HSE OBJECTIVE, TARGET & PROGRAM

TAHUN 2024
NO DESCRIPTION FREQUENCY TARGET TOTAL
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
PIC
MAN HOURS 0 0 0 0 0 0 0 0 0 0 0 0 0

I LAGGING INDICATOR
FATALITY - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
LOST TIME INCIDENT - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
MEDICAL TREATMENT - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
REST. WORK DAY CASE - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
FIRST AID - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
ILLNESS CASE - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
PROPERTY DEMAGE - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
ENVIROMENTAL POLLUTION - 0 0 0 0 0 0 0 0 0 0 0 0 0 HSE, MNGT 0
MOTOR VEHICLE CRASH - 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II LEADING INDICATOR
II.A HSE COMMUNICATION
1. Tool Box Meeting Every Activity HSE, MNGT 0
2 Weekly Safety Talk
2. Weekly 48 HSE, MNGT 0
.
II.B W HSE INSPECTION
1.
e Personal Protective Eqipment Monthly 12 HSE, MNGT 0
e Fire extinguisher
2. Monthly 12 HSE, MNGT 0
k
3.
l First Aid Box Monthly 12 HSE, MNGT 0
4.
y Hygiene Industri Half-Yearly 2 HSE, MNGT 0
S Housekeeping/ General Inspection
5. Weekly 48 HSE, MNGT 0
a
6.
f Tools & Equipment Monthly 12 HSE, MNGT 0
7.
e Vehicle inspection Yearly 12 HSE, MNGT 0
t
II. C HSE
y MEETING
1.
T HSE Coordination Meeting 4 HSE, MNGT 0
a HSE Comimite Meeting (P2K3)
2. 3 HSE, MNGT 0
l 1
3.
k Management Review HSE, MNGT 0
III.D HSE EVENT/ ACTIVITY
1. Management Visit Yearly 3 HSE, MNGT 0
2. HSE Management Training Every 3 Month 100% HSE, MNGT 0
3. Medical Check Up Yearly 100% HSE, MNGT 0
4. Observation Card 1/Person/Month 20 HSE, MNGT 0
5. Emergency Drill Half-Yearly 2 HSE, MNGT 0
6. HSE Reward Half-Yearly 2 HSE, MNGT 0
7. Safety Campaign/ socialization Quarterly 4 HSE, MNGT 0
8. Corporate Social Responsibility Yearly 1 HSE, MNGT 0

IV
Worked Hours - YTD 0
Worked Hours - MONTHLY 0
Worked Hours - DAILY 0

TRIF - MOTHLY 0
TRIF - YTD 0

FR - MOTHLY 0
FR - YTD 0

Safe Hour Since Last LTI 0

PREPARED BY, CHECKED BY, AKNOWLEDGED BY,

SAFETY OFFICER HSE COORDINATOR GENERAL MANAGER

 HSE STATISTIK
PT. STANLEY CIPTA MANDIRI

A. KINERJA UMUM K3LL

INDIKATOR JUMLAH
JUMLAH TENAGA KERJA (orang)
JUMLAH JAM KERJA (orang)
JUMLAH JAM KERJA SELAMAT

B. LAGGING INDICATOR
INDIKATOR JUMLAH AKTUAL
FATALITY
LOST TIME INCIDENT
MEDICAL TREATMENT
REST. WORK DAY CASE
FIRST AID
ILLNESS CASE
PROPERTY DEMAGE
ENVIROMENTAL POLLUTION
MOTOR VEHICLE CRASH

C. LEADING INDICATOR
INDIKATOR TARGET AKTUAL PENCAPAIAN (%)
TOOLBOX MEETING 0 0%
WEEKLY SAFETY TALK 48 0 0%
SAFETY COORDINATION MEETING 4 0 0%
PERSONAL PROTECTIVE EQUIPMENT 12 0 0%
FIRE EXTINGUISER 12 0 0%
FIRST AIDS BOX 12 0 0%
HYGIENE INDUSTRI 2 0 0%
TOOL & EQUIPMENT 12 0 0%
INTERNAL AUDIT 1 0 0%
MANAGEMENT VISIT 1 0 0%
HSE INTERNAL TRAINING 100% 0 0%
MEDICAL CHECK UP 100% 0 0%
OBSERVATION CARD 48 0 0%
EMERGENCY DRILL 2 0 0%
HSE REWARD 4 0 0%
MANAGEMENT REVIEW 1 0 0%
SAFETY CAMPAIGN 4 0 0%
COORPORATE SOCIAL RESPONBILITY 1 0 0%
 Effective Date : Jan 2024
HSE OBJECTIVES & PROGRAM 2024 Revision Series : 01

