No. Ruj. Dokumen : JKR.PK(O).

04B-2
PROSEDUR No. Keluaran : 07
KAWALAN KESELAMATAN DAN No. Pindaan : 00
KESIHATAN PEKERJAAN Tarikh : 14 Januari 2022
JKR MALAYSIA Muka Surat : 1/1
LAMPIRAN 2
PELAPORAN PELAKSANAAN SISTEM PENGURUSAN KESELAMATAN DAN KESIHATAN
PEKERJAAN (SPKKP) BAGI PROJEK JKR MALAYSIA BAGI BULAN MARCH TAHUN 2023
MAKLUMAT PROJEK
MENGGANTIKAN JAMBATAN FT023/038/13, TANGKAK, JOHOR
Nama Projek
Kos Kontrak Asal RM 6,801,200.00 Tarikh Milik Tapak 09 DISEMBER 2021
PP / PD Jurutera Daerah JKR (D)Tangkak Tarikh Siap Semasa 06 DISEMBER 2023
No. Daftar JKKP JH/22/03/180380 Tempoh Kontrak 24 Bulan
Kemajuan Kerja Fizikal Projek (Peratus & Tarikh Semasa) 40.68% (15/04/2023)
MAKLUMAT PEGAWAI DAN PENYELIA KESELAMATAN DAN KESIHATAN (SHO & SSS)
Nama SHO -
No. Pendaftaran - Tarikh Tamat Sah -
Nama SSS MUHD KHUDHAIRI BIN ABD MUBIN
No. Pendaftaran HQ/17/SSS/02/01918 Tarikh Tamat Sah 30/06/2025
*MAKLUMAT PENILAIAN PEMATUHAN PERUNDANGAN
Bil. Notis Diterima - Bil. Telah Ditutup :- Bil. Belum Ditutup :-
Bil. NCP Diberi - Bil. Telah Ditutup :- Bil. Belum Ditutup :-
- Bil. Kompaun Telah Dibayar :- Bil. Kompaun Belum Dibayar :-
Bil. Kompaun Diterima
Bil. Pendakwaan Diterima -
Dilaksana ( Telah / Belum ) Peratus (%) Pematuhan :
Prosedur Penilaian Pematuhan Tarikh Dilaksana : 31/10/2022 90.3%
Perundangan [JKR.PK(O).04C-01] Bil. Pematuhan : ( 28 ) Bil. Ketidakakuran : ( 3 ) Bil. Tidak Berkaitan : ( 50 )
**STATISTIK KEMALANGAN DAN PENYAKIT PEKERJAAN
Bil. Maut : ( - )
Bil. Parah : ( - ) Bil. Penyakit : ( - )
Bil. Kes Bil. Ringan : ( - )
Bil. Nyaris : ( - ) Bil. LTI :( - )
JAWATANKUASA KESELAMATAN DAN KESIHATAN (SAFETY AND HEALTH COMMITTEE - SHC)
Tarikh Mesyuarat SHC Terkini ( - ) – Akan diadakan (3 bulan) Sekali
Tarikh Pemeriksaan Tempat Kerja Terkini ( - ) Akan diadakan (2 minggu) Sekali
MAKLUMAT PROGRAM BERKAITAN KESELAMATAN DAN KESIHATAN PEKERJAAN
(KKP)
Dirancang : 7
Bil. Takwim Program KKP Dilaksana : 1
Nota : 1) Sertakan salinan Log Book JKKP, Notis, NCP, Kompaun dan Pendakwaan yang diterima.
2) Sertakan salinan Laporan Siasatan Insiden untuk kes Maut, Parah dan Penyakit yang berlaku.
3) Rujuk Panduan Pengisian Maklumat Borang melalui Portal Laman Web SPB (Carian item Rujukan).
4) Gunakan lampiran tambahan jika ruang yang disediakan tidak mencukupi.

