WEEKLY HSE PERFORMANCE REPORT
PT. RUNINCO BUMI LESTARI
Work Area/Proyek :
Reporting Period From :
STATISTIC MANPOWER & VEHICLE
DAY Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total
NO
DATE This Week
1 Total Man Power (Employee) 0
2 Total Manhours 0
3 Total Light Vehicle 0
4 Total Heavy Vehicle 0
5 Total Heavy Equipment 0
STATISTIC INCIDENT (Lagging Indicator)
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
Week
1 Nearmiss 0
2 First Aid 0
3 MTC (Medical Treatment Case) 0
4 LTI (Lost Time Injury) 0
5 RWC (Restricted Work Day Case) 0
6 Fatality 0
7 Environmental Pollution 0
8 Motor Vehicle Accidents 0
TOTAL 0 0 0 0 0 0 0 0
KEGIATAN HSE (Leading Indicator )
Minggu Senin Selasa Rabu Kamis Jumat Sabtu Total This
NO ITEM
Week
1 Toolbox Meeting 0
2 HSE Coordination Meeting 0
3 Safety Induction 0
4 Pelatihan (Training HSE) 0
5 HSE Report 0
6 Emergency Drill 0
7 Inspeksi Area 0
8 Insepski APD/Equipment/Tools/Kendaraan 0
9 Safety Patrol 0
10 Motor Vehicle Accidents 0
Dibuat oleh Menyetujui
HSE Project Manager / Site Manager