Period 2024 Dead

No HSE Performance Measurement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Target Actual P.I.C Line Indicator Remarks

I. Lagging Indicator
OHS

5096
5428
6028
4872
5428
2048
5512
5496
5586
5592
Manhours
SAFE MANHOURS YTD 0

1 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 No Fatality

HOD, SPV, HSE, EMPLY

2 FAC (First Aid Case) 0 0 0 0 0 0 0 0 0 0 0 0 0 No FAC

4 Fire Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 #DIV/0! No Fire

5 Occupational illnesses 0 0 0 0 0 0 0 0 0 0 0 0 0 No illnesses

End of year
6 Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 No Damage

Calculation of indicator Value 3.724 0

1 LTIR (Lost Time Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

HOD, SPV, HSE,

<0,930
2 DAFW (Days Away From Work) 0 0 0 0 0 0 0 0 0 0 0 0 0 No more 0,930

End of year
#DIV/0!
3 TRIR (Total Recordable Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

EMPLY
Calculation of indicator Value 0.93 #DIV/0!
Motor Vehicle Crash Frequency Rate (MVCFR)

HOD, SPV, HSE, EMPLY

1 Motor Vehicle Incident 0 0 0 0 0 0 0 0 0 0 0 0 <0.930 0
#DIV/0! No more 0,930

End of year
for one year

Calculation of indicator Value 0.93 0

Environment

HOD, SPV, HSE, EMPLY

1 Environment / Spill Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0
#DIV/0! No more 0,930
for one year

End of year
Calculation of indicator Value 3.724 #DIV/0!

II. Leading Indicator

HOD, SPV, HSE, EMPLY

DISSATISFACTION

1 Anomaly report 0 0 0 0 0 0 0 0 0 0 0 0 12 0 Conducting

End of year

once a week
DISSATISFACTION
HOD, SPV, HSE,

Conducting
End of year

2 Nearmiss Report 0 0 0 0 0 0 0 0 0 0 0 0 3 0 every nearmiss

incident
EMPLY

SATISFACTION
HOD, SPV, HSE,

End of year

3 Emergency Response / Drill 0 0 0 1 0 0 1 0 0 0 0 0 2 2 Conducting

twice a year
EMPLY

employee
follows Refer to MCU
End of year

4 Medical Check‐Up 100% 0% medical program and

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

HRD, HSE

examination schedule
based on
provision
 employees based on

HOD, SPV, HSE, EMPLY HRD, HSE

5 HSE Training 0 1 0 0 1 0 0 1 0 0 0 0 80% 0% have adequate training

End of
year
training schedule

DISSATISFACTION
6 Behaviour Base Safety 0 0 0 0 0 0 0 0 0 0 0 0 12 0 Refer to
schedule

End of year

DISATISFACTION DISSATISFACTION
0 0 0 0 0 0 0 0 0 0 0 0 3 0 Refer to

End of year
7 Stop Work Authority / SWA schedule

HSE
Management Site Visit 0 0 0 0 0 0 0 0 1 0 0 0 2 1 Refer to

End of year
8 schedule

HOD

SATISFACTION
Conducting

End of year
9 HSE Reward 0 0 0 0 0 1 0 0 0 0 0 0 1 1 once a year

HSE
HSE Inspection

SATISFACTION
Refer to

End of year
1 PPE Inspection 1 1 1 1 1 1 1 1 1 1 1 0 12 11 HSE inspection
schedule

SATISFACTION
Refer to
2 Vehicle Inspection 1 1 1 1 1 1 1 1 1 1 1 0 12 11 HSE inspection

End of year
schedule

SATISFACTION
First Aid Box Inspection Refer to
End of year
3 HSE inspection
1 1 1 1 1 1 1 1 1 1 1 0 12 11 schedule

