Questionnaire of Training Request

BASIC INFORMATION OF COMPANY/CLIENT

Company Name : __________________________________________________________________

PIC Name : __________________________________________________________________

PIC Position : __________________________________________________________________

Phone / Fax : _________________ / _________________

Email : __________________________________________________________________

Industry/Products : __________________________________________________________________

__________________________________________________________________

INFORMATION REGARDING TRAINING

Training Topic ISO based training: Awareness Internal Audit

(training yang diinginkan) Documentation IRCA
 ISO 9001  ISO 14001
 OHSAS 18001 ISO ……….
 Integration (QHSE/QE/HSE)
 Other :
Number of Participants
(Jumlah participant)
Level of Participants StaffSupervisorAssistant Manager/Manager
(level daripeserta) Combination Top Management
Other : ……………….
Competence of Participant Basic
(Kompetensidaripeserta)  Already have awareness training before
Already have Internal Audit training before
Combination
Other: ……………….

Please write expectation or additional request (if any) from the training
(Mohondituliskanekspektasidanpermintaantambahan (jikaada) dari training ini)

Completed by:
(Diisioleh) Name/Nama Position/Jabatan

Signed by
(Di sahkanoleh) Date/Tanggal Signature/Tandatangan

PT. Intercoach Safety Services

Taman Sari Bukit Mutiara, Komp. Ruko Wika Blok A1 No. 15; Jl. MT. Haryono (Ring Road), Balikpapan – Kalimantan Timur | Telp. (0542) 875090, Fax. (0542) 8870097;
www.intercoachsafety.com