Disediakan oleh: Disahkan oleh:

....................................................................... .......................................................................
(PDT JKR) (PP / PD / WPP / WPD JKR)

Borang ini perlu diisi dan dikemukakan kepada Urus Setia SPKKP JKR Malaysia sebelum 10hb pada bulan berikutnya.
 SAFETY & HEALTH
MONTHLY REPORT
JUNE 2023

MENGGANTIKAN JAMBATAN FT023/038/13,

TANGKAK, JOHOR

CONTRACT NO : JKR/IP/CJ/309/2021
JKKP NO : JH/22/03/180380

PREPARED BY : VERIFIED AND APPROVED :

…………………………. …………………………………..
MUHAMMAD KHUDHAIRI BIN ABD MUBIN ANIS AQILAH BINTI MURBA
Site Safety Supervisor PROJECT ENGINEER
HQ/17/SSS/02/01918 012-7447311
019-2669244
 MAKLUMAT PROJEK

Tajuk Projek : MENGGANTIKAN JAMBATAN FT023/038/13, TANGKAK, JOHOR

No. Kontrak : JKR/IP/CJ/309/2021

Harga Kontrak : RM 6,801,200.00
Harga Kontrak Semasa : RM 5,301,200.00
Pelanggan : Kementerian Kerja Raya Malaysia
Pegawai Penguasa : Jurutera Daerah JKR (D) Tangkak
Jabatan Kerja Raya Tangkak,
JKR 1606 Jalan Sialang,
84900 Tangkak, Johor
Wakil Pegawai Penguasa : Jurutera Jalan JKR (D) Tangkak
(Utama) Jabatan Kerja Raya Tangkak,
JKR 1606 Jalan Sialang,
84900 Tangkak, Johor
Wakil Pegawai Penguasa : Ketua Jurutera Elektrik Negeri Johor,
(Elektrik) JKR Cawangan Kejuruteraan Elektrik Negeri,
PTD 6989, Lingkaran Nusaria, Taman Nusantara,
81550 Gelang Patah, Johor Darul Takzim
Wakil Pegawai Penguasa : Juruukur Bahan Penguasa,
(Ukur Bahan) Jabatan Kerja Raya Negeri Johor,
Tingkat 4 Bangunan Dato Abdul Rahman Andak,
Kota Iskandar, Iskandar Puteri,
79582, Johor
Kontraktor Utama : Sigma One Development Sdn Bhd
No. 6, Tingkat 1A, Jalan Jaya 1/1, Taman Pagoh Jaya,
84600 Pagoh, Muar, Johor
Tarikh Milik Tapak : 09 Disember 2021
Tarikh Siap Kontrak : 06 Disember 2023
Tarikh Siap Semasa : 13 Oktober 2024
Tempoh Kontrak : 24 Bulan

Page 3 of 32
 Tempoh Tanggungan Kecacatan : 12 Bulan

Tempoh Insuran : 09 Disember 2021Hingga 06 Disember 2023

LAD : RM 1,006.58 / HARI

Syarikat Insuran : Allianz General Insurance Company (M) Berhad

FMA, AKKP REGULATION, LAW AND RULES OR DESIGNATED GUIDELINES TO BE COMPLY AND
IMPLEMENTED SUMMARY RECORDS.

