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  • TRUST-F-HSEC-034-R0 Pelaporan Kecelakaan Di Luar Pekerjaan

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    marthen toding
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    This document is a template for reporting accidents that occur outside of work. It includes sections for providing information such as the company, date and time of the incident, location, witnesses, type of incident, risk level, incident category, summary of what happened, description of any losses, details of any injured employees such as their name, employee ID, start date, nature and location of injuries, as well as spaces for signatures of the reporter and OHS Section.

    Original Description:

    Contoh Form Pelaporan Kecelakaan di Luar Pekerjaan

    Original Title

    TRUST-F-HSEC-034-R0 Pelaporan Kecelakaan di Luar Pekerjaan

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    This document is a template for reporting accidents that occur outside of work. It includes sections for providing information such as the company, date and time of the incident, location, witnesses, type of incident, risk level, incident category, summary of what happened, description of any losses, details of any injured employees such as their name, employee ID, start date, nature and location of injuries, as well as spaces for signatures of the reporter and OHS Section.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    5 views1 page

    TRUST-F-HSEC-034-R0 Pelaporan Kecelakaan Di Luar Pekerjaan

    Uploaded by

    marthen toding
    This document is a template for reporting accidents that occur outside of work. It includes sections for providing information such as the company, date and time of the incident, location, witnesses, type of incident, risk level, incident category, summary of what happened, description of any losses, details of any injured employees such as their name, employee ID, start date, nature and location of injuries, as well as spaces for signatures of the reporter and OHS Section.

    Copyright:

    © All Rights Reserved
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    of 1

    TRUST-F-HSEC-034-R0

    HSEC
    PELAPORAN KECELAKAAN
    DI LUAR PEKERJAAN

    Perusahaan/Company
    Bagian/Section
    Tanggal insiden Date of incident
    Waktu insiden/Time of incident
    Waktu pelapor/Time reported
    Lokasi insiden /Location of the incident
    Saksi insiden /Witness to the incident
    Tipe insiden /Type of incident
    Risk Rank
    Incident Katagori
    Ringkasan terjadinya insiden /Summary of how the incident occurred

    Deskripsi kerugian/Description of the loss:

    Nama lengkap/Initials and surname


    NIK/Employee ID Badge
    Mulai bekerja/Start of working
    Sifat cedera/Nature of injury (if any)
    Bagian tubuh cedera/Injury
    Saran-saran

    Tanda tangan pelapor/karyawan Tanda Tangan OHS Section

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