REKAMAN PENGAMBILAN CONTOH

GETARAN
RECORD OF SAMPLING

Hari / Tanggal : .................................................... Jam : .........................................................

Nama Perusahaan : ..........................................................................................................................................
Alamat : ..........................................................................................................................................
..........................................................................................................................................
Alat ukur : ..........................................................................................................................................
Hasil Pengukuran : ..........................................................................................................................................

Jumlah Getaran
Jumlah Pengukuran (m/s2)
Sumber Jam Rata-
No. Lokasi/Ruang Naker
Getaran Kerja rata
(Orang) I II III
(Jam) (m/s2)

Diperiksa Oleh: .............................................................., .....................

Petugas Pengukur,

..................................................................... .....................................................................
NIP.