Filled in by BPS 1. Propinsi
Province
2. Kabupaten/Kota*) Regency/City 3. Kecamatan
Subregency 4. ama Perusahaan
ame of Company
5. Alamat Perusahaan / Company Address
a. Alamat Unit Produksi / Production Unit Address
Phone Fax
b. Alamat Kantor Pusat Head Office Address
Phone Fax
6. ama orang yang dapat dihubungi / Contact person : ame
Phone Email
!!"
! ""#
# $ !!"
! ""#
%
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Kepala Bidang Statistik Produksi Head of Production Statistics Division
of the nearest Regional Statistics Office (see the last page)
! " # ! Head of Mining, Energy and Construction Statistics Sub Division
! " $ ! %&'" $ ()*() CBS ) Indonesia, Jl. Dr. Sutomo o. 6)8, Jakarta 10710
+ ),( -'.((/0" -'.,0)'" -'(),/(&." 1 0,-(" Phone (021) 3841195, 3842508, 3810291)4, Ext 5231
2 3 ),( -'%-'(% Fax (021) 3863816
E)mail: 4
REPUBLIK I DO ESIA BADA PUSAT STATISTIK
SE SUS EKO OMI 2006
PE CACAHA PERUSAHAA /USAHA BESAR PERTAMBA GA U IT PRODUKSI/EKSPLORASI O MI YAK DA GAS BUMI
Postal Code
-1. Jenis Ijin Usaha Pertambangan (IUP) / Kind of Mining Authority Concession
! Mining Authorization (
5 5 6 ! ! , ,
6 Contractor
-2. Jenis tambang menurut ijin yang dimiliki
filled out by BPS
3. Status kegiatan penambangan / Mining activity status
6 7 ! General Survey ( # Exploration '
5 6 Feasibility Study , # Exploitation (%
! Construction .
! May be more than one activity
4. Bentuk badan hukum / Status of the company's Legal Body
( Cooperation 0
! Regional Government , 8 6 Others %
+ 9 Ltd. - ! Mention it
:9 .
5. Status penanaman modal / Status of investment
; Domestic &( ;< Foreign &, 2 Others
&-6. Persentase permodalan / Percentage of capital sharing
! Central Government =
Local Government =
1 Private =
< Foreign =
e. Jumlah / Total (a + b + c + d) 1 0 0 %
7. Tahun mulai beroperasi / Production commencement year
8. Apakah perusahaan ini mempunyai unit Penelitian dan Pengembangan (Litbang) ? Does the company have a Research & Development Unit?
> Yes ( + o ,
9. Apakah perusahaan ini melakukan Analisis Mengenai Dampak Lingkungan (AMDAL) ?
Does the company conduct environment effect analysis?
> Yes ( + o ,
Jika "Ya" dalam bentuk / If it does, in form of :
10.Apakah perusahaan ini memberikan subsidi/bantuan kepada masyarakat sekitar ?
Does the company provide some fund for the society in the neighbourhood?
> Yes ( + o ,
Jika "Ya" dalam bentuk / If it does, in form of :
! School fund (
! Service fund for infrastructure ,
.
11.Apakah selama tahun 2006 terjadi kecelakaan kerja ?
Is there working accident during 2006?
> Yes ( + o ,
Jika "Ya" Sebutkan / If it does,:
$! 6 5 workers
number of workers had fatal accident
$! 6 5 workers
number of workers had severe accident
12.Luas penambangan dan jenis tambang yang diusahakan pada tahun 2006
Mining area and kinds of mineral activity 2006
7
Mining Area (Ha)
$ + 7
Kinds of Primary Mineral
$ + A !
Mining Area (Ha)
$ + 7
Kinds of Primary Mineral
$ + A !
Mining Area (Ha)
$ + 7
Kinds of Primary Mineral
0
Banyaknya Pekerja Tetap pada Akhir Tahun 2006 umber of Reguler Workers at the end of the year 2006
! " ! # !
Senior High School 8+
Junior High School B
Elementary School
; 6 " 5 " !
For example: drilling staff
Others workers are defined as workers who are not directly involved in the production process. For example: directors, staff of board of directors, administrative workers, etc.
!
JUMLAH / TOTAL
/
0 '
( , - . *
!
Male Female Male Female Male Female Male Female
8 &8
%
? <
Education Indonesian Foreigner Indonesian Foreigner
? A ? < ? A
5 ! 5 8 6
Production Workers Other Workers
8 &8 !
8 &8 ! 8 &8
Regular workers are defined as workers who are formally tied in agreement between workers and company.
Pekerja Produksi 5 6 ! 5 ! ! 6 ! !
! " ! 6 ! ! ! ! 6
Production Workers are defined as workers who work directly in the production process or activities connected with the production process, from general survey until exploitation.
Pekerja tetap 5 6 B ! 5 5 5 5
%
1. Balas Jasa Pekerja Tetap Selama Tahun 2006
Regular Workers Compensation in 2006 Rupiah
7 D 5
Wage/Salary
8 !
