TULUS ASIH CONSTRUCTION Tanggal : 15 Desember 2016

PENGAJUAN PERMOHONAN ANGGARAN HO : TA Div :

Kepada Yth :
Bagian : Finance
Perihal : Request HSSE Equipment
Nama Pengajuan : HSSE Equipment

No. BARANG JUMLAH HARGA SUBTOTAL

1 Mega Phone + Battery 1 Ea Refer to procurement
2 Microphone Wireless 1 Ea Refer to procurement
3 Camera 1 Ea Refer to procurement
4 Casing Camera/Soft Case 1 Ea Refer to procurement
5 Mesin laminating A3 1 Ea Refer to procurement
6 Plastic Laminating A3 3 Pacs Refer to procurement
7 Plastic Laminating A4 3 Pacs Refer to procurement
8 Clipboard 2 Ea Refer to procurement
9 Computer/ Laptop 1 Ea Refer to procurement
10 Bantex 20 Ea Refer to procurement
11 Sound level meter 1 Ea Refer to procurement
12 Gas Detector ( Multi : O2,LEL,H2S,CO ) 1 Ea Refer to procurement
13 White board Big 1 Ea Refer to procurement
14 White board small 1 Ea Refer to procurement
15 Magnetic bar for PTWC 2 Ea Refer to procurement
16 Handy talk (HT) 1 Ea Refer to procurement
17 First Aid Box ( LV ) 1 Ea Refer to procurement
18 First Aid Responder Bag (Site) 1 Ea Refer to procurement
19 Support Eye Wash 1 Ea Refer to procurement
20 Box Permit/ plastik Permit 5 Ea Refer to procurement
21 Full Body Hardness. Double lanyard 6 Ea Refer to procurement
22 Traffic Cone 10 Ea Refer to procurement
23 Fire Extinguisher
ABC Powder 9 Kg into Office 2 Ea Refer to procurement
ABC Powder 9 Kg to Site 3 Ea Refer to procurement
ABC Powder 1 Kg for LV 1 Ea Refer to procurement
24 Fire Blanket 3 Ea Refer to procurement
25 Barricade tape
Kuning Hitam 5 Roll Refer to procurement
26 Stand for Safety Sign 10 Ea Refer to procurement
27 Stand for Barricade Tape 10 Ea Refer to procurement
28 Absorbent 5 Pcs Refer to procurement
29 Trash bag/ plastik sampah 10 pcs Refer to procurement
30 Snake Bite Kit & Bee Net 1 Ea Refer to procurement
31 Isolasi double tip 3 Roll Refer to procurement
32 Pilox - Color Coding
Putih 6 Ea Refer to procurement
Hijau 6 Ea Refer to procurement
Biru 6 Ea Refer to procurement
Orange 6 Ea Refer to procurement
Kuning 10 Ea Refer to procurement
Hitam 10 Ea Refer to procurement
33 Stop and Go hand Board 2 Ea Refer to procurement
34 Lampu tongkat lilin/ lampu parkir stik 1 Ea Refer to procurement
35 Safety Stickers
Danger Tag 30 Ea Refer to procurement
Scaffol Tags 20 Ea Refer to procurement
 Sticker Pinch point 80 Ea Refer to procurement
Sticker Safety First helm 50 Ea Refer to procurement
Sticker Dashboard 15 Ea Refer to procurement
Sticker jaga Jarak Iring 15 Ea Refer to procurement
Sticker Logo Perusahaan 50 Ea Refer to procurement
Sticker Induction 50 Ea Refer to procurement
36 Sticker Inspection
Sticker Inspection for Heavy Equipment 20 Ea Refer to procurement
Sticker Inspection for Mobile Equipment 20 Ea Refer to procurement
Sticker Inspection for Portable Equipment 70 Ea Refer to procurement
Sticker Inspection for Safety Equipment 50 Ea Refer to procurement
37 Sign board
Muster Point 2 Ea Refer to procurement
Muster Point Arrow 3 Ea Refer to procurement
Safety and Health Rules 2 Ea Refer to procurement
Smoking Area 3 Ea Refer to procurement
Eye wash Station 6 Ea Refer to procurement
Working at Height 6 Ea Refer to procurement
Reverse Park 2 Ea Refer to procurement
Area sangat bising 4 Ea Refer to procurement
Hati-hati ada pekerjaan penggalian 6 Ea Refer to procurement
Kurangi kecepatan 6 Ea Refer to procurement
Alat berat sedang bekerja 6 Ea Refer to procurement
Area Wajib PPE 3 Ea Refer to procurement
Waspada binatang buas dan berbisa 2 Ea Refer to procurement
Line of fire (swing area of boom truck) 2 Ea Refer to procurement
Ada Pekerjaan panas 2 Ea Refer to procurement
How to use Fire Extinguisher 6 Ea Refer to procurement
Bahaya Setrum 24 Ea Refer to procurement
Safety First "lift with your leg not your back" 8 Ea Refer to procurement
Welding Area 4 Ea Refer to procurement
Awas Ada Operasi Pengangkatan 6 Ea Refer to procurement
Awas Ada Orang Bekerja Diatas 6 Ea Refer to procurement
Awas Ada Pekerjaan Panas 6 Ea Refer to procurement
Awas Ada Pengalian 6 Ea Refer to procurement
38 Frame sign board 125 Ea Refer to procurement
39 Reward Weekly Safety Meeting
Tas Polo/ Eiger 2 Ea Refer to procurement
Helm motor 2 Ea Refer to procurement
Gantungan Kunci Logo Tulus Asih 20 Ea Refer to procurement
Jam Tangan 5 Ea Refer to procurement

TOTAL

Batang, 15 Desemer 2016

DISETUJUI DIKETAHUI PEMOHON

Qurrotul Ayuni
HSSE