PT.

Krakatau Daya Listrik

Work Order Form Jl. Amerika No. 1, Samangraya
Citangkil - Cilegon - Banten - Indonesia
Work Order : 311000022392

MWO Description : Visual Insp Trafo 20/0,4 kV TS 11.1 Functional : KDL-J-0103-TSO-111 TS 11.1 (TD)
Notification : Equipment : 210000005420 Trafo 20/0,4 kV TS 11.1
Notif. Description : Technical Object : KES00228 Trafo 20/0,4 Kv
Reported by : Object Part :
Notification Date : Damage :
Maintenance Plan : 10012858 Cause :
Superior Order : Location : KDL-J-0103 Harbour Ship Unloader/ Loader Area
Order Type : 21PM Preventive Maintenance Plant Section : S06 Dinas TIS
Order Status : RELEASE Planner Group : 216 Dinas TIS
Priority : 3 High Main Work Center : TIS1-N01 Work Center TIS
Release Date : 29.05.2023 Cost Center : 213220 Dinas-Dinas Transmission & Distribution
Start Date : 12.06.2023 Operation Status :
Finish Date : 12.06.2023 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 TIS1-N01 PM01 MINOR INSPECTION OF 4 4,0 16,0 MHR 12.06.2023
TRANSFORMER TS
MINOR INSPECTION OF TRANSFORMER TS
pastikan 5 langkah keselamatan kerja,,
Buka pintu trafo,,
Check Level Oil trafo,,
Check Kebocoran Oil trafo,,
Cleaning Body Trafo,,
Cleaning Bushing LV & HV Trafo,,
Test IR & PI Trafo,,
Test BDV & DGA oil,,
Buat Formulir Pekerjaan,,
Check peralatan,,

COMPONENT Reservation Number: 0000305531

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 :
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Comment: