CONTRACTOR SAFETY MANAGEMENT SYSTEM

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PT Vale Indonesia Tbk
CONTRACTOR SAFETY
MANAGEMENT SYSTEM
PT Vale Indonesia Tbk
CSMS Development Team
Team Leader
Abu Ashar

Secretary
Henry Ekazandri

Members
Deddy Aulia, Muh. Samsir, Mulawarman Arfah, Absar,
Wiyatno Haryanto, Teguh D. Kuncoro, Gustaf Songgo,
Abd, Jabbar, Sidransyah Yusri, Syairuddin, Samuel Todding,
Andrie Kurniawan, Robert Balubu, Sudirman Payangan,
Asri Djaya, Edinaldo Souza
 FOREWORD FROM
PRESIDENT DIRECTOR & CEO

In line with one of PT Vale Indonesia Tbk (PTVI) values “Life Matters Most”, which is very important not
only for PTVI’s employees but also for contractor’s employees who working in our operation sites, PTVI
has developed a system named Contractor Safety Management System (CSMS).

CSMS is an improvement of the previous safety mechanisms and systems implemented in PTVI that
will helps us in ensuring the standard efforts to manage the Contractors’ EHS (Environment, Health
and Safety) throughout PTVI operation sites, facilities, premises or any other designated areas under
PTVI’s responsibility. This system requirement refers to Vale Norm 0052. RS 06, PTVI policies and related
government regulations.

PTVI’s CSMS constitutes 7 (seven) steps, which are Pre-Qualification, Contract Preparation, Contractor
Selection, Contract Award, Orientation and Training, Managing the Work and Periodic Evaluation.
The system requirement is intended to all contracts that fall into “self-supervised contractors” category.

I appreciate the time that has been spent by CSMS sub-committee who has started working on
the system requirement in May of 2013. The first phase is marked by the forming of CSMS sub-committee,
under PTVI EHS Improvement Committee, that was involving representatives from all departments
across PTVI and with a consultative support from DuPont Consultant. And now, the system had been
implemented since October 01, 2013.

I believe that the active role from area sponsors are critical, since most part of the success of
the CSMS implementation depends on them to work collaboratively with the contractors in developing
and managing the system requirement in the respective areas. On the other hand, the system will not
run effectively without full commitment and support from all of us. Therefore, I encourage everyone
who believes in the value of life to support this system.

I would like to congratulate PTVI’s CSMS development team for having dedicated their time and effort
to develop these remarkable system and guidelines.

As we are all aware that mining activities are prone to occupational risks. Let us hope that the
implementation of CSMS will help us reaching our safety targets: zero harm, zero injury.

Thank you.

Nico Kanter
President Director & CEO

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 CONTRACTOR SAFETY MANAGEMENT SYSTEM
vi PT Vale Indonesia Tbk
TABLE OF CONTENTS

1. PURPOSE 1
2. SCOPE 1
3. REFERENCES 1
4. DEFINITIONS 2
5. MANAGEMENT RESPONSIBILITY 4
6. MANAGEMENT SYSTEMS – THE GUIDELINES 5
7. RISK ASSESSMENT 5
8. PRE QUALIFICATION 7
8.1 Pre-qualification flow chart 8
8.2 Pre-qualification process 9
9. CONTRACT PREPARATION 10
9.1 The Cross-Functional Contract Preparation Team 10
9.2 Contract Preparation Flow Chart 11
9.3 Contract Preparation Process 12
9.3.1 Project Charter, objectives and descriptions 13
9.3.2 Safety requirements: 13
9.3.3 Personnel requirements 14
9.3.4 Preparation for Orientation and Training programs 14
9.3.5 Preparation for Managing the Work 14
9.3.6 Preparation for Periodic Evaluation 15
9.4 Contractor Punishment and Reward program 16
10. CONTRACTOR SELECTION 18
10.1 Contractor Selection Flow Chart 18
10.2 Contractor selection process and criteria 19
11. CONTRACT AWARD 21
11.1 Contract Award Flow Chart 22
11.2 Contract Award Process 22
11.2.1 Meetings 23
11.2.2 Communications and Handovers 23
12. ORIENTATION AND TRAINING 24
12.1 Responsibility for Orientation and Training 24
12. 2 Orientation and Training Flow Chart 25
12. 3 Orientation and Training suggestions 26

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 13. MANAGING THE WORK 28
13.1 The Scope of the Auditing and Monitoring 28
13.2 Managing the work Flow Chart 29
13.3 Managing the work process 30
13.4 Communicating Significant Safety Information 30
13.5 Incident Investigations and Reporting 31
14. PERIODIC EVALUATION 32
14.1 Periodic Evaluation Flow Chart 33
14.2 Periodic Evaluation Process 34
14.2.1 Evaluation Process Steps 34
14.2.2 Post-Contract Evaluation Next Steps 35
15. CSMS SCOPE OF CONTRACT VARIATION 36
15.1 Contract Variation Flow Chart 37

APPENDIX A – Pre Qualification form (CSMS - 101) 38

APPENDIX B – Contract Preparation Checklist (CSMS 200) 53
APPENDIX C – Contract Preparation: Roles and Responsibility 57
APPENDIX D – Contractor Selection Criteria and checklist 62
Sample Checklist for Contractor Selection 62
APPENDIX E – Contract Award 63
Sample Checklist for Contract Award 63
Sample Checklist for Confirmation Meeting Agenda 64
APPENDIX F – Orientation and Training 69
APPENDIX G – Managing the Work 75
APPENDIX H – Periodic Evaluation 92

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1. PURPOSE

To provide guidelines on how to get qualified contractors to work for PT Vale Indonesia that are
qualified in terms of safety, technical capability, work efficiently and on time.

2. SCOPE

• These guidelines are specifically established for ‘self supervised contractors’ that work in PTVI
area of responsibility and premises. Contractors that work under their own management
and organization. See definition of self supervised contractors for more explanation.
• These guidelines are not for contractors that work under direct supervision of PTVI.
• These guidelines are not for supplying material vendors, casual contractors (such as drivers,
gardeners, catering services), that are not require to follow PTVI EHS Pre-Qualification of
CSMS (see explanation regarding Pre Qualification) or those contractors working on their
own premises such as their fabrication workshops or fabrication yards.
• These guidelines constitutes 7 (seven) steps of PTVI CSMS: Pre Qualification, Contract
Preparation, Contractor Selection, Contract Award, Orientation and Training, Managing the
Work and Periodic Evaluation that are to be implemented by PTVI Contract Administration
and other related department as the users or project owners.
• These guidelines are to be implemented in conjunction with PTVI Integrated Contracting
System Framework (ICSF)
• These guidelines are complimentary with all other PT Vale Indonesia EHS Policies, Health
and Safety Management System (HSMS), Environment Management System (EMS) and
Golden Rules.

3. REFERENCES

• Vale. (2010), Systemic Health and Safety Requirements, NOR-0052-G

• PT. Vale Indonesia. (2012), Health and Safety Policy, POL – 0006PTVI
• PT. Vale Indonesia. (2012), Environmental Policy, POL – 0007PTVI
• PT. Vale Indonesia. (2010), Contract Template, Section 7.
• PT. Vale Indonesia Procurement and Contract. (2009), Contractor Working Access, SCM
C-011
• DuPont’s Contractor Safety Management. (2013) – 2 Days Seminar
·

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 4. DEFINITIONS

Area Owner / user A group or departments that utilize contractor work or services

Contract A formal agreement between PTVI and contractor to complete a service

or carry out specified activities or tasks.
Contractor A company, groups of persons or persons contracted to carry out a proj-
ect.
Project Manager A person assigned by PTVI management to manage contractor work
(owner side) during project duration and is responsible and accountable for environ-
ment, health and safety on the work site.
Project Manager A person assigned by the contractor management to lead the project
(contractor side) objectives and ensure all workers and labors work safely.

Project Sponsor A person or group that initiates and provides financial resource in cash
or that kind for the project. The person or group can arrange their own
project when project manager not needed.
Contract Sponsor A person or group that initiate a contract and provides financial resource
in cash or that kind for the project. He/she is the one who responsible for
the contract implementation.
EHS Environmental, Health and Safety

EHS Management Plan A plan to ensure that contractors are working safely in the corridor of
appropriate EHS.
Hazard Situation that may potential cause injury and / or property damage

Induction A formal process of providing information and explanation how to do

the works safely and following EHS prior to commencement of the work.
License Official permission issued by the regulatory authorities. These include
forklift licenses, rigger certification, etc.
Permits Official permission issued by the relevant authority in respect of pre-
scribed activities.
Risks The likelihood that a hazard will cause an injury and / or property dam-
age and / or financial loss.
Risk Assessment The process of identifying hazards and assessing and recommending
methods of controlling those risks associated with a particular project.
Safety Man A person who is assigned to help identify and communicate hazard to
workers on the work site, monitor the implementation of safe procedure,
and rectify unsafe acts.
Worker A person who has completed EHS requirement relevant to project and
authorized to work at PT Vale Indonesia.
Safety Officer A person who is assigned to ensure environment, health and safety man-
agement plan of contractor to be implemented during project stage.
Safety Coordinator A person who is assigned to develop plans, coordinates, and implements
a comprehensive occupational health, safety and environmental pro-
gram, provides consultation and expertise in essential matters of occu-
pational safety and health.
Pre Qualification The first step in PTVI CSMS to screen and identify contractors who have
safety beliefs and practices that are compatible with PTVI requirements.

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Contract Preparation The 2nd step in PTVI CSMS for the contract owners / sponsors to analyze
all potential hazards of the work to be contracted and shall be included
in the contract.
Critical jobs A job to be performed in the contract that has high, significant or extra
ordinary potential hazards (such as transferring extra heavy items, in-
volving explosives, radio actives etc).
Contractor Selection The 3rd steps in PTVI CSMS to select best contractors with most qualified
and experience personnel with sound technical knowledge and perform
the work within preset schedule.
Contract Award The 4th step in PTVI CSMS to ensure Contract Sponsor gets the right
workers, technical expertise, equipment, material and equipment speci-
fication as per contract requirement before the contract signed.
Orientation and The 5th step in PTVI CSMS where PTVI as the owner give orientation pro-
Training gram to ensure the contractor understand the potential hazard of PTVI
work environment and to ensure the contractor begin to train their own
staffs, workers and labors on how to do the work safely.
Managing the Work The 6th step in PTVI CSMS in which contractor must perform their own
safety control such as performing inspection, observation and safety pa-
trol.
Periodic Evaluation The 7th step in PTVI CSMS where the contractor evaluate their safety per-
formance with PTVI’s Project Manager and / or team.
Bid Meeting PTVI verifies a contractor’s understanding of the safety requirements and
expectations. Contractors bidding on the project must be aware that
safety performance is a key factor in receiving a contract. This helps en-
sure that contractors build in safety when they price the job.
Confirmation PTVI talks with a smaller group of prospective bidders, going into more
Meeting detail about the scope of work, including how a contractor would meet
safety expectations.
Pre-work Meeting PTVI reviews the contract requirements with the successful contractor,
emphasizing safety expectations with contract personnel who will exe-
cute the work. Review and discuss contractor’s safety plans to meet PT-
VI’s safety expectations, ending with a mutually agreeable approach.
JCC – Job Cycle Check Stands for Job Cycle Check. This is one of the proven methodology to
ensure that contractors’ PM, Superintendent, Supervisors, foremen and
workers understand special procedures and understand how to do the
job safely. For example, PTVI has a clear SOP on how to operate drilling
rigs. First, you ask the contractors’s PM to read the SOP; asked him / her
if there is any point need clarifications. Ideally, good SOP can be under-
stood by any body pertinent to the work. Ask him / her to explain what
are the potential hazards of this operation then ask him / her to physically
demonstrate how to operate the machines safely.

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 5. MANAGEMENT RESPONSIBILITY

PT. Vale Indonesia’s CSMS consist of 7 (seven) steps: Pre Qualification, Contract Preparation, Con-
tractor Selection, Contract Award, Orientation and Training, Managing the Work and Periodic
Evaluation.

1. Pre Qualification is the responsibility of the pre qualification team which working under
the coordination of Contract Administration. The team should consist of various level of the
users / owners department.
2. Contract Preparation is the responsibility of the PTVI’s Project Manager (PM). The PM is se-
lected and nominated by PTVI management. They might get support by engineering de-
partment and or consultants but the whole project accountability is on PM.
3. Contractor Selection is the responsibility of the contractor selection team under the coordi-
nation of Contract Administration. The team should consist of Contract Engineer, PM and/
or the team, EHS representatives and Project owner and/or sponsor.
4. Contract Award is the responsibility of the contractor selection team.
5. Orientation and training. Orientation program is the responsibility of Contract Sponsor.
Training is the responsibility of the contractors.
6. Managing the work or observation and safety patrol is the responsibility of the contractors.
7. Periodic evaluation is the responsibility of the contractors.

The success and the ultimate responsibility and accountability of the project EHS is on PM.

Figure 1.
PT Vale CSMS Process

Contract   Contractor   Contract   Orienta,on     Work   Periodic  

Pre  qualifica,on  
Prepara,on   Selec,on   Award   and  Training   In-­‐progress   Evalua,on  

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6. MANAGEMENT SYSTEMS – THE GUIDELINES

There are three types of contractors, i.e. ‘self supervised contractors’, ‘contractors supervised by
PTVI’ and ‘casual contractors’.

Self supervised contractors, as the name implies, are contractors that work in PTVI work sites or
premises with their own management and organization. PTVI CSMS is meant and dedicated for
this type of contractors. They shall control their own safety. PTVI hires ‘self supervised contractors’
not only to perform the work but perform the work safely. Therefore, they shall have their
own safety management system, such as, but not limited to: safety action plan, training, safety
inspection, observation and audit, incident reporting and investigation system, safety metrics
and all relevant safety control mechanism for their own safety. PTVI is to ensure those tools are
being implemented and they are working safely.

PTVI CSMS is a comprehensive management system. Therefore, PTVI decided not all ‘self
supervised contractors’ should go through the full 7-step-CSMS. For example catering services,
this type of contractors although self supervised the relevant step is mostly orientation and
training, simple inspection program during managing the work and periodic evaluation.

Contractors supervised under PTVI. Those contractors or labors under contract that work and
supervise by PTVI do not require going through all 7-step-CSMS. This kind of contractors might
have their own organization but they are mostly labor supply company and the workers will do
the work based and under (close) supervision of PTVI. In this case, in term of safety, PTVI should
treat them as PTVI own employees. They should accept training and work instruction as PTVI
would do for their own employees.

Casual contractors. Examples of these kinds of contractors are light vehicle drivers, gardeners,
office boys and etc. For light vehicle drivers they may have to know how to check their vehicles
before driving and also regarding defensive driving. For the rest of casual workers like gardeners
and office boys they just need orientation regarding the dos and the don’ts at PTVI sites and
premises.

7. RISK ASSESSMENT

The preliminary step of CSMS procedures is assessing the risk of the work to be contracted. All
Contracted Work shall be categorized into one of the risk level categories: Low (L), Medium (M), or
High (H). The risk category shall then determine the necessity of CSMS steps.

Table 1
Minimum level of PT Vale Indonesia involvement required

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 How to assess the risk of a work?

In general, risk level of a work is determined by two factors: Personal Safety and Health Risk
and Process Safety Impact. Example of Personnel Safety are working on elevated areas with fall
potential, noise exposure, heat stress, tripping hazards, etc. Examples of Process Safety Impact
are hazards in a process that may affect employees and facilities such as fire, explosion, toxic
release etc.

Table 2
Type of Contract Work and Risk Analysis (sample only)

Personal Process Overall

No Title Documents Safety & Safety Relative
Health Risk Impact Risk Level
1 Application Management Standardization Project L L L
2 Calibration of PTI Measurement Tools L M L
3 IT on Call FO, Radio & Telephone for Telecom &
L M M
Network Support
4 Global Freight Forwarding H M H
5 Quantity & Quality Survey of Dry and Liquid Bulk
H M M
Supply
6 Ship Docking Maintenance H H H
7 Dry Bulk Transportation H H H
8 Dangerous Waste Disposal Services H H H
9 Fuel Pipe Line Repair H H H
10 PT Telkom Infrastructure Support Services L M M
11 General Facility Services & Building Management
M L L
Makassar Office Repetitive
12 Tire Maintenance and Repair Services H H H
13 Jasa Pembersihan Lokasi dan Pembelian Scrap
H M H
Metal
14 Jasa Marine Support H H H
15 Jasa Penyediaan Dumptruck Dengan Sistem "On
H M H
Call"

Legend:

Low (L), Medium (M), and High (H)

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8. PRE QUALIFICATION

Pre Qualification is the first step in PTVI CSMS. The objective of this step is to screen potential
contractors that are willing and able to work safely for PTVI.

The pre qualification process basically came into two stages:

• First, PTVI must first identify those contractors who have safety beliefs and practices that
are compatible with PTVI safety policies.
• Second, PTVI shall include safety criteria in evaluating those contractors.

If the pre qualified contractors do not have strong commitment to safety, nothing else may matter.
In the pre qualification, PTVI ensures that only contractors who share their safety principles and
dedication to safety excellence will pass the pre qualification stage.

Contractors that have successfully gone through pre qualification process, their names will be
included in PTVI pre-qualifying list/ Daftar Rekanan Terseleksi (DRT). Only those on the list that
will be invited to follow tenders for relevant jobs. Those are not listed in the DRT will not be
invited to follow PTVI tenders.

