BDE ( LEADING INDICATOR )

TAHUN 2022 2520

PLAN ACTUAL TOTA TOTAL MTD
NO ELEMEN PROGRAM INDICATOR TARGET PIC L ACTUA
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES PLAN L JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES JAN
1 KOMITMEN DAN KETERLIBATAN MANAJEMEN
1.1. KEBIJAKAN
1.1.1. Review Kebijakan Keselamatan Pertambangan Melakukan Review Kebijakan Keselamatan Pertambagan 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
1.2. PENETAPAN KEBIJAKAN
1.2.1. Pengesahan Kebijakan KP Melakukan pengesahan hasil review Kebijakan Keselamatan Pertambangan 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%

2 PERENCANAAN
2.1. Perencanaan Keselamatan Pertambangan
2.1.1. Review IBPR tahun 2022 Melakukan update IBPR tahun 2022 untuk semua departemen 8 All Dept 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0% 0% 0% 0%
2.1.2. Review IPPL 2022 Melakukan update IPPL tahun 2022 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
2.1.3. Tujuan Sasaran dan Program KP Penyusunan TSP-KP tahun 2022 1 KKP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
2.1.4. Rencana Kerja dan Anggaran Belanja KP Penyusunan RKAB tahun 2022 1 KKP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%

3 ORGANISASI DAN PERSONIL

3.1. STRUKTUR ORGANISASI
3.1.1. Struktur Organisasi [Link] Update Struktur Organisasi [Link] secara keseluruhan 1 HCGS 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.1.2. Struktur Organisasi Keselamatan Pertambangan Update Struktur Organisasi Keselamatan Pertambangan 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.1.4. Struktur Organisasi Komite Keselamatan Pertambangan Update Struktur Organisasi KKP 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.1.5. Struktur Organisasi Tim Tanggap Darurat Update Struktur Organisasi Tim Tanggap Darurat 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.2. TANGGUNG JAWAB DAN WEWENANG
3.2.1. Review SK Penunjukan Pengawas Operasional dan Teknik Melakukan Review SK penunjukan Pengawas Operasional dan Teknik 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.2.2. Review SK Penunjukan Tim KKP Melakukan Review SK penunjukan Tim KKP 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.2.3. Review SK Penunjukan Tim Tanggap Darurat Melakukan Review SK penunjukan Tim Tanggap Darurat 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
3.2.4. Penerbitan SK Penunjukan Bagian KO Pertambangan Menerbitkan SK Bagian KO Pertambangan 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
3.2.5. Penerbitan SK Penunjukan Internal Auditor SMKP Menerbitkkan SK Penunjukan Tim Internal Auditor SMKP 1 PJO 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
3.3. PENDIDIKAN DAN PELATIHAN SERTA KOMPETENSI
TNA
3.3.1. Induksi Karyawan Baru dan Re-Induksi Pasca Cuti maupun Mutasi Melakukan Induksi dan Re-Induksi terhadap seluruh karyawan [Link] 360 All Dept 30 30 30 30 30 30 30 30 30 30 30 30 0 0 0 0 0 0 0 0 0 0 0 0 360 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.3.2. Pelatihan kompetensi POU Mengirimkan personil untuk sertifikasi POU 1 HCGS 1 1 0 0%
3.3.2. Pelatihan kompetensi POM Mengirimkan personil untuk sertifikasi POM 2 HCGS 2 2 0 0%
3.3.2. Pelatihan kompetensi POP Mengirimkan personil untuk sertifikasi POP 6 HCGS 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0% 0% 0%
3.3.3. Pelatihan AK3 Umum Mengirimkan personil untuk sertifikasi AK3 Umum 2 HCGS 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0%
3.3.4. Training First Aider Mengirimkan personil untuk sertifikasi First Aider Umum 3 HCGS 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0% 0% 0% 0%
3.3.4. Diklat BASARNAS Mengirimkan personil untuk sertifikasi Diklat BASARNAS 3 HCGS
3.3.4. Basic Fire Fighting Mengirimkan personil untuk sertifikasi Basic Fire Fighting 2 HCGS
3.3.4. AK3 listrik Mengirimkan personil untuk sertifikasi AK3 Listrik 1 HCGS
3.3.5. Training Defensive Driving Melaksanakan pelatihan Defensive driving bagi driver di [Link] 4 HCGS 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0% 0%

