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Project Manager‘mage MECHANICAL-YACELBOTRICAL
rd
wale BINTANG TOEDJOE PROJECT
JSANo: 020/ JSA/KIK-HSE/B7/V1/2019 | Job Description: Energize Power Panel MV, LV & Trafo
a ai Tate, Panel, Keb, Kane! Kane : Al Area
Reviewed By: PIETER MANIK Approved: BUDI PERMAD!
Last Reviewed Date: 30 JUNI 2018 Date of lsued: 30 JUNI 2019
SAFETY EQUPNENT REQUIRED TO DO THIS JOB.
Yea We T Yea Neo Yes We
ard Hata? 4 o Work vet? ¥ a Bacicadee? y 0
Satay Shows? a Satoy Harness? a Fire Extinguisher? 0
Sutay Olasee? = a | ace shiek? a LockouvTagoue
loves? 0 ogcea? a cas Devetor? Q
Hoang Protection? 0 Resplators? a sos? Q
_ _ | Others (please specify):
Poe
Additional Comments: yecnet
‘+ Perit dak sesuai dengan pokerjaan
yang cilakukan,
‘* Peralatan tidak sesuai dengan
ppokerjaan yang dlakukan dan dak
dapat digunakan,
‘+ PPE tidak sesuai dengan pokerjaan
yang cilakukan.
+ Adanya orang yang masuk ke areal
Pekan tanpa in
‘+ Pastkan permit diouat oleh orang
yang sudah mengiku taining
‘+ Pastixan peralatan sudah sesusi
dengan pekejaan yang cilekuken.
‘+ Pastian sambungan-sambungan
pipa terntalasi dengan baik
+ Pasfian alat pressure yang
sigunakan eyak digunakan den telah
Permit tidak cittup
‘+ Permit tertinggal dickasi kerja.
yang
(erupelcicton pearWORK LEADER AND WORK TEAM TO CONFIRM JSA REVIEW HAS BEEN HELD, DISCUSSED AND UNDERSTOOD
_ Work Pennit Duration ~ max 8 pious
{ Work Team Member [Siawed [SwitDate [2 3 a 5 3 6 7
@ Die : t ! —
— Din. — ! f :
: |
iB pein “ ~ i= I
Signature of person(s) performing the JSA. : BUDI PERMADI ( HSE Supervisor ) * Date: BO Juni 2019
+ CARITO WICAKSONO (Deputy PM) Date: O\ que wid
jignature of Person Responsible
204,
AGUNG NUGROHO (HSE Owner B72) <_< Date: 2 jul
of Consuttan/MK Checked