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LAMPIRAN 10 - Form WO

LIK Formulir Kerja Penugasan Alih Daya No. Formulir

Nama Instalasi :PLTU SINTANG 3 x 7 MW DAN PLTMG MAUMERE 40 MW


Nama Inspektor Alih daya :INDRA ATMAJA
Tanggal Inspeksi :1 Oktober 2018 s/d 30 Oktober 2018

Penyelesaian (%)
No Tipe Inspeksi Penugasan/Pekerjaan Harian Keterangan / Evidence
Inspektor Verifikasi

1 Commisioning 100% 100% PLTU SINTANG 3x7 MW

2 Commisioning 100% 100% PLTU SINTANG 3x7 MW

3 Commisioning 100% 100% PLTU SINTANG 3x7 MW

4 Commisioning 100% 100% PLTU SINTANG 3x7 MW

5 Commisioning 100% 100% PLTU SINTANG 3x7 MW

6 Commisioning 100% 100% PLTU SINTANG 3x7 MW

7 Commisioning 100% 100% PLTU SINTANG 3x7 MW

8 Commisioning 100% 100% PLTU SINTANG 3x7 MW

9 Commisioning 100% 100% PLTU SINTANG 3x7 MW

10 Commisioning 100% 100% PLTU SINTANG 3x7 MW

11 Commisioning 100% 100% PLTU SINTANG 3x7 MW

12 Commisioning 100% 100% PLTU SINTANG 3x7 MW

13 Commisioning 100% 100% PLTU SINTANG 3x7 MW

14 Commisioning 100% 100% PLTU SINTANG 3x7 MW

15 Commisioning 100% 100% PLTU SINTANG 3x7 MW

16 Commisioning 100% 100% PLTU SINTANG 3x7 MW

17 Commisioning 100% 100% PLTU SINTANG 3x7 MW

18 Commisioning 100% 100% PLTU SINTANG 3x7 MW

19 Commisioning 100% 100% PLTU SINTANG 3x7 MW

20 Commisioning 100% 100% PLTU SINTANG 3x7 MW

21 Libur
22 Libur
PLTMG MAUMERE 40
23 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
24 Commisioning 100% 100%
MW
25 Libur Minggu
PLTMG MAUMERE 40
26 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
27 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
28 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
29 Commisioning 100% 100%
MW

PLTMG MAUMERE 40
30 Commisioning 100% 100%
MW
22 Libur Sabtu
23 Libur Minggu
PLTMG MAUMERE 40
24 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
25 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
26 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
27 Commisioning 100% 100%
MW

PLTMG MAUMERE 40
28 Commisioning 100% 100%
MW
PLTMG MAUMERE 40
29 Commisioning Libur sabtu 100% 100%
MW
PLTMG MAUMERE 40
30 Commisioning 100% 100%
MW

Total Penyelesaian Pekerjaan (Harian) 100% 100%

Catatan:

Pemberi Penugasan, Inspector,

OKTAVIANUS ENGGAR BS INDRA ATMAJA


Lampiran 10 - Form WO hal. 1/3

LIK No. Formulir


Formulir Kerja Penugasan Bulanan Alih Daya

Nama Instalasi :PLTMG MAUMERE 40 MW & PLTMG BIMA 50 MW


Nama Inspektor Alih daya :WAHID QHOSYIM

Bulan Inspeksi :01 SEPTEMBER 2018 s/d 30 SEPTEMBER 2018

No Tanggal Keterangan / Evidence


Penilaian Harian (%)
1 01 September 2018 100%
2 02 September 2018 100%
3 03 September 2018 100%
4 04 September 2018 100%
5 05 September 2018 100%
6 06 September 2018 100%
7 07 September 2018 100%
8 08 September 2018 100%
9 09 September 2018 100%
10 10 September 2018 100%
11 11 September 2018 100% Trip Sintang to Jakarta
12 12 September 2018 100%
13 13 September 2018 100%
14 14 September 2018 100% Additional Trip Maumere
15 15 September 2018 100%
16 16 September 2018 100%
17 17 September 2018 100%
18 18 September 2018 100%
19 19 September 2018 100%
20 20 September 2018 100%
21 21 September 2018 100%
22 22 September 2018 100%
23 23 September 2018 100%
24 24 September 2018 100%
25 25 September 2018 100%
26 26 September 2018 100%
27 27 September 2018 100%
28 28 September 2018 100%
29 29 September 2018 100% Additional Trip to Bima ,NTB

30 30 September 2018 100%

Total Penyelesaian Pekerjaan (Bulanan)


100%

Catatan:
Pemberi Penugasan, Inspector,

OKTAVIANUS ENGGAR BS INDRA ATMAJA

Lampiran 10 - Form WO hal. 2/3

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