HSE INSPECTION REPORT Health ,Safety & Environmental Department

Date : 12 July 2022 Inspection attended by : 1. Deddy B - Petronas Supervisor 6. Sofan - Materialman 11. Nizam - Asst Materialman 16. Frengky - M3KS Reps
2. Nurdiyanto - HSE Officer 7. Efri - Materialman 12. Nirwan - Schlumberger
3. Yudi Irawan - Materialman 8. Aji M - Yard SPV 13. Gusthomi - HSE Inpector LSB
4. Dicky - Matarialman 9. Rokhim - Asst. Materialman 14. Izam - Halliburton
INSPECTED AREA : WAREHOUSE 5. Rizal - Materialman 10. Windarno - Lead Sec. Nawakara 15. Petrus - Inspector PT. ISP

PICTURE
COMPLETION
NO AREA FINDING RECOMMENDATION PIC STATUS REMARK
TARGET
BEFORE AFTER

Material on the rack DMW 9A2-

1 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Material on the rack DMW 4C2-

2 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Material on the rack DMW 5A2-

3 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Material on the rack DMW 7B2-

4 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Material on the rack DMW 6B2-

5 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Found firex at near gate

6 Warehouse H warehouse H not available check Regular check HSE EL 19-Jul-22 Open
for period July 2022

Open
 HSE INSPECTION REPORT Health ,Safety & Environmental Department

Date : 12 July 2022 Inspection attended by : 1. Deddy B - Petronas Supervisor 6. Sofan - Materialman 11. Nizam - Asst Materialman 16. Frengky - M3KS Reps
2. Nurdiyanto - HSE Officer 7. Efri - Materialman 12. Nirwan - Schlumberger
3. Yudi Irawan - Materialman 8. Aji M - Yard SPV 13. Gusthomi - HSE Inpector LSB
4. Dicky - Matarialman 9. Rokhim - Asst. Materialman 14. Izam - Halliburton
INSPECTED AREA : WAREHOUSE 5. Rizal - Materialman 10. Windarno - Lead Sec. Nawakara 15. Petrus - Inspector PT. ISP

PICTURE
COMPLETION
NO AREA FINDING RECOMMENDATION PIC STATUS REMARK
TARGET
BEFORE AFTER

Found step ladder after use not Return the ladder to right
7 Warehouse H Materialman 19-Jul-22 Open
return to the right place place

Material on the rack DMW 15C3-

8 Warehouse H Re-strapping the material Materialman 19-Jul-22 Open
00 improper strapping

Found some chemical stored at Move to warehouse

9 Warehouse G Baroid 19-Jul-22 Open
acces way space/push return to vendor

Found roof at warehouse E is

10 Warehouse E Repair the roof Yard SPV LSB 19-Jul-22 Open
leak, area storage cement

Found material blocked acces to Move the material from

11 Warehouse 3 Materialman 19-Jul-22 Closed Direct action
firex emergency acces

Found cradle cylinder keep at Move to the right place for

12 Warehouse 3 Materialman 19-Jul-22 Open
wrong place this cylinder

Open
 HSE INSPECTION REPORT Health ,Safety & Environmental Department

Date : 12 July 2022 Inspection attended by : 1. Deddy B - Petronas Supervisor 6. Sofan - Materialman 11. Nizam - Asst Materialman 16. Frengky - M3KS Reps
2. Nurdiyanto - HSE Officer 7. Efri - Materialman 12. Nirwan - Schlumberger
3. Yudi Irawan - Materialman 8. Aji M - Yard SPV 13. Gusthomi - HSE Inpector LSB
4. Dicky - Matarialman 9. Rokhim - Asst. Materialman 14. Izam - Halliburton
INSPECTED AREA : WAREHOUSE 5. Rizal - Materialman 10. Windarno - Lead Sec. Nawakara 15. Petrus - Inspector PT. ISP

PICTURE
COMPLETION
NO AREA FINDING RECOMMENDATION PIC STATUS REMARK
TARGET
BEFORE AFTER

Found terpaulin not available

13 Inspect area Install terpaulin Inspektindo 19-Jul-22 Closed Direct action
install under inspect casing

Open