Page 255 - PERMENAKER 8 2020
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6. STIKER MEMENUHI SYARAT K3 DAN STIKER TIDAK MEMENUHI SYARAT
K3
a. Stiker memenuhi syarat K3
KOP SURAT
MEMENUHI SYARAT K3
NAMA PESAWAT : ..................................................................................................................
NO. SURAT KETERANGAN : ..................................................................................................................
MEMENUHI SYARAT K3
KAPASITAS : .................................................................................................................
NO. SERIE : ..................................................................................................................
TANGGAL PEMERIKSAAN DAN : ..................................................................................................................
PENGUJIAN
TANGGAL PEMERIKSAAN DAN : PALING LAMBAT......................................................................................
PENGUJIAN BERIKUTNYA
NAMA AHLI K3 / PENGAWAS : ..................................................................................................................
KK SP. PAA
NO. REG AHLI K3 SP. PAA / : ..................................................................................................................
SKP PENGAWAS KK SP. PAA
TTD AHLI K3 / PENGAWAS KK :
SP. PAA