HSE DAILY REPORT

Company
PT. NUSACITRA ANUGERAHPRATAMA Owner PT. PERTAMINA
Perusahaan
Project Name Pembangunan Tangki Avtur Kapasitas 2x1000KL
Project Start 25 September 2019
Nama Proyek di P. Layang
Location of Project
Pulau Layang dan Kilang Pertamina RU III Total hari kerja
Lokasi Proyek
Report Date
Laporan Tanggal
ACTIVITY
AKTIVITAS
HSE Talk Topics :

Safety Comunication Today Cumulative

HSE Induction
HSE Training
HSE Meeting
HSE Talk/ briefing
HSE Management Visit
Inspection
Closure Action
Audit HSE
Kepatuhan Penggunaan APD
Pengelolaan Limbah
Pengelolaan Hygiene Industri
Good Housekeeping
Pelaporan Safety Non Conformity (BBS)
Total

Man Power Permit to Work

Total Man power Manhours Permit Type Open Close
Cold Work
Total Safe Manhours to Day hours Hot Work
Previous hours Confined Space Entry
Total Safe Manhours Until this Day hours Excavation
Working at High
Radiography

Lagging Indicator Today Cumulative SAFETY EQUIPMENT

Fatality Kasus Kasus Fire Extinguisher Unit
Lost Time Incident Kasus Kasus First Aid Kit Unit
Kejadian berdampak Lingkungan Kasus Kasus Gas Detector Unit
Kejadian berdampak Kebakaran Kasus Kasus Radio Comm. Unit
First Aid Kasus Kasus Stretcher Unit
Pelanggaran APD Kasus Kasus Wind Sock Unit
Pelanggaran terhadap pengelolaan sampah Kasus Kasus Anemometer Unit
Pelanggaran terhadap keamanan Kasus Kasus Respiratory Unit
Nearmiss Kasus Kasus Body Harnes Unit
PREPARED BY : HSE NCAP CHECKED BY : SITE MANAGER APPROVED BY : HSE PERTAMINA
Name Name Name

Position Position Position

Signature Signature Signature