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Weekly HSE Performance Report

This weekly HSE performance report from PT. xxxxx covers the period from November 20-26, 2016 for their project to build a ferronickel plant in East Halmahera. Key details include: - 37 employees worked a total of 598 man-hours during the week. - Vehicles drove a total of 218 km and equipment was used for 10 hours. - No safety incidents, accidents, or issues were reported during the period. - No permits, JSA forms, training, inspections, or HSE meetings were conducted during the period either.

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indra brotowali
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2K views19 pages

Weekly HSE Performance Report

This weekly HSE performance report from PT. xxxxx covers the period from November 20-26, 2016 for their project to build a ferronickel plant in East Halmahera. Key details include: - 37 employees worked a total of 598 man-hours during the week. - Vehicles drove a total of 218 km and equipment was used for 10 hours. - No safety incidents, accidents, or issues were reported during the period. - No permits, JSA forms, training, inspections, or HSE meetings were conducted during the period either.

Uploaded by

indra brotowali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
  • Weekly HSE Performance Report - 20 to 26 November 2016: Presents manpower statistics, incident reporting, and safety training data for the week of November 20 to 26, 2016.
  • Weekly HSE Performance Report - 27 November to 03 December 2016: Details the weekly HSE statistics including personnel, incidents, and training conducted during November 27 to December 3, 2016.
  • Weekly HSE Performance Report - 17 to 23 November 2019: Summarizes the health, safety, and environment performance metrics for the third week of November 2019, along with recorded incidents and training activity.
  • Weekly HSE Performance Report - 01 to 07 December 2019: Reviews weekly HSE data from December 1 to December 7, 2019, including workforce statistics and training sessions.
  • Weekly HSE Performance Report - 08 to 14 December 2019: Reports on safety, manpower, and training conducted for the reporting period of December 8 to December 14, 2019.
  • Weekly HSE Performance Report - 22 to 28 December 2019: Covers the HSE data and activities for the week ending on December 28, 2019, showing personnel, incidents, and training logs.
  • Weekly HSE Performance Report - 12 to 18 January 2020: Displays health and safety performance indicators for January 12 to 18, 2020, detailing workforce, incidents, and conducted safety training.
  • Weekly HSE Performance Report - 19 to 25 January 2020: Highlights the safety statistics and training activities between January 19 and 25, 2020, for workforce tracking and performance evaluation.
  • Weekly HSE Performance Report - 02 to 08 February 2020: Analyzes safety, manpower, and training measures from February 2 to 8, 2020, associating incident data and training actions.
  • Weekly HSE Performance Report - 23 to 29 February 2020: Compiles end-of-February 2020 HSE charting including operational staff days worked, incidents, and training highlights.

WEEKLY HSE PERFORMANCE REPORT

PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR


(P3FH)

Contractor Name : PT. xxxxx


Reporting Period From : 20 - 26 November 2016
Work Area : System 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO
DATE 20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov This Week
Tenaga Kerja/Manpower
1 Operasional 0 23 30 0 0 0 0 30
2 Administrasi 0 2 2 0 0 0 0 2
3 Pengawas 0 4 5 0 0 0 0 5
4 Total Man Power (Employee) 0 29 37 0 0 0 0 37
Jam Kerja/Manhours
5 Operasional 0 184 300 0 0 0 0 484
6 Administrasi 0 16 16 0 0 0 0 32
7 Pengawas 0 32 50 0 0 0 0 82
8 Total Manhours 0 232 366 0 0 0 0 598

9 Start Manhours Last TRI/ LTI 0 232 366 0 0 0 0 598


10 Total Light Vehicle 0 1 0 0 0 0 0 0
11 Total KM Driven of Light Vehicle 0 68 0 0 0 0 0 68
12 Total Heavy Vehicle 0 3 0 0 0 0 0 3
13 Total KM Driven 0 150 0 0 0 0 0 150
14 Start KM Driven Last MVC 0 218 0 0 0 0 0 218
15 Total Heavy Equipment 0 2 0 0 0 0 0 2
16 Total Hour Meter 0 10 0 0 0 0 0 10

STATISTIC INCIDENT (Lagging Indicator)


Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 Nearmiss 0 0 0 0 0 0 0 0
2 First Aid 0 0 0 0 0 0 0 0
3 Medical Treatment Case 0 0 0 0 0 0 0 0
4 Medium (LTI≤ 21 Hari) 0 0 0 0 0 0 0 0
5 High (LTI ≥ 21 Hari) 0 0 0 0 0 0 0 0
6 Fataity 0 0 0 0 0 0 0 0
7 Properti Damage 0 0 0 0 0 0 0 0
8 Material Losses < US$10,000 0 0 0 0 0 0 0 0
9 Material Losses ≥ US$10,000 0 0 0 0 0 0 0 0
10 Environmental Pollution 0 0 0 0 0 0 0 0
11 Oil Spill < 15 Bbls 0 0 0 0 0 0 0 0
12 Oil Spill ≥ 15 Bbls 0 0 0 0 0 0 0 0
13 Motor Vehicle Accidents 0 0 0 0 0 0 0 0
14 Fire 0 0 0 0 0 0 0 0
TOTAL 0
TRIR

PTW
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 General PTW 0 0 0 0 0 0 0 0
2 Ijin Kerja Panas (Hot Work) 0 0 0 0 0 0 0 0
3 Ijin Kerja di Ruang Terbatas (CSE) 0 0 0 0 0 0 0 0
4 Ijin Kerja Galian (Excavation) 0 0 0 0 0 0 0 0

JSA
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 JSA Khusus Siang 0 0 0 0 0 0 0 0
2 JSA Khusus Overtime 0 0 0 0 0 0 0 0

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
No Training
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9
Hazard Indentification Risk Asessment (HIRA) 0 0 0 0 0 0 0 0

10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

INSPEKCTION (KALI)
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 JUMLAH INSPEKSI ALAT BERAT 0 0 0 0 0 0 0 0
2 JUMLAH INSPEKSI EQUIPMENT 0 0 0 0 0 0 0 0
3 JUMLAH INSPEKSI TOOLS 0 0 0 0 0 0 0 0
4 JUMLAH INSPEKSI GENERATOR 0 0 0 0 0 0 0 0
5 JUMLAH INSPEKSI WELDING 0 0 0 0 0 0 0 0
6 JUMLAH INSPEKSI COMPRESSOR 0 0 0 0 0 0 0 0
7 JUMLAH INSPEKSI INVERTER 0 0 0 0 0 0 0 0

MEETING
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
No HSE MEETING
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov This Week
1 Toolbox Meeting 0 0 0 0 0 0 0 0
2 Safety Talk 0 0 0 0 0 0 0 0
3 HSE Monthly Meeting 0 0 0 0 0 0 0 0
4 HSE Internal Meeting 0 0 0 0 0 0 0 0
5 Management Work Through 0 0 0 0 0 0 0 0
6 Safety Stand Down Meeting 0 0 0 0 0 0 0 0
7 Joint Safety Patrol 0 0 0 0 0 0 0 0
8 HSE KWK-Subkon Weekly Meeting 0 0 0 0 0 0 0 0
9 Emergency Drill 0 0 0 0 0 0 0 0
10 HSE Committee Meeting 0 0 0 0 0 0 0 0
MEDICAL CHECK
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
No Medical Visit
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov This Week
1 Flu ( Commond cold ) 0 0 0 0 0 0 0 0
2 Sakit Perut (Diare) 0 0 0 0 0 0 0 0
3 Kulit/Alergy 0 0 0 0 0 0 0 0
4 Hordielum 0 0 0 0 0 0 0 0
5 Mulut/Sakit Gigi 0 0 0 0 0 0 0 0
6 Mata (iritation ) 0 0 0 0 0 0 0 0
7 Hipertensi 0 0 0 0 0 0 0 0
8 Hipotensi 0 0 0 0 0 0 0 0
9 Cephalgia 0 0 0 0 0 0 0 0
10 Faringitis 0 0 0 0 0 0 0 0
11 Ispa/Inspeksi Pernapasan (Batuk) 0 0 0 0 0 0 0 0
12 Sendi/Pegal pegal/Myalgia 0 0 0 0 0 0 0 0
13 Sakit Kepala/Headache 0 0 0 0 0 0 0 0
14 Luka ( V-Laseratum ) 0 0 0 0 0 0 0 0
15 Demam/ Febris 0 0 0 0 0 0 0 0
16 Dyspepsia 0 0 0 0 0 0 0 0
17 Stomatis 0 0 0 0 0 0 0 0
18 Test Tekanan Darah 0 0 0 0 0 0 0 0
19 Reumatoid Artritis 0 0 0 0 0 0 0 0
20 Gastritis (mual/maag) 0 0 0 0 0 0 0 0
21 Pulphitis (sakit gigi) 0 0 0 0 0 0 0 0
22 Infeksi Saluran Kencing 0 0 0 0 0 0 0 0
23 Epitaksis (mimisan) 0 0 0 0 0 0 0 0
24 Konstipasi 0 0 0 0 0 0 0 0
25 Test Kolestrol 0 0 0 0 0 0 0 0
26 Test Glukosa 0 0 0 0 0 0 0 0
27 Test Asam Urat 0 0 0 0 0 0 0 0
28 Vit Supply 0 0 0 0 0 0 0 0
29 Cek Gula Darah 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

