You are on page 1of 2

PRE USE CHECKLIST FORM

OVER HEAD CRANE

Location : Tambang : Vehicle Type : Mitsubishi


Date Of Check : 07/02/2023 : Police No : BN 5198 RA
Operator Name : : SWL :
Operator License : : Validation :

CONDITION / KONDISI
NO POINT TO CHECK OK NO N/A REMARK
OHC POWER SOURCE
1
SUPLAY TENAGA OHC
Electric Panel
1,1
Panel Listrik ✓
Fire Extinguisher
1,2
Alat Pemadam Api Ringan ✓
Electrical Power Supply
1,3
Supply Listrik penggerak ✓
FISICAL CHECK
2
PENGECEKAN SECARA FISIK
Bridge Controls
2,1
Sistem Pengeraman ✓
Girders
2,2
Batang Penyangga ✓
Electrical Wiring Cable
2,3
Kabel Listrik ✓
Pendant Buttons
2,4
Remote ✓
OHC Structural's Support (Bolts & Nut,Welding & Joint)
2,5
Struktur Penopang OHC (Baut & Nut, Sambungan & Kondisi Las ✓
OHC Lifting & Travelling Beam
2,6
Beam Pengangkat & Landasan OHC ✓
Hook
2,7
Pancing ✓
Lifting Wire /Chain
2,8
Kabel / Rantai pengangkat ✓
Lifting Wire /Chain Lubrication
2.9a
Lubrikasi Kabel / Rantai pengangkat ✓
Lifting Gear (Shackle, Sling / Wire Rope, Lifting Belt, Pad Eye, Etc)
2.9b
Alat bantu angkat (sakel, sling / Wire rope, Belt pengangkat, Pad Eye, Dsb) ✓
Operating Equipments Fuction
3
Fungsi alat-alat pengoperasian
OHC power Breaker,Switch & Supply
3,1
Sekring,Saklar & Supply Listrik OHC ✓
Key / Emergency Push Button
3,2
Kunci / Tombol Penghenti Darurat ✓
OHC Command Remote Fungtion
3,3
Fungsi Remot Pengontrol OHC ✓
OHC Travelling in Slow / Fast Mode
3.3.1
Perpindahan OHC lambat / Cepat
OHC Hoist Trolley Left / Right in Slow / Fast Mode
3.3.2
Perpindahan troli pengangkat Ke kiri / Kanan dalam Mode Lambat / Cepat
OHC Hoist UP in Slow / Fast Mode
3.3.3
Hoist Naik dalam Mode Lambat / Cepat
OHC Hoist DOWN in Slow / Fast Mode
3.3.4
Hoist Turun dalam Mode Lambat / Cepat
Tick on required column / Beri tanda pada kolom yg sesuai
OK : Safe for Use / Aman Digunakan, NO : Not Safe for Use / Tidak Aman digunakan, N/A : Not available / Tidak ada
All PPE Must Be Worn During Lifting Activity / APD wajib digunakan Selama Proses pengangkatan
NOTE :

You might also like