Title Page

  • Conducted on

  • Prepared by

  • Location
  • Lokasi Pemasangan (GI) :

  • Dibuat Oleh :

  • Tanggal Pelaksanaan :

  • Dokumentasi Safety Brifing :

  • Kelengkapan Alat Kerja & K3 Vendor :

  • Foto Pemasangan Tray (1) :

  • Foto Pemasangan Tray (2) :

  • Foto Pemasangan Tray (3) :

  • Foto Pemasangan Tray (4) :

  • Tanda Tangan Pengawas Pekerjaan :

  • Nama Pelaksana Vendor :

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