Yearly Hse Performance Record: FM-PRO-14-01, Rev: 01, Issued Date: 10 Jan 2011

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YEARLY HSE PERFORMANCE RECORD

FM-PRO-14-01, Rev : 01, Issued Date : 10 Jan 2011


LOCATION / PROJECT : PT. ABC YEAR : 2015 JAM KERJA : 8 JAM
No Item Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1 Number of Employees 36 36 44 56 36 55 36 45 66 34 36 90
2 Hari Kerja 22 19 22 21 20 21 22 18 21 22 21 15
4 Fatalities 0 0 0 0 0 0 0 0 0 0 0 0
Reactive Indicator

5 Permanent Disability 0 0 0 0 0 0 0 0 0 0 0 0
6 Lost Work Day Cases (LWDC) 2 0 0 2 1 0 0 2 0 0 4 0
7 Lost day Since Lost Time 4 0 0 5 3 0 0 5 0 0 7 0
8 RWDC (Restricted Work Day case) 0 1 0 0 0 0 1 0 0 4 0 3
9 MTC (Medical Treatment Case) 0 0 0 4 0 0 4 0 2 0 0 0
10 FAC (First Aid Case) 7 0 3 0 0 0 0 0 0 0 1 1
11 Near Miss Incident 0 5 0 4 0 4 0 0 3 0 2 0
12 Lost Time Injury Frequency Rate
13 Lost Time Injury Severity Rate
14 Total Recordable Incident Rate
YEARLY HSE PERFORMANCE RECORD
FM-PRO-14-01, Rev : 01, Issued Date : 10 Jan 2011
LOCATION / PROJECT : PT. ABC YEAR : 2015 JAM KERJA : 8 JAM SEHARI
No Item Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total
1 Number of Employees 36 36 44 56 36 55 36 45 66 34 36 90
2 Hari Kerja 22 19 22 21 20 21 22 18 21 22 21 15
4 Fatalities 0 0 0 0 0 1 0 0 0 0 0 0
Reactive Indicator

5 Permanent Disability 0 0 0 0 0 0 0 2 0 1 0 0
6 Lost Work Day Cases (LWDC) 2 0 0 2 1 0 0 2 0 0 4 0
7 Lost day Since Lost Time 4 0 0 5 3 0 0 5 0 0 7 0
8 RWDC (Restricted Work Day case) 0 1 0 0 0 0 1 0 0 4 0 3
9 MTC (Medical Treatment Case) 0 0 0 4 0 0 4 0 2 0 0 0
10 FAC (First Aid Case) 7 0 3 0 0 0 0 0 0 0 1 1
11 Near Miss Incident 0 5 0 4 0 4 0 0 3 0 2 0
12 Lost Time Injury Frequency Rate
13 Lost Time Injury Severity Rate
14 Total Recordable Incident Rate

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