STM Contractors Key Performance Indicator 2023 - aaa A INSPECTION Pre mspECTION Te Inspector Name: Muhamed mizan Anapncti Dat: 197082023 Inspection Location :aydown goats ‘Superior; De rawan Remarks: PPEIMSPECTION 194ULI2023 OK = Conformance on Conformance ‘i ital General Condon =n e Doserption oK Nor 1 [Batety Gone I}. check er sersten on oss _ = 7 2. Check orf & proper est ox Z [sate Harm - 1. Check or vise crack x a 2. Ensure no pant on re helmet _ on _ creck ere vay om ox = _ le. creck ne suspension . ox F [Untorm or Covert os a s. Pysial Creek No damage and consist wth ‘a retin pessicec | ae —| liter prpose ox 7 [Safety Shoes = : Eien i ttre saay shoes an sp base oe z = —| bie iste sepa ele Sc [TT fare | eee la et he sty shoes has gos slo ox 7 JPearng Protection (Earmu or Earpua) 1st gooscondton odonage ress) [OF ] Face protection (Face Shield or Welding Facaast) 1 ite goose No camasemakedor | oa Saas 7 [Gloves where needed (chemical Rubber, Light Duly Gloves, High Impact Resistant Gloves, nd ete) wine god coraten Wo canane maser | og [eine ge A F [Respirator Protection (an Coie) as an 11s the good eonaion (No damage, aked or ae caer = tet eatpe god onan No conaae a feces cate) [see Resrator have sowed prope NA 7 Josten Body Harness for Working at Height Actvy 11s the good enaonNo damoge faked or ri een) = = = es tee Shock Absa good conto ave 7 nspecten tone = — tet Doble nr ood ean and ave ia Inspeton aoa To [ter Protective Equipment ~ * Tene gro conan No camane faked 5 TT [Inspoction Procedure for PPE ana implementation 1s any procedure of PE and te Pow to 60 az 2. Employes tranedin PPE usege ? on a, 2oujure023 suf Op B23 NamaPerasaon —— (tasuakan Janda Tanggan) 1a 6)0/P8 : usratyadin fan Scare Leto PIO Scanned with CamScanner