HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT

PT. CIPTA MULTI LISTRIK NASIONAL

INSPEKSI CRANE PANCANG

Project Crane Manufacture
Proyek Pabrikan Crane
Location Crane Capacity
Lokasi Kapasitas Crane
InspectioN Date Lenght Boom
Tanggal Inspeksi Panjang Boom
Crane Type / Model Auxillary Hoist Load Capacity
Jenis Crane Kapasitas Kerekan Bantu
Boom Type / Model Total Running
Jenis Boom Total Jam Kerja

Condition
Crane Boom Rest Mode Y N N/A Remark
Anti Two Blocking System
Sistem anti dual block
Sling / Chain
Tali Baja / Rantai
Supender Ring
Cincin Bandulan
Shackle / Pin / Bolt
Segel / Pengait / Baut
Electrical Limit Switch
Pembatas Saklar listrik
LEADER
Tiang Pancang
Hammer / Vibrator
Palu / hammer
Other Device
Peralatan lainnya
Alarm / Bell
Lonceng / Alarm
Load Block / Hook
Pengait Beban
Safety Latches / Baricade
Palang Pengaman / Barikade
Boom Back-Stop Auto Shut Off
Penghenti Boom Otomatis
Indicator Rolling / Pitching
Indikator Gulingan / Anggukan
Fire Extinghauisher
Pemadam Kebakaran
Proper & Adequate Access
Akses yang Baik
Certificate & Safety Sign
Sertifikat & rambu keselamatan
Warning Sign / Poster
Rambu / Poster Keselamatan
Posted Valid Operator Certivicate
Sertifikat operator yang berlaku
Posted Valid Crane Certificate
Serifikat crane yang berlaku
Appropriate Load Chart Crane
Diagram beban crane

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 HEALTH, SAFETY, AND ENVIRONMENT DEPARTMENT
PT. CIPTA MULTI LISTRIK NASIONAL
Condition
Crane Boom Rest Mode Y N N/A Remark

Daily Crane Log Book

Buku harian crane
Housekeeping
Kebersihan & Kerapihan
Gressing on All Wire Sling
Pelumasan pada semua tali baja
Gressing on All Sheaves / Roller
Pelumasan pada semua roda / roler
Gressing on All Chain & Spockers
Pelumasan pada semua roda gigi
Gressing on All Shaft & Swivels
Pelumasan untuk semua sumbu putar
Coolant Fluid / Water For Radiator
Air pendingin untuk radiator
*) Y= yes, N= No, N/A= Not aplicated

Note:

Foto:

Inspected by,

HSE PT. CMLN

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