LAPORAN MINGGUAN SHE-S&SR D H I - A C S E T , K S O
I.
Proyek :
KUNSER
Data Kecelakaa da Ker!"aka Peralata KA#EGORI KE$ADIAN ". F"t"$it()Meninggal F"t"$it()Meninggal (unia ) A ** b. Bi*er" >er"t)+ost >er"t)+ost Time njury ) B ** ). Bi*er" Rin#"n/3)Minor Rin#"n/3 )Minor njury ) C C ** *. R""t Dokter )(isabling njury ) D ** e. 3erus"k"n er"$"t"n)Property er"$"t"n)Property (amage ) E E ** %. 3eb"k"r"n),ire F ** 3eb"k"r"n),ire ) F #. 3e)e$"k""n "$u int"s)Tra-c int"s )Tra-c 'ase ) G ** H ** +. 3"sus in#kun#"n)En.iromen in#kun#"n )En.iromental tal 'ase ) H i. N("ris Be$"k")earmiss I ** Be$"k")earmiss ) I ,. 3"sus en)uri"n / 3e+i$"n#"n )+ost 'ase ) J ** K ** k. Huru-+"r"/3"sus Sosi"$)'ommoo Sosi"$ )'ommoon n 'ase ) K $UMLAH #O#AL
08-14 Oktober 201
Periode :
Mi%%! Lal! 0 0 0 0 0 0 0 0 0 0 0
No. Dokumen No. Revisi !"n##"$ E%ek&%
Mi%%! Ii 0 0 1 0 0 0 0 0 0 0 0
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25 22
4 : 4lo"ed 5!"!la "!da dilak!ka6
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7
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: : :
F-SHE-45/00 00 1-'"(-1
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#a%%al Pelak"aaa Seap hari 23%"ct%34 34%"ct%34 35%"ct%34 36%"ct%34 27%"ct%34 34%"ct%34 23%"ct%34 34%"ct%34
3ANSER 3ANSER 3ANSER 3ANSER 3ANSER 3ANSER 3ANSER 3ANSER
PI4 HSE O;cer ARI ED3 HERD3 $UNED ARI RIO RIO HERD3
!"n#er"n# se$"t"n 14 Oktober 201 'en#et"+ui
5
<<<<<<<<<.. 6 Project Manajer
Disi"9k"n o$e+ :
5
<<<<< ( Jabatan )
6
RESUME KE$ADIAN 8EEKL3 REPOR#
No. Dokumen
:
F-SHE-400
No. Revisi
:
!"n##"$ Revisi
:
00 8-?9r-1
",ib *iisi "9"bi$" ter,"*i "))i*ent / in)i*ent
No
#a%%al Ke,adia 5>6
$a* C 8akt! Ke,adia 56
#e*)at Ke,adia 56
De)t. C Sec0o C (a%ia 5?6
Kla"ika"i Ke,adia 576 5 erda"arka a - k6 Sta@
Peker,a
PK
Lai-lai
Aali"a Peyea Kecelakaa 5>?6
#idaka a+al 5B6
Stat!" Kora 5=6 U"ia 56
RS
(a%ia t!! ya% cidera 56
Lai ya
(iaya Pea%aa Kora 5>6
C
>
BC>C>7
.
Foa >(
S!cot
$ei" I"ide 5Kl"ika"i Ke,adia6 ".
F"t"$it()Meninggal (unia ) A **
b.
Bi*er" >er"t)+ost Time njury ) B **
).
Bi*er" Rin#"n/3)Minor njury ) C **
*.
R""t Dokter )(isabling njury ) D **
e.
3erus"k"n er"$"t"n )Property (amage ) E **
%. #.
3eb"k"r"n),ire ) F **
+.
3"sus in#kun#"n)En.iromental 'ase ) H **
i.
N("ris Be$"k")earmiss ) I **
,.
3"sus en)uri"n / 3e+i$"n#"n )+ost 'ase ) J **
k.
