FRM - HSE.002.03 - Label Out of Service

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LABEL OUT OF SERVICE

OUT OF OUT OF
SERVICE SERVICE
DO NOT OPERATE OR DO NOT OPERATE OR
USE USE

THIS EQUIPMENT SHALL NOT BE THIS EQUIPMENT SHALL NOT BE


OPERATED UNTIL THIS TAG HAS BEEN OPERATED UNTIL THIS TAG HAS BEEN
REMOVED BY AN AUTHORIZED REMOVED BY AN AUTHORIZED
PERSON ON COMPLETION OF REPAIR
. PERSON ON COMPLETION OF REPAIR
.

NAME:______________________

ID :_______________________________

DEPT.:___________________ OPERATION OF THIS


EQUIPMENT WILL ENDANGER
DATE:___________________ PERSONNEL AT WORK OR
EQUIPMENT
:_________________ HARM EQUIPMENT.
REASON:_________________

__________________________________

__________________________________
SEE BACK SIDE SEE BACK SIDE

No. Dokumen: FRM.HSE.002.03 No. Rev: 0 Tanggal Efektif: DD-MM-YYYY Halaman 1 of 1

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