Laporan Bulanan Proyek No.

PO :
Nama Proyek NESTLE BATIK
Barat, Kab. & SPARK
Minahasa ENABLING
Selatan, Provinsi Sulawesi Utara 95911 Client CARGILL
Lokasi Kontraktor PT.SURYA MULIA SAMPURNA
Dilaporkan Oleh Anung Satria Bulan Sep-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
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
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
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
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
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
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
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
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
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

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 Hours
A STAFF
1 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 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 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 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 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 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 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 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 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
B WORKMAN 0
10 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
11 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
12 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
13 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
Kab. AMURANG 30 SEPT 2022 BULAN INI 0
BULAN LALU 0
SD BULAN INI 5211
 24 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
25 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
26 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
27 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
28 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
29 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
30 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
31 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
32 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
33 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
34 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
Kab. AMURANG 30 SEPTEMBER 2022 BULAN INI 5211
BULAN LALU 0
SD BULAN INI 5211

Dilaporkan Oleh Disetujui Oleh Diketahui

(TEGUH SETYAWAN ) ( ERFAN SUSANTO) ( HSE Consultant/ Client )

 Laporan Bulanan Proyek MANHOURS No. PO :
Nama Proyek CARGILL - AMNURANG
Barat, Kab. Minahasa Selatan, Provinsi Sulawesi Utara 95911 Client CARGILL
Lokasi Kontraktor PT.SURYA MULIA SAMPURNA
Dilaporkan Oleh TEGUH S Bulan Oct-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
A ICD
1 Unsafe Condition (BBS) 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 1 0 0 0 1 11
2 Unsafe Behaviour (BBS) 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
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
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 Jam Kerja Aman

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
B STAFF
1 ERFAN SUSANTO 10 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 236
2 SAIDI 10 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 236
3 TEGUH SETYAWAN 0 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 226
4 ALBERNANDO 10 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 10
5 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 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 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 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 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
10 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
11 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
12 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
13 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
0
 C WORKMAN 0 0
1 AZRUL MUIZ 10 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 236
2 ALAN 10 0 0 0 10 10 10 8 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 228
3 ALDI DWI 10 0 0 0 10 10 10 8 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 228
4 AHMAD 10 0 0 0 10 10 10 0 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 220
5 CATUR F 10 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 236
6 FATAHILAH 10 0 0 0 10 10 10 8 8 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 236
7 FATUR 10 0 0 0 10 10 10 8 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 228
8 IKHRAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 10 10 10 10 0 10 70
9 IMAM WAHYUANA 10 0 0 0 10 10 10 8 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 228
10 WAHIDIN UMAR 10 0 0 0 10 10 10 8 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 228
11 RIO B 10 0 0 0 10 10 10 8 0 0 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 218
12 ANDI H 10 0 0 0 10 10 10 0 0 10 10 10 10 10 10 0 10 10 10 10 10 0 0 10 10 10 10 10 10 0 10 220
13 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
14 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
15 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
16 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
17 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
18 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
19 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
20 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
21 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
22 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
23 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
24 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
25 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
26 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
27 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
28 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
Kab. AMURANG 31 OKTOBER 2022 BULAN INI 3284
BULAN LALU 5211
SD BULAN INI 8495

Dilaporkan Oleh Disetujui Oleh Diketahui

(TEGUH SETYAWAN ) ( ERFAN SUSANTO) ( HSE Consultant/ Client )

 Laporan Bulanan Proyek MANPOWER No. PO :
Nama Proyek CARGILL
Utara - AMNURANG
95911 Client CARGILL
Lokasi Kontraktor PT.SURYA MULIA SAMPURNA
Dilaporkan Oleh TEGUH S Bulan Nov-22

