PT.

INCO POMALAA PROJECT

MONTH : JUNE YEAR 2006
NO WEEK
ACCIDENT CLASSIFICATION TOTAL REMARK
. 22 23 24 25 26
Vehicle
accident which
1 NEARMISS INCIDENT - - - - - 0
caused First Aid
Case
2 FIRST AID CASE - - - - 1 1
3 MEDICAL AID CASE - - - - - 0
4 MODIFIED WORK - - - - - 0
5 DISABLING INJURY - - - - - 0
6 FATALITY - - - - - 0
Dump Truck CT.
6 VEHICLE ACCIDENT - - - - 1 1 9070 laid on its
side
7 PROPERTY DAMAGE - - - - - 0
TOTAL 0 0 0 0 2 2
PT. INCO POMALAA PROJECT
MONTH : JUNE YEAR 2006
NO WEEK TOTA
NATURE OF INJURY REMARK
. 22 23 24 25 26 L
1 Luka gores (kecil) - Abration - - - - - 0
2 Luka memar/ lebam - Contusion/Bruise - - - - - 0
3 Luka robek - Laceration - - - - 1 1
4 Luka tusuk - Puncture wound - - - - - 0
5 Luka bakar - Burns - - - - - 0
6 Amputasi - Amputation - - - - - 0
Patah/retak tulang - Broken/fracture
7 - - - - - 0
bone
8 Keseleo - Dislocation/strain/sprain - - - - - 0
Luka dalam - Internal injury
9 - - - - - 0
(suspected)
Rasa sakit dada - Pain, including chest
10 - - - - - 0
pain
Pernapasan/keracunan gas - Respiratory
11 - - - - - 0
including gas poisoning
Debu/merah di mata - F/B eye injury,
12 - - - - - 0
conjunctivities/corneal burn
Gabungan beberapa cedera - Multiple
13 - - - - - 0
injuries
15 Cedera lain - unclassified injury - - - - - 0
TOTAL 0 0 0 0 1 1
PT. INCO POMALAA PROJECT
MONTH : JUNE YEAR 2006

NO WEEK TOTA
PART OF BODY REMARK
. 22 23 24 25 26 L

A HEAD/KEPALA
A.1 Face/Muka - - - - - 0
A.2 Eye/Mata - - - - - 0
A.3 Ear/Telinga - - - - - 0
A.4 Nose/Hidung - - - - - 0
A.5 Mouth/Mulut - - - - - 0
A.6 Teeth/Gigi - - - - - 0
A.7 Lips/Bibir - - - - - 0
A.8 Chin/Dagu - - - - - 0
A.9 Neck/Leher - - - - - 0
A.1
Head/Kepala - - - - - 0
0
B BODY/BADAN
B.1 Chest/Dada - - - - - 0
B.2 Shoulder/Bahu - - - - - 0
B.3 Abdomen/Perut - - - - - 0
B.4 Loin/Pinggang - - - - - 0
B.5 Hips/Pinggul - - - - - 0
B.6 Back/Punggul - - - - - 0
C
C.1 Elbow/Siku - - - - 1 1
C.2 Fingers/Jari-jari - - - - - 0
Palm, back of hand/Telapan,
C.3 - - - - - 0
punggung tangan
C.4 Lower arm/Lengan bawah - - - - - 0
C.5 Upper arm/Lengan atas - - - - - 0
C.6 Wrist/Pergelangan tangan - - - - - 0
D LEG/KAKI
D.1 Groin/Sendi paha - - - - - 0
D.2 Thigh/Paha - - - - - 0
D.3 Knee/Lutut - - - - - 0
D.4 Shin bone/Tulang kering - - - - - 0
D.5 Calf/Betis - - - - - 0
D.6 Ankle/Pergelangan kaki - - - - - 0
Foot/Punggung, telapak kaki &
D.7 - - - - - 0
tumit
D.8 Toe/Jari-jari kaki - - - - - 0
MULTIPLE/LEBIH DARI SATU
E
BAGIAN TUBUH
TOTAL 0 0 0 1 1
PT. INCO POMALAA PROJECT
MONTH : JUNE YEAR 2006
NO WEEK TOTA
NATURE OF INJURY REMARK
. 22 23 24 25 26 L
Elbow struck
against
glass
1 Menabrak pada - Struck against - - - - 1 1
window of
Dump Truck
CT 9070
2 Tertabrak oleh - Struck by - - - - - 0
3 Jatuh pada level yang sama - Fall on same level - - - - - 0
4 Jatuh dari ketinggian - Fall from elevation - - - - - 0
5 Terperangkap - Caught in pinch and nip point - - - - - 0
6 Tersangkut - Caught on, snag, hug - - - - - 0
7 Kontak dengan Listrik - Electric contact - - - - - 0
Kontak dengan panas/dingin - Heat/cold
8 - - - - - 0
contact
9 Kontak dengan radiasi - Radiation contact - - - - - 0
Kontak dengan B3 - Hazardous substance
10 - - - - - 0
contact
11 Kontak dengan kebisingan - Noise contact - - - - - 0

12 Kontak dengan biologis - Biologic contact - - - - - 0

Ketegangan yang berlebihan (ergonomi,

13 pemaparan/pembebanan yang berlebihan) - - - - - - 0
Stress (ergonomy, over load and exposure)
TOTAL 0 0 0 0 0 0
``
PT. INCO POMALAA PROJECT
MONTH: JUNE 2006
WEEK
NO COMPANY TOTAL REMARKS
22 23 24 25 26
1 PT. INCO 216 232 256 360 360 1424
2 PT. INGOLD 2795 2707 2685 2859 3092 14138
3 PT. SULTRA JEMBATAN MAS 9000 9737 10186 9897 9448 48268
4 PT. PMS 1666 1708 1701 1568 1568 8211
5 CV. INDRA 1980 2040 2040 1980 1650 9690
5 PT. SSB 1098 792 1240 1272 1488 5890
6 OTHER CONTRACTORS 812 1120 1232 1096 208 4468
TOTAL 17567 18336 19340 19032 17814 92089 92089

YEAR TO DATE (FROM 2006) 339,820 339820 92089

431909
YEAR TO DATE (FROM 2005) 671,962
TOTAL WORKING HOUR FROM 2005 UP TO JUNE 2006 671.962 + 92089 764051
MONTH : JUNE 2006
PT. INGOLD PT. SJM PT. PMS CV. INDRA/SSU PT. SSB
NO CLASSIFICATION TOTAL
22 23 24 25 26 22 23 24 25 26 22 23 24 25 26 22 23 24 25 26 22 23 24 25 26

1 NEARMISS INCIDENT - - - - - - - - - - - - - - - - - - - - - - - - - 0
2 FIRST AID CASE - - - - - - - - - 1 - - - - - - - - - - - - - - - 1
3 MEDICAL AID CASE - - - - - - - - - - - - - - - - - - - - - - - - - 0
5 DISABLING INJURY - - - - - - - - - - - - - - - - - - - - - - - - - 0
6 FATALITY - - - - - - - - - - - - - - - - - - - - - - - - - 0
6 VEHICLE ACCIDENT - - - - - - - - - 1 - - - - - - - - - - - - - - - 1
7 PROPERTY DAMAGE - - - - - - - - - - - - - - - - - - - - - - - - - 0
TOTAL 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2