(MERP) Dimas Utama - Genting Oil Papua MAR 11

MEDICAL EMERGENCY RESPONSE PROCEDURE (MERP)
DIMAS UTAMA, PT
GENTING OIL PROJECT
Kasuri, Teluk Bintuni, Papua, Indonesia
Latitude : 002 28 50.843 S Longitude : 133 16 26.492 E
Version No. Version 0.1
Drafted By Jakarta, Indonesia
Reviewed By Dr. Georg Huth
Date th 14 MAR 2011
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA
Table of Contents
1 2 Medical Emergency Response Procedure (MERP) Summary Background Information 2.1 Geographic Location 2.2 Medical Infrastructure 2.3 Site Transportation Facilities and Procedures Evacuation Staging 3.1 Alert and Stabilization 3.2 Authorization 3.3 Evacuation 3.4 Responsibilities and Duties 3.4.1 Site Medical Teams Duties 3.4.2 International SOS Duties Evacuation Support Logistics 4.1 Phase One: Primary Evacuation 4.1.1 Facility Destination Preferred Health Providers for Emergency Care 4.1.2 Transportation 4.1.2.1 Air: Rotary Wing 4.1.2.2 Ground 4.1.3 Other 4.1.3.1 Airport Information 4.1.3.2 Port Information 4.2 Phase Two: Secondary Evacuation 4.2.1 Facility Destination Preferred Health Providers for Emergency Care 4.2.2 Transportation 4.2.2.1 Air: Fixed Wing 4.2.2.2 Air: Commercial Carrier 4.2.3 Other 4.2.3.1 Airport Information Airports of Entry 4.2.3.2 Logistics, Immigration and Health Authority Requirements Main Organizational Contact Details 5.1 Dimas Utama, PT 5.1.1 Authorized Person (AP) 5.1.2 Other Company Contacts 5.2 International SOS 5.2.1 Operational Escalation 5.2.2 Account Management Appendix I Medical Report Form Appendix II Medical Inventory
6 7
1.
MEDICAL EMERGENCY RESPONSE PROCEDURE (MERP) SUMMARY

Project Details Medical Staffing: Doctor stands by on site Name: Dr. Djoko (based on rotation) Mobile: +62 813 3260 9034 Languages Spoken: Indonesia & English Employer: Intl. SOS Site Population: + 130 personnel Helipad: Yes, dimension: rated for Bell 412 Local Transport Assets: Yes, helicopter Bell 412 Transport Coordinator Contact Numbers: Kevin Hermiston Rig Superintendent Tel: +62 858 8052 7372 Email: k-driller@yahoo.com SAT Phone Number: Direct medical tel: +62 (21) 8370 0452 Direct medical fax: +62 (21) 8370 0451 Direct medical email: jtbrit1950@yahoo.com Authorized Person (AP) Contact Details 1. Kevin Hermiston Rig Superintendent Tel: +62 858 8052 7372 Email: k-driller@yahoo.com 2. J Thomas Brittain Rig Manager Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451 Mobile: +62 811 897 583 3. Ilyas Syaiful Head Drilling Division Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451 Mobile: +62 813 6764 0607 Email 1: ilyassyaiful@dimasutama.com Email 2: syaiful.ilyas@yahoo.com 4. Jack Sianturi HSE Manager Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451 Mobile: +62 812 8110 2822 Email: jackmsianturi02@yahoo.co.uk Responsibilities of Site medical staff
1. 2. 3. 4. 5. Provide immediate first aid and emergency care. Explain problem / request for assistance to International SOS. Complete Medical Report Forms. Follow up phone call with verbal and written updates. Provide patient escort if necessary.
Injury or illness occurs and results in need for medical advice, urgent medical referral or emergency medical evacuation.
Site medical staff activates local primary Emergency Response Plan (ERP) as required and contacts the International SOS Alarm Center.
International SOS Coordinating Doctor (CD), Site medical staff and Dimas Utama Authorized Person (AP) discuss case and decide on Plan of Action.
Emergency Evacuation
1. Patient to be brought to Babo / Sorong / Ambon by locally available means of transport. (International SOS will direct onsite and off-site logistics as available). 2. International SOS to organize onward mode of transport by ground or air ambulance from airport to nearest hospital for stabilization or continued care. 3. Travel necessities (passport, visa, documents, clothing etc) to be organized by local management. 4. International SOS to liaise with local providers to facilitate admission under appropriate specialist and immediate care. 5. International SOS to guarantee payment at hospital/s to expedite admission. 6. International SOS to monitor care and update Dimas Utama management on condition of patient and next medical steps as required.
Urgent Referal
1. Patient will stay on Site until appropriate transfer can be arranged. 2. Company to move patient by next available transport to nearest appropriate medical facility. 3. Travel necessities (passport, visa, documents, clothing etc) to be organized by local management. 4. Inpatient admission required; a) International SOS to organize and liaise with local providers to facilitate admission and further care. b) International SOS to arrange guarantee of payment at hospital if required. c) International SOS to monitor Care and update Dimas Utama management as required. Outpatient assessment a) International SOS to organize and liaise with appropriate medical provider to facilitate assessment. b) International SOS to guarantee payment to the doctor / clinic as authorized by Dimas Utama. c) International SOS to monitor care and update Dimas Utama management on fitness to return to work or sick leave required as appropriate.
Responsibilities of Dimas Utama

1. 2. 3. 4. 5. 6. Provide callers name, location, contact telephone and coordinates (and course and speed as relevant). Provide patient name, nationality and passport details and facilitate transmission of doctor report. Prepare passport and travel docs as necessary. Advise next of kin (NOK) as appropriate. Facilitate International SOS access to medical records and insurance cover where appropriate. Make local transport assets / vehicles, aircraft etc. under companys control available for first stage of evacuation. Prepare and maintain Site Emergency Response Plan.
Primary Intl. SOS 24/7 Alarm Centre Contact Details: Jakarta AC Tel: +62 (21) 750 6001 (Ask to speak to the Coordinating Doctor on duty) Email: aeajkt01@internationalsos.com Secondary Intl.SOS 24/7 Alarm Centre Contact Details: Singapore AC Tel: +65 6338 7800 Email: sin.medical@internationalsos.com
7.
Responsibilities of International SOS

