le WEDASAFE MANAGEMENT SYSTEM COMMISSIONING INSPECTION CHECK LIST DUMP TRUCK \ weda bay nickel ou [fot MT ATM Hat L2G4R_ AP GoPRUAK ral Sign on 4 Sides of Equipment/Nomor unit 4 posist tadio fo jperator Seat and Seat Bali igaman Operator | Fire Extinguisher /APAR instrument Panel / Panel Instramen form 7 Klakson ferior Cabin /Taterior Kabin fndshield Wiper and Washer / Air pembersih kaca & Karet joors and Leck Pintu dan Kunch ir Conditioner atigue Alarms 7 Alarm Fatigue juzrer / Buzzer Kecepatan fead Lamps /Lampu Utama jeverse Lamps 7 Lampu Mundur fazard and Sign Lamps /Lampu Sign dan Tanda Bahay shy Rotary light Stop Lamps /Tampu Stop imps (equipped) / Tamu Kabut jack Up / Reverse Alarm [Alarm Mundur Tock Out and Tag Out TOTO Switch attery isolation Switch / Switch battery smergency Shutdown Push Switch / Tombol Emergency Battery and Cable Connection] Kondisi battery dan Kabel jeeving Wheel and Linkage/ Kemuci roda dan Tira ‘ondary / Emergency Steering System and Function Sisters kemudl Emergency (jka tersedi) Steering System and Hydraulic Lines / Sistem Kemudi dan hydraulic aking SPAKE System and FURCTONT Sister Rem PTET & FOREST Tetarder Brake Sytem and Function fem Retarder ies BOG BTGKE SPETEM ad FUNEHION [SCE RTH ETVeTESTEY dan fangs ita tersedia ce Brake System and Funation [Sistem rem service & Tungst gine Condition of Leakage / Kondst Kebocoran mesin raule Cylinders and Lines Condition/ Kondlsi cylinder Figraulik dan pips higraull = ump Body PYO & lever TunetOny Fungal PTO dump Body lever Ladder, Footstep 7 Tangga, pilakan Kakr jar View Mirror] Kata Spion fandralTand Rani ngangan tangan jeneral vessel dump condition] Kondisi ve ‘Muer Pipe Cap /Pipa Kralpat eel chock Ik [Tratfic cones 2x SII YS SUGES UV 5 SSS} s/s] 9 gyi AON, werk 3008 2O7s BKM [69.9 to Jou MtoaeComments a when vo unt ad bonele voxel Woban deo St 2 ble) J i ° ruleals Re St Megke kar. AH Kefewrpes Aus = Ghgaty WSU ra Rekomendasl / Recomendation | | | | l COMMISSIONING TEAM: Nama/ Jabatan/ Name Position THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager fsa | Sete ‘Mine Technical Manager (KT): Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) Copy 1. PT. Weda Bay Nickel OHS DeptWeDASAFE MANAGEMENT SYSTEM \ (COMMISSIONING INSPECTION CHECK LIST weda bay nickel DUMP TRUCK w( cy (2024 wen TA MT _0T 482 ZORSRH Y CSP KUMGS| fes of quipment/Nomor unit 4 posi eat Bal wstrument Panel / Panel Instrumen ferior Cabin /Taterior Kabin jdshield / Kaca Kabin (eld Wiper and Washer Air pembersih vaca & Karat ors and Leek / Pintu dan Kuncr i Conditioner atigue Alarm Alarm Fatigue Speed Burzer / Buzzer Kecepatan jead Lamps /Lampu Utama fazard and Sign Lamps / Lampu Sign dan Tanda Bahaya fash Rotary light ae cop Lamps /Lampu Stop Fog Lamps [if equipped) /Lampu Kabut jack Up / Reverse Alarm /ATarm Mundur cK Out and Tag Out Switel te Peses (ewe) Battery Isolation Switch / Switch battery smergency Shutdown Push Switch / Toribol Emergency qroares jattery and Cable Connection] Kondisi battery dan kabel Fives and Ris / Roda dan Velg ering Wheel and Untage] Kervual rods Gan Tr dary 7 Emergency Steering System and Function ‘Sistem kemmud Emergency {ika fercedia Stering System and Hydro