Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 2

HSE DAILY ACTIVITY REPORT

LAPORAN KEGIATAN HARIAN HSE


Date / Tanggal :……………………………………………………………………. Work Permit / ijin kerja: …………………………………………………….
Project / Proyek :…………………………………………………………………….. ……………………………………………………………………………………………
Location : ……………………………………………………………………………………………
Day shift Night Shift ……………………………………………………………………………………………
Tenaga Kerja / Man Power : Occasion / Peristiwa Weather / Cuaca

No Position Total Anomaly Bright/Cerah


1 Near Miss Cloudy/Berawan
2 Accident Rain/Hujan
3 FA MTC MD RWDC LTI
4 Major Equipment / Peralatan utama:
5 ……………………………………………………………………………………………
6 ……………………………………………………………………………………………
7 ……………………………………………………………………………………………
8 ……………………………………………………………………………………………
9 ……………………………………………………………………………………………
10 ……………………………………………………………………………………………
Total Manpower ……………………………………………………………………………………………
Topics of Toolbox Meeting / Topik Pertemuan Harian K3L :

Description of Work / Rincian Pekerjaan :


Time

Miscellaneous / Lain-Lain :

Reported by / Dilaporkan oleh : Next day plan activity / Rencana kegiatan hari berikutnya :
Name :……………………………………………………………………
Position :……………………………………………………………………
Contract :……………………………………………………………………
Signature :…………………………………………………………………….
FOR/HSE/PS/03-04 Rev. 02-21 Jan 19

You might also like