Form-HSE-TMR-

No Dokumen
001
METAL SLING INSPECTION Tanggal Efektif 1/13/2022
STANDARD No Revisi 1
PT PP(Persero)Tbk, Div.EPC - CFSPP TIMOR-1 (2x50 MW)
(PP/No.50/2012)
Halaman 1/1

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Inspection Date
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Owner
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Register Number
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INSPECTION METHOD INSPECTION RESULT REASON FOR NOT
No INSPECTION ITEM STANDARDS
VISUAL FUNCTION Good Not Good COMPLY

No corrosive,crack,broken max.2 wire (tidak berkarat,

1 Wire
crack, putus max.2 helai)

2 Clamp Sling Tight, no corrosive, crack (rapat,tidak karat,retak)

3 Load Rating valid, readable (valid,terbaca)

4 Welded and Joint No crack (tidak retak)
5 Lack and Flexibility flexible `

6 Distortion and Twisting No distortion

7 Certified Certified by Local Government ( Sudah di sertifikasi

oleh Disnaker setempat)
INSPECTION STATUS
PASSED Stiker Number Panjang : _______ m
Diameter : _______ mm
HOLD Stiker Number

REJECTED Stiker Number

INSPECTION DURATION : TO

SPECIAL NOTE :

Inspected By Approved By Acknowladge By

HSE Inspector Site Manager HSE Site Manager

Name and Signature Name and Signature Name and Signature