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1- WORK REQUEST:
CM Request No. Requested Date Requested By System / Equipment
Details of Defects The humidifier not working , plz to rectify the problem because it happened frequently.
2- WORK PERMIT:
Urgency System/Equipment GT(s) Main Assistance
CM Permit No. Issued Date Prepared By Unit
Level Shutdown Shutdown Department Department
CM-ELEC-45/20 23-July-2020 MORISY 11 0 NO NO ELEC ELEC
KKS 11MBA
Maintenance
Remarks
1- 2- 3-
Work Team
Names
4- 5- 6-
Performed
Job
Engineer
Remarks
No Description Part No. Qty
1
2
Used
3
Material
4
6
MAINTENANCE ENGINEER MAINTENANCE MANAGER
Name: Name:
Date: Date:
Signature: Signature:
Designed By: SQ