DAILY MINE ACTIVITY REPORT

DATE

NO. PLANT ID PLANT GROUP PLANT MERK & TYPE

01 EX-55 EXCAVATOR SANY 365H

02 EX-90 EXCAVATOR SANY 365H
03 EX-93 EXCAVATOR SANY 500H
04 EX-96 EXCAVATOR SANY 500H
05 EX-131 EXCAVATOR SANY 500H
06 DZ-141 BULLDOZER HOWO 371
07 DT-21 DUMP TRUCK HOWO 371
08 DT-22 DUMP TRUCK HOWO 371
09 DT-50 DUMP TRUCK HOWO 371
10 DT-51 DUMP TRUCK HOWO 371
11 DT-52 DUMP TRUCK HOWO 371
12 DT-53 DUMP TRUCK HOWO 371
13 DT-54 DUMP TRUCK HOWO 371
14 DT-55 DUMP TRUCK HOWO 371
 OPERATOR
DRIVER JOB TITLE
NAME
HORMANSYAH OPERATOR EXCAVATOR
TOTOK DWI ALI OPERATOR EXCAVATOR
KATMIYANTO OPERATOR EXCAVATOR
AGUS SETIAWAN OPERATOR EXCAVATOR MANDIRI
DADANG EFENDI OPERATOR EXCAVATOR 89022-07611320692
EKO HARYANTO OPERATOR EXCAVATOR
SURATNO OPERATOR BULLDOZER
KHABIBULLOH ZAENI OPERATOR BULLDOZER
AHMAD JUNAIDI DRIVER DT HAULING
JAPAR SIDIQ DRIVER DT HAULING
AHMAD MURDANI DRIVER DT HAULING
HASAN DRIVER DT HAULING
M. NOOR DRIVER DT HAULING
AHMAD FAISAL DRIVER DT HAULING
HAMDANI DRIVER DT HAULING
SISMARIADI DRIVER DT HAULING
BAHRUN DRIVER DT HAULING
ISMANI DRIVER DT HAULING
SUPLIANSYAH DRIVER DT HAULING
IRDIAN IRFANI DRIVER DT HAULING
YANTO DRIVER DT HAULING
MUHAMMAD HARIS DRIVER DT HAULING
89022-07611320692
 PROJECT NO. : DM-01
CLIENT
PROJECT NAME 0
LOCATION
SHEET TITLE : DATABASE PLANT
UPDATE : 4 - 2019

NO. CODE PLANT ID PLANT GROUP PLANT MERK & TYPE

01 10-001 EX-55 EXCAVATOR SANY 365H
02 10-002 EX-90 EXCAVATOR SANY 365H
03 10-003 EX-93 EXCAVATOR SANY 500H
04 10-004 EX-96 EXCAVATOR SANY 500H
05 10-005 EX-131 EXCAVATOR SANY 500H
06 20-001 DZ-141 BULLDOZER KOMATSU D 85 ESS
07 60-001 DT-21 DUMP TRUCK HOWO 371
08 60-002 DT-22 DUMP TRUCK HOWO 371
09 60-003 DT-50 DUMP TRUCK HOWO 371
10 60-004 DT-51 DUMP TRUCK HOWO 371
11 60-005 DT-52 DUMP TRUCK HOWO 371
12 60-006 DT-53 DUMP TRUCK HOWO 371
13 60-007 DT-54 DUMP TRUCK HOWO 371
14 60-008 DT-55 DUMP TRUCK HOWO 371
15 70-001 TL-01 TOWER LIGHTING
16 70-002 TL-02 TOWER LIGHTING
17 70-003 TL-03 TOWER LIGHTING
18 70-004 TL-04 TOWER LIGHTING
19 80-001 LV-0 TRITON
20 80-002 LV-02 TRITON DA 9924
21 80-003 MH-01 MAN HAUL
22 80-004 MH-02 MAN HAUL
 01.04.19

CHASIS ENGINE
PROJECT NO. : NS-01
CLIENT : CV. MMP
PROJECT NAME
LOCATION : KINTAP - KALSEL
SHEET TITLE : DAFTAR OPERATOR / DRIVER
UPDATE : 4 - 2019

