PROJECT MANAGER CONST.MANAGER ASST. CONST.

MANAGER SAFETY SUBCONTRACTOR PREPARED BY

SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 4 Jan 2021 Tue fine REPORT
WORKING DATE 5 Jan 2021 Wed
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
4-Jan-2022 (Night Shift)
Kota MGU Ujang Preparetion cutting Expose PALYJA Pipe Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Install perimeter fence for archeolog ADD2 and ADD3 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang casting concrete at pospol Tools please use proper mandatory PPE while working Janahar/Ajiz
15 15
Kota MGU Ujang casting pit ex pipe excavation at Kota west Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Casting Pedestal at Glodok Stair area Tools please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang remove toilet at GM-3 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 15
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
0 0
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 8 Preparation for flushing work and pipe cutting D600 Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Cutting pipe GM1&GM3, reinstatement Tools please use proper mandatory PPE while working
Glodok HK 6 6 Repair Manhole work at West side Mini Crane Please use mandatory PPE While working Tommy
HK Total Subtotal 6 6
Kota MTK 5 5 Cutiing D250,350 pipe Tools please use proper mandatory PPE while working PPE,OK
Glodok Sekarwangi 5 5 Signal lamp installation at median please use proper mandatory PPE while working PPE,OK
Engineer office' Inti Indah 4 4 Repair cable MEP and marking wall finish Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 10 Preparetion Injection Chemical works PPE,OK

5-Jan-2022 (Day shift)

Stockyard MGU Ujang 4 6 fabricate A frame for hard barricade and sedimentation tank Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 6 8 Excavate test pit for Terakota near Pospol and Kota wast Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 6 Closing Pipe D150 &350 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 3 preparation stair installation at GM-1 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Survey MGU Ujang 2 2 Support Install tac Tile at Glodok pelican Area please use proper mandatory PPE while working Didit PPE,OK
Survey MGU Ujang 2 2 Support survey please use proper mandatory PPE while working Didit PPE,OK
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 25 30
Glodok HK 2 2 Tac Tile and Bollard installation at pelican crossing Area Please use mandatory PPE While working PPE,OK
Glodok HK 6 6 Install Manhole work at west side (2 team) Please use mandatory PPE While working PPE,OK
Glodok HK 2 2 Housekeeping Please use mandatory PPE While working PPE,OK
HK Total Subtotal 10 10
Kota Indoor survey Crack Survey & Interview 85/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 0 repair equipment for stopper D600 Tools please use proper mandatory PPE while working PPE,OK

Kota KJA Didik 8 8 Chamber Water Supply Tools please use proper mandatory PPE while working PPE,OK
preparation Cutting Pipe GM-1&3 and reinstatement GM-1 & GM-3
Glodok Radema 10 0 Tools please use proper mandatory PPE while working PPE,OK
(Waiting Stopple)
Kota BAP 1 1 25t RTC operatoin Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 10 Injection Chemical works PPE,OK
Kota CV Andi 8 6 Excavation additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 69 47

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Staircase GM-1 Glodok 3 Set 22:00
Scissor Lift GM-1 Glodok 1 Unit 22:00
L

PC200 GM-1 Glodok 1 Unit 22:00

TOOLBOX MEETING RECORD
PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 47 #REF!
② A CUMULATIVE TOTAL #REF! 1491 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 5 Jan 2021 Wed fine REPORT
WORKING DATE 6 Jan 2021 Thu
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
5-Jan-2022 (Night Shift)
Kota MGU Ujang Erase old lane marking Glodok East Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Unloading Glodok staircase GM-1 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Backfill Tram rail after check with DISBUD Tools please use proper mandatory PPE while working Janahar/Ajiz
15 15
Kota MGU Ujang Testpit on south ex tram rail area Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Breaking concrete ADD-3 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 15
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8 8
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 10 preparation for Stopping line and Pipe Cutting Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Preparation for stopple installation at GM-3 Tools please use proper mandatory PPE while working
Glodok HK 6 0 Repair Manhole work at West side Mini Crane Please use mandatory PPE While working Tommy
Kota MTK 5 0 Cutiing D250 Tools please use proper mandatory PPE while working PPE,OK
Glodok Sekarwangi 3 0 Road lane Marking at TJ Pelican and TJ lane please use proper mandatory PPE while working PPE,OK
Glodok Sekarwangi 3 Road lane marking at Glodok East please use proper mandatory PPE while working PPE,OK
HK Total Subtotal 6 0
Engineer office' Inti Indah 4 4 Repair cable MEP and marking wall finish Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 10 Injection Chemical works PPE,OK

