Document No S-21

PT. SOLO TRANS LOGISTIK Issued Date 03-02-2022

SAFETY FORM & CHECKLIST Issued Status 1
FORMULIR & DAFTAR PERIKSA KESELAMATAN Revision 0

ATTANDANCE LIST

Number :
Date :
Time :
Port of :
Participant :

Type Of Meeting Subject

Safety Committee Meeting Operational Problem
Weekly Meeting Incident / Accident / Near Miss
Monthly Meeting Management Review
Management Visit Master Review
Customer Request Defficiency
Internal Audit Safety Equipment On Board
Eksternal Audit Vessel Equipment Condition
Others Crews
Purchasing & Logistic
Non Confirmity
Training
Others
No Name Ranking Signature No Name Rangking Singnature
1 11

2 12

3 13

4 14

5 15

6 16

7 17

8 18

9 19

Page 1 of 1