Ipl-Jsa-Spipp - AP 2

PT.
ADHI PERSADA GEDUNG

Lingkup Plumbing No. Dokumen APG-P 000 PB 034
Apartemen 5
PROSEDUR IZIN KERJA
Tanggal Efektif 22 september - 2019 Lampiran PB 034 - 6
Tgl. Peninjauan 29 september 2019
JOB RISK ANALYSIS

PROYEK TRANS PARK BEKASI
(APARTEMEN)
Pekerjaan : Instalasi Riser air bersih area Shaft Utama
Komponen Struktur :
Lokasi : Lantai 13 - 15
Contoh Form Job Risk Analysis dari Proyek TGL
No Pekerjaan Pencegahan Bahaya Resiko Penanganan
Instalasi Riser air

1 bersih area Shaft - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
Utama - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Kaca Mata - Debu - Terluka
- Masker - Tertiban
- penjagaan bawah area bobokan
- penggunaan body harness
Bekasi,21 september 2019

HSE Quality Control SPV Sub Kon/ PT. Efrata Mitra Sejahtera
(.........................) (...............................) (..............................) ( HARLAN )

PT. ADHI PERSADA GEDUNG
Apartemen 5
PROSEDUR IZIN KERJA Lampiran PB 034 - 5
Tanggal Efektif 22 september 2019
Contoh Form Ijin Pelaksanaan Pekerjaan dari Proyek

IJIN PELAKSANAAN
PEKERJAAN
1. NOMOR IPP (APG) 2. TGL IJIN 3. KET PEKERJAAN 4. PELAKSANAAN PEKERJAAN
TGL 22 september 2019 s/d
21 september 2019 MEP
......../SIPP/......../......./2018 29 september 2019
5. URAIAN KEGIATAN YANG AKAN
Instalasi Riser air bersih area Shaft Utama
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 13 - 15 7. WAKTU PELAKSANAAN
8. SUB-KON / MANDOR YANG TERLIBAT Lutin, Mohammad Sidik
08.00 s/d 22.00
9. CATATAN QC APG
10. CATATAN SAFETY APG
11. REFERENSI PEKERJAAN a. Material b. Drawing c. Metode Pelaksanaan
(APPROVAL)
12. PENDUKUNG PEKERJAAN a. Tenaga Kerja b. Material Utama c. Material Mutu & Safety
- Martil
- Bor tangan Tukang : 1 Org
- Mesin Coring Helper : 1 Org
- Kabel Power
- Pahat
13. KESIAPAN INSPEKSI a. PIC Sub Kontraktor b. QC Kontraktor c. HSE Kontraktor d. IPP Diajukan Oleh
- Cek toilet PT. Efrata Mitra Sejahtera PT. Adhi Persada Gedung
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

QC HSE Project Production Manager
Tgl: 21 september 2019 Tgl:……….-………..2019 Tgl:……….-………..2019 Tgl:……….-………..2019
MANAGEMENT KONSTRUKSI REVIEW IJIN KERJA

Bahaya
Bahaya Jatuh Perlindungan Listrik/panas
14. KESELAMATAN KERJA Kepala
Kebisisngan Pengaruh
Debu Ke Sekitar Suara Getaran
15. ENVIRONMENT PROTECTION
Test Lab /
Test Lapangan Sampling Kebersihan
16. QUALITY ASSURANCE
Tenda Peringatan Listrik & Bahaya
17. SITE CONTROL & PROTECTION di Lap Penerangan permesinan
IJIN PELAKSANAAN PEKERJAAN
18. INSPECTOR YG DITUGASKAN UNTUK PT. Adhi Persada Gedung IPP Disetujui Oleh :
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
19. MELEKAT DENGAN IZIN KERJA INI, KONTRAKTOR TELAH MENGERTI DAN SETUJU TERHADAP KEWAJIBAN MELAKUKAN TINDAKAN
PROTEKSI DAN PENCEGAHAN TERJADINYA KECELAKAAN KERJA, GANGGUAN LINGKUNGAN, KEGAGALAN KUALITAS SERTA
KEBERSIHAN LAPANGAN
SUBJECT : PROCEDURE NO. :
Plumbing REV.NO. :
Apartemen 5 APPROVAL CONSTRUCTION PERMIT ISSUED : Oktober 2017
PT. JAYA CM PAGE :
PEMILIK CM CONSULTANT PROJECT : KAWASAN TRANS PARK BEKASI KONTRAKTOR PELAKSANA

JL. JUANDA - BEKASI, JAWA BARAT
PT. ALFA RETAILINDO PT. JAYA CM PACKAGES : PLUMBING
SURAT PERMOHONAN IJIN PELAKSANAAN PEKERJAAN

No. SPMK :.............................................. No. : …………………………………………………………….
Ground Floor s/d Latai 32
PEKERJAAN YANG HARUS DIPERBAIKI
NO. ITEM PEKERJAAN TANGGAL LOKASI PEKERJAAN VOLUME KETERANGAN
ATAU BELUM SELESAI
Apartemen 5
22 september 2019 s/d Jade Apartemen 5
1 Instalasi Riser air bersih area Shaft Utama lantai 13 - 3 lantai - Instalasi Riser air bersih area Shaft Utama
29 september 2019 Jade
15
Lampiran : - Shop Drawing
HARLAN
PEKERJAAN : BOLEH / TIDAK BOLEH DILAKSANAKAN
Mengetahui, Bekasi, 22 september 2019

PT. ALFA RETAILINDO Boleh Dilaksanakan PT. ADHI PERSADA GEDUNG
Boleh Dilaksanakan Dengan Catatan
Tidak Boleh Dilaksanakan
Rizal Rifai (………………………………………)

Project Manager
Kontraktor lain yang terkait Catatan :

