CDB.FR.MK3J.

017

SISTEM MANAJEMEN
KESELAMATAN DAN KESEHATAN KERJA
STANDARD FORMULIR
PERIODE : APRIL 2024 CHECKLIST INSPEKSI APAR

TANGGAL KONDISI APAR (B= BAIK, R = RUSAK, K=KOSONG) KETERANGAN

Tuas/Handle
NOMOR KAPASITAS

Kebersihan
No. LOKASI PENEMPATAN JENIS APAR

Tekanan
Tabung

Rambu
Nozzle
Selang
TABUNG (kg)

Segel
Pin
PENGISIAN KADALUARSA

1 Office Building 01 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B

2 Pos Security 02 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B
3 Smoking Area 03 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B
4 Central Control Room 04 Foam - - - B B B B B B B B B FM 200
5 Central Control Room 05 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
6 Substation Room 06 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
7 Substation Room 07 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
8 Engine Hall 08 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
9 Engine Hall 09 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
10 Engine Hall 10 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
11 Engine Hall 11 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
12 Compressor 12 CO2 5 1/12/2022 1/12/2024 B B B B B B B B B
13 Pump House 13 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B
14 Workshop 14 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B
15 Warehouse/ TPS 15 Powder 6 1/12/2022 1/12/2024 B B B B B B B B B

Edisi :B
Dokumen terkendali √ Revisi :0
Tanggal : 08/08/2016