dengan sub-kontraktor? Kalau ada
Lampirkan: halaman contract atau memo or MOM (PJA?)
Answer:
We ensure from HSE questionnaire and evidence attachment. If we think inadequate, we will interview
the HSE Manager and several subcontractors worker.
d) Please provide the names of major sub-contractor, if known, at this time!
Berikan nama-nama subkontraktor utama, pada saat ini, kalau diketahui!
Answer:
PT. Maju Bersama. Others, please see our attachment.
3.7.
Standards/Standar
a)
Where do you spell out the HSE performance standards you require to be met?
Di mana anda menjelaskan standar yang anda tuntut agar dipenuhi?
Answer:
We refer Occupational Health Safety Assessment System and Permennakertrans 05/96 as HSE
regulatory or industrial standards that our company refers to for the intended service.
b)
Answer:
Top Management of PT. Promatcon Tepatguna delegated to the HSE Steering Committee whom
responsible for ensure that all HSE activities within PT. Promatcon Tepatguna are carried out the
requirements, rules, and procedures provide in HSE Manual and its associated HSE Procedures and HSE
Plans by implementing HSE Inspection, Audit and Management Review.
c)
How do you identify new industry or regulatory standards that may be applicable to your
activities?
Bagaimana anda mengenali standar-standar industri dan aturan baru yang mungkin berlaku
bagi aktivitas anda?
Pre
Qualification
Questionnaire
Answer:
We updating our regulatory compliance list every six month. Propose to management to comply to our
workplace
d)
Answer:
We have procedure for controlling the revision of document and the changes made for all PT. Promatcon
Tepatguna, it is change control procedure that implemented change request form. Please see our
Prosedur No. 02/017/OHS/2007
e)
Answer:
Please see attachment
Answer:
We use HIRARC, Please see our attachment
4.2.
Answer:
We conduct environment inspection annually
Pre
Qualification
Questionnaire
Answer: We give them knowledge through safety talk, PPE. Conducting JSA before execute job.
Provide MSDS when handling. And only authorized certified personnel who could do these jobs
4.4.
Answer:
We have a procedure of Personal Protective Equipment (PPE). All employees must be use Personal
protective equipment shall be provided and worn where:
- Hazards cannot be otherwise prevented or suitably controlled, e.g. by engineering or
administration controls, total enclosure, substitution.
- Complete protection is essential, e.g. in some occupational environments with uncertain levels of
hazards, or
- Legislation required it.
The provision and use of personal protective equipment does not reduce or replace the need for proper
accident prevention measures, such as engineering or administrative controls, to be undertaken.
Specification of such preventive measures must always be fully explored before consideration of issue of
personal protective equipment.
b)
Do you provide appropriate personal protective equipment (PPE) for your employees? Please
provide a listing of the PPE for the scope of this work.
Apakah anda mennyediakan PPE yang sesuai untuk karyawan anda? Berikan daftar PPE untuk
lingkup kerja ini.
Answer:
Yes, please see attachment
c)
Do you provide training on how to use PPE? Explain the content of the training and any
follow up?
Apakah anda memberikan pelatihan mengenai cara menggunakan PPE? Jelaskan materi
pelatihan dan setiap tindak lanjutnya.
Pre
Qualification
Questionnaire
Answer:
Yes, through safety talk. Follow up by conduct PPE inspection
d)
Answer:
We conduct impacted PPE Inspection, we ensure the stockist. We ensure every workforce maintain the
PPE by sign the statement letter. Every safety talk we remind every worker to use PPE. We communicate
to find best PPE to wear at the workplace
4.5.
Answer:
Please see our Prosedur Pemantauan Lingkungan No. 02/008/OHS/2007
b)
Please provide the number of accidents resulting in environmental damage in the amount
greater than $50,000 for the last 24 months. Attach copies of any governmental reports
submitted!
Berikan jumlah kecelakaan yang menyebabkan kerusakan lingkungan dalam jumlah yang
melebihi $ 50,000 untuk 24 bulan terakhir.
Answer: NONE
c)
No / Tidak
Lampirkan : 4.5a
Answer:
Yes, please see our Prosedur Pemantauan Lingkungan No. 02/008/OHS/2007
d)
No / Tidak
Answer:
Yes, please see attachment. In fact, we dont have any spill because we collect used oil and sell it to
collector
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Pre
Qualification
Questionnaire
Answer: Desiccant for collecting dust form sandblast room, collect chemical vapour from painting job.