1. 2. Give immediate medical advice on clinical management over the phone if appropriate. Assess the situation and recommend whether the patient should be treated on Site or be evacuated to nearest hospital. Ensure any ground transfer arrangements are in place and confirmed. Organize immediate medical attention in the appropriate medical facility. Organize onward evacuation if required. Keep Authorized Persons updated on the case.
3. 4.
Client Name: DIMAS UTAMA Membership No: 05AAPA000160 Membership Type: PROJECT MEMBERSHIP
5. 6.
2.
2.1.
BACKGROUND INFORMATION
GEOGRAPHIC LOCATION
Dimas Utama, PT, operating partner of Genting Oil, is conducting drilling exploration located in Kasuri, Teluk Bintuni, Papua, Indonesia; nearest city Sorong and nearest recommended city is Ambon. The project has workforce of approximately 130 personnel on site. SITE COORDINATE Latitude : 002 28 50.843 S Longitude : 133 16 26.492 E
MAP OF SITE LOCATION
MAP OF MEDICAL EVACUATION PLAN
2.2.
MEDICAL INFRASTRUCTURE
International SOS Doctor stands by one site based on rotation; Doctor is supported with medical inventory as listed in Appendix II.
2.3.
SITE TRANSPORTATION FACILITIES AND PROCEDURES
In case of emergency, patient can be brought to Sorong provided by Genting Oil. If needs further treatment, patient can be brought to Ambon as recommended city and will be transferred to medical facilities in Ambon. Helipad is available on site. Helipad location: Helipad dimension: Night landing possible: Aviation Navigation Beacon / NDB or similar: Nagote Rated for Bell 412 NO NO
3.
3.1.
EVACUATION STAGING
ALERT AND STABILIZATION 3.1.1. WHO TO ALERT
Primary International supporting Site Jakarta Alarm Centre
Alarm
Centre
24/7
Tel: +62 (21) 750 6001 Fax: +62 (21) 750 6002 / 3 Email: aeajkt01@internationalsos.com
Secondary International Alarm Centre 24/7 supporting Site Singapore Alarm Centre
Tel: +65 6338 7800 Fax: +65 6338 7611 Email: sin.medical@internationalsos.com
Immediately call International SOS Jakarta Alarm Centre in the event of serious illness or injury. If for any reason, contact cannot be made with International SOS Jakarta Alarm Centre, the secondary International SOS Alarm Center can be contacted (or any other International SOS Alarm Center as necessary). Your message will be passed to the appropriate Alarm Center. NOTES: Due to the progressively worsening nature of some medical conditions and the logistical complexities of remote Site operations, call EARLY. At the time of the first call, a two-week travel history on the patient must be communicated, especially but not only if the patient has a febrile or respiratory tract illness.
3.1.2. HOW TO ALERT

Communication by telephone, and confirmation by fax or email. Information to be provided: Name and location of the caller. Name of the patient (and the company the patient works for if not Dimas Utama, PT). Nationality of the patient and location of patients passport. Brief description of the medical problem.
NOTES: Use Appendix 1 Medical Report Form and fax or mail to International SOS.
3.1.3. STABILIZATION ON SITE

The International SOS Alarm Center Coordinating Doctor (CD) will advise on how to stabilize patient and to prepare them for medical evacuation if required. Site medical team must manage the patient for the duration prior to movement off site. This period will depend on the available rescue logistics. A recommendation regarding the need, mode and destination of evacuation will be undertaken by the International SOS Coordinating Doctor (CD) in conjunction and will be based on patient's condition, location and local logistics. 7
3.2.
AUTHORIZATION
Dimas Utama, PT Authorized Person (AP) must confirm their agreement and authorize any cost that may be incurred for the evacuation and for any subsequent hospitalization costs. Refer to Authorized Person (AP) listing in Section 5.1.
3.3.
EVACUATION
Evacuation will occur in one or two phases: Phase One: Primary Evacuation If evacuation is recommended, the patient should be transferred using the Site medical team to the nearest medical facility. Mode of transport will be selected on a case-by-case basis, using either the sites transport assets (the fastest response), or third-party providers appropriate for the case in the area. The nearest medical facility may not be and in remote areas usually will not be the medical facility best suited for the patients definitive treatment. International SOS may have administrative agreements with these hospitals and providers to assist with the admission of patients and guarantee of payments but this does not mean these hospitals are credentialed by International SOS to international standards or the standards of International SOS. International SOS members are always strongly advised to contact the Intl SOS designated Alarm Centre as early as possible so the most appropriate medical facility for both first care and definitive care can be advised on a case by case basis. Medical facilities recommended only for initial admission and stabilization prior to onward transfer for the more serious cases may be appropriate for definitive care of less serious cases but in any case only represent the best locally available option. Onward referral to a regional centre of medical excellence will be recommended on a case by case basis by the International SOS Medical Team. International SOS cannot be hold liable for any consequences resulting from treatment received at any hospitals.
Phase Two: Secondary Evacuation Secondary evacuation is the movement from the primary receiving facility to a medical facility in another location for the purposes of providing definitive care. The most common modes of secondary evacuation depend on medical and logistical criteria as well as resources available: 1) Air Ambulance: Air ambulance directly to nearest center of medical excellence if recommended by the International SOS Coordinating Doctor (CD). This option will be recommended for serious medical condition if adequate medical care cannot be provided at local facility.
2) Commercial Carrier: Patient transfer on a scheduled flight if available and if patient fit to fly (to be decided by the International SOS Coordinating Doctor (CD) and the Treating Doctor). International SOS will facilitate the travel arrangements, including airline medical clearance and medical escort as necessary.
SITE SPECIFIC EVACUATION SCENARIOS In case of emergency, patient will be brought to Sorong as a nearest point of stabilization or directly transfer to Ambon as nearest recommended city and will be transferred to nearest medical facilities (please refer to section 4.1.1). 8
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Secondary evacuation will be to Jakarta or Singapore depending on patient condition and usual country of residence. International SOS will recommend transfer and arrange as instructed.
Evacuation from Site to Sorong by helicopter: Helicopter origin : Sorong Helicopter type : Bell 412 Helipad dimension : Rated for Bell 412 Night landing possible : NO Aviation Navigation Beacon / NDB or similar : NO Seating capacity : 12 passengers (seats can be detached and replaced with a bracket for stacking 3 stretchers) Activation time : + 2 hours Flight time : From Site to Sorong: + 2 hours NOTES: Even in a medical emergency, we may not be able to move patients across a border if they don't have a passport and entry / exit visa; because immigration authorities won't allow; so it is a good idea in a patient's interests that he always has his passport with him (and if the patient is incapacitated, someone else on board needs to know where to find the passport in an emergency, and the passport is not locked away inaccessible). Even in a medical emergency, a country may not allow a patient entry if the country immigration regulations do not allow for an emergency visa for certain nationalities. All emergency responses are on a best effort basis; if a helicopter is not available, if the weather not allow safe flying or a safe voyage, if an airport is closed due to runway maintenance, absence of lighting, staffing restrictions, if a particular aircraft is not available because the pilots have exceeded their safe flying time, there may be unavoidable delays. Government health regulations / laws must be followed; if a patient is sick with an infectious disease and health authorities do not allow the transport of the patient either locally, regionally or internationally, then that is also force majeure. For a secondary medical evacuation, if you want us to move the patient to a place that speaks his language or where he is culturally more comfortable, even if it is not the nearest centre of medical excellence, we will do that upon request, as long as it's medically safe. If the patient has first been moved offsite to a local hospital, secondarily transferred to a regional centre of medical excellence, and finally wants to go back to the home country, we can do that on a normal aircraft if the condition permits and the airline allows.
3.4.
RESPONSIBILITIES AND DUTIES 3.4.1. SITE MEDICAL TEAMS DUTIES

