POB September 2018

PERSONAL ON BOARD RIG PDSI # 43.3/AB1500-E No. Doc Rev.
LOKASI : HLS-C1 0 0
TANGGAL 01 September 2018
PDSI Employee PDSI CLIENT

NO NAMA POSISI PERUSAHAAN JAM KERJA NO NAMA POSISI PERUSAHAAN JAM KERJA
1 Rig Supt PT. PDSI 1 Wawan Company Man PGE 12

2 Horas Driller PT. PDSI 12 2 Laode Reza ATL PGE 12
3 Andi Suryo Driller PT. PDSI 12 3 Diaz Primaditya HSSE Coord PGE 12
4 Syaiful Support PDSI PT. PDSI 12 4 Adi Rhama Geologist PGE 12
5 Basir Truckpusher PT. PDSI 12 5 Apriansyah Asman Drilling PGE 12
6 6
7
JUMLAH 4 Jumlah Jam Kerja 48 TOTAL PDSI CLIENT 5 Jumlah Jam Kerja 60
PDSI CONTRACTOR PDSI CLIENT CONTRACTOR

CREW RIG AERATED DRILLING PDSI
1 Sunaryo Rig Supt PDSI/IBT 12 1 Spv PDSI/IBT

2 IPM Coord PDSI/IBT 2 Operator PDSI/IBT
3 Aprianto Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12
4 Waryono Arce Toolpusher PDSI/Qudrata 12 4 Edy Jaya Tambunan Driver PDSI/IBT 12

5 Septian Ari P Ast Driller PDSI/Qudrata 12 5 Operator PDSI/IBT
6 Driller PDSI/Qudrata 6
7 Fauzan Nurhadi Chief Mekanik PDSI/Qudrata 12 7
8 Agus F Chief Elektrik PDSI/Qudrata 12 Jumlah Pekerja 2 Jumlah Jam Kerja 24
9 Ast Driller PDSI/Qudrata
10 Suratno Derickman II PDSI/Qudrata 12
11 Heru Afriansyah Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

12 Ramadona Floorman I PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
13 Alfadli Floorman II PDSI/Qudrata 12 1 Kasmiyanto Spv Dyfco 12

14 Rico Fersia Floorman III PDSI/Qudrata 12 2 Masy Ridwan Opr Excavator Dyfco 12
15 Eri Edi Prayitno Floorman IV PDSI/Qudrata 12 3 Yogi Unskill / Siang Dyfco 12
16 Herlianto Mud Boy I PDSI/Qudrata 12 4 Eri Erlando Unskill / Siang Dyfco 12
17 A.Firly Mud Boy II PDSI/Qudrata 12 5 Rindes saputra Unskill / Siang Dyfco 12
18 Abu Hanifa Cutting Boy PDSI/Qudrata 12 6 Remon Fereska Unskill / Siang Dyfco 12
19 Idrus Gunawan Roustabout PDSI/Qudrata 12 7 Predo Saputra Security Dyfco 12
20 Robby Gunawan Roustabout PDSI/Qudrata 12 8 M. Daman Huri Security Dyfco 12
21 Een Suryadi Roustabout PDSI/Qudrata 12 9 Atdwy Langgeng Unskill / Siang Dyfco 12
22 Jemmy Erwandi PMK Mekanik PDSI/Qudrata 12 10 A'an Kurniawan Unskill / Siang Dyfco 12
23 Ahmad Faizal PMK Elektrik PDSI/Qudrata 12 11 Edward Naldo Unskill / Siang Dyfco 12
24 Darmawan Elektrik PDSI/Qudrata 12 12 Rio Kencana Agung Unskill / Siang Dyfco 12
25 Deni AW Mekanik PDSI/Qudrata 12 13 Guntur Wijaya Security Dyfco 12
26 Dedi Apriadi Motoris PDSI/Qudrata 12 14 Debisetiawan Security Dyfco 12
27 Andes Priatna Welder PDSI/Qudrata 12
28 Ridwan Store Keeper PDSI/Qudrata 12
29 Junilian Derickman II PDSI/Qudrata 12
30 Qurniawan Derickman II PDSI/Qudrata 12
31 Arifin Floorman I PDSI/Qudrata 12
32 Ade Fitriansyah Floorman II PDSI/Qudrata 12
33 Heri Safari Floorman III PDSI/Qudrata 12
34 Beni Ricardo Floorman IV PDSI/Qudrata 12 Jumlah Pekerja 14 Jumlah Jam Kerja 168
35 Handoko Mud Boy I PDSI/Qudrata 12 PT. PERTAMEDIKA
36 Demas Alim Mud Boy II PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
37 Taswan Rosidi Cutting Boy PDSI/Qudrata 12 1 Dr. Evans O Dokter Pertamedika 12
38 Jarot Roustabout PDSI/Qudrata 12 2 Bayu S Medik Pertamedika 12
39 Irwan Kondias Roustabout PDSI/Qudrata 12 3 Christian Driver Ambulans Pertamedika 12
40 Yogian Roustabout PDSI/Qudrata 12
41 Faturochman PMK Mekanik PDSI/Qudrata 12
42 Rendyka PMK Elektrik PDSI/Qudrata 12
43 Chandra Elektrik PDSI/Qudrata 12 Jumlah Pekerja 3 Jumlah Jam Kerja 36
44 Bambang.S Mekanik PDSI/Qudrata 12
45 Freddy Willy Motoris PDSI/Qudrata 12 PT. LERINDRO
46 Mardiono Welder PDSI/Qudrata 12 No NAMA POSISI PERUSAHAAN JAM KERJA
47 Tukiyat Store Keeper PDSI/Qudrata 12 1
48 Ast. IPM PWT PDSI
49 Nelwansyah ADM Rig PDSI / Qudrata 12
50 Aris SB HSE Officer PDSI/IBT 12
51 HSE Officer PDSI/IBT
52 Nur Haryono HSE Officer PDSI/IBT 12
53 Dani Zulkarnain Welder PML 12
54 Jumlah Pekerja 0 Jumlah Jam Kerja 0
Jumlah 48 Jumlah Jam Kerja 576 TOTAL CLIENT CONTRACTOR 55 Jumlah Jam Kerja 660
HTE NO PERUSAHAAN JUMLAH PEKERJA JAM KERJA
1 Ziska Ariadi Opr crane PDSI/Wangsa Patra 12 1 PDSI Employee 4 48
2 Sakirun Opr crane PDSI/Wangsa Patra 12 2 PDSI Rig #43.3/AB1500-E 68 816
3 Sartono Rigger PDSI/Wangsa Patra 12 3 PT. IMS 14 168
4 Vezri Rigger PDSI/Wangsa Patra 12 4 Dowel Cementing 4 48
5 Agus Wahyudi Opr Wheel loader PDC 12 5 PHI 3 36
6 Ngatno Opr Wheel loader PDC 12 6 0 0
7 Kanedi Opr Wheel loader PT. Wangsa Patra 12 7 PDSI H2S 5 60
8 Suhardi Opr Wheel loader PT. Wangsa Patra 12 8 PDSI Top Drive 4 48
9 Kanedi Driver tandem PT. Wangsa Patra 12 9 Halco Sperry 7 84
10 Agus Tomi Helper Tandem PT. Wangsa Patra 12 10 PDC 23 276
11 Bambang tarmidi Driver Low Bed PT. Wangsa Patra 12 11 PT. LERINDRO 0 0
12 Zarkoni Helper low bed PT. Wangsa Patra 12 12 PGE 5 60
13 Firman Driver PMS 12 13 AERATED DRILLING 2 24
14 Matbuddin Driver PMS 12 14 DYFCO 14 168
15 Deni Eko Driver Qudrata 12 15 PERTAMEDIKA 3 36
16 Supriyono Driver PMS 12 16 BERTINDO 7 84
17 Karjono Driver Qudrata 12 17 0 0
18 J. Rohim Driver Qudrata 12 18 PT.WEATHERFORD 0 0
19 Erwan Driver PMS 12 19 TUBOSCOPE (Inspeksi Tubular) 0 0
20 Denny Hermawan Driver PMS 12 20 Schlumberger Wireline 0 0
21 21 PARAMA 8 96
22 22 0 0 0
23 PT. Sekawan Eka Sejati (SES) 0 0
Jumlah 171 2052

