MINISTRY OF EDUCATION AND CULTURE

STATE POLYTECHNIC OF MALANG

DEPARTMENT OF CIVIL ENGINEERING

Jalan Soekarno-Hatta 9 Malang 65141

Tel (0341) 404424

FORM WR-DAY 1
WORK REPORT

A. Title of Work: Site preparation and staking out

B. Work sequence
No Step Duration

Ensure that you have used your safety gears 5 minute

Prepare the materials and equipment 30 minute

Study the work drawings carefully and thoroughly 30 minute

Use equipment according to function 15 minute

Cut wood 5/7 as pegs and wood plank 2/20 as stakes plank 45 minute
according to the design drawing

Set the pegs and stakes plank in the one side and the other 1.5 hour
side as well for all channels as seen in the design drawing.
Check the elevation so that it has same level for both boards
using water pass

Ensure that you have used your safety gears 5 minute

Set the cord to have same slope, S as the design. Elevation 30 minute
difference y = S x L

Clean up the tools and remaining material 30 minute

C. Human resources
No Students’ name Tasks (same as point B)
 Ensure that you have used your safety gears

Prepare the materials and equipment

Study the work drawings carefully and

thoroughly

Use equipment according to function

Cut wood 5/7 as pegs and wood plank 2/20 as

stakes plank according to the design drawing

Set the pegs and stakes plank in the one side

and the other side as well for all channels as
seen in the design drawing. Check the
elevation so that it has same level for both
boards using water pass

Ensure that you have used your safety gears

Set the cord to have same slope, S as the

design. Elevation difference y = S x L

Clean up the tools and remaining material

D. Material
No Material Specification Vol. Unit

Wood beam 5/7 5/7 10

Wood plank 2/20 2/20 4

Nylon cord 130 1

m

Nail 1.5” 1.5” 30

Wood primer paint

E. Equipment
No Tool Specification Vol. Unit Function

Hammer 3 kg and 10 kg Gedore 3 kg 2

& 10
20 F-3
 Club kg
hammer

Timber saw BAHCO 1

Paint brush 1.5” ALEKO 2

Water pipe 0.5-1 cm 10-25 m MDPE 1

length

Hand hoe SNEEBOER 2

HAND HOE
- CHERRY
HANDLE

Roll meter Plazagps 100 1

m

MINISTRY OF EDUCATION AND CULTURE

STATE POLYTECHNIC OF MALANG

DEPARTMENT OF CIVIL ENGINEERING

Jalan Soekarno-Hatta 9 Malang 65141

Tel (0341) 404424

F. Working drawing

Make drawing like Figure 1.1, Figure 2.1 step 6 and Figure 2.2
 MINISTRY OF EDUCATION AND CULTURE

STATE POLYTECHNIC OF MALANG

DEPARTMENT OF CIVIL ENGINEERING

Jalan Soekarno-Hatta 9 Malang 65141

Tel (0341) 404424

FORM JSA–DAY 1
JOB SAFETY ANALISYS

Title of Work: Site preparation and staking out

No Work Sequence (same as Hazard Impact How to Control

point B in WR-DAY 1) (Cause)

1 Ensure that you have used Hand hit by Hand injured More focus and
your safety gears hammer carefully doing a
job

2 Prepare the materials and Lack of Longer jobs More focus and
equipment ingredients carefully doing a
 job

3 Study the work drawings Inaccurate Mistake while start More focus and
carefully and thoroughly while study the workshop carefully doing a
the work job
drawing

4 Use equipment according Less focus Injure the hand More focus and
to function carefully doing a
Error equipment job

5 Cut wood 5/7 as pegs and Less focus Cutted hand More focus and
wood plank 2/20 as stakes carefully doing a
plank according to the Reckless job
design drawing while use the
equipment

6 Set the pegs and stakes Less focus/not Wrong size More focus and
plank in the one side and carefull carefully doing a
the other side as well for job
all channels as seen in the
design drawing. Check the
elevation so that it has
same level for both boards
using water pass

7 Ensure that you have used Not ensure the Work accidient More focus and
your safety gears OHS gears carefully doing a
job

8 Set the cord to have same Less focus/not Line not straight More focus and
slope, S as the design. carefull carefully doing a
Elevation difference y = job
SxL

9 Clean up the tools and Not carefull Stepping on nails More focus and
remaining material carefully doing a
job