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Contractors Name:

PT. Multi Teknik Jaya Mandiri

HSE DAILY
REPORT
DAYS : Tuesday Today Workers
13
/DATE : 17/12/22
Total Man Hours
104
PIC

HSE PERFORMANCE WEATHERS


PERMIT RELEASED
NO. EXPLANATION NO YES REMARKS TIME CONDITION
1 Tool Box Meeting √ Rainy O8.00 1. Hot Permit
Sunny 09.00 – 17.00 - Pabrikasi Support (HW MTJM)
2 Personal Protective Equipment √
- Erection Pipe Mineline &
3 First Aid Kit √ Installation Support

4 Fatality Case √

5 Medical Treatment Case √


HSE ISSUE
6 First Aid Case √

7 Near miss Case √ Housekeeping in the office and


workshop areas needs to be implemented
8 Fire Case √

9 Property Damage Case √

10 Environmental Damage Case √

11 Environmental Case √

12 Hazard Findings √ NOTES AND RECOMMENDATION:


13 Working Hours 08.00-17.00 Carry out housekeeping before and after the implementation of work

14 Others
Fire Extinguisher Performance Equipment Performance
Item Pin Pressure Hose Cylinder Equipment Proper Not Proper Remarks
Fire extinguisher √ √ √ √ Bar Bending Machine √

Fire extinguisher WH √ √ √ √ Bar Cutting Machine √

Fire extinguisher Office √ √ √ √ Portable Grinder √

Fire extinguisher IWL √ √ √ √ Welding Machine √

Excavator √

Crane 25 ton √

Concrete Mixer √

Gas Cutting Set √

HSE DOCUMENTATION

Toolbox Meeting Pabrication Support

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