nes / Sta KaUaT an Peg Sake Syste ard Function] Sistem Rar PaTRT FOV etarder Brake System and Function] Sietems Rem REtATGET Fangs mergency Brake System and Function [Sisters Remy Emergency ddan fangs! (ka terse a : vice Brake System and Fundton [Sistem rem service & Tungst Engine Condition of Leakage / Kondisi kebocoran mesin Hydraulic ynders and Unes Condition] Korat evinder Haul df pipa hideous s Bump fever function/ Fungs! PTO dump Ladder, Footstep / Tanga, plaka Kaki fear View Mirror] Kata Spfon fandrailand Handhold] Pengangan tangan jeneral vessel dump condition/ Kondisi vessel dump ‘Muffler Pipe Cap / Pipa Knalpot ‘Traffic cones 2x cose‘Comments = Jonunbeten bo best i ¢\cy___ tno whe coset | ieteled Koss’ COMMISSIONING TEAM: | Nama / Name Rekomendasi / Recomendation | Ans os THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager ‘Mine Technical Manager (KTT) Signature: ‘Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) - Weda Bay Nickel OHS Dept 2 cow et 5S SSaneeconsoey oe Copy 1.des of Equipment/Nomor unit 4 posts? WebaSAFe MANAGEMENT SYSTEM [liwsonse-o40_ | COMMISSIONING INSPECTION CHECK LIST DUMP TRUCK a ‘Operator Seat and Seat Belt/Sabuk Pengaman Operator ROPS / FOPS Fire Extinguisher APAR Tnstrument Panel 7 Panel instrumen Hoorn 7Klakson Taterior Cabin / Interior Kabia ‘Windshield 7 Kaca Kaba Windshield Wiper and Washer /Alr pembersin Kaca & karet wiper [[Boors and Lock 7 Pintu dan Kunet ‘ir Conditioner | Fatigue Alarm [Alarm Fatigue Peeeres Cetese) ‘Speed Buzzer / Buzzer Kecepatan jead Lamps /Lampu Utama Reverse Lamps / Lampu Mundur Hazard and Sign Lamps 7 tampu Sign dan Tanda Bahaya [ Flash] Rotary light ISP AWAS SS SSSIS I | Stop Lamps /Tampu Stop Fog Lamps (if equipped) /Tampu Kabut [ Back Up /Reverse Alarm Alarm Mundur Gy [Ea [Tock Out and Tag Out Switch /TOTO Switch PONTS (arose) Battery lolation Switch / Switch battery Emergency Shutdown Push Switch 7 Tobol Emergency STOP POACS (esta) | Battery and Cable Connection/ Kondisi battery dan kabel Fires and Rims /Roda dan Velg ALUNT Steering Wheel and Lnkage/ Kemudl roda dan Tirod secondary / Emergency Steering System and Function Silom totaal genera teeeg) hnysraulic {<4 [ Parking Grake System and Fanction/ Stern Rern Parkr& Fungal etarer Brake System and Function Sister Rem Retarder & ngs az a3 “EA | Steering System and Hydraulic Lines / Sistem Kemudi dan a5] cs ‘Emergency Brake System and Function /Sistem Rem Emergen san fing ie tered) fae Q ice Brake System and Function /Sistem rem service & Fungst ngine Condition of Leakage / Kondisi Kebocoren mesin Fiydraullc Cylinders and Lines Condition/ Kondisi cylinder roll dan lpg hidrauk ‘Dump Body PTO & lever function/ Fungst PTO dump body & lever 5a | Ladder, Footstep 7 Tanaga, plakan Kak! “7 [55 Rear View Mirror/ ace Spion [366 | Handrail and Handhold/ Pengangan tangan General vessel dump condition] Kondist vessel Sump ‘Muffler Pipe Cap /Pipa Knalpot eel chock x [ Traffic cones 2 SII SAV‘Comments COMMISSIONING TEAM; Nama Tabatan | Tanda Tangan 7 Tekomendas/Recomendation Name Position sign boss Sagaky Ww BY J THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager : Signature: ‘Mine Technical Manager (KTT) Signature: Re-commissioning required (Circle) YES/NO Date required ({f applicable) Copy 1. PT. Weda Bay Nickel OHS DeptWebASAFE MANAGEMENT SYSTEM X COMMISSIONING INSPECTION CHECK LIST weda bay nickel DUMP TRUCK IWECURCE! uM tA OT He ZO SEKY 66 0x WG 17 ign on 4 Sides of Equipment/Nomor unit 4 posts jerator Seat and Seat Bel/Sabuk Pengaman Operator ire Extinguisher /APAR instrument Panel / Panel Instrumen interior Cabin /Taterior Kabin indshield Wiper and Washer / Air pembersih kaca & Karet joors and Lock / Pintu dan Kunch Air Conditioner Fatigue Alarrn [Alarm Fatigue peed Buzzer / Burzer Kecepatan jead Lamps /Lampu Utama jeverse Lamps / Lampu Mundur fazard and Sign Lamps 7 Lampu Sign dan Tanda Bahay fash7 Rotary light top Lamps /Lampu Stop 0g Lamps (iF equipped) /Lampu Kabut Back Up / Reverse Alarm J Alarm Mundur ‘ock Out and Tag Out Switch 7 LOTO Switel sattery Isolation Switch 7 Switch battery imergency Shutdown Push Switch / Tombal Emergency STOP tary and Cable Connection/ Kondisi battery dan kak iresand Rims [Roda dan Velg steering Wheel and Unkage/ Kemud Toda dan Tr ndary 7 Emergency Steering System and Function Sistem cemmucl Emergency (ka tee EE] Sterne Sytem and yerulcUnes / Sse Kemua dan arking Brake System and FURCTION/ Severn Remy Park’ & PUREST jer Brake System and Function] Sistem Rem Retarder Fangs! Emergency B7aKS System and FURGION [SIsTaM Reem ESTER ddan fungs {ila tersedia) ee service Brake System and Function Sistem rem service & Target gine Condition of Leakage acoranmesin raul Cinders and Lines Condition/ Kandi evinder hulk dan pipa hidraule Bar Body PS aver fain” FORT PTOTHUM tar, Footstep 7 Tana, akan Fak 7 View Mirror Raca Spion fanraif and Randhold/ Pengangan tanga janeral vessel dump condition? Kondisi vessel dump alr Pipe Cap Pipa Kralpot elCOMMISSIONING TEAM: Nama / Tabatan / Tanda Tangan / Rekomendasi / Recomendation ‘Name Position ffs nagh Dope A] eeeeCeeC eset Acw & Set Wr) J THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager s Signature: ‘Mine Technical Manager (KTT) Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) Copy 1. PT. Weda Bay Nickel OHS Dept 3 Sbaemam erole WebdaASAFE MANAGEMENT SYSTEM [_ws-ons-smoao | \ COMMISSIONING INSPECTION CHECK LIST weda bay nickel DUMP TRUCK MIM OT LGDB AN GKEXWS 201 ign on. juipment/Nomor unit 4 posi jperator Seat and Seat ragarian Operator re Extinguisher | APAR instrument Panel / Panel Instrumen interior Cabin /Taterior shield 7 Kaca Kabin shield Wiper and Washer /Air perk intu dan Kone ‘ir Conditioner tigue Alarm 7 Alarm Fatigue jeed Buzzer / Buzzer Kecepatan smps J Lampu Utama ‘Reverse Lamps / Lampu Mundur jazard and Sign lamps / lampu Sign dan Tanda Bahaya ary light pp Lamps / Tampu Stop ‘og Lamps [if equipped) /Lampu Kabut jack Up / Reverse Alarm Alarm Mundur ick Out and Tag Out Switch /LOTO Switch Battery Kolation Switch / Switch Battery rergency Shutdown Push Switch J Tombat Emergency: jattery and Cable Connection/ Kondisi battery dan abel Fires and Rims / Roda dan Velg ering Wheel and Unkage/ Kemudl rods dan To condary / Emergency Steering System and Function Sistem kemmudl Emergency [ks fersedia Steering System and Hydraulic Lines / Sistem Kemugi dan arking Brake