Professional Documents
Culture Documents
Project Title:
Location:
Project Manager:
Pardamaian .T
PTW
Start Date:
SECURITY SERVICES
1-Apr-10
Completion Date:
31-Mar-12
Operation Manager:
Bambang Andiseno
QHSE ISSUE
Cold Work: Nil
Confined Space:
Nil
Formal Procedure:
Nil
Highlight:
STOP Card
Unsafe Card:
Nil
Safe Card:
Nil
Highlight:
Incident Report
20A: 1 ea
When the security guard (Parno. W) is guarding the main gate alone, he must go to the portal gate in hurry because there is a vehicle
that will go in to Kalijapt Base area. He walks for releasing the portal tie to open the gate but he is still bringing a cup of drinking water.
Suddenly, the water in his hand spill on the floor, without looking on the floor surface he keep walking. The floor became a little slippery,
so he slips and his forehead crash on the glass door of security main gate post. Due to this accident, his left temple gets a little wound.
He goes to the Kalijapat Base clinic to clean the wound and geeting a low medical treatment.
20B: 1 ea
20C:
ea
Highlight - Nearmiss:
Highlight - Accident:
First Aid
O First Aid
O Non Recordable
O Non LTA
O LTA
O Fatality
TECHNICAL ISSUE
Tools:
Equipment:
Man Power:
OTHER ISSUE
1.
2.
3.
4.
5.
6.
GENERAL COMMENT
1.
2.
3.
4.
5.
6.
20D:
ea