Mengetahui / menyetujui - Pemberian ijin ini sama sekali tidak membebaskan tanggung jawab Kontraktor atas pemenuhan
PT. Efrata Mitra Sejahtera PT. …………… PT. …………… persyaratan dalam Dokumen Kontrak
- Ijin pelaksanaan harus ditandatangani minimal oleh SM/CM dan diparaf oleh QC masing-masing Kontraktor
HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser air bekas area Shaft Utama
Komponen Struktur :
Instalasi Riser air

1 bekas area Shaft - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
Instalasi Riser air bekas area Shaft Utama
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 Instalasi Riser air bekas area Shaft Utama lantai 13 - 3 lantai - Instalasi Riser air bekas area Shaft Utama
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 Instalasi Riser air bersih area Shaft Utama lantai 10 - 3 lantai - Instalasi Riser air bersih area Shaft Utama
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 Instalasi Riser air bersih area Shaft Utama 3 lantai - Instalasi Riser air bersih area Shaft Utama
29 september 2019 lantai 7 - 9 Jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 Instalasi Riser air bekas area Shaft Utama 3 lantai - Instalasi Riser air bekas area Shaft Utama
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 29 september 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
Tanggal Efektif 2 november - 2019 Lampiran PB 034 - 6
Tgl. Peninjauan 10 november 2019
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser air hujan 6"
Komponen Struktur :
Instalasi Riser air hujan

1 6" - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
- Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker - Tertiban
Bekasi,25 Oktober 2019

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2
Tanggal Efektif 2 november 2019

IJIN PELAKSANAAN
PEKERJAAN
TGL 2 november 2019 s/d
25 Oktober 2019 MEP
......../SIPP/......../......./2018 10 november 2019
Instalasi Riser air hujan 6"
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

Tgl: 25 Oktober 2019 Tgl:……….-………..2019 Tgl:……….-………..2019 Tgl:……….-………..2019

Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
2 november 2019 s/d Ruby Apartemen 2
1 Instalasi Riser air hujan 6" 3 lantai - Instalasi Riser air hujan 6"
10 november 2019 lantai 1 - 3 Ruby
HARLAN
Mengetahui, Bekasi, 2 Oktober 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 10 november 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 10 november 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 10 november 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
1 Instalasi Riser air hujan 6" lantai 10 - 3 lantai - Instalasi Riser air hujan 6"
10 november 2019 Ruby
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
Tanggal Efektif 28 - Oktober - 2019 Lampiran PB 034 - 6
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2
Tanggal Efektif 28 Oktober 2019

IJIN PELAKSANAAN
PEKERJAAN
TGL 7 Oktober 2019 s/d
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
28 Oktober 2019 s/d 2 Ruby Apartemen 2
november 2019 Ruby
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
november 2019 lantai 7 - 9 Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Instalasi Riser air

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
25 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
7 Oktober 2019 s/d 14 Jade Apartemen 5
oktober 2019 lantai 1 - 3 Jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
Tanggal Efektif 22 - oktober 2019 Lampiran PB 034 - 6
Tgl. Peninjauan 22 - november 2019
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : bobok dan instalasi air bersih area kamar mandi
Komponen Struktur :
Lokasi : Lantai 9-11
- Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat

bobok dan instalasi air - Kaca Mata - Debu - Terluka

1 bersih area kamar - Masker - Tertiban - gagguan pendengaran
mandi
- kebisingan
- penggunaan earplug
Bekasi,21 oktober 2019

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2
Tanggal Efektif 22 oktober 2019

IJIN PELAKSANAAN
PEKERJAAN
TGL 22 oktober 2019 s/d
21 oktober 2019 MEP
......../SIPP/......../......./2018 22 november 2019
bobok dan instalasi air bersih area kamar mandi
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 9-11 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

Tgl: 21 oktober 2019 Tgl:……….-………..2019 Tgl:……….-………..2019 Tgl:……….-………..2019

Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : 313/SIPP/KTPB/MEP/X/19/REV1
ATAU BELUM SELESAI
Apartemen 2
1 22 oktober 2019 - 22 Ruby Apartemen 2
bobok dan instalasi air bersih area kamar mandi 3 lantai - bobok dan instalasi air bersih area kamar mandi
november 2019 lantai 9-11 Ruby
Lampiran : Shop Drawing
HARLAN
Mengetahui, Bekasi, 21 oktober 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Lokasi : Lantai 6-8


mandi
- kebisingan

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
21 oktober 2019 MEP
......../SIPP/......../......./2018 22 november 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
Tanggal Efektif 29 - Oktober 2019 Lampiran PB 034 - 6
Tgl. Peninjauan 4 November 2019
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan coring fd balkon, air hujan type unit 3BR, 2BR, & Studio
Komponen Struktur :
Lokasi : Lantai 7-9
Pekerjaan coring fd
balkon, air hujan type - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
unit 3BR, 2BR, & - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
Studio
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
Pekerjaan coring fd balkon, air hujan type unit 3BR, 2BR, & Studio
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Pekerjaan coring fd balkon, air hujan type unit 3BR, 2BR, & 29 Oktober 2019 - 4 - jade Pekerjaan coring fd balkon, air hujan type unit 3BR, 2BR, & Apartemen 5
1 3 lantai -
Studio November 2019 lantai 7-9 Studio jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan coring fd toilet, closet, lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio
Komponen Struktur :
Lokasi : Lantai 7-9
Pekerjaan coring fd
toilet, closet, lavatory, - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
dan kitchen zink type - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
unit 3BR, 2BR, &
Studio - Kaca Mata - Debu - Terluka
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
Pekerjaan coring fd toilet, closet, lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Pekerjaan coring fd toilet, closet, lavatory, dan kitchen zink 29 Oktober 2019 - 4 - jade Pekerjaan coring fd toilet, closet, lavatory, dan kitchen zink type Apartemen 5
1 3 lantai -
type unit 3BR, 2BR, & Studio November 2019 lantai 7-9 unit 3BR, 2BR, & Studio jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
Studio
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 lantai 10- 3 lantai -
Studio November 2019 Studio jade
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
unit 3BR, 2BR, &
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
type unit 3BR, 2BR, & Studio November 2019 unit 3BR, 2BR, & Studio jade
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
Studio
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Studio November 2019 Studio jade
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
unit 3BR, 2BR, &
1
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 4 November 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
type unit 3BR, 2BR, & Studio November 2019 unit 3BR, 2BR, & Studio jade
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan coring fd balkon, air hujan, fd toilet, closet, 19 Setember 2019 - 3 Ruby Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, Apartemen 2
1 lantai gf - 3 lantai -
lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio oktober 2019 dan kitchen zink type unit 3BR, 2BR, & Studio Ruby
2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
Tanggal Efektif 23 September 2019
Tgl. Peninjauan 30 September 2019