Jumlah 20 Jumlah Jam Kerja 240
PT. IMS
1 Pierre Bahtiar Mekanik IMS /HLS 12 Jumlah PDSI Employee 4 Org
2 Nurkholik Operator IMS /HLS 12 Jumlah PGE 5 Org
3 Rodi Operator IMS /HLS 12 Jumlah PDSI Contractor 102 Org
4 Nopri A Operator IMS /HLS 12 Jumlah Client Contractor 55 Org
5 Novian Doris Operator IMS /HLS 12 Jumlah jam PDSI Employee 48 Jam
6 Nopian Rolis Operator Booster Mubai 12 Jumlah jam PDSI Client 60 Jam
7 Anton N Operator Booster Mubai 12 Jumlah jam PDSI Contractor 1224 Jam
8 Rori Hamzah Operator Booster Mubai 12 Jumlah jam Client Contractor 660 Jam
9 Suswandi Operator Booster Mubai 12 Jumlah Personil hari ini 171 Org
10 Sarino Operator WPS Mubai 12 Jumlah Jam Pekerja hari ini 2052 Org
11 Yudha DA Operator WPS Mubai 12
12 Darmawan Operator WPS Mubai 12
13 Gunawan Iryanto Operator WPS Mubai 12
14 Patoni Driver 12 Jam
Jam
Jam
Jam
Jam
Schlumberger Cementing
1 Dzulkifli Cementer PT.Dowell 12
2 Rudi Hartato Operator PT.Dowell 12
3 Fajar saputra Operator PT.Dowell 12
4 Ricky Sagita S Operator PT.Dowell 12 Hululais, 01 September 2018
5 Operator PT.Dowell
6 Tekhnisi PT.Dowell
Dibuat, Mengetahui,
Aris SB/ Mei S Sunaryo

Jumlah 4 Jumlah Jam Kerja 48 HSE Officer Rig Supt
PHI TUBOSCOPE (Inspeksi Tubular)

1 A.Indarto Mud Eng PHI 12 No NAMA POSISI PERUSAHAAN JAM KERJA
2 Ricky Chandra Mud Eng PHI 12 1 Inspector
3 Christoper Material man PHI 12 2 Ass. Inspector
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
Jumlah 3 Jumlah Jam Kerja 36 7 Inspector
8 Inspector
9 Inspector
10 Inspector
Petro Oil Tools Jumlah Pekerja 0 Jumlah Jam Kerja 0

1
2 PT.WEATHERFORD
3 No NAMA POSISI PERUSAHAAN JAM KERJA
4 1
Jumlah 0 Jumlah Jam Kerja 0 Jumlah Pekerja 0 Jumlah Jam Kerja 0
PT. H2S PDSI PARAMA

1 Yudi H2S Eng PT.PDSI 12 1 Beri Data Enginer PARAMA 12
2 Arief H2S Eng PT.PDSI 12 2 Fajar Prima Data Enginer PARAMA 12
3 Iswin H2S Eng PT.PDSI 12 3 Randi Mud Logger PARAMA 12
4 Agil H2S Eng PT.PDSI 12 4 Taufik Wahyudi Mud Logger PARAMA 12
5 Eko Driver PT.PDSI 12 5 Fahri Tehnisi PARAMA 12
6 Roby Sample Catcher PARAMA 12
7 Jefrry Sample Catcher PARAMA 12
8 Petrus Driver PARAMA 12
9
10
5 Jumlah Jam Kerja 60 Jumlah Pekerja 8 Jumlah Jam Kerja 96
PDSI TOP DRIVE DIVISION Schlumberger Wireline

1 Yudi K. Operator PDSI/PDC 12 No NAMA POSISI PERUSAHAAN JAM KERJA
2 Tasudi Driver PDSI/PDC 12 1
3 Ilfan Operator PDSI/PDC 12 2
4 Fajar Operator PDSI/PDC 12 3
5 4
5
Jumlah 4 Jumlah Jam Kerja 48 Jumlah 0 Jumlah Jam Kerja 0
SPERRY Weatherford
No NAMA POSISI PERUSAHAAN JAM KERJA No NAMA POSISI PERUSAHAAN JAM KERJA
1 Zul Harahap DD Sperry 12 1
2 Syukron MWD Sperry 12
3 Haris MWD Sperry 12
4 Fauzan Driver Sperry 12
5 Jarot Spv Sperry 12
6 Sarwono Ops Sperry 12
7 Alif Meindar DD Sperry 12 Jumlah 0 Jumlah Jam Kerja 0
PDC / CATERING PT. TELKOMSEL

