02 Form Statistik K3

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No.

Dok AES-HSE-FSK-01
CV. ABDI ENERGY SAMBOJA No. Rev 0.1
FORMULIR STATISTIK K3 Tanggal Berlaku 10-Sep-21
FREQUENCY RATE AND SEVERITY RATE WORKSHEET
Halaman

Periode : Juli - December 2021 Lokasi : CV. Abdi Energy Samboja at Office & Site
Bulan Jumlah Jumlah Jam Jumlah Lost No Lost Jumlah Jumlah LTIFR WIFR MTIFR % LTI % WI SPSR SAS Kontraktor

kum. Pekerja Kerja Kecelakaan Time Time LTI Tindakan TI Hours % Injury

Jan 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%


Feb 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%
Mar 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%
Apr 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%
May 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%
Jun 0 0 0 0 0 0 0 #DIV/0! #DIV/0! ##### ##### #### ##### 0 40 0%
Jul 4 1,280 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
Aug 4 1,280 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
Sep 4 1,280 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
Oct 4 1,280 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
Nov 8 2,560 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
Dec 8 2,560 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 40 0%
cum. 32 10,240 0 0 0 0 0 0.00 0.00 0.00 0% 0% 0.00 0 480 0.00
Avg. 2.66667
Disiapkan oleh, Disetujui oleh

Salwis HSE Manager


Staff Admin HSE Zainal Abidin

FM-KKK-011.00
No. Dok : DSP-HSE-FR-01
CV. ABDI ENERGY SAMBOJA
No. Rev : 0.0
FORMULIR STATISTIK K3 Tanggal Berlaku: 10-SEPTEMBER-2021
FREQUENCY RATE AND SEVERITY RATE WORKSHEET Halaman :

TOTAL INJURY FREQUENCY RATE

1 1.00
1 0.90
1 0.80
1 0.70
1 0.60
1 0.50
0 0.40
0 0.30
0 0.20
0 0.10
0 0.00
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

PERCENT LTI AND WI CONTRACTORS STATISTIC

100% 45
90% 40
80% 35
70%
30
60%
25
50%
20
40%
15
30%
20% 10

FM-KKK-011.00
20%
10% 5

0% 0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

FM-KKK-011.00

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