Doc No :

S-000-1654-400-F.01
Pembangunan Aviation Fuel System & DPP Rev :
Kulon Progo Project Date :

□CARRY-IN/□MONTHLY EQUIPMENT INSPECTION CHECKLIST

LIFTING EQUIPMENT
CHEKLIST INSPECTION
INCLUDED
REQUIREMENTS
YES NO N/A
1. Detailed written procedure prepared, including step-by-step operation /procedure.
2. Pre-lift meeting to discuss step-by-step operation including roles & responsibilities of
all parties involved.
3. Plans/drawings consisting of the following
A. Plot Plan
B. Plan view with crane locations relative to the lift item. All movements and
obstructions and information shall be clearly shown as listed below.
 1). Location and size of underground facilities.
 2). Results of calculations of ground bearing pressures.
 3). Results of calculations for soil bearing analysis.
 4). Dimensions for centerline of lift equipment to CG of the lift item at the
beginning of lift and at final set.
 5). All swinging and traveling of lift equipment including clearances.
 6). At final set locations, note any required rotation of load.
 7). Matting plan / layout
C. Elevation view with data charts and crane locations relative to the lift Item. All
movements and obstructions shall be clearly shown as listed below.
 1). Dimensions from centerline of equipment to CG of the lift item at the beginning
of lift and at final set.
 2). All swinging and traveling of lift equipment and clearances.
 3). Rigging assembly and all lifting attachments clearly labeled.
 4). Lifting and tail lug orientation.
 5). Detailed of sling connection at crane hook and equipment (lift and tail cranes)
 6). Lift crane data chart consisting of:
 a) Crane make / model
 b) Radius – boom type and length
 c) Chart ID Number and crane counter weights
 d) Chart capacity
 e) Lift item weight
 f) Rigging weight
 g) % Safety
 h) % Chart
 7). Tail crane data chart consisting of:
 a) Crane make / model
 b) Radius boom type and length
 c) Chart ID Number and crane counter weights
 d) Chart capacity

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 Doc No :
S-000-1654-400-F.01
Pembangunan Aviation Fuel System & DPP Rev :
Kulon Progo Project Date :

 e) Lift item weight

 f) Rigging weight
 g) % Safety
 h) % Chart
 8). All rigging gear weights and deducts shown
 9). Lift item number / name
D. Pin Extractor Outline
 1). Manual Pin Extractor
 2). Hydraulic Pin Extractor
E. Certified Equipment Drawing with Vendor Calculated Weights
F. Transportation Routing Plan and Method of Transport
G. Crane and Rigging gear Certifications as listed Below
 a) Lift Crane
 b) Tail Crane
 c) Load Line, Boom Line, Whip Line
 d) Lift Beam
 e) Spreader Bar
 f) Sling
 g) Shackle
 h) Links
 i) Hydraulic / Manual Pin Extractor
 j) Other, Specify_________________________________________
Note: All calculations are to be stamped by a registered professional engineer, certified weights of items
are to be provided.

4. The following notations shall appear in the body of the procedure.
 a) All rigging will be attached and then visually inspected by a Contractor rigging
supervisor.
 b) Contractor rigging supervisor is responsible for verifying that all prescribed
conditions are met prior to the lift.
 c) All cranes shall be inspected and deemed in good operational condition by
Contractor rigging supervisor prior to the lift.
 d) All cranes will have a current certification of receipt on project.
 e) The use of tag lines.
 f) All test certification data will be provided to Contractor rigging supervisor.
 g) Load test (when required) will be witnessed by Contractor rigging supervisor.
 h) The process supervisor and fire department will be notified prior to the lift.
5. Load weight verified against calculated engineering weight and one of the following:
(weight to be calculated on + side of mill tolerance)
 a) Certified D.O.T. scale ticket (truck of rail).
b) Calibrated hook scale.
6. Load test at 110% of lift weight
7. Third party engineering review.
8. Drug testing of crane operators and rigging personnel prior to lift.

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 Doc No :
S-000-1654-400-F.01
Pembangunan Aviation Fuel System & DPP Rev :
Kulon Progo Project Date :

9. Stand-by operator.

10. Mat location flagged / painted for review.
11. Verification of vessel base plate and anchor bolts.
12. Wind speed restrictions (other than 20 MPH).
13. Road closure restrictions.
14. Lift to be during unit shutdown.
15. Daytime lift only.
16. Third party crane inspection required.
17. Pull test chokers / slings at %.
18. Components of lift assembly to be tagged with date and test date after Certification
of load test.
19. Known hazards reviewed.
20. Other, specify
______________________________________
________________________________________

Subcontractor/Supplier JGC INDONESIA

Approved by : Safety Manager :

Reviewed by : Reviewer :

Inspected by : Inspector :

Date : Date :

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