MEDCOPOWER SOLAR SUMBAWA
OPERATION HSE DAILY REPORT
SUMBAWA SOLAR PV
Date : 16-04-2023
Time : 08.00 AM - 05.00 PM
Weather : Bright/ Cloudy/ Rainy
I. TOOLBOX MEETING
No Agenda/Topic
1
2
3
II. PERMIT TO WORK
No PTW Subject Work Description Company
1
2
3
4
III. WORKED HOURS
Item Worked Hours
No Company Works Description Normal
Manpower
Hours
1 Management MPSS 5 8
2 EJJV 3 8
3 Nawakara 8
4 NB 2 8
5 PT. PGS
6 PT. DSM
Today Manpower 8
Yesterday Manpower 18
IV. HSE OBSERVATION
No Category Today Yesterday Monthly HSE Observ
1 Good Action & Condition 0 0 0
2 Unsafe Action 0 0 0
3 Unsafe Condition 0 0 0
V. ACCIDENT RECORD
No Type of Accident Today MTD Remarks
1 Fatality (FY) 0 0 -
2 Lost Time Injuries (LTI) 0 0 -
3 Restricted Work Day Case (RWD 0 0 -
4 Medical Treatment Cases (MTC) 0 0 -
5 First Aid Cases (FAC) 0 0 -
6 Near Miss (NS) 0 0 -
7 Property Damage (PD) 0 0 -
8 Environmental (EL) 0 0 -
9 Other__________________ 0 0 -
VI. HEAVY & SUPPORTING EQUIPMENT AND VEHICLE (CAR, MOTORCYCLE)
Type of Heavy Supporting Equipment & Odometer/
No Total Condition
Vehicle Hourmeter
1 Excavator 1 Good
2 Manlift 1 Good
3 LV 5871 Good
4 LV 5872 Good
5 Motorcycle Break down
VII. HSE ACTIVITIES (MEETING, INSPECTION, TRAINING, ETC) AND DOCUMENTATION
No Description
1 Weekly Meeting with PT. DSM
2
3
VIII. OPERATION ACTIVITIES AND DOCUMENTATION
No Description
1
2
3
Reported By, Acknowledged By,
HSESS Plant Manager
SOLAR SUMBAWA
E DAILY REPORT
A SOLAR PV
Attendance Company/Area
Total PTW Total JSA
Company Number PTW
Today Monthly Today Monthly
Item Worked Hours
Total
Normal Extra Sub Total Manhours
Hours Hours Manhours
8 0 8 40
8 0 8 24
8 0 8 0
8 4 12 24
0 0
0 0
Today Manhours 88
Yesterday Manhours
Monthly Manhours
Yearly Manhours (2023)
From Project To Date Manhours
HSE Observation Description
Remarks
-
-
-
-
-
-
-
-
-
Odometer/
Remarks
Hourmeter
Support by AMNT ( Mining)
ENTATION
Remarks/Documentation
Remarks/Documentation