Ehs - Inspection - V2.1 - Kalimantan - 2022 09 01 10 37 - 2022 09 13 10 37 2022 09 13 10 42

SNo Date Of Submission USER_Signum.
12420 9/1/2022 13:41 ZSUHMUH

12422 9/1/2022 14:14 ZSUHMUH
12432 9/2/2022 15:34 ZAUALSG
12436 9/3/2022 12:11 ZSUHMUH
12437 9/3/2022 15:34 ZAUALSG
12456 9/6/2022 11:53 ZSYAFAH
12494 9/8/2022 13:14 ZSYAFAH
12502 9/8/2022 17:15 ZAUALSG
12505 9/9/2022 10:46 ZSUHMUH
12507 9/9/2022 12:28 ZRAMNAH
12513 9/9/2022 13:30 ZAUALSG
12539 9/12/2022 13:15 ZSYAFAH
12542 9/12/2022 13:52 ZRAMNAH
USER_RESOURCE_ID. USER_VENDOR_ID. USER_NAME.
V001 muhammad suhebe
V001 Agus Salim
V001 Agus Salim
V001 fahmy syarifuddin
V001 Agus Salim
V001 Harun Mangallo
V001 Agus Salim
V001 Harun Mangallo
USER_CIRCLE. USER_ZONE. Date
SUMAPA SUMAPA 9/1/2022
Auditor / Inspector Name Field Engineer #1 Field Engineer Name #1
Muh. suhebe Yes Moh. sandi
Muhammad Suhebe Yes Yudit Chandra
Agus Salim Yes Rangga Bayu Naki
Muh. Suhebe Yes Roberto Piyoh
Heri Laksono Yes Indra Tayeb
fahmy Yes ARIFUDDIN RAUF
Fahmy Yes Ahsan
Rio Salem Yes Marie Muhammad
fahmy Yes Yusman Erianto
Harun Mangallo Yes Deslyanto Mangallo
AGUS Salim Yes Zulkifli
Fahmy Yes Wahydin
Harun Mangallo Yes Amrullah Malik
Signum Engineer #1 Field Engineer #2 Field Engineer Name #2
ZHNAMOS No
ZCHAYUD Yes Moh. Sandi
NA Yes Muhammad Fajeri
ZPIYROB Yes Dedhe Indra Resvian
ZTAYIND Yes AlDI MOYU
ZRAUARI Yes MUH RIZAL.DM
ZNSAANH Yes Nur Alamsyah
ZHAUMMR Yes Gilang Shaid
ZERUSIY Yes Zulfikar tenri Agung
ZNDSMAE Yes Firman P
ZBLOZUL Yes Hendrik
ZAWHAWH Yes MUH. Fajrin
ZAMIMAL Yes Moh. Rizky Ruslan
Signum Engineer #2 ASP Company Name ASP Company Name - Other
NEXWAVE
ZHNAMOS NEXWAVE
ZFMAHJU NEXWAVE
ZRESDED NEXWAVE
ZMOYALD NEXWAVE
ZMANMRI NEXWAVE
ZALANUR NEXWAVE
NA NEXWAVE
ZTENSUL NEXWAVE
ZPXXFIR NEXWAVE
ZPATHEN NEXWAVE
ZMUSFAJ NEXWAVE
ZRIZRUS NEXWAVE
Field Engineer's Manager's Ticket Number/Work Order Customer
Harun Mangallo 3352963 Indosat
Agus Salim 3362662 Indosat
Agus Salim 3372203 Indosat
FAHMY 3390914 Indosat
fahmy 3405920 Indosat
HARUN MANGALO PM_Genset_Sumapa_3399733 Indosat
Fahmy 3414239 Indosat
Fahmy PM_SUMAPA_220909_3414757Indosat
HARUN MANGALO M_CWO_220909-3415781 Indosat
Fahmy 3435255 Indosat
Fahmy M_CWO_3440854 Indosat
Customer - Other Type of Structure Site ID Information
SST 4Leg 24BWA039 (BALUMPEWA_BWA_
SST 4Leg 24BWA039 (BALUMPEWA_BWA_
Grandfiel 26KTG053 (MOYAG_TB)
3 Angel 24PAL009 (TONDO_PAL_PL)
Grendfile 26KTG006 (MOLIBAGU_EP)
GREEN FIELD 28MRS025 (BUKIT_NIRWANA3_P
Green Field SST4 Leg 28UPD042 (PARANGLOE)
GRANDFIELD 27GTO004 (BULADU_MT)
SST 4LEG 28SNS083 (TAMARUNANG_SNS_
3 leg 28MRS048 (ALATANGAE_BTM_M
GRANFIELD 27ISM001 (LIMBOTO)
SST 72m 4 LEG 28SNS003 (PALANGGA)
SST 4 LEG 28UPD057 (TOLL_KM4)
Was a pre-climb assessment P
c hoto of Was a pre-climb assHas site-specific safety infor
YES https://feataccess.id/feat_l YES
YES https://feataccess.id/feat_li YES
NA YES
Photo of Has site-specific sa Are the applicable safety sig Photo of Are the applicable s
https://feataccess.id/feat_l YES https://feataccess.id/feat_l
https://feataccess.id/feat_li YES https://feataccess.id/feat_li