IJIN PELAKSANAAN
PEKERJAAN
23 September 2019
22 September 2019 MEP
......../SIPP/......../......./2018 30 September 2019
INSTTALASI VENT YOKE UNIT 2 BR DAN 3 BR
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

Tgl: 22 September 2019 Tgl:……….-………..2019 Tgl:……….-………..2019 Tgl:……….-………..2019

Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


ATAU BELUM SELESAI
Apartemen 1
1 23 September 2019 - SHAPPIRE Apartemen 1
INSTTALASI VENT YOKE UNIT2 BR DAN 3 BR lantai 1 lantai - INSTTALASI VENT YOKE UNIT 2 BR DAN 3 BR
30 September 2019 SHAPPIRE
10
HARLAN
Mengetahui, Bekasi, 22 September 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Lokasi : Lantai 3-5


mandi
- kebisingan

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


ATAU BELUM SELESAI
Apartemen 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Lokasi : Lantai gf - 2


mandi
- kebisingan

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
11 oktober 2019 MEP
......../SIPP/......../......./2018 12 november 2019
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai gf - 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


ATAU BELUM SELESAI
Apartemen 2
november 2019 lantai gf-2 Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio
Komponen Struktur :
Pekerjaan coring fd
balkon, air hujan, fd - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
toilet, closet, lavatory, - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
dan kitchen zink type
unit 3BR, 2BR, & - Kaca Mata - Debu - Terluka
1 Studio
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 4 November 2019
5. URAIAN KEGIATAN YANG AKAN Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, dan kitchen zink type unit 3BR, 2BR, &
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan coring fd balkon, air hujan, fd toilet, closet, 29 Oktober 2019 - 4 - Ruby Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, Apartemen 2
1 lantai 13 - 3 lantai -
lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio November 2019 dan kitchen zink type unit 3BR, 2BR, & Studio Ruby
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
Tgl. Peninjauan 28 Oktober 2019
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
1 Studio
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 28 Oktober 2019
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan coring fd balkon, air hujan, fd toilet, closet, 21 Oktober 2019 - 28 Ruby Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, Apartemen 2
1 lantai 10 - 3 lantai -
lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio Oktober 2019 dan kitchen zink type unit 3BR, 2BR, & Studio Ruby
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
Tgl. Peninjauan 20 - Oktober 2019
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan coring fd
1 Studio
- Masker - Tertiban
Bekasi, 8 Oktober 2019

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
8 Oktober 2019 MEP
......../SIPP/......../......./2018 20 Oktober 2019
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan coring fd balkon, air hujan, fd toilet, closet, 14 Oktober 2019 - 20 Ruby Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, Apartemen 2
1 3 lantai -
lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio Oktober 2019 lantai 7 - 9 dan kitchen zink type unit 3BR, 2BR, & Studio Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan coring fd balkon, air hujan, fd toilet, closet, 3 September 2019 - 17 Ruby Pekerjaan coring fd balkon, air hujan, fd toilet, closet, lavatory, Apartemen 2
1 3 lantai -
lavatory, dan kitchen zink type unit 3BR, 2BR, & Studio September 2019 lantai 1 - 3 dan kitchen zink type unit 3BR, 2BR, & Studio Ruby
HARLAN
Mengetahui, Bekasi, 29 Agustus 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser air hujan 6" dan air bersih Shaft Utama
Komponen Struktur :

1 6" dan air bersih Shaft - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
Instalasi Riser air hujan 6" dan air bersih Shaft Utama
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama lantai 13 - 3 lantai - Instalasi Riser Air hujan 6" dan Air Bersih Shaft Utama
Oktober 2019 Ruby
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Oktober 2019 Ruby
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
7 Oktober 2019 s/d 14 Shappire Apartemen 1
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama lantai 3 lantai - Instalasi Riser Air hujan 6" dan Air Bersih Shaft Utama
Oktober 2019 Shappire
13 - 15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
Oktober 2019 Shappire
10 - 12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Oktober 2019 Jade
15
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
2 Oktober 2019 MEP
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Oktober 2019 Jade
12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban
Bekasi,28 September 2019

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama 3 lantai - Instalasi Riser Air hujan 6" dan Air Bersih Shaft Utama
Oktober 2019 lantai 7 - 9 Jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
Tanggal Efektif 30 - september - 2019 Lampiran PB 034 - 6
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 7 Oktober 2019
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 4- 6 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
30 September 2019 Jade Apartemen 5
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama 3 lantai - Instalasi Riser air hujan 6" dan air bersih Shaft Utama
s/d 7 Oktober 2019 lantai 4 - 6 Jade
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama 3 lantai - Instalasi Riser Air hujan 6" dan Air Bersih Shaft Utama
Oktober 2019 lantai 7 - 9 Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 7 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
30 September 2019 Ruby Apartemen 2
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama 3 lantai - Instalasi Riser air hujan 6" dan air bersih Shaft Utama
s/d 7 Oktober 2019 lantai 4 - 6 Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 14 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
Oktober 2019 shappire
7-9
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 7 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
30 September 2019 Shappire Apartemen 1
1 Instalasi Riser air hujan 6" dan air bersih Shaft Utama lantai 3 lantai - Instalasi Riser air hujan 6" dan air bersih Shaft Utama
s/d 7 Oktober 2019 shappire
4-6
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
Tgl. Peninjauan 7 Ooktober 2019
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan :Pemasangan pipa hydrant dan sprinkler area mock up lantai
Komponen Struktur :
Lokasi : Lantai 1 - lantai 2
Pemasangan pipa
1 hydrant dan sprinkler - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
area mock up lantai 1 - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
&2
- Masker - Tertiban -kebakaran
- terbakar
- penyediaan APAR

