Template Susunan Underwriting Survey Report

Oleh: Afrianto Budi SS, MM

Setelah mempelajari Risk Management for Underwriter, berikut ini adalah susunan laporan survey risiko yang cukup lengkap untuk dipraktekkan oleh Anda.

1.    Cover

  • Name of the client
  • Location and time
  • Name of the activity conducted (UWS)

2.    Sub-Cover

  • Name of the client
  • Location and time
  • Activity conducted name
  • Scope of the activity conducted
  • Client’s personnel on site (company man/assistant)
  • Consultant team members

3.    Table of Contents Page


4.    Appendices


5.    Summary


6.    Introduction

Background of the activities (UWS), the objectives, the scope, time needed, and the locus.
General background of the clients (history, development, objectives, scale of the capacity, type of products/services produced by the client, the main process and existing condition

7.    Description


  • Plant status, history, and development
  • Plant geographical condition (position, boundary, climate, soil, surrounding)
  • Plant accessibility
  • Plant capacity
  • Plant general layout
  • Description of every unit, utility, and other auxiliary facilities in the plant (position, function, capacity, access)

8.    Plant Description


  • Main unit description (lay out, position, buindaries)
  • Function, capacity, supply/resources needed
  • Process description
  • Supporting unit (lay out, boundaries)
  • Technical spec (manufacturer, type, year commissioned, capacity, etc.)
  • Position of supporting unit, the condition, the function, the processes involved
  • Resources needed

9.    Natural Hazard and other perils


  • Landslide/subsidence, earthquake, volcano, tsunami, flood storm and water, windstorm, typhoon and cyclone, vehicle and aircraft damage, riot strike and terrorism vandalism and surrounding exposures
  • Define the site zoning classification
  • Define the potential damage
  • Incident history
  • Define the distance from the source of the perils

10.    Construction type


  • The site and plant position
  • The structure type of every facilities, building and auxiliaries (combustible or non-combustible)
  • Desciption of the distance of every unit, facility, building and auxiliaries
  • Site accessibility

11.    Fire protection system

Fire water system
  • Area coverage
  • Source of water supply
  • Pump (technical spec, capacity, year commissioned)
  • Supporting unit (technical spec, capacity, year commissioned)
  • Standard conformity
  • Special fire protection system
  • Processes involved (indicator to initiate the fire protection mechanism)
  • Installation description (structure, position, dimension, etc.)

Hydrant system
  • Hydrant  technical spec (pipe/hose diameter supplied)
  • Hydrant lay out (outdoor and indoor)
  • Type of the system supplied
  • Process details
  • Supplied area

Automatic and manual deluge system
  • Installed sprinklers system description
  • Area of coverage (facility installed with sprinkler system)
  • Sprinkler system type
  • Manual equipment provided (fire extinguisher, fire boxes, etc.)
  • Standard conformity

Fire detection system
  •  detection system used
  • Detection mechanism
  • Installed area

Fire protection in every critical facility
  • Type of sprinkler system
  • Processes involved
  • Coverage area
  • Type of fire protection (any specific fire protection installed or needed i.e. in-tank foam injection, any supporting requirements and indicators needed)

Portable extinguisher
  • Number of portable extinguisher
  • Position
  • Type of fire extinguisher

Fire tender
  • Mobile firefighting unit (technical spec, number)
  • Capacity of the mobile firefighting unit (water tank capacity, hose diameter, etc)

Plant emergency organization & mutual aid scheme
  • Description of the emergency organization
  • Team member of the emergency organization
  • Cooperation with the nearest public fire brigrade shceme
  • Emergency response plan description

Fire equipment testing and training
  • Testing and inspection program
  • Personnel involved and responsible
  • Testing and inspection report
  • Training program

12.    Management system

Risk management system
  • Profile of risk management system
  • History and development of management system
  • Program related to risk management system
  • Structure and personnel of risk management

Contingency and recovery planning
  • Policy of contingency and recovery planning
  • Allocated resources for contingency and recovery planning
  • Responsible and authority of contingency and recovery planning
  • Schemes and procedures of recovery planning initiative

Site safety & permit to work
  • Policy of site safety and permit to work
  • Allocated resources
  • Structure of site safety system
  • Site safety program (monitoring and control plan, inspection, schedule, etc)
  • Types of work that need a permit
  • Procedures to apply for a work permit

13.    Management Operation / Maintenance


  • Responsible and authority
  • Protocols and types of maintenance
  • Maintenance schedule
  • Back up planning during the maintenance process
  • Capacity and capability of personnel
  • Statutory inspection program
  • Available spare part and procedures to provide the spare part

14.    Material damage exposure

Fire and explosive exposure
  • Critical facility that contribute to the fire and explosive exposure
  • Improvement and development for the fire protection system
  • Standard conformity
  • Risk rating for fire and explosive exposure

Machinery breakdown
  • Define the most critical point of machinery breakdown & failure
  • Improvement and development needed
  • Risk rating for machinery breakdown

Loss incidents
  • Loss history (source, impact and solution)
  • Claims history

15.    Risk Analysis


Natural perils


  • The highest natural perils potential
  • MFL
  • EML
  • TSI

Plant fire and explosive potential scenario


  • The highest fire and explosive potential scenario
  • MFL
  • EML
  • TSI

Machinery breakdown


  • The highest potential of machinery breakdown risk
  • MFL
  • EML
  • NRV
  • TSI

16.    Conclusion

Overall risk level & risk concern focus
Improvement and development


Department to be interviewed:


  1. Management level (GM, Risk Manager, HSE Manager, Operational Manager)
  2. HSE
  3. Risk Management
  4. Engineering
  5. Operational
  6. Security
  7. Maintenance & inspection
  8. ERTL
  9. Insurance

Document Needed


  1. Plant layout and machinery technical spec
  2. ERP, BCP, Contingency Planning
  3. EIA document
  4. Process lay  out
  5. Fire protection lay out
  6. Hydrant system
  7. Organization structure
  8. Maintenance and inspection policy, schedule, and report
  9. Certification and accreditation of the client


Kata kunci: laporan risk survey, survey report, cara membuat survey report, departemen untuk diwawancarai, dokumen yang dibutuhkan dalam survey report
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