6-Jan-2022 (Day shift)

Support Mechanic set up water sediment tank facility and continue
Stockyard MGU Ujang 3 3 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
support electrician
Kota MGU Ujang 6 6 Excavate test pit for Terakota near Pospol Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 6 6 Backfill Tram Rail Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 MCB Installation at Kota west PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 3 3 Expose D600 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 3 3 Remove MCB from South side New TJ BT please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 4 Support Tac Tile and Bollard installation at pelican crossing west area Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 3 please use proper mandatory PPE while working Didit PPE,OK
East) + Flag Man
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 35 35
Glodok HK 2 0 Tac Tile and Bollard installation at pelican crossing Area Please use mandatory PPE While working PPE,OK
Glodok HK 3 3 Preparation casting north side TJ stairs and Radema worked east area Please use mandatory PPE While working PPE,OK
Glodok HK 6 6 Install Manhole work at west side (2 team) Please use mandatory PPE While working PPE,OK
Glodok HK 2 2 Housekeeping Please use mandatory PPE While working PPE,OK
HK Total Subtotal 13 11
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 10 Adjust equipment for stopper D600, rubber installation Tools please use proper mandatory PPE while working PPE,OK

Kota KJA Didik 8 8 North water supply reinstatement Tools please use proper mandatory PPE while working PPE,OK

Glodok Radema 10 0 preparation Cutting Pipe GM-1&3 and reinstatement GM-1 & GM-3 Tools please use proper mandatory PPE while working PPE,OK
Kota MTK 5 5 Cutiing D250 Tools please use proper mandatory PPE while working PPE,OK
Kota Nittoc Sony 10 10 Injection Chemical works at south east Kota PPE,OK
Kota CV Andi 8 6 Excavation additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 73 61

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Stair Cace GM-1 1 22:00
Silica tank Kota east 7 23:00
L

Sediment tank Kota east 3 22:00

TOOLBOX MEETING RECORD Scissors lift GM-1 1 22:00
PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 61 #REF!
② A CUMULATIVE TOTAL #REF! 1505 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 6 Jan 2022 Thu fine REPORT
WORKING DATE 7 Jan 2022 Fri
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
6-Jan-2022 (Night Shift)
Glodok MGU Ujang Unloading Glodok staircase GM-1 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Backfill Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Testpit on south ex tram rail area Tools please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 15 15 Erase old lane marking Glodok East Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Remove MCB from U-turn & north side New TJ BT please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Support Tac Tile and Bollard installation at pelican crossing Area please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
6 6
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 10 Stopping line and Pipe Cutting Tools please use proper mandatory PPE while working
Kota KJA Didik 8 Water supply pipe crossing at North side Tools please use proper mandatory PPE while working
Kota Palyja 10 10 Casting at water supply chamber Kota north Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Preparation for stopple installation at GM-3 Tools please use proper mandatory PPE while working

Glodok HK 6 6 Repair Manhole work at West side, focus on City Walk entrance area Mini Crane Please use mandatory PPE While working Tommy

Glodok HK 2 2 Tac Tile and Bollard installation at pelican crossing Area Please use mandatory PPE While working
Glodok HK 6 6 Casting north side TJ stairs and Radema worked area Mini Crane Please use mandatory PPE While working Tommy
HK Total Subtotal 14 6
Glodok Sekarwangi 3 3 Road lane Marking at TJ Pelican and TJ line inside please use proper mandatory PPE while working PPE,OK
Kota Rajawari 4 4 Install CCTV pole at Kota pedestrian PPE,OK
Engineer office' Inti Indah 4 4 Install cable conduit& Loading material for ceiling Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 10 Injection Chemical works at south east Kota PPE,OK

7-Jan-2022 (Day shift)

