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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 5/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 06/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 07/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 08/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 09/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection / 15 Working at Height N/A
5 Machinery Inspection / 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 10/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):
Landslide at road construction (CH+425 to CH+475). The area has been barricaded however will be
dangerous to the drivers due to poor lighting at night.

Action: Inform Sime Darby (Client) regarding on the issue to install blinkers or reflectors.

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 12/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 13/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 14/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 15/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 16/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 17/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 19/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 20/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 21/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 22/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 23/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 27/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 28/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
 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

DAILY SAFETY REPORT

Project Name: Construction and Completion of Date: 29/12/2022
Reinforce Concrete Road (Package A)
Location: Lavang Estate Main Road, From Lavang Working Hour: 8am to 4pm
Estate Main Gate to Lavang Mill, Bintulu, Sarawak

Arrangement Yes No Arrangement Yes No

1 Toolbox / 12 Hot Work N/A
2 PPE / 13 Confined Space N/A
3 Housekeeping / 14 Chemical Handling N/A
4 Hand Tools Inspection N/A 15 Working at Height N/A
5 Machinery Inspection N/A 16 Signages/Barricade /
6 Excavation Work N/A 17 Facilities Usage N/A
7 Electrical Appliance N/A 18 CIDB Green Card /
8 Fire Protection N/A 19 Traffic Management /
9 Lighting N/A 20 Material Handling /
10 Horseplay / 21 PTW /
11 Unsafe Condition /
Details of Incidents / Near Miss/ Unsafe Conditions Which Have Occurred (If Any):

Action:

Prepared By Verified By

CYNTHIA CHUA OLYVIA MINA

Site Safety Supervisor Site Engineer
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