DAILY PERSONNEL ON BOARD

Date : 1-Jan-17
Location : Sarulla - WJP 1 - 5 PRA-15
RIG Work Working
No Full Name PID Number Company Position Original Camp Arrival Date Shift Nationality
SITE Schedule days
PT.HALLIBURTON IPM
1 Sahat N HS-HPM-00-034 Halliburton 1 DSV Jakarta Mini Camp 17-Dec-16 Night Indonesian 28/28 16
2 Agung Santoso HS-HPM-00-029 Halliburton 1 DSV Manila Mini Camp 31-Dec-16 Day Filiphines 28/28 2
3 Nikki Haroen Al Rasyid HS-HPM-00-041 Halliburton 1 HSE Coodinator Jakarta Mini Camp 31-Dec-16 On Call Indonesian 28/28 2
4 Lucky HS-HPM-00-048 Halliburton 1 Logistic Supv Jakarta Mini Camp 22-Dec-16 On Call Indonesian 28/28 11
TOTAL POB 4
PT.PLUMPANG RAYA ANUGRAH
1 ML Gaol HS-PRA15-00-002 PRA 1 Rig Supt Bandung Mini Camp 28-Dec-16 ON Call Indonesian 28/28 5
2 Abdillah HS-PRA15-00-003 PRA 1 Toolpusher Yogyakarta Base Camp 7-Dec-16 Day Indonesian 28/14 26
3 Zamronianto HS-PRA15-00-008 PRA 1 Toolpusher Trenggalek Base Camp 21-Dec-16 Night Indonesian 28/14 12
4 Dedi HS-PRA15-00-044 PRA 1 Driller Palembang Base Camp 21-Dec-16 Night Indonesian 28/14 12
5 Supriadi HS-PRA15-00-006 PRA 1 Driller Jambi Base Camp 7-Dec-16 Day Indonesian 28/14 26
6 Tooje Paat HS-PRA15-00-040 PRA 1 Spv. Electrician Manado Mini Camp 14-Dec-16 On Call Indonesian 28/28 19
7 Suroto HS-PRA15-00-014 PRA 1 Chieft Mechanic Medan Mini Camp 23-Dec-16 On Call Indonesian 28/28 10
8 Yayat Ruhiyat HS-PRA15-00-043 PRA 1 HSE SPV Subang Base Camp 30-Nov-16 Day Indonesian 28/28 33
9 Sudiono HS-PRA15-00-041 PRA 1 HSE SPV Malang Base Camp 14-Dec-16 Night Indonesian 28/28 19
10 Ahmad Rosidi HS-PRA15-00-022 PRA 1 HSE SPV Pendopo Base Camp 28-Dec-16 On Call Indonesian 28/28 5
11 Marudut HS-PRA15-01-068 PRA 1 Spv Material Palembang Base Camp 22-Dec-16 On Call Indonesian 28/28 11
12 Jarot HS-PRA15-00-030 PRA 1 TruckPusher Lampung Base Camp 22-Dec-16 On Call Indonesian 28/28 11
13 Yudi HS-PRA15-00-025 PRA 1 Rig Support Palembang Base Camp 22-Dec-16 Day Indonesian 28/28 11
14 Hen Rico Vandria HS-PRA15-00-026 PRA 1 Admin Maintenance Blitar Base Camp 7-Dec-16 Day Indonesian 28/28 26
15 Dudi HS-PRA15-00-016 PRA 1 Sr. Mechanic Jakarta Base Camp 22-Dec-16 On Call Indonesian 28/28 11
16 Suprianto HS-PRA15-00-018 PRA 1 HTD Mechanic Palembang Base Camp 22-Dec-16 On Call Indonesian 28/28 11
17 Benny Raswandi HS-PRA15-00-038 PRA 1 Senior Rigger Jakarta Base Camp 27-Dec-16 Day Indonesian 28/28 6
18 Eko harsono HS-PRA15-00-011 PRA 1 Sr.Electrician Jakarta Base Camp 7-Dec-16 On Call Indonesian 28/28 26
19 Abdul Manaf HS-PRA15-00-039 PRA 1 Crane Operator Cikalong Base Camp 7-Dec-16 On Call Indonesian 28/28 26
20 Rismon Tua Panggabean HS-PRA15-00-032 PRA 1 Jambi Jakarta Base Camp 21-Dec-16 On Call Indonesian 28/28 12
TOTAL POB 20
PT. CEMENTING HALLIBURTON
1 Fachmi Kurnia HS-HPM-05-007 Halliburton 1 Cementer Jakarta Base Camp 6-Dec-16 Day Indonesian 27
2 Gesa A HS-HPM-05-006 Halliburton 1 Cementer Jakarta Base Camp 16-Dec-16 Day Indonesian 17
3 Ulfa Hardyanti HS-HPM-05-052 Halliburton 1 Field Engineer Jakarta Base Camp 24-Nov-16 Day Indonesian 39
4 Billi Dwiky HS-HPM-05-005 Halliburton 1 Cementer Jakarta Base Camp 24-Dec-16 Day Indonesian 9
5 Maruli Panggabean HS-HPM-05-008 Halliburton 1 Helper Local Home 19-Dec-16 Day Indonesian 14
