Section 1

The Managing Director accepts the overall responsibility of the policy. The managing director delegates his resp
1a delegates to Head of Departments and the Supervisors in ensuring that the policy, together with the Safety and Hea
are read and understood by all employees as well as conductors and their asso

1b Please see our HSE Management Meeting

By distribution all HSE manual, HSE policies, HSE procedure and HSE issue
By training to all employees
1c Demonstrated on the wall
Communicate with HSE office in the field

Section 2

2.1 a Yes, there are PT. Mitra Jasa Engineering HSE Policy, Drugs and Alcohol Policy, PPE Polic
And also Company Rule

All personnel have a responsibility for HSE. However overall and final responsibility
2.1 b managing Director and / or Technical Director. And if the Managing director / Technical
on office, they delegate to HSE Steering Committee Coordinator.

2.1 c Please see our attachment

a. By implementing inspection for site HSE implementation

b. Poster, booklet
2.1 d c. Safety talk
d. Induction for new employee
e. HSE Board

2.1 e The changes will be distributed by email and signed off by all employees. Please see our

2.2 a Please see our attachment

2.2 b By documenting and socializing these strategic goals including to new emplo
Section 3

3.1 a By established HSE management system, distributed to all manager. Manager conduct safety manner to supervis
related to HSE to HSE manager

3.1 b Please see our attachment

3.1 c

3.1 d Please see our attachment

 Yes, Training is given to Managers, Supervisor (Field team leader) by external training
3.2 a training. Example PPE training (in-house training), Bosiet training (external training).
attachment PT. Mitra Jasa Engineering

3.2 b

Directors and senior managers have >10 years experience operations. And they hav
potential hazards that are generally common. However PT. Mitra Jasa Engineering
Emergency Response Procedure to ensure all employees are aware of onsite work risk
employees on do the safety jobs. Specialised training to deal with potential hazard
3.2 c - First Aid training
- PPE Training
- Fire drill training
- Emergency Response Training (Earthquake, Medecav, Flood and Fires)

3.2 d Ahli K3 Umum, …..

3.2 e We provide specialized training to hse staff who require certification in the field of work t

Giving HSE training to all employees regularly. Their knowledge is up-dated on a reg
3.3 a regular meetings, seminars and training. In addition, a start of fieldwork all field team
safety briefing / safety induction meeting on site

All new employees and subcontractor employees are given HSE induction meeting/ HSE
they start to the fieldwork. Their knowledge is up-dated on a regular basis by regular m
3.3 b induction meeting on site. And all employees and subcontractor’s employees have a cop
and signed off when they read the policies.

We give Safety Induction for new employees and subcontractor.

3.3 c We conduct daily toolbox meeting, work permit for special job, and of course HIRARC ev
established. Please see our attachement

3.4 a

3.4 b We give the existing staff Re-Induction training

3.5 a Please see our attachment

3.5 b
Please see our Prosedur Subkontraktor No. 02/020/OHS/20
We spell out in the Work Order
3.5 c

We ensure from HSE questionnaire and evidence attachment. If we think inadequate, w

3.5 d the HSE Manager and several subcontractor’s worker.
We updating our regulatory compliance list every six month. Propose to management t
3.6 a workplace
We have procedure for controlling the revision of document and the changes made for all PT. Mitra Jasa Enginee
3.6 b implemented change request form. Please see our
Prosedur No. 02/017/OHS/2007
 We have procedure for controlling the revision of document and the changes made for all PT. Mitra Jasa Enginee
3.6 b implemented change request form. Please see our
Prosedur No. 02/017/OHS/2007

3.6 c Please see attachment

Section 4
We use HIRARC, Please see our attachment
4.1

4.2 a We conduct environment inspection annually

There are chemical hazards, vibration hazards, noise hazards, radiation hazards, temperature hazards and ergo
4.2 b knowledge through safety talk, PPE. Conducting JSA before execute job.
Provide MSDS when handling. And only authorized certified personnel who could d

4.2 c We conduct safety hazards communication mechanism to the workforce

4.3 a lifting and rigging, working at height, permit to work, energy isolation, et

