Scribd Logo
Upload

Welcome to Scribd!

  • Contractor: Name: Date of Birth: Company: Date S.I: Valid Until

    Uploaded by

    adam rizki
    6 views2 pages
    This document contains information about a contractor including their name, date of birth, company, date started working, and valid until date. It also lists 13 elements of a fatality prevention program including working at heights, isolation and lockout, vehicle and traffic safety, and exposure to hot materials and gases. The document is signed by the chief security officer and includes contact information for the Cilegon factory.

    Original Description:

    Original Title

    Name Tag Contractor

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains information about a contractor including their name, date of birth, company, date started working, and valid until date. It also lists 13 elements of a fatality prevention program including working at heights, isolation and lockout, vehicle and traffic safety, and exposure to hot materials and gases. The document is signed by the chief security officer and includes contact information for the Cilegon factory.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views2 pages

    Contractor: Name: Date of Birth: Company: Date S.I: Valid Until

    Uploaded by

    adam rizki
    This document contains information about a contractor including their name, date of birth, company, date started working, and valid until date. It also lists 13 elements of a fatality prevention program including working at heights, isolation and lockout, vehicle and traffic safety, and exposure to hot materials and gases. The document is signed by the chief security officer and includes contact information for the Cilegon factory.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    CONTRACTOR 

      Name :

    Date of Birth :

    2X3 Company :

    Date S.I :

    Valid Until :
    Fatality Prevention Element Program

    1. Working at Heights 7. Hot Work


    2. Isolation & Lockout 8. Digging & Excavation
    3. Vehicle & Traffic Safety 9. Lifting & Supporting Loads
    4. Electrical Safety 10. Working Near Water
    5. Machine Guarding 11. Rail Safety
    6. Confined Space Entry 12. Stability of Quarry Slopes & Stockpiles
    13. Exposure to Hot Material Surface & Gases

    Authorized Signature : (Chief Security)

    Cilegon Factory: Jl. Eropa 1 Kav. P-2 Kawasan KIEC Kota Cilegon 42436 – Banten
    Phone: 0254 – 7840673, 7840671, 7840270

    You might also like