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  • Contoh Form Request Induksi

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    Venom Ary Bayu
    15 views7 pages
    The document is an induction record for contractors working at an MMS site. It includes tables that list employee names, positions, contact details, emergency contacts, departments, personal protective equipment issued and signatures to acknowledge receipt. A total of 12 employees are listed with their details. The document also outlines the company's safety induction process and requirements for PPE like safety shoes, glasses and helmets.

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    Original Title

    CONTOH FORM REQUEST INDUKSI

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    The document is an induction record for contractors working at an MMS site. It includes tables that list employee names, positions, contact details, emergency contacts, departments, personal protective equipment issued and signatures to acknowledge receipt. A total of 12 employees are listed with their details. The document also outlines the company's safety induction process and requirements for PPE like safety shoes, glasses and helmets.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    15 views7 pages

    Contoh Form Request Induksi

    Uploaded by

    Venom Ary Bayu
    The document is an induction record for contractors working at an MMS site. It includes tables that list employee names, positions, contact details, emergency contacts, departments, personal protective equipment issued and signatures to acknowledge receipt. A total of 12 employees are listed with their details. The document also outlines the company's safety induction process and requirements for PPE like safety shoes, glasses and helmets.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 7

    INDUKSI SAFETY MMS

    OHS
    MMS SAFETY INDUCTION
    No. Revisi
    No. Dokumen
    0

    Blood
    Date NAME Position Home address Contact Number Company Departement UNIFORM JEANS SAFETY SHOES HELM SIGN
    Type
    No. Dokumen

    No Date Name DOB

    1 18-Jan-24 FERDINANDUS RADHO 18-Mar-92


    2 18-Jan-24 OKTAVIANUS SELLO 10-Oct-90
    3 18-Jan-24 DANIEL TANDI 14-Dec-91
    4
    5
    6
    7
    INDUKSI SAFETY KONTRAKTOR MMS
    MMS CONTRACTOR INDUCTION

    Position Nationality Home address

    Driver Indonesia Aesesa, Nagekeo NTT


    Driver Indonesia Baebunta, Luwu Utara
    Driver Indonesia Soroako, Luwu Timur
    SI SAFETY KONTRAKTOR MMS
    MS CONTRACTOR INDUCTION

    Contact Number Emergency Contact Company

    081237467707 082211226293 PT.WIDYA INDUSTRI MULTITEKNIK


    085264320543 082211226293 PT.WIDYA INDUSTRI MULTITEKNIK
    082352807276 082211226293 PT.WIDYA INDUSTRI MULTITEKNIK
    OHS
    No. Revisi
    0

    Blood SAFETY
    Departement GLASSES HELMET REMARKS
    Type SHOES
    Transport A 1 ea 1 Pasang 1 ea
    Transport B 1 ea 1 Pasang 1 ea
    Transport 1 ea 1 Pasang 1 ea
    TANDA TERIMA
    OHS
    HRGA DEPARTMENT
    No. Revisi
    No. Dokumen
    0

    No Date NAME Position Contact Number Emergency Departement Blood ID KACAMATA SAFETY SERAGAM HELM SIGN
    Contact Type SHOES
    1 02-Feb-22 Antonius Tiku Rombe Bua Mason/Welder +62 821-5397-4674 Civil Concrete
    2 02-Feb-22 Abdul Rahman Rebarman 089604187222 Civil Concrete
    3 02-Feb-22 Aji Setyawan Cost Control 0856 4195 3048 Project Control
    4 02-Feb-22 Syamsuddin Mechanical Supervisor +62 813-4777-8586 Mechanical
    5 02-Feb-22 Jemi Jefri Laada Civil Building +62 895-3101-9296 Civil Building
    6 02-Feb-22 Zulkifli Tampubolon Civil Building +62 821-9094-1605 Civil Building
    7 02-Feb-22 Raymond Losari Electric +62 852-8191-3199 Electrical
    8 02-Feb-22 Yuyun Rante Tanduk Electric Leadhand +62 822-5566-3233 Plant
    9 02-Feb-22 Ansari Electric +62 853-4141-1231 Electrical
    10 02-Feb-22 Petrus Misa Mason (Keramik) +62 821-5044-4989 Civil Building
    11 02-Feb-22 Hendrik Paulus Kondo Painter +62 822-9653-4340 Civil Building
    12 02-Feb-22 Sukendar Procurement Supervisor SCM
    1 New Agus Hariyono Electric X 41 Biru
    2 New Surya Dwiyanto Mason/Rebarman/Carpenter X 6 Biru
    3 New Yulianus Daka Sr. Foreman Batch Plant X Putih
    4 New Irman Basri Mason X 6 Biru
    5 New Akhmad Rebarman X Biru
    6 TRANSFER Dapot Parulian Sinaga X
    7 TRANSFER Heru Iriyanto X
    8 TRANSFER Damto Simamora X
    INDUKSI MTI
    OHS
    MTI INDUCTION
    No. Revisi
    No. Dokumen
    0

    TANGGAL NOMOR HP GOLONGAN UKURAN


    NO TANGGAL NAMA JABATAN ALAMAT RUMAH NOMOR HP SERAGAM KETERANGAN
    LAHIR KELUARGA DARAH SEPATU

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