F/WINA-PROD-10-002

Departement : Production
FORM INSPEKSI FASILITAS PABRIK 2
PT.WILMAR NABATI Section : Finishing Plant
INDONESIA Revision : 02
GRESIK Effective Date : 5 May 2014
Section : General Finishing Plant
Bulan :
JUMLAH LOKASI STATUS CORRECTIVE
NO FASILITAS KETERANGAN ACTION
(UNIT) (PLANT) OK/NOT OK
1 2 3 4 5 6 7
A Elevasi 6
1 Lampu 14 Beading&Soap Plant

B Elevasi 8
1 Lampu 49 Beading&Soap Plant
16 Panel room
2 Kaca 20 Beading&Soap Plant
8 Panel room

C Elevasi 12
1 Lampu 57 Beading&Soap Plant

D Elevasi 15
1 Lampu 61 Beading&Soap Plant

E Elevasi 22
1 Lampu 40 Beading&Soap Plant

F Elevasi 27
1 Lampu 21 Beading&Soap Plant

G Elevasi 31,5
1 Lampu 4 Beading Plant

H Elevasi 36
1 Lampu 4 Beading Plant

I Elevasi 40,5
1 Lampu 4 Beading Plant

J Elevasi 45
1 Lampu 4 Beading Plant

K Control Room
1 Lampu 8 El. 15 meter
2 Kaca 14 El. 15 meter
3 Komputer 3 El. 15 meter
4 AC 2 El. 15 meter
5 Meja meeting 1 El. 15 meter
6 Meja komputer 4 El. 15 meter
7 Almari 4 El. 15 meter
8 Filling Cabinet 2 El. 15 meter
9 Kursi 7 El. 15 meter
10 White board 1 El. 15 meter
11 DCS 2 El. 15 meter

L Spare Part Room

1 Lampu 4 El. 15 meter
2 Dispenser 1 El. 15 meter

Keterangan: √ : OK
X : NOT OK

Prepared by, Approved by,

Doc. Controller Head of Department

 F/WINA-PROD-10-002

Departement : Production
FORM INSPEKSI FASILITAS PABRIK 2
PT.WILMAR NABATI Section : Finishing Plant
INDONESIA Revision : 03
GRESIK Effective Date : 1 April 2016
Section : General Finishing Plant
Bulan : Januari 2018
LOKASI STATUS
NO FASILITAS JUMLAH
(PLANT) OK/NOT OK KETERANGAN
1 2 3 4 5
A Elevasi 0
1 Kaca Jendela 72 Frame Packing room √
Kaca Pintu 8 Frame Packing room √
Kaca Lemari 10 Frame Packing room √
Kaca Rias 2 Frame Packing room √
Jam Dinding 2 Unit Packing room √
Lampu 68 Unit Packing room √
CCTV 8 Unit Packing room √

2 Kaca Jendela 9 Frame Filling Gly √

Kaca Pintu 3 Frame Filling Gly √
Kaca Lemari 4 Frame Filling Gly √
Lemari Sepatu 1 Unit Filling Gly √
Lampu 9 Unit Filling Gly √
CCTV 1 Unit Filling Gly √

3 Kaca Jendela 9 Frame Luar Packing room √

Kaca Pintu 5 Frame Luar Packing room √
Mading 1 Unit Luar Packing room √
Kaca Lemari Helm 2 Frame Luar Packing room √
Lampu 69 Unit Luar Packing room √
Lampu check Drum 1 Unit Luar Packing room √
Bingkai 2 Unit Luar Packing room √
CCTV 1 Unit Luar Packing room √
CCTV 2 Unit Tankfarm √

4 Kaca Jendela 35 Frame Packing Soapbar √

Kaca Pintu 11 Frame Packing Soapbar √
Kaca Lemari 12 Frame Packing Soapbar √
Kaca Rias 2 Frame Packing Soapbar √
Lampu 53 Unit Packing Soapbar √
CCTV 2 Unit Robot palletizer √
CCTV 1 Unit Msb Panel √
Lampu 1 Unit Msb Panel √

