Daily Checklist Inspection Crane

Doc. No. 26071-JO-HSE-INS-010

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
Cabin operators / Operator Kabin
Meter Hours
Meter Hours (jam kerja mesin)
Cleanliness
Kebersihan
Seat condition
Kondisi tempat duduk
Seat belt must be worn
Sabuk pengaman harus dipakai
Operator Restrains provided
Tersedia Penahan operator
Instruments operational & labeled
Instrumen operasional & berlabel
Levers/control operational
Pengungkit/kontrol oprasional
Pedal in condition
Kondisi pedal
Windows/wiper/washer
Jendela / wiper / pembersih
Rear view mirror
Kaca Spion
Working LMI
LMI bekerja
Warning alarm function
Alarm Peringatan berfungsi
Load chart table
Tabel Load Chart
Engine / Mesin
Water level in radiator and reserve tank
Ketinggian air pada tangki radiator dan tangki
cadangan
Oil level and condition
Level dan kondisi oli
Oil, water and fuel leakage
Kebocoran oli, air dan bahan bakar
Fan belt tension
Ketegangan Fan belt
Air cleaner
 DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Pembersih udara
Exhaust, spark arrestor
Knalpot, spark arrestor
Hydraulic
Hydraulic oil level and condition
Level dan kondisi oli hidrolik
Control lever and valve working condition
Tuas control dan kondisi kerja katup
Pump working condition
Kondisi kerja pompa
Motor working condition
Kondisi kerja motor
Hydraulic pump, motors and cylinders oil
leakage
Kebocoran pompa hidrolik, motor dan silinder
Control valve, rotating joint and piping oil
leakage
Katup Kontrol, sambungan berputar dan
kebocoran oli pipa.
Electric system / Sistem Kelistrikan
Fluid level in battery
Level cairan dalam baterai
Instrument working condition
Kondisi kerja instrument
Battery cover
Pelindung baterai
Safety devices / Perangkat Keamanan
Anti-two block, boom over-hoist limiting and
moment limiting device, etc.
Perangkat anti-two block, pembatas boom over-
hoist dan pembatas momen. dll
Angle boom
Sudut Booming
Working alarm
Alarm bekerja
Rotary light
Lampu rotari
Fire Extinguisher (full charge)
APAR (Terisi penuh)
First Aid kit
Peralatan P3K
Spill kit
Peralatan penanganan tumpahan
Attachment / Lampiran
Appearance
Penampilan
No crack and deformation
Tidak ada retak dan deformasi
Wire rope
Wire rope
 DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Travel warning device
Perangkat peringatan perjalanan
Load/radius and automatic safe load/indicators
Beban/radius dan beban/indicator aman
otomatis
Winch brakes/clutch linings
Rem Kerekan / Pelapis kopling
Track cassis or tire
Bantalan cassis dan Ban
Jack, crane, sling if any
Colokan, crane, sling jika ada
Motion limit switches /
Saklar Pembatas Gerak
The crane boom / fly jib (if use)
Boom derek / fly jib (Jika digunakan)
Ballast fly jib (if any)
Ballast fly jib (jika ada)
Winding drum for power cable
Winding drum untuk kabel listrik
Rail clamps
Klem rel
Rail tracks
Trek rel
Wheels and axles or rail – mounted cranes
Roda dan as atau rel – pada crane yang
terpasang
Others:
Lainnya:

Name of Operator
Nama Operator

Signature
Tanda Tangan