PT@ TAKASAGO THERMAL ENGINEERING
A
DAILY EQUIPMENT / TOOLS INSPECTION CHECKLIST [ GAS WELDING / GAS CUTTER ] Equipment Name
:
Carry-in ID No.
:
Month / Year
:
Equipment No.
:
Carry-in Date
:
Inspected by
:
Contractor Name
:
User / Operator
:
e!ie"ed by
:
#ub$ #ub$ec ectt
:
%as %as &e'd &e'din in( ( / %as %as Cutt Cutter er
√
) Chec* Co'umn +
:
Ya / ,ai*
Chec* Item
:
X
Date
1
Oxygen Cy Cyln!e"
a
pa*ah pa*ah *ond *ondisi isi tabun tabun( ( da'am da'am *eadaa *eadaan n bai*/ bai*/ 9tida* 9tida* penyo penyo* * atau atau rusa* rusa*
b # a b
pa*ah ada
0
NA
:
1
2
Not pp'icab'e 3
4
5
6
7
8
valve handle?
G$% Cy Cyln!e" pa*ah pa*ah *ond *ondisi isi tabun tabun( ( da'am da'am *eadaa *eadaan n bai*/ bai*/ 9tida* 9tida* penyo penyo* * atau atau rusa* rusa* pa*ah ada
valve handle?
&
Reg' Reg'l$ l$() ()"" !$n !$n *"e% *"e%%' %'"e "e g$'g g$'ge e
a
pa* pa*ah ah pre press ssur ure e (au( (au(e e da'a da'am m *ond *ondis isii bai* bai*; ;
b
pa* pa*ah ah ada ada *er *erus usa* a*an an pad pada a re( re(u' u'at ator or; ;
+
A*$, A*$,$$- .l$ .l$%%- $0 $0, , $""e $""e%( %(e" e" (el (el$$- ! ! *$%$ *$%$ng ng
Sel$ng
a
pa*ah pa*ah se'a se'an( n( da'am da'am *eada *eadaan an bai*; bai*; 9tida 9tida* * *ereta *ereta*an *an atau atau abras abrasi i
b
pa* pa*ah ah *'e *'em m untu untu* * se'a se'an( n( sud sudah ah sta stand ndar ar; ;
2
Peng Peng$3 $3$n $n !$" !$" *$4$ *$4$n$ n$n n %n$ %n$"" 3$($ 3$($-$ -$" "
a
pa* pa*ah ah pen( pen(am aman an suda sudah h ter terpa pasa san( n(; ;
b
pa*ah 'aya*;
5
ida* / ,uru*
N)66le pa*ah no<<'e pada re(u'ator sesuai; pa*ah No<<'e pada torch sudah sesuai;
7
T)"0 pa*ah *ondisi torch 'aya*; 9!a'!e= nut= tube= tube= etc pa*ah >ondisi u'ir pada torch 'aya*;
8
A*$,$ A*$,$- $" $" %$'n %$'n (e"%e! (e"%e!$ $ 9'n( 9'n(', ', 0e, 0e, ,e)0) ,e)0)"$n: "$n:; ;
1<
A*$,$ A*$,$- le3$" le3$" *e3e *e3e", ",%$$ %$$n n -$"$ -$"$n n (e"%e! (e"%e!$; $;
D*e",%$ Ole-= Re>e? y %$.e(y
c*no"'ed(ed by= by=
0
1
2
3
PT@ TAKASAGO THERMAL ENGINEERING
A
DAILY EQUIPMENT / TOOLS INSPECTION CHECKLIST [ GAS WELDING / GAS CUTTER ] Equipment Name
:
Carry-in ID No.
:
Month / Year
:
Equipment No.
