IN HOUSE TRAINING REPORT

BASIC SAFETY

A Department : HSE Time : 09.00 - 17.00 WIB

Date : 27-Jul-19 Place : KSO Pertamina EP PD.Migas Bekasi
Training hours : 8 hours
Instructor : Hendra
M.Azzam

B Attendance qty : 8 prs - attendance list atached

C Activity Run Down :

Day-1 Activity
09.00-10.00 Safety Induction
10.00-10.15 Break Time
10.15-11.00 JSA
11.00-12.00 JSA
12.00-13.00 ISHOMA
13.00-14.00 Risk Assessment & JSA implementasi
14.00-14.30 SIKA
14.30-15.00 SIKA
15.00-15.15 Break Time
15.15-16.00 HIRARC
16.00-17.00 Kartu Pengamatan Bahaya

Equipment used :

D Documentation

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E Pre Test & Post Test

Pre Test Post Test

No Nama Keterangan
Point score Nilai Point score Nilai
1 Abdul Holik
2 M. Nur Kholis
3 Misnan
4 Napsin
5 Tadi
6 M. Alfin
7 Adi A
8 Izwandy A
9
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F Feed Back Training (Umpan balik pelatihan - dari peserta)

Indikator SM M CM KM TM
1 Penilaian materi pelatihan
Waktu pelatihan 2 5 1 0 0
Materi pelatihan 6 1 1 0 0
Kasus/peragaan 4 4 0 0 0
2 Penilaian atas instruktur
Pengaturan waktu 3 4 1 0 0
Penguasaan materi 6 1 1 0 0
Penggunaan contoh 4 2 2 0 0
Keterampilan presentasi 5 1 2 0 0
Jawaban atas pertanyaan peserta 4 4 0 0 0
Interaksi dengan peserta 5 2 1 0 0
3 Saran dan masukan dari peserta :
- ........................................................................
- …………………………………………………………………….
- …………………………………………………………………….
- …………………………………………………………………….
- …………………………………………………………………….

G Catatan HRD (lesson learn)

- ................................................................
- ....................................................................
- …………………………………………………………………….
- …………………………………………………………………….

Dibuat oleh Direview oleh

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 M.Azzam A Eryssa Istiafitri
tgl 30 Juli 2019 tgl 01 Agustus 2019

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 CHECK LIST IN HOUSE T

Training : Safety Awareness

Venue : KSO Pertamina bekasi

No

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Catatan :
 CHECK LIST IN HOUSE TRAININ

Training : Safety Awareness

Venue : KSO Pertamina bekasi

Item / Activity / Property

Evaluasi TNA (tahun berjalan)

Training request - HRMS
Tiket + STPD
Akomodasi - hotel
Materi / training kit + ATK - peserta
Pre test & post test
Daftar hadir (FR-HRD-02-01)
Feed back setelah training
Snack, makan siang
Rundown acara
Training room (meja, kursi, dll)
X - banner
Kendaraan operasional
Laptop
LCD - infocus
Dokumentasi camera digital (battery, charger, memory card, cable)
White board
Flip chart + paper
Pointer
Spidol, eraser - white board
Sertifikat training
Peralatan untuk praktek
Email peserta

PIC melakukan final check 2 hari sebelum training

Checked by :
OD Staff
OUSE TRAINING

Schedul : 27-Jul-19
Fasilitator : Hendra Aries
M.Azzam Alifudin

Start ( V / X / ? ) Finish
Specification
∑ Condition check (√) ∑ Condition check (√)

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rd, cable) v v
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Acknowledge by : Approved by :
HR Manager ................
Trainer ( ..............................)