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HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT PT. PRATAMA WIDYA INSPEKSI CRANE PANCANG Project
Crane Manufacture
Proyek
Pabrikan Crane
Location
Crane Capacity
Lokasi
Kapasitas Crane
InspectioN Date
Lenght Boom
Tanggal Inspeksi
Panjang Boom
Crane Type / Model
Auxillary Hoist Load Capacity
Jenis Crane
Kapasitas Kerekan Bantu
Boom Type / Model
Total Running
Jenis Boom
Total Jam Kerja
Crane Boom Rest Mode
Y
Condition N N/A Anti Two Blocking System Sistem anti dual block
Sling / Chain Tali Baja / Rantai
Supender Ring Cincin Bandulan
Shackle / Pin / Bolt Segel / Pengait / Baut
Electrical Limit Switch Pembatas Saklar listrik LEADER Tiang Pancang Hammer / Vibrator Palu / hammer
Other Device Peralatan lainnya
Alarm / Bell Lonceng / Alarm Load Block / Hook Pengait Beban Safety Latches / Baricade Palang Pengaman / Barikade
Boom Back-Stop Auto Shut Off Penghenti Boom Otomatis
Indicator Rolling / Pitching Indikator Gulingan / Anggukan
Fire Extinghauisher Pemadam Kebakaran
Proper & Adequate Access Akses yang Baik
Certificate & Safety Sign Sertifikat & rambu keselamatan
Warning Sign / Poster Rambu / Poster Keselamatan
Posted Valid Operator Certivicate Sertifikat operator yang berlaku
Posted Valid Crane Certificate Serifikat crane yang berlaku Appropriate Load Chart Crane Diagram beban crane
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Remark
HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT PT. PRATAMA WIDYA Crane Boom Rest Mode
Y
Condition N N/A
Remark
Daily Crane Log Book Buku harian crane
Housekeeping Kebersihan & Kerapihan
Gressing on All Wire Sling Pelumasan pada semua tali baja
Gressing on All Sheaves / Roller Pelumasan pada semua roda / roler Gressing on All Chain & Spockers Pelumasan pada semua roda gigi Gressing on All Shaft & Swivels Pelumasan untuk semua sumbu putar
Coolant Fluid / Water For Radiator Air pendingin untuk radiator
*) Y= yes, N= No, N/A= Not aplicated
Note:
Foto:
Inspected by,
Approved by,
HSE PT. Pratama Widya
HSE PT. PP
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