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Reference No: 488468

Management Standards - Std 10- Inspection

Management Standards - Std 10- Inspection Report - Inspection First Aid box
and Responder Bag period October 2022

Details

Sub Classification
X Safety Inspection

Event Date/Time: 12-Oct-2022 9:00 Department: C032 Hu'u

Reported Date/Time: 12-Oct-2022 10:00 Location: All Office Nangadoro

Due Date: Country: Indonesia

Responsible Organisation: PT Macmahon Mining Services


Reported By

Name: Kamsar, Kamsar (16103)

Reported To
Name: Bukhari, Bukhari (14482) Occupation: HSEQ Superintendent

Description
Inspection First Aid box and Responder Bag period October 2022

Immediate Action Taken

Management Summary
Assigned To: Soge, FX. Kia Wisang (1943)

Assigned To: William, Joni (14947)

25-Oct-2022 3:11 pm inControl Management Standards - Std 10- Inspection Report - Inspection Page 1 of 2
Reference No: 488468

Management Standards - Std 10- Inspection

Management Standards - Std 10- Inspection Report - Inspection First Aid box
and Responder Bag period October 2022

Event Participants

Involvement Type: Reported To Days Into Roster:

Person Involved: Bukhari, Bukhari (14482) Shift Commenced: 06:00

Work Status: Staff Scheduled Shift End: 18:00

Employer: PT Macmahon Mining Services Location: Surface


Occupation: HSEQ Superintendent Roster Type: 2:1 DS

Occupation Class: Superintendent Total Time on Project: > 1 yr

Employment Type: FullTime Shift Type: Day

Phone Number:

Comments: Done

Documents
Description Document/URL Type Size (bytes) Published
Photo Photo Inspection First aid box image/jpeg 161312 X
period Octo 22.jpg
Doc Inspection First AID period Inspection First Aid Box & application/pdf 2303051 X
October 2022 Responder Bag Period October
2022.pdf

Report Sign Off

Employee
I certify that the above report & corrective action/s are based on all the facts available to me.

Signed:................................................................................. Date:......................................

25-Oct-2022 3:11 pm inControl Management Standards - Std 10- Inspection Report - Inspection Page 2 of 2

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