PT. KANAAN GLOBAL INDONESIA Appr.By. In Charge Manager Ass.GM Gen.

Mgr
Memo Issued

Slip.No : Date :
General
Buyer : Factory :
Ord No. : Bagian :

Descriptions Ammount RECEIVER AND SIGN

REMARKS

TOTAL Rp -

PT. KANAAN GLOBAL INDONESIA Appr.By. In Charge Manager Ass.GM Gen.Mgr

Memo Issued

Slip.No : Date :
General
Buyer : Factory :
Ord No. : Bagian : GA

Descriptions Ammount RECEIVER AND SIGN

 REMARKS

TOTAL Rp -
 Director Press.Dir

RECEIVER AND SIGN

REMARKS

Director Press.Dir

RECEIVER AND SIGN

REMARKS
PT. KANAAN GLOBAL INDONESIA Appr.By. In Charge Manager Ass.GM Gen.Mgr
PERMINTAAN BIAYA Issued

Slip.No : Date :
General
Buyer : Factory :
Ord No. : Bagian :

Descriptions Ammount RECEIVER AND SIGN

REMARKS

TOTAL Rp -

PT. KANAAN GLOBAL INDONESIA Appr.By. In Charge Manager Ass.GM Gen.Mgr

PERMINTAAN BIAYA Issued

Slip.No : Date :
General
Buyer : Factory :
Ord No. : Bagian : GA

Descriptions Ammount RECEIVER AND SIGN

 REMARKS

TOTAL Rp -
 Director Press.Dir

RECEIVER AND SIGN

REMARKS

Director Press.Dir

RECEIVER AND SIGN

REMARKS
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, February 14, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenkes 492 tahun 2010 tentang Persyaratan Kualitas Pengujian Air Minum

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 1 titik Area produksi
Pengujian Kualitas Air Minum(Periode April 2018)

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Monday, December 11, 2017

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenkes Nomor 48 tahun 2016 tentang Standart Keselamatan dan Kesehatan Kerja
Perkantoran

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Sticker Glow in the dark/fosfor warna hijau ukuran 2 rolls Untuk spot light tangga area produksi
5cmx10m dan office

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Thursday, December 21, 2017

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Keputusan Menteri Pekerjaan Umum Nomor 02/KPTS/1985 tentang Ketentuan
Pencegahan dan Penanggulangan Kebakaran pada Gedung

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Gantungan APAR 50 pcs Untuk memasang APAR

2 Fisher (6mm) 200 pcs Untuk memasang APAR

3 Mata Bor ( 6mmx10mm) 4 pcs Untuk memasang APAR

4 Banner ukuran (2 meter x 50 cm) 1 pcs Sign Hydrant

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, January 03, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Keputusan Menteri Pekerjaan Umum Nomor 02/KPTS/1985 tentang Ketentuan
Alasan Permintaan/Reasons of Request : Pencegahan dan Penanggulangan Kebakaran pada Gedung & Untuk Kebutuhan
HSE&CR

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Steker Broco 35 pcs Untuk Lampu Emergency&Exit

2 Kabel Serabut NYY HY 2 roll Untuk Lampu Emergency&Exit

3 Lampu Exit 10 pcs Kekurangan Pemasangan

4 Lampu Emergency Mata Kucing 10 pcs Kekurangan Pemasangan
5 Mata Bor Beton S6 Naichi 2 pcs Untuk pasang hand dryer

6 Stop Kontak Lampu 30 pcs Untuk Lampu Emergency&Exit

7 Clear Holder 12 pcs Untuk Penyimpanan Dokumen

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Monday, January 22, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenaker No.03 Tahun 1982 tentang Pelayanan Kesehatan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Handscoon ukuran S 1 dus
2 Kassa Gulung 1 pack
3 Kapas 1 pack
4 Alkohol 70% 1 botol
5 Nacl infus 1 flabot
6 Betadine
1 botol besar
7 Lidocain 5 pcs
8 Spuid 3cc needle 23 G 10 pcs
9 Botol spray wadah Nacl 1 pcs Untuk membersihkan luka
10 Galon 1 pcs
11 Dispenser 1 pcs
12 Plester 1 pcs
13 Sufratul 1 pcs
14 Amoxillin 1 dus
15 Metronidazole 1 dus Obat Antibiotik
16 Cotry 1 dus
17 Paracetamol 1 dus
18 Antalgin 1 dus
19 Asam Mafenamat 1 dus
20 Histigo 1 dus
21 Piroxicam 1 dus
22 Antasid 1 dus
23 Ranitidin 1 dus Obat Generik
24 Cetirizine 1 dus
25 Bcomplex 1 dus
26 CTM 1 dus
27 Diaform 1 dus
28 Mitoclopramide HCL 1 dus
29 Iafet 1 dus

