DOKUMENTAASI WEEKLY REPORT ACTIVITY

TBM DCU

SAFETY AWARD INPEKSI HAND TOOLS

INDUCTION MONITORING PEMASANGAN CONCREET SLAB PRECAST

 HSE WEEKLY REPORT

PROJECT : KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT. PERTAMINA GAS OPERATION WETERN JAVA AREA.

CLIENT : PT PERTAMINA GAS

Date : 23 JUNI - 26 JUNI 2022

No Lagging Indicator Minggu Senin Selasa Rabu Kamis Jumat Sabtu This Week Prev Total
Project 29-Aug 30-Aug 31-Aug 1-Sep 2-Sep 3-Sep 4-Sep

1 Total Weekly Man Power 0 0 0 0 8 8 8 46 39 52

2 Total Man Hours Worked (cummulative) 0 0 0 0 64 64 64 192 0 192
3 Total Safe Man Hours Worked since the last time LTI 0 0 0 0 0 0 0 0 0 0
4 No. of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. of Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. of Near-Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. of Environment Pollution 0 0 0 0 0 0 0 0 0 0
13 No. of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor-Vehicle Accident (MVA) 0 0 0 0 0 0 0 0 0 0
No Leading Indicator Minggu Senin Selasa Rabu Kamis Jumat Sabtu This Week Prev Total
Project 29-Aug 30-Aug 31-Aug 1-Sep 2-Sep 3-Sep 4-Sep

1 Toolbox meeting 0 0 0 0 1 1 1 3 0 3
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 0 0 0 1 1 1 3 0 3
4 Safety Training*(Hours) 0 0 0 0 0 0 0 0 0 0
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 0 0 0 1 0 1 2 0 2
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work
0 0 0 0 1 0 1 2 0 2
12 Safety Induction 0 0 0 0 0 0 0 0 0 0
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 0 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 0 0 0 0 1 1 0 1
17 KM (KM Kendaraan) 0 0 0 0 28 27 36 91 0 91
18 Safety Patrol 0 0 0 0 0 0 1 1 2 2

Dibuat oleh : Disetujui Oleh:

HSE OFFICER HSE OFFICER

(Aditiya Sendi Pratama) (Angga)

PT. Berkah Anugrah Khaifara PT Pertamina Gas
 HSE WEEKLY REPORT

PROJECT : KONTRAK PAYUNG PEMELIHARAAN KONSTRUKSI RINGAN PT. PERTAMINA GAS OPERATION WETERN JAVA AREA.

CLIENT : PT PERTAMINA GAS

Date : 27 JUNI - 03 JUNI 2022

No Lagging Indicator Minggu Senin Selasa Rabu Kamis Jumat Sabtu This Week Prev Total
Project 29-Aug 30-Aug 31-Aug 1-Sep 2-Sep 3-Sep 4-Sep

1 Total Weekly Man Power 0 8 0 8 8 8 8 40 52 92

2 Total Man Hours Worked (cummulative) 0 64 0 64 64 64 64 320 192 512
3 Total Safe Man Hours Worked since the last time LTI 0 0 0 0 0 0 0 0 0 0
4 No. of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. of Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. of Near-Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. of Environment Pollution 0 0 0 0 0 0 0 0 0 0
13 No. of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor-Vehicle Accident (MVA) 0 0 0 0 0 0 0 0 0 0
No Leading Indicator Minggu Senin Selasa Rabu Kamis Jumat Sabtu This Week Prev Total
Project 29-Aug 30-Aug 31-Aug 1-Sep 2-Sep 3-Sep 4-Sep

1 Toolbox meeting 0 1 0 1 1 0 1 4 3 7
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 1 0 1 1 0 0 3 0 3
4 Safety Training*(Hours) 0 0 0 0 0 0 0 0 0 0
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 1 0 0 0 0 1 2 0 2
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work
0 1 0 0 0 0 1 2 0 2
12 Safety Induction 0 0 0 0 0 0 0 0 0 0
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 1 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 0 1 0 0 0 1 1 2
17 KM (KM Kendaraan) 0 34 0 34 5 34 34 107 91 198
18 Safety Patrol 0 0 0 0 0 0 1 1 2 2

Dibuat oleh : Disetujui Oleh:

HSE OFFICER HSE OFFICER

(Aditiya Sendi Pratama) (Angga)

PT. Berkah Anugrah Khaifara PT Pertamina Gas
 HSE WEEKLY REPORT

Project : Kontrak Payung Pemeliharaan Kontruksi Ringan PT. Pertamina Gas Operation Western Java Area.
Client : PT. Pertamina Gas Operation Western Java Area.
Date : 04 Juli - 10 Juli 2022

