Daily Checklist Inspection Air Track

Crawler Drill
Doc. No. 26071-JO-HSE-INS-001
Effective Date 20 June 2020
Revision No. 001

Company : JO Reg Number :

Perusahaan Nomor Reg. JO
ID Equipment Number : Serial Number :
Nomor ID Alat Nomor Seri

Period / Periode :……………/………….to / sampai ………/…………. 20…

OK NA DEFECT

DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS

DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Track frames: Structural
cracks
Jalur rangka : Retak Struktural
Track shoes / Hardware
Jalur Sepatu / Perangkat keras
Sprockets / Mounting bolts /
nuts
Sprockets / Dudukan Baut /
Mur
Track drive air motors: Air / oil
no leaks
Jalur Motor Penggerak: udara /
oli tidak bocor
Air hoses / fittings no leaks
Selang udara / Fitting tidak
bocor
Track frame air oscillating
cylinders:/ Air no leaks
Jalur Silinder osilasi udara : /
Udara tidak bocor
Air system: Hoses / tubes / air
leaks
Sistem udara: Selang / tabung
/ kebocoran udara
Hydraulic system: Hoses /
tubes / Oil leaks
Sistem Hidrolik : Selang /
Tabung / Kebocoran oli
Control valves / Oil leaks
Katup Kontrol / Kebocoran oli
Hydraulic pump: Oil leaks /
Noise
Pompa Hidrolik : Kebocoran oli
/ kebisingan
Pump drive air motor: Leaks
Penggerak pompa udara:
Kebocoran
Hydraulic tank: Oil leak / Noise
 Daily Checklist Inspection Air Track
Crawler Drill
Doc. No. 26071-JO-HSE-INS-001
Effective Date 20 June 2020
Revision No. 001

DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS

DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Tangki hidrolik : kebocoran oli
/ kebisingan
Hydraulic cylinders: Mountings
/ Pins / Locks
Silinder hidrolik: Dudukan / Pin
/ Pengunci
Oil leaks
Kebocoran oli
Feed rail: Structural cracks /
Chain / sprockets
Pakan rel: Retak structural /
Rantai / Sprockets
Chain tightener / Drifter slide
Pengencang rantai / Drifter
geser
Feed air drive motor: Air / oil
leaks
Umpan Motor penggerak
udara; udara / Kebocoran oli
Drifter air rotation motor: Air /
oil leaks
Drifter Motor rotasi udara :
Udara / kebocoran oli
Drifter: Leaks
Drifter : Kebocoran
DHD drill
Bor DHD
Drill steel/accessories
Bor Baja / Aksesoris
Water reservoir / Injection
system
Tempat penampungan air /
sistem injeksi
Name of Operator
Nama Operator

Signature
Tanda tangan