[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. Drafted By Reviewed By DateVersion 0.1 Jakarta, Indonesia Dr. Georg Huth 14th MAR 2011

MEDICAL EMERGENCY RESPONSE PROCEDURE DIMAS UTAMA – GENTING OIL PROJECT KASURI, TELUK BINTUNI, PAPUA, INDONESIA

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Table of Contents 1 Medical Emergency Response Procedure (MERP) Summary 2 Background Information

2.1 Geographic Location 2.2 Medical Infrastructure 2.3 Site Transportation Facilities and Procedures

3 Evacuation Staging 3.1 Alert and Stabilization 3.2 Authorization 3.3 Evacuation 3.4 Responsibilities and Duties

3.4.1 Site Medical Team’s Duties 3.4.2 International SOS’ Duties

4 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

5 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

6 Appendix I – Medical Report Form 7 Appendix II – Medical Inventory


1. MEDICAL EMERGENCY RESPONSE PROCEDURE (MERP) SUMMARY

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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.

Injury or illness occurs and results in need for medical advice, urgent medical referral or emergency medical evacuation.

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: [email protected] SAT Phone Number: Direct medical tel: +62 (21) 8370 0452 Direct medical fax: +62 (21) 8370 0451 Direct medical email: [email protected] Authorized Person (AP) Contact Details 1. Kevin Hermiston – Rig Superintendent

Tel: +62 858 8052 7372 Email: [email protected]

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: [email protected] Email 2: [email protected]

4. Jack Sianturi – HSE Manager Tel: +62 (21) 8370 0452 – 54 Fax: +62 (21) 8370 0451 Mobile: +62 812 8110 2822 Email: [email protected]

Responsibilities of Site medical staff 1. Provide immediate first aid and emergency care. 2. Explain problem / request for assistance to International

SOS. 3. Complete Medical Report Forms. 4. Follow up phone call with verbal and written updates. 5. Provide patient escort if necessary. Responsibilities of Dimas Utama 1. Provide caller’s name, location, contact telephone and

coordinates (and course and speed as relevant). 2. Provide patient name, nationality and passport details and

facilitate transmission of doctor report. 3. Prepare passport and travel docs as necessary. 4. Advise next of kin (NOK) as appropriate. 5. Facilitate International SOS access to medical records

and insurance cover where appropriate. 6. Make local transport assets / vehicles, aircraft etc. under

company’s control available for first stage of evacuation. 7. Prepare and maintain Site Emergency Response Plan. Responsibilities of International SOS 1. Give immediate medical advice on clinical management

over the phone if appropriate. 2. Assess the situation and recommend whether the patient

should be treated on Site or be evacuated to nearest hospital.

3. Ensure any ground transfer arrangements are in place and confirmed.

4. Organize immediate medical attention in the appropriate medical facility.

5. Organize onward evacuation if required. 6. Keep Authorized Persons updated on the case.

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 Urgent Referal

1. Patient to be brought to Babo / Sorong / Ambon by locally available means of transport. (International SOS will direct on-site 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.

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: [email protected] Secondary Intl.SOS 24/7 Alarm Centre Contact Details: Singapore AC Tel: +65 6338 7800 Email: [email protected]

Client Name: DIMAS UTAMA Membership No: 05AAPA000160 Membership Type: PROJECT MEMBERSHIP

mailto:[email protected]







2. BACKGROUND INFORMATION 2.1. 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

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MAP OF MEDICAL EVACUATION PLAN

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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: Nagote

Helipad dimension: Rated for Bell 412

Night landing possible: NO

Aviation Navigation Beacon / NDB or similar: NO


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3. EVACUATION STAGING 3.1. ALERT AND STABILIZATION

3.1.1. WHO TO ALERT

Primary International Alarm Centre 24/7 supporting Site Jakarta Alarm Centre

Tel: +62 (21) 750 6001 Fax: +62 (21) 750 6002 / 3 Email: [email protected]

Secondary International Alarm Centre 24/7 supporting Site Singapore Alarm Centre

Tel: +65 6338 7800 Fax: +65 6338 7611 Email: [email protected]

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 patient’s 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.