B Elevasi 6
Lampu 35 Unit El 6 √

C Elevasi 8
1 Kaca Pintu 10 Frame Office Barsoap √
Kaca Jendela 34 Frame Office Barsoap √
Lemari 5 Unit Office Barsoap √
Jam Dinding 1 Unit Office Barsoap √
Bingkai/Pigora 2 Unit Office Barsoap √
Lampu 16 Unit Office Barsoap & minilab √

2 Kaca Pintu 5 Frame Mini Lab √

Kaca Jendela 8 Frame Mini Lab √
Bingkai 7 Frame Mini Lab √
Jam Dinding 2 Unit Mini Lab √
Kotak P3K 1 Unit Mini Lab √
Lemari 4 Unit Mini Lab √

3 Kaca Pintu 3 Frame Ruang MCC √

Kaca Pintu 4 Frame Ruang Chem & Blower √
Kaca Jendela 12 Frame Area Luar √
Kaca bingkai 2 Unit Area Luar √
Lampu (18 DI mcc, 141 di area luar) 159 Unit Ruang MCC + Area Luar √
CCTV 4 Unit -Ploder SN3 √
-MCC Panel √
-Tangki Hotwell SN3 √
-Gudang Material √

D Elevasi 12
1 Kaca Pintu 2 Frame R. Chem Barsoap √
 LOKASI STATUS
NO FASILITAS JUMLAH
(PLANT) OK/NOT OK KETERANGAN
Kaca Jendela 2 Frame R. Chem Barsoap √
Kaca Ploder SN1 2 Frame el 12 √
Kaca Pintu 1 Frame Ruang Silo 10 √
Kaca Jendela 6 Frame Ruang Silo 10 √
Bingkai 2 Unit el 12 √
Lampu 75 Unit el 12 √
CCTV 1 Unit Ploder SN1 √
CCTV 2Unit Gudang Material √

E Elevasi 15
1 Pintu Kaca 8 Unit Office & DCS Room √
Jendela Kaca 16 Unit Office & DCS Room √
Lemari 12 Unit Office & DCS Room √
Mading 1 Unit El 15 √
Kotak P3K 1 Unit Office & DCS Room √
Bingkai (17 di office, 2 di luar office) 19 Unit Office & DCS Room √
Jam Dinding 4 Unit Office & DCS Room √
Lemari Loto+Appron 3 Unit DCS Room √
Kaca Ploder & Chamber SN1 4 Unit El 15 √
Kaca Ploder & Chamber SN2 2 Frame El 15 √
Pintu Vibrating screen 4 Frame El 15 √
Glass MT 1 8 El 15 √
Kaca Konveyor SN1 10 Unit El 15 √
Cyclone SN1 3 Unit El 15 √
Cyclone SN2 3 Unit El 15 √
Pintu Panel Gearbox SN2 2 Unit El 15 √
Konveyor silo SN1 15 Frame El 15 √
Konveyor silo SN2 5 Frame El 15 √
Lampu (23 di office) 138 Unit Office & Area Luar √
Tangki Hotwell SN2 &
CCTV 2 Unit √
Ploder sn2
CCTV 1 Unit Fluidizerbed B1 √
CCTV 1 Unit Fluidizerbed B2 √
CCTV 1 Unit DCS Room √
CCTV 1 Unit Reactor SN3 √

F Elevasi 18
MT1 Bead2 8 Frame El 18 √
Bingkai 2 Unit El 18 √
Lampu 4 Unit El 18 √

G Elevasi 22
Pintu R. Atomizer 2 Unit El. 22 √
Bingkai 2 Frame El. 22 √
Lampu 74 Unit El. 22 √
CCTV 2 Unit El. 22 √

H Elevasi 25
Bingkai 1 Unit El. 25 √
Lampu 18 unit El. 25 √

I Elevasi 30
Bingkai 1 Unit El. 30 √
Lampu 7 unit El. 30 √

J Elevasi 35
Bingkai 1 Unit El. 35 √
Lampu 7 unit El. 35 √

K Elevasi 40
Bingkai 1 Unit El. 40 √
Lampu 7 unit El. 40 √

L Elevasi 45
Bingkai 1 Unit El. 45 √
Lampu 7 unit El. 45 √
CCTV 2 Unit El. 45 √

Keterangan: √ : OK
X : NOT OK
Reported by, Approved by,
Doc. Controller Head of Department

Muhammad Suhud Fauzan Azmi

Name / Date Name / Date