PT.

Leighton Contractors Indonesia

MONTHLY MEDICAL REPORT

1 Sept - 30 Sept 2009

No Date Time Name Positon Department Camp Status Symptom/ Gejala Sick Status Diagnosis Remark

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Aug 2009 Page 1 of 5 ID205-HSE-FM-026B(01)

PT. Leighton Contractors Indonesia

MONTHLY MEDICAL REPORT

1 Sept - 30 Sept 2009

No Date Time Name Positon Department Camp Status Symptom/ Gejala Sick Status Diagnosis Remark

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Aug 2009 Page 2 of 5 ID205-HSE-FM-026B(01)

PT. Leighton Contractors Indonesia

MONTHLY MEDICAL REPORT

1 Sept - 30 Sept 2009

No Date Time Name Positon Department Camp Status Symptom/ Gejala Sick Status Diagnosis Remark

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Aug 2009 Page 3 of 5 ID205-HSE-FM-026B(01)

PT. Leighton Contractors Indonesia

MONTHLY MEDICAL REPORT

1 Sept - 30 Sept 2009

No Date Time Name Positon Department Camp Status Symptom/ Gejala Sick Status Diagnosis Remark

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Reported By, Acknowledged By,

Dion Mulia Anggara Putra Frans Nico R

Paramedic HSE Senior Supervisor

Aug 2009 Page 4 of 5 ID205-HSE-FM-026B(01)

 MONTHLY TOP 10 DISEASES
1 Sept - 30 Sept 2009

Top 10 Diseases Graphic

Employee
46
50
45 15 46 5 7 24 8 7 7 3
40
35
30 24
25
15 14 14
20
15 7 8 7 7
5
10 3
5
0

SICKNESS STATUS CAMP STATUS

IN SITE CAMP
OUT SITE NON CAMP

TOP 10 DISEASES

No Diagnosis Total SICKNESS STATUS

1 Diarrhoea No DESCRIPTION Total

2 Common Cold 1 IN SITE 0

3 Acute pharyngitis 2 OUT SITE 0

4 Caries of dentine

5 Dyspepsia

6 Allergic contact dermatitis CAMP STATUS

7 Pain in joint No DESCRIPTION Total

8 Nausea and vomiting 1 CAMP 0

9 Injury, unspecified 2 NON CAMP 0

10 Headache

Aug 2009 Page 5 of 5 ID205-HSE-FM-026B(01)