Laporan Bulanan Proyek No.

PO :
Nama Proyek NESTLE BATIK & SPARK ENABLING Client NESTLE
Lokasi Ds Wonosegoro, Kab Batang - Jawa Tengah Kontraktor PT. Taiyo Sinar Rayaknik
Dilaporkan Oleh Anung Satria Bulan Dec-21

Tanggal
1. Accident - Incident Case Data Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Unsafe Condition (BBS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Unsafe Behaviour (BBS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Near miss 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Medical Treatment beyond First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Restricted Work 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lost Time Injury 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Irreversible 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2. Jumlah Hari Kerja

Tanggal Total
No Nama Karyawan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Hours
A STAFF
1 Faizal Riza 9 9 9 0 0 0 0 9 9 9 0 0 0 0 0 9 9 8 0 9 9 9 9 9 0 0 9 0 9 9 9 161
2 Zulfikar Ali 9 9 9 8 0 9 9 9 9 9 0 0 0 9 9 9 9 0 0 0 9 9 9 9 0 0 0 0 9 9 9 179
3 Danang HS 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 231
4 Dendi Anandya 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 0 9 0 0 0 9 9 9 9 0 0 9 9 9 9 9 205
5 Ali Rohman 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 0 0 9 9 9 9 9 223
6 Lukman N 0 0 0 0 0 0 0 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 0 0 9 9 9 9 9 170
7 Dedi Prasetyo 0 0 0 0 0 0 0 0 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 0 0 9 9 9 9 9 161
8 Anung Satria 0 0 0 0 0 0 0 0 9 9 8 0 9 9 9 0 0 0 0 9 9 9 9 9 0 0 9 9 9 9 9 143
9 Bambang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 8 0 9 9 9 9 0 0 0 9 9 9 9 9 107
B WORKMAN 0
10 Yoga Aziz Saputra 0 0 0 0 0 9 9 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 196
11 Riyanta 0 0 0 0 0 9 9 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 0 187
12 Ruri Aryanto 0 0 0 0 0 9 9 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 196
13 Mukhamad Murtiono 0 0 0 0 0 9 9 9 9 9 8 0 9 9 9 9 9 8 0 9 9 9 9 9 0 0 9 9 9 9 9 196
Kab. Batang, 02 Januari 2022 BULAN INI 2355
BULAN LALU 0
SD BULAN INI 2355
 Dilaporkan Oleh Disetujui Oleh Diketahui

( Anung Satria ) ( Zulfikar Ali ) ( HSE Consultant/ Client )

24 suhardi 0 0 0 0 0 0 0 0 0 0 0 0 9 9 9 0 27
25 jojo 0 0 0 0 0 0 0 0 0 0 0 0 9 9 9 0 27
26 puji 0 0 0 0 0 0 0 0 0 0 0 0 9 9 9 0 27
27 Roni 0 0 0 0 0 0 0 0 0 0 0 0 9 9 9 0 27
28 Endro 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 18
29 Bayu Prasetio 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 18
30 Danu Arianto 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0 18
31 Imron 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Tohirin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Sofan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Toidin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
Kab. Batang, 31 Januari 2022 BULAN INI 7227
BULAN LALU 2355
SD BULAN INI 9582

Dilaporkan Oleh Disetujui Oleh Diketahui

( Anung Satria ) ( Zulfikar Ali ) ( HSE Consultant/ Client )

 ###

Laporan Bulanan Proyek No. PO :

Nama Proyek NESTLE BATIK & SPARK ENABLING Client NESTLE
Lokasi Ds Wonosegoro, Kab Batang - Jawa Tengah Kontraktor PT. GEA REFRIGATION ( CHILLER )
Dilaporkan Oleh TEGUH SETYAWAN Bulan JULI'22

Tanggal
1. Accident - Incident Case Data Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Unsafe Condition (BBS) 3 0 0 0 0 0 0 2 0 0 0 0 0 0 6 0 0 0 0 0 0 7 0 0 0 0 0 0 1 0 0 19
2 Unsafe Behaviour (BBS) 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
3 Near miss 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Medical Treatment beyond First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Restricted Work 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Lost Time Injury 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Irreversible 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2. Jumlah Hari Kerja

Tanggal Total
No Nama Karyawan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Hours
A STAFF
1 SOLIH SABAR 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
2 TEGUH SETYAWAN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
3 ARIS BIMA 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
4 DAYAT 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
5 SUPRAPTO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
6 ASMAJI 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
7
8
9
10
11
12
13
 B WORKMAN 0 0
1 ARHAM NOVIANTO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
2 AHMAD NASIHIN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
3 AMININ 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
4 BAGUS 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
5 GIGIH A.M 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
6 JUNAIDI 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
7 MADUN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
8 NASIHIN B 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
9 RINO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
10 RISDIANTO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
11 RISKI 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
12 WAWAN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
13 LUKMAN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
14 TARIP 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
15 PUJIONO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
16 AGUNG 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
17 DENI 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 0 10 10 10 0 10 10 10 10 10 9 0 249
18 HARIANTO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 0 10 10 10 0 10 10 10 10 10 9 0 249
19 RAMANTO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 0 10 0 10 10 10 10 10 9 0 249
20 DODIK 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
21 INDRA 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
22 BUDI SANTOSO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 9 0 259
23 RIAN 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 0 0 10 0 10 10 10 10 10 9 0 239
24 EKO 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 9 0 249
25 YUNUS 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 0 10 10 10 10 0 0 10 10 10 10 10 9 0 239
26 REZI P 10 10 0 10 10 10 10 10 10 0 10 10 10 10 10 10 0 0 0 10 10 10 0 0 10 10 10 10 10 9 0 229
27 ASMANTO 10 10 10 10 10 10 10 10 0 10 10 10 10 10 10 0 10 10 10 10 0 0 0 10 10 10 10 10 9 0 239
28
Kab. Batang, 31 Juli 2022 BULAN INI 8417
BULAN LALU 18863
SD BULAN INI 27280

Dilaporkan Oleh Disetujui Oleh Diketahui

( TEGUH SETYAWAN) (SOLIH SABAR) ( HSE NESTLE )