Tempat Pintu 3A

Waktu Rabu, 04 Desember 2019

Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Citra Aulia Mandiri Abdul Gofur Helper AOP L 39
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Karya Murni Lestari Eko Safetyman HSE L 26
7 Karya Murni Lestari Zamroni AI A Safetyman HSE L 30
8 Karya Murni Lestari Ahmad Z Safetyman HSE L 22
9 Karya Murni Lestari Awar Munandar Safetyman HSE L 26
10 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
11 LAPI Novian Driver HCC L 34
12 LAPI M Ridoni Driver HCC L 27
13 LAPI Rikki Maulana Driver HCC L 22
14 Malewa Putra Darwis Driver Enviro L 42
15 Malewa Putra Didi Hermanto Driver Enviro L 44
16 Malewa Putra Kahar Banda Safetyman Enviro L 24
17 Malewa Putra Budiawan N Driver Enviro L 35
18 Ondhy Dickson Putra Ponidi Helper HSE L 45
19 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
20 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
21 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
22 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
23 Ondhy Dickson Putra Agung W Fireman HSE L 31
24 Ondhy Dickson Putra Rudolf Fireman HSE L 43
25 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
26 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
27 Ondhy Dickson Putra Edy P. Fireman HSE L 34
28 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
29 Ondhy Dickson Putra Rudi A Fireman HSE L 34
30 Ondhy Dickson Putra Lahasan Fireman HSE L 44
31 Ondhy Dickson Putra Zainudin Fireman HSE L 52
32 PTC Edison Y S Inspector HSE L 42
33 Pertamina Hadi Y Fireman HSE L
34 Pertamina Wiliam M Fireman HSE L
35 Pertamina Hanaf Fireman HSE L
36 Pertamina Syahputra D S 754656 Lab L 23
37 Pertamina Hariadi N 746280 OM L 32
38 Pertamina Ahmad Najmudin Pekerja OM L 28
39 Pertamina Surya Bayu Fireman HSE L
40 Pertamina Akbar Fireman HSE L
41 Pertamina Aulia Rachim Fireman HSE L
42 Pertamina Mulya Fireman HSE L
43 Pertamina Andika Fireman HSE L
44 Pertamina Ogi W Fireman HSE L
45 Pertamina Panji Fireman HSE L
46 Prima Armada Raya Ummuaiman Driver Lab L 27
47 Prima Armada Raya Jusfhian M Driver OH L 35
48 Prima Armada Raya Defri Ubaidillah Driver OM L 28
49 Prima Armada Raya Herdion W Driver HSE L 28
50 Prima Armada Raya Janny F J T Driver OM L 45
51 Prima Armada Raya Daniel Driver Marine L 35
52 Prima Armada Raya Alvan Driver MA4 L 29
53 Prima Armada Raya Jasman Driver HSE L 53
54 Prima Armada Raya Gali P Driver Marine L 43
55 Prima Armada Raya Sugeng P Driver OM L 48
56 Prima Armada Raya Andika Chandra Driver Lab L 33
57 Prima Armada Raya M Khairun Driver OM L 19
58 Prima Armada Raya Tamjiddillah Driver Lab L 26
59 Prima Armada Raya Denny Driver OM L 27
60 Prima Armada Raya Amiruddin Driver Lab L 45
61 Prima Armada Raya Sayid Fadli Driver Lab L 41
62 Prima Armada Raya Imron Rosadi Driver Marine L 46
63 Prima Armada Raya Suriansyah Driver Marine L 51
64 Pratama Abadi Jaya Mario P H Fac. OH HSE L 27
65 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
66 Patra Utama Mandiri M Editri H Safetyman HSE L 27
67 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
68 Peteka Karya Gapura Istat Pekerja Marine L 54
69 Surya Adiguna Hamzah Scaffolder Workshop L 54
70 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 80 36 22 v
120/80 81 36.4 20 v
130/80 90 36 22 v
120/80 82 36.6 21 v
130/80 72 36 22 v
120/80 80 36 19 v
110/80 70 36.1 20 v
110/80 91 36.4 21 v
120/70 82 36.6 20 v
130/80 80 36.5 20 v
120/90 100 36.3 21 v
120/80 78 36 20 v
120/80 100 36.3 19 v
120/80 71 36.5 22 v
120/80 94 36.6 20 v
130/80 98 36.3 22 v
130/90 89 36 20 v
130/80 97 36.5 20 v
120/80 70 36.5 20 v
130/80 82 36 22 v
130/80 80 36.5 20 v
120/80 80 36.5 21 v
120/80 76 36.5 22 v
120/80 90 36.5 22 v
110/70 60 36.5 22 v
130/80 61 36 22 v
120/80 70 36.4 20 v
130/80 74 36.6 21 v
130/80 93 36 19 v
120/80 78 36.1 21 v
120/80 87 36.5 22 v
120/80 88 36 22 v
120/80 89 36 20 v
110/70 98 36.3 19 v
120/80 83 36.4 20 v
120/70 76 36 22 v
120/80 71 36.5 22 v
120/80 86 36.5 21 v
120/80 65 36.5 22 v
120/80 94 36 22 v
130/80 78 36 22 v
130/90 78 36.5 20 v
130/90 82 36.5 21 v
120/80 72 36.3 22 v
130/90 98 36.1 22 v
110/80 85 36.3 22 v
120/80 85 36 20 v
120/80 91 36.5 20 v
120/80 80 36.6 21 v
120/80 78 36.6 21 v
110/80 80 36 19 v
110/80 79 36.1 20 v
110/80 100 36.4 21 v
110/80 80 36.6 20 v
120/80 96 36.5 20 v
110/80 100 36.5 22 v
120/80 100 36.6 22 v
110/80 90 36.5 20 v
120/80 97 36.5 22 v
110/80 91 36 20 v
110/80 80 36.5 20 v
110/80 100 36.5 20 v
120/80 87 36.2 19 v
110/80 94 36.5 22 v
130/80 87 36.6 21 v
120/80 80 36 19 v
110/80 70 36.1 20 v
120/70 82 36.6 20 v
130/90 81 36.4 21 v
130/90 98 36.6 20 v
70 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Kamis, 05 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Citra Aulia Mandiri Abdul Gofur Helper AOP L 39
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Karya Murni Lestari Eko Safetyman HSE L 26
7 Karya Murni Lestari Zamroni AI A Safetyman HSE L 30
8 Karya Murni Lestari Ahmad Z Safetyman HSE L 22
9 Karya Murni Lestari Awar Munandar Safetyman HSE L 26
10 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
11 LAPI M Ridoni Driver HCC L 27
12 LAPI Rikki Maulana Driver HCC L 22
13 Malewa Putra Darwis Driver Enviro L 42
14 Malewa Putra Didi Hermanto Driver Enviro L 44
15 Malewa Putra Kahar Banda Safetyman Enviro L 24
16 Ondhy Dickson Putra Ponidi Helper HSE L 45
17 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
18 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
19 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
20 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
21 Ondhy Dickson Putra Hendry D Pekerja HSE L 39
22 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
23 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
24 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
25 Ondhy Dickson Putra Agung W Fireman HSE L 31
26 Ondhy Dickson Putra La Hasan Fireman HSE L 44
27 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
28 Ondhy Dickson Putra Rudi A Fireman HSE L 34
29 Ondhy Dickson Putra Rudolf Fireman HSE L 43
30 Ondhy Dickson Putra Edy P. Fireman HSE L 34
31 Ondhy Dickson Putra Zainudin Fireman HSE L 52
32 Patra Utama Mandiri Angya P Safetyman HSE L 24
33 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
34 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
35 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
36 Patra Utama Mandiri Khairul Insani S Safetyman HSE L 29
37 Peteka Karya Gapura Istat Pekerja Marine L 54
38 Pertamina Djaenuri 731895 HSE L
39 Pertamina Hadi Y Fireman HSE L
40 Pertamina Wiliam M Fireman HSE L
41 Pertamina Hanaf Fireman HSE L
42 Pertamina Surya Bayu Fireman HSE L
43 Pertamina Akbar Fireman HSE L
44 Pertamina Aulia Rachim Fireman HSE L
45 Pertamina Mulya Fireman HSE L
46 Pertamina Andika Fireman HSE L
47 Pertamina Ogi H Fireman HSE L
48 Pertamina Panji Fireman HSE L
49 PTC Rani S Security Kilang L 36
50 PTC Wahyu Erlangga Security Kilang L 32
51 PTC Yudi W Security Kilang L 38
52 Pratama Abadi Jaya Bayu Putra A 55046 HSE L 21
53 Prima Armada Raya Ummuaiman Driver Lab L 27
54 Prima Armada Raya Defri Ubaidillah Driver OM L 28
55 Prima Armada Raya Daniel Driver Marine L 35
56 Prima Armada Raya Andika Chandra Driver Lab L 33
57 Prima Armada Raya Jusfhian M Driver OH L 35
58 Prima Armada Raya Gali P Driver Marine L 43
59 Prima Armada Raya Fajrin Driver Marine L 38
60 Prima Armada Raya Harce J K Driver HSE L 45
61 Prima Armada Raya Jasman Driver HSE L 53
62 Prima Armada Raya Sugeng P Driver OM L 48
63 Prima Armada Raya Alvan Driver MA4 L 29
64 Prima Armada Raya Amiruddin Driver Lab L 45
65 Prima Armada Raya M Khairun S Driver OM L 19
66 Prima Armada Raya Sidiq Musliman Driver HSE L 30
67 Prima Armada Raya Denny Driver OM L 27
68 Prima Armada Raya Sayid Fadli Driver Lab L 41
69 Prima Armada Raya Imron Rosadi Driver Marine L 46
70 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 81 36.5 22 v
110/80 88 36.6 21 v
130/80 78 36 19 v
120/90 82 36.1 20 v
110/80 74 36.6 20 v
120/80 70 36.4 21 v
120/80 76 36.6 20 v
130/90 98 36.3 21 v
130/80 90 36.1 20 v
120/80 78 36 22 v
110/80 58 36.6 21 v
120/80 79 36.1 20 v
110/80 77 36 22 v
120/80 87 36.6 21 v
130/80 100 36 19 v
120/80 88 36.1 20 v
130/80 75 36.4 21 v
120/80 63 36.6 20 v
120/70 87 36.5 20 v
120/80 69 36.5 22 v
130/80 106 36.3 22 v
110/80 81 36.5 22 v
120/80 74 36.6 21 v
120/80 67 36 19 v
110/80 84 36.1 20 v
120/80 100 36.4 21 v
110/80 79 36.6 20 v
120/80 77 36.5 20 v
120/80 63 36,3 21 v
130/80 100 36 20 v
120/80 72 36 21 v
130/80 94 36.6 20 v
120/80 84 36.3 22 v
120/80 69 36 20 v
110/80 69 36.5 21 v
120/80 73 36 19 v
120/80 64 36.1 21 v
130/80 78 36.3 21 v
130/80 77 36.1 20 v
110/80 102 36 19 v
120/80 76 36.1 20 v
120/80 65 36.4 21 v
100/70 63 36.5 22 v
110/80 62 36 22 v
120/80 80 36.4 20 v
120/80 83 36 22 v
110/80 99 36.6 21 v
120/80 72 36 22 v
130/80 88 36 19 v
110/80 60 36.1 20 v
130/80 83 36.4 21 v
110/80 81 36.6 20 v
120/80 75 36.5 20 v
110/80 66 36.4 21 v
120/80 80 36.6 20 v
120/80 98 36.3 21 v
110/80 91 36 20 v
110/80 80 36.3 19 v
110/80 60 36.5 22 v
120/80 76 36.5 21 v
120/80 90 36.5 22 v
110/80 100 36.1 20 v
110/80 95 36.4 21 v
110/80 80 36 21 v
120/90 91 36 19 v
110/80 80 36.1 20 v
110/80 78 36.4 21 v
120/80 102 36.6 20 v
110/80 100 36.5 20 v
120/80 80 36 21 v
70 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Jum'at, 06 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Kinasih Abdullah Helper HSE L 50
7 Kinasih Ibnu Darmawan Helper HSE L
8 Kinasih Didin Eko Y Driver HSE L 38
9 Kinasih Achmad Lamase Helper Enviro L 50
10 Karya Murni Lestari Agus P S S Safetyman HSE L 21
11 Karya Murni Lestari Ahmad Z Safetyman HSE L 22
12 LAPI Novian Driver HCC L 34
13 LAPI Rikki Maulana Driver HCC L 22
14 Malewa Putra Darwis Driver Enviro L 42
15 Malewa Putra Didi Hermanto Driver Enviro L 44
16 Malewa Putra Kahar Banda Safetyman Enviro L 24
17 Malewa Putra Budiawan N Driver Enviro L 35
18 Ondhy Dickson Putra Ponidi Helper HSE L 45
19 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
20 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
21 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
22 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
23 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
24 Ondhy Dickson Putra La Hasan Fireman HSE L 44
25 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
26 Ondhy Dickson Putra Agung W Fireman HSE L 31
27 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
28 Ondhy Dickson Putra Rachmani Fireman HSE L 45
29 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
30 Ondhy Dickson Putra Allen E M Fireman HSE L 48
31 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
32 Ondhy Dickson Putra Edy P. Fireman HSE L 34
33 Ondhy Dickson Putra Zainudin Fireman HSE L 52
34 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
35 Patra Utama Mandiri Angya P Safetyman HSE L 24
36 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
37 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
38 Peteka Karya Gapura Syahril Helper Marine L 43
39 Pertamina Oka A 748709 HSE L
40 Pertamina Hadi Y Fireman HSE L
41 Pertamina Hanaf Fireman HSE L
42 Pertamina Akhmad F 747306 OM L 35
43 Pertamina Wiliam M Fireman HSE L
44 Pertamina Murip Fireman HSE L
45 Pertamina Ade Krisna Fireman HSE L
46 Pertamina M Fadli Fireman HSE L
47 Pertamina Hariadi N 746280 OM L 32
48 Pertamina Ahmad Najmudin Pekerja OM L 28
49 Pertamina Mulya Fireman HSE L
50 Pertamina Andika Fireman HSE L
51 Pertamina Ogi H Fireman HSE L
52 Pertamina Panji Fireman HSE L
53 PTC Edison Y S Inspector HSE L 42
54 Prima Armada Raya Janny F J T Driver OM L 45
55 Prima Armada Raya Defri Ubaidillah Driver OM L 28
56 Prima Armada Raya Daniel Driver Marine L 35
57 Prima Armada Raya Herodian W Driver HSE L 28
58 Prima Armada Raya Jusfhian M Driver OH L 35
59 Prima Armada Raya Andika Chandra Driver Lab L 33
60 Prima Armada Raya Ummuaiman Driver Lab L 27
61 Prima Armada Raya Alvan Driver MA4 L 29
62 Prima Armada Raya Harce J K Driver HSE L 45
63 Prima Armada Raya Jasman Driver HSE L 53
64 Prima Armada Raya Gali P Driver Marine L 43
65 Prima Armada Raya Sugeng P Driver OM L 48
66 Prima Armada Raya Amiruddin Driver Lab L 45
67 Prima Armada Raya Sayid Fadli Driver Lab L 41
68 Prima Armada Raya Imron Rosadi Driver Marine L 46
69 Prima Armada Raya Denny Driver OM L 27
70 Prima Armada Raya Fajrin Driver Marine L 38
71 Surya Adiguna Hamzah Scaffolder Workshop L 54
72 Wignyo Nursan Helper MA 4 L 50
73 Kinta Jaya Khairul Amin Helper Lab L 37
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 90 36 22 v
120/80 90 36.5 22 v
120/80 77 36.5 21 v
130/80 98 36.5 22 v
120/80 109 36 22 v
130/80 88 36.5 22 v
120/80 87 36.5 22 v
110/80 75 36 22 v
110/80 90 36.4 20 v
120/70 77 36.6 21 v
130/80 90 36.1 22 v
130/90 76 36.6 22 v
130/90 69 36.5 20 v
130/90 77 36 20 v
120/80 93 36 21 v
120/80 75 36.6 20 v
120/80 75 36.3 22 v
120/80 78 36.5 21 v
120/80 80 36 22 v
120/80 63 36 20 v
120/80 74 36 21 v
110/80 94 36.6 20 v
110/80 98 36.3 22 v
130/80 89 36 20 v
120/80 97 36.5 20 v
110/80 70 36.5 20 v
120/70 82 36 22 v
130/90 80 36.5 20 v
130/90 80 36.5 21 v
130/90 76 36.5 22 v
130/80 90 36.5 22 v
120/80 60 36.5 22 v
110/70 61 36 22 v
130/80 70 36.4 20 v
110/80 74 36.6 21 v
130/90 93 36 19 v
120/90 78 36.1 21 v
110/70 87 36.5 22 v
130/90 88 36 22 v
120/90 89 36 20 v
120/80 98 36.3 19 v
120/80 83 36.4 20 v
120/80 76 36 22 v
120/80 71 36.5 22 v
120/80 86 36.5 21 v
120/80 65 36.5 22 v
120/80 94 36 22 v
120/80 78 36 22 v
120/80 78 36.5 20 v
120/80 82 36.5 21 v
110/80 72 36.3 22 v
120/80 98 36.1 22 v
110/80 98 36.3 22 v
110/80 87 36 20 v
120/80 74 36.5 20 v
110/80 96 36.6 21 v
110/80 71 36.6 21 v
120/80 87 36 19 v
120/80 99 36.1 20 v
110/80 80 36.4 21 v
120/90 80 36.6 20 v
120/90 90 36.5 20 v
120/80 85 36.5 22 v
120/80 84 36.6 22 v
120/80 86 36.5 20 v
110/80 72 36.5 22 v
120/80 86 36 20 v
110/80 100 36.5 20 v
120/80 62 36.5 20 v
120/80 80 36.2 19 v
110/80 87 36.6 21 v
110/70 80 36 19 v
120/80 70 36.1 20 v
73 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Sabtu, 07 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Lestari Herman Fauzie Safety HSE L 30
2 Kinasih Didin Eko Y Driver HSE L 38
3 Kinasih Abdul Gofur Helper Produksi L 39
4 LAPI M Ridoni Driver HCC L 27
5 LAPI Novian Driver HCC L 34
6 Ondhy Dickson Putra Ponidi Helper HSE L 45
7 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
8 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
9 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
10 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
11 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
12 Ondhy Dickson Putra Rudi A Fireman HSE L 34
13 Ondhy Dickson Putra Alovel Fireman HSE L 49
14 Ondhy Dickson Putra Rachmani Fireman HSE L 45
15 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
16 Ondhy Dickson Putra Allen E M Fireman HSE L 48
17 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
18 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
19 Ondhy Dickson Putra La Hasan Fireman HSE L 44
20 Ondhy Dickson Putra Agung W Fireman HSE L 31
21 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
22 Pertamina Aulia Rachim Fireman HSE L 34
23 Pertamina Akbar Budiman Fireman F&I L 22
24 Pertamina Surya Bayu Fireman HSE L
25 Pertamina Arnoldus Ata K 751116 LAB L 40
26 Pertamina Dedi 731562 OM L 41
27 Pertamina Yuri S 746315 OM L 46
28 Pertamina Murip Fireman HSE L
29 Pertamina Ade Krisna Fireman HSE L
30 Pertamina M Fadli Fireman HSE L
31 Pertamina Hadi Y Fireman HSE L
32 Pertamina Wiliam M Fireman HSE L 24
33 Peteka Karya Gapura Syahril Helper Marine L 43
34 Prima Armada Raya Rudiansyah Driver Marine L 40
35 Prima Armada Raya Sidiq Musliman Driver HSE L 30
36 Prima Armada Raya Suriansyah Driver Marine L 51
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
 : Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

