Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

PT HASTAKARYA TUNGGAL MANDIRI

INSPEKSI ALAT PELINDUNG DIRI


Project / Site -
Location / Area
Date of Inspection
MANDATORY SPECLAL
NO NAME / POSITION Helmet Safety- Safety
Ear Plug
Haud .
Coverall Face Welding Rigging Welding Chemical Body REMARKS
Chain strap Shoes Glasses Gloves Uniform Shield Shield Hand Glore Hand Glove Hand Glove Harness
1 •

2
3
4
5
6
7
8
9
10
11
12
13
14
15

Inspected by NOTE : G (Good Condition) Acknowledged By


NAME : . : P (Poor Condition) NAME
POSITION : : M (Missing) POSITION

SIGN SIGN

You might also like