1 Paryono Camp Boss PDC 12 No NAMA POSISI PERUSAHAAN JAM KERJA
2 Rahmat Camp Boss PDC 12
3 Maralih Room Boy PDC 12
4 Ganda Driver PDC 12
5 Elyas Pical Room Boy PDC 12
6 Andri Helper PDC 12
7 Herman Bakery PDC 12 Jumlah 0 Jumlah Jam Kerja 0
8 Nandang Koki PDC 12
9 Udin Zainal Koki PDC 12
10 Tomi Koki PDC 12
11 Hermadi Helper PDC 12
12 Swin Tamtomo Helper Cook PDC 12
13 Arif Helper Cook PDC 12 OFF Catering
14 Edi Helper PDC 12 Mikren
15 Aldi Helper PDC 12 Horig
16 Pregi Laundry Boy PDC 12 Thomas
17 Yudistira Helper PDC 12 Anjasman
18 Decki Helper PDC 12 Rizen
19 Zainal Laundry Boy PDC 12
20 Yogo Atmo Laundry Boy PDC 12
21 Sangki A Helper PDC 12
22 Iwan Helper PDC 12
23 Rakhel Helper PDC 12
24
25
PT. PDC
1 Ayudha Pratomo Oprt Crane PT. Bertindo 12
2 Hasanudin Oprt Crane PT. Bertindo 12
3 Sadi Putra Rigger PT. Bertindo 12
4 Agus S Rigger PT. Bertindo 12
5 Sopian M Driver High Bed PT. Bertindo 12
6 Andi N Driver Light truck PT. Bertindo 12
7 Hendro Rohmadani Helper High Bed PT. Bertindo 12
PT. Sekawan Eka Sejati (SES)

TOTAL PDSI CONT. 102 Jumlah Jam Kerja 1224

LOKASI : HLS-E4 0 0


2 Satria kurnia Driller PT. PDSI 12 2 Laode Reza ATL PGE 12
3 Raditya Driller PT. PDSI 12 3 Diaz Primaditya HSSE Coord PGE 12
4 Support PDSI PT. PDSI 4 Adi Rhama Geologist PGE 12
5 Basir Truckpusher PT. PDSI 12 5 Suparlan Company Man PGE 12
6 6 Apriansyah Asman Drilling PGE 12
7


3 Aprianto Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12

7 Rofi Adhisono Chief Mekanik PDSI/Qudrata 12 7


32 Ade F Floorman II PDSI/Qudrata IJIN
37 Taswan Rosidi Cutting Boy PDSI/Qudrata 12 1 Dr. Evans O Dokter Pertamedika 12
38 Jarot Roustabout PDSI/Qudrata 12 2 Yohanes Medik Pertamedika 12
39 Irwan Kondias Roustabout PDSI/Qudrata 12 3 Riswan M Driver Ambulans Pertamedika 12
47 Eko Darmadi Store Keeper PDSI/Qudrata 12 1
51 Darwin Yuliardi HSE Officer PDSI/IBT 12
2 Imron Opr crane PDSI/Wangsa Patra 12 2 PDSI Rig #43.3/AB1500-E 68 816
3 Hasnul Arifin Rigger PDSI/Wangsa Patra 12 3 PT. IMS 14 168
14 Matbuddin Driver PMS 12 14 DYFCO 14 168
17 Karjono Driver Qudrata 12 17 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 170 2040

PT. IMS
Jam
Jam
Jam
Jam
1 Dzulkifli Cementer PT.Dowell 12
2 Rudi Hartato Operator PT.Dowell 12
3 Fajar saputra Operator PT.Dowell 12
4 Ricky Sagita S Operator PT.Dowell 12 Hululais, 02 September 2018
6 Tekhnisi PT.Dowell
Dibuat, Mengetahui,
Aris SB/ Mei S Sunaryo


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5 4
5
SPERRY Weatherford
5 Spv Sperry
6 Sarwono Ops Sperry 12
7 Alif Meindar DD Sperry 12 Jumlah 0 Jumlah Jam Kerja 0

1 A. Rizal Efendi Camp Boss PDC 12 No NAMA POSISI PERUSAHAAN JAM KERJA
4 Ganda Driver PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0


6 6 PGE
7


3 Aprianto Toolpusher PDSI/Qudrata 12 3 Masriadi Operator PDSI/IBT 12



16 Herlianto Mud Boy I PDSI/Qudrata 4 Eri Erlando Unskill / Siang Dyfco 12
20 Gulfan Gafero Roustabout PDSI/Qudrata 12 8 M. Daman Huri Security Dyfco 12
21 Een Suryadi Roustabout PDSI/Qudrata 9 Atdwy Langgeng Unskill / Siang Dyfco 12
37 Taswan Rosidi Cutting Boy PDSI/Qudrata 12 1 Dr. Arry Dokter Pertamedika 12
14 Aries Driver PMS 12 14 DYFCO 14 168
17 Idrus Driver Qudrata 12 17 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 167 2004

PT. IMS
Jam
Jam
Jam
Jam
1 M. Irfan Cementer PT.Dowell 12
2 Andri S. Operator PT.Dowell 12
3 Ruhiyat Operator PT.Dowell 12
4 Helmi Operator PT.Dowell 12 Hululais, 03 September 2018
5 Tiana Field Supv PT.Dowell 12
Dibuat, Mengetahui,
Aris SB/Darwin Y/Nur Haryono Sunaryo


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5 4
5
SPERRY Weatherford
5 Alif Meindar DD Sperry 12
6 Ops Sperry
7 Jumlah 0 Jumlah Jam Kerja 0

4 Tri Hardiyanto Driver PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0


6 6 Sigit Hertadi Geologist PGE 12
7

1 Zulhasnil Rig Supt PDSI/IBT 12 1 Ediono Spv PDSI/IBT 12

2 IPM Coord PDSI/IBT 2 Edi Purnomo Spv PDSI/IBT 12



37 Taswan Rosidi Cutting Boy PDSI/Qudrata 12 1 Dr. Arry Dokter Pertamedika 12
10 Zarkoni Helper Tandem PT. Wangsa Patra 12 10 PDC 23 276
12 Herdiansyah Helper low bed PT. Wangsa Patra 12 12 PGE 6 72
16 Susilo Driver PMS 12 16 BERTINDO 7 84
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 171 2052

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,
Aris SB/Darwin Y/Nur Haryono Zulhasnil


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5 Ahmad Syamsir Operator PDSI/PDC 12 4
5
SPERRY Weatherford
6 Ops Sperry

4 Tri Hardiyanto Driver PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0


4 Basir Truckpusher PT. PDSI 12 4 Adi Rhama Geologist PGE 12
5 5 Suparlan Company Man PGE 12
7 Freddy Drilling Engineer PGE 12



