LOGISTICS TECHNICAL

WORK ORDER ISSUANCE FORM

WORK DESCRIPTION Work Order # 004 DATE: 10-Aug MANPOWER
Assist Engr,g = 1
Mechanic = 1
Repair and Replacement of Aircon Fan Motor External Services

WORK SEQUENCE TYPE OF WORK: MAN-HRS: 2

1.Toolbox Meeting
2.Secure necessary Permits
3 Dismantle Defective Fan Motor of AC
4 Install new Fan Motor on AC
5. Fixed Fan cover
6. Test Run
7. House Keeping

TOOLS PPE
1 set combination wrench # 17mm-#19mm LOTO
1 set Socket wrench #13mm-#14mm-10mm Hard Hat
Plier Safety Shoe
Multi Tester Reflecting Vest
Set of Screw Driver Hand Gloves
Dust Mask

PARTS
Fan Motor-YSK100-6Y/CJ100Y

COMPLETION DATE 10-Aug-20 REMARKS:

ACTUAL MAN-HRS 2
TOTAL COST

Reported By: MOSQUERA E/C Noted By: Carlos Sudaria II

 Document No.
IMS-GEN-094
APO CEMENT CORPORATION Effective Date October 15, 2014
TINA-AN, CITY OF NAGA, CEBU, PHILIPPINES Revision No.: 0 Issue No.: 2
Review Date:
September 24, 2014
Document Title:
JOB HAZARD ANALYSIS (JHA)

Purchase Order (PO), Work Order (WO), Notification No.:

Company (Kumpanya): apo cement iloilo Date (Petsa) : 21-Dec-18
Time pepared(Oras na ginawa) 0800H - 1600H
Job Title (Gagawin Trabaho) : Exact Location(xactong Lugar):
Roto Packer Spout # 1 Terminal 2

JHA Team (Mga taong gumawa ng JHA) : Required PPE (Mga kailangan PPE) :
Aragona E hard hot,safety shoes,safety vest,goggles,gloves
Borja LOTO
Padigos D Hard Hat
Safety Shoe
Reflecting Vest
Hand Gloves
Dust Mask
Required Tools/Equipment (Kagamitang gagamitin sa paggawa) :
Pipe wrench/Ball Hammer,grease gun,adjustible wrench,Tension Wrench

Reviewed by (Sinuri ni): Apo Cement: MOSQUERA E/C escala j

Project Owner Supervisor Name & Signature Safety Officer

Hazards (Mga panganib) Mitigating Controls (Kontrol sa mga panganib)

1 Orient Manpower Misunderstanding proper orientation/safety tips
2 Shut-off Cicuit beakers Electrocution Seal Lock-out
3 Prepare tools needed defective tools/equipment operational/condition tools
4 Dismantling Roto spout # 7 cover Hand injury/dust inhalation Hand gloves/Dust Mask
5 replace 1 set of guilatine plate Hand injury Hand gloves
6 Return bolt and all its cover Hand injury Hand gloves
7 return machine to operational status Hand injury keep hands off moving parts

Use additional sheet if necessary (Magdagdag ng papel kung kailangan)