Doc.

Number 26071-JO-HSE-039
Effective Date 29-Oct-21
Subcontractor Daily HSE Statistics Report No. of Revision 001
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Subcontractor Name PT. Koin Konstruksi Total Working Days : 968 Prepared By Approved By
Scope of Work Mechanical Erection PKG #9 Safe Working Days : 968.00
PO No. / Subcontractor No. RDMP-H-SC-ME-009 Total Manhour YTD : 835,047
Starting Date 10-Aug-21 Total Safe Manhour Without : 835,047
Reported Date 04-Apr-24 LTI HSE Coord. Site Manager

Cummulative
Item UOM 29-May-20 WEATHER REPORT
Year To Date

INCIDENT Time Status Time Status

Fatality Number of Case - 07:00 - 08:00 Cloudy 18.00 - 19.00
Lost Time Injury (LTI) Number of Case - 08:00 - 09:00 Cloudy 19.00 - 20.00
Restricted Work Case Number of Case - 09:00 - 10:00 Cloudy …..
Medical Treatment Case Number of Case - 10:00 - 11:00 Cloudy
Incident impact to environmental pollution Number of Case - 11:00 - 12:00 Cloudy
Incident impact to fire / asset damage Number of Case - 12:00 - 13:00 Cloudy
Environmental Damage Number of Case - 13:00 - 14:00 Cloudy
First Aid Case Number of Case - 14:00 - 15:00 Cloudy
Nearmiss Number of Case - 15:00 - 16:00 Cloudy
Emergency Evacuation Number of Case - 16:00 - 17:00 Cloudy
17:00 - 18:00 Cloudy
LTIFR 0
LTISR 0
TRIR 0

POB & Manhour HSE Activity

No. of Total HSE Personnel person 18 16,144 1 Toolbox Meeting
Safety Coordinator person 1 38,226 2 Daily check up (DCU)
Admin HSE / Safetyman / First Aider / Helper Safety person 13 14,621 3 Site Activity
Paramedic / PTW person 4 1,001

Day Shift
POB Direct person 112 69,607
POB Indirect person 30 15,552
POB Total person 142 82,660
Working Hour hour 11 13,013
MH day shift 1,562 835,047
Extended Work
POB Extended Work person
Working Hour hour
MH Extended Work 15,056
Total MH Day Shift 1,562 835,047
POB Night Shift
POB Direct person
POB Indirect person
POB Total -
Working Hour hour -
MH NIght shift -
No. of Register Equipment
Light Vehicle Number 3 1,195
Heavy Vehicle Number 2 9,444
Crane Number 2 9,624
Heavy Equipment Number 2 1,460
Electrical Tools Number 71 9,012
Genset Number -
Total KM Driven KM 10 7,290
Total HM Run hour 24 5,193
ID Badge
ID Badge Issued Number 115
ID Badge Out Number 96
OTHER
PTW Number 32
e-COP Number 2 14,291
HSE Periodic Inspections conducted Object number 331
Premob Inspection conducted Object number 53
Random Alcohol Test Person 182
Submit MCU Record Person 86
General HSE Talk Number 7
Toolbox Meeting Number 1 387
Updated Job Safety Analysis Number -
Domestic Waste M3 38
Construction Waste M3 228
Hazardous Waste M3 - -
ACTIVITY (Picture & Caption)

14

Toolbox Meeting Activity in Area 29 31

Daily Check Up