No. Sert. 16.876.

PNK3/INS-SCG/PAA/V/2017

KEMENTERIAN TENAGA KERJA DAN TRANSMGRASI RI

Ministry Of Manpower and Transmigration Of The Republic Indonesia
DIREKTORAT JENDERAL PEMBINAAN PENGAWASAN KETENAGAKERJAAN
Director General of Labour Inspection and Development

Sertifikat
INSPECTOR SCAFFOLDING
SCAFFOLDING INSPECTOR

Berdasarkan Peraturan Menteri Tenaga Kerja No. O5/MEN/1985 dan Perturan Menteri
Based on the regulation of the Minister of Mainpower No. O5/MEN/1985 and Ministerial regulation
Tenaga Kerja dan Transmigrasi R.I No. Per 09/MEN/VII/2O1O, Direktur Jenderal
Pembinaan
Mainpower and transmigration No. Royal 09/MEN/VII/2O1O, General Director of Couching
pengawasan Ketenagakerjaan memberi sertifikat Kepada
Supervision of employment gives the certificate to :

Nama : AYUB
Name
Tempat/TgI. Lahir : Tanjung Enim, 06 Juni 1973
Place Date and Birth
Alamat : Jl. Jaman Gg. Pardi Rt. 02/01 Ds. Tegal Rejo Muara Enim
Adress
Perkerjaan : Inspector Scaffolding
Occupation

Setelah menempuh ujian Inspector Perancah ( Scaffolding Inspector ) dan dinyatakan Lulus
sebagai :
After exam training inspector scaffolding ( scaffolding inspector ) and declared as :

INSPECTOR SCAFFOLDING
Scaffolding Inspector

Pemegang Sertifikat ini berwenang untuk melaksanakan Pemeriksaan, Pengawasan

dan
The Holder of certificate is authorized to carry out To Check, Inspection, and
perawatan perancah ( Scaffolding ) secara aman bagi keselamatan.
dismantling of scaffolding ( scaffolding ) securely for safety
Dirinya, Orang lain, konstruksi dan bagian bagian lainnya sesuai dengan keahlian
yang
Her self, of others, construction and other parts and accordance with the expertise
diperoleh dan diwajibkan mengamalkan prinsip - prinsip keselamatan dan
kesehatan kerja
Acquired and required to practice the principles of work safety and health.
Dalam melaksanakan tugasnya sesuai dengan peraturan perundang undangan
yang berlaku.
And carryng out its duties in accourdance with the legislation in forces

Jakarta, 03 Mei 2017

A.N MENTERI TENAGA KERJA DAN TRANSMIGRASI RI.
On Behalf Of Ministry of Manpower And Tranmigration RI
DIREKTUR JENDERAL
PEMBINAAN PENGAWASAN KETENAGAKERJAAN
Director General of Labour Inspection and Development

Drs. A. Mudji Handaya, M.Si

NIP. 19591213 198203 1 010
No. Sert. 16.876.PNK3/INS-SCG/PAA/V/2017