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TOKYU CONSTRUCTION CO., LTD.

Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

1. Nonconformity : Unsafe Repair Suggestions : SOM, SQHSEM 1, 2 & 5) Toolbox 15 Done


1) Working time has been Condition 1) Consistently starting the minutes prior to working
consistently started from 8AM work at 8 am after having a hours at 8 AM with the
2) Toolbox meetings have been toolbox meeting. manager.
consistently conducted before 2) Consistently conducting
8 AM hosted by the manager. toolbox meetings before 8am
3) The equipment has been led by the manager.
checked consistently by the 3) Checking equipment by
operator and mechanic before operators and mechanics and
work. ensuring that it is able to be
4) The cleanliness of the work operational prior to working
site has almost been done. hours at 08.00 am.
5) Workers are reminded to 4) Consistently clean the site
always equip themselves with after working.
complete PPE when carrying 5) Continuously reminding 3) Checking equipment
out work, especially when workers during toolbox prior to working hours at 8
working at heights. meetings to always use PPE AM.
6) Safety first means always during the work. Safety
prioritizing before work begins. officers will do a monitoring
7) Re-install the “smoking corner” for its implementation at all
at P1 area. times.
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

8) Don’t start work on the 6) Eliminating the unsafe


approach road on the east side conditions for work by
until getting permission of implementing corrections and
public authority and entrance, improvements to such
fence might be completed. conditions prior to starting
9) Equipment for each work item the work.
should be assembled in one 7) provide a secluded area for
location only for a neat view. smoking corner/area.
8) Completing the fence on the
16 Okt 2023 east side as planned and
installing a bar gate at the
Location : entrance while waiting for
the road enclosure from the
West Side
Police.
9) Rearranging the order of
equipment placement and
bordering it with safety lines
after work.

Completion Target Time :


16 Okt 2023
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

4) Clean the site after


working.
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

6) Rectifying the unsafe


condition of the work area
prior to work.

7) smoking area
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

8) Moving fences to the


endpoint.

9) securing equipment with


a safety line after work.
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

2. Nonconformity : Unsafe Repair Suggestions : SQHSEM, SOM The Condition of entrance Done
An access into the cofferdam Condition Lower the ground level around to ladder access after
should be made properly and the entrance of the ladder so that lowering the ground.
safely for people to access it. people are able to access it
safely.

Completion Target Time :


17 Okt 2023

16 Okt 2023
Location :
West Side
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

3. Nonconformity : Unsafe Repair Suggestions : SOM, SQSHEM 1) Safety sign boards Done
1) Warning signs not to be near Condition 1) Placing warning signs around positioned near the
the Cofferdam area need to be the concerned areas and cofferdam. Safety
installed and the Safety net completing the uncovered poster/banner on the net
should have been installed areas at guard rails with safety will be as a further
thoroughly and neatly. Also, it nets equipped with safety addition.
posters as implemented in
shall be facilitated with the
P2.a Safety net thoroughly.
safety banner.
2) Providing a proper shelter in
2) A Proper shelter should be
P1.
provided. 3) The assembly point has been
3) The assembly point sign should provided near the entrance. At
be provided. p1 it will provide a direction
4) Flagman shall be equipped with sign to the assembly point.
a whistle and should always 4) Stationing a flagman equipped
monitor the works. with a whistle to monitor and 2) Shelter for the worker
direct the equipment while in near the cofferdam.
16 Okt 2023 operation.
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

Completion Target Time :


23 Okt 2023

3) Assembly points located


Location :West Side near the entrance, as well
as "evacuation direction"
signs placed at each corner
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

of the work area.


TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

5) A signal officer giving


traffic control directions for
heavy equipment work.
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

4. Nonconformity : Unsafe Repair Suggestions : SOM, SQHSEM 1) Materials and Done


Condition equipment have been
1) It is reminded again that 1) Relocating materials and
displaced from the
materials and equipment equipment around the edge perimeter of the
should be placed at least 1 m of the cofferdam. cofferdam.
away from the cofferdam and
warning signs should be Completion Target Time :
installed. 23 Okt 2023
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

16 Okt 2023

Location :
West Side
5. Nonconformity : Unsafe Repair Suggestions : SOM 1) Safety barricades have Done
1) Provide safety barricades Condition 1) Installing safety barricades in been installed to secure
around the perimeter of the A1 excavation area a1 to secure the excavation area at A1
and provide proper access to the pile head treatment works. as well as the scaffolding
the excavation site. also repairing the existing
scaffolding access.
16 Okt 2023 Completion Target Time :
20 Okt 2023
TOKYU CONSTRUCTION CO., LTD.
Palu 4 Bridges Project

REPORT INSPECTION QHSE (NON ROUTINE /MONTHLY/WEEKLY)


Project Reconstruction of Palu 4 Bridge Inspection by, Client PU, Consultant OC Global, Contractor
Tokyu Construction

Inspection Date 16 Okt 2023 Followed up by, Contractor Tokyu Construction

Inspection Type Non-Routine/Weekly/Monthly

Basic Cause of Person In


Inspection Result Nonconformity Repair Suggestions & Charge Follow-up Repair Verification
No.
(Photo/Remark/Location) (for HSE non Completion Target Time (Employee/Subcon/ (Photo & Remark) (Done/Undone)
Conformity) Foreman)

access.

Location :
West Side
Note:
▪ The content of Basic couse of Nonconformity is Unsafe Action atau Unsafe Condition
▪ Photo must include a date description

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