4.3 b We conduct safety hazards communication mechanism to the workforce

4.4 a

4.4 b

4.5 a

4.5 b

4.6 a

4.6 b

4.7 a

4.7 b

We have a procedure of Personal Protective Equipment (PPE). All employees must be use Personal protective equi
- Hazards cannot be otherwise prevented or suitably controlled, e.g. by engineering or administration con
- Complete protection is essential, e.g. in some occupational environments with uncertain l
4.8 a - Legislation required it.
The provision and use of personal protective equipment does not reduce or replace the need for proper accident p
administrative controls, to be undertaken. Specification of such preventive measures must always be fully explored
protective equipment.

4.8 b Yes, please see attachment

4.8 c Yes, through safety talk. Follow up by conduct PPE inspection

We conduct impacted PPE Inspection, we ensure the stockist. We ensure every workfor
4.8 d PPE by sign the statement letter. Every safety talk we remind every worker to use PPE. W
to find best PPE to wear at the workplace
Section 5

5.1 a Yes, Please see attachment

Our HSE officer will ensure that the working practices and procedures used by our emplo
5.1 b consistently in accordance with our HSE policy objectives and arrangements. Project man
to ensure safety working practices and procedures used by all employees including subco

We act in accordance with government regulation or industrial standard to ensure th

5.2 equipment used within our promises, on site or at other location by our employees are co
certified with regulatory requirement, inspected, controlled and maintained in a safe wo

5.3

5.4 a Yes, Please see attachment

5.4 b Fire drill, ...

Section 6

6.1 a Please see our attachment

6.1 b By conducting routine safety patrol and safety inspection

6.1 c

6.1 d

6.1 e

Management disseminates and implements hazard identification and evaluation procedures and internal audit proc
6.1 f deliver any results and findings from its supervision and monitoring to management are through company email, HS
employees delivered through corporate email system

6.2 Please see attachment

Human Resources Department recorded any data of health performance from emplo
6.3 a Hospital evaluation and test.

6.3 b HSE Department recorded any report of environmental performance on month

6.3 c

Every worker feel free to tell all the near miss in safety talk so others coul
6.3 d learn spontaneously at that moment or direct to supervisor
 Monthly, by HSE Manager and it is discussed with all manager on former weekly meetin
6.3 e

6.3 f

6.3 g

6.4 a

6.4 b

6.4 c
6.4 d

We communicate in HSE Management meeting for management, Investigation meeting

6.4 e and project manager. The investigation result was communicated to employees throu
poster, email

Our company that has not experienced any disruption or openness in the event of a hazardous event / event by a
6.5 HSE or other law enforcement key or estimated under the HSE legislation for the pa

Section 7
7.1 a Yes, Described in procedure, please see our audit record and also HSE Time Table Pr
7.1 b Audit team that involved in hse audit is already certified HSE auditor

The standars is OHSAS 18001:2007 clause 4.5.5 (Occupational Health and Safety Management System Requiremen
7.1 c policy has been implemented, maintained in every organization activities, minor to major. Audit result wou
Auditor : Our self (Manager, Supervisor from every department) for internal auditing, and WQA

7.1 d We follow up the audit as soon as possible. Please see management Minutes of Meeting and a
7.2 a Please see our attachment
7.2 b

The results of the audit are given to the responsible party in the audit area. audit and follow up actions are the resp
7.2 c of audit reports are reviewed by management in all parts of the HSE managemen

Section 8
8.1 Certification Ahli K3 Umum, Certification ISO 9001:2008, Certification OHSAS 18001:2007,
8.2
8.3
ction 1

y. The managing director delegates his responsibility to the technical director who
he policy, together with the Safety and Health procedural requirements and instruction
ployees as well as conductors and their associates

r HSE Management Meeting

HSE policies, HSE procedure and HSE issues

ning to all employees
nstrated on the wall
e with HSE office in the field

ction 2

E Policy, Drugs and Alcohol Policy, PPE Policy, STOP Policy.

