HSE 12 F042 R0 Form Track Type Tractor

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

HEAVY EQUIPMENT COMMISSIONING INSPECTION CHECKLIST

PT.RAHMAN ABDIJAYA

TRACK TYPE TRACTOR


Date of Commissioning : Brand :
Main Company : Unit Model :
Sub Contractor : Build Year :
Unit Number : SMU / ODOMETER :
Serial Number : Expired Date :

TIDAK KODE
No ITEMS / DESCRIPTION BAIK GAGAL KETERANGAN
ADA BAHAYA

1. VISIBILITY
1 Strobe Light with Yellow and Blue Color AA
2 Call Sign on 4 Sides of Equipment A
3 Buggy Whip only for Machine under 4 Meters of Height AA
2. REQUIREMENT of CABIN
1 Radio RIG AA
2 Operator Seat and Seat Belt AA
3 ROPS / FOPS C
4 Fire Extinguisher / Fire Suppression System A
5 Instrument Panel A
6 Horn A
7 Interior Cabin C
8 Windshield B
9 Windshield Wiper and Washer A
10 Doors and Lock B
11 Air Conditioner C
3. LAMPS and ELECTRICAL ACCESSORIES
1 Head Lamps A
2 Reverse Lamps A
3 Stop Lamps A
4 Fog Lamps (if equipped) A
5 Back Up / Reverse Alarm Sound Good A
6 Lock Out and Tag Out Switch A
7 Battery Isolation Switch A
8 Emergency Shutdown Push Switch B
9 Battery and Cable Connection in Good Condition A
4. STEERING and BRAKING SYSTEM
1 Track Link and Shoe B
2 Steering Control AA
3 Undercarriage C
4 Steering System and Function AA
5 Parking Brake System and Function AA
6 Service Brake System and Function AA
5. ENGINE and OTHERS
1 Engine Condition of Leakage B
2 Hydraulic Cylinders and Lines Condition B
3 Implement System and Function A
4 Ladder and Foot Step B
5 Mirror / Spion A
6 Handrail and Handhold B
7 Ripper and Tip (if equipped) C
8 Blade and Cutting Edge C
9 Muffler Pipe Cap A
10 Transmission Lock Control and Function

No Nama Jabatan Tanda Tangan No Daftar Penyimpangan Batas Waktu


1 1
2 2
3 3
4 4

Copy

Form No. HSE/12/F-042/R-00

You might also like