Doc No :

S-000-1654-400-F.13
Pembangunan Aviation Fuel System & DPP Rev :
Kulon Progo Project Date :

□CARRY-IN/□MONTHLY EQUIPMENT INSPECTION CHECKLIST

[WELDING MACHINE]

Type of Equipment : CARRY-IN CERTIFICATE

Equipment No. : Permit No. :
Capacity : Date :
Manufacturer : Approved by :
Subcontractor : Reviewed by :
Date of Deployment : Inspection shall be carried out at carry-in
Month of Inspection : and at least once a month

[Subjects] □ Arc Welding Machine □

[Result Column]  : Yes/Good, Acceptable, X: Not/Bad, Not to use, NA: Not applicable.

No. Check Item Check Points Result Remarks

1. Arc Welding Machine
a Appearance
b Operating Status
c Frame (Body) Earth
d Skid/Wheels
e Adjust Handle
f Installation/Fixing
g Automatic Voltage Reducer
Damage, Defects
Abnormal sound, Overheat
Missing, Resistant
Structure, Wheel Stopper
Function, Damage
Stable, Securely, Height
Function test, Missing

2. Cable/Connector
a Supply Cables
b Earth (Return) Cable
c Cable Connectors
d Cable Termination/Clamp
e Laying (not to be damaged)
Quality, Capacity, Damage
Quality, Capacity, Damage
Weather-proof, Damage
Damage, Secure, No naked
Overhang, Buried, Protection

3. Electrode Holder
a Appearance/Insulation Breakage, Balance

4. Miscellaneous
a Carry-in Certification Indication
b Fire Extinguisher Provision
c Career/Wheels Structure, Wheel Stopper
d Pilot Lamps Breakage
e Meters (Ampere/Volt Meters) Function, Breakage

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 Doc No :
S-000-1654-400-F.13
Pembangunan Aviation Fuel System & DPP Rev :
Kulon Progo Project Date :

f Breaker (Emergency Stopper) Function

g Safe Guards for moving parts Breakage, Missing

Subcontractor/Supplier JGC INDONESIA

Approved by : Safety Manager :

Reviewed by : Reviewer :

Inspected by : Inspector :

Date : Date :

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