New Mowilex Factory

PERMIT TO WORK (PTW)

Permit to Work No. : 45/PTW/PEB/GSB/III/2021
Contract No : S19025
Contractor : PT. Gerbang Saranabaja
Issued date : March 16, 2021
Documents References : ...................................................
Drawing No. : GSB-7919/0619-MNF-01 / GSB-7919/0619-MNF-07
Start : March 16, 2021
WMS / WI No. : 01-WMS-MOW-PEB-GSB-VIII-2020.
Finish : April 06, 2021
SI / CI No. : ...................................................
Duration : 3 Weeks
Material Approval No. : 006/MAS/PEB/GSB/I/2020
Section : Main Structure Subcontractor :
Structural / Item Of Work : Install
ACP/Finish Fasade
Part of Structure : Aluminium
Composite Panel
Section of work on which authority has Special Instruction and Precautions :
been given : (e.q. : Specify live underground circuits, hazards etc.)

Detailed description of the work to be Inspected / Tested :

REMARKS : (Client’s or Consultant’s comments)

REQESTED BY : INSPECTED BY : INSPECTED BY : INSPECTED BY : APPROVED BY : ACKNOWLEDGED BY :

PT. GSB PM / SM / PT. TSRT PM / SM PT. MAU PM / PT. NETZ PM / SM / PT. MI. PM / CM / SE PT MOWILEX
SPV / SPV SM / SPV SPV INDONESIA

SIGN : SIGN : SIGN : SIGN : SIGN :

POSITION : POSITION : POSITION : POSITION : POSITION : SIGN :
POSITION :

SCHEDULE DATE :

Note :