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Daily Checklist Inspection Asphalt

Sprayer
Doc. No. 26071-JO-HSE-INS-004
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
Wheels / tracks
Roda / Trek
Hans sprayer
Sprayer Hans
Magnet copling
Magnet Copling
Driving machine
Mesin Penggerak
Generator
Generator
Electric burner
Pembakar listrik
Burner solar
Pembakar solar
Asphalt pump
Pompa Aspal
Front wheel
Roda depan
Rubber wheel
Karet roda
Rear wheel
Roda Belakang
Lubrication condition
Kondisi pelumasan
Cable, bolt and joint condition
Kondisi kabel, baut, dan
sambungan
Fire Extinguisher
APAR
Name of Operator
Nama Operator

Signature
Tanda Tangan

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