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PT.

PRIMA JAYA PERSADA NUSANTARA

SAFETY TOPIC FORM PENGENDALIAN

CONTROL FORM TOPIK KESELAMATAN

MONTH/BULAN DATE/TANGGAL TIME/JAM DEPARTEMENT/DEPARTMET


__ __ :__ __

SECTION/SEKSI SHIFT CONDUCTED BY-Name / DIBERIKAN OLEH - Nama

DAILY / HARIAN

WEEKLY / MINGGUAN TITLE OF TOPIC


MONTHLY / BULANAN JUDUL TOPIK

CRITIKAL / KRITIS

SAFETY TOPIC DESCRIPTION DESKRIPSI TOPIK KESELAMATAN

SIGNATURE / TANDA TANGAN


PT. PRIMA JAYA PERSADA NUSANTARA

NOMOR NAME / NAMA Z NUMBER SIGNATURE NAMA PERUSAHAAN

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