Not all contractors must follow safety pre qualification. Only ‘self supervised contractors’ that shall
follow safety pre qualification. Contractors that work under PTVI supervision, casual contractors
and material supply vendor are not required to follow this safety pre qualification.

PTVI will review the potential contractors in the DRT every 2 years. Those that have not been
included in PTVI DRT may request in written to follow PTVI safety pre qualification when the
window is open.

• The pre qualification process is described in the following flow chart.

• PTVI will establish a pre qualification team consisting representatives of all users and
departments. They will be working under the coordination of Contract Administration
Services.
• The contractor candidates must fill the form CSMS 101 and returned to the team prior to
the due date.
• PTVI has developed sub set pre qualification criteria that are confidential to evaluate
contractors.
• Those that have not successfully satisfy PTVI pre qualification criteria may request to get
coach by PTVI CSMS clinic and get a chance to improve their safety manuals / safety action
plan.

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 8.1 Pre-qualification flow chart

Pre-qualification
announcement

Submit document

Advise the
Document
NO contractor
complete?
(s)

YES

Evaluate by Pre- Develop

Qualification team

YES
Meet Willing to be
NO
requirement developed?

YES

Field inspection
and Verification

NO

Meet
Requirement?

YES

Not Listed as
Listed CSM CSM PTVI
Contractors Contractors

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8.2 Pre-qualification process

• PTVI Contract Administration Services will issue written invitation for all potential contractors
and announce it through local as well as national news paper.
• Contractor candidates must fill the provided from CSMS 101 and return it together with their
safety manuals, safety action plan, standard operating procedures and any other necessary
attachment (before the due date).
• Pre qualification team will review and evaluate whether this is sufficient or need to be
improved.
• The pre qualification team may call the contractor candidates for clarification or field / office
verification if deemed required.
• Those successful contractor candidates will be included in PTVI pre-qualifying list/ Daftar
Rekanan Terseleksi (DRT) and invited for tender when there is any relevant work under
contractor qualification.
• Those that are not successful are given a chance to improve or withdraw. Those who want to
improve might consult with the pre qualification team. Those withdraw or their names are not
in PTVI pre-qualifying list/ Daftar Rekanan Terseleksi (DRT) will not be invited for tender.
• PTVI pre qualification consists of two steps.
• Legal and Commercial aspects.
• Safety / EHS qualifications.
• These guidelines only dedicated for EHS qualifications not legal or commercial aspects.
• New contractor candidates or those that have not passed might follow the pre qualification
process when PTVI open the window.
• For specific work that not registered in the working list, CAS could invite specific contractors
for pre qualification process as requested by PTVI Management.

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 9. CONTRACT PREPARATION

Contract preparation is a step where the user / owner create, prepare and establish the ‘rules
of the games’ – these contracts will document safety performance expectations, standards for
execution of the work, capabilities of key personnel (owner and contractor) and their expected
behavior.

The outcome of this step is an invitation-to-bid or request-for-proposal document that effectively

communicates the safety requirements. Specific language that clarifies the safety expectations
must be inserted into the generic clauses of the contract. Be sure the safety clauses are measureable
and enforceable. We are talking about all of the documents that become enforceable and
generally state the terms of agreement. For some contracts, this may be as simple as one-page
purchase order. But for more complex agreements, this could be a very large package that began
as an invitation-to-bid.

Preparing the terms of agreement or contract is one of the most critical elements in the contractor
safety management process. To a large degree, the success of the project is in direct proportion
of the quality of thinking and planning conducted during this step. The goal is to create
contracts that establish the ‘rules of the game’ and cause contractors to build in safety when they
price the work. They cannot do business as usual on your site regarding safety.

If PTVI does not establish the rules, the contractor will decide what rules to follow.

9.1 The Cross-Functional Contract Preparation Team

For some contracts, it may be as simple as one-page purchase order. But for more complex
agreements, this could be a very large package that began as an invitation-to-bid. Contract
preparation works requires input from many sources. This varies with the complexity of the
contract. PTVI management might want to include representatives of different functions, such
as contract administration, legal, and safety. Each function brings a unique perspective and
knowledge to the table.

The key is that PM (PTVI’s side) lead the contract team so he / she could get involves from A to
Z. Once the contract team is assembled, identify each member’s roles and responsibilities for
developing safety specifications to be addressed in contracts. Contracts should clearly align
the owner and contractor on safety-related issues. But this will happen only if your Contract
Preparation Team is clear and complete on what you expect.

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9.2 Contract Preparation Flow Chart

Things to be prepared:
1. Evaluation Matrix Sponsor
2.Objectives/ purpose and description of Project appointing PM
3.Specific Project Scope of Work
4.Field real conditions (layout, engineering drawing, maps,
photos etc)
5.Planning and detail work execution steps
6.Detail description of high risk critical jobs
7.Pre JSA / PHA (if required) for Safety Critical Jobs
PM Coordinate the
8.General Safey Requirements (such as PPE)
development of
9.Specific Safety Requirements
Tender Doc
10. Specific personnel license requirements (example: SIO –
Government license)
11. Preparation of Orientation and Training.
12. Preparation for Managing the Work
NO
13. Preparation for Periodic Evaluations

Safety
requirements
full filled

YES

Safety Requirements
Tender Doc sent to CA 1. Training needs analysis
2. Training & Orientation plan
3. Equipment checklist
4. Safety meeting plan
5. Periodic evaluation plan
NO 6. Personnel qualification compliance
7. Government license
8. Emergency response procedures.
Document 9. JSA or SOP
complete
CAS Documents / Form:
1. CP001 : Contract Requisitions
2. CP002 : SoW
3. CP003 : Schedule of Pricing
YES 4. CP004 : Weigthing Factor
5. CP005 : Responsibility Matrix
Internal CAS Process : 6. Scope of Work Assessment (SOWA)
1. Invite bidder
2. Pre-bid meeting
Initiate Tender
3. Doc Submission
Process
4. Admin selection

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 9.3 Contract Preparation Process

The contract preparation team follows the contract preparation flow chart to customize contract
language. Contract Preparation requires you to:

1. Determine scope of work.

2. Perform hazard analysis of that work.
3. Create appropriate contractual safety specifications.
4. Determine plans and documentation to request from the contractor prior to bid.

The first three actions help you customize contract language to the work and the expected
hazards, which avoids “one-size-fits-all” boiler plate contracts.

To get a different—that is, better—safety result, you will need to require something different and
better from your contractors. Prepare the contract in a way that communicates to the contractor
that they cannot do business as usual on your site when it comes to safety. Document
your safety performance expectations, standards for execution of the work, capabilities of key
personnel, and expected behaviors.

The Contract Preparation Team needs to review all contracted work for potential hazards and
develop specific safety language for each contract. Certain hazards or types of work may call for
specialized practices or procedures. In those cases you may ask the contractor to provide you with
their written plans before they begin the work or perhaps before they even bid on the work. This
gives you a chance to see what you’re buying. For example:

• Will the contracted work require lifting heavy objects?

• Will contracted janitorial work involve chemical cleaners?
• Will all contracted employees understand English warning signs?
• Will contracted job require special tools such as high tension gloves, apparel etc.?

For work and work boundaries that have special hazards, you may initiate developing pre JSA
or task analysis then require contractors to submit their JSA for your approval job safety or task
analysis. Grouped this potential hazards into safety critical job list such as working at heights, like
steel erection or roof repair, may require fall prevention plans. This is in addition to evaluating
contractors’ safety performance and programs.

Other Possible Examples:

• If a contract calls for the pick-up of empty hazardous materials containers, you may address
the transportation and work specific to hazardous materials handling and require safe
drumming, lifting, and moving procedures.
• If the work requires pick-up of a full container of hazardous waste, you may escalate the
training requirements addressing the safety specifics of the chemical hazards. To ensure
that respiratory protection is included in the cost of the service, be sure to require it as part
of the contract.
• If the contract requires elevated work, one of the items you may address specifically is fall
protection expectations, and you may require harnesses and ladder safety systems.
• If the work involves exposure to blood borne pathogens, you may address blood borne
pathogens specifically and require Hepatitis B vaccine and specific training.

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Legal Department Involvement. PTVI legal department or lawyer should ensure that the language
is there to protect you if things go wrong. But the contract preparation team needs to make sure
up-front that the contract requires specific safe work practices so that risk is minimized.

Your legal department may include provisions for terminating a contract “for convenience” or “for
cause” as a last result. (For example, “for cause” may include “repeated safety violations, lack of
corrective action” as well as failure to “obey laws, ordinances, or regulations.”)

To summarize all of above explanations following are summary on what you need to do during
contract preparation:

9.3.1 Project Charter, objectives and descriptions

1. Scope of work
2. Location map, engineering drawings, any recommendation as a result of MOC (Management
of Change) and / or PHA (Process Hazard Analysis)
3. Analyze all potential hazards with the work to be contracted, note and include them in
safety critical job list. The criteria for “critical job” is according to PM and Project team
experience and PTVI risk tolerance.
4. Develop pre JSA or task analysis of point 3 above.

9.3.2 Safety requirements

Safety requirements can be categorized into several groups:

• General safety requirements, such as standards PPE, barriers and safety signs etc.
• Specific safety requirements as a result from point 3 and 4 above. Review these potential
hazards are covered within PTVI’ MHS (Major Hazard Standards). Adopt these specific
requirement from MHS.
• Set training requirements for contractor to provide for their employees based on MHS
and passed PTVI validation, such as light vehicle driving license, heavy equipment driving
licence, driller license, chain saw license etc.
• Set inspection / observation check list requirements for contractor to provide for their
supervisors and employees during project excecution or Managing the Work based EHS
Inspection list.
• Specific safety issues that regulated by PTVI EHS Standards (such as MHS, EHS Standards,
Standard Procedures) or beyond MHS. Such as usage of extraordinary mob and demob
equipment, extra heavy tower cranes, high voltage equipment, bee-net for exploration
contractors etc.
• Tools and equipment standards, specification and of age, such as you only allow heavy
lifting equipment, chain blocks, dozers, back hoe not more than 5 years old as defined by
Contract Sponsor etc.
• Set EHS legal requirments for equipment and people, such as crane certificates, pressure
vessel certificates, safety valves, welders certificates, rigger certificates, crane operator
certificates etc.
• Weather conditions to plan the work ahead of the time and ensure coordination and control.

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 9.3.3 Personnel requirements

1. Estimation of contractor organization and labors including possibility of working in shift

and rotation and project phase.
2. Requirements of contractors key personnel: qualification, education, skills, experience and
certification (if required).
3. Skill and experience to manage safety of previous projects and the labor working
under his responsibility. Ask contractor to submit their curriculum vitae.
4. Safety is a line management responsibility. Ensure the key personnel understand that
they are not only responsible for the project work but also safety of the people working
under their supervision. State disciplinary action for non safety compliance at PTVI.
5. Contractors PM, superintendents, supervisors, foreman must be able to train their own
people on how to work safely.
6. PTVI should emphasize change of key personnel should be done in written with the consent
agreement from PTVI. Key personnel change without PTVI agreement may result in penalty
or contract suspension/termination.

9.3.4 Preparation for Orientation and Training programs

1. Orientation is the responsibility of PTVI as the owner. Training is the responsibility of

contractor. ‘Self supervised contractor’ shall be responsible for the training of their workers.
2. The team develops a list of safety items or issues that need to be addressed during
orientation program. For example, the potential hazard of contractor’s work area, safety
critical jobs, PTVI SOP, Permit to work system, RAC and / or MHS etc.
3. Ensure it is mentioned in the contract that contractors shall conduct their own training
and provide training for their workers / labor as mandated by government.
4. The contractors should propose a list of items or issues that need to be covered in
contractor’s training espescially those related with safety critical work.
5. This part can be one of the most effective tools to measure contractors understanding on
how to perform the work safely to grant them credit during Contractor Selection Phase.
6. For a specific circumstances PTVI might designate “competent” persons and providing
them with mandated training. When this is really needed, ensure you commmunicated up
front either state in the contract or communicated it during pre-bid meeting but do not
release contractors for not doing training. You would begin to treat your ‘self supervised
contractor’ to become ‘contractor supervised by PTVI and you overrule contractors’ safety
obligation.

9.3.5 Preparation for Managing the Work

1. As the name implies, ‘self supervised contractor’ is a contractor that supervise and manage
their own safety.
2. Once PTVI decided to employ a ‘self supervised contractor’, we should specify specific
expectation on how the contractors shall manage their own safety.

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 3. This expectation shall be communicated to contractor candidates who will follow job
tender. Now, you might begin to see how crucial the ‘contract preparation’ phase is.
4. Contractors should conduct their own safety inspection, observation and audit. They can
use their own tools if available, or use PTVI tools.
5. For specific safety requirements, contractors must follow PTVI’s permit system or develop
their own check list based on PTVI RAC or MHS.
6. Contractors should develop Safety Statistics of their safety performance either leading or
lagging indicators.
7. Contractors should immediately report all incidents to PTVI (Lagging indicators).
8. Contractors should report their safety induction, safety meeting, safety inspection,
observation and audit (Leading indicators)
9. Contractor should agree and sign PTVI reward and punishment program for contractors.
PTVI reserve the right to request for disciplinary action or even dismissal for safety violation.

9.3.6 Preparation for Periodic Evaluation

1. Even the periodic evaluation program should be set before the job is open for tender. PM
and the project team must have anticipated on how they would evaluate their contractor
performance so as to ensure your ‘self supervised contractor’ control their own safety.
2. Periodic evaluation consists of safety periodic evaluation and periodic performance review.
3. Pre-scribed on how often you want the periodic evaluation must take place. Some
organization set it more often initially (for example once a week) in the beginning of the
project then make it less often once the project progress is a bit more stable (for example
once every other week).
4. The periodic evaluation can done spontaneously when the contractor is about to perform
safety critical jobs or if there is any other special cases.

The success of the project is in direct proportion of the quality of thinking and planning
conducted during Contract Preparation.

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 9.4 Contractor Punishment and Reward program

Punishment, PTVI Contract Admin Services will implement the punishment to the contractor
which involved in serrious injury and/ or EHS violations. The punishment will be both in financial
and administrative sanction. The financial value will be based on the Contract value per year.

Table 3
Punishment value and administrative sanctions

Descriptions (%) Contract value/ year Administrative sanctions

Fatality 2.50% Termination (Based on PTVI
investigation)
LWC (Lost Time Work Case) 1.25% Company Step - Based on impact
level
Violation (based on PTVI CLA)
Employee step 5 0.50% Company Step - Based on impact
level
Employee step 4 0.375% Company Step - Based on impact
level
Employee step 3 0.250% Company Step - Based on impact
level

Note:
In some circumstance the contractor does not have any invioces to deduct, then the contractor shall pay cash to PTVI.
Before they pay the punishment, the contractor will not invited to any contract tender.

Reward, PTVI Contract Admin Services will implement the reward to the contractor which
showing good perpormance in safety evaluation during “Periodic Evaluation” stage of CSMS. The
reward will be additional 5% of technical score (20% out of 25% technical score component) for
next tender/ bidding in same tender specialization.

Table 4
Reward

Evaluation Status On-going (periodic) Final evaluation

result
95% - 100% Excellent Feedback for good safety Reward: 20% out of 100% technical
performance score (score 5) on next tender/
bidding if CPR technical is minimum
acceptance (>70%)
80% - 94.9% Acceptable Feedback to maintain Follow minimum score for safety CPR
and improve safety (score 1).
performance
50% - 79.9% Required remedy Feedback for Follow minimum score for safety CPR
improvement (score 1). *
25% - 49.9% Not acceptable Stop activity – present the Removed from vendor list until
SIP to PTVI Management next prequalification at respected
specialization.
<25% Disqualified Stop contract Removed from vendor list until
next prequalification at respected
specialization.

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As additional, contractor which get 95% of minimum safety score will also receive certificate of
excelence from PTVI Management.

*) The contractor will be invited to the tender/ bidding after presenting their Safety Improvement
Plans (SIP) to PTVI Management representatives

The criteria used for Safety evaluations are mentioned in the Periodic Evaluation stage.

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 10. CONTRACTOR SELECTION

The step with one of the strongest impacts on overall contractor safety management is Contractor
Selection. Because, this is the step that will ultimately lead to the actual awarding of work to a
particular contractor.

You have established pre-qualifying bid list, as a result of which, any contractor on the PTVI pre-
qualifying list/ Daftar Rekanan Terseleksi (DRT) is considered as a good candidate. However,
its the time PTVI as an owner should see evidence of an active and visible safety program on how
the contractor shall manage and control their own safety. Low cost and technical capability are
important in contractors, but experience has shown that if the contractor selected does not have
a strong commitment to safety, nothing else may matter. Injuries and illnesses cost PTVI lots of
money, so it makes sense to look for contractors with a history of good safety performance.

10.1 Contractor Selection Flow Chart

Internal CAS Process :

Tender proposal document Tender
received in CAS Document
Evaluation

Safety
Evaluation

Safety
requirement NO
fullfilled?

Fail
YES

Tech & Comm

evaluation

Tech & Comm

NO
fullfilled?

Fail
YES

Pre-Award
The best
candidates

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10.2 Contractor selection process and criteria

The final criterion for contractor selection is an analysis of the contractor’s safety competency to
do the work safely. As an owner, PTVI wants to know if the contractor has safety-trained personnel
in sufficient quantities to complete the work and meet the PTVI’s safety goals.

