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Contoh Form Audit K3

Contoh Format audit K3

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sabila
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0% found this document useful (0 votes)
80 views4 pages

Contoh Form Audit K3

Contoh Format audit K3

Uploaded by

sabila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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g FORM CHECKLIST AUDIT K3 POLITEKNIK NEGERI BANDUNG Periode : 3020 Tempat : Auong Genset Gedung Merah) Pelapor :Sabila Az -Zahca Eka Putri Nuytdno 7] sak No. Hal yang Diaudit Hail Temwan Audit | Sesuai | § 0K Az Personal froteceive Equif ment /AME telinaung Ove 1. TTecsedia. APO sesidi stoner] APD sesua: Aengon stordor | w 2: [Kondisi APD baie x Layox ora] Semva APO idle oda yonqrusael wv + [Aro digunakant devqan baike [ACD disunahan sesuai eturen don wenar rokkainyo: E_Sagety sn) kamba RS ec aseng tanda ditorong | Teraayat tanda diarong 1. frnaeuie unbur yang tidare | masui untuk yang dor vee] er kerentingon keyentiqgon 4 piotu maou. FTecpasong tanda Salve | terdapat tanda-vonde g, [fvoKuos tondo Exit don | tecoebut didinding yang | yy Aidit KumPEl yong muda | wudol Ailivnat. | |aisivoe eda ranel vertegongan | fonel verteqongon €inaai dalam 45, iegat divert combu ver - |xeadoan terturvr dom diberi |, teainaue dan dalom kondis\} rombu berbaboys, Aechutut Fada pinta mown area | Terdoyar fame walle Fairer 4, [eerie terdarot ramieu yong | aro di gintu mosue acta | mewasidkon menggunaken | Kerso. 20. FTerdapet cameu wavaua — |ada romba cohaye WeEGRaTaR 5. |revaxacan dan perunjur [gon petunjur renagunaan | Fengguncon APAR Agent [mado peKeriaon yong me- [Ada vande wajie parca Ar Imitiki roXensi bohoye serkerd pada Rekerjoon yong meni 6g, [Praston Viste bait tarssupotensi bohowe semaoien | 7 maugunsidats tangeung oda |Wstcit lkenda. yong mewaiibken lmengaunokon APO. Cr Room Condition /Kondis; tanngar 1, JBseva denset selere dversin-TRaongon diversihwan secora kon secre Gerkole eer kata, 7, [Ferdorat eencaresnon yang [fencuheyaan dirvanq gens, + [cote congot bik Rinku movow dibuiko Fe Salon neta we cuangan dibaka wedatem |v FORM CHECKLIST AUDIT K3 6 POLITEKNI 7 IK NEGERI BANDUNG. PoUsAN Periode 2020 Halaman 2 7a ‘Tempat Ruang Genser Coedung tecoh) Pelapor - sabita Az -Zawea two fates Nugrana Tidak No. Hal yang Diaudit Hasil Temuan Audit Sesuai | (0a Hecdaga

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