FORMS & CHECKLIST

LAPORAN MINGGUAN / WEEKLY REPORT

Divisi: SHE
Departemen: SAFETY HEALTH ENVIRONTMENT (SHE)

PERUSAHAAN / SITE PT Bima Nusa International

BULAN JANUARI
TAHUN 2023
Minggu 01 Minggu 02
No. Deskripsi / Lagging Indicator
Tgl : 28 nov - 04 Des Tgl : 05 - 11
1 Fatality (F) -
2 Lost Time Injury (LTI) -
3 Restricted Duties Injury (RDI) -
4 Medical Treathment Injury (MTI) -
5 First Aid Injury (FAI) -
6 Minor Property Damage (Min. PD) / < USD $ 10.000,- -
7 Major Property Damage (Maj. PD) / > USD $ 10.000,- -
8 Property Damage Cost / USD ($) -
9 Days Loss to Accident -
10 Nearmiss -
11 Total Injury (TI) - -
12 Total Accident/Incident - -

No. Deskripsi Minggu 01 Minggu 02

1 Total Man Power 140

2 Total Man Hours 11,760 -
3 Lost Time Injury Frequency Rate (LTIFR)
4 Lost Time Injury Severity Rate (LTISR)
5 Total Injury Frequency Rate (TIFR)
6 Property Damage Frequency Rate (PDFR)

MAN POWER / TENAGA KERJA

No. Nama Perusahaan Minggu 01 Minggu 02

1 PT BNI 140 0
Total 140

MAN HOURS / JAM KERJA

No. Nama Perusahaan Minggu 01 Minggu 02

1 PT BNI 11,760 -
Total 11,760 -

Note : Jumlah diatas termasuk staff dan operator

& CHECKLIST No. BNI-456
Tgl Penerbitan: 15-Oct-22
AN / WEEKLY REPORT Tgl Persetujuan: 16-Oct-22
No. Revisi: 0
Halaman: 1 dari 2
MENT (SHE)

Minggu 03 Minggu 04 Minggu 05

Total
Tgl : 12 - 18 Tgl : 19 - 25 Tgl : 26 - 1 jan 2023
-
-
-
-
-
-
-
-
-
-
-
-

Minggu 03 Minggu 04 Minggu 05 Total

140
- - - 11,760
-
-
-
-

ER / TENAGA KERJA

Minggu 03 Minggu 04 Minggu 05 Total

0 0 140
- - - 140

URS / JAM KERJA

Minggu 03 Minggu 04 Minggu 05 Total

- - - 11,760
- - - 11,760
 FORMS & CHECKLIST

LAPORAN MINGGUAN / WEEKLY REPORT

Divisi: SHE
Departemen: SAFETY HEALTH ENVIRONTMENT (SHE)

PERUSAHAAN / SITE PT Bima Nusa International

BULAN Desember
TAHUN 2022
Minggu 01 Minggu 02
No. Deskripsi / Lagging Indicator
Tgl : 28 nov - 04 Des Tgl : 05 - 11
1 Fatality (F) -
2 Lost Time Injury (LTI) -
3 Restricted Duties Injury (RDI) -
4 Medical Treathment Injury (MTI) -
5 First Aid Injury (FAI) -
6 Minor Property Damage (Min. PD) / < USD $ 10.000,- -
7 Major Property Damage (Maj. PD) / > USD $ 10.000,- -
8 Property Damage Cost / USD ($) -
9 Days Loss to Accident -
10 Nearmiss -
11 Total Injury (TI) - -
12 Total Accident/Incident - -

No. Deskripsi Minggu 01 Minggu 02

1 Total Man Power 93 97

2 Total Man Hours 7,812 8,148
3 Lost Time Injury Frequency Rate (LTIFR)
4 Lost Time Injury Severity Rate (LTISR)
5 Total Injury Frequency Rate (TIFR)
6 Property Damage Frequency Rate (PDFR)

MAN POWER / TENAGA KERJA

No. Nama Perusahaan Minggu 01 Minggu 02

1 PT BNI 93 97
Total

MAN HOURS / JAM KERJA

No. Nama Perusahaan Minggu 01 Minggu 02

1 PT BNI 7,812 8,148

Total 7,812 8,148

Note : Jumlah diatas termasuk staff dan operator

& CHECKLIST No. BNI-456
Tgl Penerbitan: 15-Oct-22
AN / WEEKLY REPORT Tgl Persetujuan: 16-Oct-22
No. Revisi: 0
Halaman: 1 dari 2
MENT (SHE)

Minggu 03 Minggu 04 Minggu 05

Total
Tgl : 12 - 18 Tgl : 19 - 25 Tgl : 26 - 1 jan 2023
-
-
-
-
-
-
-
-
-
-
-
-

Minggu 03 Minggu 04 Minggu 05 Total

119 143 143 595

9,996 12,012 12,012 49,980
-
-
-
-

ER / TENAGA KERJA

Minggu 03 Minggu 04 Minggu 05 Total

119 143 143 595

119 143 143 595

URS / JAM KERJA

Minggu 03 Minggu 04 Minggu 05 Total

9,996 12,012 12,012 49,980

9,996 12,012 12,012 49,980