Systarv and FURCRIORT Sisters Rerh Parkir & Fungsl Hetager Bake Sytem and Function Stem Rem Rearder metgency Brake System and Function Sistem Rem Emergene ddan fangs! (ia terseda een vice Brake System and Function /Satem rem service & Funes CC Figdralc Cinders and Unes Condon] Kandi cylinder | hirauti dan pips higrauie = Burs Body HU ve eCOR FoRS PTO Von By sa ladder, Footstep anaes akan Wa 5.5 [Rear View Mior] Kae pion andra and Handhol Pengangan Tangan eral ese! dump cnditan Kandla ese TOR 53 Matfer Pipe Cap Ppa Kraipat 3 Wheel chockComments COMMISSIONING TEAM: Nama 7 Tabatan 7 | Tanda Tangan ekomnendasi/ Recommendation Name | Poston | hes Saget Gps wot! | 4 THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Signature: Operation Manager ‘Mine Technical Manager (KTT) = Signature: Re-commissioning required (Circle) YES/NO Date required ({f applicable) Copy 1. PT. Weda Bay Nickel OHS DeptWeDASAFE MANAGEMENT SYSTEM wsonsewo00 | COMMISSIONING INSPECTION CHECK LIST X weda bay nickel DUMP TRUCK L2GIR4 v GSDRIAIaa Sides of Equipment/Nomor unit 4 posist [Operator Seat and Seat Bel/Sabuk Pengaman Operator ROPS 7 FOPS Fire Extinguisher [APAR Thstrument Panel 7 Panel instrumen in TAROT Kab ‘Wind 7 kaca Rabin Windshield Wiper and Washer 7 Air pembersihKaca & Karet [Bors and Tock Pinta dan Ranch Fir Conditioner atigue Alarm [Alarm FAUGUE Speed Buzzer / Buzzer Kecepatan IN CANS SII) amps /Lampu Utama Reverse Lamps /Lampu Mundur Hazard and Sign lamps / tamu Sign dan Tanda Bahaya [ Flash] Rotary light ‘Stop Laps /Tampu Stop Fog Lamps ((Tequipped) / Tampu Kabut [ Back Up [Reverse Alarm [Alarm Mandur Tock Out and Tag Out Switch 7 LOTO Switch Battery lolation Switch / Switch battery Emergency Shutdown Push Switch / Tombol Emergency STOP Battery and Cable Connection Kondisi battery dan kabel a SSIS) IASISIS res and Rims / Roda dan Vel ‘Steering Wheel and Unkage/ Kemiudl roda dan Tirod ‘ondary / Emergency Steering System and Function Sistem kemudi Emergency (ka tersedia) Steering System and Hydraulic Unes / Stem Kemudi dan [ Parking Brake System and FUROR Sistem Rem PaPKrE FOnGET etarder Brake Sytem and Function] Stem Rem Retarder ings Emergency Brake System and Funaton /Sstem Rem EMeTgENT Gan ngs (a tered) Service Brake System and Function [Sistem rem service & Tangs Ns Hygraule Cylinders and Lines Contion/ Kandi cyinder Foul den pea haraule ae Burp Booy PRS kev func” For PTO Ta DOH E [ Leader, Footstep/ Tae, piston aki ear View Wiror Kae Sion andra and Hanchola]Penaangan Wangan General vessel dump condition Kondi ves OTS [ Muffler Pine Cp /Pipa Krapot [Wheel chock [ratte canes 2 AINSIS/SISIY Ms |6Comments COMMISSIONING TEAM: [ Nama/ Jabatan/ Tanda Tangan / Rekomendasi / Recomendation a rman | igs kas S Loses wid! eo Rw LL THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager Signature: ‘Mine Technical Manager (KTT) Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) Copy 1. PT. Weda Bay Nickel OHS Deptle WEeEDASAFE MANAGEMENT SYSTEM \ COMMISSIONING INSPECTION CHECK LIST weda bay nickel DUMP TRUCK Wo [aon torM He OT HOT ZGAR UN CERKNGISS all Sign on 4 Sides of Equipment/Nomor unit 4 posi fo fo perator Seat and Seat Belt "engamman Operator Fire