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 :
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE This Week
Tenaga Kerja/Manpower
1 Operasional 0 0
2 Administrasi 0 0
3 Pengawas 0 0
4 Total Man Power (Employee) 0 0
Jam Kerja/Manhours
5 Operasional 0 484
6 Administrasi 0 32
7 Pengawas 0 82
8 Total Manhours 0 598

9 Start Manhours Last TRI/ LTI 0 598


10 Total Light Vehicle 0 0
11 Total KM Driven of Light Vehicle 0 0
12 Total Heavy Vehicle 0 0 0 0 0 0 0 0 0
13 Total KM Driven 0 0 0 0 0 0 0 0 0
14 Start KM Driven Last MVC 0 0 0 0 0 0 0 0 0
15 Total Heavy Equipment 0 0 0 0 0 0 0 0 0
16 Total Hour Meter 0 0 0 0 0 0 0 0 0

STATISTIC INCIDENT (Lagging Indicator)


Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Cumulative
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week (PTD)
1 Nearmiss 0 0 0 0 0 0 0 0 0
2 First Aid 0 0 0 0 0 0 0 0 0
3 Medical Treatment Case 0 0 0 0 0 0 0 0 0
4 Medium (LTI≤ 21 Hari) 0 0 0 0 0 0 0 0 0
5 High (LTI ≥ 21 Hari) 0 0 0 0 0 0 0 0 0
6 Fataity 0 0 0 0 0 0 0 0 0
7 Properti Damage 0 0 0 0 0 0 0 0 0
8 Material Losses < US$10,000 0 0 0 0 0 0 0 0 0
9 Material Losses ≥ US$10,000 0 0 0 0 0 0 0 0 0
10 Environmental Pollution 0 0 0 0 0 0 0 0 0
11 Oil Spill < 15 Bbls 0 0 0 0 0 0 0 0 0
12 Oil Spill ≥ 15 Bbls 0 0 0 0 0 0 0 0 0
13 Motor Vehicle Accidents 0 0 0 0 0 0 0 0 0
14 Fire 0 0 0 0 0 0 0 0 0
TOTAL 0 0
TRIR

PTW
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM PTD
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week
1 General PTW 0 0 0 0 0 0 0 0 0
2 Ijin Kerja Panas (Hot Work) 0 0 0 0 0 0 0 0 0
3 Ijin Kerja di Ruang Terbatas (CSE) 0 0 0 0 0 0 0 0 0
4 Ijin Kerja Galian (Excavation) 0 0 0 0 0 0 0 0 0

JSA
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Cumulative
NO ITEM
Week (PTD)
Total This Cumulative
NO ITEM
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week (PTD)
1 JSA Khusus Siang 0 0 0 0 0 0 0 0 0
2 JSA Khusus Overtime 0 0 0 0 0 0 0 0 0

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
20-Nov 21-Nov 22-Nov 23-Nov 24-Nov 25-Nov 26-Nov Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0 0
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 :
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE This Week
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 Start Manhours Last TRI/ LTI


10 Total Light Vehicle
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 0

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
Week MTD
1 Fire Drill
2 Fist Aid / Medivac /Basic First Aid
3 H2S Drill
4 Working At Height (WAH)
5 Defensive Drive Course (DDC)
6 Fire Fighting
7 Scaffolding Safety
8 Lifting & Rigging Safety
9 Hazard Indentification Risk Asessment
(HIRA)
10 Fire Extinguiser
11 JSA dan PTW
12
Roles & Responsibility for Supervision

13 Confined Space Entry


14 SMK3LL
15 H2S Training
16 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 : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 17 November 2019 - 23 November 2019
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov This Week
Tenaga Kerja/Manpower
1 Operasional 0 17 18 18 18 17 16 18
2 Administrasi 0 2 2 2 2 2 2 2
3 Pengawas 0 4 4 4 4 4 3 4
4 Total Man Power (Employee) 0 23 24 24 24 23 21 24
Jam Kerja/Manhours
5 Operasional 0 153 162 162 162 153 144 936
6 Administrasi 0 18 18 18 18 18 18 108
7 Pengawas 0 36 36 36 36 36 27 207
8 Total Manhours 0 207 216 216 216 207 189 1,251

