The resource of this report item is not reachable.

The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39062 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK AREA CONVEYOR 2A UNIT 1 Scheduled Start 25 Jul 2019 08:00
( WM214 )
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU01ECA20AF001-001 Ash Conveyor 2A SU01ECA20AF001-BGF1 Boiler Ground Floor Unit 1

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:05
20 periksa kondisi belt conveyor 00:20
30 periksa kondisi Carying idler dan support 00:30
40 periksa kondisi Return idler dan support 00:30
50 periksa kondisi Pulley 00:10
60 periksa kondisi Shaft Bearing 00:20
70 periksa kondisi Gearbox dan fluid coupling dan pelumasnya 00:10
80 periksa kondisi Chute, diverter dan structure conveyor 00:10
90 periksa kondisi take up dan counter weigh 00:10
100 periksa Belt Cleaner dan Skirt Rubber 00:10
110 Cleaning Area 00:10
120 Test Operasi 00:10
130 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 03:00
Technician
HELPER Labor Helper 2 03:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39062 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK AREA CONVEYOR 2A UNIT 1 Schedule Start Date 25 Jul 2019 08:00
( WM214 )
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU01ECA20AF001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Ash Conveyor 2A Worktype: Preventive Maintenance
Location SU01ECA20AF001-BGF1 Supervisor: Yefri
Boiler Ground Floor Unit 1

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 3
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ20 Bahaya Terhirup Debu
SLA_HZ22 Bahaya Terjatuh dari ketinggian
SLA_HZ24 Bahaya Terjepit
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ20 SLA_PR04 PAKAI BAJU TAHAN DEBU
SLA_HZ22 SLA_PR09 PAKAI HELMET
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR14 PAKAI KACA MATA BENING
SLA_HZ20 SLA_PR19 PAKAI MASKER HIDUNG DEBU
SLA_HZ22 SLA_PR24 PAKAI SABUK PENGAMAN
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL
SLA_HZ24 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39065 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK AREA CONVEYOR COMMOND EMERGENCY UNIT 1-4 (WM214)
Scheduled Start 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU00ETK16AF001-001 Emergency Conveyor SU00ETK16AF001-AV Ash Valley Area

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:05
20 periksa kondisi belt conveyor 00:20
30 periksa kondisi Carying idler dan support 00:30
40 periksa kondisi Return idler dan support 00:30
50 periksa kondisi Pulley 00:10
60 periksa kondisi Shaft Bearing 00:20
70 periksa kondisi Gearbox dan fluid coupling dan pelumasnya 00:10
80 periksa kondisi Chute, diverter dan structure conveyor 00:10
90 periksa kondisi take up dan counter weigh 00:10
100 periksa Belt Cleaner dan Skirt Rubber 00:10
110 Cleaning Area 00:10
120 Test Operasi 00:10
130 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 03:00
Technician
HELPER Labor Helper 2 03:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39065 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK AREA CONVEYOR COMMOND EMERGENCY UNIT 1-4 (WM214)
Schedule Start Date 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU00ETK16AF001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Emergency Conveyor Worktype: Preventive Maintenance
Location SU00ETK16AF001-AV Supervisor: Yefri
Ash Valley Area

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 3
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ20 Bahaya Terhirup Debu
SLA_HZ22 Bahaya Terjatuh dari ketinggian
SLA_HZ24 Bahaya Terjepit
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ20 SLA_PR04 PAKAI BAJU TAHAN DEBU
SLA_HZ22 SLA_PR09 PAKAI HELMET
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR14 PAKAI KACA MATA BENING
SLA_HZ20 SLA_PR19 PAKAI MASKER HIDUNG DEBU
SLA_HZ22 SLA_PR24 PAKAI SABUK PENGAMAN
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL
SLA_HZ24 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39069 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK TRANSPORTER UNIT 2 ( WM214 Scheduled Start 25 Jul 2019 08:00
WM414)
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU02ETG40BR001-001 DEPAC Transporter unit 2 SU02ETA-EP2 EP Area Unit 2

