7/27/2019 THEFT INCIDENTS REPORT(TIR).xls

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1 . Reported By (HOS/Supervisor) Plant type

2 . Theft Discovered by Location

3 . Date & Time of Discovery Asset No

4 . Date of last visit

5 . Stolen Item (Attach photos)

6 . Paint of entry

7 . Yes No

a)

b) (At Date and Time of Theft Discover)

8 .

9 . Date police report made

(Attach a copy)

10 . Date reported to Insurance &Risk section, HQ

(Loss Notification)

11 . Preliminary estimate of

amount of loss (RM)

12 . Investigation conducted by

HOS/Supervisor on (Date)

a) Report on investigation

(Attach separate paper if

insufficient space)

b) Remedial Action to be taken

(filled by HOS/ Supervisor)

13 . Any suspect person Yes No

a) If Yes, provide person's

details and findings

(in a separate P&C document)

14 . Unit Manager's comment

15 . Further Action to be taken

(Filled by Unit Manager)

Name: Name: Name:

Date: Date: Date:

Page

(Described)

Stainless Steel Chain

Bar screen

Basket Screen

Guide Rail

Grating

(Described)

THEFT INCIDENTS REPORT

Security guard available under security contract

Cut through Fence No sign of forced entry

Cut Padlock/chain Removed gate

Others

Manhole Cover

Others

(HOS) (Unit Manager)

Standard Operating Procedures (O&M-SOP/006)

If Yes, provide the name of security company

Name of Guard on Duty

Name of team member/ Contractor

(Supervisor)

7/27/2019 THEFT INCIDENTS REPORT(TIR).xls

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1 . Reported By (HOS/Supervisor) Chantran A/L Toraju Plant type : Oxidation Pond

2 . Theft Discovered by O &M Contractor S8 Location : Taman Mutiara

3 . Date & Time of Discovery 3/7/2013 Asset No : SEN109

4 . Date of last visit 3/7/2013

5 . Stolen Item

(Attach photos)

/ Fence post

6 . Point of entry /

7 . Yes No /

a)

b) (At Date and Time of Theft Discover)

8 . Rosli Bin Leman

9 . Date police report made

(Attach a copy) 3/7/2013

10 . Date reported to Insurance &

Risk section, HQ

(Loss Notification) 8/7/2013 (Date)

11 . Preliminary estimate of

amount of loss (RM) RM 5,000.00

12 . Investigation conducted by

HOS/Supervisor on 5/7/2013 (Date)

a) Report on investigation Semasa menjalankan permeriksaan di loji, didapati 30 batang tiang pagar tiada di tempat asalnya.(Attach separate paper if Pihak kami mengesyaki ianya telah dicuri.insufficient space)

Report No : JALAN CAMPBELL/008289/13

b) Remedial Action to be taken(filled by HOS/ Supervisor)

13 . Any suspect person Yes No /

a) If Yes, provide person's

details and findings

(in a separate P&C document)

14 . Unit Manager's comment

15 . Further Action to be taken

(Filled by Unit Manager)

Name: Name: Pn. Nor Azura Bt Massabir Ali Name: En.Ismail Bin Yunus

Date: Date: Date:

Page 4

(HOS) (Unit Manager)

Standard Operating Procedures (O&M-SOP/006)

If Yes, provide the name of security

Name of Guard on Duty

Name of team member/ Contractor

(Supervisor)

(Described)

THEFT INCIDENTS REPORT

Security guard available under security

contract

Cut through Fence No sign of forced entry

Cut Padlock/chain Removed gate

Others

Manhole Cover

Others

(Described)

Stainless Steel Chain

Bar screen

Basket Screen

Guide Rail

Grating