9 Start Manhours Last TRI/ LTI 0 207 216 216 216 207 189 1251
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 01 Desember 2019 - 07 Desember 2019
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 1-Dec 2-Dec 3-Dec 4-Dec 5-Dec 6-Dec 7-Dec This Week
Tenaga Kerja/Manpower
1 Operasional 0 18 18 18 18 18 18 18
2 Administrasi 0 2 2 2 2 2 2 2
3 Pengawas 0 4 4 4 4 4 4 4
4 Total Man Power (Employee) 0 24 24 24 24 24 24 24
Jam Kerja/Manhours
5 Operasional 0 162 162 162 162 162 162 972
6 Administrasi 0 18 18 18 18 18 18 108
7 Pengawas 0 36 36 36 36 36 36 216
8 Total Manhours 0 216 216 216 216 216 216 1,296

9 Start Manhours Last TRI/ LTI 0 216 216 216 216 216 216 1296
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
17-Nov 18-Nov 19-Nov 20-Nov 21-Nov 22-Nov 23-Nov Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 08 Desember 2019 - 14 Desember 2019
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 8-Dec 9-Dec 10-Dec 11-Dec 12-Dec 13-Dec 14-Dec This Week
Tenaga Kerja/Manpower
1 Operasional 0 24 24 24 24 24 24 23
2 Administrasi 0 2 2 2 2 2 2 2
3 Pengawas 0 5 5 5 5 5 5 5
4 Total Man Power (Employee) 0 31 31 31 31 31 31 31
Jam Kerja/Manhours
5 Operasional 0 216 216 216 216 216 216 1,296
6 Administrasi 0 18 18 18 18 18 18 108
7 Pengawas 0 45 45 45 45 45 45 270
8 Total Manhours 0 279 279 279 279 279 279 1,674

9 Start Manhours Last TRI/ LTI 0 279 279 279 279 279 279 1674
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
8-Dec 9-Dec 10-Dec 11-Dec 12-Dec 13-Dec 14-Dec Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 22 Desember 2019 - 28 Desember 2019
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 22-Dec 23-Dec 24-Dec 25-Dec 26-Dec 27-Dec 28-Dec This Week
Tenaga Kerja/Manpower
1 Operasional 24 24 24 24 24 24 24 24
2 Administrasi 2 2 2 2 2 2 2 2
3 Pengawas 5 5 5 5 5 5 5 5
4 Total Man Power (Employee) 31 31 31 31 31 31 31 31
Jam Kerja/Manhours
5 Operasional 216 216 216 216 216 216 216 1,512
6 Administrasi 18 18 18 18 18 18 18 126
7 Pengawas 45 45 45 45 45 45 45 315
8 Total Manhours 279 279 279 279 279 279 279 1,953

9 Start Manhours Last TRI/ LTI 279 279 279 279 279 279 279 1953
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
22-Dec 23-Dec 24-Dec 25-Dec 26-Dec 27-Dec 28-Dec Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 12 Januari 2020 - 18 Januari 2020
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 12-Jan 13-Jan 14-Jan 15-Jan 16-Jan 17-Jan 18-Jan This Week
Tenaga Kerja/Manpower
1 Operasional 19 19 19 19 19 19 19 19
2 Administrasi 2 2 2 2 2 2 2 2
3 Pengawas 5 5 5 5 5 5 5 5
4 Total Man Power (Employee) 26 26 26 26 26 26 26 26
Jam Kerja/Manhours
5 Operasional 171 171 171 171 171 171 171 1,197
6 Administrasi 18 18 18 18 18 18 18 126
7 Pengawas 45 45 45 45 45 45 45 315
8 Total Manhours 234 234 234 234 234 234 234 1,638

9 Start Manhours Last TRI/ LTI 234 234 234 234 234 234 234 1638
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
12-Jan 13-Jan 14-Jan 15-Jan 16-Jan 17-Jan 18-Jan Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 19 Januari 2020 - 25 Januari 2020
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 19-Jan 20-Jan 21-Jan 22-Jan 23-Jan 24-Jan 25-Jan This Week
Tenaga Kerja/Manpower
1 Operasional 19 19 19 19 19 19 19 19
2 Administrasi 2 2 2 2 2 2 2 2
3 Pengawas 5 5 5 5 5 5 5 5
4 Total Man Power (Employee) 26 26 26 26 26 26 26 26
Jam Kerja/Manhours
5 Operasional 171 171 171 171 171 171 171 1,197
6 Administrasi 18 18 18 18 18 18 18 126
7 Pengawas 45 45 45 45 45 45 45 315
8 Total Manhours 234 234 234 234 234 234 234 1,638

