OCCUPATIONAL HEALTH AND SAFETY REPORT

Project Name : Project ID : Location/Customer: Prepared by:

Relocation TETRA BRICK ASEPTIC 19

PT DIAMOND COLD STORAGE Firdaus
machine

1st Date of the Week: Country: Week:

Jan 2, 23 Indonesia W02

Staff Present at The Site

Tetra Pak Project manager Tri wiono

Field Supervisor
Tetra Pak Corporate Safety Coordinator Pia Ananda
Site Safety Officer Firdaus
Subcontractors PT. Mazhak Teknik indonesia

1. MANHOURS
This Week
Manpower
Tetra Pak
Hour
Subcontractors:
8 Manpower
PT. Mazhak
NUMBER OF 40 Hour
MANHOURS Manpower
Hour

8 Manpower
TOTAL
40 Hour

2. TOOLBOX MEETING
Amount of toolbox meeting conducted this week: 2
Brief Summary of Toolbox Meeting:
D1. Perlengkapan APD
D2.
D3.Bekerja dengan mesin gerinda potong
D3
D5. 5R dan waste management
D6.
D7.

3. OHS STATISTIC PERFORMANCE

Previous Week This Week
Total Accumulative
Tetra Pak Contractor Tetra Pak Contractor
Fatality 0 0 0 0 0
Permanent Dissability 0 0 0 0 0
LAGGING Medical Treatment Case 0 0 0 0 0
INDICATOR First Aid Treatment 0 0 0 0 0
Serious Nearmiss 0 0 0 0 0
Nearmiss/nearhit 0 0 0 0 0
Unsafe Act 0 0 0 0 0
Unsafe Condtion 0 0 0 2 #NAME?

4. OHS PROGRAM
LEADING INDICATORS DESCRIPTION
1. Risk Assessment JSA pekerjaan fabrikasi pesawat angkat dan angkut, pulling kabel,

General
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 OCCUPATIONAL HEALTH AND SAFETY REPORT

2. Signage/other OHS Campaign Pemasangan safety sign di area kerja

3. OHS Hazard Communication Mengkomunikasikan bahaya pekerjaan saat TBM
4. Permit to work Working at Height
5. Waste Management mengangangkut sampah dan 5R
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

Signature:

Field Supervisor

Name: Imung
Signature:

Site Manager

Name:Tri Wiono
Signature:

Site Safety Officer

Name: Firdaus

General
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OHS Inspection Report

Project Number: 0 Site Safety Officer : Firdaus Week : W02

Tanggal Lokasi Temuan Gambar Penanggung Jawab Tindak Lanjut/Perbaikan Tindakan Pencegahan Status
No. Eskalasi Closed
Date Location Finding Picture Picture Person In Charge Follow up or Corrective Action Preventive Action
Escalate Berakhir

menggunakan sarung tangan apd Menginformasikan saat tbm untuk

05 januari gedung menggunakan APD saat membuang
1 saat bekerja dan mebuang sampah Firdaus selalu membuang sampah pada
2023 diamond baru sampah glaswool
pada glaswool tempatnya

menginformasikan kepada pekerja

06 januari gedung membersihkan area berdebu dan untuk membersihkan debu yang
2 dust dan partikel di area kerja Firdaus
2023 diamond baru menggunakan masker mengakibatkan infeksi saluran
pernafasan

General
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 WASTE DISPOSAL REPORT

Week W02 Project ID: 0

Project Title: Relocation TETRA BRICK ASEPTIC 19 machine

Site Location/Project PT DIAMOND COLD STORAGE
Prepared by: Firdaus

Project Area: Liquid Area

Generated by: PT. Tetra Pak Indonesia
Describe Material

No. Date Quantity (kg,L,m3) Material

Describe Waste

1 Jan 2, 23 1 Plastik Wrapping, majun

TETRA PAK INDONESIA

2 Jan 3, 23 1 dust,glaswool
3 Jan 4, 23 1 glaswool
4 Jan 5, 23 1 , plastik
5 Jan 6, 23 1 Kayu support
6
7
8
9
10

Stored Method Area selalu dirapikan saat bekerja dan sebelum bekerja dan 5R

Disposal Location 1. Manage by customer

(choose one of option) 2. Manage by contractors (waste transporter

Remarks/ Comments:

# General
 0

BRICK ASEPTIC 19 machine

Firdaus

# General
OHS Toolbox Metting
Project Number: 0 Site Safety Officer : Firdaus Week : W02
Tanggal Lokasi Gambar Penanggung jawab
No. Isi TBM
Date Location Picture Person In Charge

1 Senin 2 januari 2023 Firdaus Perlengkapan APD

2 Selasa 3 januari 2023

3 Rabu 4 januari 2023 Firdaus Bekerja dengan mesin gerinda potong

4 Kamis 5 januari 2023

5 Jumat 6 januari 2023 Firdaus 5R Waste management

6 Sabtu #VALUE! Off Off Off Off

7 Minggu #VALUE! Off Off Off Off