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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 23 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. 23 Request Perlu di lakukan


Desember Cairan Fogging Disinfektan pembelian Cairan Fogging
2021 Jumlah 2 Liter tsb untuk dilakukan
Fogging di Kantor Jakarta

Prepared by; Issued by; Approved by;


Ttd

Name Satrio Jati Wibisono Dilla Devky Arif Miradi


Position HSE Officer HSE Coordinator GM Operational
Date

Folder E.HSE/File name Form RTL

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