The best indicator of future success is often an examination of a contractor’s safety competency
and capacity. A contractor with the low bid may be able to complete the work, but may not be able
to satisfy your safety expectations. Examine why a contractor’s bid is the lowest. Is it low because
some aspect of safety (perhaps training or weekly safety meetings) has been omitted? Will the
owner have to assign more resources to a low bidder to ensure that the contractor achieves the
expected level of performance? Analysis of the contractor’s competency and capacity (resources)
to do the work will allow you to make and informed hiring decision.

You may wish to take a “hands-on” approach to the assessment. For example, an owner may
wish to visit another owner’s site where the contractor is currently working and observe the
contractor’s practices, or contact other owners for whom this contractor has worked and ask
about their experience.

In the Contract Preparation step, we have requested contractors to propose several safety
components such as applicable EHS legal requirements, safety requirements, personnel
requirements, preparation for orientation and training, preparation for managing the work and
preparation for periodic evaluation. Now its the time for PM to review their proposal to see how
they demostrate their safety competency. Refer to ‘Contractor Preparation Compliance checklist’
in Appendix C.

Basically, following are key questions to determine contractor safety competency:

1. Has the contractor had previous successful performance at PTVI ? At other companies? Can
the contractor provide references that show successful safety performance elsewhere?
2. Does the contractor have qualified, trained, experienced personnel and supervision for all
aspects of the work from a safety perspective? Can the contractor prove these qualifications?
For example, can the contractor provide the résumés of your supervisors with the bid or
proposal to prove their qualifications?
3. Does the contractor have a formal (written) safety program? Do they conduct job safety
inspections, behavior dialog and maintain incident investigation logs? If so , what do they
do with the information collected from inspections and incident investigations?
4. Is the contractor insured and bonded? Have they incurred any regulatory safety and health
citations or fines? If so, what do these citations tell about the contractor’s safety practices?

Another point to consider is determine capacity (Resources) ask yourselves and explore a
contractor’s capacity by asking questions like these:

1. Does the contractor have sufficient resources to complete the work safely? Do the contractor
have sufficient equipment necessary for the task? Will the contractor have to hire additional
people?
2. Will the primary contractor be able to adequately monitor subcontractor activity?

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 From other experience, the best safety records excel in all aspects of service—cost, schedule,
and efficiency. Contractors with safety incidents under control and safety processes in place will
be more competitive.

The final criterion for contractor selection is an analysis of safety document program, technical,
and commercial. Safety document program will refer to all document requires in contract
preparation compliance checklist, technical score will use last Safety and technical Contractor
Performance Review (CPR).

Contractor Selection is the step that will ultimately lead to the actual awarding of work to a
particular contractor.
This has the strongest impacts on overall contractor safety management system.

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11. CONTRACT AWARD

Generally, there are three kinds of interaction meeting between owners and contractors. When
owner hold Bid meeting, Confirmation meeting and Kick Off Meeting (KOM), respectively
contractor shall respond to bid expectations, express contractor capability and refine bid /
proposal. Contract Award is a step where PTVIs meet with contractors from the time of an
invitation to bid through award of the contract to effectively communicate and test both
understanding of the safety expectations documented in the contract. This critical step helps
ensure that the contractor executes the project plan with the expected business and safety
results.

By the time we are ready for Contract Award because we have chosen contractors with
demonstrated satisfactory safety performance and stated clear safety action plan – that is
our safety expectations. Now it’s the time to clarify and ensure undertstanding of our safey
expectations. The outcome of this step is a clear, common understanding of the PTVI’s safety
expectation by all bidders. The appropriate people from both parties should be present during
these meetings. A thorough review of the safety specifications is the agenda for each meeting.

Contract Award is the PTVI’s opportunity to clarify contractual safety specifications and
expectations.

PTVI shall not assume that contractors will always:

• Read, understand, and pay attention to contract safety requirements.

• Understand and follow regulatory requirements.
• Include money for a safety program (or not cut safety costs to be competitive).

Thus, the purpose of the Contract Award step is to ensure that contractors understand
PTVI’s safety requirements.

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 11.1 Contract Award Flow Chart

Clear Roles & Confirmation

Responsibility, Meeting
EHS KPI

Go to the
Agreed NO next best
candidate

YES

Award

Kick off Meeting

MCU
GIP Employee Vehicle
AKAD/AKAL Registration Registration CT Sticker
JSA Approval

Preparation for
mobilization

11.2 Contract Award Process

Implementing the Contract Award Step:

1. Assign a person for the role of explaining safety requirements who has the right knowledge
and training to adequately present and answer any questions.
2. Require and conduct confirmation and kick off meetings to communicate your expectations
for contract safety requirements.
3. Explain contract safety requirements specifically. Ensure contractor understanding.
4. Ensure that a process is in place for passing on safety information to the appropriate people.

This step is about communications—the PTVI delivering the message and the contractor receiving
the message, understanding it, and applying it to their pricing and work plans. It’s a lot like a face-
to-face interview before hiring an employee: Will this person/contractor be a good match with
your organization?

This step must crystallize for the contractor the differences between their normal way of doing
business and the way they must do business to satisfy PTVI’s safety scope of work. The contractor
must further understand that safety requirements will be enforced and that the contractor will
not be permitted to ignore them during execution. The contractor’s understanding of PTVI’s
expectations can be gauged at this step by asking potential awardees how they would comply

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with contract requirements. For example, “What protection will you provide for employees
entering manholes?” “Whose lockout procedure will be followed?” “What safety training will you
provide for the night janitorial crew?” This step is carried out through meetings with contractor
personnel.

11.2.1 Meetings

The most successful meetings include the following people:

• Contractor representatives who understand the financial impact of incorporating the PTVI’s
expectations to their bid or proposal.
• Contractor representatives who understand the implications of including the PTVI’s safety
expectations in their work processes.
• PTVI and contractor representatives who have safety competency and are effective
communicators.

Bid meeting: PTVI verifies a contractor’s understanding of the safety requirements and
expectations. Contractors bidding on the project must be aware that safety performance is a key
factor in receiving a contract. This helps ensure that contractors build in safety when they price
the job.

Confirmation Meeting: PTVI talks with a smaller group of prospective bidders, going into more
detail about the scope of work, including how a contractor would meet safety expectations.

Kick off Meeting (KoM): PTVI reviews the contract requirements with the successful contractor,
emphasizing safety expectations with contract personnel who will execute the work. Review
and discuss contractor’s safety plans to meet PTVI’s safety expectations, ending with a mutually
agreeable approach.
This review helps ensure that the contractor’s on-site supervisor is thoroughly familiar with the
contractual safety specifications. The goal is continuity and seamless communication.

11.2.2 Communications and Handovers

Because the communications at this step may involve, for both PTVI and contractor, different
people than were involved in Contractor Selection and Contract Preparation, the PTVI should
make certain that the safety information being discussed gets passed on to the site personnel who
will execute the work. Handovers from one step to the next, on both sides, must be successful.
The direction or flow of the process must always head toward safe project execution according
to expectations.

Contract must not be signed before getting convinced that the contractor understand the
way they must do business to satify PTVI’s safety scope of work.

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 12. ORIENTATION AND TRAINING

Orientation is your opportunity to ensure that contractor employees follow PTVI’s safety
procedures to your standards—not those that may have been acceptable for the contractor
elsewhere. Contract employee orientation and training are critical to day-to-day safety success.
The contractor is expected to be in compliance with regulatory training requirements and you
may want to require the contractor to submit written documentation and verification of training
prior to performing certain tasks.

Before beginning work on the site, each contractor employee shall attend a safety orientation
conducted by PTVI. Orientation attendance shall be documented and furnished to PTVI.
Contractor’s job supervisor shall ensure that safety training is carried out before personnel start
work and continues throughout all phases of the work. Contractor shall inform each employee of
his/her responsibility to work safely and prevent occupational injury. Contractor shall hold a safety
meeting for its personnel at the beginning of the shift. Meeting attendance shall be documented
and furnished to Contractor company.

12.1 Responsibility for Orientation and Training

PTVI provides safety orientation. During orientation, the contractor receives the necessary
safety information (e.g., job site hazards, critical procedures and safety critical work) that enables
their employees and subcontractors to work safely at the owner’s site. This exchange of information
usually occurs immediately prior to beginning the contracted service. PTVI’s PM coordinates the
orientation program and ensures all issues pre-scribed during Contract Preparation are discussed.
The orientation should be concise, interactive, specific, practical and only those in-direct relation
with the service work to be performed by the contractors. Re-iterate contrcators’ roles and
responsibility.

The main purpose of the orientation is to ensure the contractor understand the potential hazards
on the area they will be working on and also understand what to do during an inadvertent event.
Avoid theoretical, overwhelm and unnecessary information that are not directly relevant to their
work. Remember, we are dealing with field workers and mostly simple labors.

The contractor provides safety training. Ensure your ‘self supervised contractors’ are able to
train their own people. The term training here is to give them instruction on what are the potential
hazards and risks and ensure they understand how to do the work safely. Avoid impractical and
theoretical training with class room set-up. The training material are as it was pre-scribed during
Contract Preparation espescially during safety critical work.

PTVI’s PM and team shall verify contractors understanding of the training by asking questions,
verbal communication and job cycle check (JCC). JCC is where contractors’ PM, Superintendent,
Supervisors, foremen and workers are requested to demonstrate their understanding not only on
paper but also to do the job safely. For example, PTVI has a clear SOP on how to operate drilling
rigs. First, you ask the contractors’s PM to read the SOP; asked him / her if there is any point need
clarifications. Ideally, good SOP can be understood by any body pertinent to the work. Ask him
/ her to explain what are the potential hazards of this operation then ssk him / her to physically
demonstrate how to operate the machines safely.

In addition to regulatory-mandated training, specialized safety training may be required because

of site-specific hazards, special situations, or new equipment. This training ensures that the
contractor’s employees and subcontractors follow the safety standards and procedures that have
been agreed upon with the owner and spelled out in the contract.

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Owners and contractors agree on who will provide what training and who will document the
orientation training, safety training, and safety meetings.

12. 2 Orientation and Training Flow Chart

PM/Area Sponsor
Review the
Contractor
Training Matrix
(refer to TNA)

Employee have valid

NO
Orientations, BSTs?

Conduct
Orientations and
BSTs’
YES
NO

Contractor provide the

schedule of JSA/SOP
training, technical training JSA/ SOP training
Are orientation and
(refer to TNA) and all and technical YES
BSTs valid?
evidences of executions training
shall submitted to PTVI’s
PM for verification

Are JSA/ SOP and

NO
technical training valid?

YES

Execute the work

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 12. 3 Orientation and Training suggestions

Here are some suggestions to ensure the safety success of your contractors.

1. Discuss work-specific safety plans espescially safety critical work. Orientation and training
should reflect the expectations expressed in the contract, as well as the expected hazards. It
should align with the messages communicated during confirmation meeting and help en-
sure satisfactory completion of contract safety requirements.

Create different programs for different types of projects. Depending upon the contract, topics
to be discussed might include the following:

• Warning and safety signs

• Major Hazards/ Critical Activities
• Emergency Response Plans (ERP)
• Process safety management (PSM)
• Personal protection equipment (PPE)
• Permit System
• Visitor control

Note: Avoid PTVI end-up doing training yourself because you become impatient because of
their quality for training or your are doubt with the quality of the training. This is the begining
that you begin to shift treating them from ‘self supervised contractor’ to become ‘contractor
supervised by PTVI’. Your CSMS efforts now become futile.

Note also that long or time-consuming training programs are not necessarily effective. The
focus should be on the quality of results, not on program length.

2. Ensure that contractor’s employees receive all regulatory mandated training as you have
specified in the contract. When PTVI consider designating “competent” persons and provid-
ing them with mandated training ensure you don’t release contractors for not doing other
required training.
3. How do you know that the contractors’ employees who sat through the orientation or train-
ing sessions understood the safety messages? Simply signing a course completion statement
doesn’t document comprehension. Quizzes, JCC or performance exercises that use case stud-
ies and require hands-on application take more time, but they do help evaluate learning.
Keep the tests and quizzes that you administer. They can be used to document attendance, as
well as comprehension, and become part of your training record.
4. Designate knowledgeable, experienced people and sufficient resources to conduct orienta-
tion and training effectively. The design and delivery of orientation and any safety training
are critical roles. The person filling these roles should be familiar with your safety process and
have the necessary skills to design and deliver your safety message effectively—not just be
able to run a video or hand out and collect paperwork. The trainer should be credible—with
a background or training in educational instruction and enough safety knowledge to answer
questions. In addition, the trainer needs to be able to “speak the same language” as the peo-
ple being trained.

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5. Evaluate effectiveness periodically. Have management participate in the orientation and
training process and monitor the delivery. When owner and contractor management attend
safety orientation and training, it:
• Demonstrates their support of the safety program.
• Ensures they are informed about the messages employees are hearing.
• Gives them the opportunity to provide feedback about the program.
• Provides an opportunity to improve the process.
6. Document training. All orientation, training, and safety meetings should be documented.
Whose responsibility it is—owner or contractor—can be designated in the contract. In the
eyes of regulators, lack of documentation means that the required activity/training did not
take place. An example of adequate documentation would be a paper or electronic docu-
ment that describes the training, and lists the attendees, instructor, test results, and date of
instruction. This document should be backed up by a copy of the instructor’s credentials and
a training outline.
It is important to keep documentation for several years. Frequently, lawsuits may not be filed
until several years after an incident, and training records become important evidence.
7. Review incidents for key learnings. Investigate all injuries and incidents with serious injury
potential. Incorporate the results of the incident investigations into your safety training. Share
the facts of the injury or incident, its basic causes, the learnings gained from the investigation,
and the planned action to eliminate the possibility of recurrence.
Information received in the training sessions must be continually reinforced for the knowl-
edge to “stick” and for behavior to change.

No matter how good your safety program or how responsive your people, you will not achieve
a safe workplace unless top management fully and unconditionally insists on safety and shows
its commitment by word and deed.

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 13. MANAGING THE WORK

In previous steps – step 1 – 5 – we have planned the work. Now in step 6, we observe that we are
implementing the plan through monitoring and auditing. Ideally, auditing and monitoring are
joint verifications between PTVI as the owner and the contractor that the agreed-upon plans from
Steps 1 through 5 are functioning effectively. Auditing can be done by the contrator it self that is
called self-audit or joint effort between PTVI (as the owner) and the contractor. Working as a team
during audits helps avoid misunderstandings. The overall goal of the Step 5 activities is injury
prevention, not violation documentation.

Partnering can be accomplished by auditing together as a team rather than as separate groups
(owner versus contractor). Teams tend to work together toward a common goal rather than to
have separate agendas. In addition, joint auditing during execution of the work ensures that all
parties reach the same conclusions about what’s happening in the field.

This step in the safety management process involves long-term planning and effort. In order to
be successful, it also requires sustained activity and energy. No matter how good we have done
step 1 – 5 without audit and monitor the result could be off track. Audit and Monitor is one of
the more important steps, and its successful implementation goes a long way toward ensuring a
good safety outcome.

Auditing can be thought formal, periodic review of the plan during execution, whereby you
document your observations and follow up on any items needing correction. Monitoring is a less
formal, daily evaluation performed by individuals to assess that plans are being followed.

13.1 The Scope of the Auditing and Monitoring

The scope of managing the contractors reaches well beyond traditional, formal safety audits and
inspections. This step also includes:

• Training the SOP and Behavior based Safety and safety meetings on auditing and
monitoring.
• Conducting incident investigations and reporting.
• Updating job plans.
• Periodically reviewing safety systems critical to the contracted work.
• Communicating findings as learning to the appropriate owner, contractor, and subcontractor
personnel.

The owner and contractor (and subcontractor) work together during the execution of the work:

• Review Job Plans before each piece of work begins.

• Conduct formal field audits.
• Observe and document audit findings and corrective action plans.
• Broadly communicate findings as learning.
• Monitor changing conditions.
• Investigate safety incidents (accidents and near misses) for learning.

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13.2 Managing the work Flow Chart

Scope of work

YES A

Scope of work
change

NO

Monitoring

EHS plan / KPI

Audit & Inspection Accident/Incident
evaluation

NO

Corrective
Action Taken

NO
YES

Job Completed

YES

Project Completion
Disciplinary action

Final Evaluation

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 13.3 Managing the work process

Ideally, work plans and permits are reviewed for adequacy with all affected parties before be-
ginning each piece of work. Auditing and monitoring are thus not limited to observing field ac-
tivities. However, once field activity begins, the level of involvement intensifies: the scope of
auditing and monitoring reaches extends to administrative duties, but still includes the auditing
of field activities, formal safety audits and inspections.

Once field activity begins, intensify your level of involvement. Audit and monitor contractor ac-
tivity frequently. Monitoring activities should be conducted by people who are knowledgeable
about the contractual safety requirements and the potential hazards of the tasks being performed.
This is a line organization responsibility. Strictly enforce the contractual safety specifications.

Because contractors know the expectations and understands the desired behaviors, they may
take the initiative to self-audit and make corrections instead of waiting for the owner to point
something out. If contractors self-audit, they should share their audit results with the owner.

Performance should be viewed not just in terms of numbers of injuries or frequency rates, but
through the use of other measures as well. For example, review learning from near-misses, audit
findings, orientation test results, and feedback from safety contacts. Periodic safety reviews are
conducted, usually weekly. These weekly reviews give equal emphasis to all aspects of the con-
tract, such as safety, cost, quality, and schedule.

