PT.

HH Utama International
PECIKO 4 / EPSC-3 Project
PLI - Total - Senipah

PT. CIPTA KRIDATAMA Department :

Safety, Health & Environment
Document Title : Document No. :
MINUTES OF MEETING CK - 009

Type Meeting : Pre-Start Safety Briefing Meeting No. :

Chairman : Date :

Guest Speaker : Time :

Main Topic : Place :

Meeting Action
Discussion
By
No.

Prepared by: Acknowledged By:

PT. HH Utama International
PECIKO 4 / EPSC-3 Project
PLI - Total - Senipah

Muhammad Ulia
SHE Coordinator
 PT. HH Utama International
PECIKO 4 / EPSC-3 Project
PLI - Total - Senipah

WEEKLY SAFETY REPORT

KIDECO SITE

WEEK NUMBER : FROM : TO :

CONTRACTOR NAME : KIDECO

PT. CIPTA KRIDATAMA

DESCRIPTION OVERSEA'S NATIONAL PERSONNEL GROSS TOTAL

TOTAL MANPOWER
WEEKLY MANHOURS (This week)
CUMUL ( To date )

WEEKLY NLTA
CUMUL

WEEKLY LTA
CUMUL

WEEKLY MEDICAL CASES

CUMUL

WEEKLY "NEARMISS"
CUMUL

WEEKLY HAZOB / ANOMALY

CUMUL

SUMMARY OF ACCIDENT AND INCIDENT / NEARMISS

DATE SUBJECT

Prepared and Approved by : Muhammad Ulia

SHE Coordinator
PT. SAPTAINDRA SEJATI

Department :
PT. SAPTAINDRA SEJATI
Safety, Health & Environment
Document Title : Report No. :
DAILY ACTIVITY REPORT
DATE :
JOB SITE / LOCATION :
REPORTED BY :

A. REPORT DETAILS :

B. DESCRIPTION OF UNSAFE PRACTICES / CONDITION:

C. ACTION TAKEN TO IMPROVE SUBSTANDARD PRACTICE / CONDITION:

D. DAILY PERSONNEL STRENGTH ON DUTY :

1. Expatriate :
2. National :
Total Manpower to date : Checked / Approved By:
PT. SAPTAINDRA SEJATI