6 Ivan Lendi S N/A Halliburton 1 Helper Local Home 19-Dec-16 Day Indonesian 14
7 Mokhamad Halim Fathoni HS-HPM-05-055 Halliburton 1 Mechanik Local Home 19-Dec-16 Day Indonesian 14
8 Jonathan HS-HPM-05-058 Halliburton 1 Supv Jakarta Home 16-Dec-16 Day Indonesian 17
TOTAL POB 8
SOL/GRG
1 Roger Almond N/A SOL 1 Drilling Spv USA Mini Camp 26-Dec-16 On Call USA 28/28 7
2 Dhika N/A SOL 1 Geologist Jakarta Mini Camp 9-Dec-16 On Call Indonesian 28/28 24
TOTAL POB 2
MEDIKA PLAZA
1 Ahlan N/A MP 1 Doctor Jakarta Mini Camp 16-Dec-16 On Call Indonesian 28/28 17
2 Darwis HS-MP-00-009 MP 1 Paramedic P sidempuan Mini Camp 11-Dec-16 Night Indonesian 28/28 22
3 Togar Pasaribu HS-MP-00-008 MP 1 Driver Ambulance Tarutung Mini Camp 2-Dec-16 On Call Indonesian 28/28 31
TOTAL POB 3
NATIONAL OIL WELL VARCO / TDS
1 Agus S HS-PRA09-03-004 NOV 1 Technition Blora Base Camp 8-Dec-16 Night Indonesian 28/28 25
2 Rafiudin HS-PRA09-03-013 NOV 1 Engineer Jakarta Base Camp 22-Dec-16 Day Indonesian 28/28 11
3 Aswin NA NOV 1 HSE Jakarta Base Camp 30-Dec-16 Oncall Indonesian 3
TOTAL POB 3
H2S DYFCO
1 Fajar Mahakam HS-DYF-00-040 Dyfco 1 Engineer Jakarta Base Camp 15-Dec-16 Day Indonesia 18
2 Nurwakit HS-DYF-00-041 Dyfco 1 Engineer Nganjuk Base Camp 18-Dec-16 Night Indonesia 15
3 Agus Prayitno HS-DYF-00-032 Dyfco 1 Engineer Blora Base Camp 9-Dec-16 Night Indonesia 24
4 Nurhamdi HS-DYF-00-028 Dyfco 1 Technition Local Base Camp 27-Dec-16 Day Indonesia 6
TOTAL POB 4
PT. HARCO CREW RIG DAY - SHIFT
1 Ahmali Daeba HS-PRA15-01-027 HARCO 1 Asst Driller Jakarta Base Camp 28-Dec-16 Day Indonesia 20/10 5
2 M Rozalla HS-PRA15-01-007 HARCO 1 Derrickman Medan Base Camp 28-Dec-16 Day Indonesia 20/10 5
3 Greinekel Sitompul HS-PRA15-01-033 HARCO 1 Floorman Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
4 M Fajar Wahyudi N/A HARCO 1 Floorman Medan Base Camp 28-Dec-16 Day Indonesian 20/10 5
5 Rudi Setiadi Firmansyah HS-PRA15-01-047 HARCO 1 Floorman Garut Base Camp 28-Dec-16 Day Indonesia 20/10 5
6 Roy Marten Munthe HS-PRA15-01-045 HARCO 1 Floorman Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
7 Jon Kennedi Manurung HS-PRA15-01-081 HARCO 1 Roustabout Siantar Base Camp 29-Dec-16 Day Indonesia 20/10 4
8 Julfren Sihite HS-PRA15-01-055 HARCO 1 Roustaboth Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
9 Joshua Partogi Hutapea HS-PRA15-01-037 HARCO 1 Roustabout Local Base Camp 29-Dec-16 Day Indonesia 20/10 4
10 Sutrisno Aritonang HS-PRA15-01-052 HARCO 1 Roustabout Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
11 Asmanto HS-PRA15-01-031 HARCO 1 Welder Palembang Base Camp 28-Dec-16 Day Indonesia 20/10 5
12 Ali Imran Juang Siregar HS-PRA15-01-029 HARCO 1 Electrician Medan Base Camp 28-Dec-16 Day Indonesia 20/10 5
13 Roy Tambunan HS-PRA15-01-046 HARCO 1 Mechanic Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
14 HS-PRA15-01-062 HARCO Motorman Local Base Camp 28-Dec-16 Day Indonesian 20/10 5
15 Dudung HS-PRA15-01-026 HARCO 1 Crane Operator Cikalong Base Camp 28-Dec-16 Night Indonesian 20/10 5
16 Reinaldi F Andar Aritonang HS-PRA15-01-044 HARCO Crane Helper Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