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 Ijin operator (menggunakan loto bila diperlukan) 00:05
20 Periksa pressure 00:15
30 Periksa kondisi ash inlet 00:15
40 Periksa kondisi ash outlet valve 00:15
50 Periksa feksibel hose / air inlet 00:15
60 Periksa conveiying pipe 00:30
70 Periksa kondisi fludizing 00:15
80 Periksa safety valve 00:30
90 Periksa drain valve 00:15
100 Periksa Change Over Gate Valve 00:25
110 Periksa boster dan forging valve 00:25
120 Periksa kondisi hopper dan manhole EP hopper 00:15
130 Cleaning area peralatan 00:15
140 Lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
JRMECH Junior Mechanical 1 04:00
Technician
HELPER Labor Helper 2 04:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39069 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK TRANSPORTER UNIT 2 ( WM214 Schedule Start Date 25 Jul 2019 08:00
WM414)
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU02ETG40BR001-001 Target Finish Date Jul 25, 2019, 3:00 PM
DEPAC Transporter unit 2 Worktype: Preventive Maintenance
Location SU02ETA-EP2 Supervisor: Yefri
EP Area Unit 2

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 4
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ20 Bahaya Terhirup Debu
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ20 SLA_PR04 PAKAI BAJU TAHAN DEBU
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ20 SLA_PR19 PAKAI MASKER HIDUNG DEBU
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39070 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK DUST CONDITIONER A UNIT 3(WM214) Scheduled Start 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU03ETG10AW001-001 Dust Conditioner A (Pneumatic Gravity Conveyor) SU03ETG10AW001-EP3 EP Area Unit 3
Unit 3

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:10
20 Periksa Gear Box dan Spur Gear 00:10
30 Periksa ketegangan Chain Transmition 00:10
40 periksa shaft bearing 00:10
50 periksa padle mixer 00:20
60 periksa nozzle spray dan nozle valvenya 00:20
70 periksa spur gear 00:10
80 Periksa Lubrication Oil 00:10
90 Cleaning Area 00:10
100 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:10
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 02:00
Technician
HELPER Labor Helper 2 02:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39070 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK DUST CONDITIONER A UNIT 3(WM214) Schedule Start Date 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU03ETG10AW001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Dust Conditioner A (Pneumatic Gravity Worktype: Preventive Maintenance
Conveyor) Unit 3
Location SU03ETG10AW001-EP3 Supervisor: Yefri
EP Area Unit 3

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 2
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ20 Bahaya Terhirup Debu
SLA_HZ24 Bahaya Terjepit
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ20 SLA_PR04 PAKAI BAJU TAHAN DEBU
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR14 PAKAI KACA MATA BENING
SLA_HZ20 SLA_PR19 PAKAI MASKER HIDUNG DEBU
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL
SLA_HZ24 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39083 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK REFACTORY UNIT 4(WM214) Scheduled Start 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU04ETK12BR003-001 Bottom Ash Submerged Scrapper Conveyor 4 Unit 4 SU04ETK12BR003-BGF4 Boiler Ground Floor Unit 4

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:05
20 periksa kondisi sinar api dari lubang intip 00:10
30 periksa kondisi batu tahan api 00:05
40 periksa kondisi seal trough 00:10
50 periksa kondisi lower chute 00:15
60 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:15
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
JRMECH Junior Mechanical 1 01:00
Technician
HELPER Labor Helper 1 01:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39083 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK REFACTORY UNIT 4(WM214) Schedule Start Date 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU04ETK12BR003-001 Target Finish Date Jul 25, 2019, 3:00 PM
Bottom Ash Submerged Scrapper Conveyor 4 Worktype: Preventive Maintenance
Unit 4
Location SU04ETK12BR003-BGF4 Supervisor: Yefri
Boiler Ground Floor Unit 4

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 1
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ24 Bahaya Terjepit
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ24 SLA_PR14 PAKAI KACA MATA BENING
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL
SLA_HZ24 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39090 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK TRANSPORTER UNIT 3 ( WM214 Scheduled Start 25 Jul 2019 08:00
WM414)
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU03ETG40BR001-001 DEPAC Transporter unit 3 SU03ETA-EP3 EP Area Unit 3