also Company Rule

SE. However overall and final responsibility for HSE are

or. And if the Managing director / Technical Director is not
o HSE Steering Committee Coordinator.

see our attachment

pection for site HSE implementation

Poster, booklet
c. Safety talk
tion for new employee
e. HSE Board

signed off by all employees. Please see our previous answer

see our attachment

hese strategic goals including to new employees

ction 3

Manager conduct safety manner to supervisor and crew. And All manager give input
o HSE to HSE manager

see our attachment

see our attachment

sor (Field team leader) by external training and in house
training), Bosiet training (external training). (Please see
PT. Mitra Jasa Engineering

years experience operations. And they have identified

mmon. However PT. Mitra Jasa Engineering prepared
all employees are aware of onsite work risk and guide all
alised training to deal with potential hazards includes:
First Aid training
- PPE Training
Fire drill training
ng (Earthquake, Medecav, Flood and Fires)

hli K3 Umum, …..

ho require certification in the field of work to be undertaken

larly. Their knowledge is up-dated on a regular basis by

n addition, a start of fieldwork all field teams are given a
afety induction meeting on site

yees are given HSE induction meeting/ HSE training before

is up-dated on a regular basis by regular meetings / safety
and subcontractor’s employees have a copy all HSE policies
when they read the policies.

for new employees and subcontractor.

mit for special job, and of course HIRARC every new process
Please see our attachement

ting staff Re-Induction training

see our attachment

ur Subkontraktor No. 02/020/OHS/20

out in the Work Order

ence attachment. If we think inadequate, we will interview

nd several subcontractor’s worker.
every six month. Propose to management to comply to our
workplace
changes made for all PT. Mitra Jasa Engineering, it is change control procedure that
nge request form. Please see our
No. 02/017/OHS/2007
se see attachment

ction 4
C, Please see our attachment

vironment inspection annually

on hazards, temperature hazards and ergonomic hazards. We give our employees

lk, PPE. Conducting JSA before execute job.
authorized certified personnel who could do these jobs

ommunication mechanism to the workforce

height, permit to work, energy isolation, etc

ommunication mechanism to the workforce

oyees must be use Personal protective equipment shall be provided and worn where:
, e.g. by engineering or administration controls, total enclosure, substitution.
occupational environments with uncertain levels of hazards, or
islation required it.
e or replace the need for proper accident prevention measures, such as engineering or
tive measures must always be fully explored before consideration of issue of personal
ective equipment.

ease see attachment

 Follow up by conduct PPE inspection

sure the stockist. We ensure every workforce maintain the

talk we remind every worker to use PPE. We communicate
PE to wear at the workplace
ction 5

ease see attachment

practices and procedures used by our employees on site are

y objectives and arrangements. Project manager responsible
dures used by all employees including subcontractor on site.

egulation or industrial standard to ensure that plant and

r at other location by our employees are correctly registered,
ted, controlled and maintained in a safe working condition.

ease see attachment

Fire drill, ...

ction 6

see our attachment

e safety patrol and safety inspection

aluation procedures and internal audit procedures to all employees. company's rules to
anagement are through company email, HSE bulletin and bulletin board, while for field
d through corporate email system

se see attachment

ny data of health performance from employee’s base on

al evaluation and test.

t of environmental performance on monthly basis

ll the near miss in safety talk so others could

that moment or direct to supervisor
d with all manager on former weekly meeting every month

ng for management, Investigation meeting with supervisor

ult was communicated to employees through safety talk,
poster, email

he event of a hazardous event / event by a relevant national body, regulatory body for
mated under the HSE legislation for the past five years

ction 7
our audit record and also HSE Time Table Program/Plan
hse audit is already certified HSE auditor

nd Safety Management System Requirement) Audit would be done to see weather the
activities, minor to major. Audit result would be checked again for validation.
department) for internal auditing, and WQA for external Auditing.

ee management Minutes of Meeting and also evidence of follow

see our attachment

ea. audit and follow up actions are the responsibility of the HSE coordinator. The results
agement in all parts of the HSE management system

ction 8
01:2008, Certification OHSAS 18001:2007, Certification SMK3