Form Serah Terima APD Ok

Construcon Services South

DAFTAR DAFTAR SERAH TE

Group

:

Foreman :  ALAT PELI No

Nama

Bagde Safety fety Shoe hoes

Safe Safety ty Helm

1

2

3

4

5

6

7

8 Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2

9

10

11

12

13

14

15

Note : 1.

Alat Alat Pel Pelid idun ung g iri iri !AP !AP" " di# di#ag aga a $e%e $e%er& r&i' i'an an dan dan dir dira( a(at at

2.

Alat Alat Peli Pelidu dung ng iri iri !AP !AP"" di& di&im impa pan n di di $ant $antor or pro)e pro)e$ $ &ete &etela la' ' digu diguna na$a $an n &et &etia iap p 'ar 'arii &et &etel el

:i&era'$an *le'

 +++++++++++++++++++  Field ,- /ompliane

Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2

RIMA ALA A LAT T PELINDUNG P ELINDUNG DIRI D IRI

Pro#et oation UNG DIRI Tanggal Safety Gl Glass

Tanda Tangan

Handgloves

1

2

3

4

5

6

7

8 Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2

9

10

11

12

13

14

15

a' &ele&ai %e$er#a

:i

 +++  For

Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2

Keterangan

Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2

eta'ui *le'

 +++++++++++  man

Lampiran 16 HES Program CS Paket 2 (C855141) No. Dok QSHE-2!"C#$"C# QSHE-2!"C#$"C#"P"2 "P"2