PDF Form Inspeksi Crane Pancang

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HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT

PT. PRATAMA WIDYA

INSPEKSI CRANE PANCANG


Project Crane Manufacture
Proyek L Pabrikan Crane
ocat ion Crane Capacity
Kapasitas Crane
Lokasi  Lenght Boom
InspectioN Date Panjang Boom
Tanggal Inspeksi Crane Auxillary Hoist
Type / Model Load Capacity
 Jenis Crane Kapasitas Kerekan
Bantu
Boom Type / Model
Total Running
 Jenis Boom
Total Jam Kerja
Condition
Crane Boom Rest Mode Y N N/A
Remark
Anti Two Blocking System
Sistem anti dual block 
Sling / Chain
Tali Baja / Rantai 
Supender Ring
Cincin Bandulan
Shackle / Pin / Bolt
Segel / Pengait / Baut 
Electrical Limit Switch
Pembatas Saklar listrik
LEADER
Tiang Pancang
Hammer / Vibrator
Palu / hammer 
Other Device
Peralatan lainnya
Alarm / Bell
Lonceng / Alarm
Load Block / Hook
Pengait Beban
Safety Latches / Baricade
Palang Pengaman / Barikade
Boom Back-Stop Auto Shut Off
Penghenti Boom Otomatis
Indicator Rolling / Pitching
Indikator Gulingan / Anggukan
Fire Extinghauisher
Pemadam Kebakaran
Proper & Adequate Access
 Akses yang Baik 
Certificate & Safety Sign
Sertifikat & rambu keselamatan
Warning Sign / Poster
Rambu / Poster Keselamatan
Posted Valid Operator Certivicate
Sertifikat operator yang berlaku
Posted Valid Crane Certificate
Serifikat crane yang berlaku
Appropriate Load Chart Crane
Diagram beban crane

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HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT
PT. PRATAMA WIDYA
Condition

Crane Boom Rest Mode Y N N/A Remark

Daily Crane Log Book


Buku harian crane
Housekeeping
Kebersihan & Kerapihan
Gressing on All Wire
Sling
Pelumasan pada semua
tali baja
Gressing on All Sheaves / Roller
Pelumasan pada semua roda / roler
Gressing on All Chain & Spockers
Pelumasan pada semua roda gigi
Gressing on All Shaft & Swivels
Pelumasan untuk semua sumbu
putar Coolant Fluid / Water For Radiator
 Air pendingin untuk radiator 
*) Y= yes, N= No, N/A= Not
aplicated

Note:

Fot o:

Inspected by, Approved by,

HSE PT. Pratama Widya HSE PT. PP

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