2. Jumlah Hari Kerja Aman

Tanggal
No Nama Karyawan Total Days
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
B STAFF
1 ERFAN SUSANTO 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 26
2 SAIDI 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 26
3 TEGUH SETYAWAN 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 26
4 DINDA 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 25
5 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 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 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 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 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
10 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
11 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
12 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
13 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
C WORKMAN 0 0
1 AZRUL MUIZ 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 23
2 ALAN 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 22
3 ALDI DWI 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 22
4 AHMAD 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 21
5 CATUR F 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 23
6 FATAHILAH 1 0 0 0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 23
7 FATUR 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 22
8 IKHRAM 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 6
9 IMAM WAHYUANA 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 22
10 WAHIDIN UMAR 1 0 0 0 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 22
11 RIO B 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 21
12 ANDI H 1 0 0 0 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 21
13 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
14 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
15 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
16 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
17 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
18 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
19 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
20 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
21 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
22 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
23 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
24 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
25 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
26 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
27 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
28 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
Kab. AMURANG 31 OKTOBER 2022 BULAN INI 351
BULAN LALU 74
SD BULAN INI 425
 WEEKLY RECORD MP / MH

periode 11 periode 12
LAPORAN MAN HOURS
TUNA PROJECT CARGILL AMURANG
PT. SURYA MULIA SAMPURNA
PERIODE 02 Okt S/D 08 Okt 2022

TANGGAL TOTAL
NO. NAMA DIVISI 02-Okt 03-Okt 04-0kt 05-Okt 06-Okt 07-Okt 08-Okt
TK JK TK JK TK JK TK JK TK JK TK JK TK JK TK JK
1 Teguh setyawan HSE 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

2 Saidi Site Manager 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

3 Erfan Susanto Supervisi Sipil 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

4 Ahmad Operator Crane 0 0 0 0 0 0 1 10 1 10 1 10 0 0 3 30

5 Andi Hidayat Helper Crane 0 0 0 0 0 0 1 10 1 10 1 10 0 0 3 30

6 Catur Firmansyah Rigger 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

7 Yohan es Satria P T. peran cah & Mekanik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 Muh. Fatur Rahman S Fire Figh ter & Mekanik 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

9 Muh. Maulana F Welder & Mekanik 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

10 Azrul Muiz Mekanik 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

11 Imam Wahyuana Mekanik 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

12 Aldi Dwi Wicaksono Mekanik 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

13 Alan Paulus Sipil 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

14 Rio Rifai Baderan Sipil 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

15 Waidin Umar Sipil 0 0 0 0 0 0 1 10 1 10 1 10 1 8 4 38

KUMULATIF 0 0 0 0 0 0 14 140 14 140 14 140 12 96 54 516

Keterangan :
TK : Tenaga Kerja
JK : Jam Kerja

* T otal Akumulasi H ari K erja Aman Pekerja Minggu Lalu ( ManDays) 0 * Total ManDays 54
* Total Akumulasi Jam Kerja Minggu Lalu : 5.351 * Total Manhours : 5.867
* 1 = Masuk Kerja

N o/Angka merah = Over Time/Hari Libur/Off / 02 - 08 Okt 321 Hours OVER TIME

periode 13 periode 14

LAPORAN MANHOURS
LAPORAN MANHOURS
TUNA PROJECT CARGILL AMURANG
TUNA PROJECT CARGILL AMURANG
PT. SURYA MULIA SAMPURNA
PT. SURYA MULIA SAMPURNA
PERIODE 16 Oct S/D 22 Oct 2022
PERIODE 23 Oct S/D 29 Oct 2022

TANGGAL TOTAL
TANGGAL TOTAL
DIVISI 23-Okt 24-Okt 25-Okt 26-Okt 27-Okt 28-Okt 29-Okt
DIVISI 23-Okt 24-Okt 25-Okt 26-Okt 27-Okt 28-Okt 29-Okt
TK JK TK JK TK JK TK JK TK JK TK JK TK JK TK JK
TK JK TK JK TK JK TK JK TK JK TK JK TK JK TK JK
HSE 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50
HSE 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60
Site Manager 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50
Site Manager 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Supervisi Sipil 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50
Supervisi Sipil 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Operator Crane 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50
Ope rator Crane 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60
Helper Crane 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Helper Crane 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Rigger 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Rigger 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60
T. perancah & Mekanik 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 T. perancah & Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60
Fire Fighter & Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Fire Fighter & Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Welder & Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Welder & Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Mekanik 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Sipil 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Sipil 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Sipil 0 0 1 0 1 10 1 10 1 10 1 10 0 0 5 50 Sipil 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