NO ITEM Section / Regulation

COMPLIANCES
1
Health & Safety Management YES NO N/A REMARKS
1.1 Safety Policy
OSHA Sec 16 Complied (attachment 1)
( formulate, display, review )
1.2 Competent Person To Act
OSHA Sec 29 Below Requirement
As A Safety Officer
1.3
Safety & Health Committee OSHA Sec 30 To Be Appoint (attachment 2)
1.4
Scaffolder OSHA Sec 29 / 30 -
1.5
Designated Person BOWEC Project Manager
1.6 MUHD KHUDHAIRI BIN ABD
Site Safety Supervisor / MUBIN
BOWEC Reg 25 / 26
Contractor Safety Supervisor Site Safety Supervisor
HQ/17/SSS/02/01918
1.7 Record Storage System
OSHA Sec 15(2)(a) In progress
( Safety & Health )
1.9 Safety & Health Training
OSHA Sec 15(2)( c ) To be planned (attachment 3)
Program
1.10
CIDB Training/ Refreshment Organized CIDB Third Sch. Act 520 Complied (attachment 4)
1.11
JKKP Site Registration Complied
2
Safety & Health Committee Section / Regulation YES NO N/A REMARKS
2.1 Planned to conduct OSH
Appointing Letter as the OSH Members OSHA / JKK&K Reg 6
meeting soonest.
2.2
OSHA Meeting OSHA / JKK&K Reg 21(1) Not Applicable
2.3 Site Inspection By ESH
OSHA / JKK&K Reg 12 In progress
Committee
2.4 Investigation of Accident OSHA / JKK&K Reg 13(1) No accident recorded.
3
Public Safety Section / Regulation YES NO N/A REMARKS
3.1 Warning Signs BOWEC Reg 18 Installed at critical places.
3.2 Installed As TMP Plan.
TMP BOWEC Reg 18
(attachment 5)
4
HEALTH & WELFARE Regulation YES NO N/A REMARKS
4.1
First Aid Kit FMA Reg 38SHW Complied
4.2 FMA Reg 33, 34 &
Toilet & Rest Place Complied - Office
37SHW
4.3 Pest Control
FMA Reg 23SHW N/a
(mosquito, rat etc )
5
Employee Residence Section / Regulation YES NO N/A REMARKS
5.1
Separation From Work Place OSHA / FMA Reg 6 -
5.2
Cleanliness Of The Area OSHA Sec 15(2)(e) In Progress
5.3
Fire Prevention Equipment FMA Reg 22 SHW In Progress
6
Personnel Protective Equipment ( PPE ) Section / Regulation YES NO N/A REMARKS
6.1 BOWEC Reg 13, 14, 15,
Provided and Recorded Recorded and kept in File
24
7
Machinery Safety Section / Regulation YES NO N/A REMARKS
7.1 Certificate Of Fitness
FMA Sec 19
( PMA / PMT ) Done (attachment 6)
7.2 Inspection / Maintenance
OSHA Sec 15(2)(a) Done (attachment 7)
Record
7.3 Safety Operation Procedure
OSHA Sec 15(2)(a) Done
For Machine
9
Scaffolding Section / Regulation YES NO N/A REMARKS
9.1 Calculation And Design
BOWEC Reg 75 -
Drawing By P.E / K.P
9.2 Installation According to the
BOWEC Reg 75(1) -
Design Specification
9.3 Inspection & Organization by
BOWEC Reg 73, 74, & 85 -
Competent Person
10
Formwork Section / Regulation YES NO N/A REMARKS
10.1 Calculation And Design
BOWEC Reg 3094)
Drawing By P.E / K.P
10.2 Inspection & Control By
BOWEC Reg 29
Competent Person.
10.3 Formwork Stepping
BOWEC Reg 31(1)
Approved By P.E.
10.4

11
Working At Height Regulation YES NO N/A REMARKS
11.1 Assessment On The Works /
OSHA Sec 15(20)(b)
Working Procedure/HIRARC/JSA
11.2
Supervision And Training OSHA Sec 15(2)( c )
11.3
Flagman Training OSHA Sec 15(2)( c )

1. PROGRAM PERFORMED AND CONDUCTED TO ENSURE HEALTHY AND SAFE WORKING ENVIRONMENT
AT SITE.
NO METHOD ACTION
1. Work Area Safety  To be planned as work is still in preliminary stage.
Audit.
3. Taklimat Keselamatan  Form : Activity should be recorded and photos taken.
untuk pekerja baru.
4. PPE Handing Over And  Activity still ongoing and new PPE issued to New Workers induced.
Distribution  Form: briefed, explained and understood by the workers. Kept in SAFETY FILE.
5. Toolbox Talk  Planned to be Conducted once A Week. (attachment 8)

Page 5 of 32
 6. OSH Comittee.  N/a

7. Crane and Lifting Work  Done

Inspection.