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 Ijin operator (menggunakan loto bila diperlukan) 00:05
20 Periksa pressure 00:15
30 Periksa kondisi ash inlet 00:15
40 Periksa kondisi ash outlet valve 00:15
50 Periksa feksibel hose / air inlet 00:15
60 Periksa conveiying pipe 00:30
70 Periksa kondisi fludizing 00:15
80 Periksa safety valve 00:30
90 Periksa drain valve 00:15
100 Periksa Change Over Gate Valve 00:25
110 Periksa boster dan forging valve 00:25
120 Periksa kondisi hopper dan manhole EP hopper 00:15
130 Cleaning area peralatan 00:15
140 Lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
JRMECH Junior Mechanical 1 04:00
Technician
HELPER Labor Helper 2 04:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39090 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK TRANSPORTER UNIT 3 ( WM214 Schedule Start Date 25 Jul 2019 08:00
WM414)
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU03ETG40BR001-001 Target Finish Date Jul 25, 2019, 3:00 PM
DEPAC Transporter unit 3 Worktype: Preventive Maintenance
Location SU03ETA-EP3 Supervisor: Yefri
EP Area Unit 3

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : Yefri
Lama Pekerjaan : 4
Jumlah Pekerja/Pelaksana :

RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ20 Bahaya Terhirup Debu
SLA_HZ33 Bahaya Tertimpa Beban

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ20 SLA_PR04 PAKAI BAJU TAHAN DEBU
SLA_HZ33 SLA_PR10 PAKAI HELMET GRINDSTONE
SLA_HZ20 SLA_PR19 PAKAI MASKER HIDUNG DEBU
SLA_HZ33 SLA_PR35 PAKAI SEPATU TAHAN PUKUL

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39129 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK ELECTRO PRECIPITATOR UNIT 6 SISI B (M257) Scheduled Start 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU06HDE20AT001-001 Electrostatic Precipitator B Unit 6 SU06HDE20AT001-EP6 EP Area Unit 6

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:15
20 periksa kondisi/kebersihan peralatan dan area sekitar peralatan 00:15
30 periksa kondisi gearbox crm dan drm 00:30
40 periksa level minyak pelumas gearbox crm dan drm 00:15
50 periksa kondisi poros hammer 00:15
60 periksa kondisi clamp hammer dan kencangkan bila kendor 00:30
70 regreesing hubungan clamp / pengungkit dengan disk poros 00:30
80 periksa kekencangan rantai dan lumasi rantai 00:15
90 periksa kondisi karet penyekat poros hammer 00:30
100 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:15
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 04:00
Technician
HELPER Labor Helper 1 04:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39129 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK ELECTRO PRECIPITATOR UNIT 6 SISI B (M257) Schedule Start Date 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU06HDE20AT001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Electrostatic Precipitator B Unit 6 Worktype: Preventive Maintenance
Location SU06HDE20AT001-EP6 Supervisor: Yefri
EP Area Unit 6

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : SLA SPS PEMELIHARAAN ASH
MEKANIK
Lama Pekerjaan : 4
Jumlah Pekerja/Pelaksana :
RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39133 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK COMPRESSOR A UNIT 6 ( M257 Scheduled Start 25 Jul 2019 08:00
M457 )
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU06ETP50AN001-001 Compressor & Motor 1 Transport Air & Compressor SU06ETP50AN001-EP6 EP Area Unit 6
Unit 6

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:05
20 periksa temperatur 00:10
30 periksa differential pressure 00:10
40 periksa Pressure 00:10
50 Periksa louding unlouding 00:10
60 Cleaning air filter 00:10
70 Cleaning out side oil cooler / after cooler 00:10
80 periksa oil filter 00:10
90 periksa level oil 00:10
100 periksa unloader valve 00:10
110 periksa separator filter 00:10
120 bersihkan peralatan dan area sekitar 00:10
130 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 02:00
Technician
HELPER Labor Helper 2 02:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39133 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK COMPRESSOR A UNIT 6 ( M257 Schedule Start Date 25 Jul 2019 08:00
M457 )
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU06ETP50AN001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Compressor & Motor 1 Transport Air & Worktype: Preventive Maintenance
Compressor Unit 6
Location SU06ETP50AN001-EP6 Supervisor: Yefri
EP Area Unit 6

