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MONTHLY SAFETY REPORT

Nama Proyek :
Kontraktor :
Bulan :

Jumlah Jam Kerja Hari Jam Jam Total Jam


Pekerja Efektif Kerja Kerja Lembur Kerja
Jam Kerja (orang) (jam) (hari) (jam) (jam) (jam)
a b c d = (a*b)*c e JK = d + e
Pekerja 240 8 20 38,400 70 38,470
Supervisor 8 8 20 1,280 40 1,320
Jumlah 248 16 40 39,680 110 39,790

INFORMASI KECELAKAAN KERJA


RWC LWC MTC First Aid Near Miss Property
Dmg
Week : 49 0 0 0 0 0 0
50 0 0 0 0 0 0
51 0 0 0 0 0 0
52 0 0 0 0 0 0

Category Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec TOTAL
Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0
Loss Time Injury 0 0 0 0 0 0 0 0 0 0 0 0 0
Restricted Work Case 0 0 0 0 0 0 0 0 0 0 0 0 0
Medical Treatment 0 0 0 0 0 0 0 0 0 0 0 0 0
First Aid Case 0 0 0 0 0 0 0 0 0 0 0 0 0
Near Miss 0 0 0 0 0 0 0 0 0 0 0 0 0
Hazard (Open) 0 0 0 0 0 0 0 0 0 0 0 0 0
Hazard (Close) 0 0 0 0 0 0 0 0 0 0 0 0 0
Crashed Case 0 0 0 0 0 0 0 0 0 0 0 0 0

KETERANGAN KECELAKAAN KERJA

NIHIL
Tanggal :
Area :
Keterangan :
Tindakan :
Status :

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