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
4-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
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 0
Kota SCKP yuda Relocation cable optik Kota (Indosat) Please use mandatory PPE While working Rizky
0
Glodok SCKP yuda Relocation cable optik Glodok (Indosat) Please use mandatory PPE While working Rizky
Kota KJA Didik 10 preparation for Stopping line and Pipe Cutting 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 Mini Crane Please use mandatory PPE While working Tommy
Kota MTK 5 Cutiing D250 Tools please use proper mandatory PPE while working PPE,OK
Glodok Sekarwangi 3 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 Repair cable MEP and marking wall finish Please use mandatory PPE While working Tommy PPE,OK
Kota Nittoc Sony 10 Injection Chemical works PPE,OK

5-Jan-2022 (Day shift)

Stockyard MGU Ujang 2 Support Electrician Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 8 Excavate test pit for Terakota near Pospol and Kota wast Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 Test Pit at South Kota Ex Tram Rail Area Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 Closing Pipe D250 Tools please use proper mandatory PPE while working Janahar/Ajiz
Kota MGU Ujang 4 Staircase Installation at Gm-1 Crane 25T please use proper mandatory PPE while working Janahar/Ajiz
Housekeeper MGU Ujang 3 Support Tac Tile and Bollard installation at pelican crossing Area Tools please use proper mandatory PPE while working Janahar/Ajiz
Survey MGU Ujang 2 Support survey please use proper mandatory PPE while working Didit
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 30 0
Glodok HK 2 Tac Tile and Bollard installation at pelican crossing Area Please use mandatory PPE While working
Glodok HK 6 Install Manhole work at west side (2 team) Please use mandatory PPE While working
Glodok HK 2 Housekeeping Please use mandatory PPE While working
HK Total Subtotal 10 0
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
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 repair equipment for stopper D600, Cutting Pipe600 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 12 Injection Chemical works PPE,OK
Kota CV Andi 8 Excavation 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 63 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

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!