3.4.1. General HSE Talk Melaksanakan General HSE Talk setiap awal bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.4.2. P5M masing-masing Departemen Melaksanakan P5M setiap awal shift di masing-masing Departemen 2520 All [Link] 210 210 210 210 210 210 210 210 210 210 210 210 0 0 0 0 0 0 0 0 0 0 0 0 2520 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.4.3. Weekly Meeting HSE Menghadiri HSE Meeting setiap minggu 48 HSE 4 4 4 4 4 4 4 4 4 4 4 4 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.4.4. Monthly Meeting Komite Keselamatan Pertambangan Mengadakan pertemuan rutin KKP setiap bulan 12 KKP 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

3.5.1. Partisipasi Hazard Report Pembuatan Hazard Report oleh semua karyawan 5772 All Dept. 481 481 481 481 481 481 481 481 481 481 481 481 0 0 0 0 0 0 0 0 0 0 0 0 5772 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.5.2. Partisipasi Kartu Kendali K3 ( Observasi ) Melakukan observasi kepada pekerja 4176 All Dept 348 348 348 348 348 348 348 348 348 348 348 348 0 0 0 0 0 0 0 0 0 0 0 0 4176 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.5.3. Inspeksi Melaksanakan Inspeksi setiap awal shift 5772 All Dept 481 481 481 481 481 481 481 481 481 481 481 481 0 0 0 0 0 0 0 0 0 0 0 0 5772 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3.5.4. Partisipasi Umpan Balik Masalah K3 Membuat Umpan Balik terkait masalah K3 dilingkungan [Link] 48 All Dept 4 4 4 4 4 4 4 4 4 4 4 4 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

4 IMPLEMENTASI
4.1. PENGELOLAAN K3 PERTAMBANGAN
4.1.1. Membuat Analisa Keselamatan Kerja ( JSA ) Menyusun JSA dimasing-masing departemen 12 All dept 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.1.2. Review Penanggung Jawab Area Review dan penunjukan penanggung jawab area di [Link] 1 PJO 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
4.1.3. Latihan Rutin Team ERT Melakukan latihan rutin bagi team ERT 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.1.4. Simulasi Keadaan Darurat Pelaksanaan simulasi keadaan darurat di [Link] 4 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
4.1.5. Pelaporan High Risk Activity Melaporkan setiap kagiatan dengan resiko tinggi 12 All dept 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.1.6. Inspeksi Unit dan Peralatan Melaksanakan Inspeksi Unit dan Peralatan setiap 6 Bulan 4 HSE & Plant 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0% 0%
4.1.7. Inspeksi Instalasi Listrik Melaksanakan Inspeksi Instalasi Listrik setiap 3 Bulan ( Triwulan ) 4 Plant (AK3 L) 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0% 0%
4.1.8. Inspeksi APAR Melaksanakan Inspeksi APAR setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.1.10. Re-Sertifikasi Stand Jack Re-Sertifikasi Stand Jack 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
4.1.11. Re-Sertifikasi Genset Re-Sertifikasi Genset 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
4.1.12. Re-Sertifikasi Bejana Tekan Re-Sertifikasi Bejana Tekan 1 MGM 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0% 0%
4.1.13. Kalibrasi Alat Ukur Survey Melakukan Kalibrasi Alat survey 2 MGM 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0% 0%
4.1.14. Inspeksi Gabungan Bersama Manajemen Melaksanakan Inspeksi Gabungan bersama manajemen setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.1.15. Update Materi Induksi Keselamatan Pertambangan Merevisi materi induksi keselamatan pertambangan 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
4.2. PENGELOLAAN KESEHATAN KERJA
4.2.1. Fatigue Test Pelaksanaan Fatigue Test 2 kali seminggu 96 HSE 8 8 8 8 8 8 8 8 8 8 8 8 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.2. Senam Massal melaksanakan senam massal setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.3. Inspeksi kotak P3K Inspeksi Kotak P3K setiap Bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.4. Pemantauan hasil MCU Melakukan pemantauan hasil MCU 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.5. Pelaporan top 10 Deases Membuat laporan top 10 Deases setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.6. Pengecekan Karyawan Pasca Cuti Melakukan pemeriskaan karyawan dan pengiriman laporan ke GAM 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.7. MCU Berkala Pengiriman karyawan untuk melaksanakan MCU 480 HCGS 40 40 40 40 40 40 40 40 40 40 40 40 0 0 0 0 0 0 0 0 0 0 0 0 480 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.8. Pengecekan Ph Air Minum Inspeksi Ph Air Minum setiap minggu 48 HSE 4 4 4 4 4 4 4 4 4 4 4 4 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2.9 . Inspeksi Hygiene dan Sanitasi Inspeksi Hygiene dan Sanitasi setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