To alert the International SOS Alarm Center as early as possible. To make local transport assets available for the primary transfer. To prepare patient's travel documents (passport, visa if required, etc).
3.4.2. INTERNATIONAL SOS DUTIES

Provide medical advice and assistance over the phone. Recommend whether patient should be treated on Site or be evacuated directly to the nearest suitable location. Liaise with Dimas Utama, PT to monitor the situation and coordinate the medical evacuation. Confirm to Dimas Utama, PT the estimated mission timings, organize medical assessment / admission in the appropriate medical facility and to guarantee all payments on behalf of Dimas Utama, PT based on approval from Authorized Person (AP). Continue to medically monitor and update Dimas Utama, PT at each stage.
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4.
4.1.
EVACUATION SUPPORT LOGISTICS

PHASE ONE: PRIMARY EVACUATION 4.1.1. FACILITY DESTINATION PREFERRED HEALTH PROVIDERS FOR EMERGENCY CARE
SORONG
Provider Name: Address: Telephone number: RS Mutiara Jl. Maleo No. 2, Sorong, West Papua, Indonesia +62 (951) 324 593 (Hospital) + 62 (951) 332 061 (Pharmacy) Medical contact: 1. Dr. Hj. Paimah (Medical Director) 2. Mr. Farid Saumangun (General Affairs) +62 (951) 327 433 24 hours? Operating hours: Yes ADM: 08.00 17.00 RS Mutiara is a private general hospital and has 42-bed facility located within 15 minutes by road from Sorong Airport. They have a Diagnostic USG 3D. Laboratory is cooperated with the clinic nearby hospital, but No x-ray available. Specialists consist of Visiting Specialists from RSU Kabupaten Sorong such as a General Surgeon, Pediatrician, Ob-Gyn and Internist. They have 1 Surgeon and 1 Ob-Gyn practitioner and also Pediatrician full time and 7 General Practitioners. ER 24 hours with GP stand by and 1 ambulance (type: Mitsubishi).
Facsimile number: Facilities:
Notes: - Traveling time from RS Mutiara to Dominique Eduard Osok Airport in Sorong will take + 15 minutes by Ambulance.
AMBON
Provider Name: Address: Telephone Number: Facsimile Number: Facilities: Sumber Hidup (GPM Ambon) Hospital Jl. Anthonie Rhebok No. 11, Ambon 97128, Maluku, Indonesia +62 (911) 352 373 ( Information) +62 (911) 347 540 This hospital was built in July 1945 as maternity clinic by a Foundation of The Maluku Protestant Mission Church, and was announced as a hospital since 1990. They have 74-beds.
Operating Hours:
24 hours
Notes: - Traveling time from Sumber Hidup Hospital to Pattimura Intl. Airport will take + 30 minutes by road. 11
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Provider Name: Address: Telephone Number: Facsimile Number: Facilities: Dr. M. Haulussy, Ambon Public Hospital Jl. Dr. Kayadoe No. 41, Kuda Mati, Ambon 97116, Indonesia +62 (911) 353 595 +62 (911) 353 595 This is a government hospital and the largest hospital in Ambon, located in the central city. They have 353-bed capacity. Facilities consists of ER 24 hours with GP on stand by, 2 ambulances, wards, ICU, Pernatology ward, Laboratory, MCU and Rehabilitation Medic. They have quite complete Specialists, i.e: Intermal Medicine, General Surgeon, Ob-Gyn, Pediatrician, Anesthsiologist, Pulmonologist, Radiologist, Rehabilitation Medic, ENT, Neurologist, Opthalmologist and Dermatologist. Diagnostics available are X-ray, USG and Endoscopy and CT Scan.
Operating Hours:
24 hours (A&E Dept), Back office: 08.00 14.00
Notes: - Traveling time from Dr. M. Haulussy, Ambon Public Hospital to Pattimura Intl. Airport will take + 30 minutes by road. NOTES: The abovementioned hospitals are by administrative agreement only to assist with the admission of patients and guarantee of payments. These hospitals, their ambulances, and their other ancillary services are not credentialed by International SOS to international standards or the standards of International SOS. International SOS members are strongly advised to contact the Jakarta Alarm Centre as early as possible and the most appropriate medical facility will then be advised on a case by case basis. The above medical facilities, their ambulances, and their other ancillary services are only recommended for initial transport, admission and stabilization prior to onward transfer for the more serious cases; they may be appropriate for definitive care of less serious cases. They usually represent the best locally available option. Onward referral to a regional centre of medical excellence will be recommended on a case by case basis by the Jakarta Alarm Centre. International SOS cannot be held liable for any medico-legal consequences resulting from treatment received at any of these hospitals, including but not limited to the patient handling in their ambulances and any of their other ancillary services.
4.1.2. TRANSPORTATION
NOTES: 1. This section includes local transport assets based on or near the site under the control of the client(s) or subcontractors, as well as transport options available through third-party providers which International SOS considers feasible options. Client to please provide necessary detail on how and where transport assets under the clients control or that the client is aware of i.e. any and all site transport assets, can be mobilized to support patients movement off site, as well as the capacity of a particular vehicle for a patient or patients. 2. Such options and information must always include details of how, and how often, crew changes and resupply trips are effected, as well as the casualty capacity of the boat or helicopter, their port(s) of origin and destination, their 24-hour access, and whether in the case of a helicopter the cabin dimensions allow for the placement of a victim of illness or injury in an industry-standard Ferno basket stretcher: 12
Stretcher weight 23 lbs Stretcher Load Limit 600 lbs Stretcher Width 24 in 61 cm 272 Kg 10 Kg
Height (without patient inside) 8 in Stretcher Length 86 in 218 cm 19 cm
4.1.2.1.
AIR: ROTARY WING
Rotary wing aircraft (Helicopter), capable of stretcher are available in Sorong. Although some of those helicopters are able to be fitted with industrial type of winches, International SOS does not have equipment or experience to support helicopter winching of patients. Available helicopter in Sorong include, but are not limited to the following models: Helicopter Type / Model: Asset Location: Contact Details: Bell 412 Sorong Kevin Hermiston Rig Superintendent Tel: +62 858 8052 7372 Email: k-driller@yahoo.com This helicopter is dedicated for this project Genting Oil Ltd. Jakarta 12 passengers (seats can be detached and replaced with a bracket for stacking 3 stretchers) 2 hours 24 hours NUH of Balikpapan From Rig to Sorong: + 2 hours
Notes: Provider Name: Provider Location: Medical Configuration: Activation Time: Availability: Operator: Flight Time:
4.1.2.2.
AIR: COMMERCIAL CARRIER
There are several commercial flights with daily schedule from Sorong to Jakarta and vice versa by Garuda Indonesia Airways / Merpati Airlines and Ambon to Jakarta and vice versa by Garuda Indonesia Airways / Lion Air / Batavia Air. However, none of these airlines (except Garuda Indonesia Airways) will accommodate for the domestic sectors a patient on a stretcher and / or a patient who requires oxygen, or a patient who cannot use the seat in the full upright position for takeoff and landing. If stretcher or oxygen is required on Garuda Indonesia Airways, this may take 48 72 hours to arrange during working days and may not at all be available on weekends and public holidays. 13
4.1.3. OTHER 4.1.3.1.

