Visit Report

Report date: Mar 6, 2024

QMB NEW ENERGY MATERIALS PT.
Kawasan IMIP, Labota Kec. Bahodopi .
94974 Morowali
Contact:Mr. Samsuddin

Work Comments
Wednesday, 6 March 2024
FSE : Paul Lobing
-Visual checking on AD 1600.
-Filter air and silencer can't be replaced because customer decision dont want to be serviced. (sparepart are ready).
Time Confirmation
Date Service Engineer Activity Type Hour/km
Mar 6, 2024 Paul Lobing Labour Normal Site 8 Hours

Equipment
Equipment: AD1600 380V/3P/50HZ CHN Visit date: Mar 6, 2024
Serial Number: WUX277547 Order Number: 406427101
Running Hours: 13356 hours PO number: Waiting PO
Ord. description: Visit B (8000H) Contract Number: 700175614

Material Confirmation
Part Number Part Description Quantity unit
1617616401 SILENCER 2
1624731601 FILTER AIR 1

Measurement Points
Counter Reading after service Before service From last visit on
Actual running hours (Total) 13356 OPH 13355 OPH 2022-09-02 1074 OPH
Running hours (Loaded) 13339 STD 13338 STD 2022-09-02 1074 STD
Module time 14767 STD 14767 STD 2022-09-02 1501 STD
Pressure dewpoint -100 DEG -100 DEG 2022-09-02 -59.6 DEG

Safety First
Questions Comments
Does the work involve working at heights or Confined spaces? If yes N/A - NA
what precautions am I observing
I have checked the nearest emergency exits/ escape routes and - OK
assembly points.
I have confirmed the location of nearest fire extinguisher - first aid box - OK
emergency showers - eye
I know what hazardous chemical will be used and associated safety - OK
instructions.
The illumination is sufficient and the workplace is free from clutter - OK
I have understood the Job Safety Analysis related to the task I am going - OK
to perform.
I have observed all Safety Compliances and precautions of Customer's - OK
site.
I have prepare the lock-out tag-out procedure (Padlock &sign) - OK
I have consulted others who may have impact because of mywork or vice - OK
a versa
Is there anything I need to let the Customer know about Safety At Site? - OK
I have checked my PPE and tools for defects and will use them in correct - OK
manner?
I have checked that the work method is safe to perform - OK
I have completed Customer's Risk Analysis - OK
I have completed Risk Assessment on the main Equipment - OK
I have complied with Tag-out procedure. - OK
 Customer Confirmation Service Engineer Confirmation

(Being duly authorised to sign on behalf of the customer) Signed by Paul Lobing at Mar 6, 2024, 9:20 AM

PT Atlas Copco Indonesia

PT Atlas Copco Indonesia VISITORS' ADDRESS Tel: +6221 780 1008 Deutche Bank
Jl Cilandak KKO Jakarta 12560 Hotline Service: 1500287 Jakarta Branch
www.atlascopco.com Acct No. 0003988-00-0