Extinguisher : instrament Panel Pane Instrumien fora 7 Kakson interior Cabin / Tero" KABA indsField Wiper and Washer 7 Air pembersih Kaca & Karet ors and Lock Pu dan Kand i Condifoner atigue Alarm 7 Alar Fatigue peed Buzzer [Buzzer Kecepatan fead Lamps /Lampu Utama jeverse Lamps 7 Lampu Mundur fazard and Sign Lamps / Lampu Sign dan Tanda Bahaya lash/ Rotary Wight fop Lamps /Lampu Stop Fog Lamps (if equipped) /Lampu Kabut ick Up 7 Reverse Alarm / Alarm Mundur ‘ock Out and Tag Out Switch /LOTO Switel fery Isolation Switch 7 Switch battery Thergency Shutdown Push Switch J Tombat Emergency Battery and Cable Connection/ Kondisi battery dan kak res and Rims / Roda dan Velg steering Wheel and Linkage/ Kemmual roa dan Tir secondary / Emergency Steering System and Function Sistem kemudl Emergency (jka tersedia) teeing System and Hydraulic Lins / Sistem Kemudr dan marking Brake System and Function/ Sistem Rem Park & Fungst jetarder Bra sm and Funetion/ Sistem Rem Retarder Fungst smergency Brake System and Function /Sistem Rem Emergency ddan fungs! {ka tersedia vice Brake System and Function /Sistem rem service & Tangs! ngine Condition of Leakage / Kondisi kebocoran mesin iydraulic Cylinders and Lines Condition/ Kondist oyinder hidreulk dan pipa hidraulk Bump Body var funetIOnT Fungal PTO drip Body jer, Footstep 7 Tanaga, plakan tah ‘535 | Rear View Mirror] Kaca Spion fandralland Handhold/ Pengangan tangan 7 | General vessel dump condition/ Kondisi vessel dump fuffer Pipe Cap / Pipa Knalpot veel chock 2xComments Dee ee ec ee ei) COMMISSIONING TEAM: Nama/ Jabatan / Tanda Tangan / Rekomendasi / Recomendation Name Position Sign. 5 Saely wo | ‘THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager ‘Signature: ‘Mine Technical Manager (KT): ‘Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) Copy 1. PT. Weda Bay Nickel OHS Dept SSececccnerWEDASAFE MANAGEMENT SYSTEM COMMISSIONING INSPECTION CHECK LIST DUMP TRUCK - weda bay nickel 4 tory wen ere (TM 488 L2G Ay 64 Ox 9" gn on 4 Sides of Equipment/Nomor unit 4 pos io jperator Seat and Seat Bet ‘OF ingulsher rent Panel jakson ‘LInterior Cabin 7 nterior Kabin 23 Shield Wiper and Washer / Air per TIO] Boors and Leek rT Air Conditioner atigue Alarm Alarm Fatigue {Buzzer / Buzzer Kecepatat fanel nstrumen intu dan Kone jead Lamps /Lampu Utama jeverse Lamps / Lampu Mundur fazard and Sign Lamps /Lampu fash7 Rotary Wa cop Lamps /Lampu Stop ‘0g Lamps (iF equipped) /Lampu Kal jack Up / Reverse Alarm [Alarm Mundur ‘ock Out and Tag Out Swit ite fry Isolation Switch / Switch battery mergency Shutdown Push Switch J Tombat Emergency STOP Battery and Cable Connection/ Kondisi battery dan Kal res and Rims / Roda dan Vel ing Wheel and Unkage/ Kernudl roda dan Tr ‘ondary / Emergency Steeting System and Function Sistem kermud Emergency {ia feted) Steering Sytem and Faro nes / Sar Kaus king rake System ab FURIONT TOMY Rae PaPRT HF etader Brak Syste and Funion/Sster Re Retard mergency Brake System and Function ddan fungs ka terse} ice Brake System and Function stem Ram Emergency item rem service & Tangs gine Condition of Leakage / Kondisi kebocoran mesin raule Cylinders and Lines Condition] Ke Hieullt dn pips hidraute Ta fever function7 