Is worker trained and fully c Photo of Is worker trained anHas worker completed and is
YES https://feataccess.id/feat_li NA
NA YES
NA YES
Photo of Has worker complete
Is someone on site certified iPhoto of Is someone on site ce
https://feataccess.id/feat_l NO
NA
https://feataccess.id/feat_li NA
https://feataccess.id/feat_li NO
https://feataccess.id/feat_l NA
Is emergency contact info (wPhoto of Is emergency contacAre Material Safety Data She
YES https://feataccess.id/feat_l NO
YES https://feataccess.id/feat_l NA
YES https://feataccess.id/feat_l NA
Photo of Are Material SafetyDoes worker have company ph
Photo of Does worker have c
YES https://feataccess.id/feat_l
YES https://feataccess.id/feat_li
NA
Does worker know how to repo
For 3rd party permits, are al Photo of For 3rd party permit
Yes YES https://feataccess.id/feat_l
yes YES https://feataccess.id/feat_l
YES YES https://feataccess.id/feat_li
yes NA
yes YES https://feataccess.id/feat_li
Yes YES https://feataccess.id/feat_li
YA YES https://feataccess.id/feat_l
yes YES https://feataccess.id/feat_li
Is the work site clean of debrPhoto of Is the work site cleaAre areas barricaded and publ
NO YES
NO YES
Photo of Are areas barricaded
Has a safe zone (ex: street Is a chemical spill kit availabl
https://feataccess.id/feat_l yes NO
https://feataccess.id/feat_l yes NO
https://feataccess.id/feat_li YES YES
https://feataccess.id/feat_l Yes NO
https://feataccess.id/feat_li yes NA
https://feataccess.id/feat_li yes NA
https://feataccess.id/feat_li Yes NA
https://feataccess.id/feat_l ok NA
https://feataccess.id/feat_l YA YES
https://feataccess.id/feat_li Yes NA
https://feataccess.id/feat_li ok NA
https://feataccess.id/feat_l YA YES
Photo of Is a chemical spill kiAre fire extinguishers of the Photo of Are fire extinguishe
NO
NO
NO
NA
NA
Are plant and animal hazard Are weather conditions and lPhoto of Are weather conditi
no YES https://feataccess.id/feat_l
N/A NO
ok YES https://feataccess.id/feat_li
ok YES https://feataccess.id/feat_l
ok YES https://feataccess.id/feat_li
Are electrical power down/loPhoto of Are electrical powe Have lone worker protection
NO YES
NO YES
NO YES
NA YES
Have precautions been takenAre employees wearing hardPhoto of Are employees wear
NO YES https://feataccess.id/feat_l
YES YES https://feataccess.id/feat_l
NO YES https://feataccess.id/feat_l
Are employees wearing propPhoto of Are employees wearAre safety glasses being used
Are employees wearing gloves
Is fall protection equipment Photo of Is fall protection
YES NA
YES NA
YES NA
YES NA
YES NA
Is fall protection equipment Photo of Is fall protection e If employees are using fall p
NA NA
NA NA
NA NA
NA YES
NA NA
Is the proper equipment on tClimbing rescue kit is presentHave RF hazards been conside
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
NA NA YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
Is there a procedure in place Are electrical panels covere Are extension cords in good
YES YES YES
YES YES YES
YES YES YES
NO YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
YES YES YES