(.........................) (...............................) (..............................) ( HARLAN )

Lingkup Hydrant No. Dokumen APG-P 000 PB 034
Apartemen 4

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
Pemasangan pipa hydrant dan sprinkler area mock up
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 1 - lantai 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 4
23 September 2019 Diamond Pemasangan pipa hydrant dan sprinkler area mock up lantai 1 Apartemen 4
1 Pemasangan pipa hydrant dan sprinkler area mock up lantai 1 2 lantai -
s/d 7 Oktober 2019 &2 Diamond
&2
Lampiran : - Memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser AK,Abk,Abbk,Vent, dan Ab
Komponen Struktur :
INSTALASI VENT YOKE

1 - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
Instalasi Riser AK,Abk,Abbk,Vent, dan Ab
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
23 September 2019 Apartemen 5

Jade Apartemen 5
1 Instalasi Riser AK,Abk,Abbk,Vent, dan Ab s/d 30 September lantai 10- 3 lantai - Instalasi Support Shaft Utama
Jade
2019 12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser AK,Abk,Abbk,Vent, dan Ab
Komponen Struktur :
INSTALASI VENT YOKE

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
Instalasi Riser AK,Abk,Abbk,Vent, dan Ab
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

Shappire Apartemen 1
1 Instalasi Riser AK,Abk,Abbk,Vent, dan Ab s/d 30 September lantai 3 lantai - Instalasi Support Shaft Utama
shappire
2019 10-12
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Support Shaft Utama
Komponen Struktur :
Lokasi : Lantai 1-3
INSTALASI VENT YOKE

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
Instalasi Support Shaft Utama
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

1 Instalasi Support Shaft Utama s/d 30 September lantai 3 lantai - Instalasi Support Shaft Utama
shappire
2019 1- 3
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : INSTALASI VENT YOKE
Komponen Struktur :
Lokasi : Lantai 10
INSTALASI VENT YOKE

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
INSTALASI VENT YOKE
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 10 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

1 INSTALASI VENT YOKE s/d 30 September lantai 1 lantai - INSTALASI VENT YOKE
shappire
2019 10
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : INSTALASI VENT YOKE
Komponen Struktur :
Lokasi : Lantai 10
INSTALASI VENT YOKE

- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 30 September 2019
INSTALASI VENT YOKE
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 10 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

Jade Apartemen 5
1 INSTALASI VENT YOKE s/d 30 September 1 lantai - INSTALASI VENT YOKE
lantai 10 Jade
2019
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
Tgl. Peninjauan 5 oktober 2019
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : pemasangan riser hydrant dan sprinkler
Komponen Struktur :
Lokasi : Lantai 1 s/d 18

pemasangan riser
hydrant dan sprinkler - Kaca Mata - Debu - Terluka - Pemadam
- Masker - Tertiban - kebakaran
- topeng las - terbakar
2 - penyediaan APAR
Bekasi, 3 September 2019

(.........................) (...............................) (..............................) ( HARLAN )

PROCEDURE NO. :
REV.NO. :
APPROVAL CONSTRUCTION PERMIT ISSUED : Oktober 2017
PT. JAYA CM PAGE :
PEMILIK CM CONSULTANT PROYEK KONTRAKTOR PELAKSANA
KAWASAN TRANS PARK BEKASI
PT. ALFA RETAILINDO PT. JAYA CM PEKERJAAN :

No. : …………………………………………………………….
ATAU BELUM SELESAI
Mengetahui, Bekasi, ,…………………………..

PT. JAYA CM Boleh Dilaksanakan PT. ADHI PERSADA GEDUNG
Barnard Sahat R Hutapea (………………………………………)

Construction Manager

PT. PT. …………… PT. …………… persyaratan dalam Dokumen Kontrak
………………. ………………. ……………….

Lingkup Koporat No. Dokumen APG-P 000 PB 034
000
Tanggal Efektif 1-Dec-17
Tgl. Peninjauan 1-Dec-18

IJIN PELAKSANAAN
PEKERJAAN
TGL s/d
STR / ARS / MEP
......../SIPP/......../......./2018 TGL
Bobok Wall / Hebel Pemasangan Pipa MATV dan Audio Phone
DILAKSANAKAN
6. LOKASI PEKERJAAN 7. WAKTU PELAKSANAAN
8. SUB-KON / MANDOR YANG TERLIBAT
08.00 s/d
9. CATATAN QC APG
(APPROVAL) Pengecoran dengan Concrele Pump
- TC kapasitas 1,2 Ton
- Vibrator Tk. Kayu : Org
- Kompresor Tk. Besi : Org
Tk. Cor : Org
- Cek Besi PT. Adhi Persada Gedung
- Cek bekisting
- Cek perancah scalfolding
- Jalur Inspeksi
- Pasang pengaman topi bangunan
- Rambu-rambu K3 ........................... ........................... .......................... ..................................
Penggunaan APD QC HSE Project Production Manager
Tgl:……….-………..2018 Tgl:……….-………..2018 Tgl:……….-………..2018 Tgl:……….-………..2018

Bahaya
Test Lab /
18. INSPECTOR YG DITUGASKAN UNTUK Inspector 1 IPP Disetujui Oleh :
PENGAWASAN
Manajemen Konstruksi
Inspector 2
(....................................)
Tgl.....-......- 2018
NOTED :
KEBERSIHAN LAPANGAN
Lingkup Koporat No. Dokumen APG-P 000 PB 034
000
PROSEDUR IZIN KERJA
Tanggal Efektif 1-Dec-17 Lampiran PB 034 - 6
Tgl. Peninjauan 1-Dec-18
JOB RISK ANALYSIS

Pekerjaan : (APARTEMEN)
Komponen Struktur :
Lokasi :
Contoh Form Job Risk Analysis dari Proyek

Bekasi, ....................... 2018

HSE Quality Control SPV Sub Kon/ Mandor
(.........................) (...............................) (..............................) (..............................)