Huru-+"r"/3"sus Sosi"$)'ommoon 'ase ) K **
3e)e$"k""n "$u int"s )Tra-c 'ase ) G **
1
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5>>6
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Da*)ak li%k!%a 5>6
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REKAPITULASI TOOLBOX MEETING / SAFETY MORNING / SAFETY TALK Oct-17 ( KUNSER)
No
Tanggal
1
8-Oct-17
Hot ork
2
9-Oct-17
>"+"(" #"$i"n
1%-Oct-17
>"+"(" "re" ,")kin#
4
11-Oct-17
?$"t e$in*un# Diri
5
12-Oct-17
BonCne* S9")e
(
1&-Oct-17
Si%
7
14-Oct-17
orkin# "t Hi#+
8
15-Oct-17
iin#
&
8&*a% 0#'nt2
Total Man Po9'*
.la K'a"*an
P'*%'nta%' K'a"*an 02
Pemotongan dengan api
15
1<
2
14.8
Pee!"aan #a$ian
15
20
17.%
15
222
4
22.1
Pemaaian 'P e*ai "eni pee!"aan
15
220
15.%
Pee!"aan !*ang te!+ata
15
22
5<
24.1
P'ntngn)a %gn " a*'a !'*+a
,
205
B
&9.%
Pee!"aan etinggian
15
>7>
2
15.8
Pee!"aan Pengangatan
15
1<8
18
1%.7
Top! Yang " Sa#pa!an
$ot I%%&'
eker,""n ")kin#
9 1% 11 12 1& 14 15
REKAPITULASI INSTERNAL SAFETY MEETING No
Tanggal
1
14-Oct-17
2 & 4
Top! Yang " Sa#pa!an
eker,""n "re" !"99er
Total Un"angan
.la K'a"*an
P'*%'nta%' 02
11
7
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DOKUMEN#ASI MEE#ING $ei" La*)ira ya% Har!" di"ertaka: 1. S)"n / Foto ?bsensi eker," H"ri"n *"n Sub)on ("n# +"*ir ' D' B' S' Su9ervisor 3oor*in"tor/e"*er *$$ 2. Foto-%oto ke#i"t"n
DOKUMEN#ASI #(# & SA2E#3 MORNING $ei" La*)ira ya% Har!" di"ertaka: 1. S)"n / Foto ?bsensi eker," H"ri"n *"n Sub)on ("n# +"*ir ' D' B' S' Su9ervisor 3oor*in"tor/e"*er *$$ 2. Foto-%oto ke#i"t"n
PROPER#3 INSPE4#ION
No. !"n##"$
enis ?$"t
7ns9ektor
St"tus
1 2
1-O)t-1 1-O)t-1
>u$$*oo=er >u$$*oo=er
O9ik O9ik
>"ik >"ik
4
1-O)t-1 1-O)t-1
E)"v"tor E)"v"tor
O9ik O9ik
>"ik >"ik
5 <
1-O)t-1 1-O)t-1
ibro Ro$$er S+ee9 Foot Ro$$er
O9ik O9ik
>"ik >"ik
8
1-O)t-1 1-O)t-1
>u$$*oo=er ibro Ro$$er
O9ik ?*"m
>"ik >"ik
1-O)t-1 10 1-O)t-1 11 1-O)t-1
S+ee9 Foot Ro$$er ibro Ro$$er E)"v"tor
?*"m ?*"m ?*"m
>"ik >"ik >"ik
12 1-O)t-1
E)"v"tor
?*"m
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DOKUMEN#ASI
3et.
.
DOKUMEN#ASI PRO$E4# A4#II#3
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5 KUNSER6
REKAPI#ULASI MANPO8ER
A D H I - A C S E T , K S O
# I N U
DES4RIP#ION
NO
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=
7
B
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B
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7
7
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7
B
)er"o5"6
12
12
12
12
12
12
12
12
)er"o5"6
24 42 >B >
20 42 >B >
21 42 >B >
15 42 >B >
10 42 >B >
15 42 >B >
15 42 >B >
15 42 >B >
12 >> ? >B >
12 > ? >B >
12 >= ? >B
12 > ? >B
12 >? ? >B
12 > ? >B
12 > ? >B 7
-
-
-
-
-
-
-
-
-
-
-
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>> B B
> ? ? B B
>? ? ? B B
>? ? ? 7
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? >B ? ? 7
= > ? 7
= ? ? 7
? ? 7
? B ? ? 7
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= 7 ? ? 7
>B
7
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B
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B
>
>=7
>=?
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)er"o5"6 )er"o5"6 )er"o5"6
NS4CD4
4 > ? = > ? = 7 B > >>
>
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)er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 )er"o5"6 #O#AL RA#A-RA#A MANPO8ER PER (ULAN #O#AL KEHADIRAN #(M PERSEN#ASE KEHADIRAN #(M RA#A PERSEN#ASE KEHADIRAN #(M
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B 7 >B .B >=.>7 >.B
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