110/80 68 36 19 v
120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/80 83 36.6 20 v
110/80 76 36.5 20 v
130/90 99 36.5 22 v
120/80 60 36.6 22 v
140/80 97 36.5 20 v
120/80 95 36.5 22 v
120/80 100 36 20 v
120/80 69 36.5 20 v
120/80 80 36.5 20 v
110/80 66 36.2 19 v
110/80 94 36.5 22 v
130/80 87 36.6 21 v
120/80 80 36 19 v
110/80 70 36.1 20 v
120/70 82 36.6 20 v
130/90 81 36.4 21 v
130/90 98 36.6 20 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
120/80 92 36 22 v
110/70 76 36.6 21 v
130/80 78 36.1 20 v
110/80 75 36 22 v
130/90 78 36.6 21 v
120/90 97 36 19 v
110/70 60 36.1 20 v
130/90 64 36.4 21 v
120/90 100 36.6 20 v
130/80 75 36 22 v
120/80 78 36.6 21 v
110/80 82 36.5 20 v
110/80 80 36.2 19 v
120/80 75 36.3 21 v
36 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Minggu, 08 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Kinasih Sutiono Helper HSE L 50
2 Kinasih Achmad Lamase Helper Enviro L 50
3 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
4 LAPI Novian Driver HCC L 34
5 LAPI M Ridoni Driver HCC L 27
6 LAPI Rikki Maulana Driver HCC L 22
7 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
8 Ondhy Dickson Putra Rudi A Fireman HSE L 34
9 Ondhy Dickson Putra Alovel Fireman HSE L 49
10 Ondhy Dickson Putra Rachmani Fireman HSE L 45
11 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
12 Ondhy Dickson Putra Allen E M Fireman HSE L 48
13 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
14 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
15 Ondhy Dickson Putra La Hasan Fireman HSE L 44
16 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
17 Pertamina Aulia Rachim Fireman HSE L 34
18 Pertamina Akbar Budiman Fireman F&I L 22
19 Pertamina Surya Bayu Fireman HSE L
20 Pertamina Murip Fireman HSE L
21 Pertamina Ade Krisna Fireman HSE L 22
22 Pertamina M Fadli Fireman HSE L 21
23 Pertamina M Saiful Al Has 750333 LAB L 30
24 Pertamina William Mckenzie Fireman F&I L 24
25 Pertamina Hadi Y Fireman HSE L
26 Pertamina Hanaf Fireman HSE L
27 Prima Armada Raya Andika Chandra Driver Lab L 33
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 80 36.6 20 v
120/80 60 36.3 21 v
110/70 80 36.1 20 v
120/80 79 36 20 v
120/70 74 36.2 20 v
120/80 80 36.5 22 v
120/80 80 36.6 21 v
120/80 70 36.5 20 v
120/80 80 36.5 22 v
120/80 68 36 22 v
120/80 77 36.6 20 v
130/80 87 36.5 20 v
120/80 83 36.6 20 v
120/80 70 36.5 22 v
130/80 90 36 19 v
120/80 77 36.1 21 v
120/90 75 36.1 22 v
130/80 86 36.5 22 v
130/90 100 36.3 22 v
120/80 60 36.1 22 v
120/80 92 36 22 v
120/80 81 36.5 21 v
120/80 87 36.4 21 v
120/80 83 36.5 20 v
120/70 67 36.5 22 v
120/80 81 36 20 v
120/80 100 36 20 v
27 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Senin, 09 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Kinasih Abdullah Helper HSE L 50
7 Kinasih Ibnu Darmawan Helper HSE L
8 Kinasih Didin Eko Y Driver HSE L 38
9 Karya Murni Nusantara Eko Safetyman HSE L 26
10 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
11 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
12 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
13 LAPI Novian Driver HCC L 34
14 LAPI M Ridoni Driver HCC L 27
15 LAPI Rikki Maulana Driver HCC L 22
16 Malewa Putra Sumardin Helper Enviro L 41
17 Malewa Putra Didi Hermanto Driver Enviro L 44
18 Malewa Putra Kahar Banda Safetyman Enviro L 24
19 Ondhy Dickson Putra Ponidi Helper HSE L 45
20 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
21 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
22 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
23 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
24 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
25 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
26 Ondhy Dickson Putra Rudi A Fireman HSE L 34
27 Ondhy Dickson Putra Rachmani Fireman HSE L 45
28 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
29 Ondhy Dickson Putra La Hasan Fireman HSE L 44
30 Ondhy Dickson Putra Agung W Fireman HSE L 31
31 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
32 Ondhy Dickson Putra Edy P. Fireman HSE L 34
33 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
34 Patra Utama Mandiri Angya P Safetyman HSE L 24
35 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
36 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
37 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
38 Patra Utama Mandiri Khairul Insani S Safetyman HSE L 29
39 Peteka Karya Gapura Istat Helper Marine L 54
40 Peteka Karya Gapura Budiono Helper Marine L 54
41 Peteka Karya Gapura M Abdul H Helper Marine L 42
42 Peteka Karya Gapura Taufk A Helper Marine L 41
43 Peteka Karya Gapura Budi Prasetya A Helper Marine L 54
44 Pertamina Aulia Rachim Fireman HSE L 34
45 Pertamina Akbar Budiman Fireman F&I L 22
46 Pertamina Surya Bayu Fireman HSE L
47 Pertamina Mulya Fireman HSE L
48 Pertamina Andika Fireman HSE L
49 Pertamina Ogi W Fireman HSE L
50 Pertamina Panji Fireman HSE L
51 Pertamina William Mckenzie Fireman F&I L 24
52 Pertamina Hadi Y Fireman HSE L
53 Pertamina Hanaf Fireman HSE L
54 Pertamina Oka Adithya 748709 HSE L 30
55 Pertamina Enos Batu Kamban 746310 Laboratori L 32
56 Pertamina Syahputra D S 754656 Lab L 23
57 Pertamina Hariadi N 746280 OM L 32
58 Pertamina Dedi 731562 OM L 41
59 Prima Armada Raya Jusfhian M Driver OH L 35
60 Prima Armada Raya Herodian W Driver HSE L 28
61 Prima Armada Raya Sugeng P Driver OM L 48
62 Prima Armada Raya Defri Ubaidillah Driver OM L 28
63 Prima Armada Raya Jasman Driver HSE L 53
64 Prima Armada Raya M Khairun I B Driver OM L 19
65 Prima Armada Raya Harce J K Driver HSE L 45
66 Prima Armada Raya Gali P Driver Marine L 43
67 Prima Armada Raya Andika Chandra Driver Lab L 33
68 Prima Armada Raya Janny F J T Driver OM L 45
69 Prima Armada Raya Amiruddin Driver Lab L 45
70 Prima Armada Raya Suriansyah Driver Marine L 51
71 Prima Armada Raya Tamjiddillah Driver Lab L 26
72 Prima Armada Raya Imron Rosadi Driver Marine L 46
73 Prima Armada Raya Sayid Fadli Driver Lab L 41
74 Prima Armada Raya Heri Driver Lab L 37
75 Prima Armada Raya Rudiansyah Driver Marine L 40
76 Surya Adiguna Hamzah Scaffolder Workshop L 54
77 Toba Permai Lestari Lapata'ah Helper OM L 46
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 89 36.2 20 v
130/80 78 36.5 20 v
120/90 92 36.1 22 v
130/90 88 36.1 20 v
120/80 95 36.1 20 v
130/80 86 36.4 21 v
120/80 74 36.6 20 v
120/80 94 36 22 v
130/80 82 36.5 21 v
130/90 80 36.5 22 v
120/80 79 36 20 v
110/70 72 36.2 20 v
120/80 70 36.5 20 v
120/90 92 36.1 22 v
120/80 82 36.6 22 v
130/80 100 36 22 v
120/80 87 36.5 21 v
110/80 71 36.5 22 v
110/70 71 36.6 22 v
120/80 81 36.5 20 v
110/80 88 36 20 v
130/80 78 36.5 21 v
120/90 82 36.6 21 v
110/80 74 36 19 v
120/80 70 36.1 20 v
120/80 76 36.4 21 v
130/90 98 36.1 22 v
130/80 90 36 20 v
120/80 78 36 21 v
110/80 58 36.6 20 v
120/80 79 36.3 22 v
110/80 77 36 20 v
120/80 87 36.5 21 v
130/80 100 36.5 20 v
120/80 88 36 22 v
130/80 75 36 22 v
120/80 63 36 22 v
120/70 87 36.6 21 v
120/80 69 36 22 v
130/80 106 36.2 21 v
110/80 81 36.5 22 v
120/80 74 36 20 v
120/80 67 36.2 20 v
110/80 84 36.5 20 v
120/80 100 36.1 22 v
110/80 79 36.6 22 v
120/80 77 36.5 20 v
120/80 63 36.6 21 v
130/80 100 36 22 v
120/80 72 36.5 22 v
130/80 94 36.2 20 v
120/80 84 36.5 22 v
120/80 69 36 19 v
110/80 69 36.1 20 v
120/80 73 36.4 21 v
120/80 64 36 22 v
130/80 78 36.6 21 v
130/80 77 36 22 v
110/80 81 36.2 21 v
120/80 84 36.5 22 v
120/80 87 36.6 21 v
110/80 69 36 22 v
120/80 95 36.5 20 v
110/80 94 36 22 v
120/80 73 36 20 v
120/80 80 36.3 19 v
120/80 100 36.4 20 v
110/80 75 36 22 v
120/80 100 36.5 22 v
120/80 100 36.5 21 v
110/80 80 36.5 22 v
120/80 100 36 22 v
130/80 84 36.5 20 v
110/80 66 36.3 22 v
120/80 80 36.1 22 v
130/80 87 36 20 v
120/80 69 36.5 20 v
77 0 0

Keteranagn
TD Nadi Penyebab
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Selasa, 10 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Kinasih Abdullah Helper HSE L 50
7 Kinasih Ibnu Darmawan Helper HSE L 28
8 Kinasih Didin Eko Y Driver HSE L 38
9 Kinasih Mahmudin HSE HSE L 38
10 Kinasih Abdul Gofur Helper Produksi L 39
11 Karya Murni Nusantara Eko Safetyman HSE L 26
12 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
13 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
14 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
15 Karya Murni Nusantara Agus S Expert HSE L 60
16 Karya Murni Nusantara Sudarto Helper Enviro L 54
17 LAPI Novian Driver HCC L 34
18 LAPI M Ridoni Driver HCC L 27
19 LAPI Rikki Maulana Driver HCC L 22
20 Malewa Putra Darwis Driver Enviro L 42
21 Malewa Putra Didi Hermanto Driver Enviro L 44
22 Malewa Putra Kahar Banda Safetyman Enviro L 24
23 Malewa Putra Budiawan N Driver Enviro L 35
24 Ondhy Dickson Putra Ponidi Helper HSE L 45
25 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
26 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
27 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
28 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
29 Ondhy Dickson Putra Rachmani Fireman HSE L 45
30 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
31 Ondhy Dickson Putra Allen E M Fireman HSE L 48
32 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
33 Ondhy Dickson Putra Edy P. Fireman HSE L 34
34 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
35 Ondhy Dickson Putra Rudi A Fireman HSE L 34
36 Ondhy Dickson Putra Alovel Fireman HSE L 49
37 Ondhy Dickson Putra Rawianto Fireman HSE L 49
38 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
39 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
40 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
41 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
42 Peteka Karya Gapura Istat Helper Marine L 54
43 Pertamina Oka Adithya 748709 HSE L 30
44 Pertamina Murip Fireman HSE L
45 Pertamina Ade Krisna Fireman HSE L 22
46 Pertamina M Fadli Fireman HSE L 21
47 Pertamina Mulya Fireman HSE L
48 Pertamina Akbar Budiman Fireman F&I L 22
49 Pertamina Andika Fireman HSE L
50 Pertamina Panji Fireman HSE L
51 Pertamina Ahmad Najmudin Pekerja OM L 28
52 Prima Armada Raya Try Wibowo Driver Lab L 27
53 Prima Armada Raya Ummuaiman Driver Lab L 27
54 Prima Armada Raya Jusfhian M Driver OH L 35
55 Prima Armada Raya Herodian W Driver HSE L 28
56 Prima Armada Raya Alvan Driver MA4 L 29
57 Prima Armada Raya Sugeng P Driver OM L 48
58 Prima Armada Raya Gali P Driver Marine L 43
59 Prima Armada Raya Jasman Driver HSE L 53
60 Prima Armada Raya Andika Chandra Driver Lab L 33
61 Prima Armada Raya Amiruddin Driver Lab L 45
62 Prima Armada Raya Denny Driver OM L 27
63 Prima Armada Raya Imron Rosadi Driver Marine L 46
64 Prima Armada Raya Sayid Fadli Driver Lab L 41
65 Prima Armada Raya Heri Driver Lab L 37
66 Prima Armada Raya Suriansyah Driver Marine L 51
67 PTC Edison Y S Inspector HSE L 42
68 PTC Jihan R Security Kilang L 37
69 Rizki Handayani Sejati Jamaluddin Helper Operasi L 43
70 Surya Adiguna Hamzah Scaffolder Workshop L 54
71 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