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
Instalasi air kotor, air bekas, venting, air bersih, air panas, air hujan & shaft No. : …………………………………………………………….
ATAU BELUM SELESAI
Pekerjaan Instalasi Air Kotor, Air Bekas, Pipa Vent & Air Apartemen 1
1 16 Desember 2018 10 Lantai - Instalasi Pipa Air Hujan Balkon
Bersih & Air Panas Unit Apartemen
2 Pekerjaan Support Shaft Plumbing 16 Desember 2018 Apartemen 1 10 Lantai - Instalasi Pipa Air Kotor
3 Pekerjaan Instalasi Air Hujan Pipa Riser & FD Balkon 16 Desember 2018 Apartemen 1 10 Lantai - Instalasi Pipa Air Bekas Apartemen 1
- Instalasi Pipa Air Bekas Dapur
- Instalasi Pipa Venting
- Instalasi Pipa Air Bersih & Air Panas

- PPM
HARLAN - Methode Pelaksanaan

Mengetahui, Bekasi, 12 Desember 2018



HARLAN ………………. ……………….

Apartemen 1
Tanggal Efektif -
Tgl. Peninjauan -

IJIN PELAKSANAAN
PEKERJAAN
TGL 16 Desember 2018 s/d
12 Desember 2018 STR / ARS / MEP
......../SIPP/......../......./2018 TGL
Instalasi air kotor, air bekas, venting, air bersih, air panas, air hujan & shaft
DILAKSANAKAN
6. LOKASI PEKERJAAN Ground Floor s/d Latai 10 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Gerinda tangan Tk. Pipa : 6 Org
- Bor tangan Hp Pipa : 6 Org
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

Tgl: 12Desember 2018 Tgl:……….-………..2018 Tgl:……….-………..2018 Tgl:……….-………..2018

Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2018
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
Tanggal Efektif - Lampiran PB 034 - 6
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi air kotor, air bekas, venting, air bersih, air panas, air hujan & shaft
Komponen Struktur :
Lokasi : Lantai Ground Floor s/d Lantai 10


Pemasangan pipa
toilet studio A - Tangga, Sarung Tangan - Iritasi Mata - Kebutaan - Rumah Sakit
- Kaca Mata - Terjepit / Terapit - Terluka
- Masker - Debu
Bekasi, 12 Dessember 2018

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


Instalasi Riser Pipa Air Hujan Ø 6"
No. SPMK :.......... No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1 Apartemen 1
1 Pekerjaan Instalasi Riser Pipa Air Hujan Ø 6" 10 Juli 2019 32 Lantai - Instalasi Riser Pipa Air Hujan Ø 6"
Jade

- PPM

Mengetahui, Bekasi, 10 Juli 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
Tanggal Efektif -
Tgl. Peninjauan -

IJIN PELAKSANAAN
PEKERJAAN
TGL 10 Juli 2019 s/d
10 Juli 2019 STR / ARS / MEP
......../SIPP/......../......./2018 TGL
Instalasi Riser Pipa Air Hujan
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Mesin Coring
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................

Tgl: 10 Juli 2019 Tgl:……….-………..2019 Tgl:……….-………..2019 Tgl:……….-………..2019

Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser Pipa Air Hujan Ø 6"
Komponen Struktur :


Pemasangan Riser Pipa
Air Hujan - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker
Bekasi, 10 Juli 2019

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
ATAU BELUM SELESAI

- PPM




HARLAN ………………. ……………….

Apartemen 2
Tanggal Efektif -
Tgl. Peninjauan -

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2018
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


Pemasangan pipa
- Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
ATAU BELUM SELESAI

- PPM




HARLAN ………………. ……………….

Apartemen 5
Tanggal Efektif -
Tgl. Peninjauan -

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL
DILAKSANAKAN
8. SUB-KON / MANDOR YANG TERLIBAT Suparman, Okim, Hasrul
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2018
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


Pemasangan pipa
- Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.......... No. : …………………………………………………………….
ATAU BELUM SELESAI
1 Pekerjaan Instalasi Riser Pipa Air Hujan Ø 6" 10 Juli 2019 32 Lantai - Instalasi Riser Pipa Air Hujan Ø 6"
Diamond

- PPM


Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
Tanggal Efektif -
Tgl. Peninjauan -

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Mesin Coring
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser Pipa Air Hujan Ø 6"
Komponen Struktur :


Pemasangan Riser Pipa
Air Hujan - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1 Pekerjaan Coring Mock Up Lantai 2 Unit Studio & 2 BR 13 Juli 2019 Mock Up - Coring Ø 4", Ø 3", Ø 2"
JADE
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
Tanggal Efektif 15-Jul-19
Tgl. Peninjauan 20-Jul-19

IJIN PELAKSANAAN
PEKERJAAN
TGL 15 JULI 2019 s/d
......../SIPP/......../......./2018 TGL 20 JULI 2019
DILAKSANAKAN
6. LOKASI PEKERJAAN Lantai 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
Tgl. Peninjauan -
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Mock Up Unit Studio & 2 BR
Komponen Struktur :
Lokasi : Lantai 2


Coring Ø 4", Ø 3",
Ø 2" - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Pekerjaan Coring Riser dan FD Balkon Type Unit 3 BR , 2 Apartemen 5 Apartemen 5

