Hand Tools of Inspection Checklist

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EQUIPMENT SAFETY CHECK REPORT

HAND TOOLS OF INSPECTION CHECK LIST

Equipment ID : Model / Type :


User : Insp. Date :
Location : Next Inspection :

RESULT
NO CHECK POINT REMARKS (KETERANGAN)
ACC REJECT N/A
1 Power Cable (Kabel )
2 Wheel Put (Baut As )
2 Wheel Washer (Mur Penahan )
3 Spindel (As Putar )
4 Wheel Guard (Pengaman )
5 Lock Pin (Pin Pengaman )
6 Carbon Brush (Kuas Karbon )
7 R P M (Round Per Minute / Putaran Per Menit )
8 Grounding (Pentanahan)
9 Grinding Body (Bodi Mesin )
10 Electrical (Stop Kontak )
11 Grinder general condition (Kondisi umum)

Note (Catatan) :
Name & Signature (Nama & Tanda Tangan ) Name & Signature (Nama & Tanda Tangan)

Date : Date :

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