Form. No.

PLD/15/F-004

BACKLOG PART RECOMMENDATION

EQUIP NO : PLAN DATE :
EGI : EST HOUR :
COMPONENT : WORK GROUP :
WO NO : POSISI :
NO BACKLOG : STATUS :
BACKLOG DESC : WR NUMBER :
RECOMMENDED BY MECHANIC :
VALIDASI BY GROUP LEADER :

FIGURE INDEX
NO PART NUMBER PART DESCRIPTION QTY EX INSPECTION EX INSPECTION DATE ACTION KETERANGAN
NUMBER NUMBER

NOTES :
V : PART SUDAH DI INSTALL Approved By Approved By Execute By Prepare By
X : PART BELUM DIINSTALL

Supervisor Group Leader GL - Mechanic Planner

Date : Date : Date : Date :

Revisi: 0