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  • Petunjuk Pengisian Form HSE

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    Novia Zulfa Hanum
    122 Ansichten3 Seiten
    This document contains a scaffolding equipment inspection report template. It has sections to record details of inspected scaffolding planks and pipes, including their condition, dimensions, quantities received and rejected. Inspection dates, results, remarks, and signatures of the inspector, approver, safety administrator, safety officer, and site manager are to be included.

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    This document contains a scaffolding equipment inspection report template. It has sections to record details of inspected scaffolding planks and pipes, including their condition, dimensions, quantities received and rejected. Inspection dates, results, remarks, and signatures of the inspector, approver, safety administrator, safety officer, and site manager are to be included.

    Copyright:

    © All Rights Reserved
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    Markieren Sie unangemessene Inhalte
    122 Ansichten3 Seiten

    Petunjuk Pengisian Form HSE

    Hochgeladen von

    Novia Zulfa Hanum
    This document contains a scaffolding equipment inspection report template. It has sections to record details of inspected scaffolding planks and pipes, including their condition, dimensions, quantities received and rejected. Inspection dates, results, remarks, and signatures of the inspector, approver, safety administrator, safety officer, and site manager are to be included.

    Copyright:

    © All Rights Reserved
    Als XLS, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 3

    PT.

    PRIMA DISTRIBUSI ELEKTRIKA

    Scaffolding Equipment Inspection

    Date Inspection : _________________

    A. Scafolding Plank (Papan Perancah)

    Condition
    No. Description Remarks
    Good Bad
    1. Plank Type (Jenis Metal)
    2. Thickness (Ketebalan)
    3. Length (Panjang)
    4. Width (Lebar)
    5. Plank Condition (Kondisi Papan)
    - Wood Eyes (Mata Kayu)
    6. Flexibility (Kelenturan)
    7. Etc. (Keterangan Lain-Lain)

    TOTAL RECEIVED : …….. EA


    TOTAL REJECTED : …….. EA
    GRAND TOTAL : …….. EA

    B. Scafolding Pipe (Pipa Perancah)

    Condition
    No. Description Remarks
    Good Bad
    1. Type of Pipe Materials (Jenis Material Pipa)
    2. Pipe Condition (Kondisi Pipa)
    3. Thickness (Ketebalan)
    4. Diameter of Pipe (Diameter Pipa)
    5. Length (Panjang)
    6. Flexibility (Kelenturan)
    7. Etc. (Keterangan Lain-Lain)

    TOTAL RECEIVED : …….. EA


    TOTAL REJECTED : …….. EA
    GRAND TOTAL : …….. EA

    Inspected by, Approved by,

    Name & Signature OHS


    SUMMARY OF SCAFOLDING EQUIPMENT REPORT
    Period :

    NO DESCRIPTION INSPECTION INSPECTED BY QUANTITY SIZE


    DATE

    Prepared by, Reported by,

    _______________
    Safety admin Safety Officer
    RESULT OF REMARK
    INSPECTION

    Acknowled

    Site Manager

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