17 Susanto HS-PRA15-01-055 HARCO 1 Forklift Operator Jambi Base Camp 28-Dec-16 Day Indonesia 20/10 5
18 Sawal HS-PRA15-01-024 HARCO 1 HTD Operator Pekanbaru Base Camp 28-Dec-16 Day Indonesia 20/10 5
19 Faisal Sitompul HS-PRA15-01-011 HARCO 1 Helper HTD Local Base Camp 28-Dec-16 Day Indonesia 20/11 5
20 Budiman Sitompul HS-PRA15-01-056 HARCO 1 Car Driver Lokal Base Camp 28-Dec-16 Day Indonesian 20/10 5
21 Dedi Arvan HS-PRA15-01-009 HARCO 1 Car Driver Local Base Camp 28-Dec-16 Day Indonesian 20/10 5
22 Barita Tobing N/A HARCO 1 Mud Boy Local Base Camp 28-Dec-16 Day Indonesian 20/10 5
23 Joel Firdaus Nababan HS-PRA15-01-012 HARCO 1 Rig Clerk Local Base Camp 28-Dec-16 Day Indonesia 20/10 5
TOTAL POB 21
PT. HARCO CREW RIG NIGHT - SHIFT
1 Mangasi HS-PRA15-01-017 HARCO 0 Asst Driller Jakarta Base Camp 19-Dec-16 Night Indonesia 20/10 14
2 Agustus Situmeang HS-PRA15-01-013 HARCO 1 Derrickman Tarutung Base Camp 18-Dec-16 Night Indonesia 20/10 15
3 Refly Banjar nahor HS-PRA15-01-075 HARCO 1 Floorman Dolog sanggul Base Camp 18-Dec-16 Night Indonesia 20/10 15
4 Dualson Simatupang HS-PRA15-01-008 HARCO 1 Floorman Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
5 Nurkholis HS-PRA15-01-019 HARCO 1 Floorman Jambi Base Camp 18-Dec-16 Night Indonesia 20/10 15
6 Heriando Sinaga N/A HARCO 1 Floorman Tarutung Base Camp 25-Dec-16 Night Indonesia 20/10 8
7 Johanes Tampubolon HS-PRA15-01-014 HARCO 1 Roustabout Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
8 Joyakin H HS-PRA15-01-025 HARCO 1 Roustabout Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
9 Agus Tobing HS-PRA15-01-001 HARCO 1 Roustabout Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
10 Lamhot Sitompul HS-PRA15-01-015 HARCO 1 Roustabout Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
11 Basjon Sitompul HS-PRA15-01-005 HARCO 1 Mud Boy Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
12 Sugianto Pakpahan HS-PRA15-01-051 HARCO 1 Rig Clerk Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
13 Asil Sitompul HS-PRA15-01-030 HARCO 1 HTD Driver Kisaran Base Camp 18-Dec-16 Night Indonesian 20/10 15
14 Ebit Simorangkir HS-PRA15-01-010 HARCO 1 Motorman P Siantar Base Camp 18-Dec-16 Night Indonesia 20/10 15
15 Joharta sitompul HS-PRA15-01-036 HARCO 1 Helper HTD Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
16 Ruslan Suciaji HS-PRA15-01-022 HARCO 1 Mechanic Palembang Base Camp 18-Dec-16 Night Indonesia 20/10 15
17 Usman Trimakno HS-PRA15-01-031 HARCO 1 Welder Cikampek Base Camp 18-Dec-16 Night Indonesia 20/11 15
18 Agus Wijaya HS-PRA15-01-002 HARCO 1 Electrician Palembang Base Camp 18-Dec-16 Night Indonesia 20/10 15
19 Sutikno HS-PRA15-01-026 HARCO 1 Crane Operator Cikalong Base Camp 18-Dec-16 Night Indonesian 20/10 15
20 Deo sahputra HS-PRA15-01-028 HARCO 1 Material man Local Base Camp 18-Dec-16 Night Indonesian 20/10 15
21 Zainal Ngabidin HS-PRA15-01-086 HARCO 1 Forklift Operator Nganjuk Base Camp 18-Dec-16 Night Indonesian 20/10 15
22 Tobing Pardamean HS-PRA15-01-017 HARCO 1 Helper Crane Local Base Camp 18-Dec-16 Day Indonesia 20/10 15
23 Radot Sitompul HS-PRA15-01-054 HARCO 1 Car Driver Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
24 Miswanto HS-PRA15-01-049 HARCO 1 Car Driver Local Base Camp 18-Dec-16 Night Indonesia 20/10 15
