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 184 SR 700 L KATO - Found Dust and Debris on Engine Need To Be House
ROUGH TERRAIN 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

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

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