Support Mechanic set up water sediment tank facility and continue
Stockyard MGU Ujang 3 3 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
support electrician
Kota MGU Ujang 3 3 Excavate test pit for Terakota near Pospol Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 6 6 Backfill Tram Rail Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 Install MCB at west side kota and TJ mcb on GM-2 PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 Patching mortar for cutting pipe at north PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 3 3 Adjustment elevation Pedestal at stair case & stair instalation PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 3 3 Repair comment after inspection on pelican crossing PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 4 Expose D600 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 3 please use proper mandatory PPE while working Didit PPE,OK
East) + Flag Man
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 36 36
Glodok HK 6 6 Install Manhole work at west side (2 team) Please use mandatory PPE While working PPE,OK
Glodok HK 2 2 Finishing around stair of TJ north Please use mandatory PPE While working PPE,OK
HK Total Subtotal 8 0
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Meeting with PAM & Palyja to propose Shut off Booster Pump for
Kota KJA Didik 10 0 Tools please use proper mandatory PPE while working PPE,OK
Cutting Pipe600 & Capping (Waiting Conclusion)
Meeting with PAM & Palyja to propose Shut off Booster Pump for
Kota MTK 10 0 Tools please use proper mandatory PPE while working PPE,OK
Cutting Pipe600 & Capping (Waiting Conclusion)

Glodok Radema 10 0 preparation Cutting Pipe GM-1&3 and reinstatement GM-1 & GM-3 Tools please use proper mandatory PPE while working PPE,OK

Glodok BAP 1 1 Lifting Stair CASE gm-1 Please use mandatory PPE While working Tommy PPE,OK
Kota NITTOC Sony 10 10 Injection Chemical works at south east Kota PPE,OK
Kota CV Andi 8 6 Excavation additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 71 39

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Silica tank Kota east 15 23:00
Acid tank Kota east 6 23:00
L

Flowmeter Kota east 2 unit 14:00

TOOLBOX MEETING RECORD
PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation TJ inspection TransJakarta 15:00

2 Be careful for accident when cross the road Stair case inspection GM-1 9:00
3 Wear the proper PPE when work in site Line marking pre-inspection Glodok 14:30
Inspection with DISHUB,police TransJakarta Pelican Crossing 10:00
RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 39 #REF!
② A CUMULATIVE TOTAL #REF! 1483 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 7 Jan 2022 Fri fine REPORT
WORKING DATE 8 Jan 2022 Sat
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
7-Jan-2022 (Night Shift)
Kota MGU Ujang Backfill & reinstatement Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
kota MGU Ujang shifting container on Post police for teracota testpit 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
kota MGU Ujang Breaking and excavation busway line south west for teracota testpit 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
15 15
Glodok MGU Ujang Erase old lane marking Glodok East Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Remove MCB from U-turn & north side New TJ BT please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Install pole of TEL and CCTV on Jl mangga 2 raya (ex-kota north) please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 15
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8 8
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 10 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working
Kota Palyja 10 0 Continue water supply Installation at North side Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working

Glodok HK 6 6 Repair Manhole work at West side, focus on City Walk entrance area Mini Crane Please use mandatory PPE While working Tommy

Glodok HK 4 4 Leveling work at GW-2 Please use mandatory PPE While working
HK Total Subtotal 10 8
Engineer office' Inti Indah 4 4 Install cable conduit& Loading material for ceiling Please use mandatory PPE While working Tommy PPE,OK
Kota NITTOC Sony 10 10 Injection Chemical works at south east Kota and unloading material PPE,OK

8-Jan-2022 (Day shift)

Stockyard MGU Ujang 3 3 Support electriciann and mechanic (drum for lighting pole fabrication) Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Excavate test pit for Terakota near Pospol ,busway west line, Near
Kota MGU Ujang 9 11 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
south Dwall
Kota MGU Ujang 3 3 Diesel fuel stockyard preparation @pospol Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 Support boomtrcuk for MCB setting Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 RE-exposing pipe 600mm preparation for cutting PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 6 6 Expose D600 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 3 please use proper mandatory PPE while working Didit PPE,OK
East) + Flag Man
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 35 37
Glodok HK 6 6 Install Manhole work at north west Glodok (2 team) Please use mandatory PPE While working PPE,OK
Glodok HK 2 2 Housekeeping & Finishing TJ all Please use mandatory PPE While working PPE,OK
HK Total Subtotal 8 8
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
New seal Fabrication at workshop, Waiting Conclusion meeting with
Kota KJA Didik 10 10 Tools please use proper mandatory PPE while working PPE,OK
PAM & Palyja

Kota KJA Didik 8 8 North water supply connection Tools please use proper mandatory PPE while working PPE,OK

Kota MTK 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working PPE,OK

Glodok Radema 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working PPE,OK

Kota NITTOC Sony 10 10 Injection Chemical works at south east Kota PPE,OK
Kota CV Andi 8 8 testpit additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 78 58