TOTAL POB 23
PT. G4S/ Security
1 Oka Hutabarat HS-G4S-00-046 G4S 1 Security Local Home Day Indonesian 07:00-15:00
2 Samuel Nainggolan HS-G4S-00-047 G4S 1 Security Local Home Day Indonesian 07:00-15:00
3 Luhut Sitompul HS-G4S-00-035 G4S 1 Security Local Home Night Indonesian 07:00-15:00
4 Iwan S Sitompul HS-G4S-00-028 G4S 1 Security Local Home Night Indonesian 07:00-15:00
TOTAL POB 4
PT .TCI
1 Daniel HS-TCI-00-017 TCI 1 Operator local Home 21-Dec-16 Day Indonesia 12
2 Fredy S HS-TCI-00-005 TCI 1 Operator Local Base Camp 1-Dec-16 Day Indonesia 32
3 Asep HS-TCI-00-002 TCI 1 Instrument Bandung Base Camp 29-Dec-16 Day Indonesia 4
4 Hutagalung HS-TCI-00-015 TCI 1 Driver Local Base Camp 30-Nov-16 Day Indonesia 33
5 Herlan HS-TCI-00-09 TCI 1 Operator Garut Base Camp 29-Dec-16 Day Indonesia 4
6 David Wilson HS-TCI-00-006 TCI 1 Operator New Zeland Base Camp 24-Dec-16 Day Indonesia 9
7 Agus Ramdani HS-TCI-00-001 TCI 1 Sampler Jakarta Base Camp 26-Dec-16 Day Indonesia 7
8 Johansyah HS-TCI-00-011 TCI 1 Supv Jakarta Base Camp 26-Dec-16 Day Indonesia 7
9 Hasbie Ash Siddiqie HS-TCI-00-008 TCI 1 Well test OPR Jakarta Base Camp 26-Dec-16 Day Indonesia 7
10 P. Nainggolan HS-TCI-00-012 TCI 1 Driver Local Base Camp 28-Nov-16 Day Indonesia 35
11 Robby HS-TCI-00-016 TCI 1 Driver Local Base Camp 29-Dec-16 Day Indonesia 4
TOTAL POB 11
PT . SPERRY SUN
1 Isbandi Alwiza Sperry Sun 1 DD Jember Mini camp 23-Dec-16 Day Indonesia 10
2 Arief Wahyudi HS-HPM-06-016 Sperry Sun 1 DD Jakarta Mini camp 28-Dec-16 Night Indonesia 5
3 Marten Pangestu HS-HPM-06-022 Sperry Sun 1 MWD Jakarta Base Camp 7-Dec-16 Day Indonesia 26
4 Teddy Triantara Sperry Sun 1 MWD Jakarta Base Camp 27-Dec-16 Day Indonesia 6
TOTAL POB 4
PT . BAROID
1 Bagus H N/A Baroid 1 Mud Engineer Bandung Base Camp 28-Dec-16 Day Indonesia 14/14 5
2 Hidayat HS-HPM-04-003 Baroid 1 Mud Engineer Jakarta Base Camp 20-Dec-16 Night Indonesia 14/14 13
TOTAL POB 2
PT . PARAMA
1 Mean Eko HS-MLU-00-026 Parama 1 Data Engineer Jakarta Base Camp 22-Dec-16 Day Indonesian 11
2 Tommy Sumajaya HS-MLU-00-053 Parama 1 Mud Logger Jakarta Base Camp 22-Dec-16 Day Indonesian 11
3 Rabu Suwito HS-MLU-00-052 Parama 1 Mud Logger Jakarta Base Camp 29-Dec-16 Day Indonesian 4
4 Nurdiansyah HS-MLU-00-030 Parama 1 Supervisor Jakarta Base Camp 12-Dec-16 Oncall Indonesian 21
5 Candra HS-MLU-00-008 Parama 1 Data Engineer Jakarta Base Camp 29-Dec-16 Night Indonesia 4
6 Indra Muhala HS-MLU-00-051 Parama 1 SC Jakarta Base Camp 22-Dec-16 Night Indonesia 11
7 Afriza Rizky HS-MLU-00-059 Parama 1 Technician Jakarta Base Camp 15-Dec-16 Day Indonesian 18
TOTAL POB 7
PT . AIR DRILLING ASSOCIATES
1 Suryadi Juri HS-ADA-00-009 ADA 1 Operator Palembang Base Camp 13-Dec-16 Day Indonesian 20
2 Ramlan Alie HS-ADA-00-024 ADA 1 Supervisor Jakarta Base Camp 29-Dec-16 Night Indonesia 4
3 Keith Webb HS-ADA-00-014 ADA 1 Supervisor USA Base Camp 22-Dec-16 Day USA 11
4 Darul Kutni HS-ADA-00-006 ADA 1 Operator Jakarta Base Camp 20-Dec-16 Night Indonesian 13
TOTAL POB 4
PRESPERO
1 David HS-PRA15-02-044 PRESPERO 1 Local Mini Camp Home Indonesian
2 Ranto Tambunan N/A PRESPERO 1 Local Mini Camp Home Indonesian
TOTAL POB 2
HALLIBURTON - PRODUCTION SOLUTION