NO. CODE OPERATOR / DRIVER NAME JOB TITLE

001 1-001 HORMANSYAH OPERATOR EXCAVATOR
002 1-002 TOTOK DWI ALI OPERATOR EXCAVATOR
003 1-003 KATMIYANTO OPERATOR EXCAVATOR
004 1-004 AGUS SETIAWAN OPERATOR EXCAVATOR
005 1-005 DADANG EFENDI OPERATOR EXCAVATOR
006 1-006 EKO HARYANTO OPERATOR EXCAVATOR
007 1-007 SURATNO OPERATOR BULLDOZER
008 1-008 KHABIBULLOH ZAENI OPERATOR BULLDOZER
009 2-001 AHMAD JUNAIDI DRIVER DT HAULING
010 2-002 JAPAR SIDIQ DRIVER DT HAULING
011 2-003 AHMAD MURDANI DRIVER DT HAULING
012 2-004 HASAN DRIVER DT HAULING
013 2-005 M. NOOR DRIVER DT HAULING
014 2-006 AHMAD FAISAL DRIVER DT HAULING
015 2-007 HAMDANI DRIVER DT HAULING
016 2-008 SISMARIADI DRIVER DT HAULING
017 2-009 BAHRUN DRIVER DT HAULING
018 2-010 ISMANI DRIVER DT HAULING
019 2-011 SUPLIANSYAH DRIVER DT HAULING
020 2-012 IRDIAN IRFANI DRIVER DT HAULING
021 2-013 YANTO DRIVER DT HAULING
022 2-014 MUHAMMAD HARIS DRIVER DT HAULING
023 90-001 HABIBI BUSTANUL ARIFIN MECHANIC 1
024 90-002 SUKIMIN PJO
025 90-003 M. RAFI'I SUPIR BUS 1
026 90-004 SYAIFUR RAHMAN FOREMAN
027 90-005 M. FAHRIZA MECHANIC 2
 INCOMING

FLOW
TOTAL
NO. DATE SHIFT DO PO METER
(LITER)
AKHIR

1 03.04.19 D 10,000
 FUEL
FUEL FUEL
TRUCK DRIVER RECEIVING START FINISH
STORAGE TRUCK
POLICE NAME TIME LOADING LOADING
NO. NO.
NO.

14.00 FS-A
DEEP
SEGEL SEGEL TEMP. FILL RITE FILL RITE
STICK DENSITY °C
ATAS BAWAH AWAL AKHIR
(CM)
INCOMING
FUEL RECEIVER REMARK TRIK
(LTR)

10,000 MISRANI 3FS-A 3

 DAILY FUEL USAGE

PLANT OPR
DATE SHIFT PLANT ID
CODE CODE

01.04.19 D 10-005 EX-131 1-003

01.04.19 D 70-001 TL-01 90-001
02.04.19 D 20-001 DZ-141 1-007
03.04.19 D 10-005 EX-131 1-001
03.04.19 D 80-003 MH-01 90-003
03.04.19 D 10-003 EX-93 1-002
03.04.19 D 10-002 EX-90 90-004
03.04.19 D 60-008 DT-55 2-012
03.04.19 D 60-001 DT-21 2-009
03.04.19 D 60-003 DT-50 2-011
03.04.19 D 60-004 DT-51 2-014
03.04.19 D 80-002 LV-02 90-005
FUEL USAGE

FILL RITE FILL RITE

OPR/DRV NAME COMPANY HM/KM
(START) (FINISH)

KATMIYANTO NST 1782 349240 349693

HABIBI BUSTANUL ARIFIN NST 349693 349718
SURATNO NST 1136.7 349718 349997
HORMANSYAH NST 1793.3 349997 350197
M. RAFI'I MPP 271293 350197 350248
TOTOK DWI ALI NST 1610.08 350248 350767
SYAIFUR RAHMAN NST 2451 350767 351203
IRDIAN IRFANI NST 6150 351203 351369
BAHRUN NST 11027 351369 351496
SUPLIANSYAH NST 6455 351496 351632
MUHAMMAD HARIS NST 13000 351632 351754
M. FAHRIZA NST 17163 351754
 FOR REFILL FLOW METER

