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WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE
NO
Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours 9 10 11 12 13 14 15 16
Start Manhours Last TRI/ LTI Total Light Vehicle Total KM Driven of Light Vehicle Total Heavy Vehicle Total KM Driven Start KM Driven Last MVC Total Heavy Equipment Total Hour Meter
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14
ITEM Nearmiss First Aid Medical Treatment Case Medium (LTI≤ 21 Hari) High (LTI ≥ 21 Hari) Fataity Properti Damage Material Losses < US$10,000 Material Losses ≥ US$10,000 Environmental Pollution Oil Spill < 15 Bbls Oil Spill ≥ 15 Bbls Motor Vehicle Accidents Fire TOTAL
: PT. xxxxx : 20 - 26 November 2016 : System 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov
Total This Week
0 0 0 0
23 2 4 29
30 2 5 37
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 2 5 37
0 0 0 0
184 16 32 232
300 16 50 366
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
484 32 82 598
0 0 0 0 0 0 0 0
232 1 68 3 150 218 2 10
366 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
598 0 68 3 150 218 2 10
STATISTIC INCIDENT (Lagging Indicator) Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TRIR
NO 1 2 3 4
ITEM General PTW Ijin Kerja Panas (Hot Work) Ijin Kerja di Ruang Terbatas (CSE) Ijin Kerja Galian (Excavation)
NO 1
ITEM JSA Khusus Siang
PTW Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JSA Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0
Total This Week 0 0 0 0
Total This Week 0
2
No 1 2 3 4 5 6 7 8 9
JSA Khusus Overtime
0
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety
0
0
0
0
0
TRAINING/ DRILL Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0
Total This Week 0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
NO 1 2 3 4 5 6 7
No 1 2 3 4 5 6 7 8 9 10
Hazard Indentification Risk Asessment (HIRA)
0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
ITEM JUMLAH INSPEKSI ALAT BERAT JUMLAH INSPEKSI EQUIPMENT JUMLAH INSPEKSI TOOLS JUMLAH INSPEKSI GENERATOR JUMLAH INSPEKSI WELDING JUMLAH INSPEKSI COMPRESSOR JUMLAH INSPEKSI INVERTER
HSE MEETING Toolbox Meeting Safety Talk HSE Monthly Meeting HSE Internal Meeting Management Work Through Safety Stand Down Meeting Joint Safety Patrol HSE KWK-Subkon Weekly Meeting Emergency Drill HSE Committee Meeting
INSPEKCTION (KALI) Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MEETING Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0 0 0 0
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Medical Visit Flu ( Commond cold ) Sakit Perut (Diare) Kulit/Alergy Hordielum Mulut/Sakit Gigi Mata (iritation ) Hipertensi Hipotensi Cephalgia Faringitis Ispa/Inspeksi Pernapasan (Batuk) Sendi/Pegal pegal/Myalgia Sakit Kepala/Headache Luka ( V-Laseratum ) Demam/ Febris Dyspepsia Stomatis Test Tekanan Darah Reumatoid Artritis Gastritis (mual/maag) Pulphitis (sakit gigi) Infeksi Saluran Kencing Epitaksis (mimisan) Konstipasi Test Kolestrol Test Glukosa Test Asam Urat Vit Supply Cek Gula Darah
MEDICAL CHECK Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
ATISTIC MANPOWER & VEHICLE PTD 30 2 5 37 484 32 82 598 598 0 68 3 150 218 2 10
TISTIC INCIDENT (Lagging Indicator) Cumulative (PTD) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PTW PTD 0 0 0 0 JSA Cumulative (PTD) 0
0 TRAINING/ DRILL Comulative MTD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
INSPEKCTION (KALI) Cumulative (PTD) 0 0 0 0 0 0 0
MEETING Comulative MTD 0 29 1 0 0 0 0 0 0 0
MEDICAL CHECK Comulative MTD 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area
: : :
DAY NO DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours 9 10 11 12 13 14 15 16
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Start Manhours Last TRI/ LTI Total Light Vehicle Total KM Driven of Light Vehicle Total Heavy Vehicle Total KM Driven Start KM Driven Last MVC Total Heavy Equipment Total Hour Meter
ITEM Nearmiss First Aid Medical Treatment Case Medium (LTI≤ 21 Hari) High (LTI ≥ 21 Hari) Fataity Properti Damage Material Losses < US$10,000 Material Losses ≥ US$10,000 Environmental Pollution Oil Spill < 15 Bbls Oil Spill ≥ 15 Bbls Motor Vehicle Accidents Fire TOTAL
STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Jumat
0 0 0 0 0
Sabtu
0 0 0 0 0
STATISTIC INCIDENT (Lagging Indicator) Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week
PTD
0 0 0 0
0 0 0 0
0 0 0 0
484 32 82 598
0 0 0 0 0 0 0 0
598 0 0 0 0 0 0 0
Total This Week
Cumulative (PTD)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week
PTD
0 0 0 0
0 0 0 0
Total This Week
Cumulative (PTD)
TRIR
NO 1 2 3 4
NO
ITEM General PTW Ijin Kerja Panas (Hot Work) Ijin Kerja di Ruang Terbatas (CSE) Ijin Kerja Galian (Excavation)
ITEM
PTW Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Minggu
Senin
JSA Selasa
Rabu
Kamis
Jumat
Sabtu
NO 1 2
ITEM JSA Khusus Siang JSA Khusus Overtime
No 1 2 3 4 5 6 7 8 9
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TRAINING/ DRILL Minggu Senin Selasa Rabu Kamis Jumat Sabtu 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week
Cumulative (PTD)
0 0
0 0
Total This Week 0 0 0 0 0 0 0 0
Comulative MTD 0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
Keterangan : Operasional adalah tenaga kerja pelaksana seperti operator, mekanik, elektrik dan
Administrasi adalah tenaga kerja bagian administrasi (staf dan non staf) Pengawas adalah pengawas operasional & teknis termasuk Leading Hand dan Kepa
Untuk pengisian manhours disesuaikan dengan kondisi riil jam kerja di lapangan (termasuk jam kerja lembur)
`
al adalah tenaga kerja pelaksana seperti operator, mekanik, elektrik dan lain-lain adalah pengawas operasional & teknis termasuk Leading Hand dan Kepala Kelompok
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area
: : :
DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
Training
STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis
Jumat
Sabtu
Total This Week
PTD
Jumat
Sabtu
Total This Week
Comulative MTD
0 #REF! 0
Minggu
TRAINING/ DRILL Senin Selasa Rabu
Kamis
Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision 13 14 15 16
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 17 November 2019 - 23 November 2019 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis Jumat Sabtu 17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Total This Week
0 0 0 0
17 2 4 23
18 2 4 24
18 2 4 24
18 2 4 24
17 2 4 23
16 2 3 21
18 2 4 24
0 0 0 0
153 18 36 207
162 18 36 216
162 18 36 216
162 18 36 216
153 18 36 207
144 18 27 189
936 108 207 1,251
0 2 0 #REF! 2
207 2
216 2
216 2
216 2
207 2
189 2
1251
2
2
2
2
2
2
14
TRAINING/ DRILL Minggu Senin Selasa Rabu Kamis Jumat Sabtu 17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 01 Desember 2019 - 07 Desember 2019 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 1-Dec 2-Dec 3-Dec 4-Dec 5-Dec
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 6-Dec
Sabtu 7-Dec
Total This Week
0 0 0 0
18 2 4 24
18 2 4 24
18 2 4 24
18 2 4 24
18 2 4 24
18 2 4 24
18 2 4 24
0 0 0 0
162 18 36 216
162 18 36 216
162 18 36 216
162 18 36 216
162 18 36 216
162 18 36 216
972 108 216 1,296
0 2 0 #REF! 2
216 2
216 2
216 2
216 2
216 2
216 2
1296
2
2
2
2
2
2
14
TRAINING/ DRILL Minggu Senin Selasa Rabu Kamis Jumat Sabtu 17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total This Week 0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 08 Desember 2019 - 14 Desember 2019 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 8-Dec 9-Dec 10-Dec 11-Dec 12-Dec
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 13-Dec
Sabtu 14-Dec
Total This Week
0 0 0 0
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
23 2 5 31
0 0 0 0
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
1,296 108 270 1,674
0 2 0 #REF! 2
279 2
279 2
279 2
279 2
279 2
279 2
1674
2
2
2
2
2
2
14
Kamis 12-Dec 0 0 0 0 0 0 0 0
Jumat 13-Dec 0 0 0 0 0 0 0 0
Sabtu 14-Dec 0 0 0 0 0 0 0 0
Total This Week
Minggu 8-Dec 0 0 0 0 0 0 0 0
TRAINING/ DRILL Senin Selasa Rabu 9-Dec 10-Dec 11-Dec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 22 Desember 2019 - 28 Desember 2019 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 22-Dec 23-Dec 24-Dec 25-Dec 26-Dec
