LAPORAN BULANAN HSSE

Bulan : Maret 2021

Lokasi : Sampit

KETERANGAN WAKTU LAMA WAKTU BIAYA YANG DIKELUARKAN / JUMLAH KERUGIAN

No KEJADIAN / KASUS URAIAN SINGKAT KEJADIAN PENYELESAIAN KASUS STATUS (CLOSE/OPEN) KETERANGAN
TANGGAL JAM EVAKUASI (Rp) PERBAIKAN (Rp) PERAWATAN MEDIS (Rp) BIAYA LAIN-LAIN (Rp)

HSE (HEALTH, SAFETY & ENVIRONMENT) Untuk Kasus kecelakaan kerja, kecelakaan lalu lintas, insiden api, tumpahan / kebocoran produk.

3 - - - - - - - - -

SECURITY Untuk kasus sekuriti, seperti kehilangan barang, penyelewengan produk, ancaman keamanan, gangguan keamanan, demonstrasi, dan penangkapan oleh surveilence.

- - - - - - - - -
1
- - - - - - - - -
2

No Item Hasil Satuan Saran / Rekomendasi Keselamatan ke

Manajemen PT Pertamina Patra Niaga
1 Jumlah tenaga kerja organik 0 Orang

2 Jumlah tenaga kerja outsourcing 7 Orang

3 Jumlah tenaga kerja pihak ketiga 0 Orang

Total tenaga kerja 7 Orang

4 Jumlah hari kerja dalam 1 bulan 25 Hari

5 Jam kerja rata-rata dalam 1 hari 10.25 Jam

Total jam kerja 256.25

6 Jumlah man hour 833.72 Jam

7 Jumlah armada beroperasi 3 Unit

8 Pelaksanaan safety briefing 25 Kali

9 Jumlah total peserta safety briefing 180 Orang

10 Pengeluaran limbah B3 0 Ton

Jumlah pekerja yang tidak masuk kerja

11 karena alasan sakit (Organik,Outsorching, Orang
maupun pihak ketiga)

Sampit, Desember 2019

Site Manager / SS Terminal Storage & Fleet

Site/Fleet Sampit

( Basri )
 AKTIVITAS HSSE
HSSE Training

Tempat Tanggal Jumlah Peserta Penyelenggara

No Judul Training Pelaksanaan Pelaksanaan (orang)

2 -
3
-
4
-

Safety briefing / safety Talk / Safety Stand Down / Safety Meeting

Tempat Tanggal Jumlah Peserta Dipimpin Oleh

No Nama Kegiatan Pelaksanaan Pelaksanaan (orang)
Site Sampit 1-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
1 Safety Briefing
Site Sampit 2-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
2 Safety Briefing
Site Sampit 3-Mar-21 4 Pws. Ops/Pws. AMT/Perwakilan AMT
3 Safety Briefing
Site Sampit 4-Mar-21 4 Pws. Ops/Pws. AMT/Perwakilan AMT
4 Safety Briefing
Site Sampit 5-Mar-21 4 Pws. Ops/Pws. AMT/Perwakilan AMT
5 Safety Briefing
Site Sampit 6-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
6 Safety Briefing
7-Mar-21 0

Site Sampit 8-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT

8 Safety Briefing
Site Sampit 9-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
9 Safety Briefing
Site Sampit 10-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
10
Site Sampit 11-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 12-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 13-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
14-Mar-21 0

Site Sampit 15-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT

Safety Briefing
Site Sampit 16-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 17-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 18-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 19-Mar-21 10 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 20-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
21-Mar-21 0

Site Sampit 22-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT

Safety Briefing
Site Sampit 23-Mar-21 10 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 24-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 25-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 26-Mar-21 8 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
Site Sampit 27-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing
28-Mar-21 0

Site Sampit 29-Mar-21 4 Pws. Ops/Pws. AMT/Perwakilan AMT

Safety Briefing
Site Sampit 30-Mar-21 6 Pws. Ops/Pws. AMT/Perwakilan AMT
Safety Briefing

180
Total KM & Ritase Mobil Tangki BBM/BBK/LPG/Pelumas (Dalam sebulan)

No No Polisi Mobil Tangki Total KM Total Ritase Jumlah AMT

1 B9348SFU 3,336 36 2
2 B9347SFU 7,901 18 2
3 B9349SFU 5,404 5 3
7 B9639SFU 5,381 5 3
8 B9640SFU 10,484 9 3

B9354SFU 842 36 3
-
33,349 73 16
HSSE Activity

Tempat Tanggal
No Nama Kegiatan Hasil Kegiatan
Pelaksanaan Pelaksanaan
1
2
3
4 -
5 -
6 -
7 -
8 -
 10%
Pola Bisnis / Pola
Area Lokasi / Site 1
Operasional
KM tempuh Ritase Unit
Fleet LPG Sampit 1,340.20 4.00 4.00

T 1340.2 4 4
 2 3 4
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,363.60 4.00 4.00 70.20 33.00 2.00 70.20 3.00 2.00

1363.6 4 4 70.2 33 2 70.2 3 2

 5 6 7
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
70.20 3.00 2.00 93.60 4.00 3.00

70.2 3 2 93.6 4 3 0 0 0
 8 9 10
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,316.80 3.00 3.00 93.60 4.00 3.00 1,363.60 5.00 4.00

1316.8 3 3 93.6 4 3 1363.6 5 4

 11 12 13
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
2,633.60 6.00 4.00 1,340.20 5.00 4.00 2,633.60 6.00 4.00

2633.6 6 4 1340.2 5 4 2633.6 6 4

 Agustus
14 15 16
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,340.20 4.00 3.00 1,340.20 4.00 3.00

0 0 0 1340.2 4 3 1340.2 4 3
 17 18 19
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,340.20 4.00 4.00 1,340.20 4.00 4.00 2,610.20 5.00 5.00

1340.2 4 4 1340.2 4 4 2610.2 5 5

 20 21 22
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,340.20 4.00 4.00 1,340.20 4.00 4.00

1340.2 4 4 0 0 0 1340.2 4 4
 23 24 25
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
2,610.20 6.00 5.00 1,340.20 4.00 4.00 1,340.20 4.00 3.00

2610.2 6 5 1340.2 4 4 1340.2 4 3

 26 27 28
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
1,340.20 4.00 4.00 1,340.20 4.00 3.00

1340.2 4 4 1340.2 4 3 0 0 0
 29 30 31
KM tempuh Ritase Unit KM tempuh Ritase Unit KM tempuh Ritase Unit
70.20 3.00 2.00 1,363.60 4.00 3.00 70.20 3.00 1.00

70.2 3 2 1363.6 4 3 70.2 3 1

km Rit
32,516 141

65031.6