5 Septian Ari P Ast Driller PDSI/Qudrata 12 5 Sukisno Operator PDSI/IBT 12


27 Desi Priatna Welder PDSI/Qudrata 12 15 Opr Excavator
29 Sugianto Derickman II PDSI/Qudrata IJIN
30 Derry Prima Derickman II PDSI/Qudrata 12
31 Armansyah Floorman I PDSI/Qudrata 12
32 Rudi Efendi Floorman II PDSI/Qudrata 12
33 Farlin Floorman III PDSI/Qudrata 12
34 Riyanto Floorman IV PDSI/Qudrata 12 Jumlah Pekerja 14 Jumlah Jam Kerja 168
35 Yulius Marlin Mud Boy I PDSI/Qudrata 12 PT. PERTAMEDIKA
36 Tommy Febra Mud Boy II PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
37 Subagio Cutting Boy PDSI/Qudrata 12 1 Dr. Arry Dokter Pertamedika 12
38 Bugi Satria Roustabout PDSI/Qudrata 12 2 Yohanes Medik Pertamedika 12
39 Medianto Roustabout PDSI/Qudrata 12 3 Riswan M Driver Ambulans Pertamedika 12
40 Dani Setiawan Roustabout PDSI/Qudrata 12
41 Mukriyanto PMK Mekanik PDSI/Qudrata 12
42 Nispu S PMK Elektrik PDSI/Qudrata 12
43 Ma'ruf Purnama Elektrik PDSI/Qudrata 12 Jumlah Pekerja 3 Jumlah Jam Kerja 36
44 Fuad Adrianto Mekanik PDSI/Qudrata 12
45 Tomi Motoris PDSI/Qudrata 12 PT. LERINDRO
46 Musmulyadi Welder PDSI/Qudrata 12 No NAMA POSISI PERUSAHAAN JAM KERJA
47 Ridwan Store Keeper PDSI/Qudrata 12 1
49 FC Daru ADM Rig PDSI / Qudrata 12
53
5 M. Lud Opr Wheel loader PDC 12 5 PHI 3 36
15 Aulia Driver Qudrata 12 15 PERTAMEDIKA 3 36
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 171 2052

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


1 A. Indarto Mud Eng PHI 12 No NAMA POSISI PERUSAHAAN JAM KERJA
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

1 Dono Agus H2S Eng PT.PDSI 12 1 Beri Data Enginer PARAMA 12
2 Nellan H2S Eng PT.PDSI 12 2 Fajar Prima Data Enginer PARAMA 12
9
10

1 Operator PDSI/PDC No NAMA POSISI PERUSAHAAN JAM KERJA
5
SPERRY Weatherford
2 Dwiki Fimadoni MWD Sperry 12
6

4 Yofi Driver PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

1 Rig Supt PT. PDSI 1 Agus Djiwandono Company Man PGE 12

2 Satria kurnia Driller PT. PDSI 12 2 Mimbar H ATL PGE 12
3 Raditya Akbar Aman Driller PT. PDSI 12 3 Wirawan Avisena HSSE Coord PGE 12
4 Basir Truckpusher PT. PDSI 12 4 Adi Rhama Geologist PGE 12





26 Dedi Apriadi Motoris PDSI/Qudrata 12 14 Debi setiawan Security Dyfco 12
29 Sugianto Derickman II PDSI/Qudrata 12
53
7 Arbeni Opr Wheel loader PT. Wangsa Patra 12 7 PDSI H2S 5 60
9 Aziz Driver tandem PT. Wangsa Patra 12 9 Halco Sperry 5 60
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 171 2052

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC
3 Amrul Rigger PT. Bertindo 12
4 Ifan M Rigger PT. Bertindo 12


LOKASI : HLS-E4 0 0

1 Rig Supt PT. PDSI 1 Agus Djiwandono Company Man PGE 12

4 Basir Truckpusher PT. PDSI 12 4 Geologist PGE
8



9 Supriyono Ast Driller PDSI/Qudrata 12


52
53
1 Rian Yuniardi Opr crane PDSI/Wangsa Patra 12 1 PDSI Employee 3 36
4 Yance Rigger PDSI/Wangsa Patra 12 4 Dowel Cementing 5 60
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 171 2052

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
4 Ujang Firdaus Driver Sperry 12
6

10 Tomi Koki PDC 12
24
25
PT. PDC
5 Andi S Driver Light truck PT. Bertindo 12


LOKASI : HLS-E4 0 0

1 1 Agus Djiwandono Company Man PGE 12

5 Sigit Hertadi Geologist PGE 12


3 Agung P Toolpusher PDSI/Qudrata 12 3 Masriadi Operator PDSI/IBT 12

6 Firman Hadi Ast Driller PDSI/Qudrata 12 6



28 Tukiyat Store Keeper PDSI/Qudrata 12
51
52
53
10 Zarkoni Helper Tandem PT. Wangsa Patra 12 10 PDC CATERING 23 276
16 Susilo Driver PMS 12 16 PDC ANGKUTAN 5 60
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 170 2040

PT. IMS
Jam
Jam
Jam
Jam
5
Dibuat, Mengetahui,
Aris SB/Darwin Y Zulhasnil


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

1 Fahmi Rizal PT. PDSI 12 1 Agus Djiwandono Company Man PGE 12





8 Chief Elektrik PDSI/Qudrata Jumlah Pekerja 5 Jumlah Jam Kerja 60


51
52
53
17 Karyono Driver Qudrata 12 17 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 169 2028

PT. IMS
Jam
Jam
Jam
Jam
5
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

3 Erick H2S Eng PT.PDSI 12 3 Randi Mud Logger PARAMA 12
4 Hari N. H2S Eng PT.PDSI 12 4 Taufik Wahyudi Mud Logger PARAMA 12
9
10

3 Operator PDSI/PDC 2
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0








51
52
53
8 Opr Wheel loader PT. Wangsa Patra 8 PDSI Top Drive 3 36
9 Abdul Aziz Driver tandem PT. Wangsa Patra 12 9 Halco Sperry 5 60
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 168 2016

PT. IMS
Jam
Jam
Jam
Jam
5
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0








51
52
53
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 167 2004

PT. IMS
Jam
Jam
Jam
Jam
3 Helmi Operator PT.Dowell 12
Hululais, 11 September 2018
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

1 Fahmi Rizal Chief Elektrik PT. PDSI 12 1 Agus Djiwandono Company Man PGE 12
2 Horas Driller PT. PDSI 12 2 Mimbar H ATL PGE 12
3 Basir Truckpusher PT. PDSI 12 3 Wirawan Avisena HSSE Coord PGE 12




9 Supriyono Driller PDSI/Qudrata 12
11 Junilian Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

12 Heri Safari Floorman I PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
13 Ade Fitriansyah Floorman II PDSI/Qudrata 12 1 Kasmiyanto Spv Dyfco 12

