HEALTH NOTICE HEALTH NOTICE

This inform you that person mentioned bellow is not have a This inform you that person mentioned bellow is not have a
fever and will be onboard: fever and will be onboard:

Name : Name :
Position : Position :
Date of Check : Date of Check :
Body Temperature : Body Temperature :

□ Fever ≥38°C □ Coughing □ Flu □ Sore Throat □ Fever ≥38°C □ Coughing □ Flu □ Sore Throat

Approved by: Acknowledged by: Approved by: Acknowledged by:

____________________ ____________________ ____________________ ____________________

HR Crewing Project Manager HR Crewing Project Manager
PT. TIMUR BAHARI PT. TIMUR BAHARI PT. TIMUR BAHARI PT. TIMUR BAHARI
TJB Project TJB Project TJB Project TJB Project

Note: Note:
1. One-day Pass 1. One-day Pass
2. Only valid if same date of temperature measurement 2. Only valid if same date of temperature measurement

HEALTH NOTICE HEALTH NOTICE

This inform you that person mentioned bellow is not have a This inform you that person mentioned bellow is not have a
fever and will be onboard: fever and will be onboard:

Name : Name :
Position : Position :
Date of Check : Date of Check :
Body Temperature : Body Temperature :

□ Fever ≥38°C □ Coughing □ Flu □ Sore Throat □ Fever ≥38°C □ Coughing □ Flu □ Sore Throat

Approved by: Acknowledged by: Approved by: Acknowledged by:

____________________ ____________________ ____________________ ____________________

HR Crewing Project Manager HR Crewing Project Manager
PT. TIMUR BAHARI PT. TIMUR BAHARI PT. TIMUR BAHARI PT. TIMUR BAHARI
TJB Project TJB Project TJB Project TJB Project

Note: Note:
1. One-day Pass 1. One-day Pass
2. Only valid if same date of temperature measurement 2. Only valid if same date of temperature measurement