HSE Management System Doc. No.

VME-HSE-F-41
DAILY SAFETY INSPECTION CHECKLIST FOR Revision 14/10/2022
GANTRY CRANE Page No. 1 of 1

Date of Inspection Project

: :
Tangal Pemeriksaan Proyek
Location of Inspection Identification Number
: :
Lokasi Pemeriksaan Nomor Identifikasi
Operator Name SWL
: :
Nama Operator Beban Kerja Aman

Walk Around Inspection

Rejected
Remarks Inspected by Sign

Good
S/No (Inspeksi Keliling) N/A (Diperiksa (Tanda
(Keterangan)
Oleh) Tangan)
Safety Guards and Plates
1
(Penjaga Keamaanan dan plate)
Carrier Frame, Rotate Base
2
(Bingkai Pembawa, Putar Basis)
General Hardware
3
(Perangkat Keras Umum)
Wire Rope, Blok & hook
4
(Tali Kawat, blok & kait)
Gantry, Boom stops
6
(Gantry, Boom stop)
Walks, Ladders, Handrails
7
(Jalan, Tangga, Pegangan Tangan)
Wind Locks, Chocks, Stops
8
(Wind Locks, Chocks, Stops)
Tires, Wheels, Tracks
9
(Ban, Roda, Trek)
Leaks-Fuel, Oil, Lube, Water
10
(Kebocoran-Bahan Bakar, Oli, Pelumas, Air)
Radius Indicator
11
(Indikator Radius)
Outrigger / Locking Device
12
(Perangkat Cadik / Pengunci)
Area Safety
13
(Keamanan Lokasi)
Brakes / Boom / Load
14
(Rem / Boom / Beban)
Crane Stability
15
(Stabilitas Derek)
Limit Switches
16
(Batasi Sakelar)
Gauges, Control / Brakes
17
(pengukur, Kontrol / Rem)
Warning and Indicator Lights
18
(Lampu Peringatan dan Indikator)
Control / Brakes
19
(Kontrol / Rem)
Safety Devices
20
(Perangkat Keamanan)
Emergency Stops
21
(Berhenti Darurat)
Operator/Operator: Signature/Tanda Tangan:

Supervisor/Penyelia: Signature/Tanda Tangan:

COPYRIGHT
This document is the property of PT. VME No part of it is to be disclosed to any third party, reproduced as part or in whole or use in any manner
whatsoever without the written approval of PT. VME Management
 HSE Management System Doc. No. VME-HSE-F-41
DAILY SAFETY INSPECTION CHECKLIST FOR Revision 14/10/2022
GANTRY CRANE Page No. 2 of 1

COPYRIGHT
This document is the property of PT. VME No part of it is to be disclosed to any third party, reproduced as part or in whole or use in any manner
whatsoever without the written approval of PT. VME Management