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Form Inspection HSE PDF

- The monthly HSE report from KKC Dewi Arimbi for December 2021 details their job activities as dredging for Wilmar Gresik. It conducted 17 total work hours over the month. - The report includes a checklist of 15 HSE items, noting compliance or non-compliance. One non-compliance was a broken monkey ladder that needs to be provided. - It also notes that some workers' PPE of wearpacks and safety shoes were not in good condition. The report was prepared by Hery M Awaludin and checked by Surachman Suwandi.

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Hery Awaludin
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0% found this document useful (0 votes)
56 views

Form Inspection HSE PDF

- The monthly HSE report from KKC Dewi Arimbi for December 2021 details their job activities as dredging for Wilmar Gresik. It conducted 17 total work hours over the month. - The report includes a checklist of 15 HSE items, noting compliance or non-compliance. One non-compliance was a broken monkey ladder that needs to be provided. - It also notes that some workers' PPE of wearpacks and safety shoes were not in good condition. The report was prepared by Hery M Awaludin and checked by Surachman Suwandi.

Uploaded by

Hery Awaludin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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H.S.

E MONTHLY REPORT

LOCATION : KKC Dewi Arimbi


MONTH : Desember 2021 TIME : 10:00 am
DATE : 25 Desember 2021

JOB ACTIVITIES : Dreging Wilmar Gresik

NO PERSONIL TOTAL WORK HOURS WEATHER


1 Crew KKC Dewi Arimbi

Total This Month 17 5.436

NO ITEM CHECKLIST CONDITION


1 v Permit To Work, JSA, Methode of Work, Drawing Permit Internal,PT Wilmar and KSOP
2 v Fire Extinguisher 15 unit xpired April 2022
3 v Fire Hose
4 x Storage for Cylinder Gas
5 v Storage for oli and BBM, SOPEP
6 v MSDS
7 v Generator Machine AE 1, AE 2, AE 3, & AE 4
8 v Welding Machine and Cable
9 v Safety Sign
10 v
Housekeeping
11 v Storage Material
12 x Ladder Monkey Ladder Has Broken
13 v Ring Bouy
14 v Crane, Wire atau Webbing Sling, Tali Tag Line Sling Wire Bucket has Change
15 v Certificate of Equipment and SIO Operator
16 v Lifting Gear
17 v First Aid Box Supply Desember 2021
18 v Emergency Communication Flowchart Update Desember 2021

NO FINDING HSE CORRECTIVE ACTION


1 * Monkey Ladder not Provide at HB BA 1 & 2 Need Provide ASAP

PPE USED
* Wearpack And Safety Shoes is Not Good Condition

Prepared by, Check by, Acknowledged by,

Hery M Awaludin Surachman Suwandi

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