PT EMPORIUM

HSE WEEKLY REPORT

PT EMPORIUM

PROYEK PROJECT : BANDARA DHOHO

LOKASI SITE : KEDIRI JAWA TIMUR

Nama/name Tanda Tangan/sign

Dilaporkan oleh : Meilinisa R

Disetujui : Sholihin
 WEEKLY HSE REPORT

Period : 29 Nov - 5 Des 2023

Project : Airpot International Surya Dhoho Kediri
THIS WEEK
Days Wed Thurs Fri Sat Sun Mon Tues THIS LAST
TOTAL
Description Date 29 30 1 2 3 4 5 WEEKS WEEKS
Month Nov Nov Des Des Des Des Des

MAN POWER AND MAN HOURS (NORMAL)

1 Number of Staff Office Employee 7 7 7 6 2 7 7 43 2287 2,330
2 Number of Worker Employee 3 4 10 9 9 6 11 52 2920 2,972
3 Total Number of All Workers 10 11 17 15 11 13 18 95 5,226 5,321
4 Number of Man-Hours Worked 90 99 153 135 99 117 162 855 28,846 29,701

MAN POWER AND MAN HOURS (OVER TIME)

1 Number of Staff Office Employee (OT) 2 0 0 0 0 0 0 2 268 270
2 Number of Worker Employee (OT) 3 0 0 0 0 0 0 3 1247 1250
3 Total Number of All Workers (OT) 5 0 0 0 0 0 0 5 1509 1,514
4 Number of Man-Hours Worked (OT) 5 0 0 0 0 0 0 5 309 314
5 Total Number of Man Hours Workers (OT) 0 25 0 0 0 0 0 0 25 4323 4,348
6 Total Man hours this week (normal + over time) 880 9,286 10,166

LAGGING INDICATOR
1 FATALITY 0 0 0 0 0 0 0 0 0 0
2 LOST TIME INJURY 0 0 0 0 0 0 0 0 0 0
3 MEDICAL TREATMENT CASE 0 0 0 0 0 0 0 0 0 0
4 FIRST AID CASE 0 0 0 0 0 0 0 0 0 0
5 NEAR MISS 0 0 0 0 0 0 0 0 0 0

LEADING INDICATOR
A ADMINISTRATIF HSE
1 JSA 0 0 0 0 0 0 0 0 6 6
2 WORK PERMIT 1 1 1 1 1 1 1 7 227 234
3 RISK ASSESMENT 0 0 0 0 0 0 0 0 0 0
4 LIFTING PLAN 0 0 0 0 0 0 0 0 0 0
5 WEEKLY REPORT 0 0 0 0 0 0 1 1 33 34
6 SAFETY SIGN 1 1 1 1 1 1 1 7 175 182

B PERSONIL
1 HSE INDUCTION 0 0 6 0 0 0 0 6 110 116
2 PPE Mandatory 1 1 1 1 1 1 1 7 173 180
3 TRAINING 0 0 0 0 0 0 0 0 3 3
4 ID BADGE 1 1 1 1 1 1 1 7 166 173
5 SIO OPERATOR 0 0 0 0 0 0 0 0 0 0

C EQUIPMENT
1 EQUIPMENT CERTIFICATE 0 0 0 0 0 0 0 0 0 0
2 INSPECTION ELECTRICAL HAND TOOL 0 0 0 0 0 0 0 0 0 0

D ENVIRONMENTAL
1 HOUSE KEEPING 1 1 1 1 1 1 1 7 176 183
2 GENERAL HOUSE KEEPING (WG) 0 0 0 0 0 0 0 0 163 163
3 WASTE BIN 0 0 0 0 0 0 0 0 167 167
4 INSPECTION K3L 1 1 1 1 1 1 1 7 168 175
5 B3 ARRANGEMENT (WG) 0 0 0 0 0 0 0 0 0 0

E HEALTH
1 MCU 0 0 0 0 0 0 0 0 0 0
2 FIT TEST 0 0 0 0 0 0 0 0 96 96
3 SWAP TEST 0 0 0 0 0 0 0 0 0 0

F HSE COMMUNICATION
1 TOOLBOX MEETING 1 1 1 1 1 1 1 7 256 263
2 WEEKLY EXTERNAL MEETING 0 0 0 0 0 0 0 0 26 26
3 SAFETY MORNING TALK (WG) 0 0 0 0 0 0 0 0 137 137
4 SAFETY MEETING INTERNAL 0 0 0 0 0 0 0 0 135 135

G OPERATIONAL CONTROL
1 SAFETY PATROL 0 0 0 0 0 0 0 0 27 27
2 INSPECTION SITE CONTROL 1 1 1 1 1 1 1 7 20 27
 PHOTOS REPORT

Safety Morning Talk General by WG Inspeksi Alat Kerja by PT. Kandu dan PT. Emporium

Safety Induction Pekerja Baru by PT. Kandu dan PT. Emporium Safety Induction Pekerja Baru by PT. Kandu dan PT. Emporium

Toolbox Meeting Internal PT Emporium Toolbox Meeting Internal PT Emporium

Permit Izin Kerja Pengawasan Pekerja

PREPARED BY ACKNOWLEDGE BY REVIEW BY SIGNATURE

Meilinisa R STEPH HSE

SAFETY OFFICER SITE SUPERVISOR PT.KANDU
 COMPANY : PT Emporium
LEADING AND LAGGING INDICATORS REPORT
PERIOD : 29 Nov - 5 Des 2023

THIS LAST LAST

LEADING INDICATORS WEEK'S WEEK'S
TOTAL LAGGING INDICATORS THIS WEEK'S
WEEK'S
TOTAL

Toolbox Meeting 7 301 308 Working Hours 122 5168 5290

HSE Training 0 3 3 Number of Workers 14 5443 5457
HSE Induction 6 112 118 Fatality 0
Daily Observation Report 7 203 210 Medical Treatment Cases 0
Heavy Equipment Inspection 0 First Aid Cases 0
Light Vehicle inspection 0 Incidents resulting in Loss or Damage 0
Emergeny Drill 0 Restricted Work Case Incidents 0
Safety Meeting 7 155 162 Loss Time Injury 0
Equipment Inspection 0 Nearmiss 0
SHE Talk 0 30 30 Unsafe Action /Unsafe Condition 0
Autority To Work 0 Contruction Equipment Incident 0
Job Hazard Analysis 0 Fires or Explosions 0
Safety Violation Report 0
Site Memo 0
Safety Patrol 0 29 29
Reward And Punishment 0
Scaffolding inspection 0
Electrical & power tools 0
Worker Barack inspection 0
Fire Extinguisher Check 0
SHE Morning talk 0 109 109
Fogging 0
Toilet Inspection 0
First Aid Box Monitoring 0
Drug and Alcohol 0
Project Access road watering 0
Security Post Inspection 0
Housekeeping Check 7 189 196
Waste Disposal to landfill 0
Light Intensity measurement 0
Dust Intensity measurement 0
Ambient Temperature 0
Noise Measurement 0
Hazardous Material Monitoring 0
Waste Segregation Inspection 0
Pressurize gas cylinder inspection 0
Gas detection 0
Fit to work (swab corona virus) 0 96 96
FBH Inspection 0