You are on page 1of 1

Fatality Prevention Element Program

CONTRACTOR 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
Name : 5. Machine Guarding 11. Rail Safety
6. Confined Space Entry 12. Stability of Quarry Slopes & Stockpiles
t 13. Exposure to Hot Material surface & Gases
2x3 Comp
Da e of Birth : Authorized signature: (Chief Security)
any
Date S.I :
Valid until :

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

Fatality Prevention Element Program


CONTRACTOR
1. Working at Heights 7. Hot Work
2. Isolation & Lockout 8. Digging & Excavation
3. Vehicle & Traffic Safety 9. Lifting & Supporting Loads
Name : 4. Electrical Safety 10. Working Near Water
5. Machine Guarding 11. Rail Safety
t 6. Confined Space Entry 12. Stability of Quarry Slopes & Stockpiles
13. Exposure to Hot Material surface & Gases
2x3 Comp
Da e of Birth : Authorized signature: (Chief Security)
any
Date S.I :
Valid until :

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

Fatality Prevention Element Program


CONTRACTOR 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
Name : 5. Machine Guarding 11. Rail Safety
6. Confined Space Entry 12. Stability of Quarry Slopes & Stockpiles
t 13. Exposure to Hot Material surface & Gases
2x3 Comp
Da e of Birth : Authorized signature: (Chief Security)
any
Date S.I
Valid until :
:

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

Fatality Prevention Element Program


CONTRACTOR 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
Name : 5. Machine Guarding 11. Rail Safety
6. Confined Space Entry 12. Stability of Quarry Slopes & Stockpiles
t 13. Exposure to Hot Material surface & Gases
2x3 Comp
Da e of Birth : Authorized signature: (Chief Security)
any
Date S.I :
Valid il :
unt
Cilegon Factory: Jl. Eropa 1 Kav. P-2 Kawasan KIEC Kota Cilegon 42436 - Banten
Phone: 0254 - 7840673, 7840671, 7840270

You might also like