FORM NO :

CRAWLER CRANE
TCM INSPECTION CHECK LIST
PAGE
REV. NO
DATE
:
:
:

Project : Location : Date : Aug 2022

ID Code : Crawler Crane Load Capacity : TON

Asset No : Year build :
Possession : PT. SI Year Utilization :
Manufacture : Crane Certificate :
Model / Type : Operator Lisence :

ITEM DESCRIPTION STATUS REMARKS

A STANDARD SAFETY DEVICE GOOD FAIR BAD

1 Sitting - chair

2 Safety belt

3 View Mirrors (sides and rear)

4 Signal Light

5 Signal Stop

6 Signal Turn

7 Signal Head

8 Amber Beacon

9 Brake Light
Cable Condition
10
(must good condition and arrange in safe position)
Bell / Horn
11
(sound in stromg enough)
12 Wiendshield wiper and glass

13 Boom hoist limited device

14 Boom Back Stop

15 Boom Angle Indicator / Load Chart

16 Swing Brake

17 Anti Two Block and Alarm

18 Hook Latch

19 Back Up Alarm

20 Parking Brake and Service Brake

21 Odometer

22 Outrigger

B LIMITED USE GOOD FAIR BAD

1 Door

2 Window

3 Cabin

4 Hour Meter

5 Triangle Red Cones

6 Red Flags

7 First Aid Kit

8 Hand Fire Extinguisher

9 Wire Rope

FORM NO :
CRAWLER CRANE
TCM
 CRAWLER CRANE
TCM INSPECTION CHECK LIST
PAGE
REV. NO
DATE
:
:
:

ITEM DESCRIPTION STATUS REMARKS

B LIMITED USE GOOD FAIR BAD

10 Wire Sling

11 Webbing Sling

C MECHANICAL GOOD FAIR BAD

1 Oil Engine

2 Oil Transmision

3 Hydraulic Oil

4 Brake Fluid

5 Water Radiator

6 Gear Oil

7 Battery Level

8 Fuel Level

9 Steering

10 Master Clutch

11 Air Gauge

12 Oil Gauge

13 Water Gauge

14 Tire

15 Spring

16 Track Pin

17 Drive Chain

18 Sprocket

19 Rollers

20 Hook Cable

21 Pendant Cable

22 Boom Hoist Cable

23 Boom Lock

24 Turn Cable Gear

25 Boom Connection and Pin

26 Counter Weight

Recommendation :

Report by, Approved by, Acknowledged by,

_________________________ ___________________________________ _____________________________

 FORM NO :
MOBIL CRANE
TCM INSPECTION CHECK LIST
PAGE
REV. NO
DATE
:
:
:

Project : Location : Date : Aug 2022

ID Code : Crawler Crane Load Capacity : TON

Asset No : Year build :
Possession : PT. SI Year Utilization :
Manufacture : Crane Certificate :
Model / Type : Operator Lisence :

ITEM DESCRIPTION STATUS REMARKS

A STANDARD SAFETY DEVICE GOOD FAIR BAD

Visual Inspection of Hoist Rope / Periksa Secara Fisik
1
Sling Angkat
Visual Inspection of Boom Hoist Rope / Periksa Secara
2
Fisik Sling Pengangkat Boom
Inspect Boom & Sheaves for Damage / Periksa Boom dan
3
Sheaves dari Kerusakan

Inspect Hook Block & Safety Latch / Periksa Blok Pengait

4
dan Pengunci Keselamatan Blok

Inspect & Test All Limit Switches / Periksa dan Tes Semua
Switch Batas Minimum
5
A. Anti Two Block Devices / pengaman Anti Two Block
B. Boom Stopper

Weight Indicator Operational / Cara Kerja Indikator berat

6
Load Chart / Grafik Muatan

7 Hoist Brake Operational / Cara Kerja Rem Pengangkatan

8 Boom Hoist Pawl Operational / Cara kerja Dudukkan Boom

Boom Hoist Override Operational / Cara Kerja Boom
9
menolak Pengangkatan
10 Drum Rotation Indicator / Indikator Putaran Drum
Check Around & Inspect If Any Bolt Lost / Cek dan Periksa
11
Sekeliling Apakah ada Baut yang Hilang.
Boom Angle Indicator Operational / Cara Kerja Indikator
12
Sudut Kemiringan
Inspect Hydraulic Hoses for Damage / Periksa Semua
13
Selang Hidrolik dari Kerusakan
dan Lampu Peringatan
14 A. Reverse Alarm / Alarm mundur
B. Swinging Alarm / Alarm memutar
Hydraulic Accumulator Pressure / Tekanan Hidroulik
15
Accumulator.
V - Belts – Condition & Tension / Kondisi dan Ketegangan
16
V-Belt
17 Pressure of Tires / Tekanan Angin Ban

18 Instrument Panel / Peralatan Panel

19 Instrument Panel / Peralatan Panel

20 Out Rigger Condition / Kondisi Peralatan kaki luar

Clutch/Brake Fluid Level / Ketinggian Minyak Rem dan
21
Kopling
22 Fuel Level / Ketinggian Bahan Bakar

23 Hydraulic Oil Level / Ketingian Minyak Hidrolik

24 Radiator Water Level / Ketinggian Air Radiator

25 Engine Oil Level / Ketinggian Oil Mesin

26 Safety Pin & Keepers/ Pin & Pengaman pin

B LIMITED USE GOOD FAIR BAD

1 Door / Pintu

2 Window / Jendela

3 Cabin / Kabin

4 Hour Meter

5 Triangle Red Cones

 6 Red Flags / Bendera Merah

7 First Aid Kit / Kotak P3K

8 Hand Fire Extinguisher / APAR

Recommendation :

Report by, Approved by, Acknowledged by,

_________________________ ___________________________________ _____________________________