P.T.

PLN (PERSERO) Form G - 01

PEUSANGAN 1 & 2 HEPP CONSTRUCTION PROJECT

NIPPON KOEI CO., LTD. in association with TOKYO ELECTRIC POWER SERVICES CO., LTD.,
PT. KWARSA HEXAGON, PT. AMYTHAS, PT. HASFARM DIAN KONSULTANT,
PT. TATA GUNA PATRIA, PT. CONNUSA ENERGINDO and PT. JAYA CM

DAILY INSPECTION REPORT

NAME : DATE :

DESIGNATION : SIGNATURE :

LOCATION WEATHER
OF WORK : CONDITION : Fine / Cloudy / Rain
TYPE OF SHIFT : Day / Night
WORK :

GENERAL REPORT

A. ACTIVITY
Working Hour's Total
No Activity
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 Hour
1 Preparation
2 Common Excavation
3 Fill Embankment
4 Dewatering
5 Cleaning
6 Reinforcement Bar
7 Install / Removal Form Work
8 Concreting
Rest

Rest
9 Curing
10 Gabion Work's
11 Gravel Bedding
Time

Time
12 Dispose Random Material
13
14
15
16
17
18

B. EQUIPMENT C. MANPOWER D. MATERIAL

No. Equipment Type Unit Hour Position Person Hour No. Material Unit Type Volume

1 Excavator 1 Engineer 1
2 Concrete Pump 2 General Supervisor 2
3 Truck Mixer 3 Supervisor 3
4 Dump Truck 4 Surveyor 4
5 Generator 5 Assistant Surveyor 5
6 Water Pump 6 Operator and Asst. 6
7 Submersible Pump 7 Driver 7
8 Compressor 8 Safety Officer 8
9 Hand Vibrator 9 Foreman 9
10 Stamper 10 Skilled Labour 10
11 Hand Drill 11 Unskilled Labour 11
12 Cutting Wheel 12 Helper 12
13 Manual Mini Mixer 13 M&E 13
14 14 14

E. REMARK

Note :

Comment on Safety :

Comment on Environment :

CONTRACTOR CONSULTANT

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