DAILY REPORT HSE

Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.37 CERAH 13.00 CERAH Date Senin / 20 Maret 2023
17.00 CERAH 18.00 CERAH 22.00 CERAH Time 08.00 – 18.00 - 22.00
LOCATION ACTIVITIES
pemasangan bekisting kolom dan sloof area jembatan timbang pemasangan begel kolom area mess bujang
pemasangan saluran area samping rumah warga pemasangan pipa samping jembatan timbang
pemasangan kramik area pos jaga
BANYUWANGI, JAWA TIMUR, INDONESIA
pencopotan bekisting area mess bujang
pengecoran area jalan beton
pemasangan wiremesh area jalan beton
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 5 Imam Mahfudin
Engineering 1 8 1 5 Reza Surya
QC. 1 8 1 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 Sapril
Harian Kantor 3 8 3 5 Gilang, Indra Dwi Kurnia, Satria
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 14 8 14 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

ayong, Adi,kholik, daniel, saiful,eko, abdurrohman,

Lain lain 14 8 0 5
wahyudi,agil,joko

38 8 23 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 304 115 419
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 1
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 CERAH Date Selasa / 21 Maret 2023
15.30 CERAH 20.00 HUJAN 22.00 HUJAN Time 08.00 – 17.00 – 22.00
LOCATION ACTIVITIES
safety talk pengecoran sloof area mess bujang
pemasangan bekisting sloof area mess bujang housekeeping all area
pencopotan bekisting sloof area jembatan timbang pemasangan bata ringan
BANYUWANGI, JAWA TIMUR, INDONESIA pengacian area pos jaga pemasangan wiremesh area jalan beton
pengecoran area jalan beton

pemasangan paving area samping rumah warga

JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 0 5 Reza Surya, Cornelius
QC. 1 8 0 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 0 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 0 5 Sapril
Harian Kantor 4 8 0 5 Gilang, Satria, Indra Dwi Kurnia, heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 14 8 0 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus
SUB. Baja 0 8 0 5

SUB. ME 0 8 0 5

Operator dan Rigger 0 8 0 5

ayong, Adi,irwan, ayong, Adi,kholik, daniel, saiful,eko,
Lain lain 14 8 0 5
abdurrohman, wahyudi,agil,joko
TOTAL 40 8 0 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 320 0 320
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS

1 Training/Induction 0

2 Job Safety Analisys 1

3 Safety Talk / Toolbox Talk 1
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.00 CERAH 13.00 HUJAN Date Rabu / 22 Maret 2023
16.00 HUJAN 17.00 HUJAN Time 08.00 – 17.00
LOCATION
pemasangan bekisting sloof area mess bujang
pemasangan paving area samping rumah warga
pemasangan bata merah area pos jaga
BANYUWANGI, JAWA TIMUR, INDONESIA
pengurukan, perataan dan pemadatan tanah
pengacian area pos jaga
housekeeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 0 5 Reza surya,Cornelius
QC. 1 8 0 5 Alip Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 0 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 0 5 Sapril
Harian Kantor 4 8 0 5 Gilang, Satria, Indra Dwi Kurnia,heri
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 14 8 0 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus
SUB. Baja 0 8 0 5

SUB. ME 0 8 0 5

Operator dan Rigger 0 8 0 5

ayong, Adi,irwan, ayong, Adi,kholik, daniel, saiful,eko,
Lain lain 14 8 0 5
abdurrohman, wahyudi,agil
TOTAL 40 8 0 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 320 0 320
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 1
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 HUJAN Date Kamis / 23 Maret 2023
15.00 HUJAN 17.00 HUJAN Time 08.00 – 17.00
LOCATION ACTIVITIES
pemasangan bata ringan area pos jembatan timbang pemasangan pipa saluran air bersih area pos jaga
pemplesteran tembok area pos jaga
pejkerjaan fabrikasi
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan bekisting kolom area mess bujang
pengecoran area jalan beton
pengecoran sloof area mess bujang
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 0 5 Reza Surya,Cornelius
QC. 1 8 0 5 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 0 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 0 5 sapril
Harian Kantor 5 8 0 5 Gilang, Indra Dwi Kurnia,Satria,heri,ivan
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 14 8 0 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

ayong, Adi,irwan, ayong, Adi,kholik, daniel, saiful,eko,

Lain lain 12 8 0 5
abdurrohman, wahyudi,agil, joko

TOTAL 39 8 0 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 312 0 312
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 2 0 16 16
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 6 0 48 48