8. Scaffolding Erection.  N/A

9. Fire Hazard Control  To be planned

10. First Aider  N/A

11. JSA/HIRARC  Refer table 1.1

12 Miscellaneous  To Be Planned

1.1 (No. 11 – Hirarc)

No. Type of work Date

1 General 3/1/2022
2 Temporary Bridge 7/3/2022
3 Demolition, site clearance, earthwork 10/3/2022
4 Bore pile 9/5/2022

2. LOST TIME STATISTIC AND INJURY WITHOUT LOSS TIME RECORDS. (Period 16 MEI 23 - 15 JUNE 23)
HSE STATISTIC JUNE 2023

DESCRIPTION MEI 2023 JUNE 2023 ACCUMULATIVE

Total Working Days (14) Days (14) Days 333 Days

Total Manpower 8 Workers 6 Workers 10 Workers

Total Man Hours Worked 560 Hours 560 Hours 22,224 Hours

Total Man Hours Worked Without LTI 896 Hours 672 Hours 23,792 Hours

LTI (Loss time injury) 0 0 0

Last Recorded Safe Man Hours Work 896 Hours 672 Hours 23,792 Hours

FAC (first aid case) 0 0 0

RWC (Restricted Work Case) 0 0 0
MTC (Medical Treatment Case) 0 0 0
Near Miss 0 0 0
Property Damage 0 0 0
Spill 0 0 0
Fire & Explosion 0 0 0
Accident of dangerous occurrence 0 0 0
Dangerous occurrence
0 0 0
Occupational disease
0 0 0
Occupational poisoning
0 0 0
HSE Committee Meeting 0 0 0
Audit / Inspection 0 0 0
Mass Tool Box Briefing / Meeting 0 0 0
HSE Alert 0 0 0
Total days lost 0 0 0
Total Number Of Safe Working Days /
Free From Accident 14 Days 14 Days 361 Days
 MACHINERY SUMMARY
DESCRIPTION MEI 2023 JUNE 2023 REMARKS
Excavator 1 1 Refer attachment 6
Dump Truck 0 0
Backhoe 0 0
Crane 0 0
3Tonne Lorry 1 1 Refer attachment 6
Pile Rig Machine 0 0
Concrete Mixer 0 0
Roller Compactor 1 1 Refer attachment 6
Skylift 0 0
Mini Compactor 0 0
Soil Drill 0 0
Lorry 10 tyre 0 0
Welding Compressor 1 1 Refer attachment 6
Breaker 0 0
Total 0 0

3. MACHINE, VEHICLES, PARTS, TOOLS, MATERIAL AND PROCESS OR WORKING METHODS WHICH
COULD CAUSE INJURY TO WOKERS OR ANY OTHER PERSONNEL USED AT SITE SUMMARY
RECORDS.

No ITEMS DETAILS/ACTION TAKEN

1. Earth Moving - N/A
Equipment

4. PERSONNEL PROTECTIVE EQUIPTMENT TO REDUCE RISKS WHICH COULD CAUSE BODY INJURY TO
ANY PERSONNEL OR WORKERS AT SITE RECORD SUMMARY.

No ITEMS RECOMMENDATION/ACTION TAKEN

1. Safety Helmet - All Workers has been provided the safety helmet.

2. Safety Shoes - All Workers has been provided the safety shoes

3. Reflector Vast. - All Workers has been provided the reflector vast

Page 7 of 32
5. SHO/SSS OPPORTUNITY FOR IMPROVEMENT TO ANY SUBSTITUTION TO ANY STRUCTURE OR
WORKING AREA ARRANGEMENT FOR IMPROVED AND HEALTHY WORKING ENVIRONMENT.

