HISTORY RECORD 1

NAMA RIG : …………………………… NO. RIG : ……………………… LOCATION : ………………………..

MAIN GROUP : :
MAIN COMPONENT : MANUFACTURE :
PML & PRL RIG MODEL/TYPE : INDEK KERUMITAN :
SERIAL NUMBER : TH. PEROLEHAN :
Jenis Perbaikan Kumulatif PERBAIKAN KOMPONEN YANG DIGANTI
Jam Kerja Dari Sampai Jumlah Suku Cadang Nama Suku Cadang & Part Number Jumlah
R/M/C/E
Peralatan Terhenti Tgl./Jam Tgl./Jam Down Time Yang Rusak Deskripsi

Supervisor
Keterangan :
R = Routine Maintenance C = Complete Maintenance
( ………………………….. )
M = Medium Maintenance E = Emergency
 PT.SIGMA PETROTECH
HISTORY RECORD # 2

SIGMA PETROTECH P.M. DEFICIENCY REPORT D.R.

P.S.S
RIG : SECTION 1.1
SUB

Equipment Description : Sub. Assy Description :

Manufacture Name : Manufacturer Name :
Model/Type : Model/Type :

Date Deficiency Occurred : Reason for Issuance of Report :

Running Hours : Reporter Name :
Reporting Date : Job Title :

EVENT :

DIAGNOSIS :

CONSEQUENCES :

RECOMMENDATIONS :

Job Control Form Refer to No. Other Information :

 PT.SIGMA PETROTECH PM HISTORY SUMMARY OPENING DATE
FORM PSS
SIGMA PETROTECH RIG :
SUB

ASSET DESCRIPTION : GENERATOR # 1 PARTS MAN HRS.

DATE OR RUNNING
TYPE OF MAINT JCF NUMBER
HOURS
SUMMARY OF MAINTENANCE OPERATION COSTS COSTS