1 17 Juli 2019 10 Lantai - Coring Pipa Riser & FD Air Hujan Balkon Ø3"
BR & Studio A JADE
Pekerjaan Instalasi Riser dan FD Balkon Type Unit 3 BR , 2 Apartemen 5

2 17 Juli 2019 10 Lantai - Instalasi Pipa Riser & FD Air Hujan Balkon Ø3"
BR & Studio A
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5
Tgl. Peninjauan 17-Aug-19

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 17 September 2019
Instalasi Riser Pipa Air Hujan Balkon Ø 3"
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
Tanggal Efektif 17-Jul-19 Lampiran PB 034 - 6
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi Riser & FD Balkon Ø3"
Komponen Struktur :
Lokasi : Lantai GF S/D 10


Instalasi Riser & FD
Balkon Ø3" - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
2 - Masker
Balkon Ø3"

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

BR & Studio A shappire

BR & Studio A
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


2 - Masker
Balkon Ø3"

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI

BR & Studio A Ruby

BR & Studio A
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
Inspector 2
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


2 - Masker
Balkon Ø3"

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Pekerjaan Coring Riser, FD Balkon dan kitchen zync Type 29 Agustus 2019 s/d Apartemen 1 lantai 11 Pekerjaan Coring Riser, FD Balkon dan kitchen zync Type Unit Apartemen 1
1 s/d lantai 32 22 lantai -
Unit 3 BR , 2 BR & Studio A Selesai 3 BR , 2 BR & Studio A Diamond
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
Tanggal Efektif 29 Agustus 2019
Tgl. Peninjauan

IJIN PELAKSANAAN
PEKERJAAN
TGL 29 Agustus 2019 s/d
29 Agustus 2019 MEP
......../SIPP/......../......./2018 Selesai
Pekerjaan Coring Riser, FD Balkon dan kitchen zync Type Unit 3 BR , 2 BR & Studio A
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai 11 s/d lantai 32 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
Tanggal Efektif 29 - Agustus - 2019 Lampiran PB 034 - 6
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


Pekerjaan Coring Riser, - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
FD Balkon dan kitchen
zync Type Unit 3 BR , 2 - Kaca Mata - Debu - Terluka
BR & Studio A
- Masker - Tertiban
Bekasi, 29 Agustus 2019

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan Coring Riser, FD Balkon dan kitchen zink Type 30 Agustus 2019 s/d Ruby Pekerjaan Coring Riser, FD Balkon dan kitchen zync Type Unit Apartemen 2
1 9 lantai -
Unit 3 BR , 2 BR & Studio 30 november 209 lantai 1 s/d lantai 3 BR , 2 BR & Studio A Ruby
9
Lampiran : - memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
Pekerjaan Coring Riser, FD Balkon dan kitchen zink Type 30 Agustus 2019 s/d shappire Pekerjaan Coring Riser, FD Balkon dan kitchen zync Type Unit Apartemen 1
1 10 lantai -
Unit 3 BR , 2 BR & Studio 30 november 209 lantai 1 s/d 3 BR , 2 BR & Studio shappire
lantai 10
Lampiran : - memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
29 Agustus 2019 s/d shappire Apartemen 1
1 Pekerjaan Coring kitchen zink Type Unit 3 BR , 2 BR & Studio 10 lantai - Pekerjaan Coring kitchen zink Type Unit 3 BR , 2 BR & Studio
29 september 2019 lantai 1 s/d shappire
lantai 10
Lampiran : - memo no.surat :141

/tp-bekasi/ari-apg/vii/19
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Pekerjaan Coring fd toilet, closet, lavatory dan kitchen Type 30 Agustus 2019 s/d jade Pekerjaan Coring fd toilet, closet, lavatory dan kitchen Type Apartemen 5
1 10 lantai -
Unit 3 BR , 2 BR & Studio 30 november 2019 lantai 1 s/d lantai Unit 3 BR , 2 BR & Studio jade
12
Lampiran : - memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 3 September 2019 s/d Apartemen 2 lantai 1 Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 2
s/d lantai 3 3 lantai -
lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A 17 September 2019 lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A Ruby
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
Tgl. Peninjauan

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 Selesai
5. URAIAN KEGIATAN YANG AKAN Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 3 BR , 2
DILAKSANAKAN BR & Studio A
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A
Komponen Struktur :


BR & Studio A
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1 Apartemen 5
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 3 September 2019 s/d jade Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 5
lantai 1 3 lantai -
lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio 17 September 2019 lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A jade
s/d lantai 3
Apartemen 5
3 September 2019 s/d jade Apartemen 5
2 Pemasangan support dan pipa riser shaft utama lantai 1 3 lantai -- Pemasangan support dan pipa riser shaft utama
17 September 2019 jade
s/d lantai 3
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 Selesai
DILAKSANAKAN BR & Studio A dan Pemasangan support dan pipa riser shaft utama
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A dan Pemasangan
support dan pipa riser shaft utama
Komponen Struktur :

BR & Studio A
- Masker - Tertiban
pemasangan support
2 dan pipa riser shaft
utama

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1 Apartemen 1
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 3 September 2019 s/d Shappire Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 1
lantai 3 lantai -
lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio 17 September 2019 lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio A Shappire
1 s/d lantai 3
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 17 september 2019
DILAKSANAKAN BR & Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 3 BR , 2 BR & Studio
Komponen Struktur :

BR & Studio
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
hotel
3 September 2019 s/d
1 pemasangan riser hydrant dan sprinkler 18 lantai - pemasangan riser hydrant dan sprinkler Hotel
5 Oktober 2019 lantai 1 s/d lantai 18
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 17 september 2019
pemasangan riser hydrant dan sprinkler
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : pemasangan riser hydrant dan sprinkler
Komponen Struktur :

pemasangan riser
hydrant dan sprinkler - Kaca Mata - Debu - Terluka - Pemadam
- Masker - Tertiban - kebakaran
- topeng las - terbakar
2 - penyediaan APAR

