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PT BAHTERA PUTERA NUSANTARA

Ruko Florencia Blok A4-12, Jl. Boulevard Bukit Gading Raya, Kelapa Gading, Shipping Address : Work Shop PT Batara
Kelapa Gading Barat, Jakarta Utara - Indonesia 14240 Jl. Hauling Servo Lintas Raya km 36, Lunas Jaya
Phone : + 62 21-2245 8868 Email : batara.mining.contractor@gmail.com Tanah Abang, Kabupaten Pali, Sumatera Selatan

SURAT BERITA ACARA


No : 002/BTR-SLR/IV/2020

Yang bertanda tangan dibawah ini :


Nama : Juwarno
NIK : 9820038
Jabatan : Operator Double Trailers

Menerangkan bahwa telah terjadi kerusakan tyre pada unit PM60003 posisi vessel 1 no. 12
dan 12 pada hari Selasa, 22 September 2020 pukul 06.35 ( waktu konfirmasi) di jalan houling
Km.36 – Km. 0 PT. Servo Lintas Raya dengan membawa produk UC BGG .

Adapun uraian kejadiannya adalah sebagai berikut :


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Demikian berita acara kejadian ini saya buat dengan sebenarnya serta dapat dipertanggung
jawabkan atas kebenarannya. Semoga menjadi bahan pertimbangan dan dapat dipergunakan
semestinya, atas bantuan dan kerjasamanya saya ucapkan terima kasih.

Muara Enim, 22 September 2020

Yang menerangkan, Mengetahui,

( M. Faisal ) (Suwardi)
Operator GL Produksi
PT BAHTERA PUTERA NUSANTARA
Ruko Florencia Blok A4-12, Jl. Boulevard Bukit Gading Raya, Kelapa Gading, Shipping Address : Work Shop PT Batara
Kelapa Gading Barat, Jakarta Utara - Indonesia 14240 Jl. Hauling Servo Lintas Raya km 36, Lunas Jaya
Phone : + 62 21-2245 8868 Email : batara.mining.contractor@gmail.com Tanah Abang, Kabupaten Pali, Sumatera Selatan

Dokumentasi foto di lapangan:

Gambar 1. Kondisi tyre unit PM60003 yang meledak, posisi vessel A no. 11 dan 12.

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