Is rope of sufficient size, str Is rigging equipment being i Photo of Is rigging equipmen
NO NO
NO NO
YES NA
NO NO
YES NA
YES NA
YES NA
YES NA
NA NA
YES NA
YES NA
YES NA
Are electrical tools in good Photo of Are electrical tools Are proper guards in place fo
Photo of Are proper guards i Are ladders, steps and platf Is vehicle interior clean and
https://feataccess.id/feat_l YES YES
https://feataccess.id/feat_l NO YES
https://feataccess.id/feat_l NO YES
https://feataccess.id/feat_li NA YES
Photo of Is vehicle interior c Is vehicle exterior clean and Photo of Is vehicle exterior c
Does the vehicle have a fire Photo of Does the vehicle havIs a well-stocked first-aid ki
NO YES
NO YES
NA YES
NO YES
NA YES
NA YES
NO YES
Photo of Is a well-stocked fir Is the load rope in good condPhoto of Is the load rope in
Inspection result status Write detail inspection resul Inspector Signature
Pass kondisi halaman site bersih namhttps://feataccess.id/feat_l
Pass Halaman site bersih namun luarhttps://feataccess.id/feat_l
Pass Rumput yg didlm tower masih adhttps://feataccess.id/feat_li
Pass kondisi site bersih https://feataccess.id/feat_l
Pass Site Kotor, ada genangan air di https://feataccess.id/feat_li
Pass N/A https://feataccess.id/feat_li
Pass site kotor https://feataccess.id/feat_li
Pass NA https://feataccess.id/feat_li
Pass rumput kering perlu di bersihka https://feataccess.id/feat_l
Pass 1. sampah daun kering dan luar https://feataccess.id/feat_l
Pass NA https://feataccess.id/feat_li
Pass ok https://feataccess.id/feat_li
Pass MATERIAL BANGUNAN WARGA https://feataccess.id/feat_l
DI
Person / FT Signature
https://feataccess.id/feat_live/User/UserFiles/10263/ZSUHMUH/ZSUHMUH_10263_21_2022-09-01-01-41-59-PM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZAUALSG/ZAUALSG_10263_21_2022-09-02-03-34-48-PM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZSYAFAH/ZSYAFAH_10263_18_2022-09-06-11-53-16-AM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZSYAFAH/ZSYAFAH_10263_25_2022-09-08-01-14-56-PM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZSUHMUH/ZSUHMUH_10263_23_2022-09-09-10-46-00-AM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZRAMNAH/ZRAMNAH_10263_25_2022-09-09-12-28-02-PM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZSYAFAH/ZSYAFAH_10263_25_2022-09-12-01-15-01-PM.JPG
https://feataccess.id/feat_live/User/UserFiles/10263/ZRAMNAH/ZRAMNAH_10263_27_2022-09-12-01-52-23-PM.JPG
09-01-01-41-59-PM.JPG
09-01-02-14-38-PM.JPG
02-03-34-48-PM.JPG
09-03-12-11-25-PM.JPG
03-03-34-38-PM.JPG
06-11-53-16-AM.JPG
08-01-14-56-PM.JPG
08-05-15-23-PM.JPG
09-09-10-46-00-AM.JPG
09-09-12-28-02-PM.JPG
09-01-30-57-PM.JPG
12-01-15-01-PM.JPG
09-12-01-52-23-PM.JPG

Ehs - Inspection - V2.1 - Kalimantan - 2022 09 01 10 37 - 2022 09 13 10 37 2022 09 13 10 42

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Ehs - Inspection - V2.1 - Kalimantan - 2022 09 01 10 37 - 2022 09 13 10 37 2022 09 13 10 42

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SNo Date Of Submission USER_Signum.

12420 9/1/2022 13:41 ZSUHMUH

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