14 Arifin Floorman III PDSI/Qudrata 12 2 Masy Ridwan Opr Excavator Dyfco 12
15 Beni Ricardo Floorman IV PDSI/Qudrata 12 3 Yogi Unskill / Siang Dyfco 12
16 Handoko Mud Boy I PDSI/Qudrata 12 4 Eri Erlando Unskill / Siang Dyfco 12
17 Demas Alim Mud Boy II PDSI/Qudrata 12 5 Rindes saputra Unskill / Siang Dyfco 12
18 Taswan Rosidi Cutting Boy PDSI/Qudrata 12 6 Remon Fereska Unskill / Siang Dyfco 12
19 Irwan Kondias Roustabout PDSI/Qudrata 12 7 Predo Saputra Security Dyfco 12
20 Jarot Roustabout PDSI/Qudrata 12 8 M. Daman Huri Security Dyfco 12
21 Yogian Roustabout PDSI/Qudrata 12 9 Atdwy Langgeng Unskill / Siang Dyfco 12
22 Faturochman PMK Mekanik PDSI/Qudrata 12 10 A'an Kurniawan Unskill / Siang Dyfco 12
23 Rendyka PMK Elektrik PDSI/Qudrata 12 11 Edward Naldo Unskill / Siang Dyfco 12
24 Chandra Elektrik PDSI/Qudrata 12 12 Rio Kencana Agung Unskill / Siang Dyfco 12
25 Bambang.S Mekanik PDSI/Qudrata 12 13 Guntur Wijaya Security Dyfco 12
26 Freddy Willy Motoris PDSI/Qudrata 12 14 Debi setiawan Security Dyfco 12
27 Mardiono Welder PDSI/Qudrata 12 15 Opr Excavator
39 Medianto Roustabout PDSI/Qudrata 12 3 Ujang Firdaus Driver Ambulans Pertamedika 12
49 Mei Situmorang HSE Officer PDSI/IBT 12
51
52
53
13 Matbuddin Driver PMS 12 13 AERATED DRILLING 5 60
14 Supriyono Driver PMS 12 14 DYFCO 14 168
18 Deni Eko Driver Qudrata 12 18 PT.WEATHERFORD 0 0
20 Fadyl Driver PMS 12 20 Schlumberger Wireline 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 166 1992

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
3 Bekerdanbeta MWD Sperry 12
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

4 Teguh Irawan Company Man PGE 12






51
52
53
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 166 1992

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Hari Material man PHI 12 2 Ass. Inspector
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0



4 Waryono Arce Toolpusher PDSI/Qudrata 12 4 Frans Forel Driver PDSI/IBT 12


10 Qurniawan Derickman II PDSI/Qudrata Ijin


37 Subagio Cutting Boy PDSI/Qudrata 12 1 Dr. Evans O Dokter Pertamedika 12
51
52
53
6 Tirta Opr Wheel loader PDC 12 6 0 0
9 Herman Driver tandem PT. Wangsa Patra 12 9 Halco Sperry 5 60
10 Akbar Helper Tandem PT. Wangsa Patra 12 10 PDC CATERING 23 276
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 166 1992

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,
Mei Situmorang/Darwin Y Zulhasnil


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

1 Yudi K Operator PDSI/PDC 12 No NAMA POSISI PERUSAHAAN JAM KERJA
4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

3 3 Wirawan Avisena HSSE Coord PGE 12


2 IPM Coord PDSI/IBT 2 Kharun Naim Spv PDSI/IBT 12
3 Agung P Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12




38 Bugi Satria Roustabout PDSI/Qudrata 12 2 Agung Firmansyah Medik Pertamedika 12
51
52
53
6 Mirta Opr Wheel loader PDC 12 6 0 0
11 Tirta Driver Low Bed PT. Wangsa Patra 12 11 PT. LERINDRO 0 0
21 Dadang Truck Pusher PT. Wangsa Patra 12 21 PARAMA 8 96
22 22 0 0 0
Jumlah 167 2004

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


1 Feri Apriansyah Mud Eng PHI 12 No NAMA POSISI PERUSAHAAN JAM KERJA
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC


LOKASI : HLS-E4 0 0

3 3 Wirawan Avisena HSSE Coord PGE 12
6 Freddy Haryo Drill Enginer PGE 12






51
52
53
22 22 0 0 0
Jumlah 168 2016

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

3 Fiqi Astrida H2S Eng PT.PDSI 12 3 Randi Mud Logger PARAMA 12
9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC
2 Yudiwan Oprt Crane PT. Bertindo 12


LOKASI : HLS-E4 0 0

1 Junaedi Faizal Rig Supt PT. PDSI 12 1 Agus Djiwandono Company Man PGE 12
2 Fahmi Rizal Chief Elektrik PT. PDSI 12 2 Mimbar H ATL PGE 12
3 Horas Driller PT. PDSI 12 3 Wirawan Avisena HSSE Coord PGE 12

1 Zulhasnil Rig Supt PDSI/IBT 1 Ediono Spv PDSI/IBT 12





45 Tomi Motoris PDSI/Qudrata IJIN PT. LERINDRO
51
52
53
22 22 0 0 0
Jumlah 168 2016

PT. IMS
Jam
Jam
Jam
Jam
4 Nadin Operator PT.Dowell 12 Hululais, 17 September 2018
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1
2 PT.WEATHERFORD
4 1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC
2 Yudiwan Oprt Crane PT. Bertindo 12


LOKASI : HLS-E4 0 0



4 Aprianto Toolpusher PDSI/Qudrata 12 4 Frans Forel Driver PDSI/IBT 12




45 Tomi Motoris PDSI/Qudrata IJIN PT. LERINDRO
51
52
53
6 Mirta Opr Wheel loader PDC 12 6 Petro Oil Tools 3 36
7 Suhardi Opr Wheel loader PT. Wangsa Patra 12 7 PDSI H2S 5 60
16 Susilo Driver PMS 12 16 PDC ANGBER 9 108
22 22 0 0 0
Jumlah 174 2088

PT. IMS
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,
Mei Situmorang/Darwin Y Junaedi Faizal


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

1 Agung Teknisi PT. Petro Oil Tools 12
2 Merdi Fasa Teknisi/PWHT PT. Petro Oil Tools 12 PT.WEATHERFORD
3 A. Mulyono Welder PT. Petro Oil Tools 12 No NAMA POSISI PERUSAHAAN JAM KERJA
4 1
PT. H2S PDSI PARAMA

9
10

2 Suhedi Driver PDSI/PDC 12 1
3 Ilfan Rambang Operator PDSI/PDC 12 2
4
5
SPERRY Weatherford
1 Erlangga DD Sperry 12 1
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER

1 Ayudha Pratomo Oprt Crane PT. PDC 12
2 Yudiwan Oprt Crane PT. PDC 12
3 Amrul Rigger PT. PDC 12
4 Ifan M Rigger PT. PDC 12
5 Andi N Driver Light truck PT. PDC 12
6 Dasuki Driver Low Bed PT. PDC 12
7 Helper low bed PT. PDC 12
8 Mulyadi Driver Hi Bed PT. PDC 12
9 Helper Hi-Bed PT. PDC 12