TOTAL POB 0
PT . MKAPR
1 Mario N/A MKPR 1 Mechanic Local Base Camp 11-Dec-16 Day Indonesia 22
2 Hendri Sipahutar HS-MK-00-005 MKPR 1 Operator Local Home 28-Dec-16 Day Indonesia 5
3 Deden MKPR 1 Mechanic Base Camp 28-Dec-16 Day Indonesia 5
TOTAL POB 3
PT.SAFETECH
1 Budi Rasuwanto N/A Safetech 1 Irata Level III Batam Base Camp 30-Dec-16 Oncall Indonesia 3
2 Santoso N/A Safetech 1 Technition Batam Base Camp 30-Dec-16 Oncall Indonesia 3
3
4

TOTAL POB 2
PT . KCT
1 Iyus Yusuf HS-KCT-00-017 KCT 1 Oprt Bob Cat Sukabumi Base Camp 21-Nov-16 On Call Indonesian 42
2
 3
TOTAL POB 1
POLICE & ARMY
1 Samuel Togatorop N/A POLRES TRT 1 Team Shabara Tarutung Mini camp 26-Nov-16 On Call Indonesia 37
TOTAL POB 1
SES
1 Supingi HS-SES-00-003 SES 1 Casing Inspector Local Out Base Camp 1-Jan-17 On Call Indonesia 1
2 Suparno HS-SES-00-006 SES 1 Casing Inspector Local Out Base Camp 1-Jan-17 On Call Indonesia
TOTAL POB 2
PT.HALLIBURTON COMPLETION TOOL
1 Zainihar N/A HCT 1 Opt Complition Jakarta Base Camp 25-Dec-16 Day Indonesia 8
2 Adi Ritonga N/A 1 Opt Complition Jakarta Base Camp 25-Dec-16 Day Indonesia 8