130/80 85 36.5 22 v
120/90 73 36.3 22 v
120/80 68 36.1 22 v
110/80 78 36.5 20 v
120/80 92 36.5 22 v
110/80 76 36 20 v
120/80 80 36.2 20 v
120/90 72 36.5 20 v
120/80 80 36.1 22 v
120/80 88 36.6 22 v
120/90 90 36.5 20 v
100/70 77 36.5 22 v
100/80 64 36.2 20 v
110/80 72 36.5 20 v
120/80 103 36 22 v
100/80 73 36.5 20 v
100/80 87 36.5 21 v
130/80 80 36.5 22 v
120/80 97 36.5 22 v
110/80 90 36.5 22 v
110/80 85 36 22 v
130/90 90 36.4 20 v
120/80 83 36.6 21 v
130/80 83 36 19 v
110/80 79 36.1 21 v
100/80 64 36.5 22 v
110/80 72 36.4 21 v
120/80 103 36.6 20 v
130/90 60 36.3 21 v
100/80 87 36.1 20 v
120/80 77 36 22 v
120/80 70 36.6 21 v
120/80 80 36 19 v
120/80 83 36.2 20 v
120/80 83 36.5 20 v
120/80 79 36.5 20 v
130/80 64 36.5 21 v
120/80 77 36.1 20 v
130/80 75 36.4 21 v
120/80 89 36.6 20 v
110/80 78 36.5 20 v
120/90 76 36.5 22 v
120/80 72 36.3 22 v
120/80 80 36 21 v
120/80 97 36.1 22 v
110/90 80 36.5 20 v
110/80 66 36.5 22 v
120/80 78 36.5 20 v
120/80 78 36 20 v
120/70 68 36.2 20 v
120/80 80 36.1 22 v
120/80 76 36.5 20 v
110/80 73 36 20 v
120/80 80 36 22 v
120/80 85 36.5 20 v
120/80 96 36.5 20 v
120/80 89 36.1 22 v
120/80 91 36.6 22 v
120/80 91 36.5 20 v
110/80 96 36.5 22 v
110/80 72 36.2 20 v
110/80 79 36.5 20 v
110/80 100 36 22 v
120/80 100 36.5 20 v
110/80 60 36.1 20 v
120/80 84 36.2 21 v
110/80 66 36.5 22 v
120/80 78 36.5 20 v
120/70 68 36.1 22 v
120/80 88 36.4 21 v
120/80 88 36.6 20 v
71 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Rabu, 11 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper Kilang L 32
5 Kinasih Bustomi Driver Enviro L 54
6 Kinasih Abdullah Helper HSE L 50
7 Kinasih Didin Eko Y Driver HSE L 38
8 Kinasih Mahmudin HSE HSE L 38
9 Kinasih Abdul Gofur Helper Produksi L 39
10 Karya Murni Nusantara Eko Safetyman HSE L 26
11 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
12 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
13 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
14 LAPI Novian Driver HCC L 34
15 LAPI M Ridoni Driver HCC L 27
16 LAPI Rikki Maulana Driver HCC L 22
17 Malewa Putra Darwis Driver Enviro L 42
18 Malewa Putra Didi Hermanto Driver Enviro L 44
19 Malewa Putra Kahar Banda Safetyman Enviro L 24
20 Malewa Putra Budiawan N Driver Enviro L 35
21 Malewa Putra M Syahir Pengawas Enviro L 46
22 Malewa Putra Agi Maulid A Safetyman Enviro L 25
23 Malewa Putra Idris Pengawas Enviro L 46
24 Ondhy Dickson Putra Ponidi Helper HSE L 45
25 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
26 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
27 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
28 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
29 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
30 Ondhy Dickson Putra Rachmani Fireman HSE L 45
31 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
32 Ondhy Dickson Putra Allen E M Fireman HSE L 48
33 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
34 Ondhy Dickson Putra Zainudin Fireman HSE L 52
35 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
36 Ondhy Dickson Putra Rudi A Fireman HSE L 34
37 Ondhy Dickson Putra Alovel Fireman HSE L 49
38 Ondhy Dickson Putra Rawianto Fireman HSE L 49
39 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
40 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
41 Patra Utama Mandiri Tri Maswianto Safetyman HSE L 29
42 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
43 Pertamina Imam B R 754630 MA 4 L 20
44 Pertamina Murip Fireman HSE L
45 Pertamina Ade Krisna Fireman HSE L 22
46 Pertamina M Fadli Fireman HSE L 21
47 Pertamina Ahmad Najmudin Pekerja OM L 28
48 Pertamina Mulya Fireman HSE L
49 Pertamina Andika Fireman HSE L
50 Pertamina Panji Fireman HSE L
51 Pertamina Ogi H Fireman HSE L
52 Pertamina Aulia Rachim Fireman HSE L 34
53 Pertamina Akbar Budiman Fireman F&I L 22
54 Pertamina Surya Bayu Fireman HSE L
55 Pertamina Dedi 731562 OM L 41
56 PTC Edison Y S Inspector HSE L 42
57 PTC Dede S Inspector HSE L 50
58 Prima Armada Raya Jusfhian M Driver OH L 35
59 Prima Armada Raya Ummuaiman Driver Lab L 27
60 Prima Armada Raya Anto Driver Marine L 32
61 Prima Armada Raya Gali P Driver Marine L 43
62 Prima Armada Raya Jasman Driver HSE L 53
63 Prima Armada Raya Alvan Driver MA4 L 29
64 Prima Armada Raya Denny Driver OM L 27
65 Prima Armada Raya Amiruddin Driver Lab L 45
66 Prima Armada Raya Sayid Fadli Driver Lab L 41
67 Prima Armada Raya Imron Rosadi Driver Marine L 46
68 Prima Armada Raya Fajrin Driver Marine L 38
69 Prima Armada Raya M Khairun I B Driver OM L 19
70 Surya Adiguna Hamzah Scaffolder Workshop L 54
71 Toba Permai Lestari Lapata'ah Helper OM L 46
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 79 36.5 22 v
120/80 88 36.6 21 v
110/80 83 36 19 v
110/80 76 36.5 20 v
130/90 99 36.5 22 v
120/80 60 36.6 22 v
120/80 97 36.5 20 v
120/80 95 36.5 22 v
130/90 84 36 20 v
120/80 80 36 21 v
110/70 75 36.6 20 v
110/70 68 36.3 22 v
130/90 90 36 20 v
120/80 88 36.5 21 v
120/80 89 36 19 v
120/80 90 36.1 21 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
130/80 89 36 19 v
130/90 97 36.1 20 v
100/80 63 36.4 21 v
120/80 79 36.5 22 v
120/80 80 36 22 v
120/80 81 36.4 20 v
130/80 90 36 22 v
120/80 82 36.6 21 v
130/80 72 36 22 v
120/80 80 36 19 v
110/80 70 36.1 20 v
110/80 91 36.4 21 v
120/70 82 36.6 20 v
130/80 80 36.5 20 v
130/90 81 36.4 21 v
130/90 98 36.6 20 v
130/90 80 36.3 21 v
120/80 86 36 20 v
120/80 100 36.3 19 v
120/80 83 36.4 20 v
120/70 76 36 22 v
120/80 71 36.5 22 v
120/80 86 36.5 21 v
120/80 65 36.5 22 v
120/80 94 36 22 v
130/80 78 36 22 v
130/90 78 36.5 20 v
130/90 82 36.5 21 v
120/80 72 36.3 22 v
130/90 98 36.1 22 v
130/80 98 36.3 22 v
130/90 89 36 20 v
130/80 97 36.5 20 v
120/80 80 36.6 21 v
130/80 77 36.6 21 v
110/80 68 36 19 v
120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/80 83 36.6 20 v
110/80 78 36.5 20 v
110/80 66 36.5 22 v
110/80 85 36.6 22 v
120/80 93 36.5 20 v
120/80 88 36.5 22 v
120/80 73 36.6 21 v
110/80 89 36 19 v
110/80 73 36.1 20 v
110/80 98 36.6 20 v
110/80 100 36.4 21 v
120/80 85 36.6 20 v
110/80 90 36.3 21 v
120/80 97 36.5 20 v
120/80 95 36.5 22 v
71 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Kamis, 12 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper HSE L 50
5 Kinasih Didin Eko Y Driver HSE L 38
6 Kinasih Abdul Gofur Helper Produksi L 39
7 Kinasih Mahmudin HSE HSE L 38
8 Karya Murni Nusantara Eko Safetyman HSE L 26
9 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
10 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
11 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
12 Karya Murni Nusantara Agus S Expert HSE L 60
13 Karya Murni Nusantara Sudarto Helper Enviro L 54
14 LAPI Novian Driver HCC L 34
15 LAPI M Ridoni Driver HCC L 27
16 LAPI Rikki Maulana Driver HCC L 22
17 Malewa Putra Darwis Driver Enviro L 42
18 Malewa Putra Didi Hermanto Driver Enviro L 44
19 Malewa Putra Kahar Banda Safetyman Enviro L 24
20 Malewa Putra Budiawan N Driver Enviro L 35
21 Malewa Putra Agi Maulid A Safetyman Enviro L 25
22 Ondhy Dickson Putra Ponidi Helper HSE L 45
23 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
24 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
25 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
26 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
27 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
28 Ondhy Dickson Putra Rachmani Fireman HSE L 45
29 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
30 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
31 Ondhy Dickson Putra Allen E M Fireman HSE L 48
32 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
33 Ondhy Dickson Putra La Hasan Fireman HSE L 44
34 Ondhy Dickson Putra Agung W Fireman HSE L 31
35 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
36 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
37 Ondhy Dickson Putra Rudi A Fireman HSE L 34
38 Ondhy Dickson Putra Alovel Fireman HSE L 49
39 Ondhy Dickson Putra Rawianto Fireman HSE L 49
40 Pratama Abadi Jaya Bayu Putra A 55046 HSE L 21
41 Pratama Abadi Jaya Moses S M Inspector HSE L 38
42 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
43 Pratama Abadi Jaya Didit A Facilitator OH HSE L 25
44 PTC Edison Y S Inspector HSE L 42
45 Pertamina Murip Fireman HSE L
46 Pertamina Ade Krisna Fireman HSE L 22
47 Pertamina M Fadli Fireman HSE L 21
48 Pertamina Hanaf Fireman HSE L
49 Pertamina Aulia Rachim Fireman HSE L 34
50 Pertamina Akbar Budiman Fireman F&I L 22
51 Pertamina Dedi F A 731562 OM L 41
52 Pertamina Yuri Susanda 746315 OM L 41
53 Pertamina Ahmad Najmudin Pekerja OM L 28
54 Pertamina Enos Batu K 746310 LAB L 35
55 Prima Armada Raya Jusfhian M Driver OH L 35
56 Prima Armada Raya Ummuaiman Driver Lab L 27
57 Prima Armada Raya M Khairun I B Driver OM L 19
58 Prima Armada Raya Jasman Driver HSE L 53
59 Prima Armada Raya Alvan Driver MA4 L 29
60 Prima Armada Raya Ahmad S Driver Bis L 41
61 Prima Armada Raya Amiruddin Driver Lab L 45
62 Prima Armada Raya Denny Driver OM L 27
63 Prima Armada Raya Gali P Driver Marine L 43
64 Prima Armada Raya Herodian W Driver HSE L 28
65 Prima Armada Raya Imron Rosadi Driver Marine L 46
66 Prima Armada Raya Andika Chandra Driver Lab L 33
67 Prima Armada Raya Sayid Fadli Driver Lab L 41
68 Prima Armada Raya Defri Ubaidillah Driver OM L 28
69 Prima Armada Raya Tamjiddillah Driver Lab L 26
70 Prima Armada Raya Sugeng P Driver OM L 48
71 Surya Adiguna Hamzah Scaffolder Workshop L 54
72 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 65 36.5 22 v
120/70 94 36 22 v
120/80 78 36 22 v
120/80 78 36.5 20 v
120/80 82 36.5 21 v
120/80 77 36.6 21 v
120/80 68 36 19 v
120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/80 71 36.6 20 v
130/80 87 36.5 20 v
130/90 100 36.5 22 v
130/80 88 36.6 22 v
120/80 79 36.5 20 v
130/80 75 36.5 22 v
120/80 81 36 20 v
120/80 104 36.5 20 v
120/80 74 36.5 20 v
110/70 82 36.2 19 v
130/80 70 36.5 22 v
120/80 72 36.6 21 v
130/80 68 36 19 v
120/80 98 36.1 20 v
120/80 80 36.6 20 v
120/80 70 36.4 21 v
120/80 98 36.6 20 v
130/80 80 36.3 21 v
110/70 90 36.1 20 v
120/80 72 36.5 22 v
130/80 94 36.2 20 v
130/80 84 36.5 22 v
120/90 69 36 19 v
120/80 69 36.1 20 v
130/80 73 36.4 21 v
130/80 64 36 22 v
130/80 78 36.6 21 v
130/90 77 36 22 v
130/80 102 36.2 21 v
130/90 76 36.5 22 v
120/80 65 36.6 21 v
120/80 63 36 22 v
130/80 62 36.5 20 v
110/80 80 36 22 v
130/80 83 36 20 v
120/80 99 36.3 19 v
120/80 72 36.4 20 v
110/80 88 36 22 v
120/80 60 36.5 22 v
110/70 83 36.5 21 v
120/80 81 36.5 22 v
120/80 66 36 22 v
120/80 80 36.5 20 v
120/80 80 36.3 22 v
120/70 88 36.1 22 v
110/80 80 36 20 v
110/80 73 36.5 20 v
110/80 95 36.1 22 v
120/80 98 36.6 22 v
110/80 76 36 22 v
120/80 88 36.5 21 v
110/80 70 36.5 22 v
120/80 97 36.3 21 v
120/80 76 36.1 20 v
120/90 86 36 22 v
110/80 100 36.5 22 v
110/80 86 36.1 20 v
110/80 81 36.4 21 v
110/70 78 36.6 20 v
110/70 98 36.5 20 v
120/80 80 36.5 22 v
120/80 65 36.3 22 v
110/70 60 36.1 22 v
72 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Jum'at, 13 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper HSE L 50
5 Karya Murni Nusantara Eko Safetyman HSE L 26
6 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
7 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
8 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
9 Karya Murni Nusantara Agus S Expert HSE L 60
10 Karya Murni Nusantara Sudarto Helper Enviro L 54
11 LAPI Novian Driver HCC L 34
12 LAPI M Ridoni Driver HCC L 27
13 LAPI Rikki Maulana Driver HCC L 22
14 Malewa Putra Darwis Driver Enviro L 42
15 Malewa Putra Didi Hermanto Driver Enviro L 44
16 Malewa Putra Kahar Banda Safetyman Enviro L 24
17 Malewa Putra Budiawan N Driver Enviro L 35
18 Ondhy Dickson Putra Ponidi Helper HSE L 45
19 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
20 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
21 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
22 Ondhy Dickson Putra M Anshori Pekerja HSE L 38
23 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
24 Ondhy Dickson Putra Edy P. Fireman HSE L 34
25 Ondhy Dickson Putra Zainudin Fireman HSE L 52
26 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
27 Ondhy Dickson Putra La Hasan Fireman HSE L 44
28 Ondhy Dickson Putra Agung W Fireman HSE L 31
29 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
30 Ondhy Dickson Putra Rachmani Fireman HSE L 45
31 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
32 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
33 Ondhy Dickson Putra Allen E M Fireman HSE L 48
34 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
35 Peteka Karya Gapura Istat Helper Marine L 54
36 Pertamina Murip Fireman HSE L
37 Pertamina Ade Krisna Fireman HSE L 22
38 Pertamina M Fadli Fireman HSE L 21
39 Pertamina Mulya Fireman HSE L
40 Pertamina Andika Fireman HSE L
41 Pertamina Ogi W Fireman HSE L
42 Pertamina Panji Fireman HSE L
43 Pertamina Hanaf Fireman HSE L
44 Pertamina William Mckenzie Fireman F&I L 24
45 Pertamina Ahmad Najmudin Pekerja OM L 28
46 Pertamina Hariadi Narhad 746280 OM L 32
47 Pertamina Syahputra D S 754656 LAB L 23
48 Pertamina Kamarudin 679148 LAB L 38
49 Pratama Abadi Jaya Moses S M Inspector HSE L 38
50 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
51 Pratama Abadi Jaya Didit A Facilitator OH HSE L 25
52 PTC Edison Y S Inspector HSE L 42
53 Prima Armada Raya Bakri Driver Marine L 34
54 Prima Armada Raya Rudiansyah Driver Marine L 40
55 Prima Armada Raya Jusfhian M Driver OH L 35
56 Prima Armada Raya Try Wibowo Driver Lab L 27
57 Prima Armada Raya Herodian W Driver HSE L 28
58 Prima Armada Raya Jasman Driver HSE L 53
59 Prima Armada Raya Harce J K Driver HSE L 45
60 Prima Armada Raya Gali P Driver Marine L 43
61 Prima Armada Raya Sugeng P Driver OM L 48
62 Prima Armada Raya Amiruddin Driver Lab L 45
63 Prima Armada Raya Ahmad S Driver Bis L 41
64 Prima Armada Raya M Khairun I B Driver OM L 19
65 Prima Armada Raya Alvan Driver MA4 L 29
66 Prima Armada Raya Andika Chandra Driver Lab L 33
67 Prima Armada Raya Tamjiddillah Driver Lab L 26
68 Prima Armada Raya Sayid Fadli Driver Lab L 41
69 Prima Armada Raya Imron Rosadi Driver Marine L 46
70 Prima Armada Raya Suriansyah Driver Marine L 51
71 Surya Adiguna Hamzah Scaffolder Workshop L 54
72 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 69 36 20 v
120/80 94 36.2 20 v
120/80 79 36.5 20 v
120/80 80 36.1 22 v
130/80 87 36.6 22 v
130/80 97 36.1 20 v
130/90 67 36 22 v
100/80 89 36.6 21 v
130/90 87 36 19 v
120/80 87 36.1 20 v
120/80 70 36.4 20 v
120/80 80 36 22 v
110/80 73 36.6 21 v
110/80 73 36 19 v
130/90 71 36.1 21 v
120/80 70 36.5 22 v
120/80 88 36.3 22 v
120/80 62 36.1 22 v
120/80 76 36.5 20 v
120/80 91 36.5 22 v
110/80 87 36 20 v
110/80 82 36.5 22 v
130/80 91 36.2 20 v
120/80 71 36.6 22 v
110/80 93 36.5 20 v
130/90 80 36.5 22 v
130/90 91 36.5 22 v
130/90 83 36.3 22 v
130/80 102 36.1 22 v
120/80 78 36.5 20 v
110/70 75 36.5 22 v
130/80 70 36.1 22 v
110/80 79 36 20 v
130/90 83 36.2 20 v
120/90 87 36.5 20 v
130/80 80 36.1 22 v
120/80 88 36.6 22 v
120/80 79 36 22 v
110/80 75 36.5 21 v
120/80 106 36.5 22 v
120/80 77 36.6 22 v
110/80 73 36.5 20 v
120/70 73 36.5 22 v
120/80 71 36 22 v
130/90 77 36.4 20 v
120/80 90 36.6 21 v
110/70 93 36 19 v
110/70 74 36.1 21 v
130/90 60 36.1 20 v
120/80 80 36.4 21 v
120/80 76 36.6 20 v
120/80 81 36.5 22 v
110/80 79 36.5 22 v
110/80 100 36.6 21 v
120/80 79 36 22 v
120/80 80 36.5 20 v
120/80 83 36 22 v
120/80 100 36 20 v
120/80 78 36.3 19 v
120/80 95 36.4 20 v
120/80 80 36 22 v
110/80 75 36.5 22 v
120/80 79 36.5 21 v
110/80 98 36.5 22 v
120/80 75 36 22 v
120/80 81 36.5 20 v
110/80 77 36.3 22 v
110/80 91 36.1 22 v
120/80 86 36 20 v
120/80 98 36.5 20 v
120/80 70 36.4 20 v
120/80 80 36 22 v
72 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Sabtu, 14 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Kinasih Didin Eko Driver Enviro L 38
2 Kinasih Bustomi Driver Enviro L 54
3 Kinasih Sudarmo Driver Enviro L 55
4 LAPI Novian Driver HCC L 34
5 LAPI M Ridoni Driver HCC L 27
6 LAPI Rikki Maulana Driver HCC L 22
7 Manunggal Jaya Utama M Zaini Planner SPL L 37
8 Ondhy Dickson Putra Edy P. Fireman HSE L 34
9 Ondhy Dickson Putra Zainudin Fireman HSE L 52
10 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
11 Ondhy Dickson Putra La Hasan Fireman HSE L 44
12 Ondhy Dickson Putra Agung W Fireman HSE L 31
13 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
14 Ondhy Dickson Putra Rachmani Fireman HSE L 45
15 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
16 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
17 Ondhy Dickson Putra Allen E M Fireman HSE L 48
18 Pertamina Murip Fireman HSE L
19 Pertamina Ade Krisna Fireman HSE L 22
20 Pertamina M Fadli Fireman HSE L 21
21 Pertamina Hanaf Fireman HSE L
22 Pertamina William Mckenzie Fireman F&I L 24
23 Pertamina Mulya Fireman HSE L
24 Pertamina Andika Fireman HSE L
25 Pertamina Ogi W Fireman HSE L
26 Pertamina Panji Fireman HSE L
27 Pertamina Dedi F A 731562 OM L 41
28 Pertamina Bondan K S 752678 LAB L 24
29 Pertamina Puji Eko P 746303 LAB L 33
30 Pertamina M Ramadhan 753514 LAB L 24
31 Prima Armada Raya Fajrin Driver Marine L 38
32 Prima Armada Raya Denny Driver OM L 27
33 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
34 Patra Utama Mandiri Khoirul Insani S Verifkator HSE L 29
35 Surya Adiguna Hamzah Scaffolder Workshop L 54
36 Wignyo Nursan Helper MA 4 L 50
37 Wignyo Wayan K Helper MA 5 L 50
38 Wignyo Burhanuddin Helper MA 6 L 53
39 Wignyo M Yunus Helper MA 7 L 46
JUMLAH
 :Bekerja Diketinggian dan Ruang Terbatas
: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 76 36.5 20 v
120/70 89 36.2 19 v
120/80 88 36 20 v
120/80 73 36 20 v
120/80 74 36 22 v
120/70 68 36.6 21 v
120/80 77 36 19 v
130/80 74 36.1 20 v
130/90 100 36.4 21 v
130/90 86 36.1 20 v
130/90 98 36 22 v
130/80 72 36.6 21 v
120/80 86 36 19 v
120/80 68 36.1 20 v
110/70 100 36.4 21 v
120/80 60 36.6 20 v
120/70 74 36.5 20 v
120/80 86 36.5 22 v
120/80 79 36.2 19 v
110/80 68 36.6 20 v
130/90 87 36.3 21 v
110/80 78 36.1 20 v
130/80 88 36.1 20 v
110/80 74 36 22 v
120/80 70 36.6 21 v
120/70 82 36 19 v
110/80 73 36.6 20 v
110/70 79 36.2 20 v
110/80 100 36.5 20 v
110/80 87 36.1 22 v
120/80 85 36.6 22 v
110/80 74 36.5 20 v
120/80 62 36.5 21 v
120/80 64 36 19 v
120/70 76 36.6 21 v
120/80 86 36 20 v
120/80 97 36 20 v
120/80 85 36 21 v
120/80 75 36.6 20 v
39 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Minggu, 15 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
2 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
3 Karya Murni Nusantara Rizal Luqman H Safetyman HSE L 26
4 Kinasih Sumroni Safetyman HSE L 42
5 Kinasih Abdul Gafur Helper Produksi L 39
6 Kinasih Didin Eko Driver Enviro L 38
7 Kinasih Sudarmo Driver Enviro L 55
8 Ondhy Dickson Putra Rachmani Fireman HSE L 45
9 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
10 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
11 Ondhy Dickson Putra Allen E M Fireman HSE L 48
12 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
13 Ondhy Dickson Putra Rudi A Fireman HSE L 34
14 Ondhy Dickson Putra Alovel Fireman HSE L 49
15 Ondhy Dickson Putra Edy P. Fireman HSE L 34
16 Ondhy Dickson Putra Zainudin Fireman HSE L 52
17 Pertamina Andika Fireman HSE L
18 Pertamina Ogi W Fireman HSE L
19 Pertamina Panji Fireman HSE L
20 Pertamina Mulya Fireman HSE L
21 Pertamina William Mckenzie Fireman F&I L 24
22 Pertamina Aulia Rachim Fireman HSE L 34
23 Pertamina Akbar Budiman Fireman F&I L 22
24 Pertamina Murip Fireman HSE L
25 Pertamina Ade Krisna Fireman HSE L 22
26 Pertamina M Fadli Fireman HSE L 21
27 Pertamina Agung Aldi 754394 LAB L 24
28 Pertamina Enos Batu K 746310 LAB L 35
29 Prima Armada Raya M Khairun I B Driver OM L 19
30 Prima Armada Raya Andika Chandra Driver Lab L 33
31 Prima Armada Raya Fajrin Driver Marine L 38
32 Surya Adiguna Hamzah Scaffolder Workshop L 54
33 Toba Permai Lestari La Pata'ah Helper Kilang L
34 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu
No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 79 36.5 22 v
120/80 88 36.6 21 v
110/80 83 36 19 v
120/80 76 36.1 20 v
120/80 88 36.5 21 v
120/80 89 36 19 v
120/80 90 36.1 21 v
120/80 100 36.3 21 v
130/80 90 36.1 20 v
130/80 89 36 19 v
130/90 97 36.1 20 v
100/80 63 36.4 21 v
130/90 99 36.1 20 v
120/80 68 36.4 21 v
130/90 98 36.6 20 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
120/80 92 36 22 v
110/70 76 36.6 21 v
130/80 78 36.1 20 v
110/80 75 36 22 v
130/90 78 36.6 21 v
120/90 97 36 19 v
110/70 60 36.1 20 v
130/90 64 36.4 21 v
120/90 100 36.6 20 v
120/80 64 36.5 20 v
120/80 96 36.5 22 v
110/80 88 36 20 v
120/80 92 36 21 v
120/80 83 36.6 21 v
120/80 79 36.5 22 v
130/90 84 36 20 v
120/80 80 36 21 v
34 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Senin, 16 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Abdullah Helper HSE L 50
5 Kinasih Sumroni Safetyman HSE L 42
6 Kinasih Abdul Gafur Helper Produksi L 39
7 Kinasih Didin Eko Driver Enviro L 38
8 Kinasih Sudarmo Driver Enviro L 55
9 Kinasih Sanip Helper Enviro L 48
10 Kinasih Yun Pribadi Driver Enviro L 46
11 Kinasih Ahmad Lamase Helper Enviro L 50
12 Kinasih Sutiono Driver Enviro L 50
13 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
14 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
15 Karya Murni Nusantara Rizal Luqman H Safetyman HSE L 26
16 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
17 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
18 Karya Murni Nusantara Eko Safetyman HSE L 26
19 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
20 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
21 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
22 Karya Murni Nusantara Agus S Expert HSE L 60
23 Karya Murni Nusantara Sudarto Helper Enviro L 54
24 LAPI Novian Driver HCC L 34
25 LAPI Rikki Maulana Driver HCC L 22
26 Malewa Putra Darwis Driver Enviro L 42
27 Malewa Putra Didi Hermanto Driver Enviro L 44
28 Malewa Putra Kahar Banda Safetyman Enviro L 24
29 Malewa Putra Budiawan N Driver Enviro L 35
30 Malewa Putra Agi Maulid A Safetyman Enviro L 25
31 Ondhy Dickson Putra Ponidi Helper HSE L 45
32 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
33 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
34 Ondhy Dickson Putra Kamarudin Fireman HSE L 53
35 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
36 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
37 Ondhy Dickson Putra La Hasan Fireman HSE L 44
38 Ondhy Dickson Putra Agung W Fireman HSE L 31
39 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
40 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
41 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
42 Ondhy Dickson Putra Rudi A Fireman HSE L 34
43 Ondhy Dickson Putra Alovel Fireman HSE L 49
44 Ondhy Dickson Putra Edy P. Fireman HSE L 34
45 Ondhy Dickson Putra Zainudin Fireman HSE L 52
46 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
47 Patra Badak Arun Solusi Agus Triyono Teknisi MA 4 L 36
48 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
49 Patra Utama Mandiri Angya P Safetyman HSE L 24
50 Peteka Karya Gapura Istat Helper Marine L 54
51 Peteka Karya Gapura Taufk Afandi Helper Marine L 27
52 Peteka Karya Gapura M Abdu Hidayat Helper Marine L 37
53 Peteka Karya Gapura Ricky Permana Helper Marine L 23
54 PTC Edison Y S Inspector HSE L 42
55 PTC Dede S Inspector HSE L 50
56 Pertamina Aulia Rachim Fireman HSE L 34
57 Pertamina Akbar Budiman Fireman F&I L 22
58 Pertamina Surya Bayu Fireman HSE L
59 Pertamina Mulya Fireman HSE L
60 Pertamina Hanaf Fireman HSE L
61 Pertamina Putut Safetyman HSE L 31
62 Pertamina Andika Fireman HSE L
63 Pertamina Ogi W Fireman HSE L
64 Pertamina Panji Fireman HSE L
65 Pratama Abadi Jaya Moses S M Inspector HSE L 38
66 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
67 Pratama Abadi Jaya Didit A Facilitator OH HSE L 25
68 Prima Armada Raya Rudiansyah Driver Marine L 40
69 Prima Armada Raya Ummuaiman Driver Lab L 27
70 Prima Armada Raya Herodian W Driver HSE L 28
71 Prima Armada Raya Defri Ubaidillah Driver OM L 28
72 Prima Armada Raya Janny F J T Driver OM L 45
73 Prima Armada Raya Andika Chandra Driver Lab L 33
74 Prima Armada Raya Daniel Driver Marine L 35
75 Prima Armada Raya Sugeng P Driver OM L 48
76 Prima Armada Raya M Khairun I B Driver OM L 19
77 Prima Armada Raya Harce J K Driver HSE L 45
78 Prima Armada Raya Gali P Driver Marine L 43
79 Prima Armada Raya Amiruddin Driver Lab L 45
80 Prima Armada Raya Sayid Fadli Driver Lab L 41
81 Prima Armada Raya Imron Rosadi Driver Marine L 46
82 Prima Armada Raya Denny Driver OM L 27
83 Prima Armada Raya Ahmad S Driver Bis L 41
84 Prima Armada Raya Suriansyah Driver Marine L 51
85 Surya Adiguna Hamzah Scaffolder Workshop L 54
 JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Kinasih Sanip Helper Enviro L 48

