Formato de Solicitud de Entrega de Equipo para Mantenimiento.

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Cdigo:O&M-MDD-F-XX

SCE DEFERRAL MAINTENANCE Versin: 0


Date:

SERVICE PERU LNG SERVICE CONTRACT - N PLNG-MNT-16197

DATE REQUEST N

EXCLUSIVE SPACE OF THE ACTIVITY APPLICANT

WO DESCRIPTION EQUIPMENT TAG

MEDIUM
WO NUMBER PRIORITY HIGHT
VERY HIGHT

DATE PROPOSED TARGET DAY

MAIN DISCIPLINE MECHANICAL ELECTRICAL INSTRUMET SERVICES

ACTIVITY REQUEST

EXCLUSIVE SPACE FOR THE CUSTOMER

DETAILS AND JUSTIFICATION OF DEFERRAL

HUNT APPROVAL FOR


SCHEDULE DATE
RESCHEDULING (Sign)

IMPACT FOR NOT EXECUTE THE ACTIVITY

LOW MEDIUM HIGH


ENVIROMENT

PERSONAL INJURY

OPERATION

CONFIPETROL-ORIGINATOR
PRINT NAME SIGNATURE DATE

HUNT REVIEW
PRINT NAME SIGNATURE DATE

HUNT APPROVAL
PRINT NAME SIGNATURE DATE

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