Overtime ! " @ " Bonus, Gift, etc +! 5 & ! 5
Balas jasa termasuk pemberian barang dan jasa 5 6 1 "
5 6 ! ! 6 ! & !
The worker compensation are include goods rendered by establishment to workers, both as their compensation and in)kind payments.
Pemberian berupa barang dan jasa ! ! 6 6 ! & !
Goods rendered by establishment to workers as in kind payments must be estimated by current market price.
Benefits are establishment expenses paid during 2006 directly to workers and/or to an institution dealing with pension, social security funds, insurance and similar benefits for workers.
Tunjangan ! ! 6 6 6 1 ! 6 6
6 ! " ! 5 " ! ! 5 5 6 ! !
*
2. Banyaknya Pekerja Tidak Tetap dan Upah yang Dibayarkan Setiap bulan Selama Tahun 2006
Total Mandays of Irregular Workers and Total Wages per Month in 2006
$ ! January
3. Biaya Pemulihan dan Tata Lingkungan Selama Tahun 2006 Maintenance and Environment Cost in 2006
E ! ! " " " ! "
Land Maintenance and Environment Cost (back field, recontouring, etc)
# ! < " 5 6
Erosion Control (Drainage, Water Treatment and in kind)
$! @ 5
Total Working Days
! Month
Jenis Biaya / Kind of Expenditures JUMLAH/ TOTAL
JUMLAH / TOTAL
,
-Total Wages is the amount of money paid by the establishment to irregular workers each month during 2006.
'
4. Iuran Kegiatan Penambangan (Penerimaan egara Bukan Pajak) Selama Tahun 2006
Deadrent and Royalty in 2006 Rupiah
6 7 !
5. Pemakaian Bahan Bakar dan Pelumas Selama Tahun 2006 Fuels and Lubricants Consumption in 2006
< Avgas
< ! Avtur
! 3 Gasoline
' ! &!)"* !"!
; 6 Diesel Oil/IDO
B ; 6 +
# 5 8 D
D < ! D
; 6 2! A2 2
5 ! Lubricant
; 6 @ Hidroulic Oil
! / Coal
/ Coke
8 6 Other Fuels (
Fuels and Lubricants
,
-Kind of
Jenis Biaya / Kind of Expenditures
$
! (
JUMLAH / TOTAL
! ! 7 !
Standard 6 6 Value
Unit Quantity (Rupiah) Quantity
6 6 Value
/
6. Pemakaian Bahan Peledak dan Penyundut Selama Tahun 2006 Consumption of Explosive and Detonator in 2006
( , - .
( Dynamite / T T
< B 1 D
1 D
B
, < ! - # !
# !
# ! ; 3
. 8 6 Kind of ther explosive
(
Plain Detonator 8 Electric Detonator on Electric Detonator
, ! ! Detonator Cord ! ! < Safety Fuse ! ! 8
Detonating Cord Cordtex
B
- Connector
Detonating Relay Connector Delay Connector
Exel Connector
. 6! ! 8 6 Other Detonators
JUMLAH / TOTAL JUMLAH / TOTAL
Jenis Bahan Peledak / Kind of Explosive ilai / Value
Unit Quantity (Rupiah)
Satuan Banyaknya
Banyaknya ilai / Value
Satuan
Unit Quantity (Rupiah)
7. Pengeluaran Lain Selama Tahun 2006/Other Expenditures in 2006
! ! Spareparts
6
Maintenance cost for capital goods
< 6 ! 6 ! ! !
Mining equipment which the period utility is less than one year
< ! ! !
Stationeries
1 " 6
Rent expenditure for building, vehicles, machinery and other equipments
B 1 !
Land)fare and rent expenditure for building
6 !
Refinering Cost
6 5 6 5
Cost of mining services carried out by other parties
A 6 5 !
Consultant services cost 5 < !
Capital goods insurance
6 ! !
Transportation and Warehousing cost
6 !
Cost of Post and telecommunication
6 <;
Water supply cost 6
Research and development Cost
6 ! 6 !
Cost of human resources development
F ! 6 6
Interest paid to other parties
6 5 &5 6 ! " ! ! 5 6
Cost of other services (accountancy, law institution and others)
5 !
Indirect taxes
8 6 " 5 B " ! 5 6
Others (commission, management fee, charity, etc)
Jumlah / Total
Jenis Biaya / Kind of Expenditures
( ,
((
MPU, Motor Listrik dan Generator yang Digunakan Selama Tahun 2006 Power Movers, Electric Motors and Generators Utilized in 2006
( ; 7 ; 7 Prime Movers
8 ! ! ! !
Directly used for driving the production machineries 7 !
Used for driving generators , ;
Electric motors - D
Generators
Generator 6 ! 5
Generators are defined as machines which transform mechanical power into electrical power.