4.3. PENGELOLAAN LINGKUNGAN KERJA

4.3.1. Pengukuran Kebisingan Melakukan pengukuran kebisingan setiap 3 bulan ( triwulan ) 1 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
4.3.2. Pengukuran Emisi Gas Buang Melakukan pengukuran Emisi Gas Buang setiap 3 bulan ( triwulan ) 1 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
4.3.3. Pengukuran Ambient Melakukan pengukuran Ambient setiap 3 bulan ( triwulan ) 1 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
4.3.4. Pengukuran Pencahayaan Melakukan pengukuran Pencahayaan setiap 3 bulan ( triwulan ) 1 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
4.3.6. Pengukuran Kualitas Air Oil Trap Melakukan pengukuran Air Oil Trap setiap bulan 6 HSE 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0% 0% 0% 0% 0% 0%
4.3.9. Pengelolaan Limbah B3 Pengiriman LB3 12 MM & HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

4.4. KESELAMATAN DILUAR PERTAMBANGAN

4.4.1. Program Door To Door Melakukan kunjungan ke rumah karyawan/Mess setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.4.2. Kunjungan Pemeriksaan Kesehatan Keluarga Karyawan Melakukan pemeriksaan kesehatan keluarga karyawan dirumah setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.4.3. Sosialisasi Penanganan Makanan dan Gizi Seimbang Membrikan sosialisasi penanganan Makanan dan Gizi seimbang 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

5 EVALUASI DAN TINDAK LANJUT

5.1. PEMANTAUAN KINERJA
5.1.1. Laporan Bulanan Keselamatan Pertambangan Menyusun Laporan Bulanan KP 12 KKP 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5.1.2. Laporan Triwulan Keselamatan Pertambangan Menyusun Laporan Triwulan KP 4 KKP 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
5.1.3. Laporan Tahunan Keselamatan Pertambangan Menyusun Laporan Tahunan KP 1 KKP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
5.1.4. Laporan Bulanan Keselamatan Operasional Menyusun Laporan Bulanan Keselamatan Operasional 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5.1.5. Laporan Triwulan Keselamatan Operasional Menyusun Laporan Triwulan Keselamatan Operasional 4 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
5.1.6. Laporan Tahunan Keselamatan Operasional Menyusun Laporan Tahunan Keselamatan Operasional 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
5.1.6. Laporan Bulanan Pengelolaan Kesehatan Kerja Menyusun Laporan Bulanan Pengelolaan Kesehatan Kerja 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5.1.6. Laporan Triwulan Pengelolaan Kesehatan Kerja Menyusun Laporan Triwulan Pengelolaan Kesehatan Kerja 4 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
5.1.6. Laporan Tahunan Pengelolaan Kesehatan Kerja Menyusun Laporan Tahunan Pengelolaan Kesehatan Kerja 1 HSE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%
5.1.6. Laporan Bulanan Pemenuhan Target KPI Pengawas Membuat laporan pemenuhan target KPI pengawas setiap bulan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5.1.6. Laporan Evaluasi Kepatuhan PPL Melakukan evaluasi kepatuhan PPL setiap 3 bulan ( Triwulan ) 4 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
5.1.6. Laporan Triwulan IUJP Menyusun laporan Triwulan IUJP 4 MGM 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
5.1.6. Laporan Audit Internal SMKP Melaksanakan Internal Auidt SMKP dan membuat pelaporan ke KAIT 1 Tim SMKP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
5.1.6. Update Papan Informasi Keselamatan Pertambangan Melakukan update papan informasi K3 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

6 DOKUMENTASI
6.1. Up Date Manual SMKP Revisi Manual SMKP 1 Tim SMKP 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
6.2. Up Date Prosedur SMKP Update prosedur SMKP 146 All. Dept 12 12 12 12 12 12 12 12 12 12 13 13 0 0 0 0 0 0 0 0 0 0 0 0 146 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

7 TINJAUAN MANAJEMEN
7.1. Rapat Tinjauan Mamanejemen Menjalankan Rapat Tinjauan Manajemen 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0% 0%
8 CONTINUAL IMPROVEMENT
8.1. PENINGKATAN SAFETY AWARNESS
8.1.1. Training Basic Safety. Memberikan pelatihan Dasar-Dasar K3 terhadap seluruh karyawan 12 HSE 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
8.1.3. Pelaksanaan training fire Fighting Melakukan pelatihan Internal Fire Fighting 4 HSE 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0% 0% 0% 0%
8.1.4. Rescue Challenge Mengirimkan tim ERT ke FRSI balikpapan 1 MGM 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0%

