Title Page

  • Document Nbr.

  • Audit Type

  • Tahun

  • Audit ke- (restart jika ganti tahun)

  • Short Description

  • Tanggal dilakukan TAGGING

TAG ISSUER

  • Departemen

  • Issuer

  • Issuer

  • Issuer

LOKASI

  • Process Area

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Equipment

  • Please specify

PRIORITAS

  • Prioritas

DEFECT TAG

  • TAG CATEGORY

  • Operator Defect Type

  • Abnormailty Defect Type

  • Contamination Defect Type

  • Hard to Access to :

  • Problem Description

  • Foto

  • Safety Defect Type

  • Problem Description

  • Foto

  • Maintenance Defect Type

  • Abnormailty Defect Type

  • Contamination Defect Type

  • Hard to Access to :

  • Problem Description

  • Foto

CORRECTIVE ACTION

  • Done by Departemen :

  • PIC :

  • PIC :

  • No. WR :

  • PIC :

  • No. WO :

  • Tanggal Selesai dilakukan Corrective Action

  • Corrective Action Taken

  • Jika ada modifikasi/perubahan, apakah Risk Assessment sudah dilakukan?

  • Apakah ada di bawah ini yang harus di update setelah action selesai dilakukan?

  • Hal yang harus diupdate -
  • Done by Departemen :

  • PIC :

  • PIC :

  • PIC :

  • Tanggal direncanakan

  • Selesai dilakukan

  • Training yang dibutuhkan

TAG STATUS

  • Status

Closure

  • Tertanda,

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