Tenaga Listrik yang Diproduksi, Dibeli dan Dijual Selama Tahun 2006 Electricity Produced, Purchased and Sold in 2006
( + 6 ! !
Own produced electric power
, + 6 Electricity purchased from
8
8
- + 6 5!
Electricity sold to other parties
! " # $
6 6
7 Description umber !
! Unit Power
( ,
-Mesin penggerak utama (MPU) 6 !
! " 1 ! > ! !
6
Prime movers are defined as machines which generate mechanical power without using manpower, animal or electrical power i.e. : windmill and other nature power
Motor listrik 6 ! ! ! ! 5 ! !
6
Electric motors are defined as machines which are used to transform electrical power into mechanical power to move project tools.
#
7 Description 6 6 Quantity Value
? E!
-Penambahan, Perbaikan Besar, Penjualan dan Penyusutan Barang Modal Tetap Selama Tahun 2006 Addition, Major Repair, Sale and Depreciation of Fixed Capital in 2006
6! !
Produksi / Lifting Bahan Tambang per Bulan Selama Tahun 2006 Production / Lifting of Minerals per Month in 2006
( $ ! January
$ ; Addition Capital Repairs
+ ; ; 5
8
5 Description of Fixed
Capital
!
ew fixed Carried out "
$
Capital Domestic Carried out by By Itself Second Hand Other Party
( , - . 0 % *
JUMLAH / TOTAL
& ' (
Jenis Bahan Tambang Utama dan Tambang Ikutan
Bulan Kind of Primary Minerals and on Primary Minerals
% *
(
( <1 Beginning Stock
Volume
, ! Production
Volume
Value (Rupiah)
- Own usage
Volume
. 8 8 5! Processed
Volume
0 5! Domestic Sales
Volume
Value (Rupiah)
% 5! 8! Export
Volume
Value (Rupiah)
* @ ! ! Loss
Volume
' < 2
= (2)+(3))(4))(5))(6))(7))(8)
Volume
* + *
Kind of Minerals
( , - .
) *+ ( )
Pendapatan/Penerimaan Lain yang Diterima Perusahaan Selama Tahun 2006 Other Income/Revenue Received by the Establishment During 2006
( 5 Income from services
1
Repair and maintenance machinery
Delivery charges
, 6 1 " & " ! ! !
Income from rent of land, equipments, building and other structure
- ! !
Fund from State/Local Government .
Income from dividen revenue
0 6 " 5!
Other income, i.e goods sold
(diisi oleh BPS / filled out by BPS)
( $ 5 + G AAA E (" 5! %H* I
Wages / Salaries for Regular Workers {Part Item 1, Total Column (6+7)}
$ 5 + + AAA E ," 5! .
Expenditures for Irregular Workers (Part III Item 2, Total of Column 4)
6 ! ! ! ; + 8 ! AAA $ E
-Cost for Maintenance and Environment (Part III Total Item 3)
6 G AAA $! E . ,H- I
Mining Operational Expenditures {Part III Total Item 4 column (2+3)}
) 6 AAA E 0" $! .
Fuel and lubricant consumption (Part III Item 5, Total of Column 4)
6! ! AAA E %" $! .
Consumption of Explosive and Detonator (Part III Item 6, Total of Column 4)
* ! 8 AAA $! E *
Other Expenditures (Part III Total Item 7)
+ 8 6 9 E , ,
-Electricity Purchased (Part V Total item 2a and 2b Column 3)
( ! G 9AAA E , 9 ! E! " ,H-H.H0H% I
Production Value {Part VIII Total of Column (2+3+4+5+6)}
, 5! 8 9 E -"
-Electricity Sold (Part V Item 3, Column 3)
- 8 AJ
Other Income/Revenue (Part IX)
, " &
-, ) #
$! Total Revenue B
$ Kind of Revenue / Value
(Rupiah)
JUMLAH / TOTAL
# D#87<E< EXPE DITURES / Value
(Rupiah)
$! ! Total Expenditures A
(0
B 6 ! ! 6 ! ! 6
Data stated in this form has been filled out truthfully and accurately by:
( ame
, $ Occupation
- + Telephone 2 3 #&
. + + !
! 6
Data Confidentiality
6 5 ,( 77 (% + ! (//*" 6 6 1
C 6 1 5 5 6 C
Data confidentiality is guarranteed under Article 21 of Law o. 16, 1997;
1 5 6 ,* 77 (% + ! (//*" 6 6 1
Respondent obligation is guarranteed under Article 27 of Law o. 16, 1997;
, -
-(, + #%# % . & % /
% . & % # # ( 0 1
% . & % 2
2, * 3 ())"
/, * 3 ())"
1, * *
! "
. %
% #
/ ) 0 #
"The conductor of statistical activities must ensure the confidentiality of the information obtained from respondents".
"Every respondent must provide the required information when the BPS)Statistics Indonesia is collecting basic statistic".
C 1 5 6 ! 6