2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 92 36.5 20 v
130/80 90 36 22 v
130/80 90 36.5 22 v
130/80 77 36.5 21 v
130/90 98 36.5 22 v
130/80 71 36 22 v
130/90 88 36.5 22 v
120/80 87 36.5 22 v
140/80 80 36 22 v
130/80 90 36.4 20 v
110/80 77 36.6 21 v
130/80 90 36.1 22 v
120/80 76 36.6 22 v
120/80 69 36.5 20 v
110/80 77 36 20 v
120/80 93 36 21 v
110/70 75 36.6 20 v
120/80 75 36.3 22 v
120/80 78 36.5 21 v
120/80 80 36 22 v
120/80 63 36 20 v
120/70 74 36 21 v
120/80 94 36.6 20 v
130/80 98 36.3 22 v
130/90 89 36 20 v
130/80 97 36.5 20 v
120/80 70 36.5 20 v
130/80 82 36 22 v
120/80 80 36.5 21 v
120/80 76 36.5 22 v
120/80 90 36.5 22 v
110/70 60 36.5 22 v
130/80 61 36 22 v
120/80 70 36.4 20 v
130/80 74 36.6 21 v
120/80 78 36.1 21 v
120/80 87 36.5 22 v
120/80 88 36 22 v
120/80 89 36 20 v
110/70 98 36.3 19 v
120/80 83 36.4 20 v
120/70 76 36 22 v
120/80 71 36.5 22 v
120/80 86 36.5 21 v
120/80 65 36.5 22 v
120/80 94 36 22 v
130/80 78 36 22 v
130/90 78 36.5 20 v
130/90 82 36.5 21 v
130/80 77 36.6 21 v
110/80 68 36 19 v
120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/80 83 36.6 20 v
110/80 76 36.5 20 v
130/90 99 36.5 22 v
120/80 60 36.6 22 v
120/80 81 36.5 20 v
120/80 95 36.5 22 v
120/80 100 36 20 v
120/80 69 36.5 20 v
120/80 80 36.5 20 v
110/80 66 36.2 19 v
110/80 94 36.5 22 v
130/80 87 36.6 21 v
120/80 80 36 19 v
110/80 70 36.1 20 v
120/80 68 36.4 21 v
110/70 80 36.5 21 v
120/80 92 36.5 22 v
120/80 68 36 22 v
120/80 76 36.5 20 v
120/70 100 36.3 22 v
120/80 94 36.1 22 v
130/80 84 36 20 v
110/70 100 36.5 20 v
130/80 72 36.1 22 v
120/80 90 36.6 22 v
120/80 88 36 22 v
120/80 99 36.5 21 v
120/80 100 36.5 22 v
120/80 86 36.3 21 v
120/80 87 36.1 20 v
120/80 98 36 22 v
120/80 80 36.5 22 v
 84 1 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 80 - v -
- - - - -
1 0
 Tempat Pintu 3A
Waktu Selasa, 17 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Abdullah Helper HSE L 50
4 Kinasih Abdul Gafur Helper Produksi L 39
5 Kinasih Sudarmo Driver Enviro L 55
6 Kinasih Sanip Helper Enviro L 48
7 Kinasih Ahmad Lamase Helper Enviro L 50
8 Kinasih Mahmudin Safetyman HSE L 30
9 Kinasih Waluyo Safetyman HSE L 50
10 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
11 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
12 Karya Murni Nusantara Rizal Luqman H Safetyman HSE L 26
13 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
14 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
15 Karya Murni Nusantara Eko Safetyman HSE L 26
16 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
17 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
18 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
19 Karya Murni Nusantara Agus S Expert HSE L 60
20 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
21 LAPI Novian Driver HCC L 34
22 LAPI Rikki Maulana Driver HCC L 22
23 Malewa Putra Darwis Driver Enviro L 42
24 Malewa Putra Didi Hermanto Driver Enviro L 44
25 Malewa Putra Kahar Banda Safetyman Enviro L 24
26 Malewa Putra Budiawan N Driver Enviro L 35
27 Malewa Putra Agi Maulid A Safetyman Enviro L 25
28 Ondhy Dickson Putra Ponidi Helper HSE L 45
29 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
30 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
31 Ondhy Dickson Putra Hariyanto Helper HSE L 54
32 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
33 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
34 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
35 Ondhy Dickson Putra La Hasan Fireman HSE L 44
36 Ondhy Dickson Putra Agung W Fireman HSE L 31
37 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
38 Ondhy Dickson Putra Rudi A Fireman HSE L 34
39 Ondhy Dickson Putra Alovel Fireman HSE L 49
40 Ondhy Dickson Putra Edy P. Fireman HSE L 34
41 Ondhy Dickson Putra Zainudin Fireman HSE L 52
42 Ondhy Dickson Putra Sujaedi Helper HSE L 50
43 Ondhy Dickson Putra Supardi Helper HSE L 52
44 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
45 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
46 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
47 Patra Utama Mandiri Angya P Safetyman HSE L 24
48 PTC Edison Y S Inspector HSE L 42
49 Pertamina Murip Fireman HSE L
50 Pertamina Hanaf Fireman HSE L
51 Pertamina William Mckenzie Fireman F&I L 24
52 Pertamina Aulia Rachim Fireman HSE L 34
53 Pertamina Akbar Budiman Fireman F&I L 22
54 Pertamina Surya Bayu Fireman HSE L
55 Pertamina Mulya Fireman HSE L
56 Pertamina Andika Fireman HSE L
57 Pertamina Ogi W Fireman HSE L
58 Pertamina Panji Fireman HSE L
59 Pertamina Juanda 679115 LAB L 56
60 Pertamina Dedi F A 731562 OM L 41
61 Pertamina Enos Batu K 746310 LAB L 35
62 Pratama Abadi Jaya Moses S M Inspector HSE L 38
63 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
64 Prima Armada Raya Ummuaiman Driver Lab L 27
65 Prima Armada Raya Anto Driver Marine L 32
66 Prima Armada Raya Harce J K Driver HSE L 45
67 Prima Armada Raya Janny F J T Driver OM L 45
68 Prima Armada Raya Herodian W Driver HSE L 28
69 Prima Armada Raya Sugeng P Driver OM L 48
70 Prima Armada Raya Jusfhian M Driver OH L 35
71 Prima Armada Raya Heri Driver LAB L 37
72 Prima Armada Raya Sidiq Musliman Driver HSE L 30
73 Prima Armada Raya Andika Chandra Driver Lab L 33
74 Prima Armada Raya Alvan Driver MA4 L 29
75 Prima Armada Raya Denny Driver OM L 27
76 Prima Armada Raya Gali P Driver Marine L 43
77 Prima Armada Raya Sayid Fadli Driver Lab L 41
78 Prima Armada Raya Imron Rosadi Driver Marine L 46
79 Prima Armada Raya Amiruddin Driver Lab L 45
80 Prima Armada Raya Jasman Driver HSE L 53
81 Prima Armada Raya Fajrin Driver Marine L 38
82 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH
 :Bekerja Diketinggian dan Ruang Terbatas
: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/80 83 36.6 20 v
110/80 76 36.5 20 v
130/90 99 36.5 22 v
120/80 81 36.5 20 v
120/80 95 36.5 22 v
120/80 100 36 20 v
120/80 69 36.5 20 v
120/80 80 36.5 20 v
110/80 66 36.2 19 v
110/80 94 36.5 22 v
130/80 87 36.6 21 v
120/80 80 36 19 v
110/80 70 36.1 20 v
130/90 81 36.4 21 v
130/90 98 36.6 20 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
120/80 92 36 22 v
110/70 76 36.6 21 v
130/80 78 36.1 20 v
110/80 75 36 22 v
130/90 78 36.6 21 v
120/90 97 36 19 v
110/70 60 36.1 20 v
130/90 64 36.4 21 v
120/90 100 36.6 20 v
120/80 64 36.5 20 v
120/80 96 36.5 22 v
130/80 77 36.3 22 v
120/80 79 36.5 22 v
120/80 88 36.6 21 v
110/80 83 36 19 v
120/80 76 36.1 20 v
120/80 74 36.4 21 v
120/80 88 36.5 21 v
120/80 89 36 19 v
120/80 90 36.1 21 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
130/80 89 36 19 v
130/90 97 36.1 20 v
100/80 63 36.4 21 v
130/90 99 36.1 20 v
120/80 68 36.4 21 v
130/80 88 36.5 22 v
120/80 92 36.5 20 v
130/80 90 36 22 v
130/80 90 36.5 22 v
130/80 77 36.5 21 v
130/90 98 36.5 22 v
130/80 71 36 22 v
130/90 88 36.5 22 v
120/80 87 36.5 22 v
120/80 78 36.5 21 v
120/80 89 36 20 v
110/70 98 36.3 19 v
120/80 83 36.4 20 v
120/70 76 36 22 v
120/80 71 36.5 22 v
120/80 86 36.5 21 v
120/80 65 36.5 22 v
110/70 72 36 22 v
120/80 72 36 22 v
120/80 72 36.5 20 v
120/80 72 36.5 21 v
120/80 100 36.3 22 v
130/80 91 36.1 22 v
120/80 88 36.3 22 v
120/80 78 36 20 v
120/80 71 36.5 20 v
120/70 83 36.6 20 v
120/80 100 36.2 20 v
110/80 90 36.5 20 v
130/80 79 36.1 22 v
120/80 100 36 22 v
120/80 86 36.6 21 v
110/80 75 36.3 19 v
120/80 90 36.5 21 v
130/80 80 36.5 22 v
120/80 65 36.5 22 v
82 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Rabu, 18 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Abdullah Helper HSE L 50
4 Kinasih Abdul Gafur Helper Produksi L 39
5 Kinasih Sudarmo Driver Enviro L 55
6 Kinasih Sanip Helper Enviro L 48
7 Kinasih Ahmad Lamase Helper Enviro L 50
8 Kinasih Mahmudin Safetyman HSE L 30
9 Kinasih Waluyo Safetyman HSE L 50
10 Kinasih Ibnu Helper HSE L 34
11 Kinasih Didin Eko Driver HSE L 38
12 Kinasih Hafludin Helper HSE L 30
13 Kinasih Sutiono Driver HSE L 50
14 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
15 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
16 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
17 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
18 Karya Murni Nusantara Eko Safetyman HSE L 26
19 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
20 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
21 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
22 Karya Murni Nusantara Agus S Expert HSE L 60
23 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
24 LAPI Novian Driver HCC L 34
25 LAPI Rikki Maulana Driver HCC L 22
26 Malewa Putra Darwis Driver Enviro L 42
27 Malewa Putra Didi Hermanto Driver Enviro L 44
28 Malewa Putra Kahar Banda Safetyman Enviro L 24
29 Malewa Putra Budiawan N Driver Enviro L 35
30 Malewa Putra Agi Maulid A Safetyman Enviro L 25
31 Ondhy Dickson Putra Edi Helper OH HSE L 42
32 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
33 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
34 Ondhy Dickson Putra Hendry D Helper HSE L 39
35 Ondhy Dickson Putra Ponidi Helper HSE L 45
36 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
37 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
38 Ondhy Dickson Putra La Hasan Fireman HSE L 44
39 Ondhy Dickson Putra Agung W Fireman HSE L 31
40 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
41 Ondhy Dickson Putra Rachmani Fireman HSE L 45
42 Ondhy Dickson Putra Allen E M Fireman HSE L 48
43 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
44 Ondhy Dickson Putra Edy P. Fireman HSE L 34
45 Ondhy Dickson Putra Zainudin Fireman HSE L 52
46 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
47 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
48 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55
49 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
50 Patra Utama Mandiri Angya P Safetyman HSE L 24
51 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
52 Peteka Karya Gapura Istat Helper Marine L 54
53 PTC Edison Y S Inspector HSE L 42
54 PTC Dede S Inspector HSE L 50
55 Pertamina Hanaf Fireman HSE L
56 Pertamina Akbar Budiman Fireman F&I L 22
57 Pertamina Andika Fireman HSE L
58 Pertamina Murip Fireman HSE L
59 Pertamina M Fadli Fireman HSE L 21
60 Pertamina Mulya Fireman HSE L
61 Pertamina Andika Fireman HSE L
62 Pertamina Ogi H Fireman HSE L
63 Pertamina Panji Fireman HSE L
64 Pertamina Enos Batu K 746310 LAB L 35
65 Pertamina Taman Jaohari Pengawas Security L 46
66 Pratama Abadi Jaya Moses S M Inspector HSE L 38
67 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
68 Prima Armada Raya Ummuaiman Driver Lab L 27
69 Prima Armada Raya Sugeng P Driver OM L 48
70 Prima Armada Raya Jusfhian M Driver OH L 35
71 Prima Armada Raya Denny Driver OM L 27
72 Prima Armada Raya Heri Driver LAB L 37
73 Prima Armada Raya Alvan Driver MA4 L 29
74 Prima Armada Raya Amiruddin Driver Lab L 45
75 Prima Armada Raya Suriansyah Driver Marine L 51
76 Prima Armada Raya Gali P Driver Marine L 43
77 Prima Armada Raya Sayid Fadli Driver Lab L 41
78 Prima Armada Raya Imron Rosadi Driver Marine L 46
79 Prima Armada Raya Ahmad S Driver Bis L 41
80 Prima Armada Raya Andika Chandra Driver Lab L 33
81 Surya Adiguna Hamzah Scaffolder Workshop L 54
82 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

 : Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Kinasih Sanip Helper Enviro L 48

2 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 77 36.5 22 v
120/80 80 36.6 21 v
110/70 75 36.6 20 v
110/70 68 36.3 22 v
130/90 90 36 20 v
140/80 80 36.3 21 v
120/70 71 36.5 20 v
120/80 88 36,3 21 v
130/90 84 36 20 v
120/80 80 36 21 v
130/80 81 36 20 v
120/80 62 36.1 20 v
110/80 74 36.4 20 v
120/80 76 36.6 19 v
110/80 80 36 21 v
120/80 71 36.1 20 v
120/80 83 36.4 22 v
110/70 70 36.6 21 v
120/80 82 36.5 19 v
120/80 80 36 21 v
120/80 85 36.6 19 v
120/80 69 36 20 v
120/80 87 36.3 19 v
110/80 64 36.4 20 v
120/80 96 36 22 v
110/80 77 36.5 22 v
120/80 79 36.5 21 v
120/80 84 36.5 22 v
130/80 80 36 22 v
120/80 96 36 22 v
130/80 79 36.5 21 v
120/80 71 36 19 v
120/80 79 36.6 21 v
120/80 74 36 22 v
110/80 80 36.5 20 v
120/90 81 36 22 v
120/80 85 36.5 22 v
120/90 88 36.5 22 v
110/80 80 36.1 20 v
110/80 90 36.4 21 v
120/90 100 36.6 20 v
110/80 94 36.3 21 v
110/80 83 36.1 20 v
120/80 86 36 22 v
120/80 66 36.1 22 v
100/80 88 36,3 21 v
120/80 60 36.1 22 v
140/80 92 36 22 v
120/80 81 36.5 21 v
120/80 87 36.4 21 v
120/80 83 36.5 20 v
120/70 67 36.5 22 v
120/80 81 36 20 v
120/80 97 36 20 v
130/80 75 36.6 20 v
130/90 69 36.2 20 v
130/80 87 36.5 20 v
130/90 71 36 22 v
130/80 86 36 20 v
120/80 79 36 20 v
120/80 66 36.5 20 v
120/80 73 36.5 20 v
120/80 80 36.1 20 v
120/80 90 36 22 v
120/80 89 36.1 21 v
130/80 92 36.6 21 v
110/70 76 36.1 20 v
120/70 70 36.5 20 v
130/80 76 36.5 20 v
120/80 83 36.2 19 v
120/70 75 36.5 22 v
110/80 74 36.6 21 v
120/70 82 36 19 v
120/80 80 36.1 20 v
120/80 96 36.6 20 v
130/80 73 36.4 21 v
120/80 100 36.6 20 v
120/80 98 36.3 21 v
120/80 83 36.1 20 v
110/80 100 36 22 v
120/80 80 36 21 v
130/80 81 36 20 v
80 2 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 80 - v -
140/80 92 - v -
2 0
 Tempat Pintu 3A
Waktu Kamis, 19 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Benua Asia Tongah Rasul Helper Workshop L 32
2 Jamin Jaya Abadi M Alif A Safetyman MA 4 L 28
3 Kinasih Abdullah Helper HSE L 50
4 Kinasih Abdul Gafur Helper Produksi L 39
5 Kinasih Sudarmo Driver Enviro L 55
6 Kinasih Ahmad Lamase Helper Enviro L 50
7 Kinasih Waluyo Safetyman HSE L 50
8 Kinasih Didin Eko Driver HSE L 38
9 Kinasih Sutiono Driver HSE L 50
10 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
11 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
12 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
13 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
14 Karya Murni Nusantara Eko Safetyman HSE L 26
15 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
16 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
17 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
18 Karya Murni Nusantara Agus S Expert HSE L 60
19 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
20 Karya Murni Nusantara Sudarto Helper Enviro L 54
21 Karya Murni Nusantara M Saipul B Helper Enviro L 46
22 Karya Murni Nusantara Denny T Safetyman HSE L 27
23 LAPI Novian Driver HCC L 34
24 Malewa Putra Darwis Driver Enviro L 42
25 Malewa Putra Didi Hermanto Driver Enviro L 44
26 Malewa Putra Kahar Banda Safetyman Enviro L 24
27 Malewa Putra Budiawan N Driver Enviro L 35
28 Malewa Putra Agi Maulid A Safetyman Enviro L 25
29 Malewa Putra Sumardin Helper Enviro L 41
30 Ondhy Dickson Putra Kamarudin FireMan HSE L 53
31 Ondhy Dickson Putra Hery Indriyanto Driver HSE L 26
32 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
33 Ondhy Dickson Putra Ponidi Helper HSE L 45
34 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
35 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
36 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
37 Ondhy Dickson Putra Rawianto FireMan HSE L
38 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
39 Ondhy Dickson Putra La Hasan Fireman HSE L 44
40 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
41 Ondhy Dickson Putra Rachmani Fireman HSE L 45
42 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
43 Ondhy Dickson Putra Alovel Fireman HSE L 49
44 Ondhy Dickson Putra Rudi A Fireman HSE L 34
45 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55
46 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
47 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
48 Patra Badak Arun Solusi Agus Triyono Teknisi MA 4 L 36
49 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
50 Patra Utama Mandiri Angya P Safetyman HSE L 24
51 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
52 Peteka Karya Gapura Nur Arifn Shiping Marine L 30
53 PTC Edison Y S Inspector HSE L 42
54 PTC Dede S Inspector HSE L 50
55 Pertamina Aulia Rachim Fireman HSE L 34
56 Pertamina Akbar Budiman Fireman F&I L 22
57 Pertamina Murip Fireman HSE L
58 Pertamina Ade Krisna Fireman HSE L 22
59 Pertamina M Fadli Fireman HSE L 21
60 Pertamina Hanaf Fireman HSE L
61 Pertamina William Mckenzie Fireman F&I L 24
62 Pertamina Dedi F A 731562 OM L 41
63 Pertamina Syahputra D S 754656 LAB L 23
64 Pratama Abadi Jaya Moses S M Inspector HSE L 38
65 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
66 Prima Armada Raya Rudiansyah Driver Marine L 40
67 Prima Armada Raya Ummuaiman Driver Lab L 27
68 Prima Armada Raya Elferi L S Driver HSE L 32
69 Prima Armada Raya Daniel Driver Marine L 35
70 Prima Armada Raya Jusfhian M Driver OH L 35
71 Prima Armada Raya Alvan Driver MA4 L 29
72 Prima Armada Raya Denny Driver OM L 27
73 Prima Armada Raya Sugeng P Driver OM L 48
74 Prima Armada Raya Gali P Driver Marine L 43
75 Prima Armada Raya Sayid Fadli Driver Lab L 41
76 Prima Armada Raya Imron Rosadi Driver Marine L 46
77 Prima Armada Raya Amiruddin Driver Lab L 45
78 Prima Armada Raya Andika Chandra Driver Lab L 33
79 Prima Armada Raya Ahmad S Driver Bis L 41
80 Prima Armada Raya Janny F J T Driver OM L 45
81 Prima Armada Raya Heri Driver LAB L 37
82 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH
 :Bekerja Diketinggian dan Ruang Terbatas
: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55

2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 87 36.6 19 v
120/80 88 36 21 v
130/90 97 36.1 20 v
100/80 63 36.4 21 v
130/80 77 36.5 20 v
120/80 75 36 20 v
110/80 86 36 21 v
120/80 100 36.6 20 v
110/80 60 36.3 22 v
120/80 92 36 20 v
130/80 81 36.5 21 v
120/80 87 36.5 20 v
130/80 83 36 22 v
120/80 67 36.6 21 v
120/70 81 36 19 v
120/80 97 36.1 21 v
130/80 91 36.5 22 v
120/80 69 36 20 v
120/80 87 36.3 19 v
110/80 64 36.4 20 v
120/80 96 36 22 v
110/80 77 36.5 22 v
120/80 79 36.5 21 v
120/80 84 36.5 22 v
130/80 80 36 22 v
120/80 96 36 22 v
130/80 79 36.5 21 v
120/80 71 36 19 v
120/80 79 36.6 21 v
120/80 74 36 22 v
110/80 80 36.5 20 v
120/90 81 36 22 v
120/80 85 36.5 22 v
120/90 88 36.5 22 v
110/80 80 36.1 20 v
110/80 90 36.4 21 v
120/90 100 36.6 20 v
110/80 94 36.3 21 v
110/80 83 36.1 20 v
120/80 86 36 22 v
120/80 66 36.1 22 v
100/80 88 36,3 21 v
110/80 83 36.5 22 v
120/80 100 36 20 v
140/80 86 36.5 22 v
120/80 80 36.4 21 v
120/80 80 36.6 20 v
110/80 93 36.3 21 v
120/80 79 36 19 v
120/80 80 36.1 20 v
120/80 77 36.5 22 v
120/80 80 36.6 21 v
110/70 75 36.6 20 v
110/70 68 36.3 22 v
130/90 90 36 20 v
130/90 80 36.3 21 v
120/70 71 36.5 20 v
120/80 88 36,3 21 v
130/90 84 36 20 v
120/80 80 36 21 v
130/80 81 36 20 v
120/80 62 36.1 20 v
110/80 74 36.4 20 v
120/80 76 36.6 19 v
110/80 80 36 21 v
110/80 78 36.4 20 v
110/70 64 36.6 21 v
110/80 71 36.1 22 v
120/70 81 36.6 22 v
120/70 97 36.5 20 v
120/80 78 36 20 v
120/80 85 36 21 v
130/80 93 36.6 20 v
120/80 86 36.3 22 v
120/80 100 36.5 21 v
120/80 100 36 22 v
120/70 63 36 20 v
120/80 95 36 21 v
120/70 93 36.6 20 v
120/80 77 36.3 22 v
120/80 80 36 20 v
120/80 85 36.6 19 v
81 1 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 86 - v -
- - - - -
1 0
 Tempat Pintu 3A
Waktu Jum'at, 20 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Fanny Jaya Putra Nasarudin Helper OM L 50
3 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
4 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
5 Karya Murni Nusantara Rizal Luqman H Safetyman HSE L 26
6 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
7 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
8 Karya Murni Nusantara Eko Safetyman HSE L 26
9 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
10 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
11 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
12 Karya Murni Nusantara Agus S Expert HSE L 60
13 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
14 Kinasih Abdullah Helper HSE L 50
15 Kinasih Abdul Gafur Helper Produksi L 39
16 Kinasih Sudarmo Driver Enviro L 55
17 Kinasih Sanip Helper Enviro L 48
18 Kinasih Ahmad Lamase Helper Enviro L 50
19 Kinasih Mahmudin Safetyman HSE L 30
20 Kinasih Waluyo Safetyman HSE L 50
21 Kinasih Ibnu Helper HSE L 34
22 Kinasih Didin Eko Driver HSE L 38
23 Kinasih Sutiono Driver HSE L 50
24 LAPI Novian Driver HCC L 34
25 Malewa Putra Darwis Driver Enviro L 42
26 Malewa Putra Didi Hermanto Driver Enviro L 44
27 Malewa Putra Kahar Banda Safetyman Enviro L 24
28 Malewa Putra Agi Maulid A Safetyman Enviro L 25
29 Ondhy Dickson Putra Ponidi Helper HSE L 45
30 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
31 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
32 Ondhy Dickson Putra Alovel Fireman HSE L 49
33 Ondhy Dickson Putra Rudi A Fireman HSE L 34
34 Ondhy Dickson Putra Rachmani Fireman HSE L 45
35 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
36 Ondhy Dickson Putra Allen E M Fireman HSE L 48
37 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
38 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
39 Ondhy Dickson Putra La Hasan Fireman HSE L 44
40 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
41 Ondhy Dickson Putra Agung W Fireman HSE L 31
42 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
43 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
44 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
45 Patra Utama Mandiri Angya P Safetyman HSE L 24
46 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
47 Patra Utama Mandiri Khairul Insani S Verifkator HSE L 29
48 Peteka Karya Gapura Istat Helper Marine L 54
49 PTC Edison Y S Inspector HSE L 42
50 PTC Dede S Inspector HSE L 50
51 Pertamina Aulia Rachim Fireman HSE L 34
52 Pertamina Akbar Budiman Fireman F&I L 22
53 Pertamina Ogi H Fireman HSE L
54 Pertamina Ade Krisna Fireman HSE L 22
55 Pertamina M Fadli Fireman HSE L 21
56 Pertamina Murip Fireman HSE L
57 Pertamina Hanaf Fireman HSE L
58 Pertamina William Mckenzie Fireman F&I L 24
59 Pertamina Dedi F A 731562 OM L 41
60 Pertamina M Fahrun R L 747091 OM L 31
61 Pertamina Imam Bachrul R 754630 MA 4 L 20
62 Pertamina Alfan Yudha P 755798 LAB L 19
63 Pertamina Putut Safetyman HSE L 31
64 Pratama Abadi Jaya Moses S M Inspector HSE L 38
65 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
66 Pratama Abadi Jaya Tri Dalton T Inspector HSE L 30
67 Prima Armada Raya Anto Driver Marine L 32
68 Prima Armada Raya Sugeng P Driver OM L 48
69 Prima Armada Raya Herodian W Driver HSE L 28
70 Prima Armada Raya Sidiq Musliman Driver HSE L 30
71 Prima Armada Raya Ahmad S Driver Bis L 41
72 Prima Armada Raya Alvan Driver MA4 L 29
73 Prima Armada Raya Gali P Driver Marine L 43
74 Prima Armada Raya Sayid Fadli Driver Lab L 41
75 Prima Armada Raya Ummuaiman Driver Lab L 27
76 Prima Armada Raya Denny Driver OM L 27
77 Prima Armada Raya Amiruddin Driver Lab L 45
78 Prima Armada Raya Andika Chandra Driver Lab L 33
79 Prima Armada Raya Rudiansyah Driver Marine L 40
80 Surya Adiguna Hamzah Scaffolder Workshop L 54
81 Toba Permai Lestari Lapata'ah Helper OM L 46
82 Wignyo Nursan Helper MA 4 L 50
JUMLAH
 :Bekerja Diketinggian dan Ruang Terbatas
: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 69 36 20 v
120/80 87 36.3 19 v
110/80 64 36.4 20 v
120/80 96 36 22 v
110/80 77 36.5 22 v
120/80 79 36.5 21 v
120/80 84 36.5 22 v
130/80 80 36 22 v
120/80 96 36 22 v
130/80 79 36.5 21 v
120/80 71 36 19 v
120/80 79 36.6 21 v
120/80 74 36 22 v
110/80 80 36.5 20 v
120/90 81 36 22 v
120/80 85 36.5 22 v
120/90 88 36.5 22 v
110/80 80 36.1 20 v
110/80 90 36.4 21 v
120/90 100 36.6 20 v
110/80 94 36.3 21 v
110/80 83 36.1 20 v
120/80 86 36 22 v
120/80 66 36.1 22 v
100/80 88 36,3 21 v
110/80 83 36.5 22 v
120/80 100 36 20 v
120/80 89 36.5 22 v
120/80 80 36.4 21 v
120/80 80 36.6 20 v
110/80 93 36.3 21 v
120/80 79 36 19 v
120/80 80 36.1 20 v
110/80 77 36.6 22 v
120/90 73 36.5 20 v
120/80 73 36.5 22 v
120/80 71 36 22 v
120/80 77 36.4 20 v
120/80 90 36.6 21 v
130/80 93 36 19 v
120/80 74 36.1 21 v
110/80 60 36.1 20 v
120/80 80 36.4 21 v
120/80 76 36.6 20 v
120/80 81 36.5 22 v
120/80 97 36.1 20 v
110/80 67 36 22 v
120/80 89 36.6 21 v
120/80 87 36 19 v
130/90 87 36.1 20 v
120/80 70 36.4 20 v
130/80 80 36 22 v
110/70 60 36.5 22 v
120/80 97 36.5 20 v
120/90 82 36.6 21 v
120/80 92 36.5 20 v
130/80 90 36 22 v
130/80 90 36.5 22 v
130/80 77 36.5 21 v
130/90 98 36.5 22 v
130/80 71 36 22 v
130/90 88 36.5 22 v
120/80 87 36.5 22 v
120/80 75 36 22 v
130/80 90 36.4 20 v
110/80 77 36.6 21 v
130/80 81 36.4 21 v
130/80 90 36.6 20 v
120/80 86 36.5 20 v
120/70 67 36.5 22 v
120/70 80 36.6 22 v
120/80 77 36.5 20 v
130/80 77 36.5 22 v
120/80 99 36 20 v
120/70 100 36.5 20 v
120/80 86 36.5 20 v
120/80 83 36.2 19 v
120/80 93 36.5 22 v
110/70 88 36.6 21 v
120/80 76 36.6 22 v
120/80 69 36.5 20 v
110/80 77 36 20 v
82 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Sabtu, 21 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Nusantara Agus P S S Safetyman HSE L 20
2 Karya Murni Nusantara Sahan W Safetyman HSE L 25
3 LAPI Novian Driver HCC L 34
4 LAPI Rikki Maulana Driver HCC L 22
5 Kinasih Abdullah Helper HSE L 50
6 Kinasih Ahmad Lamase Helper Enviro L 50
7 Kinasih Didin Eko Driver HSE L 38
8 Kinasih Sutiono Driver HSE L 50
9 Malewa Putra Budiawan N Driver Enviro L 35
10 Malewa Putra Kahar Banda Safetyman Enviro L 24
11 Malewa Putra Agi Maulid A Safetyman Enviro L 25
12 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
13 Ondhy Dickson Putra Alovel Fireman HSE L 49
14 Ondhy Dickson Putra Edy P. Fireman HSE L 34
15 Ondhy Dickson Putra Zainudin Fireman HSE L 52
16 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
17 Ondhy Dickson Putra La Hasan Fireman HSE L 44
18 Ondhy Dickson Putra Anwar Aspul Fireman HSE L 50
19 Ondhy Dickson Putra Agung W Fireman HSE L 31
20 Ondhy Dickson Putra Rudi A Fireman HSE L 34
21 Pertamina Aulia Rachim Fireman HSE L 34
22 Pertamina Akbar Budiman Fireman F&I L 22
23 Pertamina Ade Krisna Fireman HSE L 22
24 Pertamina Kurniawan 746289 OM L 43
25 Pertamina Andika Fireman HSE L
26 Pertamina Ogi H Fireman HSE L
27 Pertamina Hanaf Fireman HSE L
28 Pertamina William Mckenzie Fireman F&I L 24
29 Pertamina Hardiansyah 752846 LAB L 23
30 Pertamina Kurniawan 746289 OM L 43
31 Pertamina Aris P 751805 OM L 32
32 Pertamina Bambang R 746262 OM L 43
33 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
34 Patra Utama Mandiri Angya P Safetyman HSE L 24
35 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
36 Prima Armada Raya Sugeng P Driver OM L 48
37 Prima Armada Raya Rudiansyah Driver Marine L 40
38 Prima Armada Raya Suriansyah Driver Marine L 51
39 Peteka Karya Gapura Istat Helper Marine L 54
40 Wignyo Nursan Helper MA 4 L 50
JUMLAH
 :Bekerja Diketinggian dan Ruang Terbatas
: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Wignyo Nursan Helper MA 4 L 50

