ConocoPhillips Resources (Grissik) Ltd.

HEAVY EQUIPMENT INSPECTION CHECKLIST

INSPEKSI ALAT-ALAT BERAT

Date Inspection : Excavator/ Backhoe Compactor

Inspection By :
Operator / Driver : Dump Truck Trailer
Driving License Number :
Validation date : Grader Boom Truck
Vehicle No :

CONDITION
NO DESCRIPTION REMARK
GOOD FAIR POOR
1 Engine condition / Kondisi Mesin
2 Engine oil leaks / Kebocoran oli mesin
3 Water leaks / Kebocoran air
4 Van Belt / Tali Kipas
5 Fuel line leaks / Kebocoran saluran bahan bakar
6 Exhaust pipe gas leaks / Kebocoran knalpot
7 Electric system / Sistem pelistrikan
8 Clutch and transmission / Transmisi dan kopling
9 Hydraulic system oil leaks / Kebocoran sistem oli hidrolik
10 Under carriage and Chasis / Chasis dan frames
11 Type wheel nut / Jenis mur roda
12 Control level / Level kontrol
13 Steering system / Sistem stir
14 Break system / Sistem rem
15 Parking break / Ren parking
16 Pin & locks / Kunci & Pin
17 Horn/ Wiper/ Mirror / Klakson, penyapu air kaca spion
18 Fire extinguisher / Alat pemadam api
19 Muffler / Peredam kebisingan
20 Hydraulic chain / Rantai hydrolik
21 Bucket / Bucket
22 Tires/ wheel / Roda
23 Overweight alarm / Alarm kelebihan beban
24 Reserve alarm / Alarm mundur
25 Move forward & swing alarm / Alarm kesamping & kedpn
26 Lightings / Penerangan
27 Seat belt / Sabuk pengaman
28 Seat operator / Tempat duduk operator
29 Housekeeping / Kebersihan
30 Metering system / Km / Sistem pengukuran
31 Operator cabin / Kabin operator
32 First aid kit / P3K obat-obatan
33 STNK = 5 years
Comment :

Inspected by : Witnessed by : User :

HSE Inspector