PT.

WIJAYA BANGUN RIGUTAMA

DAILY QHSE REPORT WBR

Total Days Free LTA : 65 RIG NO : WBR 01 #####

LOCATION : Yard Lembak DATE : 12/5/2021

Summary Operation / Rig Activities : Set Rig Equipment

1 WEATHER
06-07 hrs 08-09hrs 10-11hrs 12-13hrs 14-15hrs 16-17hrs 18-19hrs 20-21hrs 22-23hrs 24-01hrs 02-03hrs 04-05hrs 05-06hrs
Clear Clear Clear Clear Rain Clear Clear Clear Clear Clear Clear Clear Clear

2 QHSE&T PERFORMANCE STATISTIC

MANHOURS & POB
POS WBR 72 POS Client today POS Subcontractor today 0 Total POB 72
WBR man hours today 972 Client man hours today Subcontractor man hours today 0 Total Man Hours 221724

QHSE&T INPUT PREV. TODAY CUMM.

Job Safety Analysis (JSA) 1981 0 1981

HSE Inspection & Audit 1139 0 1139 Peralatan sudah di packing di dalam gudang

Safety Meeting 1407 1 1408 Day

Prejob Safety Meeting 1981 0 1981

HSE Orientation / Induction 322 2 324

Management Visit 14 0 14
Safety Training 38 0 38
Journey Management 32 0 32

ERP Drill 27 0 27

Fogging 8 0 8
HOC Awareness 0 0 0

Fatique Management 573 0 573

Hazard Observation Card / Stop Card 6076 0 6076

HSE OUTPUT PREV. TODAY CUMM. TARGET REMARKS

First Aid Injury (FAI) 0 0 0
Lose Time Injury ( LTI ) 0 0 0
Medical Treatment Injury (MTI) 0 0 0
Fire Incident (FI) 0 0 0
Property Damage 0 0 0
Nearmiss 0 0 0
Environment Incident 0 0 0
Descriptions : (if there is an inccident case today)
3 NO. ISSUES (QHSE&T) / UNSAFE CONDITION / UNSAFE ACTION ACTION PLAN TARGET DATE ACTION BY

4 WORK PERMIT & LOTO Type : Hot Work : HW, Cold Work : CW, Confine Space : CS, Pressure System :PS, Electrician : EP

NO. LOCATION PTW or LOTO TYPE SUPERVISOR DESCRIPTION OF WORK ISSUE DATE REMARKS

SAFETY MEETING
Safety Alert :
Day Shift : Night Shift
- Pesan keselamatan
- Potensi bahaya
- Housekeeping

QHSE&T FIELD OPERATIONS OFFICER HIGHLIGHT (ACTIVITIES)

- TGM - TGM
- Safety Patroll - Safety Patroll
- Housekeeping - Housekeeping
- Monitoring pekerjaan personel - Monitoring pekerjaan personel
- Update daily report - Update daily report
- Fatique Management Rutin - Fatique Management Rutin
- Update POB - Update POB
-
Reported by,
Total KM Driven :

Reported by, Acknowledged by,

Riko S / Fadli LH / Dicky Ariyanto

HSE WBR Widi Agus B / Agustian
Rig Supt WBR