POWER GENERATOR INSPECTION Date of inspection Rerinspection Equipment data : Operator data : Registration Number Name Manufacture ‘Sex (male/female) Serial Number Age Capacity Position Certificate Exp. Subject 1 Power generator oO Result column: [7] Yes/good, Acceptable [X] NoviBad, Not To Use [NA] Not Applicable ‘Copy of Driving license, Operator certificate and Equipment certificate must be attached in this form 1 [Engine * Appearance / Structure, Damage, Deffect * Cooling system ‘Water vol., V-belt, Fan’ = Fuel system Pump, Pipe, Leakage: * Exhaust system Muffler, Sound Battery Liquid volume, Aging, Terminal * Starter motor / Dynamo Function, Damage Breaker / Automatic stopper Function, Damage, Missing * Meters (ampere / volt meters) Function, Breakage * Wheels Structure, Wheel stopper * Grounding Resistance, Missing 2 | Generator * Operating status Quality, Capacity, Damage “Transmission Quality, Capacity, Damage = Carbon brush ‘Water-proof, Damage = Siip ring Damage, Secure, missing Outlet terminal / Wires 3 [Miscellaneous * Safe guard for moving part —- Comments Inspected by, ‘Mekanik ‘SHE Officer ‘SM/PM