LABORATORIUM PENDIDIKAN TEKNIK SIPIL DAN PERENCANAAN

UNIT UJI BAHAN

FAKULTAS TEKNIK UNIVERSITAS NEGERI MAKASSAR
Alamat : Jl. Daeng Tata Raya Parangtambung Makassar, Telp. 085255748736, 08114482442, 081527452883

BON PEMAKAIAN BAHAN PRAKTIKUM LABORATORIUM

Nama Job Praktikum : ...............................................................................
No. Item Job : ...............................................................................
Pada hari ini ....................., Tanggal, ........................................ 2018, atas nama Kelompok ...............
No. Nama NIM
1. .............................................................................. / .............................................................
2. .............................................................................. / .............................................................
3. .............................................................................. / .............................................................
4. .............................................................................. / .............................................................
5. .............................................................................. / .............................................................
6. .............................................................................. / .............................................................
7. .............................................................................. / .............................................................

Melakukan peminjaman / pemakaian peralatan laboratorium dengan uraian sebagai berikut:

Ket. Kondisi
No. Uraian / Alat yang dipinjam Unit Jumlah Waktu Peminjaman*
Awal*
Mulai Kembali
1.
2.
3.
4.
5.

Keterangan setelah peminjaman**

Uraian Kondisi Keterangan Keterangan Tambahan

Jumlah unit : sesuai / tidak sesuai

Kondisi setelah terpakai : rusak / cacat / baik

Waktu pengembalian : sesuai / tidak sesuai

*Diisi oleh Asisten / Dosen yang bertugas memberikan job
**Diisi oleh Asisten / Dosen setelah penggunaan / pengembalian alat

Makassar. .............................. 2018

Mengetahui
Asisten Lab. / Dosen Penanggung Jawab

(.....................................................) (.....................................................)
 LABORATORIUM PENDIDIKAN TEKNIK SIPIL DAN PERENCANAAN
UNIT MEKANIKA TANAH
FAKULTAS TEKNIK UNIVERSITAS NEGERI MAKASSAR
Alamat : Jl. Daeng Tata Raya Parangtambung Makassar, Telp. 085255748736, 08114482442, 081527452883

BON PEMAKAIAN BAHAN PRAKTIKUM LABORATORIUM

Nama Job Praktikum : ...............................................................................
No. Item Job : ...............................................................................
Pada hari ini ....................., Tanggal, ........................................ 2018, atas nama Kelompok ...............
No. Nama NIM
1. .............................................................................. / .............................................................
2. .............................................................................. / .............................................................
3. .............................................................................. / .............................................................
4. .............................................................................. / .............................................................
5. .............................................................................. / .............................................................
6. .............................................................................. / .............................................................
7. .............................................................................. / .............................................................

Melakukan peminjaman / pemakaian peralatan laboratorium dengan uraian sebagai berikut:

Keterangan sisa
No. Uraian bahan yang dipakai Unit Jumlah Terpakai Sisa (kembali ke stock
file atau terbuang)

Keterangan tambahan:
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................
....................................................................................................................................................................

Makassar. .............................. 2018

Mengetahui
Asisten Lab. / Dosen Penanggung Jawab

(.....................................................) (.....................................................)