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INSPECTION CHECK LIST

TRUCK MOUNT CRANE

PROJECT SITE : SPAM GRESIK Doc.No :


DATE INSPECTION : Date :
SERIAL NUMBER : Rev :
DRIVER/OPERATOR :
LOCATION :
CRANE TYPE :
CLIENT :

NO. ITEM INSPECTED GOOD BAD N/A REMARK


1 Seatbelt/Sabuk Keselamatan
2 Fire Extinguisher/Tabung APAR
3 First Aid Kit/Kotak P3K
4 Decrease Alarm/Alarm Mundur
5 Suspension/Suspensi
6 Leak of Engine Coolant/Kebocoran Air Radiator
7 Wipers Water Condition/Kondisi Wiper Air
8 Mirror Condition/Kondisi Kaca
9 Engine Oil/Oli Mesin
10 Wind Shield Visibility/Kondisi Kaca Depan
11 Spill Kit/Penampung Tumpahan
12 Winch/Katrol
13 Winch Safety Pawl/Pengaman Katrol
14 Lights/Lampu-Lampu
15 Horn/Klakson
16 Hook Safety Lacth/Pengaman Hook
17 Lifting Sling/Tali Pengangkatan
18 Rotary Lamp/Lampu Rotari
19 Emergency Stop/Emergency Stop
20 Boom Condition/Kondisi Boom
21 Body Condition/Kondisi Bodi
22 Tyre Condition/Kondisi Ban
23 Brakes Wheel Balance/Rem Keseimbangan
24 Out Rigger Condition/Kondisi Out Rigger
Recommendation :

Inspected By : PT. PP (Persero) Tbk PT. RANCANG PERSADA


Name : Name :
Position : Position :

Sign : Sign :

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