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  • Forklift-Wheel Loader Daily Inspection Check List Rev 0

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    Zhafran diniy
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    This document is a daily inspection checklist for forklifts and wheel loaders at the Banyu Urip Projecy production facilities. It lists 22 inspection points related to the equipment's fluid levels, components, safety features, and condition. Space is provided to indicate whether each point passes inspection as good, bad, or not applicable, as well as any comments or recommendations. The checklist must be filled out and signed by the operator, a safety advisor witness, and an acknowledging site supervisor.

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    This document is a daily inspection checklist for forklifts and wheel loaders at the Banyu Urip Projecy production facilities. It lists 22 inspection points related to the equipment's fluid levels, components, safety features, and condition. Space is provided to indicate whether each point passes inspection as good, bad, or not applicable, as well as any comments or recommendations. The checklist must be filled out and signed by the operator, a safety advisor witness, and an acknowledging site supervisor.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    5 views1 page

    Forklift-Wheel Loader Daily Inspection Check List Rev 0

    Uploaded by

    Zhafran diniy
    This document is a daily inspection checklist for forklifts and wheel loaders at the Banyu Urip Projecy production facilities. It lists 22 inspection points related to the equipment's fluid levels, components, safety features, and condition. Space is provided to indicate whether each point passes inspection as good, bad, or not applicable, as well as any comments or recommendations. The checklist must be filled out and signed by the operator, a safety advisor witness, and an acknowledging site supervisor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Banyu Urip Projecy Date :

    Production Processing Facilities Rev No. :


    Dept :
    Forklift-Wheel Loader Daily Inspection Check Ref No :
    List

    Date of Inspection/Tanggal Pemeriksaan :

    Location of Inspection/Lokasi pemeriksaan :

    Identification Number/Nomor identifikasi :

    Inspected by/Diperiksa Oleh :

    Contractor/Kontraktor :

    Condition
    No Requirement Remarks
    Good Bad N/A
    1 Oil level / Batas minyak
    2 Coolant level / Batas pendingin
    3 Fuel / Water level / Batas solar / air
    4 Battery condition / Kondisi baterai
    5 Air filter / Saringan udara
    6 V belt / V belt
    7 Tires condition / Kondisi ban
    8 All lights/ Semua lampu
    9 Break system / Sistem pengereman
    10 Fork, structural crack / Garpu, strucktur ada yang retak
    11 Steering system / Sistem kemudi
    12 Fuel tank/Fuel system / Tanki bahan bakar/sistem bahan bakar
    13 Electrical system / Sistem listrik
    14 Seat belt condition / Kondisi sabuk pengaman
    15 Reverse alarm / Alarm mundur
    16 Hydraulic hoses / Selang hidraulik
    17 Safety sign posted / Tanda keselamatan terpasang
    18 SWL marking clearly / Beban Kerja Aman ditandai dengan jelas
    19 All indicator / Semua indikator
    20 Horn / Klakson
    21 Oil spill kit/Peralatan untuk kebocoran oli
    22 Wiper, air condition/fan/Wiper, AC/kipas angin
    Comment and recommendation

    Inspected by, Witnessed by, Acknowledged by,

    Operator Safety Advisor Site Supervisor

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