DAILY REPORT HSE

Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.37 CERAH 13.00 CERAH Date Senin / 03 April 2023
17.00 CERAH 20.00 HUJAN 22.00 HUJAN Time 08.00 – 17.00 – 22.00
LOCATION ACTIVITIES
pemasangan pipa saluran housekeeping all area
pemasangan kanstin dan tali air pemasangan bekisting ruang kontrol jembatan timbang
pemasangan paving area samping rumah warga
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan bekisting dinding penahan loading dock
pemplesteran pos jaga
pemasangan bekisting atap mess bujang
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 5 Imam Mahfudin
Engineering 2 8 2 5 Reza Surya,cornelius
QC. 1 8 1 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 Sapril
Harian Kantor 4 8 4 5 Gilang, Indra Dwi Kurnia, Satria,Heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 16 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus,joko, narko
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5

28 8 27 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 224 135 359
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 1
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 CERAH Date Selasa / 04 April 2023
15.00 CERAH 20.00 CERAH 22.00 CERAH Time 08.00 – 17.00 – 22.00
LOCATION ACTIVITIES
safety talk pengecoran dinding penahan loading dock
pemasangan kanstin housekeeping all area
pemasangan bekisting ruang kontrol jembatan timbang pemasangan lantai dalam mess bujang
BANYUWANGI, JAWA TIMUR, INDONESIA pemasangan bekisting area dinding penahan loading dock pemasangan wiremesh jalan beton
pemasangan bekisting atap mess bujang pemplesteran tembok mess bujang

pengecoran atap ruang kontrol jembatan timbang

JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 5 Imam Mahfudin
Engineering 2 8 2 5 Reza Surya, Cornelius
QC. 1 8 1 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 Sapril
Harian Kantor 4 8 4 5 Gilang, Satria, Indra Dwi Kurnia, heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 16 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus,joko,narko
SUB. Baja 0 8 0 5

SUB. ME 0 8 0 5

Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5

TOTAL 28 8 27 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 224 135 359
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS

1 Training/Induction 0

2 Job Safety Analisys 1

3 Safety Talk / Toolbox Talk 1
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.00 CERAH 13.00 CERAH Date Rabu / 05 April 2023
16.00 CERAH 17.00 HUJAN 22.00 HUJAN Time 08.00 – 17.00- 22.00
LOCATION
pemasangan kanstin pengecoran jalan beton
pemplesteran tembok pos jaga pemasangan bekisting dinding penahan loading dock
pemasangan wiremesh jalan beton pemplesteran tembok mess bujang
BANYUWANGI, JAWA TIMUR, INDONESIA
pekerjaan fabrikasi
pemasangan pipa saluran
housekeeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 5 Imam Mahfudin
Engineering 2 8 2 5 Reza surya,Cornelius
QC. 1 8 1 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 Sapril
Harian Kantor 4 8 4 5 Gilang, Satria, Indra Dwi Kurnia,heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 16 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus,joko,narko
SUB. Baja 0 8 0 5

SUB. ME 0 8 0 5

Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5
TOTAL 28 8 27 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 224 135 359
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 1
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 HUJAN Date Kamis / 06 April 2023
15.00 HUJAN 17.00 HUJAN Time 08.00 – 17.00
LOCATION ACTIVITIES
pemasangan sloof area mess bujang housekeeping all area
pemplesteran tembok area mess bujang dan pos jaga pembuatan tali air pada kanstin
pekerjaan fabrikasi
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan dinding penahan loading dock
pemasangan kanstin
perataan tanah
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 0 5 Reza Surya,Cornelius
QC. 1 8 0 5 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 0 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 0 5 sapril
Harian Kantor 4 8 0 5 Gilang, Indra Dwi Kurnia,Satria,heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 0 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus,joko,narko
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5

TOTAL 28 8 0 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 224 0 224
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 2 0 16 16
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 6 0 48 48

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 CERAH Date Jumat / 07 April 2023
17.00 CERAH 20.00 CERAH 22.00 CERAH Time 08.00 – 17.00 – 22.00
LOCATION ACTIVITIES
perataan tanah pencopotan bekisting ruang kontrol jembatan timbang
pemplesteran tembok pos jaga dan mess bujang pemasangan wiremesh jalan beton
pemasangan bekisting dak atap mess bujang
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan sloof area mess bujang
pembuatan tali air kanstin
houseekeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 3 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 3 Imam Mahfudin
Engineering 2 8 2 3 Reza Surya Nugraha,Cornelius
QC. 1 8 1 3 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 3 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 3 sapril
Harian Kantor 4 8 4 3 Indra Dwi Kurnia,Satria,gilang,Heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 16 3 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus,joko,narko
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5

TOTAL 28 8 27 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 224 135 359
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.00 HUJAN 13.00 HUJAN Date Sabtu / 08 April 2023
17.00 HUJAN Time 08.00 – 17.00
LOCATION
pemasangan pondasi pagar area samping makam pemplesteran tembok area pos jaga dan mess bujang
pekerjaan fabrikasi pemasangan sloof area mess bujang
pemasangan pagar panel pemasangan wiremesh area jalan beton
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan kanstin dan pembuatan tali air pengecoran jalan beton dan dinding penahan loading dock
pencopotan bekisting ruang kontrol jembatan timbang
housekeeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 0 5 Reza, Cornelius
QC. 1 8 0 5 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 0 8 0 5
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 0 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 0 5 sapril
Harian Kantor 4 8 0 5 Indra Dwi Kurnia,gilang,heri,satria
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 16 8 0 5 tugiyono, kusnanto, sutris,Muchamat
cholil,slamet,agus,joko,narko
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

irwan, ayong, Adi,kholik, daniel, saiful,eko, abdurrohman,

Lain lain 11 8 0 5
wahyudi,agil,joko

TOTAL 38 8 0 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 304 0 304
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP