PT.

Krakatau Daya Listrik

Work Order Form Jl. Amerika No. 1, Samangraya
Citangkil - Cilegon - Banten - Indonesia
Work Order : 313000001214

MWO Description : Supervisi penggalian jalur redundant KOS Functional : KDL-J-3000-GDO-763 Gardu Kos
Notification : 303000001296 Equipment : 210000005157 Gardu KOS
Notif. Description : Supervisi penggalian jalur redundant KOS Technical Object : KES00231 RMU 20 Kv
Reported by : IRFAN P Object Part :
Notification Date : 20.01.2022 Damage :
Maintenance Plan : Cause :
Superior Order : Location : KDL-J-3000 KIEC 1 Area
Order Type : 21CM Corrective Maintenance Plant Section : S04 Dinas T&DS
Order Status : RELEASE Planner Group : 214 PG T&DS
Priority : 3 High Main Work Center : MV1-N01 Work Center MV
Release Date : 25.01.2022 Cost Center : 213220 Dinas-Dinas Transmission & Distribution
Start Date : 21.01.2022 Operation Status :
Finish Date : 23.01.2022 Revision :

OPERATION Ext. Service PR Number:

Op No Sub Work-Center C-Key Operation Short Text Num Dur Work Unit Start-Date Start-Time End-Date End-Time
0010 MV1-N01 PM01 Supervisi penggalian jalur 1 8,0 8,0 MHR 21.01.2022 08:12
redundant KOS

COMPONENT Reservation Number: 0000176801

Item Material Description Qty UoM Op No S. Loc PR No Recipient Status

TOOLS/SAFETY
No PRT No Description Qty UoM

PENGAMANAN (Perhatikan 5 langkah Keselamatan Kerja dan Gunakan Peralatan Keselamatan Kerja)
Elektrik Mekanik Safety
Langkah Pengamanan : Langkah Pengamanan : Note :

SPV/SPT : TTD SPV: SPV/SPT : TTD SPV: SPV/SPT/K3 Rep : TTD SPV:
Tanggal : Tanggal : Tanggal :
Aman Dikerjakan [_]Y [_]N TTD SPT: Aman Dikerjakan [_]Y [_]N TTD SPT: JSA [_]Y [_]N TTD SPT:
Aman Dioperasikan [_]Y [_]N Aman Dioperasikan [_]Y [_]N LOTO [_]Y [_]N

DILAKSANAKAN OLEH : DISETUJUI OLEH :

Nama Durasi Nama Tanda Tangan Postponed / Cancellation of Order
Operation By (Name) : _________________
SPV PG-M : Reason Type:
Tanggal : [_] Waiting for Material [_] Waiting for Service
Sptd PG-M : [_] Object Running [_] Duplicate WO
Tanggal : [_] Object Breakdown [_] No Fault Found
SPV PG-Eng : [_] Bad Weather [_] Others
Tanggal :
.
Comment: