PT.
INCO POMALAA PROJECT
MONTH : JANUARY YEAR 2007
NO WEEK
ACCIDENT CLASSIFICATION TOTAL REMARK
. 48 49 50 51 52
1 NEARMISS INCIDENT - - - - - 0
2 FIRST AID CASE - - - - - 0
3 MEDICAL AID CASE - - - - - 0
4 MODIFIED WORK - - - - - 0
5 DISABLING INJURY - - - - - 0
6 FATALITY - - - - - 0
6 VEHICLE ACCIDENT - - - - - 0
7 PROPERTY DAMAGE - - - - - 0
TOTAL 0 0 0 0 0 0
PT. INCO POMALAA PROJECT
MONTH : JANUARY YEAR 2007
NO WEEK TOTA
NATURE OF INJURY REMARK
. 1 2 3 4 L
1 Luka gores (kecil) - Abration - - - - 0
2 Luka memar/ lebam - Contusion/Bruise - - - - 0
3 Luka robek - Laceration - - - - 0
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 0
PT. INCO POMALAA PROJECT
MONTH : JANUARY YEAR 2007
NO WEEK TOTA
PART OF BODY REMARK
. 1 2 3 4 L
A 41
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 - - - - 0
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 0 0
PT. INCO POMALAA PROJECT
MONTH : JANUARY YEAR 2007
NO WEEK TOTA
NATURE OF INJURY REMARK
. 1 2 3 4 L
1 Menabrak pada - Struck against - - - - 0
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
``
PT. INCO POMALAA PROJECT
MONTH: JANUARY 2007
WEEK
NO COMPANY TOTAL REMARKS
1 2 3 4
1 PT. INCO 256 328 288 312 1184
2 PT. INGOLD 2936 2864 2806 2812 11418
3 PT. SULTRA JEMBATAN MAS 8532 2806 8657 8599 28594
4 PT. PMS 1134 1134 1134 1134 4536
6 OTHER CONTRACTORS 544 544 536 544 2168
TOTAL 13402 7676 13421 13401 47900 47900
TOTAL WORKING HOUR FROM 2005 UP TO NOVEMBER 2006 1013786
TOTAL WORKING HOUR OF OCTOBER 47900
YEAR TO DATE WORKING MANHOUR 1061686
MONTH : JANUARY 2007
PTI/PT. INGOLD PT. SJM PT. PMS SSU PT. SSB OTHER CONTR.
NO CLASSIFICATION TOTAL
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
1 NEARMISS INCIDENT - - - - - - - - - - - - - - - - - - - - - - - - 0
2 FIRST AID CASE - - - - - - - - - - - - - - - - - - - - - - - - 0
3 MEDICAL AID CASE - - - - - - - - - - - - - - - - - - - - - - - - 0
5 DISABLING INJURY - - - - - - - - - - - - - - - - - - - - - - - - 0
6 FATALITY - - - - - - - - - - - - - - - - - - - - - - - - 0
6 VEHICLE ACCIDENT - - - - - - - - - - - - - - - - - - - - - - - - 0
7 PROPERTY DAMAGE - - - - - - - - - - - - - - - - - - - - - - - - 0
TOTAL 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