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
ATAU BELUM SELESAI
Apartemen 1
6 September 2019 s/d Shappire Apartemen 1
1 Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB lantai 3 Lantai - Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB
6 Oktober 2019 Shappire
10 s/d lantai 12
Apartemen 1
6 September 2019 s/d Shappire Apartemen 1
2 Instalasi pipa mainline air bersih lantai 3 Lantai - Instalasi pipa mainline air bersih
6 Oktober 2019 Shappire
5, 10, dan 16
HARLAN
Mengetahui, Bekasi,4 September 2019

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
TGL 6 September 2019 s/d
......../SIPP/......../......./2018 TGL 6 Oktober 2019
Instalasi pipa mainline air bersih
DILAKSANAKAN
6. LOKASI PEKERJAAN Lantai 5, 10, dan 16 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 6 Oktober 2019
Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB
DILAKSANAKAN
6. LOKASI PEKERJAAN Lantai 10 s/d Lantai 12 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
Tanggal Efektif 6 September 2019 Lampiran PB 034 - 6
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB dan Instalasi pipa mainline air bersih
Komponen Struktur :
Lokasi : Lantai 10 s/d Lantai 12


Pekerjaan Instalasi
Riser AK, ABK, ABBK, - Tangga, Sarung Tangan - Iritasi Mata - Kebutaan - Rumah Sakit
1 VENT, DAN AB dan - Kaca Mata - Terjepit / Terapit - Terluka
Instalasi pipa mainline
air bersih - Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Instalasi pipa mainline air bersih
Komponen Struktur :
Lokasi : Lantai 5, 10, dan 16


- Tangga, Sarung Tangan - Iritasi Mata - Kebutaan - Rumah Sakit
1 - Kaca Mata - Terjepit / Terapit - Terluka
air bersih
- Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
ATAU BELUM SELESAI
Apartemen 2
6 September 2019 s/d Ruby Apartemen 2
1 Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB lantai 10 3 Lantai - Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB
6 Oktober 2019 Ruby
s/d lantai 12
Apartemen 2
6 September 2019 s/d Ruby Apartemen 2
2 Instalasi pipa mainline air bersih lantai 5, 3 Lantai - Instalasi pipa mainline air bersih
6 Oktober 2019 Ruby
10, dan 16
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 6 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 6 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


Pekerjaan Instalasi

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


air bersih
- Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :..........
ATAU BELUM SELESAI
Apartemen 5
6 September 2019 s/d Jade Apartemen 5
1 Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB lantai 10 3 Lantai - Pekerjaan Instalasi Riser AK, ABK, ABBK, VENT, DAN AB
6 Oktober 2019 Jade
s/d lantai 12
Apartemen 5
6 September 2019 s/d Jade Apartemen 5
2 Instalasi pipa mainline air bersih lantai 5, 3 Lantai - Instalasi pipa mainline air bersih
6 Oktober 2019 Jade
10, dan 16
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 6 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 TGL 6 Oktober 2019
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Trafo Las
- Pemanas pipa PPR
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. ALFA RETAILINDO
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


Pekerjaan Instalasi

(.........................) (...............................) (..............................) ( HARLAN )

Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :


air bersih
- Masker - Debu

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Shappire Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 1
s/d 21 September lantai 3 lantai -
lavatory dan kitchen zink Type Unit 3 BR lavatory dan kitchen zync Type Unit 3 BR Shappire
2019 4 s/d lantai 7
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 21 september 2019
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 3 BR
DILAKSANAKAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan Coring Riser,

1 FD Balkon dan kitchen - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
zync Type Unit 3 BR - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker - Tertiban

2

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1
Pekerjaan bobok dinding pipa air bersih area kamar mandi s/d 21 September lantai 3 lantai - Pekerjaan bobok dinding pipa air bersih area kamar mandi
Shappire
2019 gf s/d lantai 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Pekerjaan : Pekerjaan bobok dinding pipa air bersih area kamar mandi
Komponen Struktur :
Lokasi : Lantai gf s/d 2
Pekerjaan bobok
1 dinding pipa air bersih - Menggunakan APD - Terjatuh - Patah Tulang - Klinik Terdekat
area kamar mandi - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1
Ruby Apartemen 2
Pekerjaan bobok dinding pipa air bersih area kamar mandi s/d 21 September lantai gf 3 lantai - Pekerjaan bobok dinding pipa air bersih area kamar mandi
Ruby
2019 s/d lantai 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 21 september 2019
Pekerjaan bobok dinding pipa air bersih area kamar mandi
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai gf s/d lantai 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan bobok
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
1
Jade Apartemen 5
Pekerjaan bobok dinding pipa air bersih area kamar mandi s/d 21 September lantai gf s/d 3 lantai - Pekerjaan bobok dinding pipa air bersih area kamar mandi
Jade
2019 lantai 2
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 5

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 21 september 2019
Pekerjaan bobok dinding pipa air bersih area kamar mandi
DILAKSANAKAN
6. LOKASI PEKERJAAN lantai gf s/d lantai 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 5
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Pekerjaan bobok
- Masker - Tertiban

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 1
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 19 September 2019 Shappire Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 1
1 lantai 3 lantai -
lavatory dan kitchen zink Type Unit 2 BR dan Studio s/d 3 Oktober 2019 lavatory dan kitchen zink Type Unit 2 BR dan Studio Shappire
GF s/d lantai 2

- memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 1

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 3 Oktober 2019
5. URAIAN KEGIATAN YANG AKAN Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, lavatory dan kitchen zync Type Unit 2 BR dan
DILAKSANAKAN Studio
6. LOKASI PEKERJAAN lantai GF s/d lantai 2 7. WAKTU PELAKSANAAN
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 1
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :
Lokasi : Lantai GF s/d 2

zync Type Unit 2 BR, - Sarung Tangan - Terjepit / Terapit - Kebutaan - Rumah Sakit
dan Studio
- Masker - Tertiban