SORONG PAPUA
Name: Coordinate Location: Country: ICAO Identification: IATA Identification: Address: Contact Details: Dominique Eduard Osok Domestic Airport Latitude: 00 53' 42.64" S Longitude: 131 17' 07.59" E Indonesia WASS SOQ Jl. Selat Sunda, Sorong 98415, West Papua, Indonesia Tel: +62 (951) 326 061, +62 (951) 322 970 Tower Contact person: Mr. Herry (Mob. +62 811 498670) Mr. Sigit, Mr. Akila Nearest City: Time Zone (UTC): Operating Hours: International Clearance Status: Fuel Availability: Communications: Elevations: Runways: Sorong UTC+9 06.00 17.00 local time (No night facility) N/A Nearest CIQ: Biak N/A EDWARD TWR 3 meters (10 feet) ID: 09/27 Dimensions: 1850 x 27 meters (6070 x 90 feet) Surface: ASPHALT PCN: 030FCYT ILS: NO 122.4
AIRPORT INFORMATION
AMBON MALUKU
Name: Coordinate Location: Country: ICAO / IATA Identification: Address: Contact Details: Pattimura Intl. Aiport Latitude: 003 42' 36.95" S Longitude: 128 05' 20.89" E Indonesia WAPP / AMQ Jl. Leimena Laha, Ambon 97236 Maluku, Indonesia Tel: +62 (911) 347 697 Fax: +62 (911) 361 691 Control Tower: +62 (911) 361561ext. 318 / 319 Ambon UTC+9
Nearest City: Time Zone (UTC):
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Operating Hours: International Clearance Status: Fuel Availability: Communications: 07.00 17.00 Airport of Entry NC-100, A1 TWR AMBON INFO 122.2 8918 5550 6544 2956 11309 125.4 121.0
ATIS AMBON APP Elevations: Runways:
10 meters (33 feet) ID: 04/22 Dimensions: 2500 x 45 meters (8202 x 148 feet) Surface: ASPHALT PCN: 068FCXT ILS: NO
4.2.
PHASE TWO: SECONDARY EVACUATION 4.2.1. FACILITY DESTINATION PREFERRED HEALTH PROVIDERS FOR EMERGENCY CARE
Country Centre of Medical Excellent (define by International SOS) JAKARTA

Provider Name: Provider Address: Switchboard Details: Facsimile Number: Website Address: Intl. SOS Medika Cipete Clinic Jl. Puri Sakti No. 10, Cipete, Jakarta 12410, Indonesia 24 hr Alarm Center: +62 (21) 750 6001 +62 (21) 750 6002 / 3 www.sosindonesia.com
Notes: - Traveling time from Intl. SOS Medika Cipete Clinic to Halim Perdana Kusuma Intl. Airport will take up + 1 hour 15 minutes by Ambulance. - Traveling time from Intl. SOS Medika Cipete Clinic to Soekarno-Hatta Intl. Airport will take up + 2 hours by Ambulance.
Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:
RS Medistra Jl. Jend. Gatot Subroto Kav. 59, Jakarta 12950, Indonesia +62 (21) 521 0200 / 521 0212 +62 (21) 521 0184 www.medistra.com Cardiology, Internal Medicine, Digestive Surgery, Orthopedic, Neurology, Neonatology, Urology, Tropical Infectious, Hemato-oncology, Pulmonology 15
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Notes: - Traveling time from RS Medistra to Halim Perdana Kusuma Intl. Airport will take up + 1 hour by Ambulance. - Traveling time from RS Medistra to Soekarno-Hatta Intl. Airport will take up + 1 hour 30 minutes by Ambulance.
RS Premier Bintaro (formerly RS Internasional Bintaro) Jl. M.H. Thamrin Blok B3 No. 1, Sektor 7, Kawasan Niaga Bintaro Jaya, Tangerang, Banten, Indonesia +62 (21) 745 5500 / 745 5600 / 745 5700 +62 (21) 745 5800 / 748 60914 www.rs-internasionalbintaro.com Orthopedic, Gastro-entero-hepatology, Rehabilitation Medicine, Digestive Surgery, Sports Medicines, Spine Center, Urology, Pediatric Neurology
Notes: - Traveling time from RS International Bintaro to Halim Perdana Kusuma Intl. Airport will take up + 1 hour 45 minutes by Ambulance. - Traveling time from RS International Bintaro to Soekarno-Hatta Intl. Airport will take up + 1 hour 30 minutes by Ambulance.
RS Pondok Indah Jl. Metro Duta Kav. UE, Pondok Indah, Jakarta 12310, Indonesia +62 (21) 765 7525 +62 (21) 769 2252 +62 (21) 750 2324 www.rspondokindah.co.id Digestive Surgery, Orthopedic, Neurosurgery, Cardiology, Gastro-enterohepatology, Pediatric Surgery, Tropical Infectious, Thorasic Surgery, Pediatric Neurology, Pediatric Urology, Endocrinology, Hemato-oncology, Pulmonology, Knee & Shoulder Clinic
Notes: - Traveling time from RS Pondok Indah to Halim Perdana Kusuma Intl. Airport will take up + 1 hour 30 minutes by Ambulance. - Traveling time from RS Pondok Indah to Soekarno-Hatta Intl. Airport will take up + 2 hours by Ambulance.
RS Siloam Lippo Karawaci Jl. Siloam No. 6, Lippo Karawaci 1600, Tangerang 15811, Banten, Indonesia +62 (21) 546 0066 (A&E) +62 (21) 546 0055 www.siloamhospitals.com Neurosurgery, Cardiology, Neurology, Orthopedic, Vascular Surgery, Pediatric Neurology
16
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Notes: - Traveling time from RS Siloam Lippo Karawaci to Halim Perdana Kusuma Intl. Airport will take up + 2 hours by Ambulance. - Traveling time from RS Pondok Indah to Soekarno-Hatta Intl. Airport will take up + 1 hour by Ambulance.
NCOME (Regional Center of Medical Excellence defined by Intl. SOS) SINGAPORE

