Diperiksa
Prosedur LOTO: oleh
1 Sumber Energi Dimatikan
2 Sarung Tangan Listik/Rubber Mat/Sepatu Listrik digunakan
3 instrument pengukur
Dilakukan oleh,
Electricians
Maintenance Panel Listrik Mingguan
PT. ESA MEDIKA M
Tanda Tangan
Limit Kondisi
380 V (-5%/+10%)
380 V (-5%/+10%)
380 V (-5%/+10%)
220 V (-5%/+10%)
220 V (-5%/+10%)
220 V (-5%/+10%)
Max 85% X In
Max 85% X In
Max 85% X In
Must be 0
Must be 0
50 Hz
50 Hz
50 Hz
< 65°C
< 65°C
< 65°C
< 65°C
< 5 Ohm
ingguan
PT. ESA MEDIKA MANDIRI
Bulan:
Minggu:
Catatan khusus
Diperiksa oleh,
Maintenance Leader