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#SAFETYFIR,ST
PT. INDONESIA PONDASI RAYA TbK.
EMERGENCY DRILL.@
PT.INDOPORA
No.Laporan :03lK3l/ll/2018 TanggalPelapran :/F+aEf >nlP'
Lokasi : ,L{ Gr /u*8. Aktifrtas
)r,
Be-{nq
JENIS EI'ERGENCY DRILL
Huru-Hara/Kerusuhan
Lain - Lain
{rn lKebakaran/Ledakan I Oi
u MedicalEvakuasi il K(
I Spill/ Environmental
lrusakan Alat
Waktu Eelesai : O?- 6?-,
Tanggal' 1 7<kwf Waktu Mulai: 6t- 6b
KondisiCuaa i CE R-*bt Skenario: Lampiran 1 Peralatan : ktez t lz* 6,r,
Peserta EmergencY Drill :
' 1r1,r- o,6a-a4
to eoxsy .
Yes
Korban
Saksi
PENIISIAN
k*
ITEIII
FirstAiderl Paramedh
Emergency Team
Yes ITEM
Apakah Erflergeilcy Drill dilaksanakan sesuai
dengan scenaio ?
'/
Apakah semua peralata* Emergency Drill
hrfungsidengan baik ?
Apakah peld<sanaan Energency Drill mengacu
pada Pmsedur Keadaan Darurat? ,/
Apakah seluruh pekeria herpartisipasi dengan
baik ?
,r/
Apakah pelaksanaan Emergency Drill ini evektif ? Adakah briefing setelah Emergency Drill?
Apakah peld<sanaan Emergercy Drill
berlangsung dengan aman ?
Apakah peserta Emergency Drill nengerti dan
nemahamitugasnya masing - masing ?
: {JJ"J
J'^"!^-A*
Komentar
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Lr"-J''-^ Lz<A^-l*'ra'^
C*,^<r'l<,rtu -Ar;^0 ,r^A-l
ht z> /.//,^-,:
JAA* [-"{"^-ry
l-1",1 4 L"^L^^0-
Rekomendasi : fu +?L"*- l/.4"1^"-
0; t^- b<,cLL * al',e-q
.{-"-lD,/^llJ<-*<" {* f
'-nl ^l >
7*14"^*
- D*l^u-
kv
fu,l* laer,,^ol/, lann /fr"G4
,ru"-A;'^'ftonu /*ru%mn
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HASILKESEIUruHAN U Tidak Memuakan
Pengamat EmeryencY Drill Ka. Pool I Proied Manager HSE Manager
Nama
Tanggal
TTD
Nama : D. Pa wan -N '
Tanggal , Lffir '7^t 8 '
TTD :, J
Nama : AZY) 'r(
Tanggd: 2
TTD :
w1P
@
PT. INDONESIA PONOASI RAYA TbK.
EMERGE}ICY DRILL. sSATETY flRSTrr.lNlxrrofiA
F  HSE. 05 Rev.0 I Maret 2018
Lampkan 1
-t
EMERGENCY DRILL SCENARIO
TEBI{ENI}ALI
llo. ITEM Ptc
WAKTU
PERENCANAAN
WAKTU
ACTUAL
I KJ"l, "* L),trp roy$r> | )a&a+ ri rc I /qltpEr d
cl
L.
?l-lct*t7a l*"^ L ozr'^' T hr-l t8
3 l4-rr, td*ta Ks 2...,' 2 Ytet t&
4 (r"tl aio lJu* Lr%, 't ?u^,.- lS.
3. preventif pencegahan kebakaran.compressed
3. preventif pencegahan kebakaran.compressed
3. preventif pencegahan kebakaran.compressed

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3. preventif pencegahan kebakaran.compressed

  • 1. - #SAFETYFIR,ST PT. INDONESIA PONDASI RAYA TbK. EMERGENCY DRILL.@ PT.INDOPORA No.Laporan :03lK3l/ll/2018 TanggalPelapran :/F+aEf >nlP' Lokasi : ,L{ Gr /u*8. Aktifrtas )r, Be-{nq JENIS EI'ERGENCY DRILL Huru-Hara/Kerusuhan Lain - Lain {rn lKebakaran/Ledakan I Oi u MedicalEvakuasi il K( I Spill/ Environmental lrusakan Alat Waktu Eelesai : O?- 6?-, Tanggal' 1 7<kwf Waktu Mulai: 6t- 6b KondisiCuaa i CE R-*bt Skenario: Lampiran 1 Peralatan : ktez t lz* 6,r, Peserta EmergencY Drill : ' 1r1,r- o,6a-a4 to eoxsy . Yes Korban Saksi PENIISIAN k* ITEIII FirstAiderl Paramedh Emergency Team Yes ITEM Apakah Erflergeilcy Drill dilaksanakan sesuai dengan scenaio ? '/ Apakah semua peralata* Emergency Drill hrfungsidengan baik ? Apakah peld<sanaan Energency Drill mengacu pada Pmsedur Keadaan Darurat? ,/ Apakah seluruh pekeria herpartisipasi dengan baik ? ,r/ Apakah pelaksanaan Emergency Drill ini evektif ? Adakah briefing setelah Emergency Drill? Apakah peld<sanaan Emergercy Drill berlangsung dengan aman ? Apakah peserta Emergency Drill nengerti dan nemahamitugasnya masing - masing ? : {JJ"J J'^"!^-A* Komentar b"-h "ll Lr"-J''-^ Lz<A^-l*'ra'^ C*,^<r'l<,rtu -Ar;^0 ,r^A-l ht z> /.//,^-,: JAA* [-"{"^-ry l-1",1 4 L"^L^^0- Rekomendasi : fu +?L"*- l/.4"1^"- 0; t^- b<,cLL * al',e-q .{-"-lD,/^llJ<-*<" {* f '-nl ^l > 7*14"^* - D*l^u- kv fu,l* laer,,^ol/, lann /fr"G4 ,ru"-A;'^'ftonu /*ru%mn o(1.^ ( HASILKESEIUruHAN U Tidak Memuakan Pengamat EmeryencY Drill Ka. Pool I Proied Manager HSE Manager Nama Tanggal TTD Nama : D. Pa wan -N ' Tanggal , Lffir '7^t 8 ' TTD :, J Nama : AZY) 'r( Tanggd: 2 TTD : w1P
  • 2. @ PT. INDONESIA PONOASI RAYA TbK. EMERGE}ICY DRILL. sSATETY flRSTrr.lNlxrrofiA F HSE. 05 Rev.0 I Maret 2018 Lampkan 1 -t EMERGENCY DRILL SCENARIO TEBI{ENI}ALI llo. ITEM Ptc WAKTU PERENCANAAN WAKTU ACTUAL I KJ"l, "* L),trp roy$r> | )a&a+ ri rc I /qltpEr d cl L. ?l-lct*t7a l*"^ L ozr'^' T hr-l t8 3 l4-rr, td*ta Ks 2...,' 2 Ytet t& 4 (r"tl aio lJu* Lr%, 't ?u^,.- lS.