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 11.00 CERAH 13.00 CERAH Date Jumat / 24 Maret 2023
17.00 HUJAN 18.00 HUJAN 22.00 HUJAN Time 08.00 – 17.00 – 22.00
LOCATION ACTIVITIES
pekerjaan fabrikasi pengecoran kolom dan sloof area mess bujag
pemasangan wiremesh area jalan beton
pencopotan bekisting sloof area mess bujang
BANYUWANGI, JAWA TIMUR, INDONESIA
pengecoran jalan beton
pemasangan paving area samping rumah warga
houseekeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 0 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 0 5 Imam Mahfudin
Engineering 2 8 2 5 Reza Surya Nugraha,Cornelius
QC. 1 8 1 5 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 sapril
Harian Kantor 3 8 3 5 Indra Dwi Kurnia,Satria,gilang
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 14 8 14 5 tugiyono, kusnanto, sutris,mulyono,Muchamat
cholil,slamet,agus
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

ayong, Adi,irwan, ayong, Adi,kholik, daniel, saiful,eko,

Lain lain 12 8 0 5
abdurrohman, wahyudi,agil,joko

TOTAL 37 8 22 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 296 110 406
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP
 DAILY REPORT HSE
Project : Gudang Kemasan, Jembatan Timbang, Warehouse, Pos Jaga dan Mess
Weather Date & Time
08.00 CERAH 10.00 CERAH 13.00 HUJAN Date Sabtu / 25 Maret 2023
17.00 HUJAN 18.00 HUJAN 22.00 HUJAN Time 08.00 – 17.00 – 22.00
LOCATION
pencopotan bekisting kolom area mess bujang pengecoran area jalan beton dan sloof mess bujang
pekerjaan fabrikasi
pemasangan paving area samping rumah warga
BANYUWANGI, JAWA TIMUR, INDONESIA
pemasangan witemesh area jalan beton
pemplesteran tembok area pos jaga
housekeeping all area
JAM KERJA 07.00 s/d 16.00 JAM LEMBUR 16.00 s/d 22.00
MAN POWER REMARKS
TOTAL HOURS (8) TOTAL HOURS (5)
Project Manager 0 8 0 5
Site Manager 1 8 1 5 Enggi Zahrian Ramadhan
HSE Officer 1 8 1 5 Imam Mahfudin
Engineering 2 8 2 5 Reza, Cornelius
QC. 1 8 1 5 Alif Gunawan
Project Control 0 8 0 5
Admin Proyek 1 8 0 5 Kartika
Admin HSE 0 8 0 5
Gudang & Logistik 0 8 0 5
Surveyor 1 8 1 5 Faisal Aksyar
Supervisor 0 8 0 5
Electrical 1 8 1 5 sapril
Harian Kantor 5 8 5 5 Satria, Indra Dwi Kurnia,gilang,heri,ivan
Widodo, Sholikul Hadi, Agus pitoyo, Karsono, Suwito, heri
SUB. Sipil 13 8 13 5
tugiyono, kusnanto, sutris,Muchamat cholil,slamet,agus
SUB. Baja 0 8 0 5
SUB. ME 0 8 0 5
Operator dan Rigger 0 8 0 5

Lain lain 0 8 0 5

TOTAL 26 8 25 5
TOTAL PROJECT PREVIOUS TODAY CUMMULATIVE
MAN HOURS 208 125 333
HSE INFORMATION & ACTIVITY
1 ACCIDENT/INCIDENT
1.1. Fatalities = 0 1.6. Nearmiss 0
1.2. LTI's = 0 1.7. Equipment 0
1.3. RWC = 0 1.8. Fire 0
1,4 MTI = 0 1.9. Environmental 0
1,5 First Aid = 0 2.0. Other 0
2 Hazard Finding of Unsafe Action & Unsafe Condition / Action & Corrective Action Plan :
No HAZARD PIC STATUS

3 EQUIPMENT OPERATING TODAY

No TYPE TOTAL ACTIVE WORKING HOURS STAND BY REMARKS

1 Crane 0 0 0 0
2 Mesin Cutting & Bending 2 0 16 16
3 Transfer Car 0 0 0 0
4 Excavator 0 0 0 0
5 Mesin Genset 0 0 0 0
6 Dozer / Vibro 2 0 16 16
TOTAL 4 0 32 32

No TYPE 0 REMARKS
1 Training/Induction 0
2 Job Safety Analisys 0
3 Safety Talk / Toolbox Talk 0
4 Inspection / Audit 0
Prepared by, Acknowledge, Checked,

Imam Mahfudin Enggi Zahrian Ramadhan Alvin Hosy Azizur Rahman

H S E Officer Site Manager HSE PT.STP