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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 site’s 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 patient’s 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).


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• 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 TEAM’S 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).


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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. EVACUATION SUPPORT LOGISTICS 4.1. PHASE ONE: PRIMARY EVACUATION

4.1.1. FACILITY DESTINATION – PREFERRED HEALTH PROVIDERS FOR EMERGENCY CARE

SORONG Provider Name: RS Mutiara

Address: Jl. Maleo No. 2, Sorong, West Papua, Indonesia

Telephone number: +62 (951) 324 593 (Hospital) + 62 (951) 332 061 (Pharmacy) Medical contact: 1. Dr. Hj. Paimah (Medical Director) 2. Mr. Farid Saumangun (General Affairs)

Facsimile number: +62 (951) 327 433

Facilities: − 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).

24 hours? Yes

Operating hours: ADM: 08.00 – 17.00

Notes: - Traveling time from RS Mutiara to Dominique Eduard Osok Airport in Sorong will take + 15 minutes by

Ambulance.

AMBON Provider Name: Sumber Hidup (GPM Ambon) Hospital

Address: Jl. Anthonie Rhebok No. 11, Ambon 97128, Maluku, Indonesia

Telephone Number: +62 (911) 352 373 ( Information)

Facsimile Number: +62 (911) 347 540

Facilities: − 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.


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Provider Name: Dr. M. Haulussy, Ambon Public Hospital

Address: Jl. Dr. Kayadoe No. 41, Kuda Mati, Ambon 97116, Indonesia

Telephone Number: +62 (911) 353 595

Facsimile Number: +62 (911) 353 595

Facilities: - 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 client’s 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:


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Stretcher weight

23 lbs 10 Kg

Stretcher Load Limit

600 lbs 272 Kg

Stretcher Width

24 in 61 cm

Height (without patient inside)

8 in 19 cm

Stretcher Length

86 in 218 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: Bell 412

Asset Location: Sorong

Contact Details: Kevin Hermiston – Rig Superintendent Tel: +62 858 8052 7372 Email: [email protected]

Notes: This helicopter is dedicated for this project

Provider Name: Genting Oil Ltd.

Provider Location: Jakarta

Medical Configuration: 12 passengers (seats can be detached and replaced with a bracket for stacking 3 stretchers)

Activation Time: 2 hours

Availability: 24 hours

Operator: NUH of Balikpapan

Flight Time: From Rig to Sorong: + 2 hours

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.



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4.1.3. OTHER

4.1.3.1. AIRPORT INFORMATION SORONG – PAPUA Name: Dominique Eduard Osok

Domestic Airport

Coordinate Location: Latitude: 00° 53' 42.64" S Longitude: 131° 17' 07.59" E

Country: Indonesia

ICAO Identification: WASS

IATA Identification: SOQ

Address: Jl. Selat Sunda, Sorong 98415, West Papua, Indonesia

Contact Details: Tel: +62 (951) 326 061, +62 (951) 322 970 Tower Contact person: Mr. Herry (Mob. +62 811 498670) Mr. Sigit, Mr. Akila

Nearest City: Sorong

Time Zone (UTC): UTC+9

Operating Hours: 06.00 – 17.00 local time (No night facility)

International Clearance Status: N/A – Nearest CIQ: Biak

Fuel Availability: N/A

Communications: EDWARD TWR 122.4 Elevations: 3 meters (10 feet)

Runways: ID: 09/27Dimensions: 1850 x 27 meters (6070 x 90 feet) Surface: ASPHALT PCN: 030FCYT ILS: NO

AMBON – MALUKU Name: Pattimura Intl. Aiport


Country: Indonesia

ICAO / IATA Identification: WAPP / AMQ

Address: Jl. Leimena Laha, Ambon 97236 Maluku, Indonesia

Contact Details: Tel: +62 (911) 347 697 Fax: +62 (911) 361 691 Control Tower: +62 (911) 361561ext. 318 / 319

Nearest City: Ambon

Time Zone (UTC): UTC+9

http://www.worldaerodata.com/wad.cgi?runway=ID0001027


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Operating Hours: 07.00 – 17.00