Sipil 0 0 1 10 1 10 1 10 1 10 1 10 0 0 5 50 Sipil 0 0 1 10 1 10 1 10 1 10 1 10 1 10 6 60

KUMULATIF 0 0 14 130 14 140 14 140 14 140 14 140 0 0 70 700 KUMULATIF 0 0 15 150 15 150 15 150 15 150 15 150 15 150 90 900

TK : Tenaga Kerja TK : Tenaga Kerja

JK : Jam Kerja JK : Jam Kerja

Total Akumulasi Hari Kerja Aman Pekerja Minggu Lalu ( ManDays) 143 * Total ManDays 213
Total Akumulasi Hari Kerja Aman Pekerja Minggu Lalu ( ManDays) 213 * Total ManDays 303
: 6.745 * Total Manhours : 7.445 : 7.445 * Total Manhours : 8.345

No/Angka merah = Over Time/Hari Libur/Off / 16 -22 Okt 369 Hours lembur No/Angka merah = Over Time/Hari Libur/Off / 16 -22 Okt 369 Hours lembur
 Doc. Title Daily HSS Inspection TOTQL FINDING

Performance
Measuring and
Procedure Reference Monitoring & OK Revision 13
Evaluation of
Compliance
Doc. No. Issue Date
CARGILL TUNA PROJECT - STRUCTURE OPEN
Project: Contractor: SMS
CONVEYOUR

Client: CARGILL AMURANG - SULAWESI Date: 01 - 31 OKTOBER 2022

Closed
Week Number
Details of HS/E Responsibilit Picture Source
Date Issue Category Company Location Action Required Due Date STATUS Picture (Closing)
Observation Advisor y (Findings)

mencabut tools
Gerinda tidak di cabut
6-Oct-22 TOOLS setelah pekerjaan unsafe action SMS Teguh WH2 EXTERNAL gerindra setelah SPV/WORKER 6-Oct-22 Closed Daily Observasi
pemakaian

memberi pengarahan
Penempatan cat tidak WARE HOUSE COCO pada team untuk
10-Oct-22 LIMBAH MATRIAL B3 ada secondary Unsafe conditon SMS Teguh SPV/WORKER 10-Oct-22 Closed Daily Observasi
containment SELL menempatkan pada
kotak khusus

Bahaya komunikasi dengan

Tersandung,bekas
11-Oct-22 MATRIAL SISA Unsafe conditon SMS Teguh WH2 EXTERNAL team untuk lakukan SPV/WORKER 11-Oct-22 Closed Daily Observasi
matrial tidak di pakai
berserakan house keeping

Mengingatkan
11-Oct-22 GRINDING CONCRETE posisi kerjatidak aman Unsafe Action SMS Teguh 2ND JETTY pekerja agar bekerja SPV/SAFETY 11-Oct-22 Closed Daily Observasi
saat cutting dengan posisi yang
aman

aktivitas grinding dekat WARE HOUSE COCO

11-Oct-22 HOT WORK dengan flaMable Unsafe Action SMS Teguh SELL SPV/SAFETY 11-Oct-22 Closed Daily Observasi

Mengingatkan ke
9-Oct-22 HOT WORK tidak ada apar saat Unsafe Action SMS Teguh WH2 EXTERNAL pekerja bahaya SPV/SAFETY 9-Oct-22 Daily Observasi
grinding kebakaran Closed
&menyediakan APAR

komunikasi dengan
9-Oct-22 HOUSE KEEPINF /5 R bekas matrial kayu tidak Unsafe conditon SMS Teguh WH2 EXTERNAL team untuk menjaga SPV/WORKER 9-Oct-22 Closed Daily Observasi
di bersihkan kebersihan area

