Form Inspeksi Concrete Pump [PDF]

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INSPEKSI ALAT



CONCRETE PUMP Proyek



: __________________________________



Tanggal Inspeksi : __________________________________ Operator 1 : No.



I



No. SIO :



1 2



OPERATOR Panel Control Electronic Circuit Board



1 2 3 4 5 6 7



MOTOR / ENGINE Key Starting Water Pump Oil Filter Oil Pressure Lubrication Fuel System Radiator Water Cooling



II



III 1 2



ELECTRIC SYSTEM Ampere Meter Automatic Pump



IV 1 2 3 3 4 5 6 7 8



HYDRAULIC SYSTEM Hydraulic Pump Hydraulic Filter Hydraulic Filter Gauge 1 Hydraulic Filter Gauge 2 Hydraulic Oil Cooler Hydraulic Hose Hydraulic Hose Core Pump Agitator (Baling-baling adukan) Pressure Gauge



V



BODY / UNDER CARRIAGE Jack Base Tire (Roda) Pipa-pipa & accessories



1 2 3 VI 1 2 3



SAFETY DEVICE Fan Belt (Tutup) Fan Guard (Tutup kipas) Tutup bucket



VII 1 2 3 4



LAIN-LAIN Accu / Liquid Level Flushing Water Pump Spare Parts Kebersihan



Fungsi Baik Buruk



Diinspeksi oleh :



( _______________________ ) Safety Officer



: ______________________



Model /Type : ______________________



Operator 2 : Kondisi Baik Buruk



Item Inspeksi



No. Alat



No. SIO : Keterangan



Diketahui oleh :



( _______________________ ) Bagian Mekanik



( _______________________ ) Project Manager