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Thursday, December 07, 2017

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Kepmenkes Nomor 1405/MENKES/SK/XI/2002 tentang Persyaratan Kesehatan

Lingkungan Kerja Perkantoran dan Industri

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 1 lembar Untuk sekat antara toilet laki-laki dan
Partisi Gypsum 9mm(1,20x2,40m) dan Pemasangan perempuan

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Friday, January 05, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenaker No. 03 Tahun 1982 tentang Pelayanan Kesehatan, Memenuhi Persyaratan
Buyer, UU No.1 Tahun1970, UU No.13 Tahun 2003
Permenkes No. 15 tahun 2013 tentang fasilitas menyusui

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Timbangan Berat Badan dan Tinggi Badan 1 pcs
Untuk Kebutuhan Klinik
2 Tensimeter Digital Omron 1 pcs
3 Wastafel Toto 1 pcs
4 Hand Dryer 1 pcs
5 Stetoskop 1 pcs
Tabung Oksigen+selang+regulator ukuran 1,5m3
6 2 pcs
(Besar)
Tabung Oksigen+selang+regulator ukuran 1 m3
7 1 pcs
(Kecil)
8 Lemari Obat ukuran 1x2 meter 1 pcs
9 Lemari Dokumen(79x40x200) 3 pcs Gambar Terlampir
10 Infusion Set 10 set
11 Defibrillator ( Alat Pacu Jantung) 1 set
12 Bantal 2 pcs
13 Sprey dan Sarung Bantal disesuaikan ukuran 2 pcs
14 Kursi Kantor 5 pcs
15 Meja Kantor (120x60x75cm) 3 pcs
16 Kursi Panjang (Ruang Tunggu) 2 pcs
17 Penyekatan R. Klinik menngunakan Gypsum oleh 1 set
GA Team
18 AC 1/2 PK 2 set
19 Obat-Obatan diajukan oleh tim medis(menyusul)
20 Perlengkapan Ruang Laktasi
a. Kursi Lipat 1 pcs
b. Kulkas 1 pintu 1 pcs
c. Tirai dan pemasangan 2 set
d. Pompa ASI 2 pcs
e. Sabun dan Tempat Sabun 3 set
f. Sterilisasi Botol ASI 1 pcs
g. Tissue 4 box

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Monday, January 08, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenaker PER/MEN/VIII/2008 Tentang Pertolongan Pertama Pada Kecelakaan di
Tempat Kerja

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Kassa Sterill terbungkus 800 pcs Untuk Isi Kotak P3K di masing-masing
2 Perban (lebar 5 cm) departement
120 pcs
3 Perban (lebar 10 cm) 120 pcs
4 Plester (lebar 1,25 cm) 120 pcs
5 Plester Cepat 400 pcs
6 Kapas (25 gram) 60 pcs
7 Kain segitiga/mitela 120 pcs
8 Gunting Kecil 20 pcs
9 Peniti 240 pcs
10 Sarung tangan medis(pasangan) 5 box
11 Masker Medis 5 box
12 Pinset 20 pcs
14 Gelas untuk cuci mata 1 box
15 Kantong Plastik Bersih (kecil warna putih) 10 pack
16 Aquades (100 ml lar. Saline) 40 botol
17 Povidon Iodin (60ml) 40 botol
18 Alkohol 70% 40 botol
19 Telephone 1 set Untuk Kebutuhan Klinik

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Friday, January 12, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenakertrans Nomor PER.08/MEN/VII/2010 tentang Alat Pelindung Diri

Undang-undang No.1 Tahun 1970

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Ear Plug 100 PCS Untuk Kekurangan Kebutuhan
2 Celemek / Apron 60 PCS APD
3 Masker Kimia / Karbon 15 PCS
4 Kacamata Bening 5 PCS
5 Kacamata Las hitam 5 PCS
6 Sepatu Safety Merk Cheetah 37 PASANG Ukuran sepatu terlampir

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Monday, January 22, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

UU No.1 tahun 1970

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

Untuk ruang genset, kompresor,

1 Banner ukuran (50 cmx100cm) 5 pcs
utility, laser, trafo

2 Banner ukuran (100 cm x 100cm) 2 pcs Untuk area parkir

3 Banner ukuran (100cm x 100cm) 1 pcs Untuk area tanki solar

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Tuesday, January 23, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenaker No.03 Tahun 1982 tentang Pelayanan Kesehatan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Handscoon ukuran S 1 dus
2 Kassa Gulung 1 pack
3 Kapas 1 pack
4 Alkohol 70% 1 botol
5 Nacl infus 1 flabot
6 Betadine
1 botol besar
7 Lidocain 5 pcs
8 Spuid 3cc needle 23 G 10 pcs Untuk Peralatan Penanganan
9 Botol spray wadah Nacl 1 pcs Luka & Kebutuhan Klinik
10 Galon 1 pcs
11 Dispenser 1 pcs
12 Plester 1 pcs
13 Sufratul 1 pcs
14 RL Infus 5 pack
15 Plastik Obat 1 pack
16 Buku Folio 3 pcs
17 Alat Sterilisasi Peralatan Klinik 1 set