Leading Indicator 19848 0 1666 1655 1662 1655 1647 1660 1649 1646 1658 1649 1647 1663 0 0 0 0 0 0 0 0 0 0 0 0 19857 0 0 0 0 0 0 0 0 0 0 0 0 0 0

PT. Berlian Duta Energi

Dibuat Disetujui

Fadli Yusran Ria Mirza Gulam Ahmad

HSE Superintendent Penanggung Jawab Operasional
 YTD
MTD YTD FINAL SCORE
FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Disahkan

Kepala Teknik Tambang

PT. Ganda Alam Makmur
 BDE ( PROCESS INDICATOR )
TAHUN 2021 432
PLAN ACTUAL TOTAL MTD
TOTAL
NO PROSES INDICATOR TARGET FREQUENCY PIC ACTUA
JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES PLAN JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP
L
1 KESELAMATAN PERTAMBANGAN
1. INSPEKSI
1.1. Manager Melakukan Inspeksi terhadap Semua Area Kerja 12 1 x perbulan/orang PM 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Melakukan Inspeksi terhadap Area Kerja terutama Area yang Menjadi
1.2. Superintendent 240 4 x perbulan/orang All Dept 20 20 20 20 20 20 20 20 20 20 20 20 240 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Tanggung Jawabnya
Melakukan Inspeksi terhadap Area Kerja terutama Area yang Menjadi
1.3. Supervisor/Coordinator 432 6 x perbulan/orang All Dept 36 36 36 36 36 36 36 36 36 36 36 36 432 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Tanggung Jawabnya
Melakukan Inspeksi terhadap Area Kerja terutama Area yang Menjadi
1.4. Engineering/Officer/Foreman/PIT Control 5088 8 x perbulan/orang All Dept 424 424 424 424 424 424 424 424 424 424 424 424 5088 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Tanggung Jawabnya
2. HAZARD REPORT
Membuat Hazard Report dari KTA dan TTA yang ditemukan dilapangan
2.1. Manager 12 1 x perbulan/orang All Dept 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
dan Melaporkan ke TIM HSE
Membuat Hazard Report dari KTA dan TTA yang ditemukan dilapangan
2.3. Superintendent 240 4 x perbulan/orang All Dept 20 20 20 20 20 20 20 20 20 20 20 20 240 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
dan Melaporkan ke TIM HSE
Membuat Hazard Report dari KTA dan TTA yang ditemukan dilapangan
2.4. Supervisor/Coordinator 360 6 x perbulan/orang All Dept 30 30 30 30 30 30 30 30 30 30 30 30 360 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
dan Melaporkan ke TIM HSE
Membuat Hazard Report dari KTA dan TTA yang ditemukan dilapangan
2.5. Engineering/Officer/Foreman/PIT Control 5088 8 x perbulan/orang All Dept 424 424 424 424 424 424 424 424 424 424 424 424 5088 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
dan Melaporkan ke TIM HSE
3. OBSERVASI TUGAS TERENCANA ( KARTU KENDALI K3L)
3.1. Manager 12 1 1 1 1 1 1 1 1 1 1 1 1
Melakukan observasi terhadap pekerja dilapangan, direkam dan
3.2. Superintendent 120 2 x perbulan/orang All Dept 2 2 2 2 2 2 2 2 2 2 2 2 24 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
melakukan perbaikan serta Melaporkan ke TIM HSE
Melakukan observasi terhadap pekerja dilapangan, direkam dan
3.3. Supervisor/Coordinator 240 4 x perbulan/orang All Dept 20 20 20 20 20 20 20 20 20 20 20 20 240 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
melakukan perbaikan serta Melaporkan ke TIM HSE
Melakukan observasi terhadap pekerja dilapangan, direkam dan
3.4. Engineering/Officer/Foreman/PIT Control 3816 6 x perbulan/orang All Dept 318 318 318 318 318 318 318 318 318 318 318 318 3816 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
melakukan perbaikan serta Melaporkan ke TIM HSE
4. FIX MONITORING ( INSPEKSI TERENCANA )