SATISFACTION SATISFACTION SATISFACTION Refer to

End of year

4 Fire extinguisher Inspection 1 1 1 1 1 1 1 1 1 1 1 0 12 11 HSE inspection

schedule

Refer to
End of year

5 House Keeping & General Inspection 1 1 1 1 1 1 1 1 1 1 1 0 12 11 HSE inspection

schedule

Refer to
End of year

6 Health and Hygiene Inspection 0 0 1 0 0 0 1 0 0 0 0 0 2 2 HSE inspection

schedule
SPV, HSE, Storeman

SATISFACTION

Refer to
7 Tools & Equipment Inspection 1 1 1 1 1 1 1 1 1 1 1 0 12 11 inspection
End of year

schedule

HSE Communication
 SATISFACTION
Conducting
1 Weekly Safety Talks 4 4 5 4 3 4 4 4 4 4 5 0 48 45 HSE once a week

End of year

SATISFACTION
Refer to
2 Safety Campaign 0 0 0 0 0 1 0 1 0 0 0 0 2 2 HSE inspection

End of year
schedule
HSE Meeting

SATISFACTION
End of year
Conducting
1 HSE Coordination Meeting 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE once a week

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
2 Management Review 0 0 0 0 0 1 0 0 0 0 0 1 2 2 once a Year

HSE Audit

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
1 Internal Audit 0 0 0 0 0 0 0 0 1 0 0 0 1 1 once a Year

F‐HSE‐4.3.3 Rev. 18 Feb 2018

Dibuat oleh, Disetujui oleh,

Gigin Ginanjar Bernard Stanley

HSE Direktur
 Effective Date : Jan 2023
HSE OBJECTIVE AND PROGRAM 2023 Revision Series : 01

Period 2023 Dead

No HSE Performance Measurement Target Actual P.I.C Indicator Remarks
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Line

I. Lagging Indicator

OHS

SAFE MANHOURS 53,696

Manhours

5484

4056

4840

4252

3720

3788

4728

3632

3636

4092

4372

4096
YTD

1 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 No Fatality

HOD, SPV, HSE, EMPLY

2 FAC (First Aid Case) 0 0 0 0 0 0 0 0 0 0 0 0 0 No FAC

End of year
4 Fire Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 No Fire
SAFE
5 Occupational illnesses 0 0 0 0 0 0 0 0 0 0 0 0 0 No illnesses

6 Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 No Damage

Calculation of indicator Value 3.724 0

HOD, SPV, HSE,

1 LTIR (Lost Time Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

End of year
2 DAFW (Days Away From Work) 0 0 0 0 0 0 0 0 0 0 0 0 <0,930 0 for one year
SAFE No more 0,930

EMPLY
3 TRIR (Total Recordable Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0
Calculation of indicator Value 0.93 0
Motor Vehicle Crash Frequency Rate (MVCFR)

End of year
HOD, SPV, HSE,
1 Motor Vehicle Incident 0 0 0 0 0 0 0 0 0 0 0 0 <0.930 0 No more 0,930
SAFE for one year

EMPLY
Calculation of indicator Value 0.93 0
Environment

End of year
HOD, SPV, HSE,
1 Environment / Spill Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 No more 0,930
SAFE for one year

EMPLY
Calculation of indicator Value 3.724 0

II. Leading Indicator

HOD, SPV, HSE,

DISSATISFACTION
End of year
EMPLY

Conducting
1 Anomaly report 0 0 0 0 0 0 0 0 0 0 0 0 12 0 once a week
HOD, SPV, HSE,

DISSATISFACTION
End of year

Conducting
EMPLY

2 Nearmiss Report 0 0 0 0 0 0 0 0 0 0 0 0 3 0 every nearmiss

incident
HOD, SPV, HSE,

End of year

EXCELLENT
EMPLY

Conducting
3 Emergency Response / Drill 0 0 0 1 0 0 0 1 0 0 1 2 3 twice a year

employee
End of year
HRD, HSE

follows medical Refer to MCU

0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%

4 Medical Check‐Up 100% 0% examination program and

based on schedule
provision
 HOD, SPV, HSE, EMPLY HRD, HSE
employees based on

End of
year
5 HSE Training 0 0 0 0 1 0 0 0 0 1 1 0 80% 0% have adequate training
training schedule

DISSATISFACTION
End of year
Refer to
6 Behaviour Base Safety 0 0 0 0 0 0 0 0 0 0 0 0 12 0 schedule

