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KODE: MERAH / KUNING / HIJAU

Lingkari salah satu

ENTRY PERMIT
for POB Onshore & Offshore
No: ………. / OFS/SPS/ …. / ….. /2021

Personnel with detail below is/ are granted entry on following purpose(s):

Construction Chiller At Building Area ON 06/09/2021 TIL 12/09/2021

Hasil PCR Swab Test / Rapid Test ANTIGEN : Negatif/Non Reaktif


Domisili/Karantina mandiri di BPN, SNP & HDL : Rapid Test Antigen Validity 3 Days / PCR Swab test Validity 7 Days
Domisili/Karantina mandiri di luar BPN, SNP & HDL : PCR Swab Test, Validity 7 Days
Identitas diri : KTP / Surat Ket. Domisili

Approved by

Superintendent RSES SPS

Note : Entry permit for POB tidak berlaku jika tidak dilengkapi PCR/Rapid Test Antigen Negatif/Non Reaktif
Lokasi Kerja Lokasi Akom.
Tgl keluar (SPSOnshore/ Akomodasi
Tgl keluar hasil Rapid
No Name Entity - Company Domisili Jadwal On – Off Duty
hasil PCR (-) Test Antigen PCK/SMK/ (SPSCamp/
(-) Barge/Vessel/
SNB/BKP)
Rig/BKP LQ)

Handil ─ Personnel
1 Imam Jazuli CST/OPB-CEP 4-Sep-21 SEC Main Gate
Housing 06 - 12 September 2021
Senipah ─ Personnel
2 Karyani CST/OPB-CEP 4-Sep-21 SEC Main Gate
Housing 06 - 12 September 2021
Handil ─ Personnel
3 Delly Anugerah RS CST/OPB-CEP 4-Sep-21 SEC Main Gate
Housing 06 - 12 September 2021
Handil ─ Personnel
4 Vanny Bayu L CST/OPB-CEP 4-Sep-21 SEC Main Gate
Housing 06 - 12 September 2021

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