2

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 2
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 19 September 2019 Ruby Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 2
1 lantai GF 3 lantai -
lavatory dan kitchen zink Type Unit 2 BR dan Studio s/d 3 Oktober 2019 lavatory dan kitchen zink Type Unit 2 BR dan Studio Ruby
s/d lantai 2

- memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 3 Oktober 2019
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

dan Studio
- Masker - Tertiban

2

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, 19 September 2019 Jade Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 5
lavatory dan kitchen zink Type Unit 2 BR dan Studio s/d 3 Oktober 2019 lavatory dan kitchen zink Type Unit 2 BR dan Studio Jade
s/d lantai 2

- memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 3 Oktober 2019
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

dan Studio
- Masker - Tertiban

2

(.........................) (...............................) (..............................) ( HARLAN )

Plumbing REV.NO. :
PT. JAYA CM PAGE :


No. SPMK :.............................................. No. : …………………………………………………………….
ATAU BELUM SELESAI
Apartemen 5
INSTALASI PIPA AK, ABK, ABBK, VENT, dan AB UNIT 2BR 19 September 2019 Jade Pekerjaan Coring FD Balkon , air hujan, Fd Toilet, closet, Apartemen 5
DAN STUDIO s/d 3 Oktober 2019 lavatory dan kitchen zink Type Unit 2 BR dan Studio Jade
s/d lantai 2

- memo
HARLAN

Rizal Rifai (………………………………………)

Project Manager

HARLAN ………………. ……………….

Apartemen 2

IJIN PELAKSANAAN
PEKERJAAN
......../SIPP/......../......./2018 3 Oktober 2019
DILAKSANAKAN Studio
08.00 s/d 22.00
9. CATATAN QC APG
(APPROVAL)
- Martil
- Kabel Power
- Pahat
- Cek shaft
- Cek coring
- Marking
HARLAN ........................... .......................... ..................................


Bahaya
Test Lab /
PENGAWASAN
PM
PT. Alfa Retailindo
(....................................)
Tgl.....-......- 2019
NOTED :
KEBERSIHAN LAPANGAN
Apartemen 2
PROSEDUR IZIN KERJA
JOB RISK ANALYSIS

(APARTEMEN)
Komponen Struktur :

dan Studio
- Masker - Tertiban

2

(.........................) (...............................) (..............................) ( HARLAN )

Ipl-Jsa-Spipp - AP 2

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Ipl-Jsa-Spipp - AP 2

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ADHI PERSADA GEDUNG

JOB RISK ANALYSIS

Contoh Form Job Risk Analysis dari Proyek TGL

No Pekerjaan Pencegahan Bahaya Resiko Penanganan

Instalasi Riser air

- penjagaan bawah area bobokan

- penggunaan body harness

Bekasi,21 september 2019

(.........................) (...............................) (..............................) ( HARLAN )

Contoh Form Ijin Pelaksanaan Pekerjaan dari Proyek

HARLAN ........................... .......................... ..................................

MANAGEMENT KONSTRUKSI REVIEW IJIN KERJA

PT. Alfa Retailindo

PT. JAYA CM PAGE :

PEMILIK CM CONSULTANT PROJECT : KAWASAN TRANS PARK BEKASI KONTRAKTOR PELAKSANA

PT. ALFA RETAILINDO PT. JAYA CM PACKAGES : PLUMBING

SURAT PERMOHONAN IJIN PELAKSANAAN PEKERJAAN

Lampiran : - Shop Drawing

Mengetahui, Bekasi, 22 september 2019

Rizal Rifai (………………………………………)

Kontraktor lain yang terkait Catatan :

HARLAN ………………. ……………….

JOB RISK ANALYSIS

Contoh Form Job Risk Analysis dari Proyek TGL

No Pekerjaan Pencegahan Bahaya Resiko Penanganan

Instalasi Riser air

- penjagaan bawah area bobokan

- penggunaan body harness

Bekasi,21 september 2019

(.........................) (...............................) (..............................) ( HARLAN )

Contoh Form Ijin Pelaksanaan Pekerjaan dari Proyek

HARLAN ........................... .......................... ..................................

MANAGEMENT KONSTRUKSI REVIEW IJIN KERJA

PT. Alfa Retailindo

PT. JAYA CM PAGE :

PEMILIK CM CONSULTANT PROJECT : KAWASAN TRANS PARK BEKASI KONTRAKTOR PELAKSANA

PT. ALFA RETAILINDO PT. JAYA CM PACKAGES : PLUMBING

SURAT PERMOHONAN IJIN PELAKSANAAN PEKERJAAN

Lampiran : - Shop Drawing

Mengetahui, Bekasi, 22 september 2019

Rizal Rifai (………………………………………)

Kontraktor lain yang terkait Catatan :

HARLAN ………………. ……………….

Contoh Form Ijin Pelaksanaan Pekerjaan dari Proyek

HARLAN ........................... .......................... ..................................

MANAGEMENT KONSTRUKSI REVIEW IJIN KERJA

PT. Alfa Retailindo

PT. JAYA CM PAGE :

PEMILIK CM CONSULTANT PROJECT : KAWASAN TRANS PARK BEKASI KONTRAKTOR PELAKSANA

PT. ALFA RETAILINDO PT. JAYA CM PACKAGES : PLUMBING

SURAT PERMOHONAN IJIN PELAKSANAAN PEKERJAAN

Lampiran : - Shop Drawing

Mengetahui, Bekasi, 22 september 2019

Rizal Rifai (………………………………………)

Kontraktor lain yang terkait Catatan :

HARLAN ………………. ……………….

JOB RISK ANALYSIS

Contoh Form Job Risk Analysis dari Proyek TGL

No Pekerjaan Pencegahan Bahaya Resiko Penanganan

Instalasi Riser air

- penjagaan bawah area bobokan

- penggunaan body harness