No. Dokumen/
Document No.
Rev.
TANGGAL
DATE
URAIAN PEKERJAAN
JOB DESCRIPTION
PENGAWAS
SUPERVISOR
:
:
PERSONIL YANG
TERLIBAT
PERSONNEL INVOLVED
PERSYARATAN PERSONIL
PERSONNEL
REQUIREMENTS
No. Dokumen/
Document No.
Rev.
Nomo
r
Urut/
Seq
No
1
LANGKAH-LANGKAH KERJA/
JOB STEPS
(Urutan Kejadian/Sequence of
Events)
PERALATAN
PELINDUNG
DIRI/TOOLS/EQUIP
P.P.E.
TINDAKAN OLEH
SIAPA/ACTION
BY WHOM
Complete ppe
All crew
Complete ppe
Mechanic
Miss communication
Complete ppe
Mechanic
Complete ppe
Mechanic
Hit by pressure,
Equipment damage
Complete ppe
Mechanic
Complete ppe
Mechanic
Complete ppe
Mechanic
4
5
PENGENDALIAN BAHAYA/
HAZARD CONTROL
(Tes atau Prosedur/Test or
Procedure)
No. Dokumen/
Document No.
Rev.
Nomo
r
Urut/
Seq
No
8
LANGKAH-LANGKAH KERJA/
JOB STEPS
(Urutan Kejadian/Sequence of
Events)
SIGNED SUPERVISOR
TANDA TANGAN PENGAWAS
Supervisor
________________
Supervisor
PENGENDALIAN BAHAYA/
HAZARD CONTROL
(Tes atau Prosedur/Test or
Procedure)
Placed all the tools at the right
place, check for all the hose,
and bleed of the pressure
HSE
_______________
HSE
PERALATAN
PELINDUNG
DIRI/TOOLS/EQUIP
P.P.E.
TINDAKAN OLEH
SIAPA/ACTION
BY WHOM
Complete ppe
Mechanic
Rig Superintendent
______________
Rig Superintendent