Fangs? PTO dump Boay: lever Ladder, Footstep / Tangs, pijakan Kakr i View Mirror] Kaca Spion fandrailand Wandhold] Pengangan tangan jeneral vessel dump condition/ Kondisi vessel dump Muffler Pipe Cap / Pipa Knalpot eel chock x ist cylinder Shrocman x $e08 708 7 iofea] 7536Comments ~ Fetebete et sth duo be 2 -. el sos eed a Nolen ) a es ges ‘COMMISSIONING TEs Jabatan/ Nama / Position Name Tanda Tangan / Sign Rekomendasi / Recomendation [Sagsty wee J THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager Mine Technical Manager (KTT) Signature: Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) ‘Copy 1. PT. Weda Bay Nickel OHS Dept 1Sotceeeacn oeWeDASAFE MANAGEMENT SYSTEM \ COMMISSIONING INSPECTION CHECK LIST weds Gay nice! DUMP TRUCK Wen] te Wor 3 Mere OT 485, L2GSR AY ORK NS IOS Operator Seat and Seat Be inguisher instrument Panel / Panel Instrumen Taterior Cabin /Tnterior Kabin indsheld 7 Kaca Rabin ndishie'd Wiper and Washer / Air pembersi Doors and Lock /Pintu dan Kuncr ‘ir Conditioner tigue Alarm / Alarm Fatigue jurzer / Buzzer Kecepatan jead Lamps / Lampu Utama erse Lamps / tampu Mundur jazard and Sign Lamps 7 Lampu Sign dan Tanda Bahaya fash7 Rotary light p Lamps /Tampu Stop Fog Lamps (if equipped) /LampuKabut ‘Back Up / Reverse Alarm / Alarm Mundur ‘and Tag Out Switch 7 LOTO Swit tery Isolation Switch 7 Switch battery z iuidown Push Switch / Tombal Emerg Battery and Cable Connection/ Kondisi battery dan Kabel Fires and Rims / Roda dan Velg ering Wheel and Linkage/ Kemudi roda dan Ti indary / Emergency Steering System and Function ‘Sistem kermudi Emergency (ka tersedia ring System and Hydraulic Lines / Sistem Kemudl dan hhydraul marking Brake System and Function/ Sistem Rem Parkir & Fungst Betarder Brake System and Function Sister Rem Retarder rer geny Brake System and Fanetion Sister Rem EMeTEEN dan fangs! ka tersedia nal ice Brake System and Function /Sistem rem service & fun gine Condition of Leakage / Kondisi kebocoran mesin. Hydraulic Cylinders and Lines Condition/ Kondisi cylinder hidraulk dan pipa hidraulik Dump Body er Function] Fungst PTO dump jar, Footstep 7 Tanna, piakan Fah far View Mirror] Kaca Spion fandrailand Handhold/ Pengangan tangan 5.7 | General vessel dump condition/ Kondisi vessel dump luHTer Pipe Cap / Pipa Knalpot reel chock 2xCOMMISSIONING TEAM: Nama / Jabatan/ Tanda Tangan / Rekomendasi / Recomendation Name. Position. Sigg” has Seerommn Cogs wBY ‘THIS PIECE OF EQUIPMENT HAS BEEN INSPECTED AND HAS NOW PASSED THE COMMISSIONING PROCESS Operation Manager Signe ‘Mine Technical Manager (KT): Signature: Re-commissioning required (Circle) YES/NO Date required (If applicable) Copy 1. PT. Weda Bay Nickel OHS Dept Searv weda bay nickel iperator Seat and Seat re Extinguisher instrument Pan form 7 Rlakson interior Cabin 7 TAReTOr quipmer WebASAFE MANAGEMENT SYSTEM COMMISSIONING INSPECTION CHECK LisT DUMP TRUCK VETS wow eT Merk ee bas L2G38 4 VOT PRN 705) mor unit posi ti zigaman Operator ranel nstrumen Windshield Wiper and Washer / Air pembersi ir Conditioner atigue Alarm peed Buzzer jead Lamps ard and Sign Lamps, Tash7 Rotary ro Lamps 7 Tampa og Lamps (iTequippe ickUp Tock Out ani tery Tsolation Swit mergency Shutdown Battery ani eering Wheel an condary, Sistem kemudl Emergenc oo a ngine condition. fdr Bump S| Ladder, Footstep. 