PT.

ASIA PETROCOM SERVICES

Jl. Jenderal Sudirman Kav. 1
Gedung Wisma 46 lt. 12 Kota BNI
Jakarta Pusat - 10220
WEEKLY EYEWASH STATION INSPECTION
Rig No : Arjuna # 88
Date : 17 Agustus 2018
Location : SGI Sokoria MTBA# 05
When the last Solution been added? :
Tanggal terakhir pengisian cairan solution

Rig Floor Shaker Area Desilter Area Mud Hopper Emergency Shower
NO Contents REMARKS
Good Bad Good Bad Good Bad Good Bad Good Bad Rig Floor Hopper Shaker
1 Drain Hose
2 Water
3 Cap
4 Valve
5 Nozzle
6 Reservoir
7 House keeping

Note:
Result Inspection

Material requested need / Comment

Inspected by, Acknowledged by,

Yanuar. F / Hendri Anwar H. Kunaedi

HSE Officer Rig Supt

Page 1 of 2
 PT. ASIA PETROCOM SERVICES
Jl. Jenderal Sudirman Kav. 1
Gedung Wisma 46 lt. 12 Kota BNI
Jakarta Pusat - 10220
WEEKLY EYEWASH STATION INSPECTION
Rig No : APS-LKM 1503
Date : 26 Okt 2017
Location : SGI MTBA#01
When the last Solution been added? :
Tanggal terakhir pengisian cairan solution

Rig Floor Shaker Area Mud Over

NO Contents REMARKS
Good Bad Good Bad Good Bad Good Bad
1 Shower
2 Water
3 Cap
4 Valve
5 Nozzle
6 Reservoir
7 House keeping

Note:
Result Inspection

Material requested need / Comment

Inspected by, Acknowledged by,

Yanuar. F / Hendri. A S.Lubis

HSE Officer Rig Supt

Page 2 of 2