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Rekaman Terkendali No. : 01 Rekaman Terkendali No.

: 01
SURAT IZIN MASUK KONTRAKTOR SURAT IZIN MASUK KONTRAKTOR
INTEGRATED TERMINAL MAKASSAR 2021 INTEGRATED TERMINAL MAKASSAR 2021

Registrasi No. : _________/ITM-MKS/HSSE/20-S0 Registrasi No. : _________/ITM-MKS/HSSE/20-S0


Izin Kerja : _________/HSSE/ /ITM________________ Izin Kerja : _________/HSSE/ /ITM________________
Tgl/Jam masuk & Keluar: ______________________________________ Tgl/Jam masuk & Keluar: ______________________________________
Pelaksana Pekerjaan : PT ____________________________________ Pelaksana Pekerjaan : PT ____________________________________
Pimpinan Pelaksana : ______________________________________ Pimpinan Pelaksana : ______________________________________
Pengawas Pekerjaan : ______________________________________ Pengawas Pekerjaan : ______________________________________
Jumlah Pekerja : _______Orang Jumlah Pekerja : _______Orang
Pekerjaan Hari Ini : ______________________________________ Pekerjaan Hari Ini : ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________
Lokasi Pekerjaan : ______________________________________ Lokasi Pekerjaan : ______________________________________
______________________________________ : ______________________________________
______________________________________ ______________________________________
Gas Safety Gas Safety
Security Ahli Teknik Safety Inspector Security Ahli Teknik Safety Inspector
Inspector Inspector

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