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty: Raffles Hospital Pte. Ltd. 585 North Bridge Road, Singapore 188770 +65 6311 1111 +65 6311 1555 (Emergency 24 hours) +65 6311 2136 +65 6311 1162 (Emergency 24 hours) www.raffleshospital.com General and Intensive Care
Notes: - Traveling time from Raffles Hospital Pte. Ltd. to Seletar Intl. Airport will take up + 30 minutes by Ambulance. - Traveling time from Raffles Hospital Pte. Ltd. to Changi Intl. Airport will take up + 30 minutes by Ambulance.
Singapore General Hospital Outram Road, Singapore 169608 +65 6222 3322 +65 6224 9221 www.sgh.com.sg Burns Cases
Notes: - Traveling time from Singapore General Hospital to Seletar Intl. Airport will take up + 20 minutes by Ambulance. - Traveling time from Singapore General Hospital to Changi Intl. Airport will take up + 20 minutes by Ambulance.
Gleneagles Hospital 6A Napier Road, Singapore 258500 +65 6473 7222 +65 6470 5688 (Emergency 24 hours) +65 6475 1832 www.gleneagles.com.sg Intensive Care, Neurosurgery, Cardiothoracic 17
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Notes: - Traveling time from Gleneagles Hospital to Seletar Intl. Airport will take up + 30 minutes by Ambulance. - Traveling time from Gleneagles Hospital to Changi Intl. Airport will take up + 30 minutes by Ambulance.
Provider Name: Provider Address: Telephone:
Mount Elisabeth Hospital 3 Mount Elizabeth Road, Singapore 228510 +65 6737 2666 +65 6731 2218 / 19 (A&E) +65 6473 2222 (Ambulance) +65 6737 1189 www.mountelizabeth.com.sg Intensive Care, Neurosurgery, Cardiothoracic
Facsimile: Web Address: Specialty:
Notes: - Traveling time from Mount Elisabeth Hospital to Seletar Intl. Airport will take up + 30 minutes by Ambulance. - Traveling time from Mount Elisabeth Hospital to Changi Intl. Airport will take up + 30 minutes by Ambulance.
4.2.2. TRANSPORTATION 4.2.2.1. AIR: FIXED WING
Suitable turbo-prop and jet-engine fixed wing aircraft are available in Jakarta, Bali and Singapore, and will be activated based on availability at the time needed. These include but are not limited to the following aircraft types. Aircraft Type / Model: Asset Location: Medical Configuration: Activation Time: Availability: Operator: Point of Contact: Contact Details: Flight Time: N/A Lear 35 Singapore Seletar 1 stretcher 2 3 hours 24 hours AAR Jakarta Alarm Centre +62 (21) 750 6001 Piaggio P 180 Avanti Jakarta Halim 1 stretcher 2 3 hours 24 hours Susi Air Jakarta Alarm Centre +62 (21) 750 6001 Sorong to Jakarta + 8 hours Ambon to Jakarta N/A + 4 hours 45 minutes Ambon to Singapore + 3 hours 30 minutes 18 + 5 hours 25 minutes + 5 hours 20 minutes + 4 hours 40 minutes + 8 hours Embraer 120 Jakarta Halim 1 stretcher 2 3 hours 24 hours Premiair Jakarta Alarm Centre +62 (21) 750 6001
MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA Jakarta to Singapore + 1 hour 20 minutes + 2 hours + 1 hour 55 minutes
NOTES:
At the time of writing, none of the audited providers in Jakarta have an aircraft available for spot charter, and availability would need to be rechecked on a case-by-case basis at the time.
4.2.2.2.
AIR: COMMERCIAL CARRIER
There are several commercial flights with daily schedule from Jakarta to Singapore by Garuda Indonesia Airways or Singapore Airlines. If a stretcher or oxygen is required on Garuda Indonesia Airways, this may take 48 72 hours to arrange during working days and may not at all be available on weekends and public holidays. Further details can be obtained from the relevant International SOS Alarm Center.
4.2.3. 4.2.3.1.
JAKARTA
Name: Coordinate Location: Country: ICAO Identification: IATA Identification: Address: Contact Details:
OTHER AIRPORT INFORMATION AIRPORT OF ENTRY
Halim Perdana Kusuma International Airport Latitude: 06 15' 59.79" S Longitude: 106 53' 28.02" E Indonesia WIHH HLP East Jakarta 13610, Indonesia Tel: +62 (21) 809 1108 Fax: +62 (21) 809 3351
Soekarno Hatta International Airport Latitude: 06 07' 32.04" S Longitude: 106 39' 21.23" E Indonesia WIII CGK Cengkareng 19101, Banten Tel: +62 (21) 550 5307 9, 550 1720 Fax: +62 (21) 550 2141 OIC: +62 (21) 550 5785 Control Tower: available upon request Ground Handling (JAS): (Adi L.) Tel: +62 (21) 550 7339 / 7089 Fax: +62 (21) 43585 Web Address: http://www.angkasapura2.co.id
Nearest City: Time Zone (UTC): Operating Hours: International Clearance Status: Fuel Availability:
Jakarta UTC+7 24 hour operation Airport of Entry Jet A1, without icing inhibitor
Jakarta UTC+7 24 hour operation Airport of Entry Jet A1, without icing inhibitor
19
Communications: TWR JKT DIRECTOR ATIS Opr 2300-1600Z JKT ARR Opr 0000-1200Z, OT ctc APP JKT APP 118.3 119.7 120.0 128.8 125.45 135.9 119.75 127.95 127.9 TWR PABELOKAN INFO 2300-1100Z and O/R GND JKT CENTRAL INFO 2300-1100Z and O/R CLNC DEL (Btn 1200-2359Z ctc GND 121.6) ATIS JKT ARR Opr 0000-1200Z, OT ctc APP JKT APP 118.75 118.2 129.8 121.6 121.75 129.7
121.95
126.85 125.45 135.9 119.75 127.95 127.9
Elevations: Runways:
26 meters (84 feet) ID: 06/24 Dimension: 3000 x 45 meters (9843 x 148 feet) Surface: Asphalt PCN: 086FCXT ILS: YES
10 meters (34 feet) ID: 07R/25L Dimensions: 3660 x 60 meters (12008 x 197 feet) Surface: Concrete PCN: 120RDWT ILS: YES ID: 07L/25R Dimensions: 3600 x 60 meters (11812 x 197 feet) Surface: Concrete PCN: 120RDWT ILS: YES
SINGAPORE
Name: Coordinate Location: Country: ICAO Identification: IATA Identification: Address: Contact Details: Seletar International Airport Latitude: 001 25' 01.02" N Longitude: 103 52' 03.55" E Singapore WSSL XSP Building 556 West Camp Road Seletar Camp 797794, Singapore Tel: +65 6481 0017 Fax: +65 6481 1190 Email: ignatius_ng@caas.gov.sg Web Address: www.caas.gov.sg Changi International Airport Latitude: 001 21' 00.68" N Longitude: 103 59' 39.96" E Singapore WSSS SIN PO Box 1 Singapore 918141 Tel: +65 6541 2416 / 2417 Web address: www.changiairport.com.sg
20
Nearest City: Time Zone (UTC): Operating Hours: International Clearance Status: Fuel Availability: Communications: Singapore UTC + 8 24 Hours Airport of Entry NC-100LL, A1 TWR 118.45 130.2 270.4 121.6 120.3 124.6 Singapore UTC + 8 24 Hours Airport of Entry Jet A1, without icing inhibitor TWR 118.6 257.8 121.85 124.3 121.725 121.725 btn 1600-2400Z, E of trml 2 121.65 128.6 119.3 120.3
GND SINGAPORE APP/DEP
GND
CLNC DEL ATIS ARR APP/DEP Elevations: Runways: 11 meters (36 feet) ID: 03/21 Dimensions: 1592 x 46 meters (5223 x 151 feet) Surface: ASPHALT PCN: 032FCXU ILS: NO 7 meters (22 feet)
ID: 02C/20C Dimensions: 4000 x 60 meters (13123 x 197 feet) Surface: ASPHALT PCN: 072FBWU ILS: YES ID: 02R/20L Dimensions: 2748 x 59 meters (9015 x 195 feet) Surface: ASPHALT PCN: 072FBWT ILS: NO ID: 02L/20R Dimensions: 4000 x 60 meters (13123 x 197 feet) Surface: ASPHALT PCN: 072FBWU ILS: YES
4.2.3.2.
LOGISTICS, IMMIGRATION REQUIREMENTS
AND
HEALTH
AUTHORITY
It is the clients responsibility to prepare patient's travel documents (passport, visa if required, etc).
21
5.
5.1.
MAIN ORGANIZATIONAL CONTACT DETAILS