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 27-Dec
Sabtu 28-Dec
Total This Week
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
24 2 5 31
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
216 18 45 279
1,512 126 315 1,953
279 2 0 #REF! 2
279 2
279 2
279 2
279 2
279 2
279 2
1953
2
2
2
2
2
2
14
Kamis 26-Dec 0 0 0 0 0 0 0 0
Jumat 27-Dec 0 0 0 0 0 0 0 0
Sabtu 28-Dec 0 0 0 0 0 0 0 0
Total This Week
TRAINING/ DRILL Minggu Senin Selasa Rabu 22-Dec 23-Dec 24-Dec 25-Dec 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 12 Januari 2020 - 18 Januari 2020 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 12-Jan 13-Jan 14-Jan 15-Jan 16-Jan
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 17-Jan
Sabtu 18-Jan
Total This Week
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
1,197 126 315 1,638
234 2 0 #REF! 2
234 2
234 2
234 2
234 2
234 2
234 2
1638
2
2
2
2
2
2
14
Kamis 16-Jan 0 0 0 0 0 0 0 0
Jumat 17-Jan 0 0 0 0 0 0 0 0
Sabtu 18-Jan 0 0 0 0 0 0 0 0
Total This Week
Minggu 12-Jan 0 0 0 0 0 0 0 0
TRAINING/ DRILL Senin Selasa Rabu 13-Jan 14-Jan 15-Jan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 19 Januari 2020 - 25 Januari 2020 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 19-Jan 20-Jan 21-Jan 22-Jan 23-Jan
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 24-Jan
Sabtu 25-Jan
Total This Week
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
1,197 126 315 1,638
234 2 0 #REF! 2
234 2
234 2
234 2
234 2
234 2
234 2
1638
2
2
2
2
2
2
14
Kamis 23-Jan 0 0 0 0 0 0 0 0
Jumat 24-Jan 0 0 0 0 0 0 0 0
Sabtu 25-Jan 0 0 0 0 0 0 0 0
Total This Week
Minggu 19-Jan 0 0 0 0 0 0 0 0
TRAINING/ DRILL Senin Selasa Rabu 20-Jan 21-Jan 22-Jan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 02 Februari 2020 - 08 Februari 2020 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 2-Feb 3-Feb 4-Feb 5-Feb 6-Feb
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 7-Feb
Sabtu 8-Feb
Total This Week
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
1,197 126 315 1,638
234 2 0 #REF! 2
234 2
234 2
234 2
234 2
234 2
234 2
1638
2
2
2
2
2
2
14
Kamis 6-Feb 0 0 0 0 0 0 0 0
Jumat 7-Feb 0 0 0 0 0 0 0 0
Sabtu 8-Feb 0 0 0 0 0 0 0 0
Total This Week
Minggu 2-Feb 0 0 0 0 0 0 0 0
TRAINING/ DRILL Senin Selasa Rabu 3-Feb 4-Feb 5-Feb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
WEEKLY HSE PERFORMANCE REPORT PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR (P3FH) Contractor Name Reporting Period From Work Area DAY DATE Tenaga Kerja/Manpower 1 Operasional 2 Administrasi 3 Pengawas 4 Total Man Power (Employee) Jam Kerja/Manhours 5 Operasional 6 Administrasi 7 Pengawas 8 Total Manhours NO
9 10 12 14 15
Start Manhours Last TRI/ LTI Total Light Vehicle Total Heavy Vehicle Start KM Driven Last MVC Total Heavy Equipment
No 1 2 3 4 5 6 7 8 9
: PT. GEMILANG KARYA MANDIRI : 23 Februari 2020 - 29 Februari 2020 : SYSTEM 1, SYSTEM 2, & SYSTEM 4 STATISTIC MANPOWER & VEHICLE Minggu Senin Selasa Rabu Kamis 23-Feb 24-Feb 25-Feb 26-Feb 27-Feb
Training Fire Drill Fist Aid / Medivac /Basic First Aid H2S Drill Working At Height (WAH) Defensive Drive Course (DDC) Fire Fighting Scaffolding Safety Lifting & Rigging Safety Hazard Indentification Risk Asessment (HIRA)
Jumat 28-Feb
Sabtu 29-Feb
Total This Week
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
19 2 5 26
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
171 18 45 234
1,197 126 315 1,638
234 2 0 #REF! 2
234 2
234 2
234 2
234 2
234 2
234 2
1638
2
2
2
2
2
2
14
Kamis 27-Feb 0 0 0 0 0 0 0 0
Jumat 28-Feb 0 0 0 0 0 0 0 0
Sabtu 29-Feb 0 0 0 0 0 0 0 0
Total This Week
TRAINING/ DRILL Minggu Senin Selasa Rabu 23-Feb 24-Feb 25-Feb 26-Feb 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0
0
0
0
0
0
0
10 Fire Extinguiser 11 JSA dan PTW 12 Roles & Responsibility for Supervision
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0
0
0
0
0
13 14 15 16
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Confined Space Entry SMK3LL H2S Training Drill Emergency Response TOTAL
Dibuat oleh
Menyetujui
HSE
Project Manager / Site Manager
PTD
Comulative MTD
