REPORT SHEET (BUKTI HASIL OBSERVASI) UNTUK BUKTI LANGSUNG

FR-PA-06

Perangkat asesmen: Observasi Operator Pesawat Angkat Mobil > 50 T

Pedestal Crane Operator More than 50 tonnes

Nama Asesi:
Asesi’s Name

Nama Asesor:
Assessor’s Name
1. Melaksanakan K3 ditempat kerja (To apply OHS in the workplace)
Unit kompetensi:
2. Melakukan kerja sama dengan teman kerja (To cooperate with co-worker)
3. Melaksanakan K3 di Industri Migas (To apply OHS in oil and gas industry)
4. Mempersiapkan Operasi Kran Putar Tetap > 50 Ton (To preparing the operation of
Pedestal crane more than 50 tonnes)
5. Mengoperasikan Kran Putar Tetap > 50 Ton (To operate Pedestal crane more than 50
tonnes)
6. Menghentikan Kran Putar Tetap > 50 Ton (To stop Pedestal crane more than 50 Tonnes)
7. Membuat Laporan Penggunaan Kran Putar Tetap > 50 Ton (To write a report on the use
of Pedestal crane more than 50 tonnes)
8. Mengendalikan Beban Statis > 50 Ton (To control static load more than 50 tonnes)

Kualifikasi: Operator Pesawat Angkat Mobil > 50 T (Kelas C)

Qualification

Tanggal:
Setiap pertanyaan harus terkait dengan elemen/KUK

Petunjuk (Instruction):
1. Buatlah laporan melaksanakan pekerjaan sebagai Operator Pesawat Angkat Mobil > 50 T (Kelas
C) sesuai dengan unit elemen dan KUK di dalam SKKNI pada lembar berikut!
Make a report carry out the work as a Pedestal Crane Operator More than 50 tonnes in accordance
with the SKKNI (standard of work competence in Indonesia) on the following sheet!

2. Apabila bukti tersebut diatas sudah terdapat pada laporan yang sudah ada maka bisa disi
“bukti laporan terlampir”
If the evidence already contained in the existing report then it can be "evidence attached report"
 Kode Unit IMG.PA01.001.01
1 Unit Kompetensi Melaksanakan K3 ditempat kerja (To Apply OHS in the Workplace)

Bukti hasil kerja Melaksanakan K3 ditempat kerja (To Apply OHS in the Workplace):
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Kode Unit IMG.PA01.002.01

2 Unit Kompetensi Melakukan kerja sama dengan teman (To Cooperate with Co-Worker)

Bukti hasil kerja Melakukan kerja sama dengan teman (To Cooperate with Co-Worker) :
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Kode Unit IMG.PA01.003.01

3 Unit Kompetensi Melaksanakan K3 di Industri Migas (To apply OHS in Oil and Gas Industry)

Bukti hasil kerja Melaksanakan K3 di Industri Migas (To apply OHS in Oil and Gas Industry) :
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Operator Pesawat Angkat Mobil > 50 T 1

ASSESSMENT TOOLS
 Kode Unit IMG.PA02.009.01
4 Unit Kompetensi Mempersiapkan Operasi Kran Mobil > 50 Ton (To preparing the operation of Pedestal
crane more than 50 tonnes)

Bukti hasil kerja Mempersiapkan Operasi Kran Mobil > 50 Ton (To preparing the operation of Pedestal
crane more than 50 tonnes):

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Kode Unit IMG.PA02.010.01

Unit Kompetensi Mengoperasikan Kran Mobil > 50 Ton (To operate Pedestal crane more than 50
5 tonnes)

Bukti hasil kerja Mengoperasikan Kran Mobil > 50 Ton (To operate Pedestal crane more than 50 tonnes) :
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Kode Unit IMG.PA02.011.01

6 Unit Kompetensi Menghentikan Kran Mobil > 50 Ton (To stop Pedestal crane more than 50 Tonnes)

Bukti hasil kerja Menghentikan Kran Mobil > 50 Ton (To stop Pedestal crane more than 50 Tonnes) :
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Operator Pesawat Angkat Mobil > 50 T 2

ASSESSMENT TOOLS
 ........................................................... ........................................................... ...........................

Kode Unit IMG.PA02.012.01

7 Unit Kompetensi Membuat Laporan Penggunaan Kran Mobil > 50 Ton (To write a report on the use of
Pedestal crane more than 50 tonnes)

Bukti hasil kerja Membuat Laporan Penggunaan Kran Mobil > 50 Ton (To write a report on the use of
Pedestal crane more than 50 tonnes):

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Kode Unit IMG.PA03.003 01
8 Unit Kompetensi Mengendalikan Beban Statis > 50 Ton (To control static load more than 50 tonnes)

Bukti hasil kerja Mengendalikan Beban Statis (To control static load more than 50 tonnes):
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Tanjung Balai Karimun, 1 May 2018

Dibuat oleh, Diperiksa oleh,

Prepared by Verified by,

( ................................... ) ( ................................... )

Operator Pesawat Angkat Mobil > 50 T 3

ASSESSMENT TOOLS