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INSPEKSI ALAT DAN PERALATAN

Form-I-005

FIRE EXTINGUISHERS INSPECTION


Periode : .........................

EXTINGUISHERS CONDITIONS
NO OK TYPE NUMBER PRESSURE GAUGE NOZLE POWDER HANDLE COMMENT
( CATRIDGE )

Inspected by Date : Name : Signature :


Position :

Approved by Date : Name : Signature :


Position :

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