Form No.

Rev No.: 0
Date: April 2017
Worker Accomodation
Survey
Page: Page 1 of 2

Contractor Name : CKD

Housing : Worker Camp (rent a house from a villager)
Address : Kampung Cibenda, Desa Parung Mulya, Karawang
Survey and Report by : Anang A. Nugroho

Status
Checks The existing condition during Survey
Yes No

there is a place for washing hands with full soap. placed before the entrance

Hand Wash and Shoap Yes

apply borders / marks on the floor, to keep physical distancing. and put up "physical
distancing" posters in several places

Physical Distancing Yes

there are posters about the prevention of covid-19, posted in several places

Personal Hygiene Poster Yes

Waste bin Yes

Available trash bins
 Form No.:

Rev No.: 0
Date: April 2017
Worker Accomodation
Survey
Page: Page 2 of 2

Disinfectan once every 2 days

Disinfectant Spray Yes

install the covid task force org.chart

Line Manager Contact Detail Yes

Notes :
1. In general, housing has followed the rules for preventing Covid-19
2. It is necessary to make a cleaning schedule at the camp
3. Make sure all workers follow a clean and healthy lifestyle, convey it regularly at the Tool Box Meeting
4. The covid-19 task force team is required to,
- Carry out regular inspections at the worker camp
- Ensure the availability of water, masks, gloves and soap
- Perform random antigen test on workers on a regular basis
- Train workers how to report symptoms and ensure workers understand how to respond in case of an emergency.
- Campaign on the prevention of covid continuously
- Increase housing, if it is full
- Ensure that disinfectants are carried out consistently (at least once a day in the project area and once in 2 days in
housing)