4.1. Speed Gun Melaksanakan Inspeksi Kecepatan unit 48 4 x perbulan HSE 4 4 4 4 4 4 4 4 4 4 4 4 48 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.2. Simper/ID/P2H Melaksanakan Spotcheck kepada Unit dan Operatornya 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.3. SKAT Melaksanakan Inspeksi SKAT Unit 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.4. APAR Melaksanakan Inspeksi APAR kepada semua area kerja dan unit 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4.5. EYE WASH Melaksanakan Inspeksi Eye Wash 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5. SAFETY CAMPAIGN
Melakukan Pemasangan Spanduk, Banner, Baliho dan Lain-Lain di Area
5.1. Spanduk 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Kerja
5.2. Safery Flash/HSE Focus Melakukan Pemasangan Health Info dan HSE Fokus di Area Kerja 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
6. KOMPETENSI / PELATIHAN
6.1. KOMPETENSI WAJIB
6.1.1. Training & Sertifikasi POU Pengiriman Karyawan untuk Training dan Sertifikasi POU 1 1 Orang/ setahun HCGS 1 0%
6.1.1. Training & Sertifikasi POM Pengiriman Karyawan untuk Training dan Sertifikasi POM 2 2 Orang/ setahun HCGS 2 0%
6.1.1. Training & Sertifikasi POP Pengiriman Karyawan untuk Training dan Sertifikasi POP 4 4 Orang/ pertahun HCGS 2 2 4 0 0% 0%
6.1.2. Training & Sertifikasi AK3-Umum Pengiriman Karyawan untuk Training dan Sertifikasi AK3-Umum 2 2 Orang/tahun HCGS 1 1 2 0 0% 0%
6.1.3. Training & Sertifikasi AK3 Listrik Pengiriman Karyawan untuk Training dan Sertifikasi AK3-Listrik 1 1 Orang/tahun HCGS 1 1 2 0 0% 0%
6.1.3. Training & Sertifikasi First Aider Pengiriman Karyawan untuk Training dan Sertifikasi First Aider 3 3 Orang/tahun HCGS 3 0%
6.1.3. Training & Sertifikasi Basic Fire Fighter Pengiriman Karyawan untuk Training dan Sertifikasi Fire Fighter 3 3 Orang/tahun HCGS 3 0%
6.1.3. Training & Sertifikasi Diklat BASARNAS Pengiriman Karyawan untuk Training dan Sertifikasi Diklat BASARNAS 2 2 Orang/tahun HCGS 3 0%
6.1.4. Training & Sertifikasi Operator Genset Pengiriman Karyawan untuk Training dan Sertifikasi Operator Genset 1 1 Orang/tahun HCGS 1 1 2 0 0% 0%
6.1.5. Training & Sertifikasi Juru Las Pengiriman Karyawan untuk Training dan Sertifikasi Juru Las 1 1 Orang/tahun HCGS 1 1 0 0%
6.1.6. Diklat Internal Audit SMKP MINERBA Pengiriman Karyawan untuk Training dan Sertifikasi Auditor SMKP 1 1 Orang/tahun HCGS 1 1 0 0%
6.2. WORKSHOP/SEMINAR/PELATIHAN K3 PERTAMBANGAN
6.2.1. HIRADC-Risk Asessement Pelaksanaan Pelatihan Risk Assessment kepada karyawan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0%
6.2.2. JSA Pelaksanaan Pelatihan JSEA kepada karyawan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0% 0%
6.2.3. Planned Inspection Pelaksanaan Pelatihan Plan Inspection kepada karyawan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0% 0%
6.2.4. Accident Investigation Pelaksanaan Pelatihan Accident Investigation kepada karyawan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0% 0%
Pelaksanaan Pelatihan Pengenalan API dan penanggulangan kebakaran
6.2.5. Basic Fire Fighting 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0%
kepada karyawan
6.2.6. Defensive Driving Pelaksanaan Pelatihan Smart Safety Driving kepada karyawan 2 1 x pertriwulan TC 1 1 2 0 0%
6.2.7. Lock Out-Tag Out Pelaksanaan Pelatihan Lock Out-Tag Out kepada karyawan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
6.2.8. Working At Hight Pelaksanaan Pelatihan Bekerja Diketinggian 2 1 x pertriwulan HSE 1 1 2 0 0%
6.2.9. Emergency Response Team Pelaksanaan Pelatihan Emergency Response Team 48 4x perbulan HSE 4 4 4 4 4 4 4 4 4 4 4 4 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
