Form Inspeksi Pile Driving

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PT.

PERUSAHAAN GAS NEGARA (Persero), Tbk

PILE DRIVING INSPECTION

Date of Inspection Re-inspection


Equipment data : Operator / Driver data :

Registration Number Name


Manufacture Sex (male/female)
Serial Number Age
Police Number (if any) License / SIO
Capacity Expired

Certificate Exp.

Subject : Pile driver Pile drawer Boring machine Earth auger ………….
Result column : Yes/good, Acceptable X Not/Bad, Not To Use NA Not Applicable

Copy of Driving license, Operator certificate and Equipment certificate must be attached in this form

NO CHECK ITEM CHECK POINTS RESULT REMARKS

1. Power unit
* Engine Starting, sound, Vibration
* Engine oil . Filter / Piping Volume, Smudge, Leakage
* Fuel tank / Pump / Filter / Piping Leakage, Breakage, Smudge
* Radiator / Pump / Fan belt Water volume, Leakage, Damage
* Air cleaner element Damage, Leakage, Smudge
* Transmission / Torque conventer Oil volume, Leakage, Smudge
* Muffler / Flame arrestor Exhaust color, Sound, Missing

2. Electric system
* Battery Liquid volume, Aging, Terminal
* Starter motor / Dynamo Function, Breakage
* Wiring Damage, Connection

3. Hydraulic / Pneumatic devices


* Hydraulic oil tank / Filter Damage, Oil volume, Smudge
* Hydraulic pump / Motor Sound, leakage, Overheat
* Hydarulic cylinder Damage, Leakage
* Compressor / Air tank Damage, Leakage
* Piping / hose / Fitting Damage, Leakage, Connection

4. Operation
* Levers / Pedal Operating check, Breakage
* Clutch (hoist, swing) Operating check, Breakage
* Brakes (hoist, swing) Operating check, Breakage
* Locks (hoist, swing) Operating check, Breakage
NO CHECK ITEM CHECK POINTS RESULT REMARKS
5. Travelling
* Caterpillar / Chains Damage, Tension
* Shoe / Rink / Pin / Bush Abrasion, Crack
* Upper / lower roller Abrasion, Damage
* Brake / Brake pedal Operating check, Play

6. Diesel hammer
* Ladder Deform, Breakage
* Cylinder Deform, Breakage
* Ram Deform, Breakage
* Exhaust / Muffler Color, Sound
* Fuel (tank / pump / hose) Leakage, Damage
* Pile cap Damage, Crack, Missing
* Cushion Damage
* Wire rope Deformation, Abrasion

7. Earth auger
* Auger screw Abrasion, Damage
* Coupling Fitting, Damage
* Motor / Motor cover Noise, Overheat, Damage

8. Safety devices / Guards


* Head guard Damage, Missing, Corrosion
* Lighting Function, Missing
* Horn / Alarm Function, Missing, Sound
* Meters (fuel, temperatur, speed) Function, Missing

9. Miscellaneous

Comments :

Inspected by, Acknowledge by,

(__________________) (____________________) (_____________________)


Operator PGAS Solution PGAS Solution

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