This document is a gas cutting/welding inspection form used by PT. SISPUM SARANA GRAHA. It requires operators to complete the form before using equipment on site to ensure it meets safety regulations. The form checks items like gas cylinders, regulators, hoses, torches, and fire prevention measures. Inspectors then report if any corrective action is needed and the inspection status.
This document is a gas cutting/welding inspection form used by PT. SISPUM SARANA GRAHA. It requires operators to complete the form before using equipment on site to ensure it meets safety regulations. The form checks items like gas cylinders, regulators, hoses, torches, and fire prevention measures. Inspectors then report if any corrective action is needed and the inspection status.
This document is a gas cutting/welding inspection form used by PT. SISPUM SARANA GRAHA. It requires operators to complete the form before using equipment on site to ensure it meets safety regulations. The form checks items like gas cylinders, regulators, hoses, torches, and fire prevention measures. Inspectors then report if any corrective action is needed and the inspection status.
This form must be completed by the operator and company user before entering the equipment to be operated in the site project area, and at any time of setting location. All equipment condition must meet to the safety regulation and TIV SHE Management Plan Result column: ( ) Yes/Good, Acceptable, ( X ) Not/Bad, Not to use, ( NA ) Not applicable No Check Item Result Remarks 1 Gas Cylinders 2 Regulator/Hoses/Torches Regulator Hoses/Connector Torches Flash-back Arrestor 3 Miscellaneous Fire extinguisher Fire prevention Overturn Prevention Provision of Soap Liquid
INSPECTOR REPORT Corrective Action Required
Inspection Status: OK Not OK Order for Repair
PT. SISPUM SARANA GRAHA
Inspected by Date : Name : Signature : Position : Approved by Date : Name : Signature : Position :