DISSATISFACTION
End of year
Refer to

HSE
7 Stop Work Authority / SWA 0 0 0 0 0 0 0 0 0 0 0 0 3 0 schedule

SATISFACTION
End of year
HOD
Refer to
8 Management Site Visit 0 0 0 0 0 0 0 0 1 0 0 1 2 2 schedule

End of year

EXCELLENT
Conducting

HSE
9 HSE Reward 0 0 0 0 0 1 0 0 0 0 0 1 1 2 once a year

HSE Inspection

SATISFACTION
End of year
Refer to
1 PPE Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
2 Vehicle Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
3 First Aid Box Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year

Refer to
4 Fire extinguisher Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule
SATISFACTION
End of year

Refer to
5 House Keeping & General Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule
SATISFACTION
End of year

Refer to
6 Health and Hygiene Inspection 0 0 0 0 0 0 1 0 0 0 0 1 2 2 HSE inspection
schedule
SPV, HSE, Storeman

SATISFACTION
End of year

Refer to
7 Tools & Equipment Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 inspection
schedule

HSE Communication
 End of year

EXCELLENT
Conducting
1 Weekly Safety Talks 4 4 5 4 3 4 4 4 4 4 5 4 48 49 HSE
once a week

SATISFACTION
End of year
Refer to
2 Safety Campaign 0 0 0 0 0 1 0 0 0 0 0 1 2 2 HSE inspection
schedule
HSE Meeting

SATISFACTION
End of year
Conducting
1 HSE Coordination Meeting 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE once a week

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
2 Management Review 0 0 0 0 0 1 0 0 0 0 0 1 2 2 once a Year

HSE Audit

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
1 Internal Audit 0 0 0 0 0 0 0 0 1 0 0 0 1 1 once a Year

F‐HSE‐4.3.3 Rev. 18 Feb 2018

Dibuat oleh, Disetujui oleh,

Gigin Ginanjar Bernard Stanley

HSE Direktur
 Effective Date : Jan 2022
HSE OBJECTIVE AND PROGRAM 2022 Revision Series : 01

Period 2022 Dead

No HSE Performance Measurement Target Actual P.I.C Indicator Remarks
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Line

I. Lagging Indicator

OHS

SAFE MANHOURS

5652
5428
6028
4872
5428
2048
5512
5496
5586
5592
4576
5184
Manhours 61,402
YTD

1 Fatality 0 No Fatality

HOD, SPV, HSE, EMPLY

0 0 0 0 0 0 0 0 0 0 0 0

2 FAC (First Aid Case) 0 0 0 0 0 0 0 0 0 0 0 0 0 No FAC

End of year
4 Fire Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 No Fire
SAFE
5 Occupational illnesses 0 0 0 0 0 0 0 0 0 0 0 0 0 No illnesses

6 Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 No Damage

Calculation of indicator Value 3.724 0

HOD, SPV, HSE,

1 LTIR (Lost Time Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

End of year
2 DAFW (Days Away from Work) 0 0 0 0 0 0 0 0 0 0 0 0 <0,930 0 No more 0,930
SAFE for one year

EMPLY
3 TRIR (Total Recordable Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0
Calculation of indicator Value 0.93 0
Motor Vehicle Crash Frequency Rate (MVCFR)

HOD, SPV, HSE, EMPL

End of year
1 Motor Vehicle Incident 0 0 0 0 0 0 0 0 0 0 0 0 <0.930 0 No more 0,930
SAFE for one year

Calculation of indicator Value 0.93 0

Environment

HOD, SPV, HSE,

End of year
EMPLY
1 Environment / Spill Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 No more 0,930
#DIV/0! for one year

Calculation of indicator Value 3.724 #DIV/0!