No ITEMS RECOMMENDATION/ACTION TAKEN

1. Competent - N/A
Scaffolder
2. P.E Drawing - N/A

3 Scaffolder Inspector - N/A

4 Statutory Body - N/A

Permit
5 Work Permit Issued - Available

6 Summon - N/A

5.5 Permit To Work

No. Work Activity Date

1 Site Clearing 22/2/2022

2 Temporary Bridge 27/3/2022

ATTACHMENT 1 : POLISI KESELAMATAN
SODSB

Page 9 of 32
ATTACHMENT 2 : CARTA ORGANISASI
KESELAMATAN

Page 11 of 32
CARTA ORGANISASI BAHAGIAN KESELAMATAN DAN KESIHATAN PEKERJA
(SIGMA ONE DEVELOPMENT SDN BHD)

PENGERUSI
(MOHD YAZID BIN YAHAYA)

SETIAUSAHA
(MUHD KHUDHAIRI BIN ABD MUBIN)

WAKIL PEKERJA

WAKIL MAJIKAN
1) RAMLI BIN ABDULLAH
2) AZREENOOR ATIEQAH BINTI ABD
1) ANIS AQILAH BINTI MURBA
MANAB
 ATTACHMENT 3 : JADUAL AKTIVITI
TAHUNAN/BULANAN BHG.KESELAMATAN
 No. Dokumen : JKR.PK(P).14-1
PROSEDUR No. Keluaran : 07
PROGRAM PENGURUSAN ALAM SEKITAR, KESELAMATAN DAN No. Pindaan : 00
KESIHATAN PEKERJAAN SERTA PENGURUSAN TENAGA Tarikh : 14 January 2022
JKR MALAYSIA Muka Surat :1/1

BORANG PROGRAM KESELAMATAN KESIHATAN PEKERJAAN

OBJEKTIF Pematuhan Keselamatan Dan Kesihatan di Tempat Kerja (OSHA 1994 & FMA 1967)

SASARAN Memastikan setiap program yang dijalankan mengikut kehendak Akta Keselamatan Dan Kesihatan Pekerjaan

PROGRAM Program kesedaran keselamatan dan kesihatan di tempat kerja

TAHUN 2023 PEGAWAI

NO. AKTIVITI
BERTANGGUN CATATAN
G JAWAB
JAN FEB MAC APR MEI JUN JUL OGS SEP OKT NOV DIS

1. Induksi pekerja / / / / / / / / / / / / Jadual SSS

/ Sebenar
2. Self-Swab Test (Pemeriksaan / / / / / / / / / / / / Jadual Kontraktor
Kendiri)
Sebenar
3. Latihan kebakaran / / / / Jadual SSS
Sebenar
4 Taklimat keselamatan (Toolbox / / / / / / / / / / / / Jadual SSS
Meeting) / / / / / Sebenar
5 Gotong-Royong / / / / / / / Jadual SSS/Kontraktor
/ Sebenar
6 Walkabout / / / / / / / / / / / / Jadual SSS
Sebenar
 7 Mesyuarat Keselamatan / / / / Jadual SSS
Sebenar
8 Larvaciding / / / / / / / / / / / / / Jadual SSS
Sebenar

9 Fogging / / / / / / / / / / / / Jadual Kontraktor

Sebenar
10 Latihan First Aider / / Jadual First Aider
Sebenar
Jadual
Sebenar
Jadual
Sebenar
Jadual
Sebenar

Disediakan Oleh: Diluluskan Oleh:

Tandatangan: Tandatangan:
Nama dan Cap: Nama dan Cap:
Tarikh: Tarikh:
(PDT – bagi program JKR) (PB/KUB/WPD/PP/WPP - bagi program JKR)
(PKT – bagi program kontraktor) (Pengurus Projek – bagi program kontraktor

@ HAKCIPTA JKR MALAYSIA

Page 15 of 32
ATTACHMENT 4 : CIDB PEKERJA SODSB
NO NAMA KAD TARIKH JAWATAN
PENGENALAN LUPUT KERJA
1 MUHD KHUDHAIRI MUBIN 911026-14-6241 26/10/2025 PENYELIA
KESELAMATAN
TAPAK

