SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE

MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**
(SIMPER) (SIMPER) (SIMPER) (SIMPER)
MUHAMMAD HENDRA IRAWAN FRANSISKUS HASANUDIN AMIN

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*
RIFAN
No ID : FTM-0770122 No ID : FTM-0223122 BAHI
No ID : FTM-0189822 No ID : FTM-0125922
Company : PT FTM
Company : PT FTM Company : PT FTM Company : PT FTM
Position : DRIVER DT Position : DRIVER DT Position
: OPERATOR Position : OPERATOR
Dept. : PRODUKSI Dept. : PRODUKSI DOZER EXCAVATOR
FTM Permit : FTM Permit : Dept. : PRODUKSI Dept. : PRODUKSI
FTM-SIM-0015 FTM-SIM-0016 FTM Permit : FTM Permit : FTM-
Issued Date : Issued Date : FTM-SIM-0017 SIM-0018
17/12/2022 17/12/2022 Issued Date : Issued Date :
License : BII UMUM – License : BII UMUM - License : BII UMUM - 17/12/2022 License : BII UMUM 08/09/2022
-
900319310878 860325267001 25287504000053 670319310238
Expired Date : 25/03/2024 Expired Date : 09/03/2023 Expired Date : 05/02/2026 Expired Date : FTM-SIM-
Di Setujui, 0004 Di Setujui,
Di Setujui, Di Setujui,
Oleh: Oleh: Oleh: Oleh:

PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI

PRAWIRO PRAWIRO PRAWIRO PRAWIRO
KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI
SEMESTA SEMESTA SEMESTA SEMESTA
SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE
Violation Record

Violation Record

Violation Record
Violation Record
Accident Record

Accident Record

Accident Record
Accident Record
- Dozer Operator - Dozer Operator - Dozer Operator - Dozer Operator
- Excavator Operator - Excavator Operator - Excavator Operator - Excavator Operator
- Water Truck Driver - Water Truck Driver - Water Truck Driver - Water Truck Driver
- Light Truck Driver - Light Truck Driver - Light Truck Driver - Light Truck Driver
- Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels)
- Compactor Operator - Compactor Operator - Compactor Operator - Compactor Operator
- Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver
- Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator
- Motor Grader Operator - Motor Grader Operator - Motor Grader Operator - Motor Grader Operator
- ADT Operator - ADT Operator - ADT Operator - ADT Operator
- Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver
- Breaker Excavator - Breaker Excavator - Breaker Excavator - Breaker Excavator
- Boom Truck Operator - Boom Truck Operator - Boom Truck Operator - Boom Truck Operator
- Manhaul - Manhaul - Manhaul - Manhaul
Keterangan : Keterangan : Keterangan : Keterangan :

Temporary Terbatas Temporary Terbatas Temporary Terbatas Temporary Terbatas

Permanent Tamu Permanent Tamu Permanent Tamu Permanent Tamu
 SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE

MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**
(SIMPER) (SIMPER) (SIMPER) (SIMPER)
ALFANDI AHMAD FUAD YUSUF ALI IMRAN ONCUN MOKODOMPIT

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*
No ID : FTM-0213122
NAGARA
Company : PT FTM
No ID : FTM-0159922 No ID : FTM-0203122 No ID :
Company : PT FTM
Company : PT FTM Company : PT FTM
Position : OPERATOR Position : OPERATOR Position :
Position : DRIVER DT
EXCAVATOR EXCAVATOR Dept. : PRODUKSI
Dept. : PRODUKSI
Dept. : PRODUKSI Dept. : PRODUKSI FTM Permit : FTM-
FTM Permit :
FTM Permit : FTM- FTM Permit : FTM- SIM-0022
FTM-SIM-0020
SIM-0019 Issued Date : SIM-0021 Issued Date :
Issued Date : Issued Date : 17/12/2022
17/12/2022
License : BII UMUM 17/12/2022
– License : BII UMUM - License : BII UMUM –17/12/2022 License : BII UMUM -
29329112000102 21158703000090 870921280033 790520180226
Expired Date : 15/08/2027 Expired Date : 29/03/2027 Expired Date : 21/09/2024 Expired Date :
Di Setujui, Di Setujui, Di Setujui, Di Setujui,
Oleh: Oleh: Oleh: Oleh:

PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI

PRAWIRO PRAWIRO PRAWIRO PRAWIRO
KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI
SEMESTA SEMESTA SEMESTA SEMESTA
SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE
Violation Record

Violation Record

Violation Record
Violation Record
Accident Record

Accident Record

Accident Record
Accident Record
- Dozer Operator - Dozer Operator - Dozer Operator - Dozer Operator
- Excavator Operator - Excavator Operator - Excavator Operator - Excavator Operator
- Water Truck Driver - Water Truck Driver - Water Truck Driver - Water Truck Driver
- Light Truck Driver - Light Truck Driver - Light Truck Driver - Light Truck Driver
- Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels)
- Compactor Operator - Compactor Operator - Compactor Operator - Compactor Operator
- Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver
- Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator
- Motor Grader Operator - Motor Grader Operator - Motor Grader Operator - Motor Grader Operator
- ADT Operator - ADT Operator - ADT Operator - ADT Operator
- Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver
- Breaker Excavator - Breaker Excavator - Breaker Excavator - Breaker Excavator
- Boom Truck Operator - Boom Truck Operator - Boom Truck Operator - Boom Truck Operator
- Manhaul - Manhaul - Manhaul - Manhaul
Keterangan : Keterangan : Keterangan : Keterangan :

Temporary Terbatas Temporary Terbatas Temporary Terbatas Temporary Terbatas

Permanent Tamu Permanent Tamu Permanent Tamu Permanent Tamu
 SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE

MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**
(SIMPER) (SIMPER) (SIMPER) (SIMPER)
DARSOMONG FRIDOLIN SABAN TAKDIR IM AMRI BALWARI

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*
SAIDIA
No ID : No ID : FTM-0108622 No ID : FTM-0241122 No ID : FTM-0290122
Company : PT FTM
Company : PT FTM Company : PT FTM
Company : PT FTM Position : DRIVER DT Position : DRIVER DT
Position : DRIVER DT Position : OPERATOR
EXCAVATOR Dept. : PRODUKSI Dept. : PRODUKSI
Dept. : PRODUKSI FTM Permit : FTM Permit : FTM-
FTM Permit : FTM- Dept. : PRODUKSI
FTM-SIM-0025 SIM-0026
SIM-0023 FTM Permit : FTM-
Issued Date : Issued Date :
Issued Date : SIM-0024
17/12/2022 17/12/2022
17/12/2022 Issued Date :
License : BII UMUM – License : BII UMUM - License : BII UMUM – License : BII UMUM -
17/12/2022
Expired Date : 21158802000021 981219310439 29329101000080
Expired Date : 18/09/2027 Expired Date : 15/12/2024 Expired Date : 22/08/2027
Di Setujui, Di Setujui, Di Setujui, Di Setujui,
Oleh: Oleh: Oleh: Oleh:

PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI

PRAWIRO PRAWIRO PRAWIRO PRAWIRO
KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI
SEMESTA SEMESTA SEMESTA SEMESTA
SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE
Violation Record

