Subursaba Sdn Bhd (426851-A)

No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 8th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 08/8/22
Supervisor:

Site Engineer: Olyvia Mina Signature Date: 08/8/22

 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 9th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 09/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 09/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 15th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 15/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 15/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu, Sarawak (Package A)

Date: 16th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 16/8/22
Supervisor:

Site Engineer: Olyvia Mina Signature Date: 16/8/22

 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 17th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 17/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 17/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 18th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 18/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 18/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 19th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 19/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 19/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 22th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 22/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 22/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 23 August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 23/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 23/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang

Estate Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu, Sarawak

(Package A)

Date: 24th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 24/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 24/08/22
 Subursaba Sdn Bhd (426851-A)
No. 33A Eastern Gateway Industrial Park Jalan Tun Hussein Onn,
P.O. Box 480, 97000 Bintulu Sarawak
Tel No.: +60105668025 Fax: 086-332575
Email: subursabasb@gmail.com

Project Name: Construction and Completion of Reinforce Concrete Road at Lavang Estate

Main Road, From Lavang Estate Main Gate to Lavang Mill, Bintulu,

Sarawak (Package A)

Date: 25th August 2022

Supervisor: Sia Chee Hang

HSE Performance & Compliance Status (Highlight Appropriately)

Do all workers have PPE? Yes / No Are all workers on site fully Yes / No
vaccinated?
Do all workers have done Yes / No Any injury recorded? (If yes, Yes / No
HSE & Security Induction? give details as per incident
reporting procedure)
Do all workers participate in Yes / No Any unsafe acts/condition noted Yes / No
daily toolbox briefing? around site? (If yes describe)
Daily safety checks done? Yes / No Any near misses recorded? (If Yes / No
yes describe)

Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any)

Safety Report Verified By:

Site Safety Cynthia Chua Signature: Date: 25/08/22
Supervisor:
Site Engineer: Olyvia Mina Signature Date: 25/08/22