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Priode :

No Tanggal Pengamatan Nama Pengamat Departemen / Bagian Lokasi Pengamatan


Penganggung Jawab Deskripsi Temuan Tindakan Perbaikan Komunikasi

Safe At-Risk
SUMMARY REPORT
SAFE WORK OBSERVATION CARDS

Deskripsi

Perkakas dan Body Positioning Pemeliharaan


Prosedur Houskeeping / 5R (Manual handling /
Peralatan Lingkungan
Ergonomi)

Safe At-Risk Safe At-Risk Safe At-Risk Safe At-Risk Safe


CARDS

Deskripsi Perilaku

Pemeliharaan Kepatuhan Komunikasi antar


Pemeliharaan APD Area Kerja
Lingkungan Penggunaan APD Pekerja

At-Risk Safe At-Risk Safe At-Risk Safe At-Risk Safe At-Risk


Ergonomis Kantor Mengemudi Fisikologi Total Safe
Total At Risk obsever
Observer

Safe At-Risk Safe At-Risk Safe At-Risk

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0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Total Safe + At Safe Behavior
Risk Observed Indeks (% Safe)

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