HSE INTERNAL INSPECTION /

INSPEKSI BIDANG HSE

Regasifikasi LNG – Power Plant – PT Pertamina EP Tanjung

Date / Tanggal : Type / Jenis Inspeksi : Kendaraan Berat

Driver / Supir : Department / Departemen : HSE (Healt Safety Environment)
ID / No. Plat : Location / Lokasi : Power Plant - PEP TANJUNG

EQUIPMENT TOOLS TRANSPORTATION / PERLENGKAPAN ALAT TRANSPORTASI

ADA / ADA / TIDAK
No. CATEGORY INFORMATION
BAIK RUSAK ADA
A PERSONAL DRIVER
1 STNK & SIM
2 KIR
3 IZIN TRAYEK
4 BUKU SERVICE & ASURANSI
5 SURAT KETERANGAN SEHAT
6 SURAT TUGAS/JALAN
B EMERGENCY
7 APAR
8 TRIANGEL SAFETY/SAFETY CONE
9 FIRST AID KIT/P3K
10 SLING/TALI DEREK
11 TOOLS KIT (DONGKRAK KIT)
12 SPARE TIRE/BAN SEREP
13 BUKU PETUNJUK MANUAL/BUKU SAKU
14 HT/HP/ALAT KOMUNIKASI/GPS
15 SAFETY STIKER/RAMBU-RAMBU
16 LIST NOMER EMERGNCY
17 FLASLIGHT/SENTER
18 PAYUNG / JAS HUJAN
19 EMERGENCY HAMER / PALU PEMECAH
20 LAMPU NAVIGASI DAN KELAKSON
C SAFETY PERSONAL/SAFETY DRIVER
21 SAFETY SHOES
22 SAFETY HELMET
23 SAFETY GLOVE
24 SAFETY VEST/COVERALL
25 SAFETY GLASSES
D MATRIAL HEADTRUCK & TRAILER ISOTANK
26 ANTENA
27 ANGIN BAN KESELURUHAN
28 OLI & ANGIN KOMPRESOR
29 COVER BAN
30 KONDISI BAN DEPAN
31 KONDISI BAN BELAKANG
32 LAMPU JAUH & DEKAT
33 LAMPU MUNDUR
34 LAMPU REM
35 LAMPU SEIN
36 LAMPU KABUT
37 LAMPU ROTARY
38 SPION LUAR & DALAM
39 WIPER & GPS NORMAL
40 SAFETY BELT
41 JUMPER AKI
42 TEMPAT SAMPAH & KANEBO / KAIN LAP

Dicheck Oleh, Diterima Oleh, Diketahui Oleh,

HSE DRIVER SUPERVISOR

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 HSE INTERNAL INSPECTION /
INSPEKSI BIDANG HSE
Regasifikasi LNG – Power Plant – PT Pertamina EP Tanjung

Date / Tanggal : Type / Jenis Inspeksi : Kendaraan Berat

Driver / Supir : Department / Departemen : HSE (Healt Safety Environment)
ID / No. Plat : Location / Lokasi : Power Plant - PEP TANJUNG

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EQUIPMENT TOOLS TRANSPORTATION Tgl……………………………
/ PERLENGKAPAN ALAT TRANSPORTASI
Regasifikasi LNG – Power Plant – PT Pertamina EP Tanjung

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Regasifikasi LNG – Power Plant – PT Pertamina EP Tanjung

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