Minggu Senin Selasa Rabu Kamis Jum'at Sabtu

NO. Lagging Indicator Project This Week Previous Total
10 Juli 04 Juli 05 Juli 6 Juli 7 Juli 8 Juli 9 Juli
1 Total Weekly Manpower 0 0 8 8 8 8 0 32 40 72
2 Total Man Hours Worked (Cummulative) 0 0 64 64 64 64 0 256 512 768
3 Total Safe Man Hours Worked Since The Last 0 0 0 0 0 0 0 0 0 0
4 No. Of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. Of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. Of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. Of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. Of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. Of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. Of Near Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. Of Environment Pollution 0 0 0 0 0 0 0 0 0
13 No. Of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor Vehicle Incident (MVA) 0 0 0 0 0 0 0 0 0 0
Minggu Senin Selasa Rabu Kamis Jum'at Sabtu
NO. Leading Project Indicator This Week Previous Total
10 Juli 04 Juli 05 Juli 6 Juli 7 Juli 8 Juli 9 Juli
1 Toolbox Meeting 0 0 0 1 1 1 0 3 7 10
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 0 0 0 0 0 0 0 0 0
4 Safety Training *(Hours) 0 0 0 0 0 0 0 0 0 0
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 0 0 1 0 0 0 1 0 1
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work 0 0 0 1 0 0 0 1 0 1
12 Safety Induction 0 0 0 0 0 0 0 0 0 0
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 0 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 1 0 0 0 0 1 2 3
17 KM (Kendaraan) 0 0 2 2 4 2 0 10 198 208
18 Safety Patrol 0 0 0 0 0 0 0 0 0 0
Disiapkan Oleh : Disetujui Oleh :
PT. Berkah Anugrah Khaifara PT. Pertamina Gas Operation Western Java Area.

Nama : Aditiya Sendi Pratama Nama : Angga Fauzi Rohman

Jabatan : HSE Officer Jabatan : HSE Officer
 HSE WEEKLY REPORT

Project : Kontrak Payung Pemeliharaan Kontruksi Ringan PT. Pertamina Gas Operation Western Java Area.
Client : PT. Pertamina Gas Operation Western Java Area.
Date : 11 Juli - 17 Juli 2022

Minggu Senin Selasa Rabu Kamis Jum'at Sabtu

NO. Lagging Indicator Project This Week Previous Total
17 Juli 11 Juli 12 Juli 13 Juli 14 Juli 15 Juli 16 Juli
1 Total Weekly Manpower 13 9 9 13 13 13 13 83 40 123
2 Total Man Hours Worked (Cummulative) 104 72 72 104 104 104 104 664 512 1176
3 Total Safe Man Hours Worked Since The Last 0 0 0 0 0 0 0 0 0 0
4 No. Of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. Of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. Of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. Of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. Of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. Of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. Of Near Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. Of Environment Pollution 0 0 0 0 0 0 0 0 0
13 No. Of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor Vehicle Incident (MVA) 0 0 0 0 0 0 0 0 0 0
Minggu Senin Selasa Rabu Kamis Jum'at Sabtu
NO. Leading Project Indicator This Week Previous Total
17 Juli 11 Juli 12 Juli 13 Juli 14 Juli 15 Juli 16 Juli
1 Toolbox Meeting 1 1 1 1 1 1 1 7 7 14
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 0 1 1 1 0 0 3 0 3
4 Safety Training *(Hours) 0 0 0 0 0 0 0 0 0 0
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 0 1 0 0 0 0 1 0 1
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work 0 0 1 1 0 0 0 2 0 2
12 Safety Induction 0 0 0 0 0 0 0 0 0 0
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 0 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 1 0 0 0 0 1 2 3
17 KM (Kendaraan) 3 0 34 4 4 2 4 51 198 249
18 Safety Patrol 0 0 0 0 0 0 0 0 0 0
Disiapkan Oleh : Disetujui Oleh :
PT. Berkah Anugrah Khaifara PT. Pertamina Gas Operation Western Java Area.

Nama : Aditiya Sendi Pratama Nama : Angga Fauzi Rohman

Jabatan : HSE Officer Jabatan : HSE Officer
 HSE WEEKLY REPORT

Project : Kontrak Payung Pemeliharaan Kontruksi Ringan PT. Pertamina Gas Operation Western Java Area.
Client : PT. Pertamina Gas Operation Western Java Area.
Date : 18 Juli - 24 Juli 2022

