FLIP BOOK_compressed

6D2122,9:58 AM hft ps://mykkp.dosh" gov.my/jkkp8/pernohon/cetaVS17 53

Daftar Kernalangan. Kejadian Berbahaya. Keracunan Bagi Kalendar Tahun : 202'!
Fekerjaan dan Penyakit Pekerjaan. Klasifikasi lndustri ; 45401
Saiz lndustri ; ts

Nota: Borang ini dikehendaki di bawah Peraturan 10, Majikan dikehendaki Nama Majikanlorang Yang Bekerja Sendiri
Peratu ran Keselas..atan dan Kesrhatan menyenggara seniua
{ Pemberitahuan Kernalangan, Kejadian Berbahaya, reksd kemalangan dan Nama Syarikat
Keracunan Pekerjaan dan Penyakit) 2004 dan penyakit yang
hendaklah di simpan di tempat kerja selama 5 tahun. berbangkit daripada sRr EssrNA (M) sDN, BHD.
Kegagalan untuk menyengga16 dan menghantar atau berkaitan dengan
rnerupakan kesalahan di bawah Peraturan. kerja yang berlaku di Alamat
ternpat kerja. pBKK NO. 31-'r, LOr 32, 1ST rLOgR,
ELCICK D. JALAN LINTAS. Llt't TAs SQUARI
88400 KOTAKINABALU

No Tel

Itama Pekerja dan llo N/P Jantifia Umur l/t arganegara Jenis Status Tarikh Masr Pekerjaan sernasa
atau Pasport
Fekerjaan Pekerjaan Kejadian Kejadian Kejadian

KES KEMALANGAN FEKERJAAN

Eil. l$arna Bahagian Jenis Kesan Hilang 8il hari Tanpa hilang Jenis Agen Tarikh
Pekerja Anggoia tidak
Kemalangan Kemalansafl hari hari bekerja ke.ederaan penyebab hantnr
tercedera bekerja
bekerja Xecederaan JKI(P 6

HUK: Hilang Upaya Kekal
Ti-lUK : Tanpa Hilang Upaya Kekal
tr4 : Mali

KEs KERACUNAN DAN PE'{YAKIT PEKEqJAAN

Narna Tarikh Eahagian badan Jenis Kaedah Mekanisme Hilang Bil hari Tanpa Kesan rarikh
Pekerja (era€unan yang Neracunan Peftyerapan Neracunail hari tidak hilang Keracunan/P€nyakit hantar
/ Penyakit KeracunanlPenyakit / Penyakit / Fenyakit hekerja bekerja hari
dikesan JKKP 7

bekerja

Fil. Jenis Kejadian Eerbahaya KEJADIAN BERBAHAYA Bil hari tidak beroperasi Tarikh HantarJ(KP S
Tarikh Kejadian Masa Kejadian Tempat Kejadian

XTS KEMALANGAN PEKEruAAN

Kemalangan yang memhawa Kemalangan membawa hilang hari bekerja Kemalangar tanpa kehilangan hari bekeria Jumlah ke:
maui
kemalangan
Bilangan Kematian
hariJumlah Kes Kernalangan hilang Jumlah hilang hara Bilangan kes kem6langa,r tanpa hilang hari
lrekerja bekerja
beker.ja

00 0

ffiS l{ERACUNT{N DAhl PENYAI{lT FEItEkIAAN 112
https:i/mykkp.dosh. gov. myljkkpSlpemohon/cetaldg1 753

6122122 9:58 AM https:l/mykkp. dosh. gov. my/jkkp8/pemohonicelakl I 1 7 53

,r.- rl

https :i/mykkp.dosh. gov. my/jkkp8ipemohon/cetaki9 1 753

A13.2

Attn: Kevin Yuen Juan Lee (Safety & Health Officer) Date: 24/1/2022

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

Dear Sir,

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
1. Death due to accident
2. Non-lethal Accident
3. Occupational Disease (chronic/acute) which leads to death or coma.
4. Collapse of structure under construction
5. Fire
6. Explosion
7. Chemical spillage affecting the public
8. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangut
(Director)

Dear Miss, Date: 24/1/2022
Attn: Nurul Hasanah Binti Ambo Upe (Environmental Officer)

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
1. Death due to Accident
2. Non-lethal Accident
3. Occupational Disease (chronic/acute) which leads to death or coma.
4. Collapse of structure under construction
5. Fire
6. Explosion
7. Chemical spillage affecting the public
8. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangu
(Director)

Attn: Mohd Firdaus Bin Ridwan (Site Engineer) Date: 24/1/2022

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

Dear Sir,

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
9. Death due to accident
10. Non-lethal Accident
11. Occupational Disease (chronic/acute) which leads to death or coma.
12. Collapse of structure under construction
13. Fire
14. Explosion
15. Chemical spillage affecting the public
16. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangu
(Director)