DIMAS UTAMA, PT 5.1.1. AUTHORIZED PERSON (AP)
Name:
Job Title:
Primary Numbers:
Secondary Number: -
Email Address:
Kevin Hermiston
Rig Superintendent
Tel: +62 858 8052 7372
k-driller@yahoo.com
J Thomas Brittain
Rig Manager
Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451
Mobile: +62 811 897 583
Ilyas Syaiful
Head Drilling Division
Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451
Mobile: +62 813 6764 0607
Email 1: ilyassyaiful@dimasutama.com Email 2: syaiful.ilyas@yahoo.com
Jack Sianturi
HSE Manager
Tel: +62 (21) 8370 0452 54 Fax: +62 (21) 8370 0451
Mobile: +62 812 8110 2822
jackmsianturi02@yahoo.co.uk
The company / caller will need to decide and inform Intl SOS at the time of any emergency call EITHER whether the company wish to wait until the companys insurers give authorization for costs to be incurred in assisting the patient OR whether the company will give direct authorization to Intl SOS: to ensure there is no delay caused by waiting for insurance approvals.
5.1.2. OTHER COMPANY CONTACTS

Office Contact Details Head office telephone number: Head office facsimile number: Site Contact Details Direct medical tel: Direct medical fax: Direct medical email: +62 (21) 8370 0452 +62 (21) 8370 0451 jtbrit1950@yahoo.com +62 (21) 8370 0452 54 +62 (21) 8370 0451
22
5.2.
INTERNATIONAL SOS 5.2.1. OPERATIONAL ESCALATION
Name Dr. Rene de Jongh International SOS Area Medical Director, Singapore Usman Qureshi International SOS Country Senior Operations Manager, Jakarta Febriani Ambarwulan International SOS Country Operations Manager, Jakarta Guillaume de SAINT BON International SOS Director of Transport Operations for Asia Pacific
Contact Details +65 6338 7800 +62 (21) 750 6001
+65 6338 7800
5.2.2. ACCOUNT MANAGEMENT

Name Primary Account Manager: Contact Details Name: Velicita Sintawardhani Tel: +62 (21) 7599 8969 Fax: +62 (21) 765 5953 Mobile: +62 811 870 1274 Email: velicita.sintawardhani@internationalsos.com Name: George Baptiste Tel: +62 (21) 7599 8960 Fax: +62 (21) 765 5953 Mobile: +62 811 962 0415 Email: george.baptiste@internationalsos.com
Regional Sales & Marketing Manager:
23
6.
APPENDIX I MEDICAL REPORT FORM

