DAILY CRANE INSPECTION REPORT

LAPORAN PEMERIKSAAN CRANE HARIAN

Type :
Date / Tanggal: Serial No :
Owner / Pemilik: Brand / Merk:
Rig : Capacity / Kapasitas : Tons

Good Poor N/A Good Poor N/A

Item Tidak
Item Tidak
Baik Kurang Baik Kurang
Ada Ada
Power Train Brake
Engine/ Motor / Mesin Service brake / Rem Service
Transmission / Transmisi Parking brake / Rem Parkir
Gears / Gigi gir Swing brake / Rem putar
Hydraulic System / system hidrolik Operator's Cabin / Cabin Operator
Moving parts properly guarded / Peralatan yang Controls properly labeled
bergerak terlindungi Load rating chart / Grafik beban
Tires / Ban Fire Extinguisher / APAR
Outriggers Hand signals posted / Poster signal tangan
Lights / Lampu - lampu
Horn/ Klakson Glass cabin / Kaca Cabin
Boom structure / Struktur boom Mirror / Cermin
Counterweight / Memberat Alarms/ Stops/ Indicators
Rotary Light / lampu alarm putar Weight Indicator / Indikator beban
Crawler / Roda rantai Boom angle indicator / Indikator sudut boom
Travel Alarm / Alarm perjalanan (electrical system)
Boom Jack / Jack Boom
Boom Dog
Wire Ropes / Tali baja Engine shut down / pemutus mesin darurat
Fast lines / Kabel blok kecil
Load lines / kabel blok utama *Robway System
Slings/ Chokers/ Chains Block and Hooks
Shackles/ Hooks /shakel & Pengait Safety Latches/ Pelindung hook
Swivel Connectors / penyambung swivel
Operator Documents :
MIGAS licence / SIO Migas Anti "Two Blocking" device / Pengaman Blok

Note / Catatan:
Result Inspection / Rignkasan pemeriksaan:

Material requested need / Comment / Material yang dibutuhkan / Keterangan:

Inspected By, Checked By,

Acknowledged By,

Operator Mechanik HSE & T Officer Rig Manager

PTI-QHSE-F76 Daily Crane Inspection Page 1 of 1