Facility Name:

Batam Fabrication Facility

Project No:

838*-****-****

SUPERVISOR NAME

MUHAMMAD FARID

DATE

“Our crew is committed to going home without harm, TODAY”.

ATTENDEES

No

Name

Badge No.

Position

Signature

1.

MUHAMMAD FARID

B-1297.M01

WELDING SUPERVISOR

1

2

2.

SUKIYAT TARMIDZI

8577-MCD

WELDING L/H

3.

MULYADI

9805-MCD

WELDING L/H

3

4

4.

BINNER

9741-MCD

WELDING L/H

5.

SAMINGAN

8562-MCD

WELDER CRAFTMAN

5

6

6.

ALVIN

9974-MCD

WELDER CRAFTMAN

7.

ANDI.S

B-1286.M01

WELDER CRAFTMAN

7

8

8.

YULIYANTO.A

B-1292.M01

WELDER CRAFTMAN

9.

FERY JAYA

B-1291.M01

WELDER CRAFTMAN

9

10

10.

GUNAWAN

B-1324.M01

WELDER CRAFTSMAN

11.

PURWANDI

0314.MCD

WELDER CRAFTSMAN

11

12

12.

FARIAS.A.R

9747.MCD

WELDER CRAFTSMAN

13.

YOSEP UJE KLEDEN

9757.MCD

WELDER CRAFTSMAN

13

14

14.

ROYON PASARIBU

9745.MCD

WELDER CRAFTSMAN

15.

MARAHALIM

8595.MCD

WELDER CRAFTSMAN

15

16

16.

AFAN

B-1293.M01

WELDER CRAFTSMAN

17.

SUGIANTO

0336.MCD

WELDER CRAFTSMAN

17

18

18.

SUGIHARTO

8414-MCD

WELDER CRAFTSMAN

19.

19

20

20.

21.

21

22

22.

23.

23

24

24.

25.

25

26

26.

27.

27

28

28.

29.

29

30

30.

31.

31

32

32.

33.

33

34

34.

35.

35

36

36.

37.

37

38

38.

39.

39

40

40.

1.

2.

PREVIOUS DAY’S PERFORMANCE

Achievements and Progress

WELDING PIPE SPOOL SWEEPOLET PIPE SUPPORT.

DIA. 20” 3” 6 “ 3” 4” 12”

Issues, Incidents or Near-Misses

TODAY’S WORK

Permit to Work

Lifting

Mancage

Hot Work

Work at Height

Confined Space

Radiation Work

Hydrostatic Test

Energy LockOut & TagOut

Diving

Excavation

Demolition

Tasks

JSEA briefed

No:

Rev:

Item:

No:

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Item:

No:

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No:

Rev:

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No:

Rev:

Item:

No:

Rev:

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No:

Rev:

Item:

Plant & Equipment to be used

Main Hazards

Controls

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