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