ELECTRICAL EQUIPMENT

INSPECTION CHECKLIST
Nama Proyek / Project Name: Tanggal / Date:
Klien / Client: No peralatan / Equipment Number:
Lokasi Inspeksi / Inspection Location: Di Inspeksi Oleh / Inspected By:

HAL YANG DIPERIKSA PADA TEMPATNYA? KONDISI ?

CATATAN-CATATAN
ITEMS TO CHECK IN PLACE ? CONDITION ? COMMENTS
YA TIDAK BAIK BURUK
YES NO GOOD BAD
1 Equipment/ Tools
a Appearance
b Motor
c Safe Guards
d Earth for movable Equipment
e Frame (body) Earth
f Installation/ Fixing
g Abrasive disk/ Blade
h Hand Switch
i Pilot Lamp
2 Cable/ Connector
a Cable/ Insulation
b Cable Connectors
c Cable Terminals/ Clamps
d Laying (Not to be damaged)
3 Miscellaneous
a Safe guards for moving parts
b Carry-in Certification

Komentar / Comment

PEMERIKSAAN DILAKUKAN OLEH (NAMA) / INSPECTION CONDUCTED BY (NAME) :

JABATAN / JABATAN : TGL. / DATE : PARAF / INITIAL :

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