International Clearance Status: Airport of Entry

Fuel Availability: NC-100, A1

Communications: TWR 122.2

AMBON INFO 8918 5550 6544 2956 11309

ATIS 125.4

AMBON APP 121.0 Elevations: 10 meters (33 feet)

Runways: ID: 04/22Dimensions: 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: Intl. SOS Medika Cipete Clinic

Provider Address: Jl. Puri Sakti No. 10, Cipete, Jakarta 12410, Indonesia

Switchboard Details: 24 hr Alarm Center: +62 (21) 750 6001

Facsimile Number: +62 (21) 750 6002 / 3

Website Address: 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: RS Medistra

Provider Address: Jl. Jend. Gatot Subroto Kav. 59, Jakarta 12950, Indonesia

Telephone: +62 (21) 521 0200 / 521 0212

Facsimile: +62 (21) 521 0184

Website Address: www.medistra.com

Specialty: Cardiology, Internal Medicine, Digestive Surgery, Orthopedic, Neurology, Neonatology, Urology, Tropical Infectious, Hemato-oncology, Pulmonology

http://www.worldaerodata.com/wad.cgi?runway=ID7581722

http://www.sosindonesia.com/

http://www.medistra.com/


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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.

Provider Name: RS Premier Bintaro (formerly RS Internasional Bintaro)

Provider Address: Jl. M.H. Thamrin Blok B3 No. 1, Sektor 7, Kawasan Niaga Bintaro Jaya, Tangerang, Banten, Indonesia

Telephone: +62 (21) 745 5500 / 745 5600 / 745 5700

Facsimile: +62 (21) 745 5800 / 748 60914

Website Address: www.rs-internasionalbintaro.com

Specialty: 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.

Provider Name: RS Pondok Indah

Provider Address: Jl. Metro Duta Kav. UE, Pondok Indah, Jakarta 12310, Indonesia

Telephone: +62 (21) 765 7525 +62 (21) 769 2252

Facsimile: +62 (21) 750 2324

Website Address: www.rspondokindah.co.id

Specialty: Digestive Surgery, Orthopedic, Neurosurgery, Cardiology, Gastro-entero-hepatology, 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.

Provider Name: RS Siloam Lippo Karawaci

Provider Address: Jl. Siloam No. 6, Lippo Karawaci 1600, Tangerang 15811, Banten, Indonesia

Telephone: +62 (21) 546 0066 (A&E)

Facsimile: +62 (21) 546 0055

Website Address: www.siloamhospitals.com

Specialty: Neurosurgery, Cardiology, Neurology, Orthopedic, Vascular Surgery, Pediatric Neurology

http://www.rs-internasionalbintaro.com/

http://www.rspondokindah.co.id/

http://www.siloamhospitals.com/


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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: Raffles Hospital Pte. Ltd.

Provider Address: 585 North Bridge Road, Singapore 188770

Telephone: +65 6311 1111 +65 6311 1555 (Emergency 24 hours)

Facsimile: +65 6311 2136 +65 6311 1162 (Emergency 24 hours)

Website Address: www.raffleshospital.com

Specialty: 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.

Provider Name: Singapore General Hospital

Provider Address: Outram Road, Singapore 169608

Telephone: +65 6222 3322

Facsimile: +65 6224 9221

Website Address: www.sgh.com.sg

Specialty: 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.

Provider Name: Gleneagles Hospital

Provider Address: 6A Napier Road, Singapore 258500

Telephone: +65 6473 7222 +65 6470 5688 (Emergency 24 hours)

Facsimile: +65 6475 1832

Website Address: www.gleneagles.com.sg

Specialty: Intensive Care, Neurosurgery, Cardiothoracic

http://www.raffleshospital.com/

http://www.sgh.com.sg/

http://www.gleneagles.com.sg/


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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: Mount Elisabeth Hospital

Provider Address: 3 Mount Elizabeth Road, Singapore 228510

Telephone: +65 6737 2666 +65 6731 2218 / 19 (A&E) +65 6473 2222 (Ambulance)

