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  • Pre Qualification Form CSMS

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    Hendri Anur
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    PT.URBAN ASIA INDUSTRI is a contractor that is required to meet certain pre-qualification criteria for safety personnel and worker requirements. They must have at least one safety expert certified by AK3U if they have more than 50 employees, or appoint a safety in-charge personnel if less. All workers must have BPJS insurance or other insurance and pass medical checkups. The company must also provide appropriate personal protective equipment marked with SNI logos for the type of work.

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    PT.URBAN ASIA INDUSTRI is a contractor that is required to meet certain pre-qualification criteria for safety personnel and worker requirements. They must have at least one safety expert certified by AK3U if they have more than 50 employees, or appoint a safety in-charge personnel if less. All workers must have BPJS insurance or other insurance and pass medical checkups. The company must also provide appropriate personal protective equipment marked with SNI logos for the type of work.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    10 views1 page

    Pre Qualification Form CSMS

    Uploaded by

    Hendri Anur
    PT.URBAN ASIA INDUSTRI is a contractor that is required to meet certain pre-qualification criteria for safety personnel and worker requirements. They must have at least one safety expert certified by AK3U if they have more than 50 employees, or appoint a safety in-charge personnel if less. All workers must have BPJS insurance or other insurance and pass medical checkups. The company must also provide appropriate personal protective equipment marked with SNI logos for the type of work.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    PT.

    URBAN ASIA INDUSTRI

    CONTRACTOR PROFILE

    Name/Phone Total Worker


    Add Office Safety Personnel
    Main jobs Personnel In charge

    PRE-QUALIFICATION CHECKLIST

    Compliance
    No Item Remarks
    Comply No
    • Companies that employ more than 50 people must recruit safety experts
    who have (AK3U Certified)
    Base on Ministry No: PER-02/MEN/1992, article 2 paragraph 2 Please attach certificate of personnel
    1 • General Safety Expertise (AK3U) in your Company ( Local
    Indonesian)
    • Company with less than 50 workers will appoint a person as an in charge
    Please attach appoint letter
    safety personnel
    Insurance Of BPJS or other Insurance (BPJS Project allow)< 6 Months Please attach for BPJS Project or
    • All workers who will work in the HMMI project are required to have Regular
    2 participation in BPJS insurance
    • BPJS project is a temporary insurance from BPJS that only applies during the Please attach for list worker and
    project, the function is the same as regular BPJS certificate BPJS
    Medical check up for new employee and regularly/ puskesmas
    • In accordance with government regulation Permen No.02 / 1980 all workers
    Please attach for Medical check up
    3 who will work are required to conduct medical check-ups
    result
    • If infectious diseases are found, they are not allowed to work as ( Including
    HIV / AIDS, Tuberculosis, Malaria, Hepatitis B )
    PPE prepared by company according type of work
    Stipulated PPE marked with SNI
    4 • Prepare personal protective equipment according to Indonesian national
    Logo
    standards (SNI)mark with SNI Logo

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