Paper garbage storage, waste storage, and other equipment related to office environmental matter
f)
Who is the person in charge for coordinating environment matter and what is his experience?
Siapa orang yang berwenang untuk mengkoordinasi masalah lingkungan dan bagaimana
dengan pengalamannya?
Answer:
HSE Manager with the help from Environmental Lab, actually we have Environment Engineer on site
4.6.
No / Tidak
Answer:
Yes, We have industrial hygiene program including anticipation, recognize, evaluation and control for
industrial hygiene matters such as noise measurement and control, hygiene and sanitation, and other
environmental hazard
b)
Do you have a risk assessment, or similar type effort, for identifying work place hazards?
Please describe this process.
Apakah anda mempunyai penilaian risiko, atau usaha serupa, untuk mengidentifikasi bahaya di
tempat kerja? Jelaskan proses ini!
Answer:
Yes, Please see our 2013 HIRARC, identifying painting sandblast workplace at 4.1 answer
c)
If you introduce hazardous materials/substances into the work site, describe the process you
will use to document and control them.
Jika anda mendatangkan bahan/zat berbahaya ke tempat kerja proses yang akan anda gunakan
untuk mendokumentasi dan mengawasinya.
Answer:
We conduct Risk Assessment, Work Permit
Please see our Prosedur Penyimpanan, Penanganan dan Pemindahan B3 No. 02/013/OHS/2007
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Pre
Qualification
Questionnaire
Answer:
Yes, its included in medical check up
Answer:
Yes, Please see attachment
2).
How do you ensure that the working practices and procedures used by your employees on-site are
consistently in accordance with your HSE policy objectives and arrangements?
Bagaimana anda memastikan bahwa cara kerja dan prosedur yang digunakan oleh karyawan di
lapangan konsisten dengan tujuan dan pengaturan kebijakan K3LL anda?
Answer:
Our HSE officer will ensure that the working practices and procedures used by our employees on site are
consistently in accordance with our HSE policy objectives and arrangements. Project manager responsible
to ensure safety working practices and procedures used by all employees including subcontractor on site.
5.2.
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Pre
Qualification
Questionnaire
Answer:
We act in accordance with government regulation or industrial standard to ensure that plant and
equipment used within our promises, on site or at other location by our employees are correctly registered,
certified with regulatory requirement, inspected, controlled and maintained in a safe working condition.
5.3.
and
Maintenance
Penanganan
dan
Perawatan
What arrangement does your company have for vehicle incidents prevention?
Pengaturan apa yang dimiliki perusahaan anda untuk pencegahan kecelakaan kendaraan?
Lampirkan: Ref procedures, posters & driving safety check list.
Answer:
Please see our Prosedur Operasi Kendaraan Darat No. 02/019/OHS/2007
SECTION 6: IMPLEMENTATION AND PERFORMANCE MONITORING
SECTION 6: IMPLEMENTASI DAN PEMANTAUAN KINERJA K3L
6.1.
Answer:
Please see our Manual PTG-HSE-002 page 23-25
b)
What type of performance criteria are used in your company? give examples!
Kriteria kinerja seperti apa yang digunakan dalam perusahaan anda ? Berikan contoh!
Answer:
Please see our Manual PTG-HSE-002 page 23-25
c)
What arrangements does your company have for passing on any results and findings of this
supervision and monitoring to your:
Pengaturan apa yang dipunyai perusahaan anda untuk menyampaikan setiap hasil dan
termuan
dari
pengawasan
dan
pemantauan
kepada
:
Answer:
i) Base management ?
Base management anda ? Answer : Weekly meeting
ii) Site employees?
Karyawan lapangan ? Weekly or monthly report, field visit
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Pre
Qualification
Questionnaire
Has your company received any award for HSE performance achievement?
Pernahkah perusahaan anda menerima penghargaan untuk prestasi kinerja K3LL ?
Yes / Sudah
No / Belum
Answer:
Yes, from Conoco Phillips.
6.2.