Facsimile: +65 6737 1189

Web Address: www.mountelizabeth.com.sg

Specialty: Intensive Care, Neurosurgery, Cardiothoracic

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: Lear 35 Piaggio P 180 Avanti Embraer 120

Asset Location: Singapore – Seletar Jakarta – Halim Jakarta – Halim

Medical Configuration: 1 stretcher 1 stretcher 1 stretcher

Activation Time: 2 – 3 hours 2 – 3 hours 2 – 3 hours

Availability: 24 hours 24 hours 24 hours

Operator: AAR Susi Air Premiair

Point of Contact: Jakarta Alarm Centre Jakarta Alarm Centre Jakarta Alarm Centre

Contact Details: +62 (21) 750 6001 +62 (21) 750 6001 +62 (21) 750 6001

Flight Time: Sorong to Jakarta

N/A + 8 hours + 8 hours

Ambon to Jakarta

N/A + 4 hours 45 minutes + 4 hours 40 minutes

Ambon to Singapore

+ 3 hours 30 minutes + 5 hours 25 minutes + 5 hours 20 minutes

http://www.mountelizabeth.com.sg/


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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. OTHER

4.2.3.1. AIRPORT INFORMATION – AIRPORT OF ENTRY JAKARTA Name: Halim Perdana Kusuma

International Airport Soekarno – Hatta International Airport


Latitude: 06° 07' 32.04" S Longitude: 106° 39' 21.23" E

Country: Indonesia Indonesia

ICAO Identification: WIHH WIII

IATA Identification: HLP CGK

Address: East Jakarta 13610, Indonesia Cengkareng 19101, Banten

Contact Details: Tel: +62 (21) 809 1108 Fax: +62 (21) 809 3351

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: Jakarta Jakarta

Time Zone (UTC): UTC+7 UTC+7

Operating Hours: 24 hour operation 24 hour operation

International Clearance Status: Airport of Entry Airport of Entry

Fuel Availability: Jet A1, without icing inhibitor Jet A1, without icing inhibitor

http://www.angkasapura2.co.id/


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Communications: TWR 118.3

JKT DIRECTOR 119.7 120.0

ATIS Opr 2300-1600Z

128.8

JKT ARR Opr 0000-1200Z, OT ctc APP

125.45 135.9

JKT APP 119.75 127.95 127.9

TWR 118.75 118.2

PABELOKAN INFO 2300-1100Z and O/R

129.8

GND 121.6 121.75

JKT CENTRAL INFO 2300-1100Z and O/R

129.7

CLNC DEL (Btn 1200-2359Z ctc GND 121.6)

121.95

ATIS 126.85

JKT ARR Opr 0000-1200Z, OT ctc APP

125.45 135.9

JKT APP 119.75 127.95 127.9

Elevations: 26 meters (84 feet) 10 meters (34 feet)

Runways: ID: 06/24Dimension: 3000 x 45 meters (9843 x 148 feet) Surface: Asphalt PCN: 086FCXT ILS: YES

ID: 07R/25LDimensions: 3660 x 60 meters (12008 x 197 feet) Surface: Concrete PCN: 120RDWT ILS: YES ID: 07L/25RDimensions: 3600 x 60 meters (11812 x 197 feet) Surface: Concrete PCN: 120RDWT ILS: YES

SINGAPORE Name: Seletar International Airport Changi International Airport

Coordinate Location: Latitude: 001° 25' 01.02" N Longitude: 103° 52' 03.55" E

Latitude: 001° 21' 00.68" N Longitude: 103° 59' 39.96" E

Country: Singapore Singapore

ICAO Identification: WSSL WSSS

IATA Identification: XSP SIN

Address: Building 556 West Camp Road Seletar Camp 797794, Singapore

PO Box 1 Singapore 918141

Contact Details: Tel: +65 6481 0017 Fax: +65 6481 1190 Email: [email protected] Web Address: www.caas.gov.sg

Tel: +65 6541 2416 / 2417 Web address: www.changiairport.com.sg


http://www.caas.gov.sg/

http://www.changiairport.com.sg/


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Nearest City: Singapore Singapore