2 ANIS AQILAH BINTI MURBA 961226-23-5156 26/12/2023 JURUTERA

PROJEK

3 GANESEN A/L KRISHNAN 860325-23-5845 25/03/2025 LOGISTIK

4 HAMZAH BIN ALI 631101-01-5713 01/11/2023 PENYELIA

KESELAMATAN
TRAFIK

5 AZREENOOR ATIEQAH BINTI ABD 900908-04-5190 08/09/2024 JURUTERA QAQC

MANAB
6 THANGGAVEL 800620-01-6165 20/06/2024 PEKERJA AM

7 VADIVELU A/L SUBBIAH 630825-01-5845 25/08/2023 PEKERJA AM

8 KUMAR A/L PACHIAPPAN 750508-01-6795 08/05/2024 PEKERJA AM

9 MANOGRAN A/L SUBRAMANIAM 601103015875 3/11/2023 PEKERJA AM

Page 17 of 32
ATTACHMENT 5 : SURAT SALINAN TMP
Page 19 of 32
ATTACHMENT 6 : SENARAI JENTERA DAN
PEKERJA (BULANAN)
ATTACHMENT 7 : AKTIVITI KERJA
KERJA-KERJA DILAKUKAN
MELAKUKAN
TOOLBOX MEETING
 MELAKUKAN
PEMERIKSAAN KE
ATAS EXCAVATOR
SETIAP BULAN

PLUG DALAM
KEADAAN BAIK
DIGUNAKAN

Page 25 of 32
 KEMAS SAMPAH-
SAMPAH YANG ADA

MEMERIKSA ROLLER
COMPACTOR

MEMERIKSA LORI 3
TAN
 PEMERIKSAAN
GENSET DAN SET
WELDING SEBELUM
KERJA MEMBAIKI
JAMBATAN

MELAKUKAN LATIHAN
INDUKSI KEPADA
PEKERJA-PEKERJA
JKR.

Page 27 of 32
PEMERIKSAAN JALAN
SEMENTARA DALAM
KEADAAN SEMPURNA
 HEALTH & SAFETY
SIGMA ONE DEVELOPMENT MANAGEMENT SYSTEM
SDN BHD TOOLBOX RECORD Page 29 of 1
HSE-FORM NO.-REV.

PROJECT: MENGGANTIKAN JAMBATAN FT023/03813, TANGKAK HSE-F204-10

Location : SITE AREA

Date/Time : 30/6/2023 (SELASA) Time : 9.00 AM
Contractor : SODSB

SUBJECT DISCUSSED Tick on the subject briefed

1 Kesihatan Dan Keselamatan Tapak Am / Persekitaran Kerja 23 Ruang Terhad/Tertutup (Confined Spaces)
2 Isu HSE Terkini– Kemalangan / Near Miss / Peraturan / Law / 24 Perancah (pelbagai jenis) dan Tangga
OHSAS / etc
3 Kesihatan Diri – Alkohol / Dadah / Rokok/ Hygiene / First Aid / 25 House Keeping / Simpanan & Susunan Barang / Alat
Fitness
4 Peralatan Keselamatan Diri / PPE 26 Servis Tertanam (Buried Services)
5 Kenalpasti Bahaya & Mengurus Risiko / HIRARC 27 Bekerja di Tempat Tinggi – Bumbung / Platform / etc
6 Pencegahan, Kawalan dan Laporan Kemalangan / NADOPOD 28 Kerja Cerucuk
7 Persediaan Kecemasan / ERP - Kebakaran / Kemalangan / etc 29 Peralatan Tangan / Hand tools
8 Bekerja Atas atau Berdekatan Landasan Keretapi 30 Roda Kikisan (Abrasive Wheels)
9 Bekerja Berdekatan / di Jalanraya – Keselamatan Trafik 31 Alat Operasi Berkartus (Cartridge)
10 Bekerja di Atas Jambatan / Persekitaran Berair 32 Gergaji Rantai / Putar Mudah Alih
11 Bekerja Berdekatan Talian Kuasa / Struktur Halangan 33 Pengendalian Bahan Berbahaya / Labelling
12 Keselamatan Orang Awam / Penghuni Sekitar 34 Pengendalian Manual
13 Kerja Angkat / Angkatan Berat / Beam Launching /Gear Angkat 35 Keselamatan orang awam
14 Keselamatan Landasan Keretapi / Operasi Keretapi 36 Penjagaan Alam Sekitar Am/ Environmental
preservation
15 Keselamatan Servis – Fibre Optic / KTMB / TNB / JBA / etc 37 Pengurusan sisa berjadual / sisa industri / terbuang
16 Keselamatan & Operasi Loji / Mesin / Peralatan 38 Pendedahan berkaitan covid 19 ( kes terkini, statistic/
etc.
17 Korekan (Excavation) 39 Hazard pembukaan perancah ( dismantling scaffold)
18 Juru Signal (Signallers) Dan Juru Sling (Slingers)
19 Kimpalan / Hot Work – Gas / Elektrik 40 Covid-19 : SOP Terkini / Mysejahtera /
Vaksinasi/Self-swab test
20 Elektrik Di Tapak Bina – Pendawaian & Alatan
21 Pembinaan Jalanraya / Turapan (Roadwork) 41
22 Pemusnahan (Demolition) / Letupan (Blasting)

