SAFETY SHOWER & EYE WASHER INSPECTION

2E
AREA : SPD2 Plant
Period : February 2023

F2831-F0052B-03
F2812-F0027-02
CONDITION OF EQUIPMENT
Eyewash DATE
NO TAG NO LOCATION Shower Valve Water Eyewash Eyewash Main Safety REMARKS
Hand & Floor INSPECTION
Nozzle Handle Pipe Bowle Nozzle Valve Sign
Valve
1 EWS-101 2DC-102 G G G G G G G G N/A 4-Feb-23
2 EWS-201 2GA-206 G G G G G G G G G 4-Feb-23
EWS-302 2GA-302
3 EWS-401 2GA-401 G G G G G G G G G 3-Feb-23
4 EWS-407 2FA-407 NG G G G NG NG G G N/A 3-Feb-23
EWS-406 2FB-402/403
5 EWS-501 2FB-501 G G G G G G G G G 17-Feb-23
6 EWS-601 2PA-603 G G G G G G G G G 17-Feb-23
7 EWS-611 2BF-611 G G NG G G NG G G N/A 10-Feb-23
8 EWS-612 2BF-612 G G G G G G G G N/A 10-Feb-23
9 EWS-703 2FA-722 G G G G G G G G NG 7-Feb-23
10 EWS-711 CPI-2 G G G G G G G G N/A 10-Feb-23
11 EWS-801 2FA-851 A/B G G G G G G G NG G 10-Feb-23
12 EWS-901A LS-2 1st floor NG G G NG G G G G N/A 9-Feb-23
13 EWS-901B LS-2 2nd floor G G G G G G G G N/A 9-Feb-23
Legend :
G: Good Condition, NG: Not Good Condition, N/A: Not Available

Inspected by : Prepared by: Authority Area: Approved by:

> Emergency Response
 SAFETY SHOWER & EYE WASHER INSPECTION
2E
AREA : SPD2 Plant
Period : February 2023

F2831-F0052B-03
F2812-F0027-02
CONDITION OF EQUIPMENT
Eyewash DATE
NO TAG NO LOCATION Shower Valve Water Eyewash Eyewash Main Safety REMARKS
Hand & Floor INSPECTION
Nozzle Handle Pipe Bowle Nozzle Valve Sign
Valve
Farid Amarullah Dhani Suhendra
SHE Engineer SPD2 SV SHE Section Manager