35 | Rear View Mirror fanall and Hani ‘dan pipa fag Out Switel mergency Steering’ ster a ce System an ‘Systems and Function i ka tersedia ice Brake System an infu dan Kune farm Fatigue juzzer Kecepatan smpu Utama jeverse Lamps /Lampu impu Sign dan Tan P ypu Kabut larm Mundur switeh battery sh Switch / Tombal Emergency STOP je Conmection/ Kondisi battery dan kabel fa dan Velg inkage/ Kemudi Fe ia dan tem and Function ka tersedia) raulic Lines / Sistem Kemudi dan Z ater Ram Parkir & Fungst stem Rem Retarder “UnCTIOR) ‘anton stem Rem Emergency ‘unction item rem service & Fangs Leakage /Kondist kebocoran mesin ines Condition/ Kondisi cylinder uli iy PTO & lever function “ungai PTO dump Boi range, pljakan Fal aca Spion engangan tangan jeneral vessel dump condition] Kondisi vessel dump ier Pipe Cap. ipa Knalpat ras < oD v7 ood / 2076tem / Description Kaca spion/Rear view mirror Pegangan tangan/Handrail and handhold Knalpot/Muffler pipe cap Pengganjal ban 2x/Wheel chock 2x Traffic cones 2x Pelindung Mesin PompalMachine Pump Guarding i Fail_ | WA ‘Comment Kondisi Saluran Masuk/in Chane! Lube Condition Kondisi Saluran Keluar/Out Chane! Lube Condition TanggalLadder Kondisi Tanki/Tank Condition Pegangan tangan/Handrail Sistem Pengoperasian/Operating Systern Kondisi SelangiHose Condition 68. | Kondisi Pipal Pipe Condition Cele sles} fs lc ¢}s| 5 Comment: Coyfep smus pry mmypods Cemuon ‘Commissioning Team: No. Name | Title Recomendation DueDate | Signature | 1. | Stupe ts ee wow | 2 | ai 3. | 7 i This piece of equipment has been inspected and has now passed the commissioning process Operation Manager Kepala Teknik Tambang Re-commissioning required (Circle) YES / NO Date required (If applicable)WedaSafe MANAGEMENT SYSTEM COMMISIONING INSPECTION CHECK LIST \ weda bay rice! EXCAVATOR 7 “syais' psy 8/04 [30s sp wen w Ze, 7X 7 =] 0b 3. 5E 07 [ou [2036 Bu Trews (DESCRIPTION | Goob| FAL] WA] ba ‘COMMENT (ne T “| Stobe Light with Yellow Color (excent Big a 72 —| Call Sign on 4 Sides of 24 IG Seai Bat ‘23 [ ROP / FOP. ‘24 | Fire Exinguisher Fire Suppression 25__[ instrument Panel Ze. 27 28 2: cl ic ese) Cawsey_a Ged + Radio burary Prasergen ontena Roce /Pes Bon progrms Loto Perboton kabel , urgency (AP Pebatan babe , spicn Pregrerg Wek Rotak Pre Jabatan / | ‘Tanda Tangan / Rekomendasi / Recomendation Se #0le WedaSafe MANAGEMENT SYSTEM \ COMMISIONING INSPECTION (CHECK LIST weda bay nickel EXCAVATOR pero ss/=4 hes EL eT ese 57 c] sven weas2626 | [No [_Wrems ‘oescriprion [coon] Fart| wa | ‘COMMENT il “11 | Stobe Light with Yellow Color (except Big aa Digger) 4.2 —| Call Sigh on 4 Sides of Equipment 21_| Radio RIG. 2.2 | Operator Seat and Seat Bat 2.3 | ROPS | FOPS ‘24 | Fire Extinguisher Fire Suppression 25 | instrument Panel ‘| Horniklakson Interior Cabin 2.8__| Windshield 2 | Windshield Wiper and Washer an rs and Lock ir it | Head ‘Alarm Sound ‘and Tag Out Switch A si sh Switch aitery and Cable Connection in Good Condition ‘Shoe. ‘Control and Function if and Function and Hydraulic Lines! went and Swing Lock and Function system and and Swi id Function