INCOMING PLAN INSPECTION

EXCAVATOR LONG ARM

Project Name : NTI-Shell Sudirman Bandung
Site Address : Jl. Jendral Sudirman No. 559
L3 / Contractor : PT. Usaha Jayamas Bhakti
 THE PURPOSE OF INSPECTION

1. Implementation of HSSE program at work site

2. Ensure that the equipment or machine is in a proper
condition to be used as a tool in the work process
3. Avoid accidents at work
 TIME & PLACE OF INSPECTION

Date : 21 Februari 2022

Time : 14.00 WIB
Place : Workshop CV. Panghegar
DOCUMENTATION OF INSPECTION
RESULT OF INSPECTION
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INSPEKSI EXCAVATOR
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Masa Berlaku SIO
Surat Sehat 4 Ada

1 Fire
2
3 Kondisiseat belt
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4 Kondisi
n
5 load chart
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6 Kondisi kencali
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B 5WL boom excavator
9 Konciisi
10 Kondisi &
11 Kondisi lam
L2 Kondisi klak:son t,/,
13
c)tL\Y-1;
Kondisi
14 Kondisi kabin
U dru*ffi
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15 Kondisi kaki
16 ROP'S
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1 tl (ond IS I hanri control

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19
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27
dan fu
tidak ada
v/
22 Kondisirem
23 Irack roller J
24 Track shoe V7
25 Track fra me
dj
26
27
Track
ht& n
dari v
28 arm
29 Arm seca ra
30 bucket
31 Kondisi ucket
32 boom nder
33
34
35
mesin v/
oli
35 Kondisi
37 Air cond itioner
rambu tenta ba alat berat
Keterangan: Nomor ID Alat:

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SIO & SILO
THANK YOU

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