Checklist ini membantu pengawas pekerjaan pemadaman terencana pada jaringan listrik. Mencakup verifikasi dokumen SPK PK, penunjukan MA, prosedur kerja, izin kerja, JSA, izin padam, diagram satu garis, kesiapan personel, daftar alat dan APD, LOTO, rambu kerja, SIO dan uji riksa crane, briefing sebelum sesudah pekerjaan, manuver bebas tegangan, hingga pernyataan selesai dan pemberian tegangan. Tersedia kolom dokumentasi serta tanda tangan pengawas vendor dan PLN.
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