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SAFETY TOOLBOX MEETING FORM AP weRTAMINA [Do-No. 2607IIOHSEOAS RDMP voce [effective Date 01/07/2022 cucererd Revision No, ‘0007 [PERUSAHAAN & PAKET PEKERIAAN = UNIT: ~[EOKASIT AREA [COMPANY & WORK PACKAGE unr: LocaTion /ane: PT. ETI PAINTING PKGO2 WORKSHOP 4c KARIANGAU 75 DESKRIPSI/DESCRIPTION | TBM HARIAN 1D SOSIALISASI 9c TBM BERSAMA lo ssp loa Tootsox sareryaverrsociausarion noun suow ToM SAFETY STAND DOWN UMPAN BALIK DARI PERTEMUAN SEBELUMNYA OLEH FEEDBACK FROM THE LAST MEETING ay PEMBELATARAN KECELAKAAN: T incioeN ALERT LESSOW LEARNED: ITOPIK TOOLBOX: a rootsox o1secuseo: Linannr ba = PUNTIOn WET Flok B = SARETY BEHAVIOR uke - Heat 3. - PE - work plane a. Bi é. PEMIMPIN TBM PABATAN FTANGGAL |TANDA TANGAN rand veADER posimon loare stonarune Lorene Unenn See ans Be tan Qors Ae BERHALANGAN / Unable to attend (Key personnel/performing authority only) NAMA/NaMe JALASAN/nexson ~ My PERTAMINA SAFETY TOOLBOX MEETING ATTENDANCE LIST Doe Ne BOTIOHSEDE san effective Date Or Jay 2022 Revision No on ho FITTO WORK ee ocr oe 1] arewormusum | 14527 | Romcrwanncen a f cur 2 NURMADI casi | srenwson © [rage [ez [2 [56 | er 2] resnawocravacir | 2a6es | “ERATOR 2 ee wie 2 [ol | 29% | 20 fr [5] rmeweutamumex | asia | rxavenc 2s [tw/as | 79 | 18 pt 6] wuspanasn 37957 | _acwseector a |tMho laa | 20 | 9s | Err 7 | FASALARIN 717s | acsieronr 28 SAN, a] _wewaorina | aioi7 | acaown B 3] vAswsusio vusis | _sTeevoneen Fy zo] wanwarraana | 36ase | commen conaoe 2 |om #0 |r. a1] wrxopratama | 7061 | somnercs 7 |neloo|an | 17 2 KIKI HIDAYAT 14523 | sroot conTRo. 3 |nofgo | 8% | 19 13] waaawauiana | 36254 | srootconrma. 2 14] Auman ranian — | s3¢39 | root contnon. 2 |tolge | 9h | 18 15 AKBAR 06875, FOREMAN a2 [P(e | 996, | 20 16 ‘SUIONO (05192 BUSTER 3 | (| gl | 17] DEDY MAULANA 14519 BUSTER Velfo |r9% | 18 18 THAMRIN 17057 PANTER wlro |9a%, | 20 19 HABBUDIN 10553 | panren s_|wolpe |qet. | 2 20] REKSA ADIGUNA 17957 PAINTER a Who gt | 9 af SUMAIN pases | PANTER 2 | l0/po | 784. | 20 2 wan siaee | panren » | rfe| 787 | 20 23] HeworteRawTo | 20039. | oreraronroncurt «5 | eof | 78 | 22 ay NUROIN 15843 | OPERATOR FORKUFT 26 | Pelgs | wrt. | 17 2s] D0 saNToso 14525; HetveR 2 | afro at |/20 26] WewaNnaDinata | 51336 HELPER v7 | tego | 73% 18 | or | Por |r 77] ALVINRASSAN Pabane | seseo | HELA » | tehe| 0 | @o [72 [en _| Awe 28] JUUANTOWiIBISONO | 52989 HELPER. 2 | tole | 99%, | Zoo | Fo | Fr . 29 ‘AHMAD 53237 HELPER as [Mol er | ly [re | Par a Date: 20/01/2023 > (POP: 26 ‘TEM Checked by, —_ zt rat Fito eer By, me Parar ike

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