Memberikan
Penempatan cat tidak pengarahan agar di
18-Oct-22 LIMBAH MATRIAL B3 Unsafe conditon SMS Teguh WARE HOUSE COCO SPV/WORKER 18-Oct-22 Daily Observasi
ada secondary tempatkan pada Closed
containment SELL secondary c/box
khusus

Panel box tidak ada WARE HOUSE COCO

18-Oct-22 ELECTRICAL rambu/tanda Unsafe conditon SMS Teguh SELL pasang rambu pic SPV 18-Oct-22 Closed Daily Observasi

Mata gerinda tidak WARE HOUSE COCO lakukan penggantian

18-Oct-22 tOOLS layak/pecah Unsafe conditon SMS Teguh SELL mata gerinda SPV 18-Oct-22 Closed Daily Observasi

WARE HOUSE COCO Lakukan Perapihan

24-Oct-22 HOUSE KEEPING/5R Ware House Tidak Rapi Unsafe conditon SMS Teguh SPV 24-Oct-22 Closed Daily Observasi
SELL Pada Ware House

electrical box tidak di mengingatkan team

WARE HOUSE COCO
24-Oct-22 ELECTRICAL simpan setelah Unsafe conditon SMS Teguh untuk mympan di SPV 24-Oct-22 Closed Daily Observasi
penggunaan SELL tempat yang aman

informasi kepada
bahaya tersandung tag team untuk
27-Oct-22 MATERIAL line tidak di simpan Unsafe conditon SMS Teguh WH2 EXTERNAL memindahkan ke SPV 27-Oct-22 Closed Daily Observasi
setelah pemakaian tempat yang aman

pelindung /selang pada info team untuk

31-Oct-22 TOOLS Unsafe conditon SMS Teguh WH2 EXTERNAL melakukan perbaikan SPV 31-Oct-22 Closed patrol /gemba
kabel gerinda sobek pada pelindung kabel
 FINDING HSE

BULAN OKTOBER 22
Issue Week 1 Week 2 Week 3 Week 4 Week 5 Total
Fire safety / hot work 2 2
unsafe scaffold
unsafe B3 waste/matrials 1 1 2

unsafe electrical equipment 1 1 1 3

PPE & clothing 0
Communication & signage 0
wrong position during activity 1 1
falling object 0
Houskeeping 2 2 4
overloaded vehicles & forklift 0
permit to work & PJHA 0
unsafe lifting 0
Unsafe work at high 0
unguarded machinery, tools not
standart 1 1
unsafe access/egress 0
Total 1 6 3 3 0 13

Unsafe Condition 1 3 4
Unsafe Behaviour 0 3 3 3 9

FINDING
4.5
4
4

3.5
3
3

2.5
2 2
2

1.5
1 1
1

0.5
0 0 0 0 0 0 0 0
0
or
k
ol
d ls t in
g ge i ty ct in
g lift HA in
g
igh ar
t
es
s
aff ria en th na tiv je
ep rk PJ lift th nd gr
tw sc at m clo si g ac ob ke fo ta /e
ho /m ip ng us k& fe ka ts ss
/ fe te qu & & ri n
g
lli s& or sa or ce
ty sa as le E n fa Ho le w un w no
fe un w a PP tio du hic to fe ls ac
sa tric ci a on ve t a o o f e
re B3 ec un si ti ed rm
i
Un
s
y,
t sa
Fi fe el m po ad pe er un
sa fe m lo hin
un sa Co ng er ac
un ro ov m
w d
r de
a
gu
un

FINDING PER WEEK

6
6

3 3
3

1
1

0
0
Week 1 Week 2 Week 3 Week 4 Week 5
 SUMMARY PTW
BULAN : OKTOBER 22
No Description OKT'22 NOV'22 DES'22 TOTAL

