Title Page

  • Conducted on

  • Prepared by

  • Location
  • Shift:

EQUIPMENT

  • CCTV Camera (Normal, Broken, Repair)

  • Metal Detector

  • HT (Quantity + Condition)

  • Thermo Gun (Qty + Condition)

  • Satellite Phone (Check Battery + Pulsa)

  • TOA

  • Flashlight

  • PDA

  • MCFA Status

  • Periksa Form disetiap Post. Manual Attendance, Temperature Check, Form Paket, Form Kunci, Form Vendor, dll

HANDOVER INFORMATION

  • Occupancy:

  • Expected Arrival:

  • Expected Departure:

  • Event?

  • VIP Parking (Drop Off)

  • Engineering Project

  • Master Key: Key Card and Metal Key

  • Paket/Surat di Box Alpha

  • INCIDENT

  • Apakah ada karyawan yang sakit? Ambil data dari in-house clinic

  • Training

  • Project TC/SSA/ISRA/FLS/MIRA/Others:

  • Others (CCTV Playback, Investigation, Administration, etc)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.