DATE : 3 Jan 2018 : C-015/F-001/2018/I/3

NOMOR

Doc. No. C-015/PDG1010/2015/F-001 REQUEST BY : Planner

Rev 0 NAME : Revi PRIORITY : 1 2 3 4 5
CNG PLANT TAMBAK LOROK SIGNATURE : v

EQUIPMENT TAG E-300 WORK ORDER TITLE

WORK ORDER EQUIPMENT NAME WHRU
Greasing Block Bearing and Damper

DURATION (Minutes) DATE PIC

SEQUENCE OF WORK
PLAN ACTUAL START FINISH HOT WORK PERMIT
x COLD WORK PERMIT
1 WHRU CONFINED SPACE WORK PERMIT
1 Prepare materials and tools 15 WORKING AT HEIGHT PERMIT
2 Open block bearing and damper 30 ELECTRIC WORK PERMIT
3 Add grease on block bearing and damper 30 EXCAVATION WORK PERMIT
4 Tightening after greasing finish 30 …………………
5 Performance test 30 ………………..
6 Cleaning 10
OPERATION SHUTDOWN REQUIREMENT

YES x NO

SIGN
ISSUED BY : Revi
DATE : 3 Jan 2018
APPROVED BY : Mukhlason
DATE : 3 Jan 2018
ACKNOWLEDGE BY :
DATE :
RECEIVED BY :
No. Tools QTY Unit Inventory Status Actual PO Y/N DATE :
1 Adjustable Wrench 1 ea INSPECTED BY :
2 Obeng + 1 ea DATE :
3 Obeng - 1 ea NOTE
4 Kunci Pas 1 ea REPEAT ORDER
5 RE-WORK
6 RE-SCHEDULE
ADD ON WORK
…………………………………………….
…………………………………………….
No. Material/Service QTY Unit Inventory Status Actual PO Y/N …………………………………………….
1 Majun 2 kg …………………………………………….
2 Grease 1 Can …………………………………………….
3 …………………………………………….
4 …………………………………………….
5 …………………………………………….
6 …………………………………………….
…………………………………………….

DAILY LABOUR USAGE HAND OVER NAME SIGN DATE KETERANGAN

D1 D2 D3 D4 D5 D6 D7
M 2 man Field Operator 1
E&I man Field Operator 2
HSE 1 man Control Room Operator
Actual man Supervisor Operator