7. PENGENDALIAN OPERASIONAL
7.1. Pekerjaan Bahaya Tinggi Pembuatan dan Pelaporan High Risk dari semua departemen 12 1 x pelaporan/bulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
Penyediaan SOP/JSEA dan MSDS di tempat penyimpanan Bahan
7.2. Bahan Berbahaya dan Beracun 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0% 0%
Berbahaya dan Beracun
8. CERTIFIKASI DAN KALIBRASI
8.1. Stand Jack Melakukan Re-sertifikasi Stand Jack 1 1 x setahun MGM 1 1 0 0%
8.2. Genset Melakukan Re-Sertifikasi Mesin Genset 1 1 x setahun MGM 1 1 0 0%
8.3. Alat ukur survey Melakukan Kalibrasi Alat Ukur Survey 2 1 x setahun MGM 1 1 2 0 0%
KESEHATAN KERJA
1. Fatique Test Melaksanakan Inspeksi/Test Fatique kepada Karyawan 48 4 x perbulan HSE 4 4 4 4 4 4 4 4 4 4 4 4 48 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
2. Inspeksi kotak P3K Melaksanakan Inspeksi/kotak P3K 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
3. Pemantauan hasil MCU Melakukan pemantauan hasil MCU karyawan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
4. Pelaporan top 10 Deases Melakukan pelaporan Top 10 Deases 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5. Pengecekan Karyawan Pasca Cuti Melakukan pemeriksaan kepada karyawan setelah cuti periodik 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
6. Training P3K Melaksanakan training P3K kepada karyawan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0% 0%
7. Senam Massal Melakukan senam massal setip bulan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
8. Inspeksi tandon air minum karyawan Melaksanakan Inspeksi pada tandon air minum karyawan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
LINGKUNGAN KERJA PERTAMBANGAN
Melakukan pengukuran kebisingan pada area genset dan A2B serta
1. Pengukuran kebisingan 1 1 x setahun HSE 1 1 0 0%
lighting tower
2. Pengukuran Emisi gas buang dan Ambien Melakukan Pengukuran Emisi Gas Buang dan Ambien 1 1 x setahun HSE 1 1 0 0%
3. Pemantauan TPS B3 Melakukan Pemantauan dan inspeksi area TPS B3 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
DOKUMENTASI SMKP
1. Revisi Manual BDE Merevisi manual BDE 1 1 x pertahun Tim SMKP 1 1 0 0%
2. EVALUASI TARGET DAN PROGRAM K3L PERTAMBANGAN
2.1. Laporan Bulanan K3 Pertambangan Pembuatan Laporan Bulanan K3L Pertambangan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
2.2. Laporan Triwulan K3 Pertambangan Pembuatan Laporan Triwulan K3L Pertambangan 4 1 x pertriwulan HSE 1 1 1 1 4 0 0% 0% 0%
2.3. Laporan Tahunan K3 Perrtambangan Pembuatan Laporan Tahunan K3L Pertambangan 1 1 x setahun HSE 1 1 0
2.4. Update papan Informasi K3 Pertambangan Melakukan update papan informasi K3L Pertambangan 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
2.5. Laporan triwulan IUJP Pembuatan laporan triwulan IUJP 4 1 x per triwulan MGM 1 1 1 1 4 0 0%
3. Tindak Lanjut RTP Pelaksanaan dan Pelaporan tindak lanjut dari RTP 12 1 x perbulan HSE 1 1 1 1 1 1 1 1 1 1 1 1 12 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
5. Internal Audit Pelaksanaan Internal Audit 2 1 x persemester MGM 0 0 0 0 0 1 0 0 0 0 0 1 2 0 0%
IMPROVEMENT
1. Siaran/Kampanye K3L Lewat Radio pada awal Shift Memutar siaran kampanye via Radio 360 30x perbulan HSE 30 30 30 30 30 30 30 30 30 30 30 30 360 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%
2. Siaran/Kampanye pada jam-jam fatigue lewat Radio Memutar siaran kampanye Fatigue via Radio 360 30x perbulan HSE 30 30 30 30 30 30 30 30 30 30 30 30 360 0 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