SIS |SSSISE SIS sfGerd sa Petwergen : Radio burary Pmasergan ontena sRerc/fees Bon Argent Tele Pirbotkon kabel , Eamgerey xP probatnn Faber, §pren frosrese Meat Rotak Pre'e COMMISSIONING CHECK LIST (emma x FUEL TRUCK weda bay nickel A ee Date of Commissioning || 08/04 / 1634 Brand :| eHACHAN _ So Main Company s| won Unit Model RE Osean an cuwRen acu Build Year iis ‘Unit Number ‘Fen Wwen ot (MM) | | SMU/ Odometer oll ‘Serial Number =| oxi bs ot 10 434 Giosed Date s] o7/ 04 [2025 No. z item Description ___—_—_—_| Good | Fail | NA | Comment _ 1. Visibility a 1.1._| Nomor unit 4 sisiCal sign on 4 sides v I 2. Requirement af Cabin / Operator's Station 21. | Rado RIG Tenet! Frequens! ang Deyeraan/RIG Rado | Installed Required Frequency | 22__| Sabuk Pengaman Operator/Operafor seat and seatbelt | : 23._| APARIFre Extinguisher ¥ " | 2.4._| Panel instrumentinstrument panel 4 7 a 25._| KlaksoniHorn v ai | 2.6._| interior kabin/Cabin inferior Z i 27._| Kaca kabinv Windshield zi e [ 7; 2.8.__| Aiepembersih kaca & Karel wiper/ Windshield wie a | 29.__| Pintu dan kunaiDoors and lock . 2.10. | Air Conditioner [ez — 2.11. | Alarm fatiguelFatigue alarm v a 2.12. | Alarm kecepatan/Speed buzzer v a ‘3.__Lamps and Electrical Accessories 3.1,_| Lampu utama/Head lamp = = 32__| Lampu Belakang/Rear Lamp gu a 3.3.__| Alarm mundusiReverse alarm 2 z 3.4._| Lampu sign dan tanda bahayalHazard and sign lamps eae if 3.5.__| Lampu rotary/Rofary ight Z a 3.6._| Lampu stop/Stop lamp c | 37._| Lampu kabut(ika tersedlay/Fog amp (equipped) v 1 | 3.8. | Alaim mundur/Back up / Reverse alarm Ze 39. | LOTO (Log Out Tag Out) Switch v ose a 3.107 | Saklar baterayiBattery switch S 3.11. | Bateral dan kabel/Battery and cable connection vu abe v 42__| Kemudiroda and tirod/Wheel steering and linkage v 43. | System kemudi darurat (ika tersedia/Emergency steering | y- ‘system and function (t equipped) 44 [System kemudi dan hirliStesring system and hyaule | > 45. | Sistem tem parkir dan fungsiParking brake system and | 46. m ‘Sistem rem relarder dan fungsi/Retarder Brake system and | ,- 47_| Sistem rem darurat dan fungsi (ika tersediay Emergency brake ‘and function (if on 5.1. | Kondisi kebocoran mesin/Engine condition of leakage - = 52. | Tangga dan pijakan kaki/Ladder and footstep v Cony 1. HSE WN a eae 8. Sub-Contractors Safety Depttem / Description Kaca spion/Rear view mirror Pegangan tangan/Handrail and handhold Knalpot/Muffler pipe cap Pengganjal ban 2x/Wheel chock 2x Traffic cones 2x Pelindung Mesin PompalMachine Pump Guarding i Fail_ | WA ‘Comment Kondisi Saluran Masuk/in Chane! Lube Condition Kondisi Saluran Keluar/Out Chane! Lube Condition TanggalLadder Kondisi Tanki/Tank Condition Pegangan tangan/Handrail Sistem Pengoperasian/Operating Systern Kondisi SelangiHose Condition 68. | Kondisi Pipal Pipe Condition Cele sles} fs lc ¢}s| 5 Comment: Coyfep smus pry mmypods Cemuon ‘Commissioning Team: No. Name | Title Recomendation DueDate | Signature | 1. | Stupe ts ee wow | 2 | ai 3. | 7 i This piece of equipment has been inspected and has now passed the commissioning process Operation Manager Kepala Teknik Tambang Re-commissioning required (Circle) YES / NO Date required (If applicable)