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Project :

EQUIPMENT Location :

ROPE ACCESS SERVICE Date Of Commence:

Project PIC :

BEFORE AFTER

NO EQUIPMENT TYPE MERK COLOR SIZE NUMBER .ID √ ? √ x REMARKS

OK CONTROLLED OK DAMAGED

Jakarta, , , 2018

Sie. Peralatan Site Authority Supervisor

Pengambilan Pengembalian

Date : Date : Date : Date :


Personal Equipment
Name : Location :
Date : Project :
BEFORE AFTER
NO EQUIPMENT TYPE MERK COLOR SIZE NUMBER .ID QTY √ ? √ x REMARKS
OK CONTROLLED OK DAMAGED

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Sie. Peralatan Site Authority Supervisor

Pengambilan Pengembalian

Date : Date : Date : Date :

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