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LAPORAN MINGGUAN QHSE

No Dok : FM.HSE.002; Tgl Terbit : 27 September 2021

Lokasi :

Minggu ke :

Periode :

1. LAPORAN CUACA (WEATHER REPORT)


WAKTU / JAM JUMLAH
No. TANGGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 CERAH HUJAN
1 0 0 0 0 0 0 0 0 0 0 0 7
2 0 0 0 0 0 0 0 0 0 0 0 7 0
3 0 0 0 0 0 0 0 0 0 0 0 7 0
4 0 0 0 0 0 0 0 0 0 0 0 7 0
5 0 0 0 0 0 0 0 0 0 0 0 7 0
6 0 0 0 0 0 0 0 0 0 0 0 7 0
7 0 0 0 0 0 0 0 0 0 0 0 7 0
TOTAL 42 0

2. JUMLAH PEKERJA (MAN POWER)


PEKERJA STAFF PEKERJA NON STAFF Security JUMLAH
No. TANGGAL
∑ Pekerja ∑ Jam Kerja ∑ ∑ Pekerja ∑ Jam Kerja ∑ ∑ Pekerja ∑ Jam Kerja ∑ MP MH
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0

TOTAL 0 0

A. TOOLBOX MEETING / SAFETY TALK


No HSE Topik
1
2
3
4
5
6
7

B. TEMUAN K3 (SAFETY FINDING)


Waktu Open Closed Keterangan

This Week 0 0
Up to This Week 0 0

C. INDUKSI K3 (HSE INDUCTION)


No Nama Jabatan/Perusahaan Keterangan
1
2
3
4
5

3. FOTO KEGIATAN (ACTIVITY PICTURE) 4. TEMUAN K3 (SAFETY ISSUE / FINDING)

Dibuat Oleh: Diperiksa Oleh: Disetujui Oleh :

HSE HSEM DIREKSI


LAPORAN MINGGUAN QHSE
No Dok : FM.HSE.002; Rev.01; Tgl Terbit : 27 September 2021

Lokasi :

Minggu ke :

Periode :

1. LAPORAN CUACA (WEATHER REPORT)


WAKTU / JAM JUMLAH
No. TANGGAL 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 CERAH HUJAN
1 0 0 0 0 0 0 0 0 0 7
2 0 0 0 0 0 0 0 0 0 7 0
3 0 0 0 0 0 0 0 0 0 7 0
4 0 0 0 0 0 0 0 0 0 7 0
5 0 0 0 0 0 0 0 0 0 7 0
6 0 0 0 0 0 0 0 0 0 7 0
7 0 0 0 0 0 0 0 0 0 7 0
TOTAL 42 0

2. JUMLAH PEKERJA (MAN POWER)


PEKERJA STAFF PEKERJA NON STAFF Security JUMLAH
No. TANGGAL
∑ Pekerja ∑ Jam Kerja ∑ ∑ Pekerja ∑ Jam Kerja ∑ ∑ Pekerja ∑ Jam Kerja ∑ MP MH
1 0 0 0 0 0
2 0 0 0 0 0
3 0 0 0 0 0
4 0 0 0 0 0
5 0 0 0 0 0
6 0 0 0 0 0
7 0 0 0 0 0

TOTAL 0 0

A. TOOLBOX MEETING / SAFETY TALK


No HSE Topik
1
2
3
4
5
6
7

B. TEMUAN K3 (SAFETY FINDING)


Waktu Open Closed Keterangan

This Week 0 0
Up to This Week 0 0

C. INDUKSI K3 (HSE INDUCTION)


No Nama Jabatan/Perusahaan Keterangan
1
2
3
4
5
6
7

3. FOTO KEGIATAN (ACTIVITY PICTURE) 4. TEMUAN K3 (SAFETY ISSUE / FINDING)

Prepared By: Checked By: Approved By:

Eka Nanda Hermariany Priatmoko Haris Suhud


HSE Officer HSE SPV QHSE Manager

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