DAILY HSE PERFORMANCE REPORT
PROJECT NAME : Penyiapan Lokasi Pemboran, Flowline, dan Pekerjaan Lainnya RK 2021-2022
AREA : PHR REGION 1 ZONA 4
Day/ Date : Senin, 5 Juli 2021
Cuaca : Cerah
No.of No. of Operating
No. of Manpower No.of Vehicle Km Driven
Manhours Equipment Hours
Nama Perusahaan (Jumlah
(Jumlah jam Jumlah jarak Jumlah (Jumlah jam
(Jumlah Pekerja) kerja) kendaraan tempuh Equipment kerja)
ringan)
PT. PMC 5 40 2 90 0 0
PT. RJA (BN 20.6) 14 112 1 45 2 13
PT. RJA (BN20.3) 5 40 2 136 1 7
PT. JAP 0 0 0 0 0 0
JKS hari ini 24 192 5 271 3 20
JKS sebelumnya 0 0 0 0 0 0
JKS Kumulatif 29 232 7 407 4 27
Today Prev. Up to Date
No Lagging Indicator RJA (BN RJA RJA (BN RJA RJA (BN RJA
PMC 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3) JAP DZ7
1 No. of Fatality Case's 1 1 1 0 3 0 0 0 0 0 0 0 0 0
2 No. of Lost Time Incident (LTI) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 No. of Restricted Work Case (RWC) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
No. of Medical Treatment Case
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0
(MTC)
5 No. of First Aid 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 No. of Near-Miss Incident 1 1 1 0 3 0 0 0 0 0 0 0 0 0
7 No. of Environment Pollution 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 No. of Property Damage 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Motor-Vehicle Accident (MVC) 1 1 1 0 3 0 0 0 0 0 0 0 0 0
10 Equipment & Tool Accident (ETA) 1 1 1 0 3 0 0 0 0 0 0 0 0 0
11 Security Incident 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Remarks:
Injury Formula No. of Injury (TRI/LTI) X 200.000
Total manhours
MVC Formula No. of MVC X 1.000.000 X 1,6093
Total KMs Driven
Equipment Incident Formula =
No. of ETA X 100.000
Total Operating Hours
1 Miles = 1,6093 Km
Today Prev. Up to Date
No Leading Indicator RJA (BN RJA RJA (BN RJA RJA (BN RJA
PBAS 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3) JAP DZ7 Cum. PBAS 20.6) (BN20.3)
1 Toolbox Meeting 1 1 1 0 3 0 0 0 0 0 0 0 0
2 HSE Monthly Meeting 0 0 0 0 0 0 0 0 0 0 0 0 0
3 HSE Induction 0 0 0 0 0 0 0 0 0 0 0 0 0
4 HSE Training 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Drill 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Safety Patrol 1 1 1 0 3 0 0 0 0 0 0 0 0
7 Management Walk Trought 0 0 0 0 0 0 0 0 0 0 0 0 0
8 HSE Audit 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Safety Alert 1 1 1 0 3 0 0 0 0 0 0 0 0
10 Equipment/Tools Inspection 1 1 1 0 3 0 0 0 0 0 0 0 0
11 Meeting Koordinasi 0 0 0 0 0 0 0 0 0 0 0 0 0
12 SIKA 1 1 1 0 3 0 0 0 0 0 0 0 0
13 JSA 2 2 2 0 6 0 0 0 0 0 0 0 0
14 HSE Reward 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Warning Letter 0 0 0 0 0 0 0 0 0 0 0 0 0
Cum.
0
0
0
0
0
0
0
0
0
0
0
e
JAP DZ7 Cum.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0