Location : VCT:i ~II.cl-· -().

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CUT-OFF lnspectlondate: CS ~n.pt'i ?-01-J\
Perlode : t
PT HnlRDRAtR ADHI PIEIIKASR SAFETY INSPECTION STANDARD REASON FOR NOT
INSPECTION METHOD I INSPECTION RESULT
(OSHA 1910.243) COMPLY

No I INSPECTION ITEM STANDARDS V

V
1 Handle Free from oil (bebas dari minyak}
2 Cover disc !'lot crack,tight (tidak retak,rapat)

3 Disc
Not crack,t ight,as manufacturing using guldence (tidak
retak,rapat,sesua i dengan petunjuk pemakaian}
v
4 Safety chain Installed (terpasang)
5 Electrical switch work _(berfunisi)
6 Motor IIJot spark,work (tidak ada percikan,berfungsi)
7 Cover belt motor * if any covering surface (menutupi permukaan)
8 Cut-off sta nd Not c_rack (tidak retak)
9 Object lock work (berfungsi)

INSPECTION RESULT PASS CJ HOLD CJ REJECT

as manufacturi ng standard (sesual dengan standar pabrikan)
SPECIAL NOTE FROM INSPECTOR

Inspected by, Approved by,

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