Field audits should focus principally on injury/illness/incident prevention and continuous im-
provement. Therefore, broad communication of your findings as learning is integral to your suc-
cess. The audits should not focus on generating a laundry list of safety “violations.”

As the work progresses and is being monitored, both the owner and contractor should be alert to
any changes in scope, conditions, or work environment. A frequent cause of injury is when there
has been some change in the work or procedure, but the safety work plan did not change, so
following the original plan contributed to the injury.

If the process flow is smooth and uninterrupted, then auditing and monitoring become joint veri-
fications that the agreed-upon plans are in place and functioning effectively. Small course correc-
tions are to be expected, but they can be done efficiently and without major disruptions. Working
with the owner during audits helps avoid misunderstandings.

13.4 Communicating Significant Safety Information

The owner and the contractor can learn a lot during auditing and monitoring if these activities are
done effectively. However, the challenge then becomes how to transfer these learning broadly so
that the same incident is not repeated.

Information about changes in personnel, materials, or the work process needs to be communi-
cated throughout the PTVI PM and contractor organizations so that, if necessary, the safety work
plan can be revised. Any changes of key persons shall be approved by PTVI PM.

Tools that you can use to communicate your safety message include:
• Holding group meetings prior to beginning the day’s work.

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 • Using bulletin boards or status boards in the workplace to display performance statistics
and safety messages.
• Scheduling regular safety meetings that focus on specific safety topics.

Communication should be ongoing, not just within your organization, but also with the contrac-
tor and all subcontractors. In addition to reporting information about findings, reconfirm that the
contractor understands and is meeting your contractual safety expectations.

Communication channels should be established to get the critical safety messages to all who
need to know. Effective, timely communication is the key.

13.5 Incident Investigations and Reporting

In addition to ongoing communication, monitoring the work includes the investigation of safety
incidents for learning. By taking the time to investigate and determine the cause of the potential
injury, you can eliminate the possibility of recurrence.

The contractor should conduct the investigation while you as owner monitor the progress. Many
contractors may tend to investigate only injuries. However, investigations should be conducted
for “near-misses” as well—that is, any safety event that has actual results or the potential for injury
or illness. For example, if a person falls but is uninjured, that incident still needs to be investigated
because of the potential for injury, even though no injury resulted.

Plan the work; then work the plan

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 14. PERIODIC EVALUATION

In this step, Periodic Evaluation, PTVI and the contractor jointly assess the level of success and
gather lessons learned for continuous improvement. Evaluations can be conducted in two ways:

• At pre-established checkpoints (periodic) for contractors with long term contract, like
maintenance, construction, drilling, rebuilt etc.
• For periodic evaluations of contractors on specific project (short term) as the work
progresses.

These evaluations help to set the stage for future collaboration. Contractors can also perform self-
evaluations to identify lesson learned.

This is the PM opportunity to assess how well the contractor is meeting PTVI safety expectations.
In this step, PTVI and contractor evaluate the progress and success of the work individually or
together. In a long term contract it is very important to build in interim checks, so that both
parties can get feedback on how the work is going.

PTVI will know if the contract was a good value. Did the contractor performed as promised? The
contractor will discuss whether he received the support expected from PTVI. Process is to ensure
that there is no any misunderstandings that could arose because reponsibilities were not spelled
out clearly in the contract or discussed during contract award meetings.

The post-contract evaluation meeting can be used in the following ways:

• At pre established checkpoints for long term contracts.

• In a long-term contract, it is very important to build in interim checks, so that both parties
can get feedback on how the work is going. The last thing you want at a final contract
evaluation is a lot of surprises.
• For post-contract evaluation of a project whose work activity is nearing completion? (If
necessary, the contractor is called back.)
• To determine if the contractor’s performance met the criteria of any award programs.
Contractors may gain or forfeit additional score for next tender/ bidding based on their
safety performance.

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14.1 Periodic Evaluation Flow Chart

Gather all
information from
Monitoring Report

Summarize into
final evaluation
report

Communicate the
result to the
contractor

Result meet
NO
expectation

Issue letter of
YES reprimand

Issue letter of
appreciation

Compile the file for

future use

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 14.2 Periodic Evaluation Process

Typically, PTVI schedules a meeting to assess how well the contractor lived up to the contractual
safety expectations. During this meeting, PTVI and the contractor evaluate the progress and
success of the work individually and together. Feedback from this meeting is useful in identifying
areas for continuous improvement.

PTVI and contractor look at the “big picture” of safety performance over the life of the contract—
how successfully the contract safety expectations were met.

14.2.1 Evaluation Process Steps

Note: It is important to ensure that the proper safeguards are in place during this process to
maintain the appropriate level of confidentiality in regard to proprietary information or the
performance of specific individuals.

1. PTVI and the contractor jointly evaluate contractor safety performance against contractual
expectations.
• Did the contract correctly describe the scope of the project, including safety
requirements and communication of incident and hazards?
• What were the measurable results? Measurable evaluation includes review objective,
documented criteria such as:
• Personal Injuries and Incident (Fatality, LWC, RWC, MTC, FAC, Occupational
Illness, Environmental Incident, Material Incident, Fire Incident, Transport/
vehicle Incident, Commuting Accident).
• Golden Rules and Preventive Program (violation of Golden Rules, Near Miss
Register, Hazard Report).
• Health and Safety Behavioral (violation of PPE, Activity Risk Analysis, Safety
Staff not at Workplace, GIP/ SSIP/ BST not valid, using damage equipment
or tools, MCU not conducted on time, and any other violation of Safety in
PTVI CLA).
• Behavior dialog, inspection and meetings performed by Supervisory level
and Contractor PM (Shiftly/ daily tool box, weekly, monthly and situational
meetings, Monthly EHS Contractor forum, number of inspections and
behavior dialogs).
• Government HSMS (SMK3) compliance (any violation of applicable H&S and
principles legal requirement – company, equipment, personnel permit/
license).
• Management system based on last update score of compliance audit
(HSMS, EMS, House keeping and 5S, Maintenance and inspection programs,
and follow up action recommendations.

• What were the subjective results? Subjective evaluation includes review of

documented comments about attitude, behavior, and cooperation. For example,
did the contractor show initiative or did they have to be prodded into action? Did
the contractor try to drill down to the root cause or did they make only superficial
corrections?

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34 PT Vale Indonesia Tbk
2. PTVI and contractor evaluate effectiveness of major meetings. This includes meetings such as
the bid, confirmation and Kick off meetings, as well as interim project meetings.
3. PTVI and contractor provide constructive feedback to each other. Did you and the contractor
clearly communicate concerns and expectations? Were you able to deal with problems
as they came up, rather than wait until the end? Be sure to provide both appreciative and
constructive feedback to contractor.
4. From learning’s regarding the actual work that occurred, owner and contractor update
databases, adjust processes, and make improvements. Improvements can range from
recommendations to update owner and contractor safety training to process improvements
that better utilize current technology.
5. PTVI determines whether the contractor remains on the PTVI pre-qualifying list/ Daftar
Rekanan Terseleksi (DRT), and whether to recommend or not recommend this contractor
for future tender process.

14.2.2 Post-Contract Evaluation Next Steps

From learning’s, update databases and adjust process.

• Determine whether to recommend or not recommend this contractor for future tender
process.
• Make specific recommendations.
• Provide feedback for follow-up action items (continuous improvement items) identified
during this step.
• Ensure that a Post-Contract Evaluation remains a part of your process.

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 15. CSMS SCOPE OF CONTRACT VARIATION

During Contract variation process PTVI PM will assess whether the Scope of Work and/ or Specific
Technical and EHS requirement are change.

PTVI PM shall provide all documents and information related to the new requirements of Scope of
Work, and Specific Technical and EHS during developing variance document.

PM still requires to ensure that all safety checklist fullfilled by the Contractor, all applicable CSMS
steps from Contract Preparation shall be followed.

All changing in requirements shall be clearly communicated during confirmation meeting. PM

shall make sure that the contractor is clear and agree with the new requirements.

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15.1 Contract Variation Flow Chart

Variation
identified

Things to be prepared:
1. Scope of work
2. Specific tech and PM develop
EHS requirement variation doc

Contractor
submit contract
variation
proposal
NO

Safety
requirement
fulfilled?

YES

Variation Doc
sent to CA

NO

Document
complete?

YES

Confirmation
meeting with
contractors

NO

Variation
agreed

YES

Release
variation doc to
contractor

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 APPENDIX A – Pre Qualification form (CSMS - 101)

No. Doc : CSMS-101

Rev : 00

INSTRUKSI BAGI CALON PENYEDIA JASA LOKAL

PT. VALE INDONESIA TBK.
1. Calon Penyedia Jasa Lokal merupakan badan usaha/perorangan yang :
a. Dimiliki oleh orang yang lahir atau telah tinggal minimal 10 tahun di 4 wilayah
pemberdayaan PT. Vale Indonesia Tbk, yaitu Kec. Malili, Kec. Nuha (Soroako); Kec. Towuti
(Wowondula) dan Kec. Ledu-ledu (Wasuponda)
b. Memiliki ijin usaha dan domisili di 4 wilayah pemberdayaan PT. Vale Indonesia Tbk,
yaitu Kec. Malili, Kec. Nuha (Soroako); Kec. Towuti (Wowondula) dan Kec. Ledu-ledu
(Wasuponda)

2. PT. Vale Indonesia Tbk menetapkan bahwa calon kontraktor bidang jasa tertentu (lihat
tabel di bawah) harus memenuhi Pra Kualifikasi K3L (HSE Pre Qualification) dengan mengisi
formulir PERSYARATAN PRA KUALIFIKASI K3L (terlampir) .... . Calon kontraktor yang telah
lolos Pra Kualifikasi K3L akan dimasukkan ke dalam Vendor list untuk kemudian diundang
untuk mengikuti tender bila ada pekerjaan yang relevan.

3. Calon kontraktor yang tidak lolos Pra Kualifikasi K3L tidak akan diundang untuk mengikuti
tender.

4. Calon Penyedia Jasa Lokal harus menetapkan klasifikasi usaha jasa sesuai dengan Ijin
Usaha Jasa Pertambangan/Surat Keterangan Terdaftar dari Pemerintah Kab. Luwu Timur dan
memenuhi persyaratan Pra Kualifikasi K3 sesuai tabel di bawah.

a. Jasa Pertambangan :
a.1. Konsultan
a.2. Perencana
a.3. Pelaksana
a.4. Pengujian Peralatan

b. Jasa Non inti

5. Calon Penyedia Jasa Pertambangan Lokal dapat memilih maksimum 5 (lima) sub bidang
pekerjaan berikut :
a. Penyelidikan Umum
a.1. Survei Tinjau
a.2. Remote sensing
a.3. Prospeksi
b. Eksplorasi
b.1. Manajemen eksplorasi
b.2. Penentuan posisi
b.3. Pemetaan topografi
b.4. Geologi
b.5. Geokimia

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38 PT Vale Indonesia Tbk
 b.6. Geofisika
b.7. Geoteknik
b.8. Survei bawah permukaan
b.9. Pemboran
b.10. Percontohan eksplorasi
b.11. Perhitungan sumberdaya dan cadangan
c. Studi Kelayakan
c.1. Penyusunan AMDAL
c.2. Penyusunan Studi Kelayakan
d. Konstruksi Pertambangan
d.1. Penerowongan
d.2. Penyemenan tambang bawah tanah
d.3. Penyanggaan tambang bawah tanah
d.4. Shaft shinking
d.5. Sistem penerangan tambang bawah tanah
d.6. Alat gali muat dan angkut
d.7. Pemboran dan peledakan
d.8. Fasilitas perbengkelan
d.9. Komisioning tambang
d.10. Ventilasi tambang
d.11. Fasilitas pengolahan
d.12. Fasilitas Pemurnian
d.13. Jalan Tambang
d.14. Jembatan
d.15. Pelabuhan
d.16. Gudang bahan peledak
d.17. Fasilitas penimbunan bahan bakar cair
d.18. Sistem penyaluran
e. Pengolahan dan Pemurnian (tidak berlaku bagi klasifikasi Pelaksana)
e.1. Pengolahan mineral
e.2. Pemurnian mineral
e.3. Peremukan mineral/batuan
f. Pengangkutan
f.1. Pengangkutan dengan truck
f.2. Pengangkutan dengan lori
f.3. Pengangkutan dengan ban berjalan
f.4. Pengangkutan dengan tongkang
f.5. Pengangkutan dengan pipa
g. Lingkungan Pertambangan
g.1. Pemantauan lingkungan
g.2. Survei RKL/RPL
g.3. Pengelolaan air asam tambang
g.4. Audit lingkungan pertambangan
g.5. Pengendalian erosi
h. Pasca Tambang dan Reklamasi
h.1. Reklamasi
h.2. Penutupan Tambang
h.3. Pembongkaran fasilitas
h.4. Penyiapan dan penataan lahan
h.5. Pembibitan
h.6. Penanaman
h.7. Perawatan

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 i. Keselamatan dan Kesehatan Kerja
i.1. Pemeriksaan dan pengujian teknik
i.2. Audit Keselamatan dan Kesehatan Kerja Pertambangan
j. Pernambangan
j.1. Pengupasan, pemuatan dan pemindahan lapisan (striping) tanah/batuan
penutup dengan atau tanpa didahului peledakan
j.2. Pemberaian/pembongkaran tanah/batuan penutup (tidak berlaku bagi
Pelaksana)
j.3. Pengangkutan tanah penutup/bijih mineral (tidak berlaku bagi Pelaksana)
j.4. Penggalian biji mineral (tidak berlaku bagi Pelaksana)

6. Calon Penyedia Jasa Pertambangan Non Inti Lokal dapat memilih maksimum 5 bidang
pekerjaan berikut :
l.1 Tata boga / catering
l.2 Pengamanan
l.3 Pelayanan Kesehatan
l.4 Konstruksi Sipil
l.5 Konstruksi Elektrik
l.6 Konstruksi Mekanikal
l.7 Konstruksi Telekomunikasi
l.8 Konstruksi Arsitektural
l.9 Penyedia tenaga kerja
l.10 Pemeliharaan & Penyewaan Peralatan Pertambangan
l.11 Pemeliharaan dan Penyewaan Peralatan Penunjang Pertambangan
l.12 Jasa Transportasi (Darat, Laut & Udara)
l.13 Laboratorium Uji dan Kalibrasi
l.14 Fabrikasi/Manufaktur
l.15 Tata Graha
l.16 Pengiriman / Ekspedisi barang
l.17 Konsultasi Manajemen
l.18 Teknologi Informasi
l.19 Pengurusan Dokumen
l.20 Jasa Penyewaan kapal
l.21 Jasa Inspeksi Komoditi Mineral (draugh survey)
l.22 Jasa Audit Independen
l.23 Jasa Asuransi
l.24 Jasa Pelatihan
l.25 Jasa Pengolahan Limbah B3
l.26 Pemeliharaan Alat Pemadam Kebakaran
l.27 Penyewaan dan Pemeliharaan Alat Pendingin
l.28 Kebersihan kantor dan lingkungan

7. Calon Penyedia Jasa Lokal dapat berbentuk :

a. Badan Usaha Milik Daerah
b. Perseroan Terbatas
c. Koperasi
d. Perusahaan komenditer (CV)
e. Perusahaan firma
f. Orang perorangan

8. Orang Perorangan hanya dapat menjadi Penyedia Jasa Lokal dengan klasifikasi Konsultan,
Perencana, Penguji Peralatan dan Non Inti, sedangkan untuk klasifikasi Pelaksana harus
berbentuk badan usaha (BUMD/PT/CV).

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40 PT Vale Indonesia Tbk
9. Berdasarkan nilai kekayaannya, Penyedia Jasa Lokal dengan klasifikasi Pelaksana
Konstruksi Pertambangan dan Pengangkutan akan ditetapkan Kualifikasi nya sebagai
berikut :
a. Kecil :
· Memiliki kekayaan bersih minimal Rp. 1 milyar sampai dengan Rp. 20 milyar (tidak
termasuk tanah dan bangunan tempat usaha)
b. Menengah :
· Memiliki kekayaan bersih lebih dari Rp. 20 milyar sampai dengan Rp. 100 milyar
(tidak termasuk tanah dan bangunan tempat usaha)
c. Besar :
· Memiliki kekayaan bersih lebih dari Rp. 100 milyar (tidak termasuk tanah dan
bangunan tempat usaha)

10. Untuk Penyedia Jasa Pertambangan Lokal dengan klasifikasi Konsultan, Perencana,
Penguji Peralatan, Pelaksana (selain Konstruksi Pertambangan dan Pengangkutan)
dan Non Inti, akan ditetapkan Kualifikasi nya sebagai berikut :
a. Kualifikasi Kecil :
· Memiliki kekayaan bersih Rp. 50 juta sampai dengan Rp. 300 juta, (tidak termasuk
tanah dan bangunan tempat usaha)
b. Kualifikasi Menengah :
· Memiliki kekayaan bersih lebih dari Rp. 300 juta sampai dengan Rp. 1 milyar (tidak
termasuk tanah dan bangunan tempat usaha)
c. Kualifikasi Besar :
· Memiliki kekayaan bersih lebih dari Rp. 1 milyar (tidak termasuk tanah dan
bangunan tempat usaha)

9. Berdasarkan kinerja manajemen Penyedia Jasa Lokal akan dikelompokkan menjadi 2 (dua) :

a. Beginner, apabila hasil penilaian 19 - 90

b. Advance, apabila hasil penilaian 91 - 144

10. Calon Penyedia Jasa Lokal harus mengisi Daftar Isian Prakualifikasi Penyedia Jasa (Formulir
PQC-01) ini dengan lengkap dan benar serta melampirkan copy dokumen legalitas
perusahaan yaitu :
a. Akte Pendirian/Perubahan Perusahaan
b. Surat Izin Usaha Jasa Pertambangan/Surat Keterangan Terdaftar dari Pemerintah Kab.
Luwu Timur
c. Surat Keterangan Domisili / Surat Izin Tempat Usaha
d. Surat Izin Gangguan (HO)
e. Tanda Daftar Perusahaan
f. Nomor Pokok Wajib Pajak
g. Surat Izin Usaha .......... (sesuai dengan bidang usaha jasa Perusahaan)
h. Nomor Perusahaan Kena Pajak

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 11. Calon Penyedia Jasa Lokal harus menerapkan manajemen keselamatan dan kesehatan kerja
(K3) dan Lingkungan sesuai dengan persyaratan Manajemen K3L (terlampir)

12. Calon Penyedia Jasa Lokal harus bersedia dilakukan verifikasi/pemeriksaan secara langsung
oleh Tim Assessor yang ditunjuk oleh PT. Vale Indonesia Tbk, untuk :
a. Verifikasi data dan informasi yang disampaikan dalam Daftar Isian Prakualifikasi
Kontraktor Lokal (Formulir PQC-01)
b. Menilai kinerja perusahaan dalam mengelola K3 dan Lingkungan, Organisasi dan
Manajemen, Sumberdaya dan Pekerjaan

13. Calon Kontraktor Lokal harus mengembalikan Daftar Isian Prakualifikasi selambat-
lambatnya pada tanggal, .............,.......

