You are on page 1of 1

PENANG PORT SDN. BHD.

(283544D)
FACILITIES DEPARTMENT
TECHINICAL SERVICES DIVISION T 604 310 2505
Butterworth Wharves F 604 323 4653
12100 Butterworth, Penang, Malaysia

MAINTENANCE REQUEST FORM (PM01)


1. TO BE FILLED BY THE REQUESTING UNIT / DEPARTMENT / DIVISION

Security, Safety &


Requesting Dept Date 13/03/2024 Time 1730
Emergency Services

Location Balai Bomba SPCT Equip


Section Fire & Rescue 04-2937804 BS 1
Tel. Ext. No.

AIRCOND BILIK KAWALAN TERSUMBAT AIR MENITIK KELUAR

Description

Requested by Akhta Fahrami Bin Yusni Position

Approved by Mohd Zulhasri Bin Taib Position

II. FOR WORKSHOP USE

Form Received by Date / Time

Order type MO Crested

Remarks:

III. HANDOVER RECORD


Date Time
Dep. Rep Position
Technician File

You might also like