PT.

LEIGHTON CONTRACTORS INDONESIA

FORM APPROVAL OVERTIME

Location/lokasi kerja SAG#2 Issued Date /Tanggal Saturday, January 28, 2023
Job Desc/jenis pekerjaan Support Shutdown SAG#2
Responsible Haryono
Divison/Divisi Technical Service

Total
No FI# ID Name Starting date End Date Total Days Time in Time Out Work Desc Remarks
Time
1 898155 Jhoni Hendra Simarmata 28-Jan-23 28-Jan-23 1 6:00:00 21:00:00 14 Cleanup material Scaffolding SAG2

Prepared by, Re-Checked and Confirm by, Approved by, Acknowledged & Confirm by,

Yusuf Supriyanto Denny Wong

Leader/supervisor Head Division Site Manager Project Manager/Client Reps
Note ● Form dilengkapi 24 jam / 1 hari sebelum kegiatan Overtime/ Lembur dilaksanakan, terkecuali pekerjaan yang bersifat
emergency
● Perubahan personil segera dilaporkan untuk ditambah / dikurangi dalam list
● Form approval overtime digunakan sebagai acuan overtime pada manual Time sheet
● Gunakan lembar form yang baru jika kebutuhan keryawan yang terlibat melebihi baris yang disediakan

MSA - HRD - FRM - 001 - REV 0

01-Nov-2019
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PT. Leighton Contractors Indonesia

EMPLOYEE DAILY TIME SHEET

Project Name & ID: FREEPOERT MSA/ID247 Dept./Crew Civil/Warehouse Date: 28-Jan-23 Day: Saturday Shift: Day Shift

NOT AT WORK: PH = Public Holiday; RD = Rest Day; SL = Sick Leave; AL = Annual Leave; AB = Absent

Cost Code Hours

Employee Start Finish Finish Hours Not at Sub Area /
No. Employee Name Start Time Area/Project Activity / Work Description
Number Break Break Time Worked Work Mile Point Discipline
Name Job Type
Type
1 Yusuf Supriyanto 80001660 Schedule OFF
2 Ferdi Ferdiansyah 80002373 FIELDBREAK
3 Eko Febri Susilo 80000515 Schedule OFF
4 Briston Gurning 80003641 Schedule OFF
5 Jhoni Hendra Simarmata 898155 6:00:00 12:00:00 13:00:00 21:00:00 14 MP 74 SAG#2 Cleanup material Scaffolding SAG2
6 Aksan 905277 FIELDBREAK
7 Mohammad Irfan 80031287 Schedule OFF

Prepared by, Re-Checked and Confirm by, Approved by, Acknowledged and Confirm by,

Yusuf Supriyanto 80001660 Yusuf Supriyanto 80001660

FOREMAN SUPERVISOR SUPERINTENDENT SITE MANAGER

ID210-DEP-FRM-080 Rev02
08 August 2016
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