14. Calon Kontraktor Lokal dinyatakan Lulus Prakualifikasi bila :

a. Dokumen ijin usaha yang diterbitkan oleh Pemerintah Kab. Luwu Timur masih berlaku.
b. Hasil penilaian pengelolaan K3 dan Lingkungan minimal 19

SCM Department

PT. Vale Indonesia Tbk

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No. Doc : CSMS-101 .01
Rev : 00

PERNYATAAN MINAT MENGIKUTI PRAKUALIFIKASI 2013

PT. VALE INDONESIA Tbk.

Kepada Yth.
PT. Vale Indonesia Tbk
Cq. Departemen SCM

Sehubungan dengan pelaksanaan prakualifikasi tahun 2013 bagi Penyedia Barang/Jasa Lokal
oleh PT. Vale Indonesia, dengan hormat saya yang bertanda tangan di bawah ini,

Nama :
Alamat :
No. KTP :

Selaku Pemilik/Pengurus Perusahaan

Nama Perusahaan :
Alamat Perusahaan :

Menyatakan :
1. Berminat untuk mengikuti Prakualifikasi Tahun 2013 yang dilaksanakan oleh PT. Vale
Indonesia Tbk,
2. Akan mematuhi semua peraturan dan ketentuan yang ditetapkan oleh PT. Vale Indonesia
3. Perusahaan kami tidak masuk dalam Daftar Hitam (Blacklist) di Instansi Pemerintah maupun
Perusahaan lain, serta tidak sedang menghadapi permasalahan hukum baik pidana maupun
perdata di seluruh wilayah hukum Indonesia

Hormat kami,
Pemilik/Pengurus Perusahaan,

( ________________________ )

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 No. Doc : CSMS-101 .02
Rev : 00

PAKTA INTEGRITAS

Saya yang bertanda tangan di bawah ini:

Nama :
No. Identitas :
Jabatan :
Bertindak untuk : PT/CV/Firma/Koperasi
dan atas nama

dalam rangka Prakualifikasi 2013 PT. Vale Indonesia Tbk, dengan ini menyatakan bahwa:
1. tidak akan melakukan praktek korupsi, kolusi, nepotisme dan gratifikasi dengan
karyawan PT. Vale Indonesia Tbk.
2. akan melaporkan secara tertulis kepada Pimpinan PT. Vale Indonesia Tbk, apabila
mengetahui ada indikasi korupsi, kolusi, nepotisme dan gratifikasi di dalam proses
Prakualifikasi ini;
3. akan mengikuti proses Prakualifikasi secara bersih, transparan, dan profesional untuk
memberikan data dan informasi sesuai ketentuan peraturan perundang-undangan;
4. apabila melanggar hal-hal yang dinyatakan dalam PAKTA INTEGRITAS ini, bersedia
menerima sanksi administratif, menerima sanksi pencantuman dalam Daftar Hitam,
digugat secara perdata dan/atau dilaporkan secara pidana.

Luwu Timur, ______________

(_____________________)

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No. Doc : CSMS-101 .03
Rev : 00

DAFTAR ISIAN PRAKUALIFIKASI KONTRAKTOR LOKAL

1. Informasi Umum
1.1 Nama dan Alamat Perusahaan
Nama Perusahaan
Alamat Perusahaan
No. Telepon & Faksimili
Email perusahaan
Nama Pimpinan Perusahaan
Bentuk Badan Usaha PT/BUMD CV/ Firma Koperasi Perorangan
1.2 Klasifikasi usaha (pilih salah satu jenis usaha yang sesuai)
Jasa Konsultan Pertambangan (PK) Pertambangan Non Inti (N)
Jasa Perencana Pertambangan (PR)
Jasa Pelaksana Pertambangan (PL)
Jasa Penguji Peralatan (PA)
1.3 Pekerjaan dan Sub Bidang Pekerjaan (maksimum 5 sub bidang pekerjaan)
1.
2.
3.
4.
5.
1.3 Legalitas Perusahaan
Akte Pendirian Perusahaan No. Tgl. Notaris :
Akte Perubahan Terakhir No. Tgl. Notaris :
Surat Izin Usaha Jasa No.
Pertambangan/Surat Keterangan
Terdaftar dari Pemerintah Kab.
Luwu Timur Berlaku sampai dengan tanggal
Surat Keterangan Domisili / Surat No.
Izin Tempat Usaha
Berlaku sampai dengan tanggal
Surat Izin Gangguan (HO) No.

Berlaku sampai dengan tanggal

Tanda Daftar Perusahaan
Nomor Pokok Wajib Pajak
Surat Izin Usaha .......... (sesuai No.
dengan bidang usaha jasa
Perusahaan)
Berlaku sampai dengan tanggal
Nomor Perusahaan Kena Pajak

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 2. Data Organisasi & Manajemen
2.1 Susunan Pengurus Perusahaan & Penanggungjawab Operasional
Nama Jabatan/ No. Identitas Masa Kerja di Pendidikan
Posisi Penduduk (KTP) Perusahaan terakhir

2.2 Susunan Kepemilikan Modal

Nama Alamat No. KTP Nilai Saham

2.3 Asosiasi Perusahaan

Nama Asosiasi Jenis Keanggotaan

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 3. Data Keuangan Perusahaan
3.1 Nilai Kekayaan Perusahaan (tanpa bangunan dan tanah)
No. Jenis Harta Nilai Saat Ini (Rp.)
1. Uang Tunai / Tabungan Rp.
2. Deposita Berjangka Rp.
3. Logam Mulia (Platinum/Emas) : ...... gram Rp.
4. Kendaraan Roda 4 (tahun pembuatan 5 tahun terakhir & tidak Rp.
dalam agunan bank) : ..... unit
5. Kendaraan Roda 2 (tahun pembuatan 2 tahun terakhir & tidak Rp.
dalam agunan bank) : ..... unit
Total Kekayaan Rp.
3.2 Neraca Perusahaan Tahun 2012 (dalam rupiah)
Aktiva Pasiva
A. Aktiva Lancar D Hutang jangka pendek (≤ 1tahun)
1. Kas Rp. 1. Hutang wesel Rp.
2. Bank Rp. 2. Hutang usaha/dagang Rp.
3. Piutang jangka pendek Rp. 3. Biaya-biaya yg harus Rp.
(≤ 6 bln) dibayar
4. Piutang jangka panjang Rp. Total Hutang jangka pendek Rp,
(> 6bln)
5. Persediaan barang Rp. E Hutang jangka panjang (> 1 tahun)
6. Pekerjaan yang sedang Rp. 1. Hitung obligasi Rp.
dikerjakan 2. Hitung hipotek Rp.
Total Aktiva Lancar Rp. Total hutang jangka panjang Rp.
B. Aktiva Tetap F. Modal usaha Rp.
1. Peralatan & mesin Rp. (A+B+C)-(D+E)
2. Inventaris kantor Rp.
3. Komulatif penyusutan Rp.
Total Aktiva Tetal Rp.
C. Aktiva Lain Rp.
Total Aktiva (A+B+C) Rp. Total Pasiva (D+E+F) Rp.

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 4. Peralatan & Tenaga Ahli/Terampil
4.1 Daftar Peralatan
Status
Merk/ Tahun No.Seri/ Kondisi (Rusak/ Kepemilikan
No. Nama Alat Kapasitas
Type Pembuatan No.Polisi Stand by/Operasi) (Sewa/Milik
Sendiri *)
1.
2.
3.
4.
5.
6.

4.2 Daftar Tenaga Ahli/Terampil

Pengalaman
Masa berlaku
kerja sesuai Sertifikat
No. Nama Pendidikan Keahlian sertifkat
dengan Keahlian
keahlian
keahliannya
1.
2.
3.
4.

Catatan :
· Tenaga Ahli/Terampil merupakan tenaga kerja tetap dari Perusahaan
5. Informasi Pengalaman & Kemampuan Pelaksanaan Pekerjaan
5.1 Data Pelaksanaan Pekerjaan 3 tahun terakhir (min 1 untuk masing-masing bidang
pekerjaan yang dipilih)
No. No. Kontrak Pelanggan Jenis Jasa Jangka Nilai Kontrak
waktu
(bulan)
1
2
3
4

5.2 Pekerjaan yang sedang ditangani saat ini

No. No. Kontrak Pelanggan Jenis Jasa Jangka Nilai Kontrak
waktu
(bulan)
1
2
3
4
Total

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48 PT Vale Indonesia Tbk
Kami menyatakan bahwa informasi tersebut di atas adalah benar dan bersedia untuk
dilakukan verifikasi oleh Tim Penilai dari pihak PT Vale Indonesia Tbk.

Luwu Timur,

Pengurus Perusahaan

( ________________________ )

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 PERSYARATAN PRA KUALIFIKASI K3L

SAFETY MANAGEMENT POLICY

1. PERNYATAAN KEBIJAKAN K3L

a) Apakah perusahaan anda memiliki kebijakan tertulis mengenai Lingkungan, Kesehatan dan
Keselamatan? (Lampirkan jika ada)

b) Bagaimana Kebijakan tersebut dikomunikasikan kepada seluruh karyawan anda?

c) Apakah manajemen perusahaan bertanggung jawab terhadap pelaksanaan kebijakan
Lingkungan, kesehatan dan keselamatan kerja? Jika YA, jelaskan bagaimana hal tersebut
dilakukan.
2. PROSEDUR TANGGAP DARURAT
Apakah perusahaan anda memiliki perencanaan tanggap darurat? (Lampirkan prosedurnya jika
ada) Jelaskan bagaimana kesiapan akan keadaan darurat dikelola dan struktur komando jika
terjadi kasus darurat
3. PERATURAN DASAR KESELAMATAN KERJA (SAFETY MANUAL)

a) Tuliskan petunjuk prosedur EHS perusahaan anda (Lampirkan prosedur terbaru/terakhir)

b) Apakah perusahaan anda memiliki petunjuk kerja dan instruksi keselamatan kerja tertulis
seperti hal yang mencakup tentang scaffolding, lifting, heavy equipment, chemical handling or
excavation? (Lampirkan jika ada)
4. PROSEDUR PELAPORAN KECELAKAAN
Lampirkan Prosedur Pelaporan Kecelakaan perusahaan anda
5. PROGRAM ORIENTASI KARYAWAN

a) Apakah perusahaan memiliki Program Orientasi EHS terhadap karyawan baru & yang baru
saja dipekerjaan atau Penyelia yang baru dipromosikan?
b) Jelaskan/tuliskan instruksi dari program tersebut dan berapa lama program orientasi tersebut
dilakukan?
6. PROGRAM SAFETY MEETING

a) Apakah perusahaan anda melakukan safety meetings? Jelaskan kapan dilakukan, siapa saja
peserta nya dan topik yang dibahas.
b) Apakah perusahaan anda melakukan kampanye untuk mendorong bekerja dengan aman?
(Jika YA, jelaskan dengan rinci).
7. PROGRAM PELATIHAN KESELAMATAN KERJA

a) Pelatihan keselamatan kerja apa saja yang diberikan bagi karyawan anda? (Lampirkan detil
dan contohnya)
b) Apakah personil yang akan melakukan pekerjaan khusus telah menerima pelatihan bekerja
dengan aman secara formal dan penggunaan peralatan perlindungan diri terkait dengan
potensi bahaya dari pekerjaan? (Lampirkan detil nya)

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8. PROGRAM INSPEKSI KESELAMATAN KERJA
a) Apakah perusahaan anda melakukan inspeksi/audit terhadap operasional pekerjaan? Jika
YA, seberapa sering dilakukan dan bagaimana tindakan dan atau kondisi yang tidak aman
tersebut diatasi.
b) Lampirkan rincian dari OSHA, EPA atau inspeksi lainnya, citation atau hukuman yang diberikan
dalam tiga (3) tahun terakhir. Apakah ada dokumen yang masih bermasalah? Jika YA, jelaskan.
9. PROFESSIONAL SAFETY SUPPORT
a) Apakah anda memiliki organisasi keselamatan kerja? (Lampir-kan struktur organisasi dan
tugas dan tanggung jawab nya)
b) Siapakah personil yang paling senior yang mengkoordinasikan masalah-masalah keselamatan
kerja di perusahaan anda dan sejauh manakah pengalamannya?
c) Seperti apa format kualifikasi keselamatan kerja yang dimiliki karyawan anda? Jelaskan.
10. HIGIENITAS PERUSAHAAN
a) Apakah perusahaan anda memiliki program higienitas? Jika YA, mencakup apa saja?
b) Apakah perusahaan anda memiliki penilaian resiko pekerjaan, atau hal lain yang serupa,
untuk mengidentifikasi bahaya-bahaya tempat kerja? Jelaskan prosesnya.
c) Ketika anda menyatakan adanya material/hal-hal yang berbahaya pada lingkungan pekerjaan,
jelaskan bagaimana proses pendokumentasian dan pengontrolan hal tersebut.
11. ALAT PELINDUNG DIRI
a) Apakah perusahaan anda memberikan Alat Pelindung Diri yang layak bagi karyawan anda?
Lampirkan daftar APD sesuai dengan lingkup pekerjaan yang dilakukan.
b) Apakah perusahaan anda memberikan pelatihan bagaimana cara menggunakan APD?
Jelaskan materi pelatihannya dan tindak lanjutnya
c) Apakah perusahaan anda memiliki program untuk memastikan bahwa APD selalu diinspeksi
dan dijaga?
12. LINGKUNGAN KERJA
a) Lampirkan jumlah kecelakaan yang mengakibatkan kerusakan lingkungan dalam jumlah yang
melebihi $50,000 selama 24 bulan terakhir. Lampirkan salinan pelaporannya jika ada.
b) Apakah perusahaan anda memiliki prosedur pembuangan sisa/sampah industri?
c) Apakah perusahaan anda memiliki pelaporan terhadap kebocoran/ pencemaran??
d) Apakah perusahaan anda memiliki prosedur tentang penanganan kebocoran/pencemaran?
e) Lampirkan rincian peralatan yang anda miliki terkait dengan masalah-masalah lingkungan.
f) Siapakah yang bertanggung jawab dalam mengkoordinasikan masalah lingkungan dan
sejauh apa pengalamannya.
13. EQUIPMENT AND MATERIALS MANAGEMENT
a) Apakah perusahaan anda melakukan inspeksi terhadap peralatan operasional yang dimiliki
(misalnya Cranes, Forklift) sesuai dengan peraturan yang ada?
b) Apakah perusahaan anda menjaga inspeksi peralatan dan catatan perawatan terhadap
peralatan operasional?