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Nittoc Injection machine kota east 1 22:00
Nittoc flowmeter kota east 1 13:00
L

KJA seal mobilisation Kota 2 22:00

TOOLBOX MEETING RECORD Diesel tank pospol 1 22:00
PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 58 #REF!
② A CUMULATIVE TOTAL #REF! 1502 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 8 Jan 2022 Fri fine REPORT
WORKING DATE 9 Jan 2022 Sat
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
8-Jan-2022 (Night Shift)
kota MGU Ujang Testpit teracota at pospol. Southwest, south east 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Erase old lane marking Glodok East please use proper mandatory PPE while working Janahar/Ajiz
Glodok and Kota MGU Ujang 15 15 patching asphalt by coldmix at glodok and kota please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Support Nittoc unloading material Minicrane please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Crane setting support Minicrane please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 15
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8 0
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 10 Mobilisation Tools please use proper mandatory PPE while working
Kota KJA Didik 8 8 North water supply connection Tools please use proper mandatory PPE while working
Kota Palyja 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working

Glodok HK 6 6 Repair Manhole work at West side, focus on City Walk entrance area Mini Crane Please use mandatory PPE While working Tommy

Glodok HK Please use mandatory PPE While working

HK Total Subtotal 6 0
Glodok Sekarwangi road marking for rumble stripe and south kota zebra cross Please use mandatory PPE While working Tommy PPE,OK
Injection Chemical works at south east Kota and unloading material
Kota NITTOC Sony 10 10 PPE,OK
(building no4 to 14) (23 points of 59 points)

9-Jan-2022 (Day shift)

Stockyard MGU Ujang 2 2 Support electriciann and mechanic (drum for lighting pole fabrication) Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK

Glodok MGU Ujang 3 3 Staircase finishing Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Excavate test pit for Terakota near Pospol ,busway west line, Near
Kota MGU Ujang 12 12 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
south Dwall
Kota MGU Ujang 3 3 Diesel fuel stockyard preparation @pospol Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 4 Arrange MCB support Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 6 6 Expose D600, D400 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 3 please use proper mandatory PPE while working Didit PPE,OK
East) + Flag Man
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 36 36
Glodok HK 6 Install Manhole work at north west Glodok (2 team) Please use mandatory PPE While working PPE,OK
Glodok HK 2 Housekeeping & Finishing TJ all Please use mandatory PPE While working PPE,OK
HK Total Subtotal 8 0
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 0
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 10 Seal installation, Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working PPE,OK

Kota KJA Didik 8 8 North water supply connection Tools please use proper mandatory PPE while working PPE,OK

Kota MTK 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working PPE,OK

Glodok Radema 10 0 Machine installation Tools please use proper mandatory PPE while working PPE,OK

Injection Chemical works at south east Kota and unloading material

Kota NITTOC Sony 10 10 PPE,OK
(building no4 to 14) (30 points of 59 points)
Engineer office' Inti Indah Andre 5 5 Frame ceiling and frame wall parttion Please use mandatory PPE While working Tommy PPE,OK
Kota CV Andi Argi 8 8 testpit additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 83 59

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Diesel fuel pospol 5000 litre 22:00
L

TOOLBOX MEETING RECORD

PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 59 #REF!
② A CUMULATIVE TOTAL #REF! 1503 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 8 Jan 2022 Fri fine REPORT
WORKING DATE 10 Jan 2022 Sat
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
9-Jan-2022 (Night Shift)
kota MGU Ujang Testpit teracota at pospol. Southwest, south east 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 15 15 Erase old lane marking Glodok East Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok and Kota MGU Ujang patching asphalt by coldmix at glodok and kota Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok and Kota MGU Ujang Replace MCB type at glodok Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 15 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8 0
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 0 D600 cutting Tools please use proper mandatory PPE while working
Kota KJA Didik 8 0 South water supply preparation Tools please use proper mandatory PPE while working
Tools please use proper mandatory PPE while working
Glodok Radema 10 0 Install stople equipment D600 at GM-3 south Tools please use proper mandatory PPE while working

Glodok HK 6 6 Repair Manhole work at West side (City walk) Mini Crane Please use mandatory PPE While working Tommy

Glodok HK Please use mandatory PPE While working

HK Total Subtotal 6 0
Please use mandatory PPE While working Tommy PPE,OK
Injection Chemical works at south east Kota and unloading material
Kota NITTOC Sony 10 10 PPE,OK
(building no4 to 14) (37 points of 59 points)