Process Indicator 1333 1327 1333 1335 1331 1340 1331 1331 1331 1331 1328 1335 0 0 0 0 0 0 0 0 0 0 0 0 16634 0 0 0 0 0 0 0 0 0 0 0 0

PT. Berlian Duta Energi

Komite Keselamatan Pertambangan
Dibuat Disetujui

Fadli Yusran Ria Mirza Gulam Ahmad

HSE Superintendent Penanggung Jawab Operasional
MTD YTD FINAL
MTD YTD
DES JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOP DES SCORE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Disahkan

Kepala Teknik Tambang

PT. Ganda Alam Makmur
 BDE
PT BERLIAN DUTA ENERGI
YEAR 2022

KECELAKAAN TAMBANG TOTAL ACCIDENT POTENTIAL ENVIRONMENTAL ACCIDENT TOTAL TOTAL MAN Accident
No. MONTH LTI Days Lost INJURY ACCIDENT HOURS LTI-FR LTI-SR TI-FR FR PD-FR PD Cost ($) EAFR PEAFR Nearmiss
Ringan Berat Mati LTI RDI MTI FAI Minor PD Major PD Class 1 Class 2 Class 3
1 Januari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92,070 0.00 0.00 0.00 0.00 0.00 0 0 0
2 Februari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63,479 0.00 0.00 0.00 0.00 0.00 0 0 1
3 Maret 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71,815 0.00 0.00 0.00 0.00 0.00 0 0 0
4 April 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76,923 0.00 0.00 0.00 0.00 0.00 0 0 0
5 May 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81,022 0.00 0.00 0.00 0.00 0.00 0 0 0
6 Juni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88,209 0.00 0.00 0.00 0.00 0.00 - 0 0 0
7 Juli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92,684 0.00 0.00 0.00 0.00 0.00 - 0 0 0
8 Agustus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96,367 0.00 0.00 0.00 0.00 0.00 0 0 0
9 September 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98,901 0.00 0.00 0.00 0.00 0.00 0 0
10 Oktober 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108,029 0.00 0.00 0.00 0.00 0.00 0 0
11 November 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117,018 0.00 0.00 0.00 0.00 0.00 0 0
12 Desember 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986,515 0.00 0.00 0.00 0.00 0.00 $0.00 0 0 1

FINAL
LAGGING INDICATOR Actual 2021 Target 2022 YTD 2022 % WEIGHTS
SCORE

LTI-FR 0.00 0.00 0.00 100.00% 20 20.00%

LTI-SR 0.00 0.00 0.00 100.00% 20 20.00%
Total Injury-FR 0,00 #VALUE! 0.00 100.00% 10 10.00%
Total Accident-FR 14.19 11.35 0.00 100.00% 10 10.00%
Property Damage FR 13,18 #VALUE! 0.00 #VALUE! 5 #VALUE!
Enviro Accident FR 0,00 #VALUE! 0.00 100.00% 20 20.00%
Potensial Enviro Acc FR 0,00 #VALUE! 0.00 100.00% 5 5.00%

Jumlah penyakit akibat kerja 0 0.00 0.00 100.00% 5 5.00%

Jumlah penyakit kronis 0 0.00 0.00 100.00% 5 5.00%

% LAGGING INDICATOR 100 #VALUE!

PT. Berlian Duta Energi

Keselamatan Pertambangan
Dibuat Disetujui Disahkan

Fadli Yusran Ria Mirza Gulam Ahmad

HSE superintendent Penanggung Jawab Operasional Kepala Teknik Tambang
PT. Ganda Alam Makmur
 BDE INDICATOR
PT BERLIAN DUTA ENERGI
YEAR 2021

BDE INDICATOR (BDEI) 2021

LEADING INDICATOR -

PROCESS INDICATOR -

LAGGING INDICATOR #VALUE!

% BDEI #VALUE!
PT. Berlian Duta Energi
Komite Keselamatan Pertambangan
Dibuat Disetujui Disahkan

Fadli Yusran Ria Mirza GA

HSE Superintendent Penanggung Jawab Operasional Kepala Teknik Tambang
PT. Berlian Duta Energi
 TARGET

85%
80%
80%

80%

Disahkan
Kepala Teknik Tambang
PT. Berlian Duta Energi
 BDE
PT BERLIAN DUTA ENERGI
YEAR 2021

KECELAKAAN TAMBANG TOTAL ACCIDENT POTENTIAL ENVIRONMENTAL ACCIDENT TOTAL TOTAL MAN Accident
No. MONTH LTI Days Lost INJURY ACCIDENT HOURS LTI-FR LTI-SR TI-FR FR PD-FR PD Cost ($) EAFR PEAFR Nearmiss
Ringan Berat Mati LTI RDI MTI FAI Minor PD Major PD Class 1 Class 2 Class 3
1 Januari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92,070 0.00 0.00 0.00 0.00 0.00 0 0 0
2 Februari 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63,479 0.00 0.00 0.00 0.00 0.00 0 0 1
3 Maret 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71,815 0.00 0.00 0.00 0.00 0.00 0 0 0
4 April 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76,923 0.00 0.00 0.00 0.00 0.00 0 0 0
5 May 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 81,022 0.00 0.00 0.00 0.00 0.00 0 0 0
6 Juni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88,209 0.00 0.00 0.00 0.00 0.00 - 0 0 0
7 Juli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92,684 0.00 0.00 0.00 0.00 0.00 - 0 0 0
8 Agustus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96,367 0.00 0.00 0.00 0.00 0.00 0 0 0
9 September 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98,901 0.00 0.00 0.00 0.00 0.00 0 0
10 Oktober 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108,029 0.00 0.00 0.00 0.00 0.00 0 0
11 November 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117,018 0.00 0.00 0.00 0.00 0.00 0 0
12 Desember 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 986,515 0.00 0.00 0.00 0.00 0.00 $0.00 0 0 1