TOTAL POB 2

No Company No of People
QHSE&T INPUT PREV TODAY CUMM
1 HALLIBURTON - IPM 4
2 PRA 20 Job Safety Analysis (JSA) 5725 8 5733
3 DYFCO- H2S Services 4 HSE Inspection & Audit 1120 3 1123
4 HALLCO CEMENTING 8 Safety Meeting 46705 3 46708
5 BAROID 2 Prejob Safety Meeting 642 1 643
6 PT. HARCO CREW RIG DAY - SHIFT 21 HSE Orientation / Induction 1487 0 1487
7 HARCO - DAY Shift 23 Management Visit 85 0 85
8 MEDIKA PLAZA 3 Safety Training 200 0 200
9 NOV 3 Journey Management 311 2 313
10 PARAMA / DATA LOG 7 ERP Drill 115 0 115
11 TCI 11 Permit To Work 5745 8 5753
12 SECURITY G4S 4 Safety Campaign 50 0 50
13 AIR DRILLING 4 HAZARD OBSERVATION CARD 22972 30 23002
14 PRESPERO 2
15 HALLIBURTON - PRODUCTION SOLUTIONS 0
16 PT.AKURA BINA CITRA 2 PERSONNEL MOVEMENT
17 Sperry Sun 4 IN 2 Persons
18 KCT 1 OUT 0 Persons
19 SOL - GRG 2 MAN HOURS RECORD
20 POLICE & ARMY 1 MAN HOURS TO DAY 1,596
21 MKPR 3 PREVIOUS 8,131,678
22 SES 2 TOTAL MAN HOURS 8,133,274
23 PT.HALLIBURTON COMPLETION TOOL 2
TOTAL POB 133

No. Personnel In Company No Personnel Out Company

1 Supingi SES 1
2 Suparno SES 2 Prev POB 131
3 3 Pers. In-Out 2
4 4 Exist POB' 133
5 5
6 6
7 7
8 8
9 9
10 10

Reported by, Acknowledged by,

Sudiono / Ahmad Rosidi M L Gaol

(QHSE&T Field Officer) ( Rig Supt )
`
 DAILY PERSONNEL ON BOARD BASE CAMP PRA # 15
Date 1-Jan-17
Location : Basecamp Nil 03- PRA-15
RIG Work Working
No Full Name PID Number Company
SITE
Position Original Camp Arrival Date Shift Nationality
Schedule days
PT.HALLIBURTON IPM
01 Paul N/A Halliburton 1 Field Ops Manager USA Base Camp 21-Dec-16 ON Call USA 28/28 12
02 Riki J Bohanan N/A Halliburton 1 Field Ops Manager USA Base Camp 21-Dec-16 On Call USA 28/28 12
03 Hafiz Halliburton 1 Civil Enginering Jakarta Base Camp 29-Dec-16 On Call Indonesian 28/28 4
04 Ahmad Zakwan Halliburton 1 Drilling Engineer Malaysia Base Camp 29-Dec-16 On Call India 28/28 4
05
06
07
08
09
10
11
12
TOTAL POB 4
SOL/GRG
1 Michael Berry SOL 1 Drill Eng USA Base Camp 6-Dec-16 On Call USA 28/28 27
2 Wilfried Simamora SOL - Driver 1 Driver Local Base Camp 10-Dec-16 On Call Indonesian 23
3
4
5
6
TOTAL POB 2
BAROID
1 Marno Baroid 1 Logistic Jakarta Base Camp 15-Dec-16 On Call Indonesia 18
2
TOTAL POB 1
PT.PARAMA
01 Nurdiansyah Parama 1 Supervisor Yogyakarta Base Camp 9-Dec-16 On Call Indonesia 24
02
03
TOTAL POB 1
PT.PLUMPANG RAYA ANUGERAH
1 Tohom Jafrian S Humas PRA PRA 1 Humas PRA Jakarta Base Camp 10-Dec-16 On Call Indonesia 23