10-Jan-2022 (Day shift)

Kota MGU Ujang 2 2 Install pipe at nittoc (M/E) Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK

Excavate test pit for Terakota near Pospol south west(Maximum 2

Kota MGU Ujang 5 5 Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
meters) ,busway west line, Near south Dwall
Kota MGU Ujang 2 2 Dewatering Terakota south & Casting ex Palyja Broken Pipe Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 5 5 MCB shifting south NITTOC area Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Kota MGU Ujang 4 4 Housekeeping Glodok area PC200 please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 4 Leveling MCB area at GM-1 Boomtruck please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Glodok MGU Ujang 4 4 arrange MCB at Glodok Boomtruck please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 3 please use proper mandatory PPE while working Didit PPE,OK
East) + Flag Man
Housekeeper MGU Ujang 3 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz PPE,OK
SMCC Total SMCC Subtotal 32 32
Glodok HK 5 10 Manhole repairing at Glodok Northwest Please use mandatory PPE While working PPE,OK
Glodok HK 6 4 Housekeeping & Finishing for TJ opening Please use mandatory PPE While working PPE,OK
HK Total Subtotal 11 0
Kota Indoor survey Crack Survey & Interview 88/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 0 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working PPE,OK

Kota KJA Didik 8 0 South water supply installation Tools please use proper mandatory PPE while working PPE,OK

Glodok Radema 10 0 Stopple mobilization (Still Under Confirmation) Tools please use proper mandatory PPE while working PPE,OK

Injection Chemical works at south east Kota and unloading material

Kota NITTOC Sony 10 10 PPE,OK
(building no4 to 14) (44 points of 59 points)
Kota CV Andi 10 10 testpit additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Mannga Besar SAJ 18 18 Open manhole for preparation trial dummy pipe please use proper mandatory PPE while working PPE,OK
Subtotal 70 42

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Silica Kota east 15 tanks 22:00
Digi track Mannga besar
L

TOOLBOX MEETING RECORD

PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 42 #REF!
② A CUMULATIVE TOTAL #REF! 1486 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 8 Jan 2022 Fri fine REPORT
WORKING DATE 10 Jan 2022 Sat
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
9-Jan-2022 (Night Shift)
Glodok MGU Ujang Remove MCB at GM-3 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 15 Shifting TJ MCB To new Centerline Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Remove Transjakarta MCB Fence Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 0 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working
Kota KJA Didik 8 South water supply preparation Tools please use proper mandatory PPE while working
Tools please use proper mandatory PPE while working
Glodok Radema 10 Install stople equipment D600 at GM-3 south Tools please use proper mandatory PPE while working

Glodok HK 6 Repair Manhole work at West side (City walk) Mini Crane Please use mandatory PPE While working Tommy

Glodok HK Please use mandatory PPE While working

HK Total Subtotal 6 0
Glodok Tri Mulya Suroto 5 Adjust Asphalt Please use mandatory PPE While working Tommy PPE,OK
Injection Chemical works at south east Kota and unloading material
Kota NITTOC Sony 10 PPE,OK
(building no4 to 14) (37 points of 59 points)

Mangga besar SAJ 10 Start Digitrack Scanning High Voltage 150 KVA PLN Cable PPE,OK

10-Jan-2022 (Day shift)

Kota MGU Ujang 2 Install pipe at nittoc (M/E) Tools please use proper mandatory PPE while working Janahar/Ajiz

Kota MGU Ujang 3 Excavate test pit for Terakota near Pospol Tools please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 2 Backfill Tram Rail Boomtruck please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 2 Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 2 Dewatering Terakota south & Casting ex Palyja Broken Pipe Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 2 Repair pelican ramp area, West Side Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 Housekeeping Glodok area PC200 please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 4 arrange MCB at Glodok Boomtruck please use proper mandatory PPE while working Janahar/Ajiz
Support survey (Nittoc level monitoring and paper target installation at
Survey MGU Ujang 3 please use proper mandatory PPE while working Didit
Glodok)
Housekeeper MGU Ujang 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 27 0
Support Working area change ( Preparation for tranportation RCP &
Glodok HK 6 Please use mandatory PPE While working
Box Culvert)
Glodok HK 5 Adjust Uturn Area West Side Please use mandatory PPE While working
Glodok HK 3 Housekeeping & Finishing TJ all (standby worker for complain Please use mandatory PPE While working
HK Total Subtotal 14 0
Kota Indoor survey Crack Survey & Interview 88/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 Waiting Conclusion meeting with PAM & Palyja Tools please use proper mandatory PPE while working