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Tuesday, January 23, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenaker No.03 Tahun 1982 tentang Pelayanan Kesehatan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Amoxilin 1 dus
2 Metronidazole 1 dus Obat Antibiotik
3 Cotry 1 dus
4 Paracetamol 500 gr 1 dus
5 Antalgin 1 dus
6 Asam Mefenamat 1 dus
7 Histigo 1 dus
8 Piroxicam 1 dus
9 Antasid 1 dus
10 Ranitidin 1 dus
11 Cetirizine 1 dus
12 Bcomplex 1 dus
13 CTM 1 dus
14 Diaform 1 dus
15 Mitoclopramide HCL 1 dus Obat Generik
16 Iafet 1 dus
17 Ambroxol 1 dus
18 Coparsetin 1 dus
19 Fe 1 dus
20 Minyak kayu putih 1 pack
21 Balsem/conterpain besar 1 pcs
22 Salonpas Koyo 1 pack
23 Dexametasone 1 dus
24 Bioplasenton salep 1 pcs
25 Gentamisin salep 1 pcs
26 Paracetamol 600 gr 1 dus

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, January 31, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Keputusan Menteri Pekerjaan Umum Nomor 02/KPTS/1985 tentang Ketentuan

Alasan Permintaan/Reasons of Request :
Pencegahan dan Penanggulangan Kebakaran pada Gedung

Persyaratan Buyer & Mengganti Lampu Exit & Lampu Emergency yang rusak/tidak
menyala (Eks DSI)
KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Lampu Emergency Mata Kucing 25 pcs Lampu Emergency dan Lampu
2 Lampu Exit 15 pcs Exit dari DSI mati

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, January 24, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenaker No. 03 Tahun 1982 tentang Pelayanan Kesehatan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

Untuk limbah infeksius dan non

1 Tempat sampah tertutup kapasitas 24lt
2 pcs infeksius
2 Rak Sepatu 1 pcs
Untuk Kebutuhan Klinik
3 Keset 1 pcs

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Thursday, January 25, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenaker Nomor PER/09/MEN/2010 tentang Operator dan Petugas Pesawat Angkat-
Angkut
Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 4 orang SIO untuk Operator Forklift,
Pelatihan dan Sertifikasi Operator Forklift, Genset,
Genset, Conveyor dan Lift
Conveyor, Lift Barang
Barang

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Thursday, February 01, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : UU Nomor 30 Tahun 2009 tentang Ketenagalistrikan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Lasdop warna merah (size kabel 6mm) Untuk menutup dan melindungi
3 pack sambungan kabel listrik pada
2 Lasdop warna kuning (size kabel 2.5-4mm) 2 pack sistem instalasi

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, February 07, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenakertrans Nomor PER.15 MEN VIII 2008 Tentang Pertolongan Pertama Pada
Kecelakaan di Tempat Kerja
Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 11 orang
Pelatihan dan Sertifikasi Pertolongan Pertama pada
Sertifikat First Aider
Gawat Darurat

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Tuesday, February 13, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Untuk Pemasangan Checklist Mesin

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Plastik es ukuran 1/2 kg 1000 pcs Checklist mesin

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Tuesday, February 13, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 Plastik es ukuran 1/2 kg 300 pcs Checklist mesin sewing

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 08 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Permenakertrans No.04 Tahun 1980 tentang Syarat - Syarat Pemasangan dan
Pemeliharaan Alat Pemadam Api Ringan dan Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고
1 APAR Foam 32 pcs
2 APAR Powder 21 pcs Refill APAR Expired
3 APAR CO2 3 pcs

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 09 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Keputusan Menteri Pekerjaan Umum Nomor 02/KPTS/1985 tentang Ketentuan Pencegahan dan
Penanggulangan Kebakaran pada Gedung & Concern VF QA

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Besi hollow diameter : 3 cm panjang: 4m

2 pcs
Concern VF QA
2 Karet anti slip tangga 10 m 1 pcs
3 Nylon cable tie 3.6x300 mm 2 pack
4 Masker karbon kimia 10 box Stock APD
5 Stempel P2K3 diameter : 3,5 cm 1 pcs P2K3

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Asst. Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 12 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Untuk kebutuhan Office & Produksi

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Papan nama di meja ukuran 8x25 cm 10 pcs

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Asst. Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 19 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

