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FIT FOR WORK RECOMMENDATION

CV. ANDALUSIA PERKASA ---- PO NO…9500231435

SAFETY CRITICAL JOB


N0 NAME AGE POSITION MCU PROVIDER
CONFINED MOBILE
WAH HOT WORK
SPACE EQUIPMENT

1 ZAINI M. JUNED 55 OPERATOR - - - V CITO LAB

NOTE : hasil konsultasi (+) gengan DR. dr. T. Heriansyah Sp,JP (K) FIHA tggl: 19/03/19

Recommended By:

Dr. Ramadhan Willy Saputra


Company Doctor
MMENDATION

PO NO…9500231435

CONTRACTOR
PERFORMED MCU
MCU UNTIL MCU RECOMMENDATION

FIT DENGAN CATATAN : Hanya


mengoperasikan BOBCAT dan
CV. ANDALUSIA 6-Mar-19 5-Sep-19 Forklift, bukan alat berat dengan
jenis yang lain, konsumsi obat, dan
kontrol kesehatan teratur.

Bekerja : 06 Maret 2019 s/d 06 Mei 2019


Mengetahui
User

Nama : ABUBAKAR IBR


Dept. : PRODUCTION

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