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : SLA SPS PEMELIHARAAN ASH
MEKANIK
Lama Pekerjaan : 2
Jumlah Pekerja/Pelaksana :
RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ04 Bahaya Getaran
SLA_HZ06 Bahaya Kebisingan (Over Desible)
SLA_HZ11 Bahaya Panas

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ11 SLA_PR03 PAKAI BAJU TAHAN PANAS
SLA_HZ06 SLA_PR07 PAKAI EAR PLUG
SLA_HZ04 SLA_PR07 PAKAI EAR PLUG
SLA_HZ11 SLA_PR29 PAKAI SARUNG TANGAN KULIT
SLA_HZ11 SLA_PR41 PAKAI SEPATU TAHAN PANAS

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39135 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK AERATION BLOWER B UNIT 5 (M257 Scheduled Start 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU05ETK10KN002-001 Aeration Blower B Unit 5 SU05-EP5 EP Area Unit 5

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:15
20 periksa kondisi safety valve aeration blower 1-2 00:15
30 periksa kondisi temperatur aeration blower 1-2 00:15
40 periksa level dan kondisi pelumas gear box aeration blower 1-2 00:15
50 periksa kondisi pully , dan V-belt aeration blower 1-2 00:15
60 periksa kondisi line blower 00:15
70 periksa dan kebersihan filter udara blower 00:15
80 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:15
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 02:00
Technician
HELPER Labor Helper 1 02:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39135 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK AERATION BLOWER B UNIT 5 (M257 Schedule Start Date 25 Jul 2019 08:00
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU05ETK10KN002-001 Target Finish Date Jul 25, 2019, 3:00 PM
Aeration Blower B Unit 5 Worktype: Preventive Maintenance
Location SU05-EP5 Supervisor: Yefri
EP Area Unit 5

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : SLA SPS PEMELIHARAAN ASH
MEKANIK
Lama Pekerjaan : 2
Jumlah Pekerja/Pelaksana :
RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ04 Bahaya Getaran
SLA_HZ06 Bahaya Kebisingan (Over Desible)
SLA_HZ11 Bahaya Panas

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ11 SLA_PR03 PAKAI BAJU TAHAN PANAS
SLA_HZ06 SLA_PR07 PAKAI EAR PLUG
SLA_HZ04 SLA_PR07 PAKAI EAR PLUG
SLA_HZ11 SLA_PR29 PAKAI SARUNG TANGAN KULIT
SLA_HZ11 SLA_PR41 PAKAI SEPATU TAHAN PANAS

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

SURAT PERINTAH KERJA

No Work Order: SLA19/39138 Report Date 16 Jul 2019
Deskripsi: PM MEKANIK COMPRESSOR B UNIT 5 (M257 Scheduled Start 25 Jul 2019 08:00
M457 )
Seksi: Pemeliharaan ASH Mekanik Scheduled Finish: 25 Jul 2019 15:00
Worktype: Preventive Maintenance Target Finish Jul 25, 2019, 3:00 PM
Supervisor: Yefri Status: SCHED-OK
Safety Plan :
Long Description:

Asset / Location location locdesc

Asset Asset Description Location Location Description
SU05ETP60AN001-001 Compressor & Motor 2 Transport Air & Compressor SU05ETP60AN001-EP5 EP Area Unit 5
Unit 5

Task IDs
Task ID Description Estimated Duration Actual Duration Remarks
10 ijin operator (menggunakan loto bila diperlukan) 00:05
20 periksa temperatur 00:10
30 periksa differential pressure 00:10
40 periksa Pressure 00:10
50 Periksa louding unlouding 00:10
60 Cleaning air filter 00:10
70 Cleaning out side oil cooler / after cooler 00:10
80 periksa oil filter 00:10
90 periksa level oil 00:10
100 periksa unloader valve 00:10
110 periksa separator filter 00:10
120 bersihkan peralatan dan area sekitar 00:10
130 lapor ke operator bila pekerjaan telah selesai,buat laporan 00:05
hasil pekerjaan