Time Zone (UTC): UTC + 8 UTC + 8

Operating Hours: 24 Hours 24 Hours

International Clearance Status: Airport of Entry Airport of Entry

Fuel Availability: NC-100LL, A1 Jet A1, without icing inhibitor

Communications: TWR 118.45 130.2 270.4

GND 121.6

SINGAPORE APP/DEP 120.3 124.6

TWR 118.6 257.8 121.85

GND 124.3 121.725 121.725 btn 1600-2400Z, E of trml 2

CLNC DEL 121.65

ATIS 128.6

ARR 119.3

APP/DEP 120.3 Elevations: 11 meters (36 feet) 7 meters (22 feet)

Runways: ID: 03/21Dimensions: 1592 x 46 meters (5223 x 151 feet) Surface: ASPHALT PCN: 032FCXU ILS: NO

ID: 02C/20CDimensions: 4000 x 60 meters (13123 x 197 feet) Surface: ASPHALT PCN: 072FBWU ILS: YES ID: 02R/20LDimensions: 2748 x 59 meters (9015 x 195 feet) Surface: ASPHALT PCN: 072FBWT ILS: NO ID: 02L/20RDimensions: 4000 x 60 meters (13123 x 197 feet) Surface: ASPHALT PCN: 072FBWU ILS: YES

4.2.3.2. LOGISTICS, IMMIGRATION AND HEALTH AUTHORITY

REQUIREMENTS

It is the client’s responsibility to prepare patient's travel documents (passport, visa if required, etc).

http://www.worldaerodata.com/wad.cgi?runway=SN9158821

http://www.worldaerodata.com/wad.cgi?runway=SN9005620C

http://www.worldaerodata.com/wad.cgi?runway=SN9005620L

http://www.worldaerodata.com/wad.cgi?runway=SN9005620R


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5. MAIN ORGANIZATIONAL CONTACT DETAILS 5.1. 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

- [email protected]

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: [email protected] Email 2: [email protected]

Jack Sianturi

HSE Manager Tel: +62 (21) 8370 0452 – 54 Fax: +62 (21) 8370 0451

Mobile: +62 812 8110 2822

[email protected]

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 company’s 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: +62 (21) 8370 0452 – 54

Head office facsimile number: +62 (21) 8370 0451

Site Contact Details

Direct medical tel: +62 (21) 8370 0452

Direct medical fax: +62 (21) 8370 0451

Direct medical email: [email protected]







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5.2. INTERNATIONAL SOS

5.2.1. OPERATIONAL ESCALATION

Name Contact Details

Dr. Rene de Jongh International SOS Area Medical Director, Singapore

+65 6338 7800

Usman Qureshi International SOS Country Senior Operations Manager, Jakarta Febriani Ambarwulan International SOS Country Operations Manager, Jakarta

+62 (21) 750 6001

Guillaume de SAINT BON International SOS Director of Transport Operations for Asia Pacific

+65 6338 7800

5.2.2. ACCOUNT MANAGEMENT

Name Contact Details

Primary Account Manager: Name: Velicita Sintawardhani Tel: +62 (21) 7599 8969 Fax: +62 (21) 765 5953 Mobile: +62 811 870 1274 Email: [email protected]

Regional Sales & Marketing Manager: Name: George Baptiste Tel: +62 (21) 7599 8960 Fax: +62 (21) 765 5953 Mobile: +62 811 962 0415 Email: [email protected]




6. APPENDIX I – MEDICAL REPORT FORM

DIMAS UTAMA, PT

24


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7. APPENDIX II – MEDICAL INVENTORY