TOTAL POB 1
PT. HARCO PUTRA MANDIRI
1 Marsudi N/A HARCO 1 Time Keeper Trengggalek Base Camp On Call Indonesia
2 Andos H HS-PRA15-01-048 HARCO 1 Carpenter Local Base Camp 18-Dec-16 Day Indonesian 20/10 15
3 Sahata Hutagalung HS-PRA15-01-003 HARCO 1 Carpenter Local Base Camp 28-Dec-16 Day Indonesian 20/10 5
4 L Dodi HARCO 1 MTC Camp Local Base Camp 18-Dec-16 Day Indonesian 20/10 15
TOTAL POB 4
PROSPERO PRIMA /CATERING
1 Endang Rusmana N/A PT. Prospero 1 Camp Spv Jakarta Base Camp 12/28/2016 On Call Indonesia 28/27 5
2 M Nur HS-PRA15-02-045 PT. Prospero 1 Expat Cook Aceh Base Camp 25-Dec-16 Day Indonesia 8
3 Binsar Silaban HS-PRA15-02-010 PT. Prospero 1 National Cook Medan Base camp 18-Dec-16 Day Indonesian 20/10 15
4 Syafe'i HS-PRA15-02-011 PT. Prospero 1 National Cook Aceh Base camp 4-Dec-16 Night Indonesian 20/10 29
5 Sulaiman HS-PRA15-02-009 PT. Prospero 1 Bakery Local Base camp 18-Dec-16 Day Indonesian 20/10 15
6 Yakobus Iwan manulang HS-PRA15-02-006 PT. Prospero 1 COC Jambi Base camp 14-Dec-16 Day Indonesian 20/10 19
7 Kelvin eppang HS-PRA15-02-003 PT. Prospero 1 Storeman Bekasi Base camp 14-Dec-16 Day Indonesian 20/10 19
8 Renta Siregar HS-PRA15-02-007 PT. Prospero 1 Clerk Local Home Day Indonesian 6/1
9 Doni irawan HS-PRA15-02-013 PT. Prospero 1 Cook Helper Medan Home 18-Dec-16 Day Indonesian 20/10 15
10 Yopi Yandar HS-PRA15-02-014 PT. Prospero 1 Cook Helper Medan Home 4-Dec-16 Night Indonesian 20/10 29
11 Dewi Simamora HS-PRA15-02-019 PT. Prospero 1 Mess Girl Local Home 14-Dec-16 Night Indonesian 20/10 19
12 Anita Riris HS-PRA15-02-021 PT. Prospero 1 Mess Girl Local Home 14-Dec-16 Night Indonesian 20/10 19
13 Putri Ayu Tambunan HS-PRA15-02-017 PT. Prospero 1 Mess Girl Local Home 4-Dec-16 Night Indonesian 20/10 29
14 Sri devi sitomp-ul HS-PRA15-02-027 PT. Prospero 1 Mess Girl Local Home 4-Dec-16 Night Indonesian 20/10 29
15 Ernida hutapea HS-PRA15-02-024 PT. Prospero 1 Mess Girl Local Home 4-Dec-16 Day Indonesian 20/10 29
16 Agustinus Sitompul HS-PRA15-02-034 PT. Prospero 1 Loundry Girl Local Home 12-Dec-16 Day Indonesian 20/10 21
17 Hotman HS-PRA15-02-033 PT. Prospero 1 Loundry Man Local Home 1-Dec-16 Night Indonesian 20/10 32
18 Manolong Sitompul HS-PRA15-02-031 PT. Prospero 1 Utility Local Home 15-Dec-16 Day Indonesian 20/10 18
19 Suhaili HS-PRA15-02-029 PT. Prospero 1 Leader Room boy Jambi Base Camp Night Indonesian 20/10 42737
20 Bedaren Sitompul HS-PRA15-02-038 PT. Prospero 1 Driver Local Home 17-Dec-16 Day Indonesian 20/10 16
21 Suherman Simanjutak HS-PRA15-02-037 PT. Prospero 1 Driver Local Home 7-Dec-16 Day Indonesian 20/10 26
22 David Pasaribu N/A PT. Prospero 1 Rig Boy Local Home 5-Dec-16 Day Indonesian 20/10 28
23 Jumadi simamora N/A PT. Prospero 1 Rig Boy Local Home 5-Dec-16 Night Indonesian 20/10 28
24 Desri Sitompul HS-PRA15-02-033 PT. Prospero 1 Rig Boy Local Home 14-Dec-16 Day Indonesian 20/10 19
25 Ranto Tambunan N/A PT. Prospero 1 Rig Boy Local Home 24-Dec-16 Day Indonesian 20/10 9