Kota KJA Didik 8 South water supply installation Tools please use proper mandatory PPE while working

Glodok Radema 10 Stopple mobilization (Still Under Confirmation) Tools please use proper mandatory PPE while working PPE,OK

Injection Chemical works at south east Kota and unloading material

Kota NITTOC Sony 10 PPE,OK
(building no12 to 24) (59 points of 81 points)
Kota CV Andi 8 testpit additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 68 0

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
L

TOOLBOX MEETING RECORD

PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation Terakota Inspection Kota South 10:00

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 0 #REF!
② A CUMULATIVE TOTAL #REF! 1444 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 7 Jan 2022 Fri fine REPORT
WORKING DATE 9 Jan 2022 Sun
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
8-Jan-2022 (Night Shift)
Kota MGU Ujang Backfill & reinstatement Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Testpit on south ex tram rail area Tools please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Setting stair case at GM-1 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 15 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Remove MCB from U-turn & north side New TJ BT please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 0 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 Stopping line and Pipe Cutting Tools please use proper mandatory PPE while working
Kota KJA Didik 8 Water supply pipe crossing at North side Tools please use proper mandatory PPE while working
Kota Palyja 10 Casting at water supply chamber Kota north Tools please use proper mandatory PPE while working
Glodok Radema 10 Preparation for stopple installation at GM-3 Tools please use proper mandatory PPE while working

Glodok HK 6 Repair Manhole work at West side(OT) Mini Crane Please use mandatory PPE While working Tommy
HK Total Subtotal 6 0
Glodok Sekarwangi 3 Road lane Marking at TJ Pelican and TJ line inside please use proper mandatory PPE while working PPE,OK
Kota Rajawari 4 Install CCTV pole at Kota pedestrian PPE,OK
Engineer office' Inti Indah 4 Install cable conduit& Loading material for ceiling Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 Injection Chemical works at south east Kota PPE,OK

9-Jan-2022 (Day shift)

Support Mechanic set up water sediment tank facility and continue
Stockyard MGU Ujang 3 Tools please use proper mandatory PPE while working Janahar/Ajiz
support electrician
Kota MGU Ujang 6 Excavate test pit for Terakota near Pospol Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 6 Reinstatement Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 PC200 please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 6 Expose D600 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 please use proper mandatory PPE while working Didit
East) + Flag Man
Housekeeper MGU Ujang 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 31 0
Glodok HK 6 Install Manhole work at north west Glodok (2 team) Please use mandatory PPE While working
HK Total Subtotal 6 0
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 Tools please use proper mandatory PPE while working

Kota MTK 10 Tools please use proper mandatory PPE while working

Glodok Radema 10 preparation Cutting Pipe GM-1&3 and reinstatement GM-1 & GM-3 Tools please use proper mandatory PPE while working PPE,OK

Glodok BAP 1 Lifting Stair CASE gm-1 Please use mandatory PPE While working Tommy PPE,OK
Kota NITTOC Sony 10 Injection Chemical works at south east Kota PPE,OK
Kota CV Andi 8 Reinstatement additional test pit ADD-3 & 2 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 71 0

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Silica tank Kota east 15 23:00
Acid tank Kota east 6 23:00
L

TOOLBOX MEETING RECORD

PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 0 #REF!
② A CUMULATIVE TOTAL #REF! 1444 #REF!
 PROJECT MANAGER CONST.MANAGER ASST. CONST. MANAGER SAFETY SUBCONTRACTOR PREPARED BY
SMCC- HK JO
SITE JAKARTA MRT CP203 Project

Construction of Jakarta Mass Rapid Transit Project,

Project Name Underground Section CP203 SAFETY
PATROL
MEETING DATE 7 Jan 2022 Fri fine REPORT
WORKING DATE 10 Jan 2022 Mon
WORK FORCE EQUIPMENT
IN CHARGE MANPOWER UNIT SMCC-HK
LOCATION WORK ITEM Safety Instruction SIGNITURE CURRENT STATUS EXTRA WORK
SUBCONSTRACTOR TYPE SPECS INCHARGE
Sign Plan Actual Plan Actual
Name
9-Jan-2022 (Night Shift)
Kota MGU Ujang Backfill & reinstatement Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang Testpit on south ex tram rail area Tools please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Setting stair case at GM-1 25 RTC please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 15 Mini Excavator please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang Remove MCB from U-turn & north side New TJ BT please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 0 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
8
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 Stopping line and Pipe Cutting Tools please use proper mandatory PPE while working
Kota KJA Didik 8 Water supply pipe crossing at North side Tools please use proper mandatory PPE while working
Kota Palyja 10 Casting at water supply chamber Kota north Tools please use proper mandatory PPE while working
Glodok Radema 10 Preparation for stopple installation at GM-3 Tools please use proper mandatory PPE while working

