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DOKUMENTAASI HSE DAILY REPORT ACTIVITY

TBM
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Senin


AREA : Ms. Cilegon Tgl : 05 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 14 Day Stop Card : Unsafe : Safe 14

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 13 1 14
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 1 0 1
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 2 0 2
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18285.1 2.1 18287.2
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 104 112 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 6 48 768 816 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 104 112 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 12 64 1032 1096
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Langsir material 2 langsir material
3
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Selasa


AREA : Ms. Cilegon Tgl : 06 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 15 Day Stop Card : Unsafe : Safe 15

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 14 1 15
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 1 0 1
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 2 0 2
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18287.2 2.1 18289.3
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 112 120 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 6 48 816 864 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 112 120 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 12 64 1096 1160
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Langsir Material 2 Langsir Material
3
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Rabu


AREA : Ms. Cilegon Tgl : 07 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 16 Day Stop Card : Unsafe : Safe 16

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 15 1 16
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 1 0 1
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 2 0 2
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18289.3 2.1 18291.4
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 128 136 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 8 64 928 992 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 120 128 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 14 80 1232 1312
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Langsir Material 2 Pemasangan pagar arcon
3 3 Pengecoran
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Kamis


AREA : Ms. Cilegon Tgl : 08 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 17 Day Stop Card : Unsafe : Safe 17

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 15 1 16
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 1 0 1
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 2 0 2
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18289.3 2.1 18291.4
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 128 136 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 8 64 928 992 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 120 128 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 14 80 1232 1312
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Pemasangan pagar arcon 2 Pemasangan pagar arcon
3 Pengecoran 3 Pengecoran
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Jumat


AREA : Ms. Cilegon Tgl : 09 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 18 Day Stop Card : Unsafe : Safe 18

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 16 1 17
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 1 1 2
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 2 2 4
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18291.4 2.1 18293.5
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 136 144 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 7 56 992 1048 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 128 136 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 13 72 1312 1384
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Pemasangan pagar arcon 2 Pemasangan pagar arcon
3 Pengecoran 3 Pengecoran
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Sabtu


AREA : Ms. Cilegon Tgl : 10 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 19 Day Stop Card : Unsafe : Safe 19

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 17 1 18
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 2 0 2
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 4 0 4
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18293.5 2.1 18295.6
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 152 160 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 7 56 1048 1104 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 136 144 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 13 72 1392 1464
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Pemasangan Pagar arcon 2 Pemasangan pagar arcon
3 Pengecoran 3 Pengecoran
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung
HSE DAILY ACTIVITY
KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT PERTAMINA GAS OPERATION WESTERN JAVA AREA

NO LAPORAN : PJAS-EPC-00-HSE-HDR-001 Hari : Minggu


AREA : Ms. Cilegon Tgl : 11 Desemer 2022
Cuaca :✔ CERAH
POS MENDUNG
HUJAN

SAVE WORK DAY : 20 Day Stop Card : Unsafe : Safe 20

Manhours Prev Man QTY


No MANPOWER Person Qty Total Manhours No
Today Hours Cumm Construction Equipment Unit QT Description
Prev Today Cumm
Toolbox meeting
Indirect Manpower
A 1 TMC Unit 0 18 1 19
Safety drill
1 Project Director 0 0 0 0 2 Excavator Unit 0 0 0 0
Safety inspection
2 Project manager 0 0 0 0 3 Molen manual Unit 0 0 0 0
Safety training*(Hours)
3 Site Manager 0 0 0 0 4 Plate Compactor Unit 0 0 0 0
Safety publication
4 Koordinator Coomdev 0 0 0 0 5 Vibrator concrete Unit 0 0 0 6
Safety alert
distribution
5 HSE Manager 0 0 0 0 6 Bolt cutter Unit 0 0 0 0
Stop Card/SMC/PEKA

6 Project Control 0 0 0 0 7 gerinda Unit 1 0 0 0


JSA/RA
7 Finance Site 0 0 0 0 8 Genset Unit 1 2 0 2
Noise monitoring

8 Document Control 1 0 0 0 9 Pompa air Unit 1 0 0 0


Permit to work
9 Enginering Manager 0 0 0 0 10 Gergaji Unit 1 4 0 4
Safety induction
10 Field Engineer 0 0 0 0 11 Kendaraan Operasional Unit 0 0 0 0
Audit
11 Security 0 0 0 0 12 Bore pile SET 0 0 0 1
HSE Monthly meeting

12 QA / QC 0 0 0 0 0 0 0
HSE reward
13 Procurement 0 0 0 0 0 0 0
Management visit
14 Office Boy 0 0 0 0 0 0 0
KM (KM kendaraan)
B Direct manpower
18295.6 0 18295.6
Safety patrol
15 HSE Koordinator 1 0 0 0 0 0 0
Hazadous waste
16 Paramedik 0 0 0 0 0 0 0
No hazadous waste

17 Supervisor 1 0 48 48 0 0 0
Light Monitoring

18 HSE Officer 1 0 8 8 0 0 0
Fatality
19 Foreman 1 8 160 168 0 0 0
Lost Time Incident
(LTI.s)
20 Site Coomdev 0 0 0 0 0 0 0
Day Lost
21 Tukang / Helper 7 56 1104 1160 0 0 0
Lost Time Injury(LTI)

22 Driver 0 0 0 0 0 0 0
First Aid Case (FAC)

23 Operator TMC 0 0 0 0 0 0 0
Severty Rate (SR)

24 Operator Excavator 0 0 0 0 0 0 0
Frequency Rate (FR)

25 Rigger TMC 0 0 0 0 0 0 0
Environmental
Damage
26 Helper TMC 0 0 0 0 0 0 0
Property Damage (PD)

27 Surveyor 0 0 0 0 0 0 0
Motor Vehicle
Accident (MVA)

28 Safetyman 1 8 144 152 0 0 0


Fire Incident/Explosion

29 Bore Pile 0 0 0 0 0 0 0
Security Case

0 0 0
Villager Complaint

0 0 0
Media Attention

0 0 0
Near Miss

0 0 0

HSE weekly Meeting 0 0 0


TOTAL 13 72 1464 1536
NO AKTIFITAS HARI INI LOKASI NO RENCANA BESOK LOKASI
1 TBM 1 TBM
2 Pemasangan pagar arcon 2 Pemasangan pagar arcon
3 Pengecoran 3 Pengecoran
4
5
6
7
8
9
10
11
PREPARED BY ACKNOWLEDGE BY ACKNOWLEDGE BY
TTD : TTD : TTD :

Nama : T. Muchillah Syarif Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.
Posisi : Safetyman Posisi : HSE Officer Posisi : Spv. HSSE
Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Berkah Anugrah Khaifara Perusahaan : PT.Pertamina Gas Bitung

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