CONDUCTED BY : MUHAMMAD KHUDHAIRI BIN ABD Remark :

MUBIN
TITLE :
SITE SAFETY SUPERVISOR

SIGNATURE :

REVIEW BY :
TITLE :

Page 29 of 32
 HEALTH & SAFETY
SIGMA ONE DEVELOPMENT MANAGEMENT SYSTEM
SDN BHD TOOLBOX RECORD Page 30 of 1
HSE-FORM NO.-REV.

PROJECT: MENGGANTIKAN JAMBATAN FT023/03813, TANGKAK HSE-F204-10

Location : SITE AREA

Date/Time : 6/6/2023 SELASA) Time : 9.00 AM
Contractor : SODSB

SUBJECT DISCUSSED Tick on the subject briefed

1 Kesihatan Dan Keselamatan Tapak Am / Persekitaran Kerja 23 Ruang Terhad/Tertutup (Confined Spaces)
2 Isu HSE Terkini– Kemalangan / Near Miss / Peraturan / Law / 24 Perancah (pelbagai jenis) dan Tangga
OHSAS / etc
3 Kesihatan Diri – Alkohol / Dadah / Rokok/ Hygiene / First Aid / 25 House Keeping / Simpanan & Susunan Barang / Alat
Fitness
4 Peralatan Keselamatan Diri / PPE 26 Servis Tertanam (Buried Services)
5 Kenalpasti Bahaya & Mengurus Risiko / HIRARC 27 Bekerja di Tempat Tinggi – Bumbung / Platform / etc
6 Pencegahan, Kawalan dan Laporan Kemalangan / NADOPOD 28 Kerja Cerucuk
7 Persediaan Kecemasan / ERP - Kebakaran / Kemalangan / etc 29 Peralatan Tangan / Hand tools
8 Bekerja Atas atau Berdekatan Landasan Keretapi 30 Roda Kikisan (Abrasive Wheels)
9 Bekerja Berdekatan / di Jalanraya – Keselamatan Trafik 31 Alat Operasi Berkartus (Cartridge)
10 Bekerja di Atas Jambatan / Persekitaran Berair 32 Gergaji Rantai / Putar Mudah Alih
11 Bekerja Berdekatan Talian Kuasa / Struktur Halangan 33 Pengendalian Bahan Berbahaya / Labelling
12 Keselamatan Orang Awam / Penghuni Sekitar 34 Pengendalian Manual
13 Kerja Angkat / Angkatan Berat / Beam Launching /Gear Angkat 35 Keselamatan orang awam
14 Keselamatan Landasan Keretapi / Operasi Keretapi 36 Penjagaan Alam Sekitar Am/ Environmental
preservation
15 Keselamatan Servis – Fibre Optic / KTMB / TNB / JBA / etc 37 Pengurusan sisa berjadual / sisa industri / terbuang
16 Keselamatan & Operasi Loji / Mesin / Peralatan 38 Pendedahan berkaitan covid 19 ( kes terkini, statistic/
etc.
17 Korekan (Excavation) 39 Hazard pembukaan perancah ( dismantling scaffold)
18 Juru Signal (Signallers) Dan Juru Sling (Slingers)
19 Kimpalan / Hot Work – Gas / Elektrik 40 Covid-19 : SOP Terkini / Mysejahtera /
Vaksinasi/Self-swab test
20 Elektrik Di Tapak Bina – Pendawaian & Alatan
21 Pembinaan Jalanraya / Turapan (Roadwork) 41
22 Pemusnahan (Demolition) / Letupan (Blasting)

