THEFT INCIDENTS REPORT

1 . 2 . 3 . 4 . 5 .

Reported By (HOS/Supervisor) Theft Discovered by Date & Time of Discovery Date of last visit Stolen Item (Attach photos) Bar screen Basket Screen Stainless Steel Chain

Plant type Location Asset No

Guide Rail Grating

Manhole Cover Others (Described)

6 .

Paint of entry

Cut through Fence Cut Padlock/chain

No sign of forced entry

Others (Described)

Removed gate

7 .

Security guard available under security contract

Yes

No

a) If Yes, provide the name of security company

b) Name of Guard on Duty 8 . Name of team member/ Contractor

(At Date and Time of Theft Discover)

9 .

Date police report made (Attach a copy) Date reported to Insurance & Risk section, HQ (Loss Notification) Preliminary estimate of amount of loss (RM) Investigation conducted by HOS/Supervisor on

10 .

11 .

12 .

(Date)

a) Report on investigation (Attach separate paper if insufficient space) b) Remedial Action to be taken (filled by HOS/ Supervisor) 13 . Any suspect person Yes No

a) If Yes, provide person's details and findings (in a separate P&C document)

14 .

Unit Manager's comment

15 .

Further Action to be taken (Filled by Unit Manager)

(Supervisor)

(HOS)

(Unit Manager)

Name: Date:

Name: Date:

Name: Date:

Standard Operating Procedures (O&M-SOP/006)

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THEFT INCIDENTS REPORT

1 .

Reported By (HOS/Supervisor) Theft Discovered by Date & Time of Discovery Date of last visit Stolen Item
(Attach photos)

Chantran A/L Toraju O &M Contractor S8 3/7/2013 3/7/2013

Plant type : Oxidation Pond Location Asset No : Taman Mutiara : SEN109

2 .

3 .

4 .

5 .

Bar screen Basket Screen Stainless Steel Chain

Guide Rail Grating

Manhole Cover Others (Described) / Fence post

6 .

Point of entry

Cut through Fence Cut Padlock/chain

No sign of forced entry

Others (Described)

Removed gate

7 .

Security guard available under security contract

Yes

No

a) If Yes, provide the name of security

company
b) Name of Guard on Duty 8 . 9 . (At Date and Time of Theft Discover)

Name of team member/ Contractor Date police report made

(Attach a copy)

Rosli Bin Leman

3/7/2013

10 .

Date reported to Insurance & Risk section, HQ

(Loss Notification)

8/7/2013

(Date)

11 .

Preliminary estimate of amount of loss (RM) Investigation conducted by HOS/Supervisor on

RM

5,000.00

12 .

5/7/2013

(Date)

a) Report on investigation (Attach separate paper if insufficient space) b) Remedial Action to be taken (filled by HOS/ Supervisor) 13 .

Semasa menjalankan permeriksaan di loji, didapati 30 batang tiang pagar tiada di tempat asalnya. Pihak kami mengesyaki ianya telah dicuri.
Report No : JALAN CAMPBELL/008289/13

Any suspect person

Yes

No

a) If Yes, provide person's

details and findings

(in a separate P&C document)

14 .

Unit Manager's comment

15 .

Further Action to be taken

(Filled by Unit Manager)

(Supervisor)

(HOS)

(Unit Manager)

Name: Date:

Name: Date:

Pn. Nor Azura Bt Massabir Ali

Name: Date:

En.Ismail Bin Yunus

Standard Operating Procedures (O&M-SOP/006)

Page 4