Occupational Health And Safety Safety Induction : PT.Frasta Survey Indonesia {Tanggal |: 20 Maret 2015 a Chainman ae Febci_Kurviianan BIN = 266321R0FU we PRIA NIRBHAYA MSE 2.03 oe + Form desiotia -. HEALTH, SAFETY, ENVIRONMENT & SECURITY SYSTEM DEPT. ID SERVICES RE ‘ST The level of urgencyfingkat urgensi/tingkat urgensi: Very Urgent As normal scheduled [J ase ten Ye ne yap ore Proposed by/Diajukan oleh: PT.FRASTA SURVEY INDONESIA Contractor rare Narva Kona NOMINEE DETAILS / KETERANGAN PESERTA DIISI oleh HSESS Satis DATE OF TRAINING REQUIRED faa C3 ‘BIRTH Posmane. Training yang dipertukan (~) Gaol Pwo | Rao | | — Daur Nama ed ince obs — | aT iiea araey Pare 708 — 14-1980 7 Chainman v T v Gamal HSE aaah 3 f e a ‘ 5 6 M00 Res 7 8 8 70 1 2 8 a >| Fs Ta ea Ne SAT aarti sowie paar So akacoaDhonien sey xn bats vss antag 1 Rett ower eon aprat ta enue! a wo ay ao Soteee Not 1 AEC so ped tmp ponies oe et pgp Sr _— 2 Pease atach Meal Catal & Copy Ib Carstantan ast al elope copy RT ee Approved by/Disetujui oleh: Acknowledged by/Diketahui oleh: Contractor Manager Custodian Manager/KPC User Jawab) ‘SURVEY INDONESIA 8 APR 2085 Pe “Wanle: Tri Joko Susilo zs ~ Wame & BW: Ceres Peston Document Tite ‘Approved By fective Date Uncontrolled Document 1D Services Request Form / FormulrPengajuan I Kerla — GMHSES 0 Nov 2012 ‘When Printed or Out of HSE Info Doe Registration No, Version Next Review Due HSE_KPC_KPC_MSE2.03_DOC_FRMb_001. 2a (01 Nov 2017 Page 1 of 1