UU Nomor 30 Tahun 2009 tentang Ketenagalistrikan

Persyaratan Buyer

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Lasdop warna merah (size kabel 6mm) 5 pack

Untuk menutup dan melindungi sambungan
2 Lasdop warna kuning (size kabel 2.5-4mm) kabel listrik pada sistem instalasi
4 pack

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Asst. Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 22 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Untuk Pemasangan Checklist Mesin Sewing

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Plastik es ukuran 1/2 kg 1000 pcs Untuk checklist mesin sewing

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Asst. Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : 28 Maret 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Untuk Kebutuhan Perubahan Layout Main Office

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Stop Kontak isi 3 6 pcs

2 Stekler kaki 2 1 pack

3 5 roll Untuk Kebutuhan Instalasi Perubahan

Cable ukuran 3x1,5 mm2 NYM, panjang: 50 m Layout Main Office
4 Cable duct 70 x 20 (mm) 15 batang
5 Cable tie 3,6 mm 0,14 inch 2 pack
6 Spiral Cable 6 pack

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Presiden
In Charge Asst. Manager Asst. GM Gen.Mgr
Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Tuesday, April 10, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenaker PER/MEN/VIII/2008 Tentang Pertolongan Pertama Pada Kecelakaan di Tempat Kerja

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Kassa Steril Terbungkus 800 pcs

2 Perban (lebar 5cm) 60 pcs
3 Perban (lebar 10cm) 120 pcs
4 Plester (lebar 1,25cm) 120 pcs
5 Plester cepat 400 pcs
6 Kapas (25gram) 60 pcs
7 Gunting kecil 20 pcs Untuk Isi Kotak P3K
8 Peniti 200 pcs
9 Sarung Tangan Medis 3 box
10 Masker Medis 5 box
11 Kantong Plastik Bersih Kecil Warna Putih 10 pack
12 Aquades (100ml lar.Saline) 40 botol
13 Povidon Iodin (60ml) 20 botol

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Asst. HSE&CR Presiden

In Charge Asst. GM Gen.Mgr
Manager Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Monday, April 16, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenakertrans Nomor PER.08/MEN/VII/2010 tentang Alat Pelindung Diri

Kekurangan belum dapat safety shoes

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Safety Shoes Ukuran 40 (Dodit) 1 pcs Untuk Mekanik Utility

2 Safety Shoes Ukuran 39 (Budi) 1 pcs Untuk Mekanik

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Asst. HSE&CR Presiden

In Charge Asst. GM Gen.Mgr
Manager Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, April 18, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Permenakertrans Nomor PER.08/MEN/VII/2010 tentang Alat Pelindung Diri

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Sarung tangan las argon 4 pcs

Untuk Mekanik Utility
2 Tutup kepala las argon 4 pcs

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Asst. HSE&CR Presiden

In Charge Asst. GM Gen.Mgr
Manager Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Wednesday, April 18, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request :

Untuk Penguncian Kotak P3K

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Gembok ukuran 25 mm 20 pcs

Untuk kunci kotak P3K
2 Slot Kunci Gembok
(disesuaikan ukuran gembok 25mm) 20 pcs

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Asst. HSE&CR Presiden

In Charge Asst. GM Gen.Mgr
Manager Director
 PT.KANAAN GLOBAL INDONESIA
PERMINTAAN PEMBELIAN
Bag. Manufacturer, Exporter & Impoter (PURCHASE REQUEST)

First Issued Date :

Divisi : Nomor Permintaan :

Division Request No.

Departemen : HSE&CR Nomor Referensi :

Department Reference No.

Bagian : Tanggal Permintaan : Thursday, May 03, 2018

Section Request Date

Tanggal Diperlukan :
Date needed

Kategory Permintaan/Request Category : Dianggarkan/Budgeted

Tidak Dianggarkan/Non-Budgeted

Status Permintaan/Request Status : √ Mendesak / Urgent Tidak Mendesak / Not Urgent

Alasan Permintaan/Reasons of Request : Untuk kegiatan job fair di wonogiri tanggal 14 & 15 Mei 2018, Persiapan Ramadan Tanggal 16 mei
2018 dan Promosi Keselamatan dan Kesehatan Kerja

KETERANGAN / Remarks
NO. JENIS BARANG / Kind of Items Qty.
전월사용 현재고 비 고

1 Banner job fair Untuk acara job fair di wonogiri

1 pcs
2 Banner Ramadan & Idul Fitri Untuk menyambut bulan puasa
1 pcs
3 Banner safety 1 pcs Promosi Keselamatan dan Kesehatan

1st - Original : General Affairs 2nd - Copy : Division-Department-Section

Asst. HSE&CR Presiden

In Charge Asst. GM Gen.Mgr
Manager Director