LOKASI : HLS-E4 0 0







30 Heru Apriansyah Derickman II PDSI/Qudrata 12
31 Alfadli Floorman I PDSI/Qudrata 12
32 Eri Edi Prayitno Floorman II PDSI/Qudrata 12
33 Ramadona Floorman III PDSI/Qudrata 12
34 Rico Fersia Floorman IV PDSI/Qudrata 12 Jumlah Pekerja 14 Jumlah Jam Kerja 168
35 Herlianto Mud Boy I PDSI/Qudrata 12 PT. PERTAMEDIKA
36 Ahmad Filry Mud Boy II PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
37 Abu Hanifa Cutting Boy PDSI/Qudrata 12 1 Dr. Evans O Dokter Pertamedika 12
38 Een Suryadi Roustabout PDSI/Qudrata 12 2 Agung Firmansyah Medik Pertamedika 12
39 Idrus Gunawan Roustabout PDSI/Qudrata 12 3 Ujang Firdaus Driver Ambulans Pertamedika 12
40 Robby Gunawan Roustabout PDSI/Qudrata 12
41 Jemmy Erwandi PMK Mekanik PDSI/Qudrata 12
42 Ahmad Faizal PMK Elektrik PDSI/Qudrata 12
43 Darmawansyah Elektrik PDSI/Qudrata 12 Jumlah Pekerja 3 Jumlah Jam Kerja 36
44 Deni Arie Wibowo Mekanik PDSI/Qudrata 12
45 Dedi Apriadi Motoris PDSI/Qudrata IJIN PT. LERINDRO
46 Desi P Welder PDSI/Qudrata 12 No NAMA POSISI PERUSAHAAN JAM KERJA
51
52
53
2 Agus Umroh Opr crane PDSI/Wangsa Patra 12 2 PDSI Rig #43.3/AB1500-E 66 792
3 Dika Rigger PDSI/Wangsa Patra 12 3 PT. IMS 14 168
16 Susilo Driver PMS 12 16 PDC ANGBER 9 108
22 22 0 0 0
Jumlah 175 2100

PT. IMS
1 Agus H Mekanik IMS /HLS 12 Jumlah PDSI Employee 3 Org
Jam
Jam
Jam
Jam
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

4 Makmun Arifin PDT PT. Petro Oil Tools 12 1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER

1 Ayudha Pratomo Oprt Crane PT. PDC 12
5 Andi N Driver Light truck PT. PDC 12


LOKASI : HLS-E4 0 0

1 Junaedi Faizal Rig Supt PT. PDSI 12 1 Ketut Darma Yasa Company Man PGE 12
3 Horas Driller PT. PDSI 12 3 Diaz P HSSE Coord PGE 12



5 Septian Ari P Ast Driller PDSI/Qudrata 5 Sukisno Operator PDSI/IBT 12



37 Abu Hanifa Cutting Boy PDSI/Qudrata 12 1 Dr. Evans O Dokter Pertamedika 12
38 Een Suryadi Roustabout PDSI/Qudrata 12 2 Agung Firmansyah Medik Pertamedika 12
39 Idrus Gunawan Roustabout PDSI/Qudrata 12 3 Ujang Firdaus Driver Ambulans Pertamedika 12
45 Dedi Apriadi Motoris PDSI/Qudrata IJIN PT. LERINDRO
51
52
53
15 J.Rohim Driver Qudrata 12 15 PERTAMEDIKA 3 36
16 Aries Driver PMS 12 16 PDC ANGBER 9 108
19 Firman Driver PMS 12 19 TUBOSCOPE (Inspeksi Tubular) 0 0
21 Dadang Andi Truck Pusher PT. Wangsa Patra 12 21 PARAMA 8 96
22 22 0 0 0
Jumlah 174 2088

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


2 Tufiq Indra Jaya Mud Eng PHI 12 1 Inspector
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector

4 Makmun Arifin PDT PT. Petro Oil Tools 12 1
PT. H2S PDSI PARAMA

3 Sigit H2S Eng PT.PDSI 12 3 Randi Mud Logger PARAMA 12
4 Triono H2S Eng PT.PDSI 12 4 Taufik Wahyudi Mud Logger PARAMA 12
9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER

1 Yuda Haris Oprt Crane PT. PDC 12
5 M. Syafei Driver Light truck PT. PDC 12


LOKASI : HLS-E4 0 0

1 Junaedi Faizal Rig Supt PT. PDSI 12 1 Ketut Darma Yasa Company Man PGE 12
2 Fahmi Rizal Chief Elektrik PT. PDSI 12 2 Laode Reza ATL PGE 12
3 Horas Driller PT. PDSI 12 3 Djoko Soediro HSSE Coord PGE 12



5 Andi Suryo Ast Driller PDSI/Qudrata 12 5 Sukisno Operator PDSI/IBT 12



37 Abu Hanifa Cutting Boy PDSI/Qudrata 12 1 Dr. Arri Kurniawan Dokter Pertamedika 12
38 Een Suryadi Roustabout PDSI/Qudrata 12 2 Bayu Medik Pertamedika 12
39 Idrus Gunawan Roustabout PDSI/Qudrata 12 3 Christian Driver Ambulans Pertamedika 12
40 Robby Gunawan Roustabout PDSI/Qudrata Ijin
45 Dedi Apriadi Motoris PDSI/Qudrata 12 PT. LERINDRO
51
52
53
22 22 0 0 0
Jumlah 171 2052

PT. IMS
14 Patoni Driver 12
4 Operator PT.Dowell 12 Hululais, 21 September 2018
Dibuat, Mengetahui,


2 Tufiq Indra Jaya Mud Eng PHI 12 1 Inspector
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
No NAMA POSISI PERUSAHAAN JAM KERJA
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
2 Syukron Ady MWD Sperry 12
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

1 Junaedi Faizal Rig Supt PT. PDSI 12 1 Ketut Darmana Yasa Company Man PGE 12
4 Andi Suryo Ast Driller PT. PDSI 12 4 Teguh Irawan Company Man PGE 12
5 Satria Kurnia Driller PT. PDSI 12 5 Sigit Hertadi Geologist PGE 12
6 Umar Sidiq Coman/IPM PGE 12

1 Rig Supt PDSI/IBT 1 Ediono Spv PDSI/IBT 12


5 Ast Driller PDSI/Qudrata 5 Sukisno Operator PDSI/IBT 12

9 Driller PDSI/Qudrata

13 Ade Fitriansyah Floorman II PDSI/Qudrata 12 1 Sihwanto Spv Dyfco 12

39 Idrus Gunawan Roustabout PDSI/Qudrata 12 3 Christiawan Driver Ambulans Pertamedika 12
51
52
53
22 22 0 0 0
Jumlah 172 2064

