Scribd
Upload
57 views2 pages

Form Inspeksi Crane

This document is an inspection form for a crane from an HSE (Health, Safety and Environment) department. It contains checklists to inspect the engine, brake/air systems, hydraulic system, controls, wire ropes, and other aspects of the crane. The form includes spaces to note the condition of each item as good, bad, or not applicable, as well as a recommendation section. It requests information like the client, project, location, and date to identify the specific crane and inspection.

Uploaded by

Daengkulle Firmansyah Putera
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
57 views2 pages

Form Inspeksi Crane

This document is an inspection form for a crane from an HSE (Health, Safety and Environment) department. It contains checklists to inspect the engine, brake/air systems, hydraulic system, controls, wire ropes, and other aspects of the crane. The form includes spaces to note the condition of each item as good, bad, or not applicable, as well as a recommendation section. It requests information like the client, project, location, and date to identify the specific crane and inspection.

Uploaded by

Daengkulle Firmansyah Putera
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
You are on page 1/ 2

HSE DEPARTMENT

INSPECTION FORM

CHECK LIST CRANE

CLIENT : TYPE :
PROJECT : LOCATION :
CONTRACT NO. : DATE :

CONDITION
NO Levers control / Kontrol kemudi REMARKS
GOOD BAD N/A
ENGINE
01 Engine oil machine / Oli mesin
02 Coolent level / Level pendingin
03 Electric system / Sistem listrik
04 Battery system
05 Diesel fuel / Solar
BREAK / AIR SYSTEM
01 Air intake drain / Pembuang angin
02 Clutch fluid level / Minyak rem
03 Air hydrolic connection / Aluran angin hidrolik
04 Air pressure / Tekanan angin
05 Drum brake / tromol rem
06 Track croller
07 Tyre pressure / Tekanan angin di ban
HYDRAULIC SYSTEM
01 Hydraulic oil system / Ukuran olie hidrolik
02 Out riggere condition / Keadaan kaki / Kelabang
03 Steering fluid level / Ukuran minyak stir
04 Hoses / Selang
CONTROLS
01 Levers control / Kontrol kemudi
02 Instrument panel / Dashboard
03 Automatic boom back stop
04 Alat pembatas kekuatan
05 Safety hook condition / Kondisi aman huk
WIRE ROPE
01 Boom hois wire rope / Sling boom
02 Main hois wire / Sling blok besar
03 Auxilary hois wire rope / blok kecil
04 Wire rope dead end / Pengikat sling
05 Wire rope reeving / Gulungan sling
OTHERS
01 To clean unit / Bersih dari lumpur
RECOMMEDATION : ………………………………………………………………………………………………………….
………………………………………………………………………………………………………….
Diperiksa Oleh Diketahui Oleh

(..................................) (.......................................) (......................................) (....................................)


Operator Safetyman Inspector Supervisor

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy