STM Contractors Key Performance Indicator 2023

INSPECTION - ELECTRICAL INSPECTIONS Masukkan Logo

Perusahaan Contractor

Inspector Name : Location :

No Unit / ID : Supervisor :

Condition Check
No Items Description Remarks
OK Not OK
1 Electric power tools are in good conditions

2 Temporary lights guarded

3 Non-metal ladders used near electricity

4 Signs and tags to warn of electrical hazards

5 Non-conductive personal protection used

6 Flammable material storage isolated

7 Electrical cords is not wounded

8 Flexible cord not used for fixed wiring

9 Lock out / tag out procedures implemented

10 Electric inhibition (LOTO)

11 General condition of the electrical cable and panel

12 ELCB (Earth Leakage Circuit Breaker) on panel

13 Plug and Socket condition

14 Cables condition

15 ESD push botton on panel

16 Switch (on / off) button proper insulted

17 Indicators (Voltage, Ampere, etc) on panel

18 Earth / Ground system on panel

Hu'u, Tanggal/Bulan/Tahun Hu'u, Tanggal/Bulan/Tahun

Nama Perusahaan Department Sponsor

(Masukkan Tanda Tanggan) (Masukkan Tanda Tanggan)

Nama PJO/PJS (Secara Lengkap) Nama Contract Owner (Secara Lengkap)

Jabatan Secara Lengkap Jabatan Secara Lengkap

Notes: * Jika menggunakan tanda tangan electronic, dapat dilakukan request approval melalui Email resmi
* Dapat menggunakan approval dengan hardfile atau tanda tangan basah
* Jangan pernah merubah format atau formula/ rumus
STM Contractors Key Performance Indicator 2023
INSPECTION - ELECTRICAL INSPECTIONS Masukkan Logo
Perusahaan Contractor

Inspector Name : Location :

No Unit / ID : Supervisor :

ELECTRICAL SYSTEM (MASUKAN NAMA LOKASI)

PLUG / SOCKET INSTALLATION SWITCH BUTTON (ON/OFF) PROPER

LOTO SYSTEM Indicators (Voltage, Ampere, etc) on panel

Signs and tags to warn of electrical hazards Earth / Ground system on panel

ELECTRICAL SYSTEM (MASUKAN NAMA LOKASI)

PLUG / SOCKET INSTALLATION SWITCH BUTTON (ON/OFF) PROPER

LOTO SYSTEM Indicators (Voltage, Ampere, etc) on panel

Signs and tags to warn of electrical hazards Earth / Ground system on panel