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 14. DATA STATISTIK KECELAKAAN KERJA DAN SAKIT
a) Apa saja catatan keselamatan kerja yang anda miliki dan lakukan misalnya:
 Fatalities (Kematian)
 Injuries (Kecelakaan)
 Dangerous occurrences (Kejadian Berbahaya)
 Environmental damage costs (Biaya Kerusakan Lingkungan)
 Property and/or vehicle damage costs (Biaya Kerusakan Bangunan dan/atau Kendaraan)
b) Lampirkan rincian catatan keselamatan kerja tahunan perusahaan anda dalam tiga (3) tahun
terakhir. (Jika peru-sahaan US, berikan salinan OSHA 200 yang digunakan dalam tiga (3) tahun
terakhir).
 Jumlah Kematian
 Jumlah hari kerja yang hilang dari kasus kecelakaan kerja
 Jumlah total kecelakaan kerja
 Jumalh hari yang hilang
 Jumlah exposure hours yang terkait
c) Jika perusahaan U.S., Apakah anda memiliki Worker's Compensation Experience Modification
Rates (EMR's) yang terdaftar sebagai bagian dari asuransi utama? Jika YA, lampirkan nomor
EMR.
d) Lampirkan Incidence Rate perusahaan anda selama 3 (tiga) tahun terakhir dengan
menggunakan rumus seperti berikut:
Incidence Rate = (N/HE) (200,000)
Di mana: N = Jumlah kecelakaan dan/atau sakit atau hari kerja yang hilang
HE = Total jumlah jam kerja dari seluruh karyawan selama setahun (jika jam
kerja tidak diketahui, gunakan 173.3 jam per karyawan-bulan)
15. INVESTIGASI KEJADIAN
a) Apakah perusahaan anda memiliki prosedur investigasi, pelaporan dan tindak lanjut dari
kecelakaan, kejadian berbahaya atau sakit karena pekerjaan?
b) Apakah hasil investigasi kecelakaan dikomunikasikan kepada karyawan? (Berikan contohnya)
c) Lampirkan contoh investigasi yang pernah dilakukan selama 12 (dua belas) bulan terakhir.
16. SUB-CONTRACTORS
a) Persyaratan keselamatan kerja apa saja yang anda, sebagai Kontraktor, berikan kepada sub-
contractors anda?
b) Apakah perusahaan anda memiliki prosedur dalam mengontrol keselamatan kerja dari sub-
contractor anda? (Jika YA, berikan rincian nya)
c) Lampirkan nama-nama sub-contractors utama anda saat ini.
17. LAIN-LAIN
a) Apakah karyawan perusahaan anda mampu membaca, menulis dan mengerti bahasa Inggris
sehngga mereka mampu melakukan pekerjaan nya dengan aman tanpa adanya seorang
penterjemah? Jika TIDAK, jelaskan rencana anda untuk memastikan bahwa mereka aman
dalam bekerja.
b) Lampirkan penghargaan atau pencapaian keselamatan kerja apa saja yang pernah anda raih/
dapatkan.

*) Untuk di nyatakan qualified, bidder harus memenuhi nilai minimum, yang di tentukan oleh PTVI.

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APPENDIX B – Contract Preparation Checklist (CSMS 200)
Form: CSMS-200
Rev.: 03

Contract Preparation Compliance Checklist

Contract title and number: Work location:
Contractor: Project Title:
Not
Contractor Safety Management Doc_ID Applicable
Applicable
Available

1 Government Permit and Licenses CSMS-201

1 Company: AKAD/ AKAL, SUIJPU/ SKT, CSMS-201.01

2 Company Safety Managements Certification/ implementation: CSMS-201.02

a. SMK3 certification or
SMK3 - implementation of Basic Principle of SMK3 (internal audit result or
notification/ recommendation letter from Disnaker Lutim)
b. SMKP certification or

SMKP implementation (SMKP Manual and internal audit result as evidence)

Equipment: Cranes, Forklift, Pressure vessels, Fuel/ Oil tanks, Safety valve,
3 CSMS-201.03
Lightning arrester
Contractor's Site/ Project Manager (Penanggung Jawab Operasi/ PJO) -
4 CSMS-201.04
approved by PTVI KTT
Others

2 Program and Compliance for Legal and External Requirement CSMS-202

1 Government requirement (related EHS legal) CSMS-201.01

2 PTVI Requirement - NORM-0052PTVI (HSMS) NORM-0052PTVI

3 PTVI Requirement - NORM-0008PTVI (EMS) NORM-0008PTVI

Others

Program and Compliance for PTVI EHS: Policies, Golden Rules, Standards and
3
Procedures CSMS-203

1 H&S Policy - POL-0006 PTVI POL-0006 PTVI

2 Environment Policy - POL-0007 PTVI POL-0007 PTVI

3 Golden Rules CSMS-203.03

4 Alcohol and Drugs Policy REG-0001PTVI

5 Smoking Policy REG-0002PTVI

6 HIV/ AIDS Policy EHS.01.05.09

7 Applicable MHS - To be describe by PTVI PM CSMS-203.07

8 Applicable EHS Standrads - To be describe by PTVI PM CSMS-203.08

9 Applicable Standard Procedures - To be describe by PTVI PM CSMS-203.09

Others

Action Log
No Problem Action Due Date PIC

Sorowako, / /
Check & Sign off by (Contractor): Agreed and sign off by PTVI:

Contractor representative : Project Manager : EHS Area:

Distribute to:
1 copy to Project Manager PTVI
1 copy to Contractor
1 copy to safety representative PTVI - EHS Coordinator

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 Form: CSMS-200
Rev.: 03

Contract Preparation Compliance Checklist

Contract title and number: Work location:
Contractor: Project Title:
Not
Contractor Safety Management Doc_ID Applicable
Applicable
Available

Organization, personnel qualification, certification and Role profiles - CSM007 --> Meet with applicable EHS legal and
4 CSMS-204
PTVI requirements
1 Contrator executor organization structure (complete with name, personal working contract)

2 Role profile for key positions (named by PTVI PM) CSMS-204.01

3 Role profile for generic positions CSMS-204.02

4 Company driving / operate license (SIMPER) - SIMPOL , SIO & Work book (Vehicle, Drill, Dozer, Truck, Bus, Back hoe etc.)
CSMS-204.03
Note: Temporary license (SIO) shall be supported by certification form Authorized training facilitator (PJK3)

5 Welders CSMS-204.04

6 Rope access CSMS-204.05

7 Riggers CSMS-204.06

8 Scaffolders and Scaffold Inspectors CSMS-204.07

9 Basic Mine OHS (K3) / POP / POM - Safety Professional and Supervision/ Management CSMS-204.08

10 Electrician CSMS-204.09

11 Specialist - OHS Expert (Ahli K3 - Spesialis) CSMS-204.10

12 Certitfied rescuers (working at heights, confined space, jungle, water and under water rescue) + First Aid and ALSTC CSMS-204.11

13 Fire Fighters (class D, C or B) CSMS-204.12

Others

5 Program, Procedures and Compliance - CSM009 CSMS-205

1 Risk Management (HIRA-DC) RA-001

2 Incident management and investigation CSMS-205.02

CM001/ CM
3 Change Management
002

4 Maintenance for equipments CSMS-205.04

5 Maintenance for tools CSMS-205.05

6 House keeping & 5S CSMS-205.06

7 Waste management CSMS-205.07

8 Hydrocarbon management CSMS-205.08

9 Security & asset protection CSMS-205.09

10 Management review CSMS-205.10

11 Diciplinary actions CSMS-205.11

12 Environmental Aspect - Impact CSMS-205.12

Others

6 Training need analysis and implementation plan (EHS and Technical) CSMS-206

7 Orientation & Training plan CSMS-500

8 Inspection and Behavior dialog plans - (Shiftly / Daily / weekly / monthly) CSMS-208

9 Periodic evaluation plan - Contractor Performance Review CSMS-700

10 PPE (basic and additional) meet PTVI standard CSMS-210

11 Emergency response plan / procedure CSMS-209

12 Insurance programs (Jamsostek, Medical & Health care) CSMS-210

Action Log
No Problem Action Due Date PIC

Sorowako,
Check & Sign off by (Contractor): Agreed and sign off by PTVI:

Contractor representative : Project Manager : EHS Area:

Distribute to:
1 copy to Project Manager PTVI
1 copy to Contractor
1 copy to safety representative PTVI - EHS Coordinator

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Form: CSMS-200
Rev.: 03

Contract Preparation Compliance Checklist

Contract title and number: Work location:
Contractor: Project Title:
Not
Contractor Safety Management Doc_ID Applicable
Applicable
Available

Equipment and tools requirement:

a. Requirement for pre-start/ use inspection (shiftly/ daily),
13
b. Requirement for periodic maintenance/ inspections as per PM required (as marked on below list)
or approval (contractor proposal which higher than PTVI requirement) CSMS-213

1 Light vehicle (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.01

2 Bulldozer (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.02

3 Back hoe (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.03

4 Light truck - max 20 T (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.04

5 Line truck (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.05

6 Mobile crane (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.06

7 Grader (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.07

8 Compactor (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.08

9 Lowboy (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.09

10 Loader (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.10

11 Dump truck (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.11

12 Elevated Mobile platform (i.e. JLG) (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.12

13 Drilling unit (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.13

14 Lighting plant (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.14

15 Welding machine (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.15

16 Compressor (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.16

17 Compressed gases (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.17

18 Scaffolding (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.18

19 Chain Block, lever, camelong (weekly / monthly/ quarterly) CSMS-213.19

20 Hook, Sackle, eye bolt etc. (weekly / monthly/ quarterly) CSMS-213.20

21 Man Cage (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.21

22 Slings - wire, webbing etc. (weekly / monthly/ quarterly) CSMS-213.22

23 Full Body Harness (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.23

24 Electric Tools (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.24

25 Hand and power tools (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.25

26 Safety apparel (PPE) (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.26

27 Laboratory Equipments (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.27

28 Electric Welding Machine (weekly / monthly/ quarterly/ 6 monthly) CSMS-213.28

29 Others CSMS-213.29

14 Safety meetings and campaigns plan CSMS-211

1 Tool box meeting (shiftly - Daily) CSMS-211.01

2 Safety Talk (weekly) CSMS-211.02

3 EHS Committee - P2K3 (Monthly) CSMS-211.03

4 Monthly EHS Contractor forum CSMS-211.04

5 Safety Campaign/ promotion CSMS-211.05

Incident and others socialization (Day of Reflection, Health and Safety Prevention Weeks) - as
6 CSMS-211.06
required

Action Log
No Problem Action Due Date PIC

Sorowako,
Check & Sign off by (Contractor): Agreed and sign off by PTVI:

Project Manager : EHS Area:

Contractor representative :

Distribute to:
1 copy to Project Manager PTVI
1 copy to Contractor
1 copy to safety representative PTVI - EHS Coordinator

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 Form: CSMS-200
Rev.: 03

Contract Preparation Compliance Checklist

Contract title and number: Work location:
Contractor: Project Title:

Contract Administrattion Doc_ID

Yes No

1 Contract Request CP-001

2 Scope of work (SOW) CP-002

3 Detail cost estimate CP-003

4 Weigthing factors CP-004

5 Responsibility matrix CP-005

6 Contract award CP-006

7 Contract variation CP-007

8 Contractor selection CP-008

9 Others

10 Others

Action Log
No Problem Action Due Date PIC

Sorowako, /
Check & Sign off by (Contractor): Agreed and sign off by PTVI PM

Contractor Engineer: Project Manager :

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APPENDIX C – Contract Preparation: Roles and Responsibility

Responsibilities
All PT. Vale Indonesia Project Manager, Construction Managers or Project Sponsor who involves
engaging and managing contractors shall be aware of their management responsibilities towards
Environment, Health and Safety (EHS), legal and corporate requirement, and contractual issues in
the following details:

The Project/Construction Manager or Sponsor is responsible for conveying to contractors

the importance of environment, health and safety through:
a. Rigorously contractor selection, assessment and engagement.
b. Requiring contractor to comply legal requirement including government certification
on company, people, tools, equipment and work facility.
c. Requiring contractor on the implementation of Major Hazard Standards (MHS), RAC,
EHS General Standards and Standard Procedures.
d. Initiating EHS promotion.
e. Performing behavior dialog (ASA, SOI, JSO) and inspection program (SLA).
f. Encouragement to implement contractor EHS Plan and ensuring the compliance.
g. Providing alternatives on prevention and mitigation on work site hazards.
h. Monitoring the implementation of environment, health and safety standards and plan
during the contract stages, details in section 11.0. Orientation and Training, section
12.0. Managing the Work and section 13.0 Periodic Evaluation of this guideline.
i. Monitoring and evaluating contractor EHS performance periodically using EHS
indicators.
j. Documenting of project in terms of EHS issue.
k. Consultation with PT. Vale Indonesia EHS Representatives for improvement.
l. Ensuring all incident/accident reported to EHS Department and Management of PT.
Vale Indonesia as soon as possible or not more than 24 hours from incident/accident
time. And ensure the incident/accident is input into the system (SAP)
m. Being a leading person to follow up all corrective actions on accident and incident
reports, third party reports, EHS finding and complaints.
n. Delivering information of sanction procedure to contractors referring to PT. Vale
Indonesia rules.
o. Ensuring the site occupied by contractors for workshop within PT. Vale area is properly
managed in term of EHS (5S).
p. Recognizing contractor for achievement in EHS.
q. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

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 The contractor management and employee shall aware their duty and obligation in terms of EHS
with the following details:

Contractor’s Site/Project Manager, responsible for EHS on the project with duties
including:
a. Implementing the PT. Vale Indonesia EHS Management System, EHS standards and
procedures.
b. Monitoring the compliance of all EHS legal requirements, statutory rules and
regulations.
c. Developing risk assessment of project activity and using the principles of hierarchy of
controls in all design, fabrication and construction activities to minimize the risk to all
personnel and assets.
d. Carrying out a design review with the contractor’s project team to assist in the
identification of further risk reduction controls measures.
e. Stimulating a high level of EHS awareness at all times.
f. Identifying EHS training needs for workers.
g. Committing to be a personal behavior example.
h. Ensuring equipment and facilities provided are safe and well maintained.
i. Ensuring all vehicle used by contractors for project are CT-stickered.
j. Insisting on correct and safe work practices at all times.
k. Involving in the process of identification and preparation of safe work procedures.
l. Review of EHS reports and inspections and initiating rectification where necessary.
m. Ensuring all incident/accident reported to EHS Department of PT. Vale Indonesia as
soon as possible or not more than 24 hours from incident/accident time.
n. Ensuring all accident/incident to be investigated and corrective action taken in timely
manner.
o. Participating in EHS meetings and programs including Contractor EHS Forum.
p. Monitoring compliance with safe work methods.
q. Ensuring compliance with legislation and standards.
r. Formulating appropriate rules, procedures and methods for the workplace.
s. Be in charge to manage properly the site occupied for workshop within PT Vale area
in term of EHS.
t. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

Contractor Site Supervisor, responsible for EHS on the project with duties including:
a. Implementing PT. Vale Indonesia EHS standard and procedures.
b. Communicating project risk assessment (i.e. JSA) to workers under his or her
supervision.
c. Ensuring health and safety of employee under his or her supervision.
d. Ensuring all tools and equipment used or operated are safe during project run.

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e. Ensuring all tools and equipment are operated only by authorized person.
f. Ensuring that all works are conducted in a manner that is safe and minimum risk to
employee’s health and safety.
g. Planning to do all works safely.
h. Providing advice and assistance on EHS to all employees.
i. Ensuring current EHS and other relevant legislative requirements are met in the
workplace.
j. Identifying EHS training programs in advance and allowing for employee/s identified
as requiring training to attend the training.
k. Following up safety reports and carrying out workplace inspections.
l. Preparing and managing safety meetings and programs.
m. Facilitating and conducting Tool Box meeting/safety meetings on a regular basis or
daily team briefings.
n. Ensuring all incident/accident reported to Contractor’s Site/Project Manager or EHS
Department of PT. Vale Indonesia as soon as possible or not more than 24 hours from
incident/accident time.
o. Conducting or participating in accident/incident investigations.
p. Facilitating the preparation of Safe Work Method, JSA and SOP by work teams.
q. Insisting on and ensuring safe work practices at all times.
r. Investigating hazard reports and ensuring that corrective actions are undertaken.
s. Committing to be a personal behavior example
t. Conducting overall supervision of employees to encourage safe act and ban horse
playing in the work place.
u. Conducting hazard identification through regular inspections.
v. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

Contractor Site Safety Officer/Coordinators, responsible for EHS on the project with
duties including:
a. Assisting the Site Supervisor to implement PT. Vale Indonesia EHS standard and
procedures.
b. Ensuring the contractor’s employee is adequately informed, through conveying
materials of the following: PT. Vale Indonesia’s EHS Policy, any relevant programs and
practices; the known hazards and risks related to contractor’s activities at P.T. Vale
Indonesia and those related to workplace or process where their activities are taking
place; any applicable requirements or procedures relating to operation including
emergency action plans.
c. Communicating EHS performance to the Contractor Site/Project Manager.
d. Providing advice and assistance on EHS to all employees.
e. Participating in the planning stages of work activities.
f. Monitoring compliance with safe work procedures.

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 g. Reviewing and managing safety reports and inspections.
h. Preparing and participating in safety meetings and programs.
i. Preparing Tool Box Meeting on a regular basis.
j. Insisting on correct and safe practices at all times.
k. Developing new EHS initiatives.
l. Being a facilitator for accident/incident investigations and to ensure all reported to
PT Vale Indonesia EHS Department.
m. Committing to be a personal behavior example
n. Stimulating a high level of safety awareness at all times.
o. Communicating with the Contractor Site/Project Manager on matters relating to
EHS.
p. Ensuring all documents and records related to EHS are well maintained.
q. Participating in regular workplace inspections and ensuring that any improvements
resulting from such inspections are followed up in the required time frame.
r. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

Contractor Workers, responsible for EHS on the project with duties including:
a. Conducting work activities in compliance with legal requirements.
b. Closely following safe work practices, procedures, instructions and rules and
performing all duties in a manner which ensures the safety and health at work of him/
her self and others in the workplace.
c. Providing feedback on the effectiveness of safety measures implemented on the field.
d. Contributing ideas on ways to improve EHS at workplace.
e. Reporting hazards to site supervisor, warn colleagues of hazards and stop his/her
activity if necessary.
f. Reporting any injury, accident or incident at work to site supervisor.
g. Participating in tool box meetings, safety meeting, safety activities and to attend
safety training.
h. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

EHS Representative of PT Vale Indonesia shall support the flow of process of this procedure
with the following details:

a. Providing all safety information, legal and corporate requirements to contractors that
are applicable in the PT. Vale Indonesia.
b. Reviewing safety documents including proposed EHS Management Plan submitted in
the tendering process and endorsing eligible contractor for next process.

