PT.

OMS Oilfield Services

Jl. Mulawarman, Batakan Kecil
P.O. Box 469 Balikpapan – 76115 PC NO: 6171
East Kalimantan, Indonesia NO. OMS/NCR/CRANE/GDAP/09.00.19

NON CONFORMANCE REPORT

To. : PT. GREATWALL DRILLING ASIA PASIFIC

Date of Inspection : March 18-19 ,2020
Location : JL RAYA DUMAR INDUSTRI NO 38 SURABAYA
Subject : Finding Inspection of crawler crane Sumitomo 70 Ton / CR 174

ITEM
ITEM DESCRIPTION FINDING INSPECTION RESULT
NO.

CR 174 SC 700 SUMITOMO - Found Dust and Debris on Engine Need To Be House
CRAWLER CRANE Areas Keeping
SWL MAIN HOOK 70 TON
- Fire extinguisher was empty Need To Be refillr
( PT. GROGOL SARANA
TRANS JAYA ) - First aid Kit Pack almost empty Need To Be filled

- Worn Out on Main Hook Need To Replaced

-Load moment indicator broken Replace and tested

before use

See attachment

Location of Inspection:
- JL RAYA DUMAR INDUSTRI
NO 38 SURABAYA

RECOMMENDATION:
- Pleased Make Sure Equipment Fit For Used Before Send To Location

NAME OF REPRESENTATIVE CONDUCTING

EXAMINATION / TEST

SUYANTO / NOFAN ERWANTO

COMPANY APPROVED EXAMINER

Jl. Mulawarman RT. 23 / RW. 08 No. 115 Balikpapan 76115 – P.O. Box 469 - East Kalimantan – Indonesia
 Phone: (62-542) 770082 (Hunting) Fax: (62-542) 770084

PT. OMS Oilfield Services

Jl. Mulawarman, Batakan Kecil
P.O. Box 469 Balikpapan – 76115
East Kalimantan, Indonesia

Attachment :

ENGINE NEED HOUSE KEEPING

 FIRE ENXTINGUISHER NEED TO BE REFILL

FIRST AID KIT MUST BE FILLED

WORN OUT ON MAIN HOOK TO BE REPLACE

 LOAD MOMENT INDICATOR BROKEN

Jl. Mulawarman RT. 23 / RW. 08 No. 115 Balikpapan 76115 – P.O. Box 469 - East Kalimantan – Indonesia
Phone: (62-542) 770082 (Hunting)