TOTAL POB 25
No Company No of People
QHSE&T INPUT PREV TODAY CUMM
1 PT.Halliburton ( HPM ) 4
2 PT. PRA 0 Job Safety Analysis (JSA) 5725 8 5733
3 PT.SOL - SRG 2 HSE Inspection & Audit 1120 3 1123
4 PT.Baroid 1 Safety Meeting 46705 3 46708
5 PT.Prospero Prima 25 Prejob Safety Meeting 642 1 643
6 PT.Parama 1 HSE Orientation / Induction 1487 0 1487
7 Harco 4 Management Visit 85 0 85
8 1 Safety Training 200 0 200
9 Journey Management 311 2 313
10 ERP Drill 115 0 115
11 Permit To Work 5745 8 5753
12 Safety Campaign 50 0 50
13 HAZARD OBSERVATION CARD 22972 30 23002
14
15 PERSONNEL MOVEMENT
16 IN Persons
OUT Persons

MAN HOURS RECORD

MAN HOURS TO DAY 456
PREVIOUS 8,117,098
TOTAL MAN HOURS 8,133,730
TOTAL POB 38

No. Personnel In Company No Personnel Out Company Control POB

1 1
2 2 Prev POB 38
3 3 Pers. In-Out 0
4 4 Exist POB' 38
5 5
6 6
7 7
8 8
9 9
10 10
11 11

Reported by, Acknowledged by,

Sudiono / Ahmad Rosidi M L Gaol

(QHSE&T Field Officer) ( Rig Supt )
PT PRA CEMENTING
A Joko P Muchlasdi Fachmy
Mustangin Agustus Situmeang Alusan
Abdillah Sutrisno Edi Amat Pasaribu
Supriyadi Indra Marolop Lubis Ernanda Ginting
Yuni Purnomo Haryanto Firmansyah

Eko Harsono Edward Sihombing Sinyo P

Puji Purwanto Ipal Danisko Audie Eman

Yayat Ciengli Pasaribu Berlin

Achmat Barokah Rindu Sitompul Yudistira Tarigan

ZulRahmat Walman Hutabarat Hisyam

Jarot Jondri Panjaitan T. Sianturi

Yudi Hendra matondang SECURITY

Supriyanto Saryanto Sugeng Utomo

Herfano Ardian Susanto Wahyono

Hendrico vandria Usman Tri makno Elvin Suprianto

Istiharjo Sumiran Ganda Micheal Sidabutar Sudibyo

Dudi Marudut Lumban Gaol DSL

Tantowi Jauhari Idham Taufik Hasibuan Joseph
Faisal Sabar Hutahuruk Rafta
Ahmali Daeba Dedi Arfan PARAMA
M.Rozalla Rega Dona Junitra Febrian
Aulia Ramadhan Obbi Denny
Rudi Setiadi Hasrul A Harahap Angger P
Greinekel S Martohop Sitompul Irfan
M.Fajar Wahyudi IPM HALLIBURTON Ariansyah
Jhon Kennedi Manurung Dennis Arefalo Jhoni MT
Sutrisno Aritonang Sahat Nainggolan DYFCO H2S
Roy Martin Munthe Merza Agus Pitoyo
Joshua Partogi Hutapea Lucky Priyatna Agus Prayitno
Roy Sitompul SOL Benget P
Imam Khuldori Jeff Potter Nurwahid
Ali Imron Juang Triono BAROID
Roy Tambunan Reinold Simatupang Rio Bagus Ismoyo
Asmanto Sahat S Hidayat
Joel Firdaus nababan MEDIKA PLAZA TCI
Agusmanto Sihite dr. Irwan Tambunan David Wilson
Eben Hutauruk Erik Nurlianto
Budiman Sitompul Zulkifli Nasution Iyus Yusuf
Susanto NOV Renal Sibarani
Dudung Pratama Andi W Asum Sumarna
Reynaldi Aritonang Rafiudin Ridho rahmad
Asil Sitompul Sardi Sihombing
Sahata Hutagalung SPERRY SUN Donald S
Andos Hutauruk Ahmad helmi Rizki Komara Daniel
Adib Lucky Priyatna Fredy
Dedi Arfan Johnatan N Joni Sitompul
Faisal Sitompul Bey Hafids P Nainggolan
Hery P
David Hutabarat