BOR RIG DAILY INSPECTION

CHECKLIST
Doc. No. 26071-JO-HSE-INS-020
Effective Date 20 June 2020
Revision No. 000

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
Seat, Seatbelt
Kursi dan sabuk pengaman
Windshield, washer
Kaca depan, ring penutup
Windshield wiper
Kipas/pembersih kaca
Rear view mirrors
Spion
Headlights, high/low
Lampu utama, tinggi/rendah
Signal lights
Lampu signal
Tail lights / brake lights
Lampu rem
Horn, back up alarm
Klakson, alarm mundur
Back up lights
Lampu mundur
Engine oil leaks
Kebocoral oli mesin
Coolant leaks
Kebocoran tangki pendingin
Fuel leaks
Kebocoran tangki fuel
Exhaust leaks
Kebocoran pipa knalpot
Transmission Controls
Kontrol perseneling
Inching pedal control
Kontrol step pedal
Transmission
Perseneling
Drive axle
Gandar / as roda
Steering hydraulics
Oli hidrolic steering
 DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Steering cylinders / leaks
Kebocoran silinder steering
Steering linkage
Sambungan streering
Brakes / operation
Pengereman saat operasi
Park brake
Rem parkir
Front axle center pin
Pin gandar/as depan
Hydraulic pump
Pompa hidrolik
Control valves
Katup kontrol
Lift cylinders
Silinder angkat
Side shift cylinders
Silinder samping
Mast assembly mounting
Dudukan/bantalan tiang
Lift chains / rollers
Rantai angkat / gulungan
Forks, cracks, bends
Garpu, retak, tekuk
Load chart
Tabel beban
Safety latch hook
Kancing pengaman hook
Tires, cuts, flat, worn
Roda-roda, keausan
Rims, locks, nuts
Pelek, mur-baut
Crawler track, chassis
Jalur crawler, casis
Anti two block alarm
Alaram anti two block
Swing, travel alarm
Alaram putar dan jalan
Emergency shut down
Tombol emergency mesin
Fire extinguisher
APAR
Emergency spill kit
Tempat penadah darurat
Name of Operator
Nama Operator

Signature
Tanda Tangan