FINAL
LAGGING INDICATOR Actual 2021 Target 2022 YTD 2022 % WEIGHTS
SCORE

LTI-FR 0.00 0.00 0.00 100.00% 20 20.00%

LTI-SR 0.00 0.00 0.00 100.00% 20 20.00%
Total Injury-FR 0,00 #VALUE! 0.00 100.00% 10 10.00%
Total Accident-FR 14.19 11.35 0.00 100.00% 10 10.00%
Property Damage FR 13,18 #VALUE! 0.00 #VALUE! 5 #VALUE!
Enviro Accident FR 0,00 #VALUE! 0.00 100.00% 20 20.00% Crude Morbidity Rate Tidak Lebih dari 3%
Potensial Enviro Acc FR 0,00 #VALUE! 0.00 100.00% 5 5.00% Morbidity Frequency Rate (Tidak Lebih dari 19)
Spell Saverity Rate (tidak lebih dari 2 Spell)
Jumlah penyakit akibat kerja 0 0.00 0.00 100.00% 5 5.00% Absence Saverity Rate (tidak lebih dari 37,2)
Jumlah penyakit kronis 0 0.00 0.00 100.00% 5 5.00%

% LAGGING INDICATOR 100 #VALUE!

PT. Berlian Duta Energi

Keselamatan Pertambangan
Dibuat Disetujui Disahkan

Fadli Yusran Ria Mirza Gulam Ahmad

HSE superintendent Penanggung Jawab Operasional Kepala Teknik Tambang
PT. Ganda Alam Makmur
 BDE
PT BERLIAN DUTA ENERGI
YEAR 2022

KECELAKAAN TAMBANG TOTAL ACCIDENT POTENTIAL ENVIRONMENTAL ACCIDENT TOTAL TOTAL MAN MAN Accident
No. MONTH LTI Days Lost INJURY ACCIDENT HOURS POWER LTI-FR LTI-SR TI-FR FR PD-FR PD Cost ($) EAFR PEAFR
Ringan Berat Mati LTI RDI MTI FAI Minor PD Major PD Class 1 Class 2 Class 3
1 Januari 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 92,070 450 0.00 0.00 0.00 21.72 21.72 0 0
2 Februari 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 281,250 465 0.00 0.00 0.00 7.11 7.11 0 0
3 Maret 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
4 April 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
5 May 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
6 Juni 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! - #DIV/0! #DIV/0!
7 Juli 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! - #DIV/0! #DIV/0!
8 Agustus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
9 September 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
10 Oktober 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
11 November 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
12 Desember 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 4 373,320 0.00 0.00 0.00 10.71 10.71 $0.00 0 0

FINAL
LAGGING INDICATOR Actual 2021 Target 2022 YTD 2022 % WEIGHTS
SCORE

LTI-FR 0.00 0.00 0.00 100.00% 20 20.00%

LTI-SR 0.00 0.00 0.00 100.00% 20 20.00%
Total Injury-FR 0,00 #VALUE! 0.00 100.00% 10 10.00%
Total Accident-FR 14.19 11.35 10.71 24.49% 10 2.45%
Property Damage FR 13,18 #VALUE! 10.71 #VALUE! 5 #VALUE!
Enviro Accident FR 0,00 #VALUE! 0.00 100.00% 20 20.00% Crude Morbidity Rate Tidak Lebih dari 3%
Potensial Enviro Acc FR 0,00 #VALUE! 0.00 100.00% 5 5.00% Morbidity Frequency Rate (Tidak Lebih dari 19)
Spell Saverity Rate (tidak lebih dari 2 Spell)
Jumlah penyakit akibat kerja 0 0.00 0.00 100.00% 5 5.00% Absence Saverity Rate (tidak lebih dari 37,2)
Jumlah penyakit kronis 0 0.00 0.00 100.00% 5 5.00%

% LAGGING INDICATOR 100 #VALUE!

PT. Berlian Duta Energi

Keselamatan Pertambangan
Dibuat Disetujui Disahkan

Fadli Yusran Ria Mirza Gulam Ahmad

HSE superintendent Penanggung Jawab Operasional Kepala Teknik Tambang
PT. Ganda Alam Makmur
Nearmiss

0
0
0
0
0
0
0
0
0
0
0