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Form-HSE-TMR-010 Gerinda Inspection

This document contains an inspection checklist for a machine with 10 items. It lists the inspection standards, methods (visual or functional), results (good or not good), and reasons for non-compliance for each item. The inspection items include side handles, wheel guards, wheel locks, wrenches, spindles, switches, wheels, machine bodies, power cords, and motors. The checklist also includes spaces to record the inspection date and duration, inspection status (passed, rejected, or held), and signatures of the inspector, site manager, and HSE site manager to approve the inspection.

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82 views1 page

Form-HSE-TMR-010 Gerinda Inspection

This document contains an inspection checklist for a machine with 10 items. It lists the inspection standards, methods (visual or functional), results (good or not good), and reasons for non-compliance for each item. The inspection items include side handles, wheel guards, wheel locks, wrenches, spindles, switches, wheels, machine bodies, power cords, and motors. The checklist also includes spaces to record the inspection date and duration, inspection status (passed, rejected, or held), and signatures of the inspector, site manager, and HSE site manager to approve the inspection.

Uploaded by

kenia info
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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F2820-F0092-04 Attachment-2 Page 28 of 29Procedure No.

F2820-P0043-01

No Dokumen Form-HSE-TMR-010
GERINDA INSPECTION STANDARD Tanggal Efektif 1/13/2022
PT PP(Persero)Tbk, Div.EPC - CFSPP TIMOR-1 (2x50 MW) No Revisi 1
(PP/No.50/2012)
Halaman 1/1

Inspection Date : _____________________________

Owner : _____________________________

Register Number : _____________________________

INSPECTION METHOD INSPECTION RESULT REASON FOR NOT


No INSPECTION ITEM STANDARDS
VISUAL FUNCTION GOOD NOT GOOD COMPLY

1 Side handle Availlable (tersedia)


2 Wheel guard Not crack (tidak retak)
3 Wheel lock Nut not crack,tight (baut tidak retak,rapat)
4 Wrench Availlable (tersedia)
5 Spidle lock button Work (berfungsi)
6 Switch Work (berfungsi)
As manufacturing standard, not expired (sesuai
7 Wheel
dengan standar pabrikan, tidak kadaluarsa)
8 Body machine Not greased,oil (tidak ada grease,oli)

9 Power cord Not scratch,insullated (tidak sobek,terisolasi)


10 Motor No spark (tidak ada percikan)

INSPECTION STATUS

PASSED Stiker Number

REJECT Stiker Number

HOLD Stiker Number

INSPECTION DATE DURATION :


To

SPECIAL NOTE :

SPESIFIKASI
Diameter ............................
INSPECTION BY APPROVED BY ACKNOWLEDGE BY RPM.....................................

Merk...................................

HSE Inspector Site Manager HSE Site Manager EPC


Name and Signature Name and Signature Name and Signature

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