II. Leading Indicator

HOD, SPV, HSE,

DISSATISFACTION
End of year
EMPLY

Conducting
1 Anomaly report 0 1 1 0 0 0 0 0 0 0 0 0 12 2 once a week
HOD, SPV, HSE,

DISSATISFACTION
End of year

Conducting
EMPLY

2 Nearmiss Report 0 0 0 0 0 0 0 0 0 0 0 0 3 0 every nearmiss

incident
HOD, SPV, HSE,

DISSATISFACTION
End of year
EMPLY

Conducting
3 Emergency Response / Drill 0 0 0 0 0 0 0 0 1 0 0 0 2 1 twice a year

employee
End of year
HRD, HSE

follows medical Refer to MCU

10%
10%

17%
10%

10%
0%
0%
3%

3%

3%
3%

0%

4 Medical Check‐Up 100% 66% examination program and

based on schedule
provision
 HOD, SPV, HSE, EMPLY HRD, HSE
employees based on

End of
year
5 HSE Training 0 0 0 0 1 0 0 0 0 1 1 0 80% 0% have adequate training
training schedule

DISSATISFACTION
End of year
Refer to
6 Behaviour Base Safety 0 0 0 0 0 0 0 0 0 0 0 0 12 0 schedule

DISSATISFACTION
End of year
Refer to

HSE
7 Stop Work Authority / SWA 0 0 0 0 0 0 0 0 0 0 0 0 3 0 schedule

SATISFACTION
End of year
HOD
Refer to
8 Management Site Visit 0 0 0 0 0 0 0 0 1 0 0 1 2 2 schedule

SATISFACTION
End of year
Conducting

HSE
9 HSE Reward 0 0 0 0 0 0 0 0 1 0 0 0 1 1 once a year

HSE Inspection

SATISFACTION
End of year
Refer to
1 PPE Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
2 Vehicle Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
3 First Aid Box Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year

Refer to
4 Fire extinguisher Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule
SATISFACTION
End of year

Refer to
5 House Keeping & General Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule
SATISFACTION
End of year

Refer to
6 Health and Hygiene Inspection 0 0 0 0 0 0 1 0 0 0 0 1 2 2 HSE inspection
schedule
SPV, HSE, Storeman

SATISFACTION
End of year

Refer to
7 Tools & Equipment Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 inspection
schedule

HSE Communication
 End of year

EXCELLENT
Conducting
1 Weekly Safety Talks 4 4 4 4 4 1 5 4 5 4 5 5 48 49 HSE
once a week

DISSATISFACTION
End of year
Refer to
2 Safety Campaign 0 0 0 0 0 0 0 0 1 0 0 1 3 2 HSE inspection
schedule
HSE Meeting

SATISFACTION
End of year
Conducting
1 HSE Coordination Meeting 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE once a week

HOD, SPV, HSE,

DISSATISFACTION
End of year
Conducting
2 Management Review 0 0 0 0 0 0 0 0 0 0 0 0 1 0 once a Year

HSE Audit

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
1 Internal Audit 0 0 0 0 0 0 0 0 1 0 0 0 1 1 once a Year

F‐HSE‐4.3.3 Rev. 18 Feb 2018

Dibuat oleh, Disetujui oleh,

Gigin Ginanjar Bernard Stanley

HSE Direktur
 Effective Date : Jan 2021

HSE OBJECTIVE AND PROGRAM 2021 Revision Series : 01

Period 2022 Dead

No HSE Performance Measurement Target Actual P.I.C Indicator Remarks
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Line

I. Lagging Indicator

OHS

SAFE MANHOURS

7484
6056
6840
6252
5720
3788
6728
5632
5636
6092
6372
5096
Manhours 71,696
YTD

1 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 No Fatality

HOD, SPV, HSE, EMPLY

2 FAC (First Aid Case) 0 0 0 1 0 0 0 0 0 0 0 0 1 No FAC

End of year
4 Fire Case 0 0 0 0 0 0 0 0 0 0 0 0 <10,456 0 No Fire
SAFE
5 Occupational illnesses 0 0 0 0 0 0 0 0 0 0 0 0 0 No illnesses

6 Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 No Damage

Calculation of indicator Value 10.456 2.7896

HOD, SPV, HSE,

1 LTIR (Lost Time Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

End of year
2 DAFW (Days Away from Work) 0 0 0 0 0 0 0 0 0 0 0 0 <1,152 0 No more 1,152
SAFE
3 TRIR (Total Recordable Injury Rate) 0

EMPLY
0 0 0 0 0 0 0 0 0 0 0 0
for one year
Calculation of indicator Value 1.152 0
Motor Vehicle Crash Frequency Rate (MVCFR)

HOD, SPV, HSE, EMPL

End of year
1 Motor Vehicle Incident 0 0 0 0 0 0 0 0 0 0 0 0 <1.152 0 No more 1,152
SAFE for one year