CONTRACTOR SAFETY MANAGEMENT SYSTEM

60 PT Vale Indonesia Tbk
c. Reviewing and approving EHS Management Plan prior to project execution.
d. Reviewing safe work procedure developed by contractor including JSA and SOP.
e. Performing audit and inspection periodically to check adherence against EHS
Management Plan.
f. Being available to be interviewed by either PT. Vale Indonesia Investigation Team or
Mine Inspector or any other investigation team as witness for any incident/accident.

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 APPENDIX D – Contractor Selection Criteria and checklist
Sample Checklist for Contractor Selection

SAFETY EVALUATION FORM

Tender # :
Tender Title :

No Item PTVI Must Have Vendor Score Remarks

Government Permit and Licenses

1

Program and Compliance for Legal and External

Requirement
2

Program and Compliance for PTVI EHS: Policies,

Golden Rules, Standards and Procedures
3
Organization, personnel qualification, certification and
Role profiles - CSM007 --> Meet with applicable EHS
legal (checkilist_legal requirement_ R000a) and PTVI
4 requirements

Program, Procedures and Compliance - CSM009

5

Training need analysis and implementation plan

6

Training & Orientation plan

7

Inspection and Behavior dialog plans - (Shiftly / Daily /

weekly / monthly)
8

Periodic evaluation plan - Contractor Perf. Review

9

PPE (basic and additional) meet PTVI standard

10

Emergency response plan / procedure

11

Insurance programs (Jamsostek, Medical & Health

care)
12

Equipment and tools: requirement - pre-start inspection

and periodic maintenance
13

Safety meetings and campaigns plan

14

Scoring criteria Description (developed by PM)

Not Acceptable 1
Poor 2
Acceptable - Average 3
Acceptable - Good 4
Acceptable - Excellent 5

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62 PT Vale Indonesia Tbk
APPENDIX E – Contract Award
Sample Checklist for Contract Award

Award Compliance Checklist

Contract title:
Contractor:

Item YES NO

1 Has the scope of work agreed?

□ □
2 Are the equipment and tools that will be provided as per proposed in tender proposal?
□ □
3 Is the equipment checklist available?
□ □
4 Are the manpower that will be deployed as per proposed in tender proposal?
□ □
5 Are the certification of equipment available and valid?
□ □
6 Are the certification of manpower available and valid?
□ □
7 Are the Personnel qualification & Role profile verified?
□ □

Soroako, dd/mm/yy

(______________ ) ( ______________ )
Contract Engineer Project Manager

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 Sample Checklist for Confirmation Meeting Agenda

AGENDA
CONFIRMATION MEETING

PROJECT TITLE :
AREA :
TENDER NO. :
CONTRACT NO. :
CONTRACTORS :

MEETING DATE : Venue:

PREPARED BY :
ATTENDANCE : PT Vale (PTVI): Contractors :

Confirmation Meeting
No Description
Comments

A OPENING

1. Context X

2. Price X

3. Scope of Work X

B ORGANIZATION AND As per proposal.

MAN POWER
1. PT. Vale organization X
and personnel:

2. Contractors X
organization, personnel
(qualification and
certification), role
profiles and man power
deployment:
3. Signature
authority (Contract,
correspondence):

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64 PT Vale Indonesia Tbk
C COMMUNICATIONS

1. Verbal Vs Written (No X

Verbal):
2. Request for X
Clarification of
Information (RCI):
3. Correspondence
routing:

D SCHEDULE

1. Mobilization date X
2. Demobilization X
date / List of tools &
equipment
3. Overall work plan X
schedule manning
curve:
4. Execution Plan X
5. Contractor’s Schedule X
submittal

E REPORTING

1. Report X
2. Progress review X
meetings (CPR;
Contractors
Performance Review)
(Day / Time / Location):

F CONTRACTORS
MATERIALS
1. Planning for X
Contractors-supplied
materials
2. Scheduled need dates X
for PT. Vale supplied
materials

3. Transport and off- X

loading procedures
4. Stores and/ X
or requisitioning
procedures
5. Clean-up and disposal X
areas

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65
 G P.T.VALE FURNISHED
FACILITIES
1. Utilities - (Power, X
Water etc. as
required)
2. Accommodations or X
camp facilities
3. Special tools / Gasses X
4. Equipment X
H CONTRACTORS’S As per proposal
EQUIPMENT AND
TOOLS
1. Equipment, tools & X
Licenses
2. All Contractor’s Vehicle X
must be obtain
correct sticker/permit
to enter site location,
equipped with strobe
light and buggy whip
3. Equipment inspection
program (pre-start and
routine).

I LAYDOWN AND WORK

AREA PLANNING
1. Location & access: X
2. Buildings or materials X
located in laydown area
3. Lunchroom / Toilet X
facilities / Location
4. Garbage disposal X
J I N D U S T R I A L
RELATIONS

1. Contractors shall X
comply with labor
regulations at all times
2. Approval of excess X
work hours (DEPNAKER)
3. Pressure vessel
licenses / Testing
(DEPNAKER)

K WORK RULES

1. Work week (Days/Wk.) X

Hours/Day / Holidays
2. Overtime procedures X

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66 PT Vale Indonesia Tbk
 3. Security provisions X
and identification of
tools etc.

L SAFETY

1. Indoctrination: GIP, X
SSIP & Badging
2. Work Permits X
3. Regular safety X
meetings
4. First aid and medical X
provisions
5. PT. Vale safety X
inspections

6. Contractor’s safety X
program
7. JSA’s and HAZOP X
M QUALITY CONTROL
PROGRAM
1. Contractor’s quality X
control plan schedule
2. Inspection procedures X
/ plan

N INVOICE PROCEDURES

1. Agreement of X
progress measurement
2. Form of submittal:

3. PT. Vale internal

invoice procedure
4. Contact person for
problems
5. Payment for changes
(CV / FWI)

6. Deductions (back
charges, retention, etc.

O BACKCHARGE X
PROCEDURE:
If any back charge, shall
follow to PT Vale back
charge procedure.

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 P CHANGES TO THE
CONTRACT
1. Field Work X
Instructions (FWI)
2. Contract Variation X
(CV)

Q CLAIMS OR OTHER
DISPUTE HANDLING
1. Weekly manpower, X
equipment and activity
report
2. Safety and accident X
reports
3. Monthly / weekly X
progress reports
R 4 SETS DRAWING,
DATA SUBMITTAL
AND REVIEW
PROCEDURE
1. Construction
drawings
2. Turn Over Documents:
One set of " Red Lines /
Mark up" and One Copy

S CONTRACTORS’S
APPOINTMENT of
SUBCONTRACTORSS
1. Must be approved X
by PTVI first. : NO
SUBCONTRACTORS

T CLOSING REMARKS: X
Next meeting advised
by PTVI Project Manager

CONTRACTOR CONTRACT ADMIN PTVI PROJECT MANAGER

Note:
Confirmation meeting is intended to receive detail information from Contractors in relation of readiness all items.
Kick Off Meeting is only to ensure that all items listed in Confirmation Meeting has been ready for execution

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68 PT Vale Indonesia Tbk
APENDIX F – Orientation and Training
CSMS-501.01
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

I. Work Plan
Has the E - H&S Management System issue been
1.1 addressed in the work program or procedure and
reviewed with the contractor?
Has the Contractor reviewed the PTVI E - H&S
1.2
Management System and Permit System?
Has the contractor's tools and equipment, related to
1.3
the job to be performed, passed safety inspection?
Are all critical jobs identified, analysed and determined
1.4 control? By using HIRA-DC and Environment Aspect -
Impact
Are the procedures for critical jobs written and reviewed
1.5
with the contractor before the work begins?
Are materials handling equipment (lifting and
1.6
supporting) and procedure available?
Is the facility schedule available? (e.g camp,
warehousing, delivery of construction materials or
1.7 equipment on site, contractor responsibility for loading,
unloading, storing of contractor/ PTVI furnished
materials)
Contractor's competent person as the safety
1.8
representative:
1.8.1. Is he / she available?
1.8.2. Does he / she have sufficient authority to
implement change?
Does the Contractor have the following minimum Safety
1.9 Program and provide tools to ensure its
implementation:
1.9.1 Supervisor safety, certification, background and
experience?
- Basic Mine OHS - Safety Man
- POP - Safety Officer
- POM and AK3 Umum - Safety Coordinator/ Manager

1.9.2 EHS Induction program of new employees?

Contractor's and PTVI inductions
1.9.3 Safety meetings? Shiftly/ daily, weekly, monthly
1.9.4 Safety inspections?
1.9.5 Behavior dialog program?
1.9.6 Safety Champign?
1.9.7 Has the Supervisor and employees fully
communicated about safety issues?
1.9.8 Emergency drills program?
1.9.9 Accident Investigation / reporting?
1.9.10 Prestart check list for Equipment ?
1.9.11 Equipment and tools regular inspections and
maintenance
1.9.12 Change Management Procedure
1.9.13 EHS Accountabilities
1.9.14 Other (specify)?
Does the Contractor have disciplinary action programs
1.10
in case of non-compliance and/or EHS violation?

Contractor Reps: _________________________________ PT Vale Indonesia Reps: ____________________________________

(Name / Date) (Name / Date)

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 CSMS - 500.02
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

II. Potential Hazards

Does the Contractor provide a system for potential hazard identification
2.1
(e.g for unsafe act and /or conditions) and ensure its implementation?
Does the Contractor provide a proper hazard control system for the
2.2
following items and verify their implementation?
2.2.1 Housekeeping and 5S?

2.2.2 Fall prevention and/ or protection? People, materials, equipment

and tools
2.2.3 Safe driving?
2.2.4 Isolation, lockout and tagout program?
2.2.5 Lifting and supporting?
2.2.6 Confined Spaces
2.2.7 Machine guarding?

2.2.8 Slope stability?

2.2.9 Flammable and explosive materials?

2.2.10 Chemicals and hazardouse material?
2.2.11 Electrical?
2.2.12 Molten materials?
2.2.13 Boilers, Pressure Vessels and Safety valves?

2.2.14 Clearing operation and tree cutting?

2.2.15 Working on, near or in water?
2.2.16 Dangerous gasses?
2.2.17 Radioactive materials?
2.2.18 Tyres and Rims
2.2.18 Waste-trash collection?
2.2.19 Hydro carbon management?
2.2.20 Maintenance of vehicles (L/V and mobile machinery),
equipment, guards, tools, Grounding system, etc.?
2.2.21 Work permit system?
2.2.22 Personal protective equipment (PPE). Identification of
requirement, standard and requirement (meet PTVI and Legal),
distribution, inspection, disposal?
2.2.23 Sign board, Log book, Trafict Direction?
2.2.24 Gas Detector
2.2.25 Other ______________________ ?

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CSMS - 500.03
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

III. Emergency Response Plans and Procedures (Cont'd)
Have arragements been made with PTVI, ambulance service,
3.12 hospital, or others to handle medical care ranging from first
aid to life-thereating injuries and illnesses?
3.13 Is Contactor's Contract Person available during emergency?

3.14 Does the provide its own medical officer?

3.15 Evacuation route and master point plan ?

Contractor Reps: _______________________________ PT Vale Indonesia Reps: ___________________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

70 PT Vale Indonesia Tbk
CSMS - 500.04
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

IV. Pre-Job Safety Meeting ( Tools Box )

Is a pre-job safety meeting (tool box) scheduled to be
4.1
conducted before commencing the work? Shiftly/ dialy
Is the meeting adressed the hazard and control of the work
4.2
activity at that shift/ day?
Is the meeting attended by suitable contractor workers
4.3
representation?

Contractor Reps: _______________________________ PT Vale Indonesia Reps: ___________________________________

(Name / Date) (Name / Date)

CSMS - 500.05
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

V. Site Orientation
Site conditions under which the work will have to be
5.1
performed :
5.1.1 Is access to the project and the work area available?
5.1.2 Is (Are) contractor lay-down area(s) sufficient?
5.1.3 Are communication links for on the job and external-to-
job available?
5.1.4 Are disposal areas available for clean up purposes and
are there clean up areas where more than one contractor is
working?
5.1.5 Is the work site induction avaialble and communicate
to employees?
Are the alarm systems available and the Contractor
5.2
employee made Aware of them?
Have exit routes ,emergency exit map and fire extinguser
5.3 location ,muster point areas been established: where head
counts are to be performed in case of an emergency?
5.4 Availability of emergency reporting equipment:
5.4.1 Paging system?
5.4.2 Radio system?
5.4.3 Telephone system?
5.4.4 Others______________________?
Are emergency telephone numbers posted throughout the
5.5
site?
5.6 Are employes remember the emergency telepon numbers ?
5.7 Are employes remember the emergency call sign in radio ?

Contractor Reps: _______________________________ PT Vale Indonesia Reps: ___________________________________

(Name / Date) (Name / Date)

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 CSMS - 500.06
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

VI. Finalised all E - H&S Management Systems Requirements

Have all EMS and HSMS requirements and issues (ref. to
PTVI's and SMK3) and others applicable Indonesia
6.1
Government Rules and Regulations) concerning the work
been reviewed and finalised by PTVI and the Contractor?
Have affected parties been notified of any changes to these
6.2 E - H&S Management Systems requirements by the
responsible party?

Contractor Reps: _______________________________ PT Vale Indonesia Reps: ___________________________________

(Name / Date) (Name / Date)

CSMS - 500.07
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

VII. E - H&S Management System Training

Does the contractor ensure that jobs requiring certification
7.1 (Government and PTVI) are performed by workers who
possess the appropriate documentation and certificates?
Does the contractor have the EHS and Technical Training
7.2
Need Analysis (TNA) which require to execute the project?
Does the contractor provide training for their managers and
7.3 supervisors to ensure that they are capable of administering
the safety program?
7.4 Is there a training plan for contractor employees?
7.5 Are all training plan/ program implemented?

Contractor Reps: _______________________________ PT Vale Indonesia Reps: ___________________________________

(Name / Date) (Name / Date)

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CSMS - 500.07.1
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

NO. ITEM YES NO N/A REMARKS

VII. E - H&S Management System Training (Cont'd)

7.5 Is the training plan addressed?
7.5.1 PTVI Golden Rules?
7.5.2 Drug and alcohol policy?
7.5.3 Smoking policy?
7.5.4 HIV/ Aids Policy?
7.5.5 PTVI Environment, Health and Safety standards/
procedures?
7.5.6 GIP and relevant SSIP?
7.5.7 Material Safety Data Sheets and hazard
communication program ?
7.5.8 First aid and cardiopulmonary resuscitation (CPR)
- Supervisory level?
7.5.9 Basic First aid - workers level?
7.5.10 Fire fighting?
7.5.11 Fire Sentry/ watch?
7.5.12 Pressure vessel/ cylinders (Hydrogen sulphide ,
oxy-aceteline, Nitogent , etc )?
7.5.13 Transportation, handling and storage of
hazardous materials?
7.5.14 Transportation , handling and storage of
radioactive materials?
7.5.15 Transportation , handling and storage of
explosive materials?
7.5.16 Transportation, lifting, lasing, handling and
storage of materials?
7.5.17 House keeping and 5S training
7.5.18 Hazard Identification
7.5.19 Permit System - Acceptor (Supv)
7.5.20 Personal Protective Equipment (PPE)
7.5.21 Relevant Critical Activities:
- Working at Heights
- Vehicle operation (L/V and Bus)
- Mobile Machinery
- Isolation and Lockouts
- Lifting and supporting (cargo handling)
- Confined Space (workers, sentry/ wachtman,
supervisor)
- Machinery protection (guarding)
- Slope Stability
- Explosive and Detonation
- Dangerous goods
- Electrical
7.5.22 Relevant EHS Technical:
- 4 - WD drivers
- Towing drivers
- Authorized Gas Tester
- Self Contained Breathing Apparatus (SCBA) -
Supplied Air Breathing Apparatus (SABA)
- JSA - Job Safety Analysis
- Risk Assessment
- HAZOP
- Environment Aspect - Impact
- Change Management
- Incident Investigation
- Explosive Activated Power Tool (i.e. Hilty gun)
- Scaffolder - Basic/ Advance
- Scaffold Inspectors
- Behavior dialog
- Safety Inspections
- Hydro carbon management
- Waste management

Contractor Reps: ___________________________________ PTVI Indonesia Reps: ______________________________________

(Name / Date) (Name / Date)

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 CSMS - 500.07.1.1
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

VII. E - H&S Management System Training (Cont'd)

7.5.23 Abrasive blasting and hydroblasting?
7.5.24 Welding and Cutting?
7.5.25 Excavating shoring and trenching?
7.5.26 Emergency response plan?
Is there any program for Technical TNA (specific for the
7.6
project activities)?
Is there a method available to prove that the Technical
7.7
TNA have been comply with?
Is there documentation on file to verify that the training
7.8
has been completed?
Is there a method available to determine the
understanding of the Contractor employees concerning
7.9
the training materials (written or verbal examination, walk-
through demonstrations, on-the-job evaluations, etc.)?

