You are on page 1of 1

TRUCK/MOBILE CRANE Inspection Date

Capacity
:
:

INSPECTION STANDARD No. Police


Next Inspections
:
:

INSPECTION METHOD INSPECTION RESULT


REASON FOR NOT
No INSPECTION ITEM STANDARDS
VISUAL FUNCTION COMPLY NOT COMPLY COMPLY

No noise,Leak, easy f or st art and of f , no sp ark (


1 Main Engine Tid ak b erisik, b ocor, m ud ah d i hid up d an m at ikan, t
id ak ad a p ercikan ap i)
Easy f or st art and st op (m ud ah unt uk d inyalakan
2 Mot or st art ing
d an m at ikan)
3 Travelling b rake Work p rop erly (b erf ungsi d engan b aik)

4 Parking b rake Work p rop erly (b erf ungsi d engan b aik)

5 Em ergency b rake Work p rop erly (b erf ungsi d engan b aik)

6 Klakson Work p rop erly (b erf ungsi d engan b aik)

7 Panel Inst rum ent ind icat or Work p rop erly (b erf ungsi d engan b aik)

8 Saf et y lut ch Work p rop erly (b erf ungsi d engan b aik)

9 Ant i t w o b lock Work p rop erly (b erf ungsi d engan b aik)

10 Load ind icat or (Alarm sound Work p rop erly (b erf ungsi d engan b aik)
Clean, no oil sp ill (b ersih,t id ak ad a t um p ahan
11 Cab in op erat or assy
m inyak)
12 Tab le Load chart Tersed ia

13 Manual rad ius b oom Work p rop erly (b erf ungsi d engan b aik)
No crack,w ork p rop erly,grease (t id ak ret ak,
14 Main hook b lock
b erf ungsi d engan b aik, t erlum asi)
Fire ext inguisher have t o inst all insid e cab ine
15 Fire Ext inguisher
op erat or ( Ap ar harus t ersed ia d i d alam ruangan
16 Test all f unct ion syst em Work p rop erly (b erf ungsi d engan b aik)
Availab le, not exp ired f rom m an p ow er
17 License of op erat or ( SIO )
d ep art m ent (ad a, m asih b erlaku d ari d isnaker)
Cert if icat ion of Availab le, not exp ired f rom m an p ow er
18
eq uip m ent /sert if ikasi alat d eap r t m ent (ad a, m asih b erlaku d ari d isnaker)
19 Rearviw e m ir ror/kaca sp ion Work p rop erly (b erf ungsi d engan b aik)
No leak, w ork p rop erly (t id ak b ocor, b erf ungsi
20 Rear out r igger jacks
d engan b aik)
No crack and w ork p rop erly (t id ak ret ak d an
21 Boom rest
b erf ungsi d engan b aik)

INSPECTION STATUS : PASS REJECT HOLD


SPECIAL NOTE FROM INSPECTOR :

INSPECTED BY APPROVED BY

Nam e and Signat ure Nam e and Signat ure

You might also like