Minggu Senin Selasa Rabu Kamis Jum'at Sabtu

NO. Lagging Indicator Project This Week Previous Total
24 Juli 18 Juli 19 Juli 20 Juli 21 Juli 22 Juli 23 Juli
1 Total Weekly Manpower 0 13 13 13 13 13 13 78 83 161
2 Total Man Hours Worked (Cummulative) 0 104 104 104 104 104 104 624 1176 1800
3 Total Safe Man Hours Worked Since The Last 0 0 0 0 0 0 0 0 0 0
4 No. Of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. Of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. Of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. Of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. Of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. Of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. Of Near Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. Of Environment Pollution 0 0 0 0 0 0 0 0 0 0
13 No. Of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor Vehicle Incident (MVA) 0 0 0 0 0 0 0 0 0 0
Minggu Senin Selasa Rabu Kamis Jum'at Sabtu
NO. Leading Project Indicator This Week Previous Total
24 Juli 18 Juli 19 Juli 20 Juli 21 Juli 22 Juli 23 Juli
1 Toolbox Meeting 0 1 1 1 1 1 1 6 18 24
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 0 0 0 1 0 0 1 3 4
4 Safety Training *(Hours) 0 0 0 0 0 1 0 1 0 1
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 0 1 0 0 0 0 1 6 7
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work 0 0 1 0 0 1 0 2 8 10
12 Safety Induction 0 0 0 0 0 1 0 1 0 1
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 0 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 0 1 0 0 0 1 4 5
17 KM (Kendaraan) 0 1 2 2 2 3 2 11.5 198 209.5
18 Safety Patrol 0 0 0 0 0 0 0 0 2 2
Disiapkan Oleh : Disetujui Oleh :
PT. Berkah Anugrah Khaifara PT. Pertamina Gas Operation Western Java Area.

Nama : Aditiya Sendi Pratama Nama : Angga Fauzi Rohman

Jabatan : HSE Officer Jabatan : HSE Officer
 HSE WEEKLY REPORT

Project : Kontrak Payung Pemeliharaan Kontruksi Ringan PT. Pertamina Gas Operation Western Java Area.
Client : PT. Pertamina Gas Operation SKG Distrik Bitung
Date : 05 Desember - 11 Desember 2022

Minggu Senin Selasa Rabu Kamis Jum'at Sabtu

NO. Lagging Indicator Project This Week Previous Total
31 Juli 25 Juli 26 Juli 27 Juli 28 Juli 29 Juli 30 Juli
1 Total Weekly Manpower 7 6 6 8 8 7 7 49 96 145
2 Total Man Hours Worked (Cummulative) 56 48 48 64 64 56 56 392 768 1160
3 Total Safe Man Hours Worked Since The Last 0 0 0 0 0 0 0 0 0 0
4 No. Of Accident Frequency Rate (AFR) 0 0 0 0 0 0 0 0 0 0
5 No. Of Total Recordable Incident Rate (TRIR) 0 0 0 0 0 0 0 0 0 0
6 No. Of Fatality (FAT) 0 0 0 0 0 0 0 0 0 0
7 No. Of Lost Time Accident (LTA) 0 0 0 0 0 0 0 0 0 0
8 No. Of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0
9 No. Medical Treatment Case (MTC) 0 0 0 0 0 0 0 0 0 0
10 No. Of First Aid 0 0 0 0 0 0 0 0 0 0
11 No. Of Near Miss Incident 0 0 0 0 0 0 0 0 0 0
12 No. Of Environment Pollution 0 0 0 0 0 0 0 0 0 0
13 No. Of Property Damage 0 0 0 0 0 0 0 0 0 0
14 Motor Vehicle Incident (MVA) 0 0 0 0 0 0 0 0 0 0
Minggu Senin Selasa Rabu Kamis Jum'at Sabtu
NO. Leading Project Indicator This Week Previous Total
31 Juli 25 Juli 26 Juli 27 Juli 28 Juli 29 Juli 30 Juli
1 Toolbox Meeting 1 1 1 1 1 1 1 7 31 38
2 Safety Drill 0 0 0 0 0 0 0 0 0 0
3 Safety Inspection 0 0 0 0 0 0 0 0 0 0
4 Safety Training *(Hours) 0 0 0 0 0 0 0 0 0 0
5 Safety Publication 0 0 0 0 0 0 0 0 0 0
6 Safety Alert Distribution 0 0 0 0 0 0 0 0 0 0
7 STOP Card/SMC/PEKA 0 0 0 0 0 0 0 0 0 0
8 JSA/RA 0 0 0 0 0 1 0 1 2 3
9 Noise Monitoring 0 0 0 0 0 0 0 0 0 0
10 Light Monitoring 0 0 0 0 0 0 0 0 0 0
11 Permit To Work 0 0 0 0 0 2 0 2 4 6
12 Safety Induction 0 0 0 0 0 0 0 0 0 0
13 Audit 0 0 0 0 0 0 0 0 0 0
14 HSE Meeting 0 0 0 0 0 0 0 0 0 0
15 HSE Reward 0 0 0 0 0 0 0 0 0 0
16 Management Visit 0 0 0 0 0 0 0 0 0 0
17 KM (Kendaraan) 0 2 2 2 2 2 2 13 36.1 48.7
18 Safety Patrol 0 0 0 0 0 0 0 0 0 0
Disiapkan Oleh : Disetujui Oleh :
PT. Berkah Anugrah Khaifara PT. Pertamina Gas Operation SKG Distrik Bitung

Nama : Aditiya Sendi Pratama Nama : Grafellia Fette W.

Jabatan : HSE Officer Jabatan : Spv. HSSE