PT.

CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Saptadi S. 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 87090211 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Assembly-1 ( 26310 ) Header 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 930521653 M. Saihu

2 100501087 Sanwani

3 100501088 Subari

4 100501089 Nuryantoro

5 100501090 David Arif

6 100501091 Sukma

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Saptadi S. 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 87090211 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Assembly-2 ( 26320 ) Header 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 930521591 Supriyono

2 100501093 Agus Budiyanto

3 100501094 Mulyadi

4 100501092 Dedi Sanjaya

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Hasni 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 890515188 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Welding - 1 (25410) Panel 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 920221440 Syaiful Ulum

2 100501056 M. Afrizal

3 100501052 Isyanto

4 100501053 Nikmat

5 100501051 Irwansyah

6 100501055 Amirul Mukminin

7 100501050 Kurniansyah

8 100501054 Ngadiyanto

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Hasni 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 890515188 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Welding - 2 (25420) Panel 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 100501057 Sunhaji

2 100501060 Marul Cahyadi

3 100501063 Misri A.

4 100501059 Sabihis

5 100501061 Nursahdi

6 100501062 Hartato B. Mustari

7 100501058 Beni Saputra

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Hasni 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 890515188 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Welding - 3 (25430) Panel 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 930521640 Nurudin B.

2 100501068 Okeu Tri Wardana

3 100501069 Aryo Maryunanto

4 100501065 Supriyadi D.

5 100501064 Ismatulloh C.

6 100501067 Ahmad Rifai

7 100501070 Cono Wiryadi K.

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Sujamik 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 040602803 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Welding - 1 ( 26420 ) Header 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 930521510 Zaenal .A

2 100501103 Mujianto

3 100501105 M. Khafid

4 100501107 Ipar

5 100501101 Supardi

6 100501102 Sahibi

7 100501106 Maswi

8 100501104 Didik Saputro

10

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Sujamik 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 040602803 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Welding - 2 (26430) Piping 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 100501114 Nurhidayat

2 100501113 Rois AS.

3 100501118 Hamdan Hanafiah

4 100501116 Hari Susanto

5 100501117 Abdul Muhit B.

6 100501115 Mahdi

7 100501111 Huda Oktafa

8 100501112 Ayi Wahyudin

9 100501110 Tb. Donna Hari Nugraha

10 100501109 Devi Kurniawan

11 100501108 Muasih

12

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS

DAILY TIME SHEET DISTRIBUTION REPORT

Date : Lost Time Code
Penanggung Jawab : Hasni 20 = Waktu mulai terlambat, pulang lebih awal (sebelum waktu kerja selesai). 50 = Interupsi dalam pekerjaan (cuaca yg buruk, hujan gempa & listrik mati). 80 = Demonstrasi masyarakat / mogok kerja.
NIK : 890515188 30 = Accident / kecelakaan dalam proses kerja. 60 = Training (training keahlian atau testing, pelajaran kelas) ( C.O.Q ). 90 = Menunggu karena alat kerja rusak (crane, dll).
Section : Membrane (26410) 40 = Menunggu consumable. 70 = Tidak ada pekerjaan (stand by). 100 = Aktifitas kaizen

Prepared by, Checked, Acknowledge, Verified/Posted by, Remarks :

KAPOK Supervisor SPTD / Mgr HRD

JOB NO. / DESCRIPTION EMPLOYEE

Working Day
No. NIK NAME Lost Time G&A Lost Time G&A Lost Time G&A SIGN
Start Finish Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No. Basic Activity Block No. OT Activity Block No.

1 930521571 Supriyatna

2 930521628 Husnul Huluq

3 100501098 Hikmatullah B.

4 100501099 Santawi B.

5 100501100 Mukti Ali

6 100501097 Ahmad Rosyid

7 100501095 Darno

8 100501096 Suherman

10

11

TOTAL

ADDITIONAL INFORMATION
PT. CILEGON FABRICATORS.
Lost Time Code
DAILY TIME SHEET DISTRIBUTION REPORT 10 = Aktivitas GA (Pekerjaan tanpa Job No) 60 = Training (training keahlian atau testing, pelajaran kelas ) (C.O.Q)
Date : 20 = Waktu mulai terlambat, pulang lebih awal sebelum waktu kerja selesai 70 = Tidak ada pekerjaan (stand by)
Penanggung Jawab : ARIS WIBOWO 30 = Accident/Kecelakaan dalam proses kerja 80 = Demonstrasi masyarakat/mogok kerja
NIK : 030101793 40 = Menunggu Consumable 90 = Menunggu karena alat kerja rusak (Crane,dll)
Section : SAFETY 50 = Interupsi dalam pekerjaan (cuaca yang buruk, hujan, gempa dan listrik mati)
Add lose Time Code
Prepared by, Checked Acknowledge, Verified / Posted by, 70A = Menunggu Crane (antri) PT. WIJAYA MANDIRI JAYA (WMJ)
91 = Revisi Internal CF
92 = Revisi External (Client)
HERI SURYANDANA ARIS WIBOWO 94 = Repair Internal CF
Foreman Supervisor Manager HRD 95 = Repair External (Client)

JOB NO. / DESCRIPTION

EMPLOYEE
Working Day
Lost Time G&A Lost Time G&A
No. NIK NAME SIGN

Start Finish Basic Activity Block / Mark. No OT Activity Block / Mark. No Basic Activity Block / Mark. No OT Activity Block / Mark. No

1 WMJ 073 INSANUR RIFKI

TOTAL

ADDITIONAL INFORMATION