Attachment of Inspection Check List

LOAD TEST FOR LIFTING CRANE

Date : Year Made :

Location : Main Hoist Wire Rope :

Plant Number : Auxiliary Hoist Cable :

Type of Equipment : Sling Cable Line :

Model : Time :

Manufacture : Item Number :

Serial Number of Machine : Owner :

SAFE WORKING
TIME DURATION
WORKING LOADS / SWL
BOOM WORKING
LIFT LOAD
TEST LENGTH RADIUS MAIN START FOR AFTER TEST RESULT REMARKS
ELEVATION ( TON ) AUXILIARY
( METER ) ( METER ) HOIST 10 MINUTES 10MINUTES
( DEGREE ) HOIST
( TON ) (H_0) ( H_1)

Inspection & Load Test Teams :

1 RW-CEM

2 RW-HES

3 Cont.- HES

4 Cont. - Operator

5 Cont. - Rigger

Acknowledged by ; CPI

Lampiran Photo alat

File : Form Test Load.xls/sd23/10/2012