Chain Block - Pulley Block Inspection Check List: Period: Company: Pt. Seirama Laju Color Coding

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CHAIN BLOCK - PULLEY BLOCK INSPECTION CHECK LIST

Period :
Company : PT. SEIRAMA LAJU Color Coding :
PROYEK :
SWL Manufacturer / Condition

Gear of
Name of Load Chain Hand Chain Hook Safety Latch
Chain Date
No Type / Total Location / User Remarks
Equipment (Ton) Inspection
Specification
(Rantai (Rantai (kancing
(Pancing) (Roda Gigi)
Beban) Tangan) pengaman)

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Inspection By Approved By,

Name & Signature (Nama & Tanda Tangan) Name & Signature (Nama & Tanda Tangan)
Date : Date :

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