INSTRUMENT , ELECTRICAL & MECHANICAL

FIRE EXTINGUISHER INSPECTION RECORD HSE Dept.

Date issued : December 8, 2006

Sariwijaya
Group Condition Good / Bad

pressure Gauge

Expire Date
Insp Date
Pint lack
No Type / Manufacture Class SWJ No Cap Unit

Nozzle

Handle
Hoses
Remarks

1 KPK.BPN ABC POWDER FE.01 12 KG 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 FRONT OFFICE

2 KPK.BPN FOAM AFFF FE.02 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 PANEL INSTALATION AREA

3 INDOLOK .BU ABC POWDER FE.03 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 FRONT STORE

4 KPK.BPN ABC POWDER FE.04 6 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 MESS EXECUTIVE

5 KPK.BPN ABC POWDER FE.05 6 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 SECOND FLOOR

6 KPK.BPN ABC POWDER FE.06 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 CANTEEN

7 INDOLOK .BU ABC POWDER FE.07 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 FEB 20,07 ST. SUMBA

8 INDOLOK .BU ABC POWDER FE.08 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 JULY 25,07 ST. WIJAYA 5

9 INDOLOK .BU CO 2 FE.09 5 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 FRONT FUEL TANK

10 KPK.BPN CO 2 FE.10 6.8 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 FRONT GENERATOR ROOM

11 INDOLOK .BU ABC POWDER FE.11 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 FEB 20,07 ST. WIJAYA 2

12 INDOLOK .BU ABC POWDER FE.12 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 DEC 14,06 FRONT JETTY

13 KPK.BPN ABC POWDER FE.13 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 STOCK

14 KPK.BPN CO 2 FE.14 5 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 ST. WIJAYA 1

15 KPK.BPN FOAM AFFF FE.15 9 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 STOCK

16 KPK.BPN ABC POWDER FE.16 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 FEB 20,07 ST. WIJAYA 1

17 KPK.BPN CO 2 FE.17 5 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 ST. WIJAYA 2

18 KPK.BPN ABC POWDER FE.18 4,5 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 ST. WIJAYA 3

19 KPK.BPN CO 2 FE.19 5 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 JULY 25,07 ST. WIJAYA 5

20 INDOLOK .BU CO 2 FE.20 5 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 ST. WIJAYA 3

21 INDOLOK .BU ABC POWDER FE.21 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 FRONT FUEL TANK

22 INDOLOK .BU ABC POWDER FE.22 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 MESS EXECUTIVE
Inspected by :
Name : Muzakky Position : Safety Officer Signature :
 INSTRUMENT , ELECTRICAL & MECHANICAL

FIRE EXTINGUISHER INSPECTION RECORD HSE Dept.

Date issued : December 8, 2006

Sariwijaya Condition Good / Bad

Group

pressure Gauge

Expire Date
Insp Date
Pint lack

Nozzle
No Type / Manufacture Class SWJ No Cap Unit

Handle
Hoses
Remarks

23 INDOLOK .BU ABC POWDER FE.23 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 FEB 20,07 FRONT SAND BLASTING
24 INDOLOK .BU ABC POWDER FE.24 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 FRONT LAUNDRY
25 INDOLOK .BU ABC POWDER FE.25 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 JULY 25,07 FRONT OFFICE SK
26 INDOLOK .BU ABC POWDER FE.26 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 DEC 14,06 SECOND FLOOR
27 INDOLOK .BU ABC POWDER FE.27 6 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 JULY 31,06 SEND TO BPP
28 INDOLOK .BU ABC POWDER FE.28 9 1 EA GOOD GOOD GOOD GOOD GOOD Dec 8,06 AUGT 21,07 SECOND FLOOR
29 INDOLOK .BU ABC POWDER FE.29 6 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 FEB 20,07 FRONT ENGINEER
30 INDOLOK .BU CO 2 FE.30 6.8 1 EA NONE GOOD GOOD GOOD GOOD Dec 8,06 AUGT 22,07 ST. SUMBA

Inspected by :
Name : Position : Safety Officer Signature :