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SHES.F.004 Laporan Kejadian Berbahaya

This 3 sentence summary provides the key details from the document: This document is a dangerous occurrence report from PT. Prosys Bangun Persada for a project in Tuban IV. It includes sections to describe the dangerous incident or near miss, recommend corrective actions, and note any persons, equipment, or materials involved. The report must be prepared by the project safety officer, approved by the project manager, and received by others involved in the project.

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53 views2 pages

SHES.F.004 Laporan Kejadian Berbahaya

This 3 sentence summary provides the key details from the document: This document is a dangerous occurrence report from PT. Prosys Bangun Persada for a project in Tuban IV. It includes sections to describe the dangerous incident or near miss, recommend corrective actions, and note any persons, equipment, or materials involved. The report must be prepared by the project safety officer, approved by the project manager, and received by others involved in the project.

Uploaded by

elvandi
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 DOC, PDF, TXT or read online on Scribd
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PT.

Prosys Bangun Persada


LAPORAN KEJADIAN BERBAHAYA File No.
General Engineering & Construction Dangerous Occurrence Report
Doc No. SHES.F.004 Rev. 0 File Rev. Pages 1 / 2

HO Project : TUBAN IV Project No : 091427

Lokasi
Location
:
Tanggal Kejadian Waktu
: :
Date Occured Time

URAIAN KEJADIAN BERBAHAYA / MENDEKATI KECELAKAAN


DESCRIPTION IF NEAR MISS OR DANGEROUS INCIDENT

REKOMENDASI / TINDAKAN PERBAIKAN


RECOMMENDATIONS / CORRECTIVE ACTIONS

KETERLIBATAN PERSONIL / PERALATAN / MATERIAL


PERSONS/ EQUIPMENT / MATERIAL INVOLVED

Dibuat:/Prepared By :: Disetujui/Approved By:


PROJECT SAFETY OFFICER PROJECT MANAGER
Tanggal/ Tanggal/
D D
a a
t t
e e
: :

Diterima Oleh / Received By


CC:
PT. Prosys Bangun Persada
LAPORAN KEJADIAN BERBAHAYA File No.
General Engineering & Construction Dangerous Occurrence Report
Doc No. SHES.F.004 Rev. 0 File Rev. Pages 2 / 2

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