LIST OF DRUGS AND DISPOSABLE

NO DESCRIPTION OF GOODS UNIT QTY

1 MOSQUITO CLAMP CURVED 3 PCS

2 SCISSOR 14CM SH/BL CURVED 1 PCS

3 FORCEP ANATOMY 14CM 2 PCS

4 FORCEP CHIRURGY 14CM 2 PCS

5 KIDNEY DISH LARGE 1 PCS

6 THERMOMETER DIGITAL 2 PCS

7 TONGUE SPATEL S/S 1 PCS

8 MOSQUITO CLAMP STRAIGHT 3 PCS

9 SCISSOR BANDAGE TUFF CUT 1 PCS

10 AQUA DEST PRO INJ ML25 BOX/120 20 VIAL 11 COTTON BUD @100 PCS 2 PACK 12 COTTON WOOL 100GR 3 ROLL 13 COTTON WOOL 100GR 1 ROLL 14 DARYANT-TULLE STERIL GZ BOX/10 3 PCS 15 ELASTIC BANDAGE 3" TENSOCREPE #72007-00 5 PCS 16 ELASTIC BANDAGE 4" TENSOCREPE #72083-17 5 PCS 17 FIRST AID AIR SPLINT SET/4 4 SET 18 FLASH LIGHT 1 PCS 19 GAUZE NON STERILE L (4X10) BOX/50 1 BOX 20 GAUZE NON STERILE M (4X8) BOX/50 1 BOX 21 GAUZE PAD 6,5X7CM PACK/100 2 PACK 22 GAUZE STERILE BOX/16" 5 BOX 23 GLOVES STERIL 7,5 ANSELL BX/40 3 PAIR 24 LEUCOPLAST 1"X4,5M 1622H BOX/10" 1 ROLL 25 LEUCOPLAST 2"X4,5M 1624 BOX/10 2 ROLL 26 MICROPORE 1 INCH BOX/12 2 ROLL 27 MICROPORE 2 INCH BOX/6 2 ROLL 28 MITELA(TRIANGULAR BANDAGE) - L PACK/10 5 PACK 29 RAZOR "GILLETE II- GOAL" PACK/6 1 PCS 30 SODIUM CHLORIDE 0,9% SOL CC500 BOX/20 5 KOLF 31 SOL ADMIN SET ADULT TSA BOX/50 5 PCS 32 SUT. MERSILK 3/0 W502H/W2511T 1 PCS 33 SYRINGE 10ML BOX/100 TERUMO 25 PCS 34 SYRINGE 1ML TB BOX/100 TERUMO 10 PCS 35 SYRINGE 2,5/3ML BOX/100 TERUMO 25 PCS 36 SYRINGE 5ML BOX/100 TERUMO 50 PCS 37 WING NEEDLE 25G BOX/50 1 BOX 38 ADONA AC 17 AMP ML10/50MG /10 10 AMP


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39 ADONA AC 17 TAB MG10 BOX/100 100 TAB 40 ADRENALIN/EPINEPHRINE 0.1% AMP 1CC BOX/100 3 AMP 41 AMINOPHYLLIN AMP 2.4% CC10 BOX/24 3 AMP 42 BETADINE SOL ML60 BOX/48 3 BTL 43 BETADINE SOL ML60 BOX/48 2 BTL 44 BURNAZIN CREAM GR35 BOX/56 3 TUBE 45 BUSCOPAN TAB MG10 BOX/100 50 TAB 46 CAFERGOT TAB BOX/100 10 TAB 47 CEDOCARD TAB MG5 BOX/60 60 TAB 48 CHLORAETHYL SPRAY CC100 2 BTL 49 CHLOROQUINE TAB MG250 TIN/1000 100 TAB 50 DAKTARIN CREAM 10GR BOX/144 10 TUBE 51 DEGIROL TAB BOX/100 100 TAB 52 DETTOL SOL CC50 BOX/48 1 BTL 53 DEXACAP TAB MG25 BOX/60 30 TAB 54 DOLONEUROBION TAB BOX/100 100 TAB 55 FELDENE GEL 0,5% GEL GR25 5 TUBE 56 FOLIC ACID TAB MG5 BTL/2000 100 TAB 57 FULCIN TAB MG500 BOX/28 28 TAB 58 GENTAMERCK 80MG AMP BOX/6 3 AMP 59 IKADRYL VIAL 10ML BOX/30 3 VIAL 60 ILIADIN NASAL SPR 0.05% CC10 3 BTL 61 INTERMOXIL 500 CAPS BOX/100 100 CAP 62 INTERMOXIL 500 CAPS BOX/100 100 CAP 63 LASIX TAB MG40 BOX/100 20 TAB 64 LIBRAX TAB BOX/100*CD 20 TAB 65 MEDIAMER B6 TAB BOX/100 60 TAB 66 MEFINTER CAP MG500 BOX/100 100 CAP 67 MEPHAQUIN (LARIAM)TB MG250 IMP BOX/8 72 TAB 68 NEURALGIN TAB BOX/100 100 TAB 69 NEUROBION TAB BOX/250 60 TAB 70 NEW DIATABS TAB MG600 BOX/100 40 TAB 71 PANADOL CAPLET MG500 BOX/100 100 CAP 72 PANKREOFLAT TAB BOX/100 100 TAB 73 PANTOCAIN 0.5 % EYE ML15 3 BTL 74 PHAROLIT POW CC200 BOX/60 30 SACH 75 PRIMPERAN TAB MG10 BOX/100 10 TAB 76 SANGOBION CAP BOX/250 50 CAP 77 SOFRADEX EYE / EAR DROP CC8 5 BTL 78 SOLUMEDROL 125MG VIAL 3 VIAL 79 STESOLID 10MG/2ML BOX/5*CD 3 AMP 80 STESOLID SUPP MG10 BOX/5*CD 3 SUPP 81 THROMBOPHOB GEL GR20 10 TUBE 82 ULTRAPROCT N CR GR10 12 TUBE