DIMAS UTAMA, PT
24
7.
APPENDIX II MEDICAL INVENTORY
LIST OF DRUGS AND DISPOSABLE

NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 DESCRIPTION OF GOODS MOSQUITO CLAMP CURVED SCISSOR 14CM SH/BL CURVED FORCEP ANATOMY 14CM FORCEP CHIRURGY 14CM KIDNEY DISH LARGE THERMOMETER DIGITAL TONGUE SPATEL S/S MOSQUITO CLAMP STRAIGHT SCISSOR BANDAGE TUFF CUT AQUA DEST PRO INJ ML25 BOX/120 COTTON BUD @100 PCS COTTON WOOL 100GR COTTON WOOL 100GR DARYANT-TULLE STERIL GZ BOX/10 ELASTIC BANDAGE 3" TENSOCREPE #72007-00 ELASTIC BANDAGE 4" TENSOCREPE #72083-17 FIRST AID AIR SPLINT SET/4 FLASH LIGHT GAUZE NON STERILE L (4X10) BOX/50 GAUZE NON STERILE M (4X8) BOX/50 GAUZE PAD 6,5X7CM PACK/100 GAUZE STERILE BOX/16" GLOVES STERIL 7,5 ANSELL BX/40 LEUCOPLAST 1"X4,5M 1622H BOX/10" LEUCOPLAST 2"X4,5M 1624 BOX/10 MICROPORE 1 INCH BOX/12 MICROPORE 2 INCH BOX/6 MITELA(TRIANGULAR BANDAGE) - L PACK/10 RAZOR "GILLETE II- GOAL" PACK/6 SODIUM CHLORIDE 0,9% SOL CC500 BOX/20 SOL ADMIN SET ADULT TSA BOX/50 SUT. MERSILK 3/0 W502H/W2511T SYRINGE 10ML BOX/100 TERUMO SYRINGE 1ML TB BOX/100 TERUMO SYRINGE 2,5/3ML BOX/100 TERUMO SYRINGE 5ML BOX/100 TERUMO WING NEEDLE 25G BOX/50 ADONA AC 17 AMP ML10/50MG /10 UNIT 3 1 2 2 1 2 1 3 1 20 2 3 1 3 5 5 4 1 1 1 2 5 3 1 2 2 2 5 1 5 5 1 25 10 25 50 1 10 QTY PCS PCS PCS PCS PCS PCS PCS PCS PCS VIAL PACK ROLL ROLL PCS PCS PCS SET PCS BOX BOX PACK BOX PAIR ROLL ROLL ROLL ROLL PACK PCS KOLF PCS PCS PCS PCS PCS PCS BOX AMP
25
39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 ADONA AC 17 TAB MG10 BOX/100 ADRENALIN/EPINEPHRINE 0.1% AMP 1CC BOX/100 AMINOPHYLLIN AMP 2.4% CC10 BOX/24 BETADINE SOL ML60 BOX/48 BETADINE SOL ML60 BOX/48 BURNAZIN CREAM GR35 BOX/56 BUSCOPAN TAB MG10 BOX/100 CAFERGOT TAB BOX/100 CEDOCARD TAB MG5 BOX/60 CHLORAETHYL SPRAY CC100 CHLOROQUINE TAB MG250 TIN/1000 DAKTARIN CREAM 10GR BOX/144 DEGIROL TAB BOX/100 DETTOL SOL CC50 BOX/48 DEXACAP TAB MG25 BOX/60 DOLONEUROBION TAB BOX/100 FELDENE GEL 0,5% GEL GR25 FOLIC ACID TAB MG5 BTL/2000 FULCIN TAB MG500 BOX/28 GENTAMERCK 80MG AMP BOX/6 IKADRYL VIAL 10ML BOX/30 ILIADIN NASAL SPR 0.05% CC10 INTERMOXIL 500 CAPS BOX/100 INTERMOXIL 500 CAPS BOX/100 LASIX TAB MG40 BOX/100 LIBRAX TAB BOX/100*CD MEDIAMER B6 TAB BOX/100 MEFINTER CAP MG500 BOX/100 MEPHAQUIN (LARIAM)TB MG250 IMP BOX/8 NEURALGIN TAB BOX/100 NEUROBION TAB BOX/250 NEW DIATABS TAB MG600 BOX/100 PANADOL CAPLET MG500 BOX/100 PANKREOFLAT TAB BOX/100 PANTOCAIN 0.5 % EYE ML15 PHAROLIT POW CC200 BOX/60 PRIMPERAN TAB MG10 BOX/100 SANGOBION CAP BOX/250 SOFRADEX EYE / EAR DROP CC8 SOLUMEDROL 125MG VIAL STESOLID 10MG/2ML BOX/5*CD STESOLID SUPP MG10 BOX/5*CD THROMBOPHOB GEL GR20 ULTRAPROCT N CR GR10 100 3 3 3 2 3 50 10 60 2 100 10 100 1 30 100 5 100 28 3 3 3 100 100 20 20 60 100 72 100 60 40 100 100 3 30 10 50 5 3 3 3 10 12 TAB AMP AMP BTL BTL TUBE TAB TAB TAB BTL TAB TUBE TAB BTL TAB TAB TUBE TAB TAB AMP VIAL BTL CAP CAP TAB TAB TAB CAP TAB TAB TAB TAB CAP TAB BTL SACH TAB CAP BTL VIAL AMP SUPP TUBE TUBE
26
83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 ULTRAPROCT N SUP BOX/6 UROTRACTINE CAPS BOX/60 XYLOCAIN 2% 20ML BOX/5 ZANTAC TAB MG150 BOX/30 CRUTCHES AXILLA ADULT 119CM BURN CARE KIT SET FIRST AID BANDAGE BOX/100" LEUCOPLAST 1"X4,5M 1622H BOX/10" ASPIRIN TAB MG500 BOX/120 AUGMENTIN TAB MG500 BOX/60 DEXACAP TAB MG25 BOX/60 DECOLSIN CAPSUL BOX/100 DEXTROSE/GLUCOSE 5% SOL CC500 BOX/20 ERYTHRIN 500 CAPT BTL/50 HERBESSER TAB MG60 BOX/100 IMODIUM TAB MG2 BOX/100 ORADEXON TAB MG0.5 BTL/100 OBH NELLCO SYRUP CC100 BOX/12 RHINOFED TAB BOX/50 VITACIMIN TAB MG500 BOX/100 BLOOD PRESSURE RIESTER-MOVEABL REFLEX HAMMER BUCK RIESTER TONGUE SPATEL S/S AGRAVE TANG GERMANY AGRAVE CLIP GERMANY SINGLE BASIN STANDARD SURGICAL BLADE NO. 12 AESCULAP SURGICAL BLADE NO.20 AESCULAP CATHETER TRAY 44X11,5X5 CM FORCEP BAYONET FOR EAR(THT) FORCEP JAR 55 X 120 MM KORENTANG FORCEP NEEDLE HOLDER 18CM NEEDLE OINTMENT JAR, DIAMETER 7,5 CM TOWEL BAG FORCEP/DOOKLEM FIRST AID AIR SPLINT SET/4 INFUSION STAND # 36101 MAK EXAM. COUCH FOOT STEP# 34152/ 34106 EXAMINATION HALOGEN LAMP SUCTION UNIT LAERDAL NEW78 000 STERILISATOR SMIC 42CM SUT. CATGUT PLAIN 2/0 H123T BOX/24 COMBUR 10 UX TUBE/100'S BETADINE GARGLE SOL ML190 BOX/12 12 60 2 50 4 1 2 1 56 120 30 100 5 100 1 20 100 20 150 100 1 1 1 1 1 1 1 10 1 1 1 1 2 1 4 2 1 1 1 1 1 1 1 20 SUPP CAP VIAL TAB PAIR SET BOX ROLL TAB TAB TAB CAP KOLF CAP BOX TAB TAB BTL TAB TAB UNIT PCS PCS PCS BOX PCS BOX BOX PCS PCS PCS PCS PCS PCS PCS SET PCS UNIT UNIT SET UNIT BOX TUBE BTL
27
127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 BRICASMA TURBUHALE 200 DS0.5MG COUNTERPAIN CREAM 30GR DETTOL SOL 100CC IMODIUM TAB MG2 BOX/100 TERRACORTRIL SKIN OINT 5GR VIBRAMYCIN CAP MG100 BOX/50 REFRIGERATOR 200 LITER, 1 PINTU, LG GNU212SLT COTTON WOOL 100GR COTTON WOOL 250GR SUT. CHROMIC 3/0 G182T BOX/24" SUT. MERSILK 3/0 W502H/W2511T EYE MAGNIT PROBE ANADEX DRAGEE BOX/100 BENOVIT M TAB BOX/100" CEFABIOTIC 500 BOX/100 CALADINE POWDER GR100 DEXANTA SYR ML 100 DULCOLAX TAB MG5 BOX/200 EUPHYLLIN RETARD 250MG BOX/100 CENDO GENTAMYCIN 0.3% 5ML ED MEPHAQUIN (LARIAM)TB MG250 IMP BOX/8 NIFURAL SYR BTL ML60 NOOTROPIL CAPS MG400 BOX/120 PARAMIDON INJ VIAL 15ML SUPERTIN CAPS BOX/30 SPASMAL TAB BOX/200 TRENTAL 400MG TAB BOX/100 VOMETA FLASH TAB MG 10 BOX/50 XEPANICOL CAPS MG250 BOX/100 Y RINSE BTL ML 120 DECOLSIN 60ML SYR DIAGNOSTIC SET # 97102-V WELCH ALLYN GLOVE NON STERIL M BOX/100 RESUSITATOR LAERDAL SILICON ADULT # 87005533 STETOSCOPE SPIRIT ADULT FIRST AID AIR SPLINT SET/4 3 50 2 30 15 100 1 2 2 1 1 1 100 100 100 10 10 20 100 2 40 30 120 3 120 200 100 50 100 2 20 1 5 1 1 2 FLS TUBE BTL TAB TUBE CAP UNIT ROLL ROLL BOX PCS UNIT TAB TAB CAP TIN BTL TAB TAB VIAL TAB BTL CAP VIAL CAP TAB DRAGE TAB CAP BTL BTL SET BOX SET SET SET
28
LIST OF EQUIPMENT
CODE E4D2073 D4P6125 E4R2027 N0240532 E4O2032 E4O2029 E4O2023 E4B2011 E4O2021 E4Y2011 E4F2076 E4S2145 E4S2071 E4W2051 NAME DEFIBRILATOR FR-2 TYPE/ OR EQUIVALENT INTL. SOS RESPONDER BAG PORTABLE OXYGEN RESUSCITATOR SET WITH CASE (LSP) WRENCH (KEY) FOR OXYGEN OXYGEN CONNECTOR PIN INDEX FEMALE SPARE CYLINDER STEEL FOR ABOVE LSP OXYGEN CYLINDER D-SIZE (1500LTR) STRETCHER (SPLIT BASKET STRETCHER) 71S (FERNO) REGULATOR OXYGEN D SIZE + HUMIDIFIER YOKE PIN INDEX TO BULLNOSE REF HEAD IMMOBILIZER #445 SPINAL BOARD #889P SCOOP STRETCHER WOODEN SPLINT CUSTOMIZED QUANTITY 1 1 1 1 1 1 1 1 1 1 1 1 1 1
29