Calculation of indicator Value 1.152 0

Environment

HSE, EMPLY

End of year
SPV, HSE,
1 Environment / Spill Case 0 0 0 0 0 0 0 0 0 0 0 0 <10,456 0 No more
SAFE 10,456 for one

,, SPV,
year
 HOD
Calculation of indicator Value 10.456 0

II. Leading Indicator

HOD, SPV, HSE,

DISSATISFACTION
End of year
EMPLY
Conducting
1 Anomaly report 1 1 1 1 1 1 0 0 0 0 0 0 12 6 once a week

HOD, SPV, HSE,

End of year

EXCELLENT
Conducting

EMPLY
2 Nearmiss Report 0 0 0 1 0 0 0 0 0 0 0 0 1 1 every nearmiss
incident

HOD, SPV, HSE,

SATISFACTION
End of year
EMPLY
Conducting
3 Emergency Response / Drill 0 0 1 0 0 0 1 1 twice a year

employee

End of year
HRD, HSE
follows medical Refer to MCU
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

100%

100%
4 Medical Check‐Up examination program and
based on schedule
provision

End of year
HRD, HSE
employees based on
80%
80%
80%
80%
80%
80%
80%
80%
80%
80%
80%
80%

80%

80%
5 HSE Training have adequate training
training schedule

End of year

EXCELLENT
Refer to

HSE
6 Stop Work Authority / SWA 7 0 0 2 2 0 0 0 0 0 0 0 3 11 schedule
 SATISFACTION
End of year
HOD
Refer to
7 Management Visit 1 0 0 0 1 0 0 0 1 0 0 0 3 3 schedule

DISSATISFACTION
End of year
Conducting

HSE
8 HSE Reward 1 0 0 0 0 0 0 0 0 0 0 0 2 1 once a year

HSE Inspection

SATISFACTION
End of year
Refer to
1 PPE Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
2 Vehicle Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
3 First Aid Box Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
4 Fire extinguisher Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
5 House Keeping & General Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule
 SATISFACTION
End of year
Refer to
6 Health and Hygiene Inspection 0 0 1 0 0 0 0 0 1 0 0 0 2 2 HSE inspection
schedule

SPV, HSE, Storeman

SATISFACTION
End of year
Refer to
7 Tools & Equipment Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 inspection
schedule

HSE Communication

SATISFACTION
End of year
Conducting
1 Weekly Safety Talks 4 4 4 5 4 2 5 4 4 4 4 4 48 48 HSE once a week

SATISFACTION
End of year
Every doing
socialization to
3 Safety Campaign / Socialization 0 0 0 0 1 0 0 0 0 1 0 0 2 2 HSE the general
public

HSE Meeting

SATISFACTION
End of year
Do it once a
1 HSE Coordination Meeting 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE month

HOD, SPV, HSE,

SATISFACTION
End of year
Do it once a
2 Management Review Meeting 1 0 0 0 0 0 0 0 0 0 0 0 1 1 year

HSE Audit
 HOD, SPV, HSE,

SATISFACTION
End of year
1 Internal Audit 1 0 0 0 0 0 0 0 0 0 0 0 1 1 2 times a year

F‐HSE‐4.3.3 Rev. 18 Feb 2018

Dibuat oleh, Disetujui oleh,

Gigin Ginanjar Bernard Stanley

HSE Direktur
 Effective Date : Jan 2020

HSE OBJECTIVE AND PROGRAM 2020 Revision Series : 01

Period 2020 Dead

No HSE Performance Measurement Target Actual P.I.C Indicator Remarks
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Line
I. Lagging Indicator
OHS

SAFE MANHOURS 78,993

7,628

5,968

6,104

6,288

7,308

5,580

6,572

6,724

6,656

6,890

6,578

6,697
Manhours
1 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 No Fatality

HOD, SPV, HSE, EMPLY

No More
2 FAC (First Aid Case) 0 0 0 1 0 0 0 0 0 0 0 0 1
3,724 for one

End of year
3 Nearmiss Case 0 0 0 0 0 0 0 0 0 0 1 0 1 year
4 Fire Case 0 0 0 0 0 0 0 0 0 0 0 0 <3,724 0 UNSAFE No Fire

