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No Doc : MPP-HSE-FM-13

JOB SAFETY ANALYSIS (JSA) Rev. : 00


ANALISIS KESELAMATAN KERJA Date : 01-08-2017

Activity / Kegiatan :
Location / Lokasi :
Long term / Lama kegiatan :
Start date of execution / Tanggal mulai pelaksanaan :

Activity / Hazard / Bahaya Risk / PPE / Control Method /


No
Aktivitas Resiko APD Metode pengendalian

................................, ……………..

Prepare By, Approved By,

( ………………………. ) ( ………………………. )

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