Banyu Urip Projecy Date :

Production Processing Facilities Rev No. :

Dept :
Mixer Daily Inspection Check List Ref No :

Date of Inspection/Tanggal Pemeriksaan :

Location of Inspection/Lokasi pemeriksaan :

Identification Number/Nomor identifikasi :

Inspected by/Diperiksa Oleh :

Contractor/Kontraktor :

Condition
No Requirement Remarks
Good Bad N/A
1 Reverse alarm/Alarm mundur
2 Wiper and water washer system/Wiper dan air pembersih
3 Windscreen, Mirror clears, Door system/ Kaca depan, kebersihan spion,
system pintu
4 Horn/Klakson
5 ESD. System/Sistem ESD
6 Seat belt/Sabuk Pengaman
7 Hydraulic system and hose condition/Sistem hydraulic dan kondisi hose
8 Lightings/Lampu
9 Rotary light/Lampu rotary
10 Cabin condition/Kondisi kabin
11 Battery connection and protective cover/Koneksi aki dan penutupnya
12 Engine and fuel system (leaks)/Mesin dan system minyak (Kebocoran)
13 Tire condition/Kondisi ban
14 Electrical cable connection, isolation/Kondisi koneksi kabel, isolasi
15 Fire extinguisher/APAR
16 First aid kit/Kotak P3K
17 Air conditioner/Fan/AC, kipas angina
18 Indicator system (Fuel, oil, temp, etc)/Sistem indikator
19 Mixer condition including all system/ Kondisi dump termasuk semua
sistem
20 All break system/Semua sistem pengereman
21 Air tank condition and all hose connection system/ Kondisi tanki udara,
semua sistem sambungan
22 Secondary Containment (Penampung kebocoran)
Comment and recommendation

Inspected by, Witnessed by, Acknowledged by,

Operator Safety Advisor Site Supervisor