1 PTW 147 147

2 GENERAL 0
3 HOT WORK 53 53
4 LIFTING WORK 48 48
5 HIGH AT WORK 46 46
6 CONFIDED SPACE 0
7 EXCAVATION 0
0
0
JUMLAH 147 0 0 147

SUMMAR Y PTW
OKT'22 NOV'22 DES'22

160

140

120

100

80 147

60

40
53 48 46
20

0
W AL K K K
AC
E N
PT ER OR OR OR IO
N W W W SP AT
GE T
NG AT ED AV
HO TI ID XC
LIF GH NF E
HI
CO
BULAN : OKTOBER 22
PJHA Week 1 Week 2 Week 3 Week 4 Week 5 Total
Install Head Backet & BE 8 14 10 12 44
Rerpaired Office &
Housekeeping Area
Pengukuran Uitzet bou plank &
Drill Concrete 1 5 5 5 16
Cutting Touch / Repair 0
Moving Part Conveyor 6 6
Install & Remove Scaffolding 4 4

Unloading Isi Container

0
Total 19 19 15 17 0

PJHA INDICATOR
12
8
4
0
r r r
BE ea et
e ai yo in
g
ne
t& Ar cr ep ve ld ai
ke ng on /R on ffo ont
ac pi lC il h rt
C ca C
B ee Dr uc Pa e
S Isi
ad ek To ov g
He us &
ng g
em
in
ll Ho a nk tti ovin R oad
a & pl u l
st ce u C M l& Un
In bo al
Offi et st
In
i re
d
U i tz
a
rp an
Re ur
uk
eng
P
Week 1 Week 2 Week 3 Week 4 Week 5
 EVIDE

BULAN : OKTOBER 22
NAMA Week 1 Week 2 Week 3 Week 4 Week 5 Total
ERVAN S 1 1 2
SAIDI 1
RIO B 1 1
ALDI 1 1
FATHUR 1 1 2
IKHRAM 1 1
TEGUH 1 1 2
Total 0 3 4 3 0 9

4 S INDICATOR
1.2

0.8

0.6

0.4

0.2

0
ERVAN S SAIDI RIO B ALDI FATHUR IKHRAM TEGUH

Week 1 Week 2 Week 3 Week 4 Week 5

 INTERNAL MEETING

PT .SMS

NOTULENSI NO :
NOTULENSI METTING INTERNAL
HALAMAN :
LOKASI MEETING TANGGAL MEETING DI TULIS OLEH TANGGAL PELAPORAN
SITE PROJECT CARGILL TUNA
31-Oct-22 TEGUH SETYAWAN  31 OKTOBER 2022
PROJECT

DISTRIBUTION ALL METTING : ALL STAF & TEAM WORK

INTERNAL DISCCUS PROGREES & ISSUE

AGENDA OF MEETING :
SAFETY
LAMPIRAN :: LEADER OF MEETING :
ERVAN SUSANTO
SUPERVISOR :
SAIDI
HSE OFFICER :
TEGUH SETYAWAN
AZRUL MUIZ,FATHUR,RIO ,AHMAD, ALAN
MEMBER OF MEETING

FHOTO

MEETING DISCUSS PIC STATUS

Penggunaan sarung tangan wajib saat
HSE CLOSED
pekerjaan
PRE- MOB CONSTRUCTION AUDIT
HSE ON PROGRESS
SAFETY
Pelaporan kecelakaan kerja baik ringan
HSE ON PROGRESS
atau berat kepada atasan dan owner
Penyampaian work methode kepada
HSE CLOSED
seluruh pekerja
Pengecekan tools di lakukan per SATU
BULAN sekali kemudian akan di lakukan
HSE ON PROGRESS
verifikasi oleh CARGILL etiap satu bulan
sekali
House keeping selalu di tingkatkan
setelah selesai pekerjaan jangan sampai HSE CLOSED
ada sampah yang menumpuk