Attn: Ir. Mohd Izhar Bin Saibin (Representative from JKR / SO) Date: 24/1/2022

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

Dear Sir,

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
1. Death due to accident
2. Non-lethal Accident
3. Occupational Disease (chronic/acute) which leads to death or coma.
4. Collapse of structure under construction
5. Fire
6. Explosion
7. Chemical spillage affecting the public
8. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangu
(Director)

Attn: Anne Marie Danielle (Project Coordinator) Date: 24/1/2022

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

Dear Miss,

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
9. Death due to accident
10. Non-lethal Accident
11. Occupational Disease (chronic/acute) which leads to death or coma.
12. Collapse of structure under construction
13. Fire
14. Explosion
15. Chemical spillage affecting the public
16. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangu
(Director)

Attn: Mohd Azrul (Site QA/QC Supervisor) Date: 24/1/2022

Project: Naiktaraf Hospital Tawau, Tawau
Re: Appointment as member of Accident Investigation Team

Dear Sir,

We are pleased to appoint you as a member of the Accident Investigation Team formed by the
Safety and Health Committee for the project “Naiktaraf Hospital Tawau, Tawau.

In the event of an accident, you shall assist the team to investigate incidents leading to :
17. Death due to accident
18. Non-lethal Accident
19. Occupational Disease (chronic/acute) which leads to death or coma.
20. Collapse of structure under construction
21. Fire
22. Explosion
23. Chemical spillage affecting the public
24. Landslide including the flow of debris, soil erosion and ground settlements

Thank you.

Yours faithfully
Sri Esbina (M) Sdn. Bhd.

Mansur @ Antoi Sangu
(Director)

KAWALAN KKP DI
TAPAK BINA

A14

.... z .... zz
] ] o
0 DJ iii u, $» U N h zz po >
0.., 0 2 z >0 )> z
0 rT
� 3 0 3 5z 2
.0... o
� .0... 0 ;; 0 > J> 0>
z z• zU
.. 0 .. "J>
0a Gz 2 � .. H ::a
­. . cu z >0 0 zz
2 0 .0...
0 2r -.
go r- > rr
rr 5o o0
e
0 ::c: > N ".0... m r ."... "
z 7 U,,
U .. .. z 0

3 >r -< -H
o > Umr
0 ;:o
2a 2e>
24.06.2022 z ►m N 3
S!:!
FE= z zz V, 2 .0...
:,,_
.ef o # z > o m :iE Um

¢ ­G V, J> -e z"
G
<g\ mz
> J> ,- o
r2 > "C: 2
->
o9£ 0 c:o --z z CCI

= .z g g · cz .......

Ug z 0 V"

0 3U $» �

28= z o ....... 0
& ad g zz
) >

o r

c pl

.s... -r � V ::c:

o0 0
> U
o
7

0o co tXl 5

0o 0 z z .r .
>
o o..... 0
c...o.. .....
e
0o 0 �
U
h ..I... z
.......
co N >

I I C:

G C U u
G .....
>
0 0o �
G o CCI
o
0 >
::c:
20
]

zz 5 0

> J> 20 0
,:,
5$ 0 g
>
-< > 27 z
­► ►V, z rT a
V,
rr z o
G rr

> z
o
� C: >
s....
.... Uj r
j z Jo z2
j;!
.0., 0 0 0 0 U o0 DJ 7
rr J> ,:,
£ 3 25 � 2.
0m >
5 .0... 0 z .!!. ] z z
c_..u.. z
­ •. . 0 ,+ tXl •" cD 0 o
.. cu J> 70 o iii r- rr
m ::a a m
0a "o II 0 o' 27
0 i:!:? U 0 z ::c:
2 > J> rr 2 ;r rr
z
go 0q 0.., . . .. c!
>
20 .. .. o

e o zh
0 o
5 =
U I
> -
(/) (/) ::c: N

7 ....

J> U

24.6.2022 z N

o U

g< r- -f U
rr rr U
'c
" �5 = r< t ::c: Uz

- .O. .. II rr U
00
z. 6 o
z ::c:

� ti) =0

=E "£
d= 0
::c: C:
=0:
z
=cD
0 rr
0
-z
zV, G
0
00
z 0"
.... o oz

l p G

00 U �>
0o z
oo
2
N h o
N
o CCI

oN

.... o
.... o

o0
oo

N 0

00 £

o

--

.... �

00 0

o D> 5
::c:
po N
o r-
C:
N N U
0 C:
o ]

N

$»

A14.1