MONTHLY HSE PERFORMANCE REPORT

PROJECT NAME : Penyiapan Lokasi Pemboran, Flowline, dan Pekerjaan Lainnya RK 2021-2022
AREA : PHR REGION 1 ZONA 4
Period : Juli 2021
Cuaca : Cerah
No.of No. of Operating
No. of Manpower No.of Vehicle Km Driven
Manhours Equipment Hours
Nama Perusahaan (Jumlah
(Jumlah jam Jumlah jarak Jumlah (Jumlah jam
(Jumlah Pekerja) kerja) kendaraan tempuh Equipment kerja)
ringan)
PT. PBAS 5 40 2 90 0 0
PT. RJA (BN 20.6) 14 112 1 45 2 13
PT. RJA (BN20.3) 5 40 2 136 1 7
PT. JAP 0 0 0 0 0 0

JKS minggu ini 24 192 5 271 3 20

JKS minggu sebelumnya 0 0 0 0 0 0
JKS Kumulatif 29 232 7 407 4 27

This Month Last Month Up to Date

No Lagging Indicator RJA (BN RJA RJA (BN RJA RJA (BN RJA
PBAS 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3) JAP DZ7 Cum.

1 No. of Fatality Case's 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0

2 No. of Lost Time Incident (LTI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 No. of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
No. of Medical Treatment Case
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(MTC)
5 No. of First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 No. of Near-Miss Incident 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
7 No. of Environment Pollution 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 No. of Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Motor-Vehicle Accident (MVC) 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
10 Equipment & Tool Accident (ETA) 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
11 Security Incident 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Remarks:
Injury Formula No. of Injury (TRI/LTI) X 200.000
Total manhours
MVC Formula No. of MVC X 1.000.000 X 1,6093
 Total KMs Driven
Equipment Incident Formula =
No. of ETA X 100.000

Total Operating Hours

1 Miles = 1,6093 Km

This Month Last Month Up to Date

No Leading Indicator RJA (BN RJA RJA (BN RJA RJA (BN RJA
PBAS
20.6) (BN20.3)
JAP DZ7 Cum. PBAS
20.6) (BN20.3)
JAP DZ7 Cum. PBAS
20.6) (BN20.3)
JAP DZ7 Cum.

1 Toolbox Meeting 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
2 HSE Monthly Meeting 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 HSE Induction 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HSE Training 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Drill 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Safety Patrol 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
7 Management Walk Trought 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 HSE Audit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Safety Alert 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
10 Equipment/Tools Inspection 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
11 Meeting Koordinasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 SIKA 1 1 1 0 3 0 0 0 0 0 0 0 0 0 0
13 JSA 2 2 2 0 6 0 0 0 0 0 0 0 0 0 0
14 HSE Reward 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Warning Letter 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0