Violation Record

Violation Record
Violation Record
Accident Record

Accident Record

Accident Record
Accident Record
- Dozer Operator - Dozer Operator - Dozer Operator - Dozer Operator
- Excavator Operator - Excavator Operator - Excavator Operator - Excavator Operator
- Water Truck Driver - Water Truck Driver - Water Truck Driver - Water Truck Driver
- Light Truck Driver - Light Truck Driver - Light Truck Driver - Light Truck Driver
- Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels)
- Compactor Operator - Compactor Operator - Compactor Operator - Compactor Operator
- Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver
- Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator
- Motor Grader Operator - Motor Grader Operator - Motor Grader Operator - Motor Grader Operator
- ADT Operator - ADT Operator - ADT Operator - ADT Operator
- Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver
- Breaker Excavator - Breaker Excavator - Breaker Excavator - Breaker Excavator
- Boom Truck Operator - Boom Truck Operator - Boom Truck Operator - Boom Truck Operator
- Manhaul - Manhaul - Manhaul - Manhaul
Keterangan : Keterangan : Keterangan : Keterangan :

Temporary Terbatas Temporary Terbatas Temporary Terbatas Temporary Terbatas

Permanent Tamu Permanent Tamu Permanent Tamu Permanent Tamu
 SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE SAFE DRIVING IS ATTITUDE

MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT MOBILE EQUIPMENT PERMIT

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**

**KESELAMATAN adalah Tanggung Jawab ANDA**
(SIMPER) (SIMPER) (SIMPER) (SIMPER)
INDRA HI IRFANDY PUASA F H

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*

*SAFETY is YOUR Responsibility*
No ID : FTM-0291122
JAUHAR
Company : PT FTM
No ID : FTM-0166922 No ID : No ID :
Company : PT FTM
Company : PT FTM Company : PT FTM
Position : DRIVER DT Position : Position :
Position : OPERATOR
Dept. : PRODUKSI Dept. : PRODUKSI Dept. : PRODUKSI
DOZER
FTM Permit : FTM- FTM Permit : FTM Permit : FTM-
Dept. : PRODUKSI
SIM-0027 FTM-SIM-0029 SIM-0030
FTM Permit :
Issued Date : FTM-SIM-0028 Issued Date : Issued Date :
17/12/2022 17/12/2022 17/12/2022
Issued Date :
License : BII UMUM – License : BII UMUM - 17/12/2022 License : BII UMUM – License : BII UMUM -
21298707000001 921122360230 Expired Date : Expired Date :
Expired Date : 13/01/2026 Expired Date : 04/11/2024
Di Setujui, Di Setujui, Di Setujui, Di Setujui,
Oleh: Oleh: Oleh: Oleh:

PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI PRADIKTYA DWI

PRAWIRO PRAWIRO PRAWIRO PRAWIRO
KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI KTT PT.JAYA ABADI
SEMESTA SEMESTA SEMESTA SEMESTA
SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE SIMPER QUALIFICATION / TYPE
Violation Record

Violation Record

Violation Record
Violation Record
Accident Record

Accident Record

Accident Record
Accident Record
- Dozer Operator - Dozer Operator - Dozer Operator - Dozer Operator
- Excavator Operator - Excavator Operator - Excavator Operator - Excavator Operator
- Water Truck Driver - Water Truck Driver - Water Truck Driver - Water Truck Driver
- Light Truck Driver - Light Truck Driver - Light Truck Driver - Light Truck Driver
- Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels) - Truck (DT / > 10 Wheels)
- Compactor Operator - Compactor Operator - Compactor Operator - Compactor Operator
- Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver - Light Vehicle Driver
- Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator - Wheel Loader Operator
- Motor Grader Operator - Motor Grader Operator - Motor Grader Operator - Motor Grader Operator
- ADT Operator - ADT Operator - ADT Operator - ADT Operator
- Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver - Fuel Truck Driver
- Breaker Excavator - Breaker Excavator - Breaker Excavator - Breaker Excavator
- Boom Truck Operator - Boom Truck Operator - Boom Truck Operator - Boom Truck Operator
- Manhaul - Manhaul - Manhaul - Manhaul
Keterangan : Keterangan : Keterangan : Keterangan :

Temporary Terbatas Temporary Terbatas Temporary Terbatas Temporary Terbatas

Permanent Tamu Permanent Tamu Permanent Tamu Permanent Tamu