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PT.

ADHI KARYA ( Persero ) Tbk

SAFETY INSPECTION CHECK LIST

Ceklist Drilling Rig

Date of Inspection : Code Inspection :


Object Inspection : Location :
Inspected by : Contractor/Sub :

NO ITEM TO BE INSPECTED Yes No REMARKS


1 Reverse Alarm/Alaram Mundur
2 System/Wiper dan air pembersih
3 Mirror Clears/Kaca depan/spion
4 Horn/Klakson
5 ESD.System/Sistem ESD
6 Seat Belt/Sabuk pengaman
Hydraulic System and nose condition/kondisi
7
Hydraulic sistem dan selang
8 Lightings/Lampu
9 Rotary Light/Lampu bahaya
10 Cabin Condition/Kondisi Kabin
Battery Connection and Protective cover/Koneksi
11
baterai dan penutup
Engine and Full System(Leaks)/Mesin dan sistem
12
minyak (kebocoran)
Hook Block (Sheaves,hook
13
nut,bearing,hook,safety lutch)
14 Wire Rope
15 Insulation of exhaust pipe/isulasi pipa knalpot

16
Lifting Component dan the structure
17 Fire Extinguisher/APAR
18 First Aid Kit /Kotak P3K
19 Anti Two Block
20 Track
21 Indicator System (Fuel,oil,Temp,etc)
22 Oil Spill Kit/Peralatan untuk kebocoran oli

Recommendations :

HSE Mekanik

Name : Name : :

Designation : Designation : :

Signature : Signature : :

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