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Form No. : FRM-SAF-002.

LAPORAN SHE TALKS


(SHE TALKS REPORT)
PLANT/DIVISION : TANGGAL (DATE) :

DEPARTMENT : JAM (TIME) :

SECTION : TEMPAT (VENUE) :

PEMBICARA (SPEAKER) PESERTA


Undangan orang (INVITEE)

Hadir orang (ATTEND)

TOPIK PEMBICARAAN (TOPIC) ASPECT *)


Safety (Keselamatan Kerja)
Security (Keamanan)
Health (Kesehatan Kerja)
Environment (Lingkungan)
RINGKASAN PEMBICARAAN & PEMBAHASAN (DISCUSSION SUMMARY)

INFORMASI LAIN (OTHERS)

DISTRIBUSI LAPORAN (REPORT TO) DIBUAT, MENGETAHUI,


(REPORTED BY) (ACKNOWLEDGED BY)
Ketua/Sekretaris Sub P2K3 (OHS Committee) Dept. Head / Sect. Head
Department Head
Safety Department Head
Arsip (File) ________________ ________________

*) berilah tanda  pada pilihan (put a check mark on the checkbox) Ref. Doc. Code : SSCD-SAF-002
DAFTAR HADIR SHE TALKS
(ATTENDANCE LIST)

TANGGAL (DATE) : ………………………………………………

NO. NAMA NIK JABATAN TANDA TANGAN


(#) (NAME) (ID#) (JOB TITLE) (SIGNATURE)

Form No. : FRM-SAF-002.2 Ref. Doc. Code : SSCD-SAF-002

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