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Mobile Equipment Safety Permit 2023

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Azis Rois
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797 views2 pages

Mobile Equipment Safety Permit 2023

Uploaded by

Azis Rois
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

THINK SAFE

The Safe Way Is The Best Way ACT SAFE !!

MINE PERMIT/SIMPER
Reg : 470/HSE-IC/K/VIII/2023
Qualified for : Mobile Equipment Use
NAME : SUPRIYATIN
NIK : PT. WASCO

DATE OF HIRE : 12 SEPTEMBER 2021


COMPANY/DEPT : PT. WASCO / PROJECT
POSITON : OPERATOR
MAIN ACCESS PERMIT

Zero
Fatalities A Goal We Can All Live With
Accident Record
Berwenang untuk mengoperasikan
Authorized To Operated

No Equipment Type P F R
1 Compact Vibro F
2 Wheel Loader F
3 Finisher Asphalt F
4 Tyre Roller F

License Type / Date Expired : BII U / 12 Agustus 2026


Issued Date : 04 Agustus 2023
Expired Date : 12 Agustus 2024
Approved by,

Hendrato Agung Gunawan


KTT PT. Indexim Coalindo / GM Site
Emergency Call : Clinic KM 12 :
NO Hp : 0821 4886 4886 ( ERT POS 12 ) NO Hp : 0821 5338 1081 ( CLINIC KM 12 )
RADIO CHANEL : EMERGENCY

Violation Record

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