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HSE DAILY ACTIVITY REPORT

LAPORAN KEGIATAN HARIAN HSE


Date/ Tanggal : Work Permit / Ijin Kerja:
Project/ Proyek :
Location/ Lokasi :
Day Shift Night Shift
Tenaga Kerja / Man Power : Occasion / Peristiwa Weather / Cuaca
Anomaly Bright/Cerah
No. Position Total
Near Miss Cloudy/Berawan
1
Accident Rain/Hujan
2
3 FA MTC MD RWDC LTI
4 Major Equipment / Peralatan Utama:
5
6
7
8
9
10
Total Manpower
Topics of Toolbox Meeting / Topik Pertemuan Harian K3L :

Description of Works / Rincian Pekerjaan :


Time:

Miscellaneous / Lain-Lain :

Reported by / Dilaporkan oleh: Next day plan activity / Rencana kegiatan hari berikutnya:
Name/Nama :
Position :
Contact No. :
Signature :

FOR/HSE/PSD/03-04 Rev. 02 – 21 Jan 14

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