Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Class : HSE

PT.MOBILKOM TELEKOMINDO
Radio Communication Solution Provider No. : Form-HSE-005-004
Revision Date : 01-07-2015 Page : 1 / 1
Rencana Tindak Lanjut K3LL
(Inspection and Audit) Revision No. : 0 Sign :

Location Mobilkom Jakarta


Date Inspection / Audit 21 Desember 2021
HSE Team MBK Satrio Jati Wibisono
Close date corective act (*paling lama 60 har)

Inspector by
No Name Company (Client or MBK) Ttd..
1 Satrio Jati Wibisono MBK 1.
2.
2
3 3.
4.
4

Status
No Tanggal Hasil Temuan Masalah yang perlu ditindak Open Close
lanjuti *paraf HSE officer *paraf HSE Mngr

1. 21 Request Masker 3M 6200/7025 Perlu di lakukan


Desember dan Caterigde pembelian Masker tsb
2021 Jumlah 3 Ea untuk kebutuhan Instalasi
di Medco IWA

Prepared by; Issued by; Approved by;


Ttd

Name Satrio Jati Wibisono Dilla Devky Arif Miradi


Position HSE Officer HSE Coordinator GM Operational
Date 21 Desember 2021

Folder E.HSE/File name Form RTL


Class : HSE
PT.MOBILKOM TELEKOMINDO
Radio Communication Solution Provider No. : Form-HSE-005-004
Revision Date : 01-07-2015 Page : 2 / 1
Rencana Tindak Lanjut K3LL
(Inspection and Audit) Revision No. : 0 Sign :

Folder E.HSE/File name Form RTL

You might also like