Answer:
Yes, Safety Talk, HSE Management Meeting. Please see our HSE Program Time Table
b)
Answer:
Yes, through Safety Talk, Management Meeting, News posted on board, email
6.3.
Lampirkan: HSE statistics 5 year coverage for the following data 6.4
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Pre
Qualification
Questionnaire
Answer:
Human Resources Department recorded any data of health performance from employees base on
Hospital evaluation and test.
c)
Answer:
HSE Department recorded any report of environmental performance on monthly basis
d)
Answer:
Monthly, by HSE Manager and it is discussed with all manager on former weekly meeting every month
6.5.
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Pre
Qualification
Questionnaire
Answer:
Yes, Please see our Prosedur Pelaporan dan Penyelidikan Kecelakaan No. 02/010/OHS/2007
b)
How are the findings following an investigation, or a relevant incident occurring elsewhere,
communicated to your employees?
Bagaimana temuan dari investigasi maupun insiden lain yang relevan yang terjadi ditempat lain
dikomunikasikan kepada karyawan anda ?
Answer:
We communicate in HSE Management meeting for management, Investigation meeting with supervisor
and project manager. The investigation result was communicated to employees through safety talk,
poster, email
c)
Answer:
Yes, Please see attachment. Every worker feel free to tell all the near miss in safety talk so others could
learn spontaneously at that moment or direct to supervisor
d)
Answer:
Yes, Please see attachment.
SECTION 7: AUDIT AND REVIEW
SECTION 7: AUDIT DAN PENGKAJIAN K3L
a)
Answer:
Yes, Described in procedure, please see our audit record and also HSE Time Table Program/Plan
b)
How does this policy specify the standards for auditing, including unsafe act auditing and the
qualifications for auditors?
Bagaimanakah kebijakan tersebut menjelaskan standar audit, termasuk mengenai tindakan
yang tidak aman dan kualifikasi untuk auditor?
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Pre
Qualification
Questionnaire
Answer:
The standars is OHSAS 18001:2007 clause 4.5.5 (Occupational Health and Safety Management System
Requirement) Audit would be done to see weather the policy has been implemented, maintained in every
organization activities, minor to major. Audit result would be checked again for validation.
Auditor : Our self (Manager, Supervisor from every department) for internal auditing, and WQA for
external Auditing.
c)
Answer:
Yes, we have schedule twice in a year. Internal auditing cover all area in workplace as a HSE nature for
every individual, External auditing cover all Department as a HSE management system
d)
How is the effectiveness of auditing verified and how does management report and follow up
audits?
Bagaimana efektifitas auditing diperiksa, dan bagaimana manajemen melaporkan dan
menindaklanjuti hasil audit?
Lampirkan: dokumentasi tindak lanjut terhadap Audit/inspection yang dilakukan, report/ copies
Answer:
We follow up the audit as soon as possible. Please see management Minutes of Meeting and also evidence
of follow up
SECTION 8: EMERGENCY RESPONSE PROCEDURE
SECTION 8: PROSEDUR TANGGAP DARURAT
Do you have an emergency response plan?
Yes / Ya
Apakah anda mempunyai rencana tanggap darurat?
No / Tidak
Answer:
Yes, Please see our Prosedur Penanggulangan Keadaan Darurat No. 02/006/OHS/2007
Fire Drill training internal and external (cooperate with Pemadam Kebakaran Jakarta Barat),
Improving Procedure, Socialization, Special Training (First Aid : Basic Life Support in Medevac Case,
Fire Fighting)
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Pre
Qualification
Questionnaire
Answer:
Kadin, Gapensi, Sertifikat Badan Usaha Jasa Pelaksana Konstruksi, Ijin Usaha dari Pemkot DKI
b) Does your company have any other HSE features or arrangements not described elsewhere in your
Response to the questionnaire?
Apakah perusahaan anda mempunyai program lain atau kepesertaan dalam sistim ataupun program K3LL
lain yang belum dicantumkan pada tanggapan anda dalam kuestioner?
Lampirkan: HSE membership cards or certificates
Answer:
Our HSE Management Systems already certified by WQA, our Quality Management System certified by
TUV. Our Company participate in The Society for Occupational Health & Safety Specialist. And 3
persons in our company are member of Anggota Ahli Keselamatan dan Kesehatan Kerja.
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