FUEL REFILL
USAGE START FINISH ONLY FS/FT NO. FUELMAN
(LTR) FT

453 FS-A
25 FS-A
279 FS-A
200 FS-A
51 FS-A
519
436
166
127
136
122
-351754
 TRIK FS/FT

1EX-131 1FS-A 1 1EX-131D

1TL-01 1FS-A 1 1TL-01D
2DZ-141 2FS-A 2 2DZ-141D
3EX-131 3FS-A 3 3EX-131D
3MH-01 3FS-A 3 3MH-01D
3EX-93 3 3 3EX-93D
3EX-90D
3DT-55D
3DT-21D
3DT-50D
3DT-51D
3LV-02D
STOCK
FS-A

FUEL STORAGE (A)

OPENING INCOMING USAGE

DATE SHIFT
(FS-A) (FS-A) (FS-A)

01.04.19 D 2,000 0 478

02.04.19 0 0 279
03.04.19 0 10,000 251
0
0
0
0
0
 FS-B

ORAGE (A) FUEL STORAGE (B)

SOUNDING/
END STOCK DEEP STICK OPENING INCOMING USAGE
(FS-A) (CM) (FS-B) (FS-B) (FS-B)
(FS-A)

1,522 0 0
1,243 0 0
10,992 0 0
ORAGE (B) TOTAL AT FUEL STORAGE

SOUNDING/
END STOCK DEEP STICK OPENING INCOMING USAGE
(FS-B) (CM) (FS-A + FS-B) (FS-A +F S-B) (FS-A + FS-B)
(FS-B)

0 2,000 0 478
0 0 0 279
0 0 10,000 251
 FT-01

ORAGE FUEL TRUCK (FT-01)

END STOCK OPENING INCOMING USAGE END STOCK

(FS-A + FS-B) (FT-01) (FT-01) (FT-01) (FT-01)

1,522 0 0 0
1,243 0 0 0
10,992 0 0 0
 FT-02

FUEL TRUCK (FT-02)

SOUNDING/ SOUNDING/
DEEP STICK OPENING INCOMING USAGE END STOCK DEEP STICK
(CM) (FT-02) (FT-02) (FT-02) (FT-02) (CM)
(FT-01) (FT-02)

0 0 0
0 0 0
0 0 0
 TOTAL AT FUEL TRUCK OPENING/INCOMING

OPENING INCOMING USAGE END STOCK

FS-A FS-B
(FT-01 + FT-02) (FT-01 +F T-02) (FT-01 + FT-02) (FT-01 + FT-02)

0 0 0 0 FS-A FS-B
0 0 0 0 FS-A FS-B
0 0 0 0 FS-A FS-B
OPENING/INCOMING

FT-01 FT-02 OPENING

FT-01 FT-02 OPENING 2,000

FT-01 FT-02
FT-01 FT-02
 DAILY FUEL STOCK BALANC
TOTAL DAY 30

CAPACITY CAPACITY
FUEL STORAGE FUEL TRUCK
(LITER) (LITER)
FS-A FT-01
FS-B FT-02

OPENING INCOMING USAGE

OPENING INCOMING INCOMING INCOMING USAGE

DATE
(LTR) BUDGET ACTUAL VARIANCE BUDGET

01.04.19 2,000 -
02.04.19 - -
03.04.19 - 10,000
04.04.19 - -
05.04.19 - -
06.04.19 - -
07.04.19 - -
08.04.19 - -
09.04.19 - -
10.04.19 - -
11.04.19 - -
12.04.19 - -
13.04.19 - -
14.04.19 - -
15.04.19 - -
16.04.19 - -
17.04.19 - -
18.04.19 - -
19.04.19 - -
20.04.19 - -
21.04.19 - -
22.04.19 - -
23.04.19 - -
24.04.19 - -
25.04.19 - -
26.04.19 - -
27.04.19 - -
28.04.19 - -
29.04.19 - -
30.04.19 - -
STOCK BALANCE

FUEL STOCK STATUS

(LITER)

FS-A 10,992 FT-01 0

FS-B 0 FT-02 0

USAGE STOCK BALANCE

USAGE USAGE SOUNDING

BUDGET STOCK
ACTUAL VARIANCE (CM)

478 1,522 1
279 279 2
770 9,230 3
- 0 4
- 0 5
- 0 6
- 0 7
- 0 8
- 0 9
- 0 10
- 0 11
- 0 12
- 0 13
- 0 14
- 0 15
- 0 16
- 0 17
- 0 18
- 0 19
- 0 20
- 0 21
- 0 22
- 0 23
- 0 24
- 0 25
- 0 26
- 0 27
- 0 28
- 0 29
- 0 30
DAILY FUEL USAGE RECORD BY UNIT
MONTH
PROJECT NO.