5 Occupational illnesses 0 0 0 0 0 0 0 0 0 0 0 0 0 No illnesses

6 Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 No Damage

7 Environment / Spill Case 0 0 0 0 0 0 0 0 0 0 0 0 0 No Spill

Calculation of indicator Value 3.724 5.0637

End of year
1 LTIR (Lost Time Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0

HOD, SPV,
No more 0,930
<0,930 0 SAFE

EMPLY
2 DAFW (Days Away From Work) 0 0 0 0 0 0 0 0 0 0 0 0 for one year

HSE,
3 TRIR (Total Recordable Injury Rate) 0 0 0 0 0 0 0 0 0 0 0 0 0
Calculation of indicator Value 0.93 0
Motor Vehicle Crash Frequency Rate (MVCFR)

HOD, SPV, HSE,

End of year
EMPLY
No more 0,930
1 Motor Vehicle Incident 0 0 0 0 0 0 0 0 0 0 0 0 <0.930 0 SAFE for one year

Calculation of indicator Value 0.93 0

ENVIRONMENT

SATISFACTION
End of year
Refer to
1 House Keeping & General Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

DISSATISFACTION
End of year
Refer to
2 Health and Hygiene Inspection 0 0 0 0 0 0 0 0 0 0 0 0 12 0 HSE inspection
schedule

II. Leading Indicator

HOD, SPV, HSE,

SATISFACTION
End of year
EMPLY

Conducting
1 Anomaly report 4 1 1 1 1 0 1 1 0 1 0 1 12 12 once a week
HOD, SPV, HSE,

SATISFACTION
End of year
EMPLY

Conducting
2 Emergency Response Drill 1 1 2 2 twice a year

employee
End of year
HRD, HSE

follows medical Refer to MCU

3 Medical Check‐Up 7 3 3 12 100% 74% examination program and
based on schedule
provision
End of year
HRD, HSE

employees based on
4 HSE Training 3 1 1 3 80% 67% have adequate training
training schedule
 HOD, SPV, HSE, EMPLY

DISSATISFACTION
End of year
Refer to
5 Behaviour Base Safety 0 0 0 0 0 2 3 4 3 2 0 0 12 14 schedule

SATISFACTION
End of year
Refer to

HSE
6 Stop Work Authority 0 0 0 0 0 0 0 0 0 0 0 3 3 3 schedule

SATISFACTION
End of year
Refer to

HOD
7 Management Site Visit 0 0 0 0 0 0 0 1 0 0 0 1 2 2 schedule

SATISFACTION
End of year
Conducting

HSE
8 HSE Reward 1 1 1 once a year

HSE Inspection

SATISFACTION
End of year
Refer to
1 PPE Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
2 Vehicle Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
3 First Aid Box Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SATISFACTION
End of year
Refer to
4 Fire extinguisher Inspection 1 1 1 1 1 1 1 1 1 1 1 1 12 12 HSE inspection
schedule

SPV, HSE, Storeman

DISSATISFACTION
End of year
Refer to
5 Tools & Equipment Inspection 0 0 0 0 0 0 0 0 0 0 0 0 12 0 inspection
schedule

HSE Communication
SATISFACTION
End of year

Conducting
1 Weekly Safety Talks 4 4 4 4 4 4 4 4 4 4 4 4 48 48 HSE once a week
DISSATISFACTION
End of year

Conduct Every
2 Toolbox Safety / Breafing 0 0 0 0 0 0 0 0 0 0 0 0 48 0 HSE Day
SATISFACTION
End of year

Refer to
3 Safety Campaign 0 0 0 0 0 2 0 0 1 0 0 0 3 3 HSE inspection
schedule

HSE Meeting
 DISSATISFACTION
End of year
Conducting
1 HSE Coordination Meeting 1 1 1 1 1 1 1 0 1 1 1 1 12 11 HSE
once a week

HOD, SPV, HSE,

DISSATISFACTION
End of year
Do it once a
2 HSE Committee Meeting 1 0 4 1 month

SATISFACTION
End of year
Doing once
3 Management Meeting 1 1 1 HSE every three
months

HSE Audit

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
1 Internal Audit 1 1 2 2 once a Year

HOD, SPV, HSE,

SATISFACTION
End of year
Conducting
2 Management Review 1 1 1 once a Year

F‐HSE‐4.3.3 Rev. 18 Feb 2018

Dibuat oleh, Disetujui oleh,

Gigin Ginanjar Bernard Stanley

HSE Direktur