9 Start Manhours Last TRI/ LTI 234 234 234 234 234 234 234 1638
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
19-Jan 20-Jan 21-Jan 22-Jan 23-Jan 24-Jan 25-Jan Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 02 Februari 2020 - 08 Februari 2020
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 2-Feb 3-Feb 4-Feb 5-Feb 6-Feb 7-Feb 8-Feb This Week
Tenaga Kerja/Manpower
1 Operasional 19 19 19 19 19 19 19 19
2 Administrasi 2 2 2 2 2 2 2 2
3 Pengawas 5 5 5 5 5 5 5 5
4 Total Man Power (Employee) 26 26 26 26 26 26 26 26
Jam Kerja/Manhours
5 Operasional 171 171 171 171 171 171 171 1,197
6 Administrasi 18 18 18 18 18 18 18 126
7 Pengawas 45 45 45 45 45 45 45 315
8 Total Manhours 234 234 234 234 234 234 234 1,638

9 Start Manhours Last TRI/ LTI 234 234 234 234 234 234 234 1638
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
2-Feb 3-Feb 4-Feb 5-Feb 6-Feb 7-Feb 8-Feb Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager


WEEKLY HSE PERFORMANCE REPORT
PROYEK PEMBANGUNAN PABRIK FERRONICKEL HALMAHERA TIMUR
(P3FH)

Contractor Name : PT. GEMILANG KARYA MANDIRI


Reporting Period From : 23 Februari 2020 - 29 Februari 2020
Work Area : SYSTEM 1, SYSTEM 2, & SYSTEM 4
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO PTD
DATE 23-Feb 24-Feb 25-Feb 26-Feb 27-Feb 28-Feb 29-Feb This Week
Tenaga Kerja/Manpower
1 Operasional 19 19 19 19 19 19 19 19
2 Administrasi 2 2 2 2 2 2 2 2
3 Pengawas 5 5 5 5 5 5 5 5
4 Total Man Power (Employee) 26 26 26 26 26 26 26 26
Jam Kerja/Manhours
5 Operasional 171 171 171 171 171 171 171 1,197
6 Administrasi 18 18 18 18 18 18 18 126
7 Pengawas 45 45 45 45 45 45 45 315
8 Total Manhours 234 234 234 234 234 234 234 1,638

9 Start Manhours Last TRI/ LTI 234 234 234 234 234 234 234 1638
10 Total Light Vehicle 2 2 2 2 2 2 2
12 Total Heavy Vehicle 0
14 Start KM Driven Last MVC #REF!
15 Total Heavy Equipment 2 2 2 2 2 2 2 14

TRAINING/ DRILL
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This Comulative
No Training
23-Feb 24-Feb 25-Feb 26-Feb 27-Feb 28-Feb 29-Feb Week MTD
1 Fire Drill 0 0 0 0 0 0 0 0
2 Fist Aid / Medivac /Basic First Aid 0 0 0 0 0 0 0 0
3 H2S Drill 0 0 0 0 0 0 0 0
4 Working At Height (WAH) 0 0 0 0 0 0 0 0
5 Defensive Drive Course (DDC) 0 0 0 0 0 0 0 0
6 Fire Fighting 0 0 0 0 0 0 0 0
7 Scaffolding Safety 0 0 0 0 0 0 0 0
8 Lifting & Rigging Safety 0 0 0 0 0 0 0 0
9 Hazard Indentification Risk Asessment
0 0 0 0 0 0 0 0
(HIRA)
10 Fire Extinguiser 0 0 0 0 0 0 0 0
11 JSA dan PTW 0 0 0 0 0 0 0 0
12
Roles & Responsibility for Supervision 0 0 0 0 0 0 0 0

13 Confined Space Entry 0 0 0 0 0 0 0 0


14 SMK3LL 0 0 0 0 0 0 0 0
15 H2S Training 0 0 0 0 0 0 0 0
16 Drill Emergency Response 0 0 0 0 0 0 0 0
TOTAL

Dibuat oleh Menyetujui

HSE Project Manager / Site Manager

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