PT.

MIPCON PRIMA IN

Monitoring Ijin Ke
Time;
Ijin Kerja

NO NO Permit Ruang Satuan Kerja

Panas Dingin Memanjat
Terbatas

1 10623/Ica/1/2022 ✓ Utility
2 10625/Ica/1/2022 ✓ Utility
3 10626/Ica/1/2022 ✓ Utility
4 10632/Ica/1/2022 ✓ Mechanical
5 10633/Ica/1/2022 ✓ Mechanical
6 10634/Ica/1/2022 ✓ Mechanical
7 10779/Ica/1/2022 ✓ Electrical

10
PT. MIPCON PRIMA INDUSTRI

Monitoring Ijin Kerja

Kesesuaian
PIC
Lokasi Uraian Pekerjaan ( Maintena
Personil APD Alat
nce, Proses
)

WTA Area Repair Line Pac ✓ ✓ ✓ ✓

BTG SC 201 Install Roller ✓ ✓ ✓ ✓
BTG EP 202 Welding Fibrator top pcs ✓ ✓ ✓ ✓
BDH P 302 Change Valve ✓ ✓ ✓ ✓
AG 1 TK 101 Welding holder ✓ ✓ ✓ ✓
BRF F 201 Change bearing chain conveyor ✓ ✓ ✓ ✓
AG 4 Change Rotor ✓ ✓ ✓ ✓

Tayan
Dibuat,

Hendri
HSE
 Keterangan

Na
Na
Na
Na
Na
Na
Na

Wednesday, June 01, 2022

 PT. MIPCON PRIMA IN

Monitoring Ijin Ke
Time;
Ijin Kerja

NO NO Permit Ruang Satuan Kerja

Panas Dingin Memanjat
Terbatas

1 10641/Ica/1/2022 ✓ Mechanical
2 10643/Ica/1/2022 ✓ Utility
3 10649/Ica/1/2022 ✓ TE
4 10650/Ica/1/2022 ✓ Mechanical
5 10688/Ica/1/2022 ✓ Electrical
6 10689/Ica/1/2022 ✓ Instrument
8

10
PT. MIPCON PRIMA INDUSTRI

Monitoring Ijin Kerja

Kesesuaian
PIC
Lokasi Uraian Pekerjaan ( Maintena
Personil APD Alat
nce, Proses
)
BSC BC 301 Change Skin Rubber ✓ ✓ ✓ ✓
EP 202 Doubling Frame ✓ ✓ ✓ ✓
CAS BL 505 Instal Piping ✓ ✓ ✓ ✓
WFP P 101 Repair Pump ✓ ✓ ✓ ✓
SS 2 Service Travo ✓ ✓ ✓ ✓
BRW XV 102 Dismentle Valve ✓ ✓ ✓ ✓

Tayan
Dibuat,

Hendri
HSE
 Keterangan

Na
Na
Na
Na
Na
Na

Wednesday, June 01, 2022

 PT. MIPCON PRIMA IN

Monitoring Ijin Ke
Time;
Ijin Kerja

NO NO Permit Ruang Satuan Kerja

Panas Dingin Memanjat
Terbatas

1 10653/Ica/1/2022 ✓ TE

2 10654/Ica/1/2022 ✓ Mechanical

3 10655/Ica/1/2022 ✓ Mechanical

4 10656/Ica/1/2022 ✓ Electrical

5 10658/Ica/1/2022 ✓ Mechanical

6 10659/Ica/1/2022 ✓ Utility
8
9
10
PT. MIPCON PRIMA INDUSTRI

Monitoring Ijin Kerja

Kesesuaian
PIC
Lokasi Uraian Pekerjaan ( Maintena
Personil APD Alat
nce, Proses
)

CAS BL 505 Instal Piping ✓ ✓ ✓ ✓

CBS 102 Change Scarpper ✓ ✓ ✓ ✓
PFS Remove Pump ✓ ✓ ✓ ✓
HG 3 Instal Rotary ✓ ✓ ✓ ✓
PSS CY 102 Change Hose ✓ ✓ ✓ ✓
AG2 CP 101 Welding Line Conveyor ✓ ✓ ✓ ✓

Tayan
Dibuat,

Hendri
HSE
 Keterangan

Na

Na

Na

Na

Na

Na

Friday, July 01, 2022

 PT. MIPCON PRIMA IN

Monitoring Ijin Ke
Time;
Ijin Kerja

NO NO Permit Ruang Satuan Kerja

Panas Dingin Memanjat
Terbatas

1 10688/Ica/I/2022 ✓ TE
2 10691/Ica/I/2023 ✓ Mechanical
3 10696/Ica/I/2024 ✓ Mechanical
4 10698/Ica/I/2025 ✓ Utility
5 10703/Ica/I/2026 ✓ Mechanical
6 10704/Ica/I/2027 ✓ Mechanical
7 10705/Ica/I/2028 ✓ Mechanical
8
9
PT. MIPCON PRIMA INDUSTRI

Monitoring Ijin Kerja

Kesesuaian
PIC
Lokasi Uraian Pekerjaan ( Maintena
Personil APD Alat
nce, Proses
)
CAS BL 505 Install Pipe ✓ ✓ ✓ ✓
CHF BC 703 Change Chain ✓ ✓ ✓ ✓
BRW TH 102 Install Scaffolding ✓ ✓ ✓ ✓
CHS Area Modified Man hole ✓ ✓ ✓ ✓
CHF BC 703 Welding Plat Support ✓ ✓ ✓ ✓
BRF F 101 Inspection ✓ ✓ ✓ ✓
BRF F 101 Modified Line 25 ✓ ✓ ✓ ✓

Tayan
Dibuat,

Hendri
HSE
 Keterangan

Na
Na
Na
Na
Na
Na
Na

Saturday, October 01, 2022