CONDUCTED BY : MUHAMMAD KHUDHAIRI BIN ABD Remark :

MUBIN
TITLE :
SITE SAFETY SUPERVISOR

SIGNATURE :

REVIEW BY :
TITLE :
 HEALTH & SAFETY
SIGMA ONE DEVELOPMENT MANAGEMENT SYSTEM
SDN BHD TOOLBOX RECORD Page 31 of 1
HSE-FORM NO.-REV.

PROJECT: MENGGANTIKAN JAMBATAN FT023/03813, TANGKAK HSE-F204-10

Location : SITE AREA

Date/Time : 13/6/2023 SELASA) Time : 9.00 AM
Contractor : SODSB

SUBJECT DISCUSSED Tick on the subject briefed

1 Kesihatan Dan Keselamatan Tapak Am / Persekitaran Kerja 23 Ruang Terhad/Tertutup (Confined Spaces)
2 Isu HSE Terkini– Kemalangan / Near Miss / Peraturan / Law / 24 Perancah (pelbagai jenis) dan Tangga
OHSAS / etc
3 Kesihatan Diri – Alkohol / Dadah / Rokok/ Hygiene / First Aid / 25 House Keeping / Simpanan & Susunan Barang / Alat
Fitness
4 Peralatan Keselamatan Diri / PPE 26 Servis Tertanam (Buried Services)
5 Kenalpasti Bahaya & Mengurus Risiko / HIRARC 27 Bekerja di Tempat Tinggi – Bumbung / Platform / etc
6 Pencegahan, Kawalan dan Laporan Kemalangan / NADOPOD 28 Kerja Cerucuk
7 Persediaan Kecemasan / ERP - Kebakaran / Kemalangan / etc 29 Peralatan Tangan / Hand tools
8 Bekerja Atas atau Berdekatan Landasan Keretapi 30 Roda Kikisan (Abrasive Wheels)
9 Bekerja Berdekatan / di Jalanraya – Keselamatan Trafik 31 Alat Operasi Berkartus (Cartridge)
10 Bekerja di Atas Jambatan / Persekitaran Berair 32 Gergaji Rantai / Putar Mudah Alih
11 Bekerja Berdekatan Talian Kuasa / Struktur Halangan 33 Pengendalian Bahan Berbahaya / Labelling
12 Keselamatan Orang Awam / Penghuni Sekitar 34 Pengendalian Manual
13 Kerja Angkat / Angkatan Berat / Beam Launching /Gear Angkat 35 Keselamatan orang awam
14 Keselamatan Landasan Keretapi / Operasi Keretapi 36 Penjagaan Alam Sekitar Am/ Environmental
preservation
15 Keselamatan Servis – Fibre Optic / KTMB / TNB / JBA / etc 37 Pengurusan sisa berjadual / sisa industri / terbuang
16 Keselamatan & Operasi Loji / Mesin / Peralatan 38 Pendedahan berkaitan covid 19 ( kes terkini, statistic/
etc.
17 Korekan (Excavation) 39 Hazard pembukaan perancah ( dismantling scaffold)
18 Juru Signal (Signallers) Dan Juru Sling (Slingers)
19 Kimpalan / Hot Work – Gas / Elektrik 40 Covid-19 : SOP Terkini / Mysejahtera /
Vaksinasi/Self-swab test
20 Elektrik Di Tapak Bina – Pendawaian & Alatan
21 Pembinaan Jalanraya / Turapan (Roadwork) 41
22 Pemusnahan (Demolition) / Letupan (Blasting)

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