PT. IMS
14 Patoni Driver 12
4 Operator PT.Dowell 12 Hululais, 22 September 2018
Dibuat, Mengetahui,
Mei Situmorang/Aris SB Junaedi Faizal


2 Rafiq Indra Jaya Mud Eng PHI 12 1 Inspector
3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

1 Junaedi Faizal Rig Supt PT. PDSI 12 1 Ketut Darmana Yasa Company Man PGE 12

1 Rig Supt PDSI/IBT 1 Ediono Spv PDSI/IBT 12


5 Ast Driller PDSI/Qudrata 5 Sukisno Operator PDSI/IBT 12



51
52
53
22 22 0 0 0
Jumlah 168 2016

PT. IMS
14 Patoni Driver 12
1 Cementer PT.Dowell
4 Operator PT.Dowell Hululais, 23 September 2018
Dibuat, Mengetahui,
Mei Situmorang/Aris SB Junaedi Faizal


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

1 Dono Agus H2S Eng PT.PDSI 12 1 Nanang Data Enginer PARAMA 12
2 Nellan H2S Eng PT.PDSI 12 2 Novianto Data Enginer PARAMA 12
4 Triono H2S Eng PT.PDSI 12 4 Arief Mud Logger PARAMA 12
9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

1 Rig Supt PT. PDSI 1 Ketut Darmana Yasa Company Man PGE 12
2 Chief Elektrik PT. PDSI 2 Laode Reza ATL PGE 12

1 Robby Apriansyah Rig Supt PDSI/IBT 12 1 Edi Purnomo Spv PDSI/IBT 12


5 Ast Driller PDSI/Qudrata 5 Masriadi Operator PDSI/IBT 12
6 Ast Driller PDSI/Qudrata 6



14 Arifin Floorman III PDSI/Qudrata 12 2 Heru Opr Excavator Dyfco 12
27 Mardiono Welder PDSI/Qudrata 12
51
52
53
5 Ngatno Opr Wheel loader PDC 12 5 PHI 3 36
8 8 PDSI Top Drive 4 48
22 22 0 0 0
Jumlah 171 2052

PT. IMS
14 Patoni Driver 12
1 Yulian Cementer PT.Dowell 12
2 Tenang Operator PT.Dowell 12
3 Febri Operator PT.Dowell 12
Dibuat, Mengetahui,
Mei Situmorang/Aris SB Robby Apriansyah


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

2 Storeman PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0





8 Agus Fiantoni Chief Elektrik PDSI/Qudrata 12 Jumlah Pekerja 5 Jumlah Jam Kerja 60


14 Arifin Floorman III PDSI/Qudrata 12 2 Heru Opr Excavator Dyfco 12
27 Mardiono Welder PDSI/Qudrata 12
51
52
53
22 22 0 0 0
Jumlah 172 2064

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

2 Storeman PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

3 Horas Driller PT. PDSI 12 3 Diaz P HSSE Coord PGE 12
5 Satria Kurnia Driller PT. PDSI 12 5 Rizky Ridho Geologist PGE 12
6 Coman/IPM PGE




11 Derry Prima Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

12 Armansyah Floorman I PDSI/Qudrata 12 NO NAMA POSISI PERUSAHAAN JAM KERJA
13 Rudi Efendi Floorman II PDSI/Qudrata 12 1 Sihwanto Spv Dyfco 12

14 Farlin Floorman III PDSI/Qudrata 12 2 Heru Opr Excavator Dyfco 12
15 Riyanto Floorman IV PDSI/Qudrata 12 3 Yogi Unskill / Siang Dyfco 12
16 Eddy Susilo Mud Boy I PDSI/Qudrata 12 4 Eri Erlando Unskill / Siang Dyfco 12
17 Tommy Febra Mud Boy II PDSI/Qudrata 12 5 Rindes saputra Unskill / Siang Dyfco 12
18 Subagio Cutting Boy PDSI/Qudrata 12 6 Remon Fereska Unskill / Siang Dyfco 12
19 Bugi Satria Roustabout PDSI/Qudrata 12 7 Predo Saputra Security Dyfco 12
20 Medianto Roustabout PDSI/Qudrata 12 8 M. Daman Huri Security Dyfco 12
21 Dani Setiawan Roustabout PDSI/Qudrata 12 9 Atdwy Langgeng Unskill / Siang Dyfco 12
22 Mukriyanto PMK Mekanik PDSI/Qudrata 12 10 A'an Kurniawan Unskill / Siang Dyfco 12
23 Nispu S PMK Elektrik PDSI/Qudrata 12 11 Edward Naldo Unskill / Siang Dyfco 12
24 Ma'ruf Purnama Elektrik PDSI/Qudrata 12 12 Rio Kencana Agung Unskill / Siang Dyfco 12
25 Fuad Adrianto Mekanik PDSI/Qudrata 12 13 Guntur Wijaya Security Dyfco 12
26 Tomi Motoris PDSI/Qudrata 12 14 Debi setiawan Security Dyfco 12
27 Musmulyadi Welder PDSI/Qudrata 12
51
52
53
1 Opr crane PDSI/Wangsa Patra 12 1 PDSI Employee 3 36
13 Susilo Driver PMS 12 13 AERATED DRILLING 5 60
14 Erwan Driver PMS 12 14 DYFCO 14 168
17 Heris Driver Qudrata 12 17 0 0
20 Deni H Driver PMS 12 20 Schlumberger Wireline 0 0
22 22 0 0 0
Jumlah 171 2052

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

1 Yudi K Teknisi PDSI/PDC 12 No NAMA POSISI PERUSAHAAN JAM KERJA
4
5
SPERRY Weatherford
6

2 Storeman PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

4 Andi Suryo Ast Driller PT. PDSI 12 4 Agus Djiwandono Company Man PGE 12
6






51
52
53
1 Opr crane PDSI/Wangsa Patra 12 1 PDSI Employee 3 36
13 Susilo Driver PMS 12 13 AERATED DRILLING 5 60
14 Erwan Driver PMS 12 14 DYFCO 14 168
17 Heris Driver Qudrata 12 17 0 0
20 Deni H Driver PMS 12 20 Schlumberger Wireline 0 0
22 22 0 0 0
Jumlah 171 2052

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
5 Noor Abyadh DD Sperry 12
6

