BERITA ACARA SUPERVISI PROYEK

Nama Proyek :
Tower :
Alamat Proyek :
Painting Contractor :

Pada hari ini......................tanggal..................bulan........................................tahun................., sampai dengan

tanggal..............bulan.........................................tahun......................, telah dilakukan supervisi pengecatan
cat dinding .......................................................................

I. Yang bertanda tangan di bawah ini, masing-masing :

1. Nama : ...................................................
Jabatan : ...................................................
Nama Perusahaan : ...................................................

2. Nama : ...................................................
Jabatan : ...................................................
Nama Perusahaan : ...................................................

II. Produk yang digunakan :

1. Primer coat : ................................................................................................................

Product : ................................................................................................................
No. batch : ................................................................................................................
keterangan : ................................................................................................................

2. Finish coat I : ................................................................................................................

Product : ................................................................................................................
No. batch : ................................................................................................................
keterangan : ................................................................................................................

3. Finish coat II : ................................................................................................................

Product : ................................................................................................................
No. batch : ................................................................................................................
keterangan : ................................................................................................................

III. Lokasi supervisi : ................................................................................................................

IV. Data supervisi dan dokumentasi disertakan dalam lampiran ....................lembar

Demikian berita acara ini dibuat supaya dapat digunakan dengan semestinya.

Paint Manufactur, Painting Contractor,

PT. Propan Raya ICC

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

*) Foto dokumentasi terlampir