Planned Labor
Task ID Craft Description Qty Hours Labor ID Labor Name Remarks
SRMECH Senior Mechanical 1 02:00
Technician
HELPER Labor Helper 2 02:00

Planned Material
Task ID Item Description Storeroom Qty Satuan Remarks

Planned Tool
Task ID Tool Description QTY Hours Remarks

Planned Services
Task ID Service Item Description QTY Vendor

FAILURE REPORTING
PREDICTION ACTUAL
Problem : Problem :

Cause : Cause :

Remedy : Remedy :

Additional Remarks :

Supervisor Senior Operasi Remark Teknisi Pemeliharaan Supervisor Senior Pemeliharaan

....................................................
Executor / Lead Executor
(??) ACCEPTED (YES)
(??) REWORK (NO)
Reason For Create Follow Up :
......................................................................................................................
......................................................................................................................
......................................................................................................................
.................................................... ....................................................

7/17/19 10:29 AM
The resource of this report item is not reachable. The resourc

UP Suralaya SLA19/39062

WORK SAFETY PERMIT

No Work Order: SLA19/39138 ReportDate 16 Jul 2019
Deskripsi: PM MEKANIK COMPRESSOR B UNIT 5 (M257 Schedule Start Date 25 Jul 2019 08:00
M457 )
Seksi: Pemeliharaan ASH Mekanik Schedule Finish Date 25 Jul 2019 15:00
Asset SU05ETP60AN001-001 Target Finish Date Jul 25, 2019, 3:00 PM
Compressor & Motor 2 Transport Air & Worktype: Preventive Maintenance
Compressor Unit 5
Location SU05ETP60AN001-EP5 Supervisor: Yefri
EP Area Unit 5

Nama Kontraktor : TINGKAT RESIKO

Pimpinan Kontraktor :
Pengawas Pekerjaan : SLA SPS PEMELIHARAAN ASH
MEKANIK
Lama Pekerjaan : 2
Jumlah Pekerja/Pelaksana :
RENDAH SEDANG TINGGI

Klasifikasi Pekerjaan/Classification of Work )*

Pipanisasi/Piping Penyetelan/Setting Instrumentation Konstruksi/construction
Pengelasan/Welding Pemeriksaan/inspection Bekerja di ketinggian (>= 2.5 m) Fabrikasi/fabrication
Pengecatan/Painting pekerjaan di ruang dan Kelistrikan/electricity cleaning service
Isolasi/Isolating atau oksigen terbatas (confined Pemasangan/installing Penggalian/Digging
spaces)

*) Untuk pekerjaan yang memerlukan ijin khusus harus dilengkapi ijin tambahan seperti : Hot Work Permit, Fire Detection Isolation Permit, Hazardous Energies
Work Permit, dan Confined Space Work Permit.

Jenis Potensi Bahaya Terkait Pekerjaan (HAZARDS) :

Hazard Description
SLA_HZ04 Bahaya Getaran
SLA_HZ06 Bahaya Kebisingan (Over Desible)
SLA_HZ11 Bahaya Panas

Tindakan Pencegahan (PRECAUTIONS)

Hazard Precaution Description
SLA_HZ11 SLA_PR03 PAKAI BAJU TAHAN PANAS
SLA_HZ06 SLA_PR07 PAKAI EAR PLUG
SLA_HZ04 SLA_PR07 PAKAI EAR PLUG
SLA_HZ11 SLA_PR29 PAKAI SARUNG TANGAN KULIT
SLA_HZ11 SLA_PR41 PAKAI SEPATU TAHAN PANAS

Tag Out Procedures

Tag Out Location To Tag Out Asset To Tag Out Description Required State

Lock Out Operations (bila diperlukan)

Location Asset Description Locking Device Required State Apply Sequence Remove
Sequence

Tindakan Pengamanan Tambahan :

......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................
......................................................................................................................................................................................................................................................................................................................

PENGAWAS K3 SUPERVISOR SENIOR OPERASI PENGAWAS LAPANGAN KONTRAKTOR (Jika Ada)

...................................... ...................................... ..................................... ......................................

7/17/19 10:29 AM