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PT GRACIA DIKATAMAS CRAWLER CRANE INSPECTION CHECK LIST Product Identification :
: Contract No : Date of Inspection : Location of Inspc : Company
: : :
Model No Engine No Frame No
ITEM CHECKED / BAGIAN YANG DIPERIKSA
No.
Remarks
A DRIVER / Operator INFORMATION / Informasi Operator atau Pengemudi 1
Name of Operator / Nama Operator
2
Operator Licence Number / No SIO Operator
3
Class of Driving Licence / Jenis SIO
4
Expire Licence / Masa Berlaku SIO
B VEHICLE INFORMATION / Informasi Kendaraan 1
Licence Plate / Nomor Polisi
2
SILO Valid to / Masa Berlaku SILO
3
Type of Vehicle-Merk /Tipe Kendaraan - Merek
4
Year of Built / Tahun pembuatan
ITEM CHECKED BAGIAN YANG DIPERIKSA
No.
C VEHICLE CONDITION / Kondisi Kendaraan 1
Km Driven / Kilometer tempuh
2
Glass / Kaca: 2.1 Windshield / Kaca depan 2.2 Rear Window / Kaca belakang 2.3 Side Window / Kaca samping
3
Windshield wiper / karet pembersih kaca depan
4
Mirror / Spion 3.1 Side / Samping - Left / Kiri - Right / Kanan
5
Light / Lampu 4.1 Head / Depan 4.2 Tail / Belakang 4.3 Parking / Parkir 4.4 Indicator - Sign / Signal 4.5 Break / Rem
6
Door Condition / Kondisi pintu
7
Gas / fuel tank door / lid - Gas / Penutup tanki bahan bakar
8
Fuel tank, any leak ? / Tanki bahan bakar, ada kebocoran?
Availability
Condition Remarks
Yes
No
Good
Fair
Poor
Ada
Tidak
Bagus
Kurang
Jelek
ITEM CHECKED BAGIAN YANG DIPERIKSA
No.
9
Availability
Remarks Yes
No
Good
Fair
Poor
Ada
Tidak
Bagus
Kurang
Jelek
Engine / Mesin
10 Exhaust / Knalpot 11 Accu / Aki Electric System 12 Horn / Klakson 13 Safety belt / Sabuk pengaman 14 Break / Rem 15 Fuel indicator / Indikator bahan bakar 16 Track / Jejak atau Jalur Boom : Fully Retracted : 9.14M & Extended : 39.62M / Boom penuh 17 9.14M & maksimum perpanjangan 39.62M Anti-two Block safety devices on fast / 2 buah penahan block untuk 18 keselamatan yang dipasang diatas 19 Main lines as well as on boom / jalur lintasan utama pada boom Main lines fitted with a certified load weight indicator / Jalur utama 20 dicoba dgn indikator dgn beban yang bersertifika t Load test Certificate with no less than 6 ( six ) month old / sertifikasi 21 pengujian tidak kurang dari 6 bulan 22 Engine : Turbo Charged Diesel Engine / Mesin Diesel Turbo Rated Power 155 PS (114 KW ) @ 2.150 rpm / Kemampuan tenaga 155 PS (114 KW) @ 2.150 rpm Swing system by hydroulic plunger motor, 360' rotation / Sistim 24 putaran dengan hydroulic motor, 360 derajat 23
Drums ( front & Rear ): 420 mm PC. Dg 430 mm wide drums each 25 groved for 20mm wire roop / Penggulung depan, belakang 420 mmPC, lebar 430 mm dgn sling 20 mm Rope Capacity : 158 M working length, 270 M storage length/ 26 kapasitas sling 158 M untuk operasi dan dgn 270 M persediaan Basic Boom Length : 9.14 M & Max Boom Length : 39.62 M / dasar 27 boom 9.14 M dan Maksimum boom 39.62M 28 Max Lifting 50 Ton/ Kemampuan angkat maksimum 50 ton 29 Driven by : Propeller Motor 1 ea 8M x 7/8" 4-legged wire rope bridle sling, with eye hooks on 30 each complete master link/ 1 buah 7/8" panjang 8 M dgn 4 jalur sling dgn 4 sangkutan & komplet dgn mata rantai 1 ea 6M x 1" 4-legged wire rope bridle sling, with eye hooks on each 31 complete with master link/ 1 buah 1" panjang 8 M dgn 4 jalur sling dgn 4 sangkutan komplete dgn mata rantai 2 ea 6 M x 5/8" Flexible wire rope sling with loop on each end / 2 32 buah 6M x 5/8" sling dengan fleksibel lubang jeratan 2 ea 6 M x 7/8" Flexible wire rope sling with loop on each end / 2 34 buah 6M x 7/8" sling dengan fleksibel lubang jeratan 35
2 ea 8 M x 7/8" Flexible wire rope sling with loop on each end / 2 buah 8M x 7/8" sling dengan fleksibel lubang jeratan
36 2 Ea 1/2" Crosby anchor shackle / 2 buah 1/2" shakle crosby 37 2 Ea 5/8" Crosby anchor shackle / 2 buah 5/8" shakle crosby 38 2 Ea 7/8" Crosby anchor shackle / 2 buah 7/8" shakle crosby 39 Hydraulic System / Sistem hidrolik 40 Transmission System / Sistim transmisi 41 Fire Extinguisher / Racun api 42 Manufacture’s Tool Kit / Perkakas 43 Safety Triangle / Segitiga pengaman 44 First Aid / P3K 45 Safety PPE Operator & Assistant / PPE Operator dan Pembantunya 1 2 Mechanical findings :
Note : Overall condition : Conclusion :
GOOD
FAIR
Condition
POOR
1. Meet / Not meet contract spec. 2. Meet contract spec but on condition (specify) : Inspected by,