2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 99 36.3 19 v
120/80 72 36.4 20 v
110/80 88 36 22 v
120/80 60 36.5 22 v
110/70 83 36.5 21 v
120/80 81 36.5 22 v
120/80 66 36 22 v
120/80 80 36.5 20 v
120/80 80 36.3 22 v
120/70 88 36.1 22 v
120/80 71 36 20 v
130/80 87 36.5 20 v
130/90 100 36.1 22 v
130/80 88 36.6 22 v
120/80 79 36 22 v
130/80 75 36.5 21 v
120/80 81 36.5 22 v
120/80 104 36.3 21 v
120/80 74 36.1 20 v
110/70 82 36 22 v
130/80 70 36.5 22 v
120/80 72 36.1 20 v
130/80 68 36.4 21 v
120/80 98 36.6 20 v
120/80 80 36.5 20 v
120/80 70 36.5 22 v
120/80 65 36.3 22 v
110/70 60 36.1 22 v
120/80 60 36.5 20 v
120/70 80 36.5 22 v
120/80 69 36 20 v
120/80 94 36.2 20 v
120/80 79 36.5 20 v
120/80 80 36.1 22 v
130/80 87 36.6 22 v
120/80 98 36.6 21 v
130/80 100 36 19 v
120/80 85 36.1 20 v
110/80 87 36.5 20 v
140/80 70 36 22 v
39 1 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 70 - v -
- - - - -
1 0
 Tempat Pintu 3A
Waktu Minggu, 22 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Fanny Jaya Putra Nasarudin Helper OM L 50
2 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
3 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
4 Kinasih Abdul Gafur Helper Produksi L 39
5 Kinasih Ahmad Lamase Helper Enviro L 50
6 Kinasih Sutiono Driver HSE L 50
7 Kinasih Jumain Helper Enviro L 51
8 Kinasih Didin Eko Driver HSE L 38
9 Kinasih Bustomi Driver Enviro L 54
10 Malewa Putra Budiawan N Driver Enviro L 35
11 Malewa Putra Kahar Banda Safetyman Enviro L 24
12 Malewa Putra Agi Maulid A Safetyman Enviro L 25
13 Ondhy Dickson Putra Rachmani Fireman HSE L 45
14 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
15 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
16 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
17 Ondhy Dickson Putra Alovel Fireman HSE L 49
18 Ondhy Dickson Putra Edy P. Fireman HSE L 34
19 Ondhy Dickson Putra Zainudin Fireman HSE L 52
20 Ondhy Dickson Putra Rudi A Fireman HSE L 34
21 Ondhy Dickson Putra Rawianto FireMan HSE L
22 Ondhy Dickson Putra Parwoto Helper MA 1 L 52
23 Pertamina M Fadli Fireman HSE L 21
24 Pertamina Murip Fireman HSE L
25 Pertamina Ade Krisna Fireman HSE L 22
26 Pertamina Andika Fireman HSE L
27 Pertamina Mulya Fireman HSE L
28 Pertamina Aulia Rachim Fireman HSE L 34
29 Pertamina Akbar Budiman Fireman F&I L 22
30 Pertamina Dedi F A 731562 OM L 41
31 Pertamina Bayu Irawan 752824 OM L 32
32 Pertamina M Muin 752245 OM L 44
33 Pertamina Deni Ilham 746286 OM L 34
34 Pertamina Suyanto 687491 LAB L 55
35 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
36 Patra Utama Mandiri Angya P Safetyman HSE L 24
37 Prima Armada Raya Tatan E Driver OM L 38
38 Prima Armada Raya Andika Chandra Driver Lab L 33
39 Prima Armada Raya Suriansyah Driver Marine L 51
40 Prima Armada Raya Fajrin Driver Marine L 38
41 Wignyo Nursan Helper MA 4 L 50
 JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22

2 Pertamina Suyanto 687491 LAB L 55
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 88 36.3 22 v
140/80 69 36.1 22 v
120/80 76 36.5 20 v
120/80 91 36.5 22 v
110/80 87 36 20 v
110/80 82 36.5 22 v
130/80 91 36.2 20 v
120/80 71 36.6 22 v
110/80 93 36.5 20 v
130/90 80 36.5 22 v
130/90 91 36.5 22 v
130/90 83 36.3 22 v
130/80 102 36.1 22 v
120/80 78 36.5 20 v
110/70 75 36.5 22 v
130/80 70 36.1 22 v
110/80 79 36 20 v
130/90 83 36.2 20 v
120/90 87 36.5 20 v
130/80 80 36.1 22 v
120/80 88 36.6 22 v
120/80 79 36 22 v
110/80 75 36.5 21 v
120/80 106 36.5 22 v
120/80 77 36.6 22 v
110/80 73 36.5 20 v
120/70 73 36.5 22 v
120/80 71 36 22 v
130/90 77 36.4 20 v
120/80 90 36.6 21 v
110/70 93 36 19 v
110/70 74 36.1 21 v
130/90 60 36.1 20 v
140/90 87 36.4 21 v
120/80 76 36.6 20 v
120/80 81 36.5 22 v
110/70 77 36.4 20 v
120/80 90 36 22 v
130/80 92 36.6 21 v
120/80 73 36 19 v
120/80 87 36.1 20 v
 39 2 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 69 - v -
140/90 87 - v -
2 0
 Tempat Pintu 3A
Waktu Senin, 23 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
3 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
4 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
5 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
6 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
7 Karya Murni Nusantara Eko Safetyman HSE L 26
8 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
9 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
10 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
11 Kinta Jaya Bachtiar A P M Helper LAB L 42
12 Kinasih Abdullah Helper HSE L 50
13 Kinasih Mahmudin Safetyman HSE L 30
14 Kinasih Waluyo Safetyman HSE L 50
15 Kinasih Yun Pribadi Driver HSE L 46
16 Kinasih Sudarmo Driver HSE L 55
17 Malewa Putra Darwis Driver Enviro L 42
18 Malewa Putra Budiawan N Driver Enviro L 35
19 Malewa Putra Kahar Banda Safetyman Enviro L 24
20 Malewa Putra Sumardin Helper Enviro L 40
21 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
22 Ondhy Dickson Putra Ponidi Helper HSE L 45
23 Ondhy Dickson Putra Juhairi Teknisi HSE L 45
24 Ondhy Dickson Putra Agung W Fireman HSE L 31
25 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
26 Ondhy Dickson Putra Rachmani Fireman HSE L 45
27 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
28 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
29 Ondhy Dickson Putra Edy P. Fireman HSE L 34
30 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
31 Ondhy Dickson Putra Alovel Fireman HSE L 49
32 Ondhy Dickson Putra Rudi A Fireman HSE L 34
33 Ondhy Dickson Putra Rawianto FireMan HSE L
34 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55
35 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
36 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
37 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
38 Patra Utama Mandiri Angya P Safetyman HSE L 24
39 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
40 Peteka Karya Gapura Nur Arifn Shiping Marine L 30
41 PTC Dede S Inspector HSE L 50
42 Pertamina Aulia Rachim Fireman HSE L 34
43 Pertamina Akbar Budiman Fireman F&I L 22
44 Pertamina Surya Bayu Fireman F&I L
45 Pertamina M Fadli Fireman HSE L 21
46 Pertamina Ade Krisna Fireman HSE L 22
47 Pertamina Andika Fireman HSE L
48 Pertamina Ogi H Fireman HSE L
49 Pertamina Murip Fireman HSE L
50 Pertamina M Rajib 752837 OM L 24
51 Pertamina Royan Firdaus 747421 MA 4 L 31
52 Pertamina Ahmad Najmudin Pekerja OM L 28
53 Pertamina Hardy 755713 LAB L 23
54 Pertamina M Fahrun R L 747091 OM L 34
55 Pratama Abadi Jaya Moses S M Inspector HSE L 38
56 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
57 Pratama Abadi Jaya Tri Dalton T Inspector HSE L 30
58 Prima Armada Raya Ummuaiman Driver Lab L 27
59 Prima Armada Raya Try Wibowo Driver Lab L 27
60 Prima Armada Raya Jusfhian M Driver OH L 35
61 Prima Armada Raya Daniel Driver Marine L 35
62 Prima Armada Raya Herodian W Driver HSE L 28
63 Prima Armada Raya Janny F J T Driver OM L 45
64 Prima Armada Raya Sugeng P Driver OM L 48
65 Prima Armada Raya Andika Chandra Driver Lab L 33
66 Prima Armada Raya Jasman Driver HSE L 53
67 Prima Armada Raya Denny Driver OM L 27
68 Prima Armada Raya Tamjiddillah Driver Lab L 26
69 Prima Armada Raya Sayid Fadli Driver Lab L 41
70 Prima Armada Raya Imron Rosadi Driver Marine L 46
71 Prima Armada Raya Harce J K Driver HSE L 45
72 Prima Armada Raya Gali P Driver Marine L 43
73 Prima Armada Raya Amiruddin Driver Lab L 45
74 Prima Armada Raya Alvan Driver MA4 L 29
75 Prima Armada Raya Defri Ubaidillah Driver OM L 28
76 Prima Armada Raya M Sahrir Arianto Driver Marine L 39
77 Prima Armada Raya Heri Driver LAB L 37
78 Prima Armada Raya Fajrin Driver Marine L 38
79 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu
No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 90 36.5 22 v
120/70 60 36.5 22 v
110/80 61 36 22 v
110/70 70 36.4 20 v
120/80 74 36.6 21 v
120/80 78 36.1 21 v
120/80 87 36.5 22 v
130/80 88 36 22 v
140/80 95 36 20 v
130/80 98 36.3 19 v
130/80 83 36.4 20 v
120/80 76 36 22 v
120/80 71 36.5 22 v
110/70 86 36.5 21 v
120/80 65 36.5 22 v
120/70 94 36 22 v
120/80 78 36 22 v
120/80 78 36.5 20 v
120/80 82 36.5 21 v
120/80 77 36.6 21 v
120/80 68 36 19 v
120/80 80 36.1 20 v
110/80 70 36.4 21 v
120/90 83 36.6 20 v
120/80 76 36.5 20 v
120/80 99 36.5 22 v
120/80 60 36.6 22 v
120/80 81 36.5 20 v
130/80 95 36.5 22 v
120/80 100 36 20 v
110/80 69 36.5 20 v
120/80 80 36.5 20 v
120/80 66 36.2 19 v
120/80 94 36.5 22 v
120/80 87 36.6 21 v
110/80 80 36 19 v
120/80 70 36.1 20 v
120/80 99 36.6 20 v
130/90 81 36.4 21 v
120/80 98 36.6 20 v
130/80 80 36.3 21 v
110/70 90 36.1 20 v
120/80 72 36.5 22 v
130/80 94 36.2 20 v
130/80 84 36.5 22 v
120/90 69 36 19 v
120/80 69 36.1 20 v
130/80 73 36.4 21 v
130/80 64 36 22 v
130/80 78 36.6 21 v
130/90 77 36 22 v
130/80 102 36.2 21 v
130/90 76 36.5 22 v
120/80 65 36.6 21 v
120/80 63 36 22 v
130/80 62 36.5 20 v
110/80 80 36 22 v
110/80 78 36 20 v
130/80 74 36.5 21 v
110/80 85 36.5 20 v
110/80 97 36.6 21 v
120/80 89 36.2 21 v
110/80 69 36 20 v
120/80 84 36.2 20 v
110/80 88 36.5 20 v
120/80 85 36.1 22 v
120/80 85 36.6 22 v
110/80 91 36.5 20 v
120/80 85 36.6 21 v
110/80 90 36.2 20 v
120/80 70 36 19 v
120/80 73 36.4 21 v
120/80 86 36.6 21 v
110/80 82 36.2 21 v
110/80 70 36.6 21 v
110/80 98 36.5 20 v
110/81 63 36.6 21 v
120/70 75 36.4 21 v
130/80 64 36 22 v
78 1 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Selasa, 24 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Nusantara Ahmad Z Safetyman HSE L 23
2 Karya Murni Nusantara Nixon Dewa Safetyman HSE L 33
3 Kinasih Waluyo Safetyman HSE L 50
4 Kinasih Sudarmo Driver HSE L 55
5 Kinasih Bustomi Driver Enviro L 54
6 Kinasih Didin Eko Driver HSE L 38
7 Malewa Putra Kahar Banda Safetyman Enviro L 24
8 Ondhy Dickson Putra Rachmani Fireman HSE L 45
9 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
10 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 44
11 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
12 Ondhy Dickson Putra La Hasan Fireman HSE L 44
13 Ondhy Dickson Putra Agung W Fireman HSE L 31
14 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
15 Ondhy Dickson Putra Alovel Fireman HSE L 49
16 Ondhy Dickson Putra Rudi A Fireman HSE L 34
17 Ondhy Dickson Putra Rawianto FireMan HSE L
18 Patra Utama Mandiri Khairul Insan S Safetyman HSE L 29
19 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
20 Pertamina M Fadli Fireman HSE L 21
21 Pertamina Ade Krisna Fireman HSE L 22
22 Pertamina Murip Fireman HSE L 45
23 Pertamina Hanaf Fireman HSE L 25
24 Pertamina William Mckenzie Fireman F&I L 24
25 Pertamina Hadi Y Fireman F&I L 33
26 Pertamina Dedi F A 731562 OM L 41
27 Pertamina Aulia Rachim Fireman HSE L 34
28 Pertamina Akbar Budiman Fireman F&I L 22
29 Pertamina Surya Bayu Fireman F&I L
30 Pertamina Kamarudin 679148 OM L 42
31 Pertamina M Fahrul 747091 OM L 34
32 Pertamina M Ramadhan 753514 LAB L 24
33 Prima Armada Raya Suriansyah Driver Marine L 51
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 79 36 22 v
130/80 75 36.5 21 v
120/80 81 36.5 22 v
120/80 104 36.3 21 v
120/80 74 36.1 20 v
110/70 82 36 22 v
130/80 70 36.5 22 v
120/80 72 36.1 20 v
130/80 68 36.4 21 v
120/80 98 36.6 20 v
120/80 80 36.5 20 v
120/80 70 36.5 22 v
120/80 65 36.3 22 v
120/80 80 36 19 v
110/80 70 36.1 20 v
120/70 82 36.6 20 v
130/90 81 36.4 21 v
110/70 60 36.1 22 v
120/80 60 36.5 20 v
120/70 80 36.5 22 v
120/80 69 36 20 v
120/80 94 36.2 20 v
120/80 79 36.5 20 v
120/80 80 36.1 22 v
120/80 85 36 22 v
110/80 72 36.1 20 v
130/90 80 36.3 21 v
130/80 90 36.1 20 v
120/80 92 36 22 v
110/70 76 36.6 21 v
130/80 78 36.1 20 v
110/80 75 36 22 v
120/80 80 36.2 21 v
33 0 0