(MERP) Dimas Utama - Genting Oil Papua MAR 11

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MEDICAL EMERGENCY RESPONSE PROCEDURE (MERP)

Version No. Version 0.1

Drafted By Jakarta, Indonesia

Reviewed By Dr. Georg Huth

Date th 14 MAR 2011

MEDICAL EMERGENCY RESPONSE PROCEDURE (MERP) SUMMARY

Responsibilities of Dimas Utama

Responsibilities of International SOS

MAP OF SITE LOCATION

MAP OF MEDICAL EVACUATION PLAN

SITE TRANSPORTATION FACILITIES AND PROCEDURES

Primary International supporting Site Jakarta Alarm Centre

3.1.2. HOW TO ALERT

3.1.3. STABILIZATION ON SITE

RESPONSIBILITIES AND DUTIES 3.4.1. SITE MEDICAL TEAMS DUTIES

3.4.2. INTERNATIONAL SOS DUTIES

EVACUATION SUPPORT LOGISTICS

Facsimile number: Facilities:

24 hours (A&E Dept), Back office: 08.00 14.00

Height (without patient inside) 8 in Stretcher Length 86 in 218 cm 19 cm

AIR: ROTARY WING

AIR: COMMERCIAL CARRIER

4.1.3. OTHER 4.1.3.1.

Nearest City: Time Zone (UTC):

ATIS AMBON APP Elevations: Runways:

Country Centre of Medical Excellent (define by International SOS) JAKARTA

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

NCOME (Regional Center of Medical Excellence defined by Intl. SOS) SINGAPORE

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

Provider Name: Provider Address: Telephone: Facsimile: Website Address: Specialty:

Provider Name: Provider Address: Telephone:

Facsimile: Web Address: Specialty:

4.2.2. TRANSPORTATION 4.2.2.1. AIR: FIXED WING

AIR: COMMERCIAL CARRIER

OTHER AIRPORT INFORMATION AIRPORT OF ENTRY

126.85 125.45 135.9 119.75 127.95 127.9

GND SINGAPORE APP/DEP

LOGISTICS, IMMIGRATION REQUIREMENTS

MAIN ORGANIZATIONAL CONTACT DETAILS

Tel: +62 858 8052 7372

Mobile: +62 811 897 583

Head Drilling Division

Mobile: +62 813 6764 0607

Email 1: ilyassyaiful@dimasutama.com Email 2: syaiful.ilyas@yahoo.com

Mobile: +62 812 8110 2822

5.1.2. OTHER COMPANY CONTACTS

INTERNATIONAL SOS 5.2.1. OPERATIONAL ESCALATION

Contact Details +65 6338 7800 +62 (21) 750 6001

+65 6338 7800

5.2.2. ACCOUNT MANAGEMENT

Regional Sales & Marketing Manager:

APPENDIX I MEDICAL REPORT FORM

APPENDIX II MEDICAL INVENTORY

LIST OF DRUGS AND DISPOSABLE

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