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22 views1 page

Form PermitToWork

Uploaded by

agus budi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Neotrs0e PT TELKOM DATA EKOSISTEM PERMIT TO WORK Decora Rie Te [sebateforer Teor Too z T_TYPE OF WORK (oiect one work item, more than one) then make onother per U1] Fie system Isolation U1 | Contined spaces U1 | Other U1] Hetwork U1 | Ralsed Floor U1 | Other: U1] Werk tom Height Da_| Photography 1 | Other | Becticat C1 | omer: U1 | omer: U1] Mechanical solation U1 | other: U1 | other: 2. INFORMATION OF WORK T_ company PT.TRINET PRIMA SOLUSI 2,_Date ot Application 10 November 2023 3, Nelue /Detas of Work “Location of Work ata aca Work Supanisorincharge ‘Corto amber HES uBR ‘Cont Number 7,_The Rumbar of Workers 5 anwower = Wore sia bate TO November 2023 [Work sta tine 09.00 we wokcompletoncote 14 November 2023 work completion rime 9.00 oS 3. HAZARDS IDENTIFY BY APPLICANT TA] auido Gar under remie T_|_iitng epecation | Sey terra 1] Flammable mater | Stbown naar | Contnea'Space tr) Fig arcte Spank | tone matanas | Acces to Wok tion TI] Naked ome acne U_|_rewor | Dep otiect tr) Bectity U_ | Seiaive materat | Beside Water U1] Moma macnnery/ vance U_ | Sepesuea tu [ omer PRECAUTIONS TO BE TAKEN 8Y APPLICANT TI] Gos tesing Reawres L_|_ Av Gastine ComectonPrneai seoues | 1} | lm Oiunnea taupmen! U1] Proved Ventation Fan U_|_AeaFres.ot Romable Materials U1 | Boctic Eauioment Propary Connectod| | Corse Acjocent Won L1_|_ Fowidea win sutabie Acces ondtes | (1 | fre Watcher / Hote Walcher (| tericoae Reauies U1_|__Eavomon! Checked Reto Storing U1 |_rO sme U1 Fre bitinguiterin ace U_|__Seticton nomination 1 | Ofer 5. PPE & SAFETY EQUIPMENT REQUIRED TH] Ste Hele U1 | cater covee Te [sate Gases 1 [ber over ee [Maar 11 [Weta Gives [ten UI soton ve | terran [one UI sete sie | foce sted wena Wak 11 | oF . WORK PERMIT ATTACHMENT TI] Matos ohana 1 | ae enorme ona tT | one 7. VERIFICATION ‘Aesnowtegge By pomroved by Teka Dia Boom | — Faken Dats Room theme 15 (Nama Operation Manasen Uisbotan ‘sata (WOR FRUAT ORY CHEE or bey? eva bere bays eye ony? | Chere Bate Vendor supe “SM Contractor

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