Keteranagn
TD Nadi Penyebab
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Rabu, 25 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Kinasih Mahmudin Safetyman HSE L 30
2 Kinasih Waluyo Safetyman HSE L 50
3 Kinasih Sudarmo Driver HSE L 55
4 Kinasih Didin Eko Driver HSE L 38
5 Kinasih Sutiono Driver HSE L 50
6 Malewa Putra Budiawan N Driver Enviro L 35
7 Malewa Putra Kahar Banda Safetyman Enviro L 24
8 Ondhy Dickson Putra Edy P. Fireman HSE L 34
9 Ondhy Dickson Putra Zainudin Fireman HSE L 52
10 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
11 Ondhy Dickson Putra La Hasan Fireman HSE L 44
12 Ondhy Dickson Putra Agung W Fireman HSE L 31
13 Ondhy Dickson Putra Rachmani Fireman HSE L 46
14 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
15 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 43
16 Pertamina Hanaf Fireman HSE L 25
17 Pertamina William Mckenzie Fireman F&I L 24
18 Pertamina Hadi Y Fireman F&I L 33
19 Pertamina M Fadli Fireman HSE L 21
20 Pertamina Ade Krisna Fireman HSE L 22
21 Pertamina Murip Fireman HSE L 45
22 Pertamina Andika Fireman HSE L
23 Pertamina Ogi H Fireman HSE L
24 Pertamina Panji Fireman HSE L
25 Pertamina Mulya Fireman HSE L
26 Pertamina Akhmad F 747306 OM L 35
27 Pertamina Yuri Susanda 746312 OM L 41
28 Pertamina M Rafli F 754637 LAB L 20
29 Pertamina Adistya P 747796 OM L 32
30 Patra Utama Mandiri Sadam Husin Verifkator Enviro L 26
31 Peteka Karya Gapura Supriyadi Mooring Gang Marine L 45
32 Peteka Karya Gapura M Said Mooring Gang Marine L 39
33 PTC Hari S Security Kilang L 45
34 Prima Armada Raya Fajrin Driver Marine L 38
35 Toba Permai Lestari Lapata'ah Ass.Opt OM L 46
36 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
 : Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 79 36.5 22 v
120/80 80 36 22 v
120/80 81 36.4 20 v
130/80 90 36 22 v
120/80 82 36.6 21 v
130/80 72 36 22 v
120/80 80 36 19 v
110/80 70 36.1 20 v
110/80 91 36.4 21 v
120/70 82 36.6 20 v
130/80 80 36.5 20 v
130/90 81 36.4 21 v
130/90 98 36.6 20 v
130/90 80 36.3 21 v
120/80 86 36 20 v
120/80 100 36.3 19 v
120/80 65 36.4 21 v
120/80 98 36 21 v
120/80 66 36 19 v
120/80 95 36.1 20 v
120/80 80 36.4 21 v
120/80 74 36.6 20 v
120/80 87 36.5 20 v
110/80 83 36 19 v
120/80 70 36.5 20 v
130/80 82 36 22 v
130/80 80 36.5 20 v
120/80 80 36.5 21 v
120/80 76 36.5 22 v
120/80 90 36.5 22 v
110/70 60 36.5 22 v
130/80 61 36 22 v
120/80 70 36.4 20 v
120/80 78 36.2 21 v
130/80 93 36 19 v
120/80 78 36.1 21 v
36 0 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Kamis, 26 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
3 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
4 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
5 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
6 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
7 Karya Murni Nusantara Eko Safetyman HSE L 26
8 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
9 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
10 Kinasih Abdullah Helper HSE L 50
11 Kinasih Mahmudin Safetyman HSE L 30
12 Kinasih Waluyo Safetyman HSE L 50
13 Kinasih Yun Pribadi Driver HSE L 46
14 Kinasih Sudarmo Driver HSE L 55
15 Kinasih Didin Eko Driver HSE L 38
16 Malewa Putra Darwis Driver Enviro L 42
17 Malewa Putra Budiawan N Driver Enviro L 35
18 Malewa Putra Kahar Banda Safetyman Enviro L 24
19 Malewa Putra Agi Maulid A Safetyman Enviro L 25
20 Ondhy Dickson Putra Zainudin Fireman HSE L 52
21 Ondhy Dickson Putra Edy P. Fireman HSE L 34
22 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
23 Ondhy Dickson Putra La Hasan Fireman HSE L 44
24 Ondhy Dickson Putra Rachmani Fireman HSE L 46
25 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
26 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 43
27 Ondhy Dickson Putra Ponidi Helper HSE L 45
28 Ondhy Dickson Putra Kamarudin Fireman HSE L 53
29 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
30 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
31 Patra Utama Mandiri Angya P Safetyman HSE L 24
32 Peteka Karya Gapura Nur Arifn Shiping Marine L 30
33 Peteka Karya Gapura M Said Mooring Gang Marine L 39
34 PTC Edison Y S Inspector HSE L 42
35 PTC Dede S Inspector HSE L 50
36 Pertamina Hadi Y Fireman F&I L 33
37 Pertamina M Fadli Fireman HSE L 21
38 Pertamina Ade Krisna Fireman HSE L 22
39 Pertamina Murip Fireman HSE L 45
40 Pertamina Mulya Fireman HSE L
41 Pertamina Andika Fireman HSE L
42 Pertamina Ogi H Fireman HSE L
43 Pertamina Panji Fireman HSE L
44 Pertamina Suyanto 687491 LAB L 55
45 Pratama Abadi Jaya Moses S M Inspector HSE L 38
46 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
47 Pratama Abadi Jaya Tri Dalton T Inspector HSE L 30
48 Prima Armada Raya Ummuaiman Driver Lab L 27
49 Prima Armada Raya Herodian W Driver HSE L 28
50 Prima Armada Raya Jusfhian M Driver OH L 35
51 Prima Armada Raya Sugeng P Driver OM L 48
52 Prima Armada Raya Jasman Driver HSE L 53
53 Prima Armada Raya Denny Driver OM L 27
54 Prima Armada Raya Amiruddin Driver Lab L 45
55 Prima Armada Raya Alvan Driver MA4 L 29
56 Prima Armada Raya Heri Driver LAB L 37
57 Prima Armada Raya Fajrin Driver Marine L 38
58 Prima Armada Raya Tamjiddillah Driver Lab L 26
59 Prima Armada Raya Sayid Fadli Driver Lab L 41
60 Prima Armada Raya Imron Rosadi Driver Marine L 46
61 Prima Armada Raya Defri Ubaidillah Driver OM L 28
62 Prima Armada Raya Daniel Driver Marine L 35
63 Prima Armada Raya Rudiansyah Driver Marine L 40
64 Surya Adiguna Hamzah Scaffolder Workshop L 54
65 Fajar Kelana Bakti Sukamto Helper OM L 46
66 Belani Mura Dewi Sri Gunting Safetyman MA 4 L 24
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 75 36.2 20 v
130/80 66 36.5 20 v
120/80 87 36.6 19 v
120/80 88 36 21 v
130/90 97 36.1 20 v
100/80 63 36.4 21 v
130/80 77 36.5 20 v
120/80 75 36 20 v
110/80 86 36 21 v
120/80 100 36.6 20 v
110/80 60 36.3 22 v
120/80 92 36 20 v
130/80 81 36.5 21 v
120/80 87 36.5 20 v
130/80 83 36 22 v
120/80 67 36.6 21 v
120/70 81 36 19 v
120/80 97 36.1 21 v
120/80 87 36.3 19 v
110/80 64 36.4 20 v
120/80 96 36 22 v
110/80 77 36.5 22 v
120/80 79 36.5 21 v
120/80 84 36.5 22 v
130/80 80 36 22 v
120/80 96 36 22 v
130/80 79 36.5 21 v
120/80 71 36 19 v
120/80 79 36.6 21 v
120/80 74 36 22 v
110/80 80 36.5 20 v
120/90 81 36 22 v
120/80 85 36.5 22 v
120/90 88 36.5 22 v
110/80 80 36.1 20 v
110/80 90 36.4 21 v
120/90 100 36.6 20 v
110/80 94 36.3 21 v
110/80 83 36.1 20 v
120/80 86 36 22 v
120/80 66 36.1 22 v
100/80 88 36,3 21 v
110/80 83 36.5 22 v
120/80 100 36 20 v
120/80 89 36.5 22 v
120/80 80 36.4 21 v
120/80 80 36.6 20 v
110/80 70 36.5 20 v
130/80 86 36.5 21 v
110/80 79 36.3 22 v
120/80 80 36.1 22 v
120/80 100 36.3 22 v
120/80 79 36 20 v
120/80 84 36.5 20 v
110/80 82 36.6 21 v
120/80 70 36.6 21 v
120/80 79 36 19 v
110/80 80 36.1 20 v
120/80 97 36.4 21 v
120/80 100 36.6 20 v
110/80 66 36.5 20 v
120/80 70 36.5 22 v
110/80 94 36.6 22 v
120/80 89 36.1 20 v
110/80 90 36.4 21 v
120/80 80 36.1 20 v
66 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Jum'at, 27 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Harnike Bahtera Handal M Zefri Safetyman MA 4 L 24
3 Kinta Jaya Bachtiar Helper LAB L 53
4 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
5 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
6 Karya Murni Nusantara Eko Safetyman HSE L 26
7 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
8 Kinasih Abdullah Helper HSE L 50
9 Kinasih Mahmudin Safetyman HSE L 30
10 Kinasih Waluyo Safetyman HSE L 50
11 Kinasih Yun Pribadi Driver HSE L 46
12 Kinasih Sudarmo Driver HSE L 55
13 Kinasih Didin Eko Driver HSE L 38
14 Kinasih Bustomi Driver Enviro L 54
15 Kinasih Sutiono Driver HSE L 50
16 Kinasih Abdul Gafur Helper Produksi L 39
17 Kinasih Ahmad Lamase Helper Enviro L 50
18 Malewa Putra Darwis Driver Enviro L 42
19 Malewa Putra Budiawan N Driver Enviro L 35
20 Malewa Putra Kahar Banda Safetyman Enviro L 24
21 Ondhy Dickson Putra Zainudin Fireman HSE L 52
22 Ondhy Dickson Putra Edy P. Fireman HSE L 34
23 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
24 Ondhy Dickson Putra Rudi A Fireman HSE L 34
25 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
26 Ondhy Dickson Putra Allen E M Fireman HSE L 48
27 Ondhy Dickson Putra Aswariansyah Teknisi HSE L 45
28 Ondhy Dickson Putra Ponidi Helper HSE L 45
29 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
30 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
31 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
32 Patra Utama Mandiri Angya P Safetyman HSE L 24
33 PTC Dede S Inspector HSE L 50
34 Pratama Abadi Jaya Moses S M Inspector HSE L 38
35 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
36 Pratama Abadi Jaya Tri Dalton T Inspector HSE L 30
37 Pertamina Akbar Budiman Fireman F&I L 22
38 Pertamina Panji Fireman HSE L 24
39 Pertamina Mulya Fireman HSE L 24
40 Pertamina Andika Fireman HSE L
41 Pertamina Ogi H Fireman HSE L
42 Pertamina M Fadli Fireman HSE L 21
43 Pertamina Ade Krisna Fireman HSE L 22
44 Pertamina Murip Fireman HSE L 45
45 Pertamina M Fahrul 747091 OM L 34
46 Pertamina M Ramadhan 753514 LAB L 24
47 Pertamina Royan Firdaus 747421 MA 4 L 31
48 Pertamina Ahmad Najmudin Pekerja OM L 28
49 Pertamina Akhmad F 747306 OM L 35
50 Pertamina Yuri Susanda 746312 OM L 41
51 Pertamina M Rafli F 754637 LAB L 20
52 Pertamina Adistya P 747796 OM L 32
53 Prima Armada Raya Try Wibowo Driver Lab L 27
54 Prima Armada Raya Jusfhian M Driver OH L 35
55 Prima Armada Raya Sugeng P Driver OM L 48
56 Prima Armada Raya Jasman Driver HSE L 53
57 Prima Armada Raya M Ansharullah Driver Asset L 43
58 Prima Armada Raya Denny Driver OM L 27
59 Prima Armada Raya Ummuaiman Driver Lab L 27
60 Prima Armada Raya Alvan Driver MA4 L 29
61 Prima Armada Raya Amiruddin Driver Lab L 45
62 Prima Armada Raya Tamjiddillah Driver Lab L 26
63 Prima Armada Raya Sayid Fadli Driver Lab L 41
64 Prima Armada Raya Andika Chandra Driver Lab L 33
65 Prima Armada Raya Imron Rosadi Driver Marine L 46
66 Prima Armada Raya Fajrin Driver Marine L 38
67 Prima Armada Raya Herodian W Driver HSE L 28
68 Prima Armada Raya Suriansyah Driver Marine L 51
69 Prima Armada Raya Ahmad S Driver Bis L 41
70 Surya Adiguna Hamzah Scaffolder Workshop L 54
71 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26

2 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
3 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 88 36.5 20 v
120/80 70 36.5 22 v
130/80 90 36.2 20 v
140/80 89 36.5 20 v
120/70 89 36.2 19 v
120/80 88 36 20 v
140/80 86 36 20 v
120/80 74 36 22 v
120/70 68 36.6 21 v
120/80 77 36 19 v
130/80 74 36.1 20 v
130/90 100 36.4 21 v
130/90 86 36.1 20 v
130/90 98 36 22 v
130/80 72 36.6 21 v
120/80 86 36 19 v
120/80 68 36.1 20 v
110/70 100 36.4 21 v
120/80 60 36.6 20 v
120/70 74 36.5 20 v
120/80 86 36.5 22 v
120/80 79 36.2 19 v
110/80 68 36.6 20 v
130/90 87 36.3 21 v
110/80 78 36.1 20 v
130/80 88 36.1 20 v
110/80 74 36 22 v
120/80 70 36.6 21 v
120/70 82 36 19 v
110/80 73 36.6 20 v
110/70 79 36.2 20 v
110/80 100 36.5 20 v
110/80 87 36.1 22 v
110/80 80 36.6 22 v
140/90 81 36.5 20 v
120/80 62 36.5 21 v
120/80 64 36 19 v
120/70 76 36.6 21 v
120/80 86 36 20 v
120/80 97 36 20 v
120/80 85 36 21 v
120/80 75 36.6 20 v
130/80 80 36.3 22 v
130/80 82 36.6 21 v
120/80 84 36 19 v
130/80 80 36.1 21 v
130/80 83 36.4 21 v
120/80 80 36.6 20 v
120/80 60 36.3 21 v
110/70 80 36.1 20 v
120/80 79 36 20 v
120/70 74 36.2 20 v
130/80 70 36 20 v
120/80 92 36.5 21 v
120/80 100 36.5 20 v
120/80 86 36 22 v
120/80 80 36 22 v
120/80 89 36 22 v
110/80 76 36.6 21 v
120/70 70 36 22 v
120/80 80 36.2 21 v
110/80 80 36.5 22 v
120/80 97 36 20 v
120/80 100 36.2 20 v
130/80 100 36.5 20 v
110/80 90 36.1 22 v
130/90 100 36.6 22 v
120/80 98 36.5 20 v
120/80 90 36.6 21 v
120/80 83 36.6 20 v
120/80 70 36.5 22 v
68 3 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
140/80 89 - v -
140/80 86 - v
140/90 81 - v -
3 0
 Tempat Pintu 3A
Waktu Sabtu, 28 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
2 Karya Murni Nusantara Eko Safetyman HSE L 26
3 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
4 Kinasih Bustomi Driver Enviro L 54
5 Kinasih Sutiono Driver HSE L 50
6 Kinasih Abdul Gafur Helper Produksi L 39
7 Kinasih Sudarmo Driver HSE L 55
8 Kinasih Didin Eko Driver HSE L 38
9 Kinasih Sutiono Driver HSE L 50
10 Kinasih Ahmad Lamase Helper Enviro L 50
11 Kinta Jaya Bachtiar Helper LAB L 53
12 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
13 Ondhy Dickson Putra La Hasan Fireman HSE L 44
14 Ondhy Dickson Putra Agung W Fireman HSE L 31
15 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
16 Ondhy Dickson Putra Rudi A Fireman HSE L 34
17 Ondhy Dickson Putra Zainudin Fireman HSE L 52
18 Ondhy Dickson Putra Edy P. Fireman HSE L 34
19 Ondhy Dickson Putra Rudolf Fireman HSE L 42
20 Pertamina Hanaf Fireman HSE L 25
21 Pertamina William Mckenzie Fireman F&I L 24
22 Pertamina Hadi Y Fireman F&I L 33
23 Pertamina Akbar Budiman Fireman F&I L 23
24 Pertamina Surya Bayu Fireman F&I L
25 Pertamina Panji Fireman HSE L 24
26 Pertamina Ogi H Fireman HSE L
27 Pertamina Royan Firdaus 747421 MA 4 L 31
28 Prima Armada Raya Sugeng P Driver OM L 48
29 Prima Armada Raya Andika Chandra Driver Lab L 33
30 Prima Armada Raya Rudiansyah Driver Marine L 40
31 Prima Armada Raya Tatang S Driver OM L 38
32 Prima Armada Raya Fajrin Driver Marine L 38
33 Prima Armada Raya M Bakri Driver Marine L 34
34 Peteka Karya Gapura Istat Helper Marine L 54
35 Wignyo Nursan Helper MA 4 L 50
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu
No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 72 36.1 20 v
130/80 68 36.4 21 v
120/80 98 36.6 20 v
120/80 80 36.5 20 v
120/80 70 36.5 22 v
120/80 65 36.3 22 v
110/70 60 36.1 22 v
120/80 60 36.5 20 v
120/70 80 36.5 22 v
120/80 69 36 20 v
120/80 94 36.2 20 v
120/80 79 36.5 20 v
120/80 80 36.1 22 v
130/80 87 36.6 22 v
130/90 90 36.5 20 v
130/90 79 36.5 22 v
130/80 91 36.2 20 v
110/80 87 36.5 20 v
140/90 74 36 22 v
110/80 72 36.1 20 v
120/80 73 36 22 v
110/80 79 36.4 21 v
130/90 88 36.6 20 v
120/80 80 36.5 20 v
120/80 70 36.5 22 v
120/80 88 36.3 22 v
120/80 62 36.1 22 v
120/80 80 36 21 v
110/80 83 36.6 20 v
120/80 89 36.3 22 v
120/80 86 36 20 v
130/80 86 36.5 20 v
120/80 85 36.5 20 v
120/80 76 36.5 20 v
120/80 91 36.5 22 v
34 1 0
 Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Minggu, 29 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Karya Murni Nusantara Nixon Dewa Safetyman HSE L 33
2 Karya Murni Nusantara Awar Munandar Safetyman HSE L 26
3 Kinasih Bustomi Driver Enviro L 54
4 Kinasih Abdul Gafur Helper Produksi L 39
5 Kinasih Didin Eko Driver HSE L 38
6 Kinasih Sutiono Driver HSE L 50
7 Kinasih Ahmad Lamase Helper Enviro L 50
8 Kinasih Jumain Helper Enviro L 51
9 Kinasih Mahmudin Safetyman HSE L 30
10 Kinasih Abdul Gafur Helper Produksi L 39
11 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
12 Ondhy Dickson Putra La Hasan Fireman HSE L 44
13 Ondhy Dickson Putra Agung W Fireman HSE L 31
14 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
15 Ondhy Dickson Putra Rudi A Fireman HSE L 34
16 Ondhy Dickson Putra Alovel Fireman HSE L 49
17 Ondhy Dickson Putra Zainudin Fireman HSE L 52
18 Ondhy Dickson Putra Edy P. Fireman HSE L 34
19 Prima Armada Raya Sugeng P Driver OM L 48
20 Prima Armada Raya Rudiansyah Driver Marine L 40
21 Prima Armada Raya Fajrin Driver Marine L 38
22 Prima Armada Raya M Bakri Driver Marine L 34
23 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
24 Pertamina Aulia Rachim Fireman HSE L 34
25 Pertamina Akbar Budiman Fireman F&I L 22
26 Pertamina Surya Bayu Fireman F&I L
27 Pertamina Panji Fireman HSE L 24
28 Pertamina Ogi H Fireman HSE L
29 Pertamina Mulya Fireman HSE L 24
30 Pertamina William Mckenzie Fireman F&I L 24
31 Pertamina Hadi Y Fireman F&I L 33
32 Pertamina Hanaf Fireman HSE L 25
33 Pertamina M Ramadhan 753514 LAB L 24
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 88 36.6 22 v
120/80 79 36 22 v
110/80 75 36.5 21 v
120/80 106 36.5 22 v
120/80 77 36.6 22 v
110/80 73 36.5 20 v
120/70 73 36.5 22 v
120/80 71 36 22 v
130/90 77 36.4 20 v
120/80 90 36.6 21 v
110/70 93 36 19 v
110/70 74 36.1 21 v
130/90 60 36.1 20 v
120/80 80 36.4 21 v
120/80 76 36.6 20 v
120/80 81 36.5 22 v
130/80 97 36.1 20 v
130/90 67 36 22 v
130/80 96 36.4 21 v
120/80 95 36.6 20 v
130/80 74 36.3 21 v
120/80 69 36.1 20 v
120/80 80 36 22 v
110/80 73 36.6 21 v
110/80 73 36 19 v
130/90 71 36.1 21 v
100/80 89 36.6 21 v
130/90 87 36 19 v
120/80 87 36.1 20 v
120/80 70 36.4 20 v
130/80 91 36.2 20 v
120/80 71 36.6 22 v
110/80 93 36.5 20 v
33 0 0

