Safety Behaviour Observation Contractor Unilever Savoury

Form ini merupakan formulir SBO khusus untuk kontraktor yang harus di submit minimal seminggu sekali degan target per kontraktor melakukan submission sebanyak 4x dalam sebulan.

1. Waktu Pengamatan / Observation Date *

2. Jam Pengamatan / Observation Time *

3. Nama Pengamat / Observer Name *

4. Jabatan Pengamat / Observer Role *

5. Nama Perusahaan Anda Bekerja / Observer's Company Name *

6. ID Perusahaan dapat dilihat di akun PTW bagian Contractor Data / The Company ID is available in the PTW account *

7. Tipe Kontraktor / Contractor Type *



8. Nama perusahaan kontraktor yang diamati / Name of the contractor company being observed *

9. Pekerjaan atau Project yang diamati / Work Activity or Project Being Observed *

10. Area Project Atau Kerja / Working or Project Area *








10.1 Pilih Lokasi Detail di Area Dry Production / Select The Specific Location Within The Dry Production Area *






























10.1 Pilih Lokasi Detail di Area Office / Select The Specific Location Within The Office Area *
























10.1 Pilih Lokasi Detail di Area Wet Production / Select The Specific Location Within The Dry Production Area *

















10.1 Pilih Lokasi Detail di Area Yard / Select The Specific Location Within The Yard Area *








10.1 Pilih Lokasi Detail di Area Substation / Select The Specific Location Within The Substation Area *





10.1 Pilih Lokasi Detail di Area Warehouse / Select The Specific Location Within The Warehouse Area *










10.1 Pilih Lokasi Detail di Area Sport / Select The Specific Location Within The Sport Area *



11. Jumlah Orang Yang Diobservasi / Number of People Being Observed *






12. Nama Yang Diobservasi / Observed Name *

13. Tipe Pengamatan / Type of Observation *




13.1 Positive Observation (Pengamatan Positif) Yang Dilihat / Positive Observation That is Seen *

13.2 Foto Pengamatan Postif / Positive Observation Photos/Documentation

13.3 Jenis Pekerjaan Yang Diamati / Type of Work Being Observed *















13.1

Apakah terjadi Nearmiss atau Tidak? (klik ada nearmiss jika kecelakaan HAMPIR terjadi ataupun terjadi meskipun tidak terdapat luka) / Did a Nearmiss occur or not? (click on near miss if the accident ALMOST happened or happened even though there were no injuries) *



14. Foto Pengamatan untuk Tindakan TIDAK AMAN (Unsafe Action) or Kondisi TIDAK AMAN (Unsafe Condition) / Observation Photos for UNSAFE Actions or UNSAFE Condition *

15. HAL YANG TIDAK SESUAI DENGAN STANDARD SAFETY (Jelaskan secara singkat tindakan tidak aman yang Anda temukan dan tindakan perbaikan apa yang harus dilakukan agar tidak terulang) / THINGS THAT ARE NOT IN ACCORDANCE WITH SAFETY STANDARDS (Briefly explain the unsafe actions you discovered and what corrective actions must be taken to prevent them from happening again) *

16. Kategori Tindakan TIDAK AMAN yang Dilihat (Unsafe Action) / Categories of UNSAFE Actions or Unsafe Condition being observed *







16.1 Pelanggaran Kategori Lingkungan Kerja / Work Environment Category Finding *





16.1 Pelanggaran Kategori APD / PPE (Personal Protective Equipment) Category Finding *













16.1 Pelanggaran Kategori Prosedur / Procedures Category Finding *
















16.1 Kategori Kendaraan atau MHE / Vehicle or MHE Category *







16.1 Pelanggaran Kategori Alat & Perlengkapan / Tools & Equipment Category Finding *






16.1 Pelanggaran Kategori Ergonomi / Ergonomic Category Finding *



17. Foto closing observation atau finding / Closing finding documentation or photos *

18. Foto Pengamatan untuk Nearmiss/ Observation photos for Nearmiss *

19. HAL YANG TIDAK SESUAI DENGAN STANDARD SAFETY (Jelaskan secara singkat tindakan tidak aman yang Anda temukan dan tindakan perbaikan apa yang harus dilakukan agar tidak terulang) / THINGS THAT ARE NOT IN ACCORDANCE WITH SAFETY STANDARDS (Briefly explain the unsafe actions you discovered and what corrective actions must be taken to prevent them from happening again) *

20. Kategori Nearmiss yang dilihat / Categories of Nearmiss observed *


















21. Jelaskan detail kejadian Nearmiss tersebut, dimana dan bagaimana kejadiannya ! / Explain the details of the Nearmiss incident, where and how it happened!

22. Kategori Tindakan TIDAK AMAN (Unsafe Action) atau Kondisi TIDAK AMAN (Unsafe Condition) yang dilihat / Categories of UNSAFE Actions or UNSAFE Condition being observed *







22.1 Pelanggaran Kategori Lingkungan Kerja / Work Environment Category Finding *





22.1 Pelanggaran Kategori APD / PPE (Personal Protective Equipment) Category Finding *













22.1 Pelanggaran Kategori Prosedur / Procedures Category Finding *
















22.1 Kategori Kendaraan atau MHE / Vehicle or MHE Category *







22.1 Pelanggaran Kategori Alat & Perlengkapan / Tools & Equipment Category Finding *






22.1 Pelanggaran Kategori Ergonomi / Ergonomic Category Finding *



23. Foto closing observation atau finding / Closing finding documentation or photos *

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