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INSPECTION CHECK LIST

BORE PILE UNIT

Company :
Work Location :
Date of Inspection : valid until :

Manufacture/ type : Reg FS no:


CONDITION
DESCRIPTION Remark
G B NA

- ESD system
- Spark arrestor
- Rotating guard
- Exhaust insulation
- Engine system
- Radiator level
- Lube oil level
- Mechanical system
- Hydrolic system
- Electrical system
- Bore Pile certificate V alid untill :
- Battery cover
- Lifting Gear Certificate V alid untill :

Remarks :

CONCLUSION ( KESIMPULAN )

Base on inspection result, the equipment is FIT / UNFIT to be used atvPHSS Area

Inspected By Inspected & Checked by Verified by Acknowledged by

Contractor Representative PHM Representative PHM Representative PLM PHSS

PT. CEP PRJ/EXE/CST-PHM PRJ/HSSE-PHM

D:\Dokumen HSE CEP\SPS\Form Inspeksi Tools & Equipment\13 BORE PILE.xls

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