Keteranagn
TD Nadi Penyebab
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Senin, 30 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
3 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
4 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
5 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
6 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
7 Karya Murni Nusantara Eko Safetyman HSE L 26
8 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
9 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
10 Karya Murni Nusantara Supardi Helper Enviro L 30
11 Karya Murni Nusantara Denny T Safetyman HSE L 27
12 Kinasih Bustomi Driver Enviro L 54
13 Kinasih Abdul Gafur Helper Produksi L 39
14 Kinasih Didin Eko Driver HSE L 38
15 Kinasih Sutiono Driver HSE L 50
16 Kinasih Ahmad Lamase Helper Enviro L 50
17 Kinasih Jumain Helper Enviro L 51
18 Kinasih Abdul Gafur Helper Produksi L 39
19 Malewa Putra Darwis Driver Enviro L 42
20 Malewa Putra Budiawan N Driver Enviro L 35
21 Malewa Putra Kahar Banda Safetyman Enviro L 24
22 Malewa Putra Didi Hermanto Driver Enviro L 44
23 Kinta Jaya Bachtiar Helper LAB L 53
24 Ondhy Dickson Putra Ponidi Helper HSE L 45
25 Ondhy Dickson Putra Sutijono Pekerja HSE L 51
26 Ondhy Dickson Putra Catur Setiawan Fireman HSE L 40
27 Ondhy Dickson Putra La Hasan Fireman HSE L 44
28 Ondhy Dickson Putra Agung W Fireman HSE L 31
29 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
30 Ondhy Dickson Putra Allen E M Fireman HSE L 48
31 Ondhy Dickson Putra Rachmani Fireman HSE L 46
32 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 43
33 Ondhy Dickson Putra Zainudin Fireman HSE L 52
34 Ondhy Dickson Putra Edy P. Fireman HSE L 34
35 Patra Badak Arun Solusi Sukarelawanto Pengawas MA 4 L 55
36 Patra Badak Arun Solusi Asyrofun Anam Safetyman MA 4 L 28
37 Patra Badak Arun Solusi Elan Metana Teknisi MA 4 L 25
38 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
39 Patra Utama Mandiri Angya P Safetyman HSE L 24
40 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
41 Peteka Karya Gapura Nur Arifn Shiping Marine L 30
42 Peteka Karya Gapura Istat Helper Marine L 54
43 PTC Dede S Inspector HSE L 50
44 Pertamina Hanaf Fireman HSE L 25
45 Pertamina William Mckenzie Fireman F&I L 24
46 Pertamina Hadi Y Fireman F&I L 33
47 Pertamina M Fadli Fireman HSE L 21
48 Pertamina Ade Krisna Fireman HSE L 22
49 Pertamina Murip Fireman HSE L 45
50 Pertamina Panji Fireman HSE L 24
51 Pertamina Ogi H Fireman HSE L
52 Pertamina Mulya Fireman HSE L 24
53 Pertamina Royan Firdaus 747421 MA 4 L 31
54 Pertamina Akhmad F 747306 OM L 35
55 Pertamina Yuri Susanda 746312 OM L 41
56 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
57 Pratama Abadi Jaya Moses S M Inspector HSE L 38
58 Prima Armada Raya Ummuaiman Driver Lab L 27
59 Prima Armada Raya Janny F J T Driver OM L 45
60 Prima Armada Raya Jusfhian M Driver OH L 35
61 Prima Armada Raya Herodian W Driver HSE L 28
62 Prima Armada Raya Daniel Driver Marine L 35
63 Prima Armada Raya Sugeng P Driver OM L 48
64 Prima Armada Raya Jasman Driver HSE L 53
65 Prima Armada Raya M Ansharullah Driver Asset L 43
66 Prima Armada Raya Harce J K Driver HSE L 45
67 Prima Armada Raya Denny Driver OM L 27
68 Prima Armada Raya Andika Chandra Driver Lab L 33
69 Prima Armada Raya Alvan Driver MA4 L 29
70 Prima Armada Raya Amiruddin Driver Lab L 45
71 Prima Armada Raya Gali P Driver Marine L 43
72 Prima Armada Raya Sayid Fadli Driver Lab L 41
73 Prima Armada Raya Imron Rosadi Driver Marine L 46
74 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 86 36 22 v
120/80 72 36.6 21 v
110/80 88 36.5 22 v
120/80 86 36.1 20 v
130/80 88 36.4 21 v
110/80 81 36.6 20 v
120/80 100 36.4 21 v
120/80 60 36.6 20 v
110/80 74 36.5 20 v
120/80 86 36.5 22 v
120/80 100 36.3 22 v
120/80 60 36.1 22 v
130/80 92 36 22 v
120/80 81 36.5 21 v
120/80 85 36.4 21 v
120/80 77 36.6 20 v
120/90 82 36.5 20 v
120/90 93 36 22 v
130/80 77 36.5 21 v
120/80 87 36.6 21 v
120/80 80 36.1 20 v
110/80 71 36 22 v
120/80 81 36.1 20 v
120/80 67 36.3 22 v
120/80 82 36 20 v
120/70 66 36.5 20 v
120/80 72 36.5 22 v
120/80 86 36 20 v
130/80 97 36 20 v
120/80 85 36 21 v
110/70 75 36.6 20 v
120/80 69 36.2 20 v
110/80 87 36.5 20 v
110/70 71 36 22 v
110/80 68 36.5 20 v
110/80 91 36.5 21 v
120/80 70 36.4 21 v
130/90 81 36.6 20 v
120/80 84 36.3 21 v
130/80 78 36.1 20 v
100/70 85 36 22 v
130/80 75 36.6 21 v
120/80 69 36.5 22 v
110/80 85 36.5 22 v
100/80 87 36.5 20 v
120/80 74 36.1 22 v
120/80 89 36.4 21 v
120/80 72 36.6 20 v
120/80 80 36.5 20 v
110/90 80 36.5 22 v
110/80 66 36.5 20 v
120/80 78 36.5 22 v
120/70 68 36 20 v
120/80 88 36.2 20 v
120/80 90 36.5 20 v
130/80 85 36.1 22 v
120/90 96 36.6 22 v
110/80 80 36.4 20 v
110/70 80 36.6 21 v
120/80 80 36 19 v
130/80 80 36.1 21 v
100/70 80 36.1 22 v
130/80 85 36.6 22 v
120/80 87 36.5 20 v
120/80 87 36.5 22 v
130/80 79 36.2 20 v
120/80 75 36.5 20 v
110/70 88 36.2 19 v
110/70 87 36.6 21 v
110/70 85 36 19 v
110/70 93 36.1 20 v
110/80 80 36.4 21 v
120/80 87 36.6 20 v
120/80 74 36.4 21 v
74 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 Tempat Pintu 3A
Waktu Selasa, 31 Desember 2019
Jenis
NO Perusahaan Nama Jabatan Lokasi Kelam Usia
in
1 Al-Kautsar M Saiful Anwar Driver Enviro L 28
2 Karya Murni Nusantara Bahul Munir Safetyman HSE L 27
3 Karya Murni Nusantara Herman Fauzie Safetyman HSE L 33
4 Karya Murni Nusantara Didit A Facilitator OH HSE L 25
5 Karya Murni Nusantara Boby Esterado Facilitator OH HSE L 23
6 Karya Murni Nusantara Arie Fitra K Facilitator OH HSE L 31
7 Karya Murni Nusantara Eko Safetyman HSE L 26
8 Karya Murni Nusantara Zamroni AI A Safetyman HSE L 30
9 Karya Murni Nusantara Ahmad Z Safetyman HSE L 22
10 Karya Murni Nusantara Supardi Helper Enviro L 30
11 Karya Murni Nusantara Denny T Safetyman HSE L 27
12 Kinasih Bustomi Driver Enviro L 54
13 Kinasih Abdul Gafur Helper Produksi L 39
14 Kinasih Didin Eko Driver HSE L 38
15 Kinasih Sutiono Driver HSE L 50
16 Kinasih Ahmad Lamase Helper Enviro L 50
17 Kinasih Jumain Helper Enviro L 51
18 Kinasih Abdul Gafur Helper Produksi L 39
19 Malewa Putra Darwis Driver Enviro L 42
20 Malewa Putra Budiawan N Driver Enviro L 35
21 Malewa Putra Kahar Banda Safetyman Enviro L 24
22 Malewa Putra Didi Hermanto Driver Enviro L 44
23 Malewa Putra Agi Maulid A Safetyman Enviro L 25
24 Kinta Jaya Bachtiar Helper LAB L 53
25 Ondhy Dickson Putra Supriyanto Fireman HSE L 40
26 Ondhy Dickson Putra Rudi A Fireman HSE L 34
27 Ondhy Dickson Putra Alovel Fireman HSE L 49
28 Ondhy Dickson Putra Rawianto Fireman HSE L 42
29 Ondhy Dickson Putra Wiwit S. Fireman HSE L 31
30 Ondhy Dickson Putra Allen E M Fireman HSE L 48
31 Ondhy Dickson Putra Rachmani Fireman HSE L 46
32 Ondhy Dickson Putra Rudi Purwanto Fireman HSE L 43
33 Ondhy Dickson Putra Ponidi Helper HSE L 45
34 Patra Utama Mandiri Moch. Editri H Safetyman HSE L 27
35 Patra Utama Mandiri Elen Sahan W Safetyman HSE L 26
36 PTC Edison Y S Inspector HSE L 42
37 PTC Dede S Inspector HSE L 50
38 Pratama Abadi Jaya Akhirusy Inspector HSE L 43
39 Pratama Abadi Jaya Moses S M Inspector HSE L 38
40 Pertamina M Fadli Fireman HSE L 21
41 Pertamina Ade Krisna Fireman HSE L 22
42 Pertamina Murip Fireman HSE L 45
43 Pertamina Aulia Rachim Fireman HSE L 34
44 Pertamina Akbar Budiman Fireman F&I L 22
45 Pertamina Surya Bayu Fireman F&I L 23
46 Pertamina M Ramadhan 753514 LAB L 24
47 Pertamina M Rafli F 754637 LAB L 20
48 Pertamina Adistya P 747796 OM L 32
49 Prima Armada Raya Dedi Driver HSE L 34
50 Prima Armada Raya Janny F J T Driver OM L 45
51 Prima Armada Raya Daniel Driver Marine L 35
52 Prima Armada Raya Sugeng P Driver OM L 48
53 Prima Armada Raya Jusfhian M Driver OH L 35
54 Prima Armada Raya Jasman Driver HSE L 53
55 Prima Armada Raya M Khairun I B Driver OM L 19
56 Prima Armada Raya Denny Driver OM L 27
57 Prima Armada Raya Amiruddin Driver Lab L 45
58 Prima Armada Raya Gali P Driver Marine L 43
59 Prima Armada Raya Alvan Driver MA4 L 29
60 Prima Armada Raya Sayid Fadli Driver Lab L 41
61 Prima Armada Raya Tamjiddillah Driver Lab L 26
62 Prima Armada Raya Rudiansyah Driver Marine L 40
63 Prima Armada Raya Imron Rosadi Driver Marine L 46
64 Surya Adiguna Hamzah Scaffolder Workshop L 54
JUMLAH

:Bekerja Diketinggian dan Ruang Terbatas

: Dilarang Bekerja Diketinggian Dan Ruang Terbatas
: Dilarang Bekerja/ Pekerja Diistirahatkan Untuk Sementara Waktu

No Nama Perusahaan Nama Pekerjaan Jabatan Lokasi L/P Umur

1 - - - - - -
2 - - - - - -
JUMLAH
 (Anemia, Saat Ini,
Tekanan Fit To Work
Nadi Respirasi Riwayat
Darah Suhu ( C) (x/menit) Pengguna Penyakit
o

(mmHg) (x/menit) an dan

120/80 97 36.1 20 v
110/80 67 36 22 v
120/80 89 36.6 21 v
120/80 87 36 19 v
130/90 87 36.1 20 v
120/80 70 36.4 20 v
130/80 80 36 22 v
110/70 60 36.5 22 v
120/80 97 36.5 20 v
120/90 77 36 22 v
130/80 97 36.4 20 v
130/80 90 36.5 21 v
120/90 82 36.6 21 v
120/80 84 36 19 v
120/80 80 36.1 21 v
130/90 100 36.5 22 v
130/80 83 36.4 21 v
130/90 80 36.6 20 v
100/70 60 36.3 21 v
120/80 80 36.1 20 v
130/80 79 36 20 v
120/80 74 36.2 20 v
120/80 76 36.1 22 v
130/80 97 36.6 22 v
120/80 94 36 22 v
130/80 82 36.5 21 v
130/90 80 36.5 22 v
100/70 60 36.4 21 v
120/80 80 36.6 20 v
130/80 69 36.3 21 v
120/80 66 36.1 20 v
120/90 68 36 22 v
130/80 89 36.6 21 v
130/90 81 36 19 v
120/80 70 36.6 20 v
120/80 74 36.5 20 v
120/80 80 36.5 20 v
130/90 88 36.1 20 v
120/80 95 36.1 20 v
130/80 86 36.4 21 v
120/80 74 36.6 20 v
120/80 94 36 22 v
130/80 82 36.5 21 v
130/90 80 36.5 22 v
130/80 82 36.5 21 v
130/90 81 36 19 v
130/80 89 36.6 21 v
120/80 67 36.2 20 v
110/80 87 36.5 20 v
110/70 93 36.5 22 v
110/80 70 36 20 v
110/80 80 36.5 20 v
120/80 75 36.5 20 v
130/80 100 36.2 19 v
130/90 100 36.5 22 v
120/80 84 36.6 21 v
110/80 74 36 19 v
130/80 90 36.1 20 v
120/80 70 36.6 20 v
130/80 100 36.4 21 v
110/80 84 36.6 20 v
110/80 80 36.3 21 v
110/80 80 36.1 20 v
120/80 80 36.2 20 v
64 0 0

Keteranagn
TD Nadi Penyebab
Unft Pulang
- - - - -
- - - - -
0 0
 REKAP DCU PINTU 3A
Jumlah INTERVENSI
Tanggal Pekerja yang FIT
diperiksa FDC UNFIT/PULANG 90
4-Dec-19 70 70 0 0
80
5-Dec-19 70 70 0 0
6-Dec-19 73 73 0 0 70
7-Dec-19 36 36 0 0 60
8-Dec-19 27 27 0 0
9-Dec-19 77 77 0 0 50
10-Dec-19 71 71 0 0 40
11-Dec-19 71 71 0 0
30
12-Dec-19 72 72 0 0
13-Dec-19 72 72 0 0 20
14-Dec-19 39 39 0 0 10
15-Dec-19 34 34 0 0
0
16-Dec-19 85 84 1 0 4-Dec-19 11-Dec
17-Dec-19 82 82 0 0
18-Dec-19 82 80 2 0
19-Dec-19 82 81 1 0
20-Dec-19 82 82 0 0
21-Dec-19 40 39 1 0
22-Dec-19 41 39 2 0
23-Dec-19 64 63 1 0
24-Dec-19 33 33 0 0
25-Dec-19 36 36 0 0
26-Dec-19 66 66 0 0
27-Dec-19 71 68 3 0
28-Dec-19 35 34 1 0
29-Dec-19 33 33 0 0
30-Dec-19 74 74 0 0
31-Dec-19 64 64 0 0
JUMLAH 1682 1670 12 0
90

80

70

60

50 Jumlah Pekerja yang diperiksa

FIT
40 INTERVENSI F D C
30 UNFIT/PULANG

20

10

0
4-Dec-19 11-Dec-19 18-Dec-19 25-Dec-19
ng diperiksa