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83 ULTRAPROCT N SUP BOX/6 12 SUPP 84 UROTRACTINE CAPS BOX/60 60 CAP 85 XYLOCAIN 2% 20ML BOX/5 2 VIAL 86 ZANTAC TAB MG150 BOX/30 50 TAB 87 CRUTCHES AXILLA ADULT 119CM 4 PAIR 88 BURN CARE KIT SET 1 SET 89 FIRST AID BANDAGE BOX/100" 2 BOX 90 LEUCOPLAST 1"X4,5M 1622H BOX/10" 1 ROLL 91 ASPIRIN TAB MG500 BOX/120 56 TAB 92 AUGMENTIN TAB MG500 BOX/60 120 TAB 93 DEXACAP TAB MG25 BOX/60 30 TAB 94 DECOLSIN CAPSUL BOX/100 100 CAP 95 DEXTROSE/GLUCOSE 5% SOL CC500 BOX/20 5 KOLF 96 ERYTHRIN 500 CAPT BTL/50 100 CAP 97 HERBESSER TAB MG60 BOX/100 1 BOX 98 IMODIUM TAB MG2 BOX/100 20 TAB 99 ORADEXON TAB MG0.5 BTL/100 100 TAB

100 OBH NELLCO SYRUP CC100 BOX/12 20 BTL 101 RHINOFED TAB BOX/50 150 TAB 102 VITACIMIN TAB MG500 BOX/100 100 TAB 103 BLOOD PRESSURE RIESTER-MOVEABL 1 UNIT 104 REFLEX HAMMER BUCK RIESTER 1 PCS 105 TONGUE SPATEL S/S 1 PCS 106 AGRAVE TANG GERMANY 1 PCS 107 AGRAVE CLIP GERMANY 1 BOX 108 SINGLE BASIN STANDARD 1 PCS 109 SURGICAL BLADE NO. 12 AESCULAP 1 BOX 110 SURGICAL BLADE NO.20 AESCULAP 10 BOX 111 CATHETER TRAY 44X11,5X5 CM 1 PCS 112 FORCEP BAYONET FOR EAR(THT) 1 PCS 113 FORCEP JAR 55 X 120 MM 1 PCS 114 KORENTANG FORCEP 1 PCS 115 NEEDLE HOLDER 18CM 2 PCS 116 NEEDLE OINTMENT JAR, DIAMETER 7,5 CM 1 PCS 117 TOWEL BAG FORCEP/DOOKLEM 4 PCS 118 FIRST AID AIR SPLINT SET/4 2 SET 119 INFUSION STAND # 36101 MAK 1 PCS 120 EXAM. COUCH FOOT STEP# 34152/ 34106 1 UNIT 121 EXAMINATION HALOGEN LAMP 1 UNIT 122 SUCTION UNIT LAERDAL NEW78 000 1 SET 123 STERILISATOR SMIC 42CM 1 UNIT 124 SUT. CATGUT PLAIN 2/0 H123T BOX/24 1 BOX 125 COMBUR 10 UX TUBE/100'S 1 TUBE 126 BETADINE GARGLE SOL ML190 BOX/12 20 BTL


