Form-HSE-TMR-

No Dokumen
BAR CUTTER INSPECTION Tanggal Efektif
011
1/13/2022
STANDARD No Revisi 1
PT PP(Persero)Tbk, Div.EPC - CFSPP TIMOR-1 (2x50 MW)
(PP/No.50/2012) Halaman 1/1

Inspection Date : _____________________________

Owner : _____________________________

Register Number : _____________________________

INSPECTION METHOD INSPECTION RESULT REASON FOR NOT

No INSPECTION ITEM STANDARDS
VISUAL FUNCTION GOOD NOT GOOD COMPLY
No spark (mudah di start, tidak ada
1 Engine percikan)
2 Belt No worn out (tidak lecet / luka)
Belt Proper cover in enought protection
3 Cover Belt ( tertutup dengan sempurna dan terlindungi
)
can free move up down include blade
4 Steel cut off condition ( dapat bergerak naik turun serta masih
tajam besi pemotongnya )
5 Motor housing Tight (rapat)
Proper body no lack and enough nut ( Body
6 Body plate & nut Complete tertutup dan baut lengkap )
Easy for start&stop (mudah untuk
7 Engine control switch
start&stop)
8 Cable No worn out (tidak lecet / luka)
9 Connection plug Tight,not leak (rapat,tidak bocor)
Work,common visualization
10 Emergency stop
(berfungsi,terlihat secara umum)
11 Panel indicator Work (berfungsi)
Connection to breaker using lug
12 Lug (sambungan ke breaker memakai lug)
13 Grouding Cable Availlable,work (tersedia,berfungsi)
INSPECTION STATUS SPECIAL NOTE :
Stiker Number
PASSED

Stiker Number INSPECTION BY APPROVED BY ACKNOWLEDGE BY

REJECT

Stiker Number
HOLD
HSE Inspector Site Manager HSE Site Manager
Name and Signature Name and Signature Name and Signature
INSPECTION DURATION : TO