1
No. UNIT No. DESCRIPTION Owner User SHIFT
LTR HM/KM

GROUP EXCAVATOR
DAY -
EX-55 SANY 365H
NIGHT -
DAY -
EX-90 SANY 365H
NIGHT -
DAY -
EX-93 SANY 500H
NIGHT -
DAY -
EX-96 SANY 500H
NIGHT -
DAY 453
EX-131 SANY 500H
NIGHT -

GROUP BULLDOZER
DAY -
DZ-141 KOMATSU D 85 ESS
NIGHT -

GROUP DUMP TRUCK

DAY -
DT-21 HOWO 371
NIGHT -
DAY -
DT-22 HOWO 371
NIGHT -
DAY -
DT-50 HOWO 371
NIGHT -
DAY -
DT-51 HOWO 371
NIGHT -
DAY -
DT-52 HOWO 371
NIGHT -
DAY -
DT-53 HOWO 371
NIGHT -
DAY -
DT-54 HOWO 371
NIGHT -
DAY -
DT-55 HOWO 371
NIGHT -
DAY -
NIGHT -
GROUP TOWER LIGHTING
DAY 25
TL-01
NIGHT -
DAY -
TL-02
NIGHT -
DAY -
TL-03
NIGHT -
DAY -
TL-04
NIGHT -

GROUP MAN HAUL & LV

DAY 25
TL-01
NIGHT -
DAY -
TL-02
NIGHT -
DAY -
TL-03
NIGHT -
DAY -
TL-04
NIGHT -
 2 3 4 5 6

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM

- - - -
- - - -
- 436 - -
- - - -
- 519 - -
- - - -
- - - -
- - - -
- 200 - -
- - - -

- - - -
- - - -

- 127 - -
- - - -
- - - -
- - - -
- 136 - -
- - - -
- 122 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 166 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -

- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
 7 8 9 10 11

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM
 12 13 14 15 16

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM
 17 18 19 20 21

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM
 22 23 24 25 26

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM
 27 28 29 30 31

LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM LTR HM/KM
TOTAL

D
-
N
D
436
N
D
519
N
D
-
N
D
653
N
D
N
-
D
N
D
127
N
D
-
N
D
136
N
D
122
N
D
-
N
D
-
N
D
-
N
D
166
N
D
-
N
 N
D
25
N
D
-
N
D
-
N
D
-
N
N
D
25
N
D
-
N
D
-
N
D
-
N
 Project Name : NTS - BJA
Project Code : NTS - MELAK
Project Location : MELAK, EAST KALIMANTAN

BERITA ACARA PENERIMAAN FUEL

Pada hari ini ............................................... Tanggal ......................................, bulan...........................,

tahun ..........................
. telah diterima Fuel dari
……………………………………….................……..berdasarkan No.PO......................................................................dengan
keterangan sebagai berikut ;

Transport : Fuel Truck

No. Polisi :
Driver :
Kapasitas :
Jam Tiba :
No. DO / SO :
No. Segel Atas : Kondisi segel : Baik Rusak
No. Segel Bawah : Kondisi segel : Baik Rusak

Yang selanjutnya telah dilakukan pengecekan dan penerimaan dengan standarisasi yang diberlakukan oleh PT. NAGA
SAKTI ASIA dengan rincian sebagai berikut ;

Density (OBS) :
Temperatur ( C ) 0
:
Tinggi Permukaan Cairan : CM
Jam Bongkar : s/d
Flowmeter Awal :
Flowmeter Akhir :
Total Penerimaan :
Fuel Storage : /
Tinggi Awal : CM, CM
Tinggi Akhir : CM, CM
Total Penerimaan : CM, CM

Demikian berita acara serah terima ini dibuat dan diketahui oleh kedua belah pihak.

Diterima oleh, Disaksikan oleh, Dikirim oleh, Diketahui. I, Diketahui. II

______________ ________________ _______________ _________________ _____________

Fuelman Security Transportir Logistic Project Manager

Note ;
1. Asli (arsip)
2. Copy (transportir)