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127 BRICASMA TURBUHALE 200 DS0.5MG 3 FLS 128 COUNTERPAIN CREAM 30GR 50 TUBE 129 DETTOL SOL 100CC 2 BTL 130 IMODIUM TAB MG2 BOX/100 30 TAB 131 TERRACORTRIL SKIN OINT 5GR 15 TUBE 132 VIBRAMYCIN CAP MG100 BOX/50 100 CAP 133 REFRIGERATOR 200 LITER, 1 PINTU, LG GNU212SLT 1 UNIT 134 COTTON WOOL 100GR 2 ROLL 135 COTTON WOOL 250GR 2 ROLL 136 SUT. CHROMIC 3/0 G182T BOX/24" 1 BOX 137 SUT. MERSILK 3/0 W502H/W2511T 1 PCS 138 EYE MAGNIT PROBE 1 UNIT 139 ANADEX DRAGEE BOX/100 100 TAB 140 BENOVIT M TAB BOX/100" 100 TAB 141 CEFABIOTIC 500 BOX/100 100 CAP 142 CALADINE POWDER GR100 10 TIN 143 DEXANTA SYR ML 100 10 BTL 144 DULCOLAX TAB MG5 BOX/200 20 TAB 145 EUPHYLLIN RETARD 250MG BOX/100 100 TAB 146 CENDO GENTAMYCIN 0.3% 5ML ED 2 VIAL 147 MEPHAQUIN (LARIAM)TB MG250 IMP BOX/8 40 TAB 148 NIFURAL SYR BTL ML60 30 BTL 149 NOOTROPIL CAPS MG400 BOX/120 120 CAP 150 PARAMIDON INJ VIAL 15ML 3 VIAL 151 SUPERTIN CAPS BOX/30 120 CAP 152 SPASMAL TAB BOX/200 200 TAB 153 TRENTAL 400MG TAB BOX/100 100 DRAGE 154 VOMETA FLASH TAB MG 10 BOX/50 50 TAB 155 XEPANICOL CAPS MG250 BOX/100 100 CAP 156 Y RINSE BTL ML 120 2 BTL 157 DECOLSIN 60ML SYR 20 BTL 158 DIAGNOSTIC SET # 97102-V WELCH ALLYN 1 SET 159 GLOVE NON STERIL M BOX/100 5 BOX 160 RESUSITATOR LAERDAL SILICON ADULT # 87005533 1 SET 161 STETOSCOPE SPIRIT ADULT 1 SET 162 FIRST AID AIR SPLINT SET/4 2 SET


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LIST OF EQUIPMENT

CODE NAME QUANTITY

E4D2073 DEFIBRILATOR FR-2 TYPE/ OR EQUIVALENT 1

D4P6125 INTL. SOS RESPONDER BAG 1

E4R2027 PORTABLE OXYGEN RESUSCITATOR SET WITH CASE (LSP) 1

N0240532 WRENCH (KEY) FOR OXYGEN 1

E4O2032 OXYGEN CONNECTOR PIN INDEX FEMALE 1

E4O2029 SPARE CYLINDER STEEL FOR ABOVE LSP 1

E4O2023 OXYGEN CYLINDER D-SIZE (1500LTR) 1

E4B2011 STRETCHER (SPLIT BASKET STRETCHER) 71S (FERNO) 1

E4O2021 REGULATOR OXYGEN D SIZE + HUMIDIFIER 1

E4Y2011 YOKE PIN INDEX TO BULLNOSE REF 1

E4F2076 HEAD IMMOBILIZER #445 1

E4S2145 SPINAL BOARD #889P 1

E4S2071 SCOOP STRETCHER 1

E4W2051 WOODEN SPLINT CUSTOMIZED 1

[MERP] Dimas Utama - Genting Oil Papua MAR 11

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Transcript of [MERP] Dimas Utama - Genting Oil Papua MAR 11