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________________

(Name / Date) (Name / Date)

CSMS - 500.08
Rev 0 ( Sept 2013 )
ORIENTATION AND TRAINING CHECK LIST

VIII. Contractor's Management Commitment

Have all SMK3 (Government), PTVI HSMS and EMS
implementation issues been communicated to the
8.1
Contractor's upper management by Contractor Site
Manager?

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

74 PT Vale Indonesia Tbk
APPENDIX G – Managing the Work

No. CSM 601.01

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

I. Housekeeping and 5S
Job-site look neat (refer to 5S and H&S 007
1.1
Standards)
1.2 Material stored properly
1.3 Access to job site refer to 5S
1.4 Escape routes clean and clear
"No Smoking" properly posted in hazardus
1.5
area
1.6 Trash emptied regularly
1.7 Materials not in danger of falling
1.8 Lighting adequate
1.9 Nails removed from wood planks/ scrap
1.10 Healthly work place and environment
Poor Excellent
House Keeping (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

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 No. CSM 601.02
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

II. Personal Protective Equipment (PPE)

Program to ensure PPE meet with PTVI
2.1
Standard
2.2 PPE Inspection procedure
2.3 PPE Distribution and disposal procedure
2.4 Hard hats in use
2.5 Proper footwear worn
Eye protection (safety glasses) worn at work
2.6
area
2.7 Hearing protection where needed
2.8 Face with hard hat protection where needed
2.9 Proper shirt worn
2.1 Proper respirators where needed
2.11 Fit-test for respirator where needed
2.12 Respirators cleaned, stored properly
2.13 Respirators individually assigned
Fall protection for work over 6 feet (1.8 m) high
2.14
2.15 Explosimeters work properly
Personal Protective Equipment (PPE) (Rating) Poor Excellent
II.
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 601.03

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

III. Fire Prevention and Fire Protection

Flammable and explosives area identified and
3.1
sign posted
3.2 Proper fire extinguishers available for use
3.3 Fire extinguishers inspected, tagged
3.4 Employees trained in procedures
3.5 Wooden material stored properly
3.6 Flammable materials stored properly
3.7 Used rags in metal cans with covers
3.8 Fuel cans FM approved
3.9 Hot work permits
Fire Prevention and Fire Protection (Rating) Poor Excellent
III.
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

76 PT Vale Indonesia Tbk
No. CSM 601.04
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST
NO. ITEM YES NO N/A REMARKS

IV. Signs, Signals, and Barricades

4.1 Hazards barricaded properly
4.2 Hazards marked appropriately
4.3 Unsafe tools tagged
4.4 Safety signs installed as per risk identified
Signs, Signals, and Barricades (Rating) Poor Excellent
IV.
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 601.05

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

V. Hazard Communication
5.1 Written program
5.2 List of hazardous chemicals
5.3 MSDS file maintained
5.4 Chemicals properly labeled
5.5 Emergency spill control materials available
Poor Excellent
V. Hazard Communication (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

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 No. CSM 601.06
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

VI. Hazardous material (Waste, Hydro carbon, Lead, Asbestos, Radioactive, Explosive)
6.1 Site specific health and safety plan
6.2 Employees trained, certified, licensed
6.3 Sign/ label/ placard as per MHS 10 installed
Emergency equipment available (eye wash etc)
6.4
Proper storage and wasting area (include color
6.5
code)
Poor Excellent
VI. Hazardous material (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

78 PT Vale Indonesia Tbk
No. CSM 601.07
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

VII. Hand and Power tools

Equipment and tools inspected regularly (color
7.1 code tag)
Damaged equipment tagged and removed from
7.2
service
7.3 Not more than 7 kg or use support belt
7.4 Tools store securely when not in use
7.5 Proper switches on tools working
7.6 Guards are in place
7.7 Double insulated tools used
Dilengkapi label yang memuat: daya, tegangan
7.8
dan arus nominal
Putaran motor listrik searah dengan putaran
7.9
jarum jam
Hanya terhubung dengan 1 (satu) kabel
7.10 ekstensi (kapasitas 30 A), dan dalam kondisi
baik (dilengkapi kode warna inspeksi)
7.11 Grounding is not defected
Kabel berisolasi rangkap, sangat lentur dan
7.12
dilengkapi tusuk kontak
ELCB/ GFCI (30 mA rate) use for all power
7.13
tools
Pengubung antara selang angin dan perkakas
7.14
tangan harus berulir, kuat
7.15 Selang angin harus kuat dan lentur
Semua sambungan selang harus kuat dan
7.16 crimped atau swagged (tidak boleh diikat
kawat atau menggunakan klem selang air)
Pegangan perkakas (hand grip) tidak terlalu
7.17
kecil dan licin serta panjang minimalnya 12 cm
Bila energi perkakas tangan cukup besar
sehingga momen puntir sangat kuat maka
7.18 perkakas tangan harus dilengkapi dengan
pegangan tangan tambahan serta peralatan
slip-kopling
Tombol untuk mengaktifkan angin/ udara pada
perkakas tangan harus model tekan (push to-
7.19
start action) atau model genggam (spade type
activator)
Selang minyak harus kuat dan tidak mudah
7.20
bocor
Pegangan perkakas (hand grip) tidak terlalu
7.21
kecil dan licin serta panjang minimalnya 12 cm
Bila energi perkakas tangan cukup besar
sehingga momen puntir sangat kuat maka
7.22 perkakas tangan harus dilengkapi dengan
pegangan tangan tambahan serta peralatan
slip-kopling
Tombol untuk mengaktifkan angin/ udara pada
perkakas tangan harus model tekan (push to-
7.23
start action) atau model genggam (spade type
activator)
7.24 Power actuated tools operators licensed
Poor Excellent
VII. Hand and Power tools (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

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 No. CSM 601.08
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

VIII. Electrical Safety

All electrcian have valid license from
8.1
Government and PTVI competency card
Classified area identified and signs posted
8.2
(explosive atmosphere, high voltage)
Precautions taken near overhead lines and
8.3
active line
8.4 Temporary lights guarded
8.5 Non-metal ladders used near electricity
8.6 Non-metal scaffold (fibre) used near electricity
8.7 Sign and tags to warn of electrical hazards
8.8 Non-condutive head protection used
8.9 Containers of flammable materials bonded
8.10 Electrical cords checked for damage
8.11 Flexible cord not used for fixed wiring
8.12 Lock out / tagout procedures in place
8.13 Permit system in place
Poor Excellent
VIII. Electrical Safety (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

80 PT Vale Indonesia Tbk
No. CSM 601.09
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

IX. Welding, Cutting, and Grinding

All welders have valid certificate from

9.1
Government (SIO - Welder)
Welders wear long-sleeved catton/ fire
9.2 reterdant (for appron) and leather welding
jacket/ appron
Goggles and eyeshades used (connected to
9.3
hard hats)
9.4 Welders wear respiratory protection
Are all cylinders used for oxy-acetylene duty
fitted with hoses designed for oxy-acetylene
9.5 service (oxygen hose with right hand thread
connectors and acetylene hose with left hand
thread connectors)?
9.6 Hoses checked for leaks, damage
Flash back arrestors at the gauge end of each
9.7
hose
9.8 Non return (check) valves fitted on the torch
Correctly fitted gauges in good working order?
9.9

All hoses fitted to connectors with approved

9.1 crimped or swagged fittings (not hose clamps
or twisted wire)
During use hoses/ cables should be placed
9.11
over head
9.12 Ground to welder checked prior to use
Welding areas isolated, protected by screen
9.13
and blanket
9.14 Fire extinguishers is available
9.15 Welding area free from fire hazards
Cable for welding machine in good condition
9.16
and no extension
9.17 Torches lighted by friction lighters
9.18 WPS appoved by Government
Poor Excellent
IX. Welding, Cutting, and Grinding (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
81
 No. CSM 601.10
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

X. Compressed Gases
Are cylinders used for storage of gas of an
accepted standard ? (Reference: SNI
10.1
Standard, Buku Pedoman Keselamatan Gas
Industri)
Is the colour coding applied and consistent for
cylinder identification? (Reference: SNI
10.2
Standard, issued by DEPNAKER SPI 901-03-
95)
Cylinders secured properly in the boogey or
10.3
storage basket
10.4 Oxygen, gas cylinders separated
10.5 Contents marked on all cylinders
10.6 Valve caps on when transported / not in use
10.7 Sign no smoking area available
Poor Excellent
X. Compressed Gases (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

82 PT Vale Indonesia Tbk
No. CSM 601.11
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XI. Confined spaces

11.1 Task Risk Analysis available
11.2 Entry permit procedures followed
Air quality monitoring performed as per
11.3 requirement by authorized gas tester
11.4 Gas tester tools meet PTVI Standard
11.5 Communication tools meet PTVI Standard
Ventilation (blower/ exhaust) used, and meet
11.6
PTVI standard
11.7 Arc filter system meet PTVI Standard
Ventury tubes/ Air remover meet PTVI
11.8
Standard
11.9 Respiratory protection used
11.10 Harness, lifeline, and hoisting apparatus used
11.11 Electrical tools meet PTVI standard
11.12 Lighting meet PTVI Standard
Electrical tools connected to Standard ELCB/
11.13 GFCI
11.14 All workers have valid competency card
Work supervised by competent person
11.15 (competency card as C/S Supervisor)
11.16 Competent Sentry stand by at entrace point
11.17 Rescue plan available and system prepared
Competent Rescue stand by at near area (less
11.18
than 10 mnt)
Poor Excellent
XI. Confined Spaces (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
83
 No. CSM 601.12
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XII. Ladders
Appropriate for use (type, size and load
12.1
capacity) and use non-conductive material
12.2 Visual indication of maximum load
12.3 Non-slip safety feet
12.4 Ladder tied off
12.5 Ladder long enough for use
12.6 Pitch less than 1:4
12.7 Ladder inspected for condition
12.8 Maitain the manufacturer's original conditions
Poor Excellent
XII. Ladders (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

84 PT Vale Indonesia Tbk
No. CSM 601.13
Rev. 0
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XIII. Scaffolds
Scaffolds tube/ pipe, clamps and other
13.1 materials are meet PTVI Standard (refer CSP
127)
Only use scaffold turbular/ pipe, frame only
13.2 allowed for electical work/ area (material shall
made from fiberglass)
Guard-rails and toeboards in place and meet
13.3
PTVI Standard
13.4 Correctly anchored
13.5 Proper flooring
13.6 Flooring secured to scaffold structure
13.7 Without wheels
13.8 Base plate use
Equipment used on scaffolding is being lifted
13.9
and lowered safely
Access to scaffolding is made only via secured
13.10
ladders (not by clinbing the structure).
The scaffold load is rated and the work carried
13.11 out on the scaffold is within the load rating of
the scaffold
Any persons leaving the confines of the
13.12 scaffold platform at height is utilising fall
protection equipment
13.13 Barricades instaled around scaffold areas
Installed by competent scaffolder (valid license)
13.14

Inspected by competent scaffold inspector

13.15
(valid license)
The scaffolding in use is tagged (scaff tag) and
13.16
has been inspected and safe for use
Regular inspection as per PTVI Standard
13.17
performed
Poor Excellent
XIII. Scaffolds (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
85
 No. CSM 601.14
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XIV. Excavations
14.1 Competent person on-site
14.2 Employee protection from cave-ins
14.3 Egress w/in 25' (7,6 m) of employees
14.4 Air monitoring over 4' (1,2 m)
14.5 Material 2' (0,6 m) from edge
14.6 Underground installations located, marked
14.7 Shoring system for excavation more than 1.2 m
14.8 Excavations properly barricaded
14.8 Employees not exposed to falling loads
14.9 Bridges / walkways w/standard rails
14.10 Site clearance (excavation) permit
Poor Excellent
XIV. Excavations (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 601.15

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XV. Mechanized equipment

15.1 Valid CT sticker
15.2 Inspected prior to use
15.3 Seat belts installed and used
15.4 Certified ROPS installed
15.5 Certified FOPS installated
15.6 Air condition
15.7 Equipped with horn
15.8 Fuelling at safe locations
15.9 Fire extinguishers available
15.1 Equipment stored properly when not used
15.11 Back-up alarms operating
15.12 Strobe light and buggy whip

Two way radio communication (in Mining area)

15.13
15.14 Identification signage
Adjustable seat with coushioning and vibration
15.15 reduction system, in good condition
Poor Excellent
XV. Mechanized Equipment (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

86 PT Vale Indonesia Tbk
No. CSM 601.16
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XVI. Cranes and Hoists

Have valid certification (Government and
16.1
Acredited Certification body)
Ropes, slings, chains, hooks inspected
16.2
quarterly (color code tag as per schedule)
16.3 Air condition for cabin operator
16.4 Inspections on cranes documented
16.5 Load rating chart in cab
16.6 Hand signals posted
16.7 Swing radius guarded
16.8 Overhead power lines protected
Ropes, slings, chains, hooks inspected daily -
16.9
pre use
16.1 Safety hooks used
16.11 Safe working loads determined
16.12 Tag lines used on all lifts
Poor Excellent
XVI. Cranes and Hoists (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 601.17

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

XVII. Wall Openings

17.1 Openings, holes, chutes, skylights protected
17.2 Standard rails provided
17.3 Install protection for floor over 4 feet (1,2 m) high
17.4 Screen provided where necessary
Poor Excellent
XVII Wall Opening (Rating)
1 2 3 4 5 N/A

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
87
 No. CSM 602.01
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

I. Safety Meeting
Does the contractor periodically conduct safety
1.1
meeting?
Does the contractor periodically conduct
1.2
toolbox meeting?
Is safety meeting recorded, documented and
1.3
reported?
Is Toolbox meeting recorded and documented?
1.4

Are safety meeting topics related with the job

1.5
being performed?
I. Safety Meeting (Rating) Poor Excellent
1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 602.02

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

II. Safety Inspections

Does the contractor Project manager conduct
2.1
safety inspections on a periodic basic?
Does the contractor Supervisor conduct safety
2.2
inspections on a daily basic?
Are documents (typical Checklist attached) of
2.3
safety inspections on file and available?
2.4 Follow up actions of safety inspection results
Poor Excellent
II. Safety Inspections (Rating)
1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

88 PT Vale Indonesia Tbk
No. CSM 602.03
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

III. Safety Promotion

Is Contractor's management commitment to
3.1 campain and demonstrated through their
employees safety attitude and performance?
Does the contractor's management actively
3.2 demonstrate support for improved safety
program? PM shall validate this program to employee
Poor Excellent
III. Safety Promotion (Rating)
1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

No. CSM 602.04

Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

IV. Supervisory / Employee Safety Communication

Are the Contractor's employees able to
4.1 communicate all EHS issues to their
management?
Are the Contractor's supervisor able to identify
4.2 all EHS issue and communicate to their
employee?
Are on- the job and off - the job safety
4.3
communications links established?
Supervisory / Employee Safety Communication Poor Excellent
VI.
(Rating) 1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
89
 No. CSM 602.05
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

V. Emergency Drill and Exercise

Do the Contractor's employees conduct or
5.1
participate in emergency drill and exercises?
Are the Contractor's supervisor familiar with
5.2
their role in an emergency?
Do the Contractor's employees know where to
5.3
report in an emergency?
Poor Excellent
V. Emergency Drill and Exercise (Rating)
1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

90 PT Vale Indonesia Tbk
No. CSM 602.06
Rev. 0 (Sep 2013)
SAFETY INSPECTION CHECKLIST

NO. ITEM YES NO N/A REMARKS

VI. Accident, Incident Investigation / Reporting

Are all accidents/incidents investigated to
6.1 determine their cause, and is corrective action
taken?
Are all incidents, accident and near misses
6.2
reported to PTVI immediately?
Does the contractor have a written
6.3
accident/incident investigation procedure?
6.4 Is a report completed for :
6.4.1 Fatalities?
6.4.2 Recordable accidents?
6.4.3 Transport Incident?
6.4.4 Equipment damage?
6.4.5 Spills?
6.4.6 Fires?
6.4.7 Near misses?
6.4.8 Contractor injury resulting from PTVI
action or equipment?
Is the Contractor involved in an
6.5 accident/incident investigation team and follow-
up?
Does the Contractor develop a monthly
6.6 statistical summary (typical form attached)
that illustrates its safety performance?
Accident, Incident Investigation / Reporting Poor Excellent
VI.
(Rating) 1 2 3 4 5

Contractor Reps: ___________________________________ PT Vale Indonesia Reps: ______________________________

(Name / Date) (Name / Date)

CONTRACTOR SAFETY MANAGEMENT SYSTEM

PT Vale indonesia Tbk
91
 APPENDIX H – Periodic Evaluation

CONTRACTOR SAFETY MANAGEMENT SYSTEM

92 PT Vale Indonesia Tbk
CONTRACTOR SAFETY MANAGEMENT SYSTEM
PT Vale indonesia Tbk
93
 CONTRACTOR SAFETY MANAGEMENT SYSTEM
94 PT Vale Indonesia Tbk
PT Vale Indonesia Tbk

Kantor Pusat
Plaza Bapindo - Citibank Tower 22nd Floor
Jl. Jendral Sudirman Kav. 54-55
Jakarta 12190 - Indonesia
Telp. (021) 5249000 Fax: 5249020

Kantor Operasional Sorowako

Jl. Ternate 44, Pontada
Sorowako, Nuha, Luwu Timur
Sulawesi Selatan 92984
Telp. (021) 5249100

Kantor lain
Jl. Somba Opu 281
PO BOX 1143
Makassar Sulawesi Selatan 90001
Telp. (021) 5249533

www.vale.com/indonesia