Maintenance Work Instruction Code: 1141 1MON CRU1130 MEC

INSP STOP
Revision # 0
Issue Date [idate]
Next Revision Date TBD
PV-P-PRM-001-0 Page 1 of 4

1141 1MON CRU1130 MECHANICAL INSP STOP

Assigned Dept: 105 (PM1)
Frequency: 1 MON
This work is covered by:
PV area: 1141
Time to Complete: 4 hours
□ An open work permit
□ A new work permit
Main Work Center: 10CG-TAI
(PRTECH)
Shutdown Required: YES
Open Permit #: ____________
Permit Board #: ____________

SAFETY INSTRUCTIONS & INFORMATION

** Complete an FLRA **
• Complete a proper walk around before entering any work
area when conducting the workplace exam.
• Note all hazards and conditions fixed on the workplace
examination template.
• Report all hazards that could not be fixed to your
immediate supervisor.
• Exercise your ‘Stop Work’ Authority if conditions are not
suitable for working.
• Do NOT conduct a task or operate equipment you are not
trained and proven competent on.
• Review any JSA’s with all personnel involved with this job.

Acceptance:

I have reviewed the work permit and carried out the required risk assessment. I have received the
necessary training and have been deemed competent to accomplish safely and correctly the required
tasks associated with this work instruction.

Accepted by: __________________Signature: ______________ Date:(yyyy-mm-dd) ____________

Maintenance Work Instruction Code: 1141 1MON CRU1130 MEC
INSP STOP
Revision # 0
Issue Date [idate]
Next Revision Date TBD
PV-P-PRM-001-0 Page 2 of 4

Documents and References:

PV-P-PRM-101-X_Process Plant Work Permit_revX_PVDC_date

PV-P-PR-031-X_Process Plant Field Level Risk Assessment_revX_PVDC_date
PV-P-PRO-xxx-0_Process Plant Job Hazard Analysis_revX_PVDC_date

Document Register
Register identification Type Location Retention period
Maintenance Planning Permanent.
Process Plant MWI Register Copy/filing cabinet
office Latest version is kept.
Permanent:
Livelink Electronic IT server
All versions are kept.
Permanent
RCMCost Electronic IT server
Latest version is kept
Revision History

Revision Date (yyyy-mm-dd) Description of changes and/or modifications

 Maintenance Work Instruction Code: 1141 1MON CRU1130 MEC
INSP STOP
Revision # 0
Issue Date [idate]
Next Revision Date TBD
PV-P-PRM-001-0 Page 3 of 4

Task Details
PV1-1141-CRU1130 (JAW CRUSHER RBS)
Not Not
Task Description OK
OK Complete
Observations
Verifique el torque de los tornillos de montaje del bastidor
en las placas laterales. □ □ □
Revise los amortiguadores de goma bajo las abrazaderas de
montaje de la trituradora. Si detecta daño alguno en los □ □ □
amortiguadores, sustituyalo.
Maintenance Work Instruction Code: 1141 1MON CRU1130 MEC
INSP STOP
Revision # 0
Issue Date [idate]
Next Revision Date TBD
PV-P-PRM-001-0 Page 4 of 4

Line Ref # Observations - Notes - Comments

Spares, PPE & Special Tools

Spares description Times used in this PM

PPE & Special Tools Times used in this PM

Work Instruction - Final Comments

Additional Resources:

Actual Hours: Date:

Sign off: ____________________________________