Observasi Tugas Terencana / Planned Task Observation

SOP/WI/JSA yang diobservasi: ……………………………………………………………………………………..

Section/ Penyimapangan yang ditemukan

Nama orang yang diobservasi /
Tanggal / Date Uraian Tugas / Description of Task Dept. / Contractor selama observasi / Deviations Rekomendasi / Recommendation
Name of Person
Observed during Task Observation

Name & ID Signature

Observer : Comments :

Person Observed :

Approval
Superintendent/Manager :