Glodok HK 6 Repair Manhole work at West side(OT) Mini Crane Please use mandatory PPE While working Tommy
HK Total Subtotal 6 0
Glodok Sekarwangi 3 Road lane Marking at TJ Pelican and TJ line inside please use proper mandatory PPE while working PPE,OK
Kota Rajawari 4 Install CCTV pole at Kota pedestrian PPE,OK
Engineer office' Inti Indah 4 Install cable conduit& Loading material for ceiling Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 Injection Chemical works at south east Kota PPE,OK

10-Jan-2022 (Day shift)

Support Mechanic set up water sediment tank facility and continue
Stockyard MGU Ujang 3 Tools please use proper mandatory PPE while working Janahar/Ajiz
support electrician
Kota MGU Ujang 6 Excavate test pit for Terakota near Pospol Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 6 Reinstatement Tram rail pit Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 PC200 please use proper mandatory PPE while working Janahar/Ajiz
Glodok MGU Ujang 6 Expose D600 PALYJA Pipe at GM-1 PC200 please use proper mandatory PPE while working Janahar/Ajiz
Support survey (Nittoc level monitoring and Lane Marking at Glodok
Survey MGU Ujang 3 please use proper mandatory PPE while working Didit
East) + Flag Man
Housekeeper MGU Ujang 3 Support Safety and store keeper and traffic man & housekeeping Tools please use proper mandatory PPE while working Janahar/Ajiz
SMCC Total SMCC Subtotal 31 0
Glodok HK 6 Install Manhole work at west side (2 team) Please use mandatory PPE While working
HK Total Subtotal 6 0
Kota Indoor survey Crack Survey & Interview 86/106 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Tigenko Resa 4
Glodok Indoor Crack Survey & Interview 28/36 Please use mandatory PPE While working & follow health protocol while interview Rizky/Arif PPE,OK
Kota KJA Didik 10 Tools please use proper mandatory PPE while working

Kota MTK 10 Tools please use proper mandatory PPE while working

Glodok Radema 10 preparation Cutting Pipe GM-1&3 and reinstatement GM-1 & GM-3 Tools please use proper mandatory PPE while working PPE,OK

Glodok BAP 1 Lifting Stair CASE gm-1 Please use mandatory PPE While working Tommy PPE,OK
Kota NITTOC Sony 10 Injection Chemical works at south east Kota PPE,OK
Kota CV Andi 8 Please use mandatory PPE While working PPE,OK
Security Kyowa 18 Security at Temp Office 3, Permanent office 3 & Stockyard 2 please use proper mandatory PPE while working PPE,OK
Subtotal 71 0

PLANNED CHECK NON-

DELIVERY SCHEDULE

EQUIPMENT/MATERIA

（REFERENCE, DRAWINGS, ETC.） NOTICE, EVENT EQUIPMENT/MATERIAL STOCK YARD Arrival Time ACTUAL QTY SIGNITURE CORRECTIVE ACTION* RECHECK CM SIGNITURE
QTY RESULT CONFORMANCE
Silica tank Kota east 15 23:00
Acid tank Kota east 6 23:00
L

TOOLBOX MEETING RECORD

PERSON IN CHARGE
SIGNITU
SAFETY INFORMATION DETAIL OF INSPECTION INSPECTION LOCATION TIME CHECK RESULT CORRECTIVE ACTION RECHECK CM SIGNITURE
RE
INSPECTION

１ Check the Signage of Occupation

2 Be careful for accident when cross the road
3 Wear the proper PPE when work in site

RECORD OF EXTRA WORK CORRECTIVE AND PREVENTIVE ACTION REPORT SMCC-HK JO SUBCON SUM
① MEMBER OF THE DAY #REF! 0 #REF!
② A CUMULATIVE TOTAL #REF! 1444 #REF!