2 Storeman PDC 12
10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

6


3 Waryono Arce Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12

5 Septian Arie Putra Ast Driller PDSI/Qudrata 12 5 Masriadi Operator PDSI/IBT 12



51
52
53
1 Beny Eko Opr crane PDSI/Wangsa Patra 12 1 PDSI Employee 3 36
8 Aziz Driver tandem PT. Wangsa Patra 12 8 PDSI Top Drive 4 48
9 Zarkoni Helper Tandem PT. Wangsa Patra 12 9 Halco Sperry 5 60
10 Tirta Driver Low Bed PT. Wangsa Patra 12 10 PDC CATERING 23 276
11 Herdiansyah Helper low bed PT. Wangsa Patra 12 11 PT. LERINDRO 0 0
12 Susilo Driver PMS 12 12 PGE 5 60
13 Erwan Driver PMS 12 13 AERATED DRILLING 5 60
14 J.Rohim Driver Qudrata 12 14 DYFCO 14 168
15 Aries Driver PMS 12 15 PERTAMEDIKA 3 36
16 Heris Driver Qudrata 12 16 PDC ANGBER 9 108
17 Aulia Driver Qudrata 12 17 0 0
18 Firman Driver PMS 12 18 PT.WEATHERFORD 0 0
19 Deni H Driver PMS 12 19 TUBOSCOPE (Inspeksi Tubular) 0 0
20 Dadang Andi Truck Pusher PT. Wangsa Patra 12 20 Schlumberger Wireline 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 172 2064

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

2 Ismail Storeman PDC 12
10 Tomi Koki PDC 12
17 Beni Storeman PDC 12 Anjasman
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

6






51
52
53
10 Tirta Driver Low Bed PT. Wangsa Patra 12 10 PDC CATERING 23 276
11 Herdiansyah Helper low bed PT. Wangsa Patra 12 11 PT. LERINDRO 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 172 2064

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



LOKASI : HLS-E4 0 0

6






50
51
52
53
10 Driver Low Bed PT. Wangsa Patra 10 PDC CATERING 23 276
11 Helper low bed PT. Wangsa Patra 11 PT. LERINDRO 0 0
21 21 PARAMA 8 96
22 22 0 0 0
Jumlah 169 2028

PT. IMS
14 Patoni Driver 12
Dibuat, Mengetahui,


3 Ass. Inspector
4 Ass. Inspector
5 Inspector
6 Inspector
8 Inspector
9 Inspector
10 Inspector
PT.WEATHERFORD
1
PT. H2S PDSI PARAMA

9
10

4
5
SPERRY Weatherford
6

10 Tomi Koki PDC 12
24
25
PT. PDC ANGBER



POB September 2018

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POB September 2018

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PERSONAL ON BOARD RIG PDSI # 43.3/AB1500-E No. Doc Rev.

TANGGAL 01 September 2018

PDSI Employee PDSI CLIENT

1 Rig Supt PT. PDSI 1 Wawan Company Man PGE 12

PDSI CONTRACTOR PDSI CLIENT CONTRACTOR

1 Sunaryo Rig Supt PDSI/IBT 12 1 Spv PDSI/IBT

3 Aprianto Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12

4 Waryono Arce Toolpusher PDSI/Qudrata 12 4 Edy Jaya Tambunan Driver PDSI/IBT 12

10 Suratno Derickman II PDSI/Qudrata 12

11 Heru Afriansyah Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

13 Alfadli Floorman II PDSI/Qudrata 12 1 Kasmiyanto Spv Dyfco 12

Jumlah 171 2052

Jumlah 14 Jumlah Jam Kerja 168

Aris SB/ Mei S Sunaryo

PHI TUBOSCOPE (Inspeksi Tubular)

Petro Oil Tools Jumlah Pekerja 0 Jumlah Jam Kerja 0

PT. H2S PDSI PARAMA

PDSI TOP DRIVE DIVISION Schlumberger Wireline

Jumlah 4 Jumlah Jam Kerja 48 Jumlah 0 Jumlah Jam Kerja 0

Jumlah 7 Jumlah Jam Kerja 84

PDC / CATERING PT. TELKOMSEL

Jumlah 7 Jumlah Jam Kerja 84

Jumlah 0 Jumlah Jam Kerja 0

PT. Sekawan Eka Sejati (SES)

TOTAL PDSI CONT. 102 Jumlah Jam Kerja 1224

TANGGAL 02 September 2018

PDSI Employee PDSI CLIENT

1 Rig Supt PT. PDSI 1 Wawan Company Man PGE 12

PDSI CONTRACTOR PDSI CLIENT CONTRACTOR

1 Sunaryo Rig Supt PDSI/IBT 12 1 Spv PDSI/IBT

3 Aprianto Toolpusher PDSI/Qudrata 12 3 Wahyudi Operator PDSI/IBT 12

4 Waryono Arce Toolpusher PDSI/Qudrata 12 4 Edy Jaya Tambunan Driver PDSI/IBT 12

10 Suratno Derickman II PDSI/Qudrata 12

11 Heru Afriansyah Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

13 Alfadli Floorman II PDSI/Qudrata 12 1 Kasmiyanto Spv Dyfco 12

Jumlah 170 2040

Jumlah 14 Jumlah Jam Kerja 168

Aris SB/ Mei S Sunaryo

PHI TUBOSCOPE (Inspeksi Tubular)

Petro Oil Tools Jumlah Pekerja 0 Jumlah Jam Kerja 0

PT. H2S PDSI PARAMA

PDSI TOP DRIVE DIVISION Schlumberger Wireline

Jumlah 4 Jumlah Jam Kerja 48 Jumlah 0 Jumlah Jam Kerja 0

Jumlah 6 Jumlah Jam Kerja 72

PDC / CATERING PT. TELKOMSEL

Jumlah 7 Jumlah Jam Kerja 84

Jumlah 0 Jumlah Jam Kerja 0

PT. Sekawan Eka Sejati (SES)

TOTAL PDSI CONT. 102 Jumlah Jam Kerja 1224

TANGGAL 03 September 2018

PDSI Employee PDSI CLIENT

1 Rig Supt PT. PDSI 1 Wawan Company Man PGE 12

PDSI CONTRACTOR PDSI CLIENT CONTRACTOR

1 Sunaryo Rig Supt PDSI/IBT 12 1 Spv PDSI/IBT

3 Aprianto Toolpusher PDSI/Qudrata 12 3 Masriadi Operator PDSI/IBT 12

4 Waryono Arce Toolpusher PDSI/Qudrata 12 4 Edy Jaya Tambunan Driver PDSI/IBT 12

10 Suratno Derickman II PDSI/Qudrata 12

11 Heru Afriansyah Derickman II PDSI/Qudrata 12 GENERAL SERVICES - PT. DYFCO

13 Alfadli Floorman II PDSI/Qudrata 12 1 Kasmiyanto Spv Dyfco 12

Jumlah 167 2004

Jumlah 14 Jumlah Jam Kerja 168

Aris SB/Darwin Y/Nur Haryono Sunaryo