Form Pendaftaran Pekerja Observasi Lematang Block

Check-In Schedule Check-Out

No Nama Personil Tgl Lahir Posisi No. TLP Perusahaan / TPC Section Domisili Usulan Hotel
Observasi Swab Test Observasi
1 Suherman 25/07/1970 Foreman 081373895370 MEPI PRD Palembang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih Cancel
2 M. Yusri 29/09/1972 Operator PRD 085267167054 PT. Sucofindo PRD Gunung Megang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
3 Alnika Saputra 22/09/1982 Operator PRD 085222301628 PT. Sucofindo PRD Prabumulih 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
4 Deddy Irawan 12/12/1986 Lab. Tech 082186819211 PT. Sucofindo PRD Pendopo 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
5 Purnawirawan 10/06/1985 Operator GTG 085384330330 PT. Sucofindo PRD Indralaya 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
6 Burhan Japri 01/05/1983 Teknisi 085219377357 PT. Sucofimndo OSD Gunung Megang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
7 M. Wamirsa 15/08/1970 Teknisi 081373251108 PT. Sucofindo HSE Pagardewa, Lubai 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
8 Edis Apriyan 29/04/1991 Teknisi 082282715447 PT. Sucofindo HSE OKU Timur 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
9 Julius Sabara 20/07/1978 Teknisi 082178493790 PT. Sucofindo WHS Muara Enim 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
10 Julius Frand 27/07/1988 Security Guard 085267626319 PT. SRB PASEC Gunung Megang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
11 Yuni karnadi 02/08/1980 Security Guard 085267982589 PT. SRB PASEC Bangun Sari 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
12 Iwanto 06/09/1987 Security Guard 082378914646 PT. SRB PASEC Sumaja Makmur 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
13 Fidrawadi 16/05/1979 Security Guard 082289530434 PT. SRB PASEC Gunung Megang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
14 Beni Arifin 29/09/1971 Driver 081373890555 PT. DOS OSD Palembang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
15 Ilham prasetyo 19/02/1987 Driver 081317713126 PT. DOS OSD Bambu Kuning 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
16 Dedie Octawijaya 23/10/1982 Foreman 081377712233 PT. Sucofindo OSD Cinta Kasih 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
17 Jumedi 27/11/1992 Helper 085273662404 PT. Sucofindo OSD Bangun Sari 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
18 Marpu Aten 23/10/1977 Helper 081212107364 PT. Sucofindo OSD Bangun Sari 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
19 Citra Dana 07/07/1971 Helper 082296959419 PT. Sucofimndo OSD Panang Jaya 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
20 Kaisar 23/01/1986 Teknisi 081274995398 PT. Sucofindo OSD Sumber Mulya, Lubai 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
21 Riko Armansyah 10/10/1985 Teknisi 08126905353 MEPI OSD Baturaja 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
22 Hermansyah 09/11/1976 Technician 082175801505 PT. Sucofindo OSD Gunung Megang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
23 Andri Pajri (CBE) 28/03/1994 Tech. AC 085273916619 PT. CBE OSD Pendopo 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
24 Syafril (CBE) 24/04/1986 Teknisi AC 085382736212 PT. CBE OSD Pendopo 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
25 Risdianto 05/05/1980 Relief Op. Compactor 082166399209 PT. Lematang OSD Pendopo, Pali 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
26 Sutoto 07/04/1971 Op.Bechoe Loader 085357829047 PT. Lematang OSD Palembang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
27 Tri Leo Susanto 01/06/1985 Op. Whellfork 085208958728 PT. PWS OSD Belitang 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
28 Inawan 29/01/1980 Teknisi 08117132112 MEPI OSD Lahat 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
29 Doli H.P 03/05/1992 Teknisi 082134034343 PT. Sucofindo OSD Panang Jaya 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
30 Anton Nistrong 09/09/1982 Opeator Crane - PT. PWS OSD Jambi 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
31 Somad 09/09/1989 Helper Crane - PT. PWS OSD Musi Rawas 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih
32 Dedi Sujito 17/10/1980 Helper. Vacuum Truck 081271122407 PT. Lematang OSD Cinta Kasih 21-Nov-20 25-Nov-20 26-Nov-20 Fave, Prabumulih

Prepared by, Review by, Approved by,

Act.

Okta Rini Mirza Dalando Dedy Nurrahman M. Bazarul Aqhsa dr. Deni Saputra Agus Tri Maryanto Martua Marpaung Alip Rahmanu Budiwanto
ADM Lead PRD Officer PASEC Lead OSD Medical Lead WHS for Lead HSE Manager Operations Lematang Block