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  • HSE Permit TDE - Civil Dinding

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    Andry Harahap
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    Permit Civil

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    Permit Civil

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    4 views3 pages

    HSE Permit TDE - Civil Dinding

    Uploaded by

    Andry Harahap
    Permit Civil

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 3

    OWNER PROJECT CONTRACTOR

    HYPERSCALE DATA CENTER


    GIIC Block BB No. 2BJl. Tol Jakarta – Cikampek Km. 37, Cikarang Pusat

    Package : Pekerjaan Perapihan Sipil PH dan Cmpus


    PT. TELKOM DATA EKOSISTEM PT. ADYAWINSA T&E
    REQUEST OF IMPLEMENTATION PERMIT TO WORK LETTER
    NO :….....................................................................................
    LOCATION THE WORK SHOULD BE
    NO ITEM OF WORK DATE VOLUME DESCRIPTION
    OF WORK REPAIRED/ NOT FINISHED
    1 Pemasangan dinding 17 Oktober 2022 Power House 10 m'
    - Marking
    - Pemasangan Stek dan Perekat
    - Chiping
    - Pemasangan bata
    - Pemasangan Tulangan dan Bekisting

    - Pengecoran Tulangan
    - Plesteran dan Acian

    Work: Allow/ Not Allowed Note


    Allow
    Allowed by note Cikarang, 17 Oktober 2022
    Not Allowed Prepared by Contractor
    PT. ADYAWINSA T&E

    Buaran Romdoni, ST
    Site Manager
    Note
    Reviewed / Checked by The provision of a seal of approval does not
    PT. TELKOM DATA EKOSISTEM exonerate the responsibilities of project contractor
    over contract compliance to the requirement in the
    document

    Susanto Saudi Form F/IP-01


    HSE Manager
    OWNER PROJECT CONTRACTOR
    HYPERSCALE DATA CENTER
    GIIC Block BB No. 2BJl. Tol Jakarta – Cikampek Km. 37, Cikarang Pusat

    Package :
    PT. TELKOM DATA EKOSISTEM PT. ADYAWINSA
    REQUEST OF OVERTIME WORK PERMIT
    NO :….....................................................................................
    PERSONAL TO OVERTIME
    NO ITEM OF WORK LOCATION OF WORK DESCRIPTION
    NAME POSITION in out MH
    1 Pemasangan dinding Power House Hamedoni Harita Spv Civil
    - Marking Mickel Teknisi
    - Pemasangan Stek dan Perekat Arief For Men
    - Chiping Uci Sanusi Tukang
    - Pemasangan bata Arip Helper
    - Pemasangan Tulangan dan Bekisting Edi Rojali Tukang
    - Pengecoran Tulangan Ridwan Tukang
    - Plesteran dan Acian Yamin Helper
    Kusuma Kepala Tukang

    Work: Allow/ Not Allowed Note


    Allow
    Allowed by note
    Not Allowed

    Cikarang, 17 Oktober 2022


    Reviewed / Checked by Acknowledge/ Approved by Acknowledge/ Approved by Applicant by Contractor
    PT. TELKOM DATA EKOSISTEM PT. TELKOM DATA EKOSISTEM PT. ADYAWINSA T&E PT. ADYAWINSA T&E

    Susanto Saudi Akhmad Sofyan Hamedoni Harita, ST Andry Harahap, ST


    HSE Manager Waspang SPV Civil HSE

    Form F/IP-01

    51
    51

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