Department

PT. INDOCOOL SOLUSI CEMERLANG HSE

Document Name: Document No.
Daily Safety Inspection FO/ISC/INS/001

SAFETY INSPECTION

LOCATION : WORKSHOP (SERVICE AND REPAIR)

_________________ DATE 31 JULI 2019
: __________________

OFFICER : RIDHO ANJAS WIBISONO

_________________ SIGNATURE : __________________

SUPERVISOR : JUHANIS
_________________ SIGNATURE : __________________

NO. EQUIPMENT GOOD/BAD REMARKS

1 BOLT DRILL(BOR BAUT)
2 SCREWDRIVER (OBENG)
SLOT/FLAT/MINUS/PIPIH/LURUS
PHILLIP/KEMBANG/PLUS
TORX/BINTANG 6
POZIDRIV SCREW
HEXAGON
BINTANG SOCKET
3 LONG NOSE PLIERS (TANG PANJANG)
4 LINESMAN PLIERS (TANG KOMBINASI)
5 DIAGONAL PLIERS(TANG POTONG)
6 LOCKING GRIP PLIERS(TANG BUAYA)
7 CUTTERS
8 HAMMER(PALU)
9 SENTER PEN
10 RIVET PLIERS (TANG RIVET)
11 SNAP RING PLIERS (TANG SNAP RING)
12 RULERS(PENGGARIS)
13 TOWER PINCER(TANG KAKATUA)
14 GERINDER(GERINDA)
15 METER MEASURING TAPE(METERAN)
16 MAGNETIC DRILL(BOR MAGNET)
17 P.P.E
18 SAFETY SHOES(SEPATU)
19 SAFETY GLOVES(KAUS TANGAN)
FACE SHIELD(PELINDUNG WAJAH)
EYEGLASS(KACAMATA)
MASK(MASKER)
RESPIRATOR
20 BOX SPANNER(KUNCI RING)
21 SOCKET SPANNER(KUNCI SOKET)

Daily Safety Inspection.HH-036/Form/D

 Department
PT. INDOCOOL SOLUSI CEMERLANG HSE
Document Name: Document No.
Daily Safety Inspection FO/ISC/INS/001
22 ALLEN SPANNER(KUNCI L)
23 ADJUSTABLE SPANNER(KUNCI INGGRIS)
24 WHEELS NUTS AND BOLT SPANNER(KUNCI
RODA)
25 TORX KEY (KUNCI BINTANG)
26 SCRAP PLIERS(TANG SCRAP)
27 FLASH BACK
28 BLENDER OXY
29 REGULATOR
30 HOST (SELANG)
31 TABUNG ACITYLIN
32 TABUNG OKSIGEN
33 TABUNG GAS LPG

Daily Safety Inspection.HH-036/Form/D

 Department
PT. INDOCOOL SOLUSI CEMERLANG HSE
Document Name: Document No.
Safety Inspection FO/ISC/INS/002

SAFETY INSPECTION

LOCATION : WORKSHOP (PAINTING)

_________________ DATE 29 JULI 2019
: __________________

OFFICER : RIDHO ANJAS WIBISONO

_________________ SIGNATURE : __________________

SUPERVISOR : JUHANIS
_________________ SIGNATURE : __________________

NO. EQUIPMENT GOOD/BAD REMARKS

1 THINNER
2 SIGMA CAT
3 GUN SPRAY
4 BRUSH
5 P.P.E
6 SAFETY RUBBER HAND GLOVES
RESPIRATOR
SAFETY SHOES
MASK
CHEMICAL CARDRIGE

Daily Safety Inspection.HH-036/Form/D

 Department
PT. INDOCOOL SOLUSI CEMERLANG HSE
Document Name: Document No.
Safety Inspection FO/ISC/INS/003

SAFETY INSPECTION

LOCATION : WORKSHOP (PACKAGING)

_________________ DATE 31 JULI 2019
: __________________

OFFICER : RIDHO ANJAS WIBISONO

_________________ SIGNATURE : __________________

SUPERVISOR : JUHANIS
_________________ SIGNATURE : __________________

NO. EQUIPMENT GOOD/BAD REMARKS

1 HAMMER
2 BRUSH (KUAS)
3 DUCT TAPE (LAKBAN)
4 BOLT( BAUT)
5 SHRINK WRAP
6 SHRINK GUN
7 BOLT DRILL (BOR BAUT)
8 STEEL STRAPPING BAND
9 PLASTIC POLYCARBONATE
10 P.P.E
SAFETY HELMET
SAFETY GLOVES
EYEGLASS
SAFETY SHOES

Daily Safety Inspection.HH-036/Form/D

 Department
PT. INDOCOOL SOLUSI CEMERLANG HSE
Document Name: Document No.
Safety Inspection FO/ISC/INS/004

SAFETY INSPECTION

31 JULI 2019
LOCATION : WORKSHOP (fabrication)
_________________ DATE : __________________

OFFICER : RIDHO ANJAS WIBISONO

_________________ SIGNATURE : __________________

SUPERVISOR : JUHANIS
_________________ SIGNATURE : __________________

NO. EQUIPMENT description GOOD/BAD

1 DRILL (BOR)
2 CUTTING WHEELS (MATA BATU
GERINDA POTONG)
3 GRINDING FLEXIBLE DISK(MATA
GERINDA FLEKSIBEL)
4 ARGON
5 CO2(CARBON DIOXYDE)
6 CLAM
7 CUTTERS
8 HAMMER(PALU)
9 SENTER PEN
10 STEEL WIRE BUSH(SIKAT KAWAT
BAJA)
11 STEEL SQUARE(SIKU - SIKU)
12 RULERS(PENGGARIS)
13 DIAGONAL PLIERS(TANG POTONG)

14 WELDING MACHINE(MESIN LAS)

15 GERINDER(GERINDA)
16 METER MEASURING
TAPE(METERAN)
17 MAGNETIC DRILL( BOR MAGNET)
18 P.P.E
19 SAFETY SHOES
SAFETY GLOVES
FACE SHIELD
AIR PLUG
MASK
20 FLASH BACK

Daily Safety Inspection.HH-036/Form/D

partment
HSE
cument No.
FO/ISC/INS/004

REMARKS

Daily Safety Inspection.HH-036/Form/D

Item
Observation Recommendations Responsibility
No.

Report within 24 hours of receipt. Atau status shall be attached for observations that are not corrected.

Daily Safety Inspection.HH-036/Form/D

Rev.02.Nov.15,06