:
Carry-in Date
:
Inspected by
:
Contractor Name
:
User / Operator
:
e!ie"ed by
:
#ub$ect
:
) Chec* Co'umn +
%as &e'din( / %as Cutter
√
:
Ya / ,ai*
Chec* Item 1
:
X
Date
4
5
NA
:
6
7
Not pp'icab'e 08
0
00
01
02
03
04
Oxygen Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
#
G$% Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
&
Reg'l$()" !$n *"e%%'"e g$'ge
a
pa*ah pressure (au(e da'am *ondisi bai*;
b
pa*ah ada *erusa*an pada re(u'ator;
+
A*$,$- .l$%- $0, $""e%(e" (el$- ! *$%$ng
Sel$ng
a
pa*ah se'an( da'am *eadaan bai*; 9tida* *ereta*an atau abrasi
b
pa*ah *'em untu* se'an( sudah standar;
2
Peng$3$n !$" *$4$n$n %n$" 3$($-$"
a
pa*ah pen(aman sudah terpasan(;
b
pa*ah 'aya*;
5
ida* / ,uru*
N)66le pa*ah no<<'e pada re(u'ator sesuai; pa*ah No<<'e pada torch sudah sesuai;
7
T)"0 pa*ah *ondisi torch 'aya*; 9!a'!e= nut= tube= etc pa*ah >ondisi u'ir pada torch 'aya*;
8
A*$,$- $" %$'n (e"%e!$ 9'n(', 0e, ,e)0)"$n:;
1<
A*$,$- le3$" *e3e",%$$n -$"$n (e"%e!$; D*e",%$ Ole-= Re>e? y %$.e(y
c*no"'ed(ed by=
05
06
07
18
1
DAILY EQUIPMENT / TOOLS INSPECTION CHECKLIST [ GAS WELDING / GAS CUTTER ] KAO INDONESIA CHEMICAL- IB PROJECT
Equipment Name
:
Carry-in ID No.
:
Equipment No.
:
Carry-in Date
:
Contractor Name
:
User / Operator
:
#ub$ect
:
) Chec* Co'umn +
%as &e'din( / %as Cutter √
:
Ya / ,ai*
Chec* Item
:
X
Date
1
Oxygen Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
#
G$% Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
&
Reg'l$()" !$n *"e%%'"e g$'ge
a
pa*ah pressure (au(e da'am *ondisi bai*;
b
pa*ah ada *erusa*an pada re(u'ator;
+
A*$,$- .l$%- $0, $""e%(e" (el$- ! *$%$ng
Sel$ng
ida* / ,uru*
0
NA
:
Not p
1
2
3
HITACHI PLANT B INDONAKANO B WASA MITRA
Month / Year
:
Inspected by
:
e!ie"ed by
:
p'icab'e 4
5
6
7
8
0
1
2
3
DAILY EQUIPMENT / TOOLS INSPECTION CHECKLIST [ GAS WELDING / GAS CUTTER ] HITACHI PLANT B INDONAKANO B WASA MITRA
KAO INDONESIA CHEMICAL- IB PROJECT
Equipment Name
:
Carry-in ID No.
:
Month / Year
:
Equipment No.
:
Carry-in Date
:
Inspected by
:
Contractor Name
:
User / Operator
:
e!ie"ed by
:
#ub$ect
:
) Chec* Co'umn +
%as &e'din( / %as Cutter
√
:
Ya / ,ai*
Chec* Item 1
:
X
Date
ida* / ,uru* 4
5
NA
:
6
7
Not pp'icab'e 08
0
00
01
02
03
04
Oxygen Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
#
G$% Cyln!e"
a
pa*ah *ondisi tabun( da'am *eadaan bai*/ 9tida* penyo* atau rusa*
b
pa*ah ada valve handle?
&
Reg'l$()" !$n *"e%%'"e g$'ge
a
pa*ah pressure (au(e da'am *ondisi bai*;
b
pa*ah ada *erusa*an pada re(u'ator;
+
A*$,$- .l$%- $0, $""e%(e" (el$- ! *$%$ng
Sel$ng
a
pa*ah se'an( da'am *eadaan bai*; 9tida* *ereta*an atau abrasi
b
pa*ah *'em untu* se'an( sudah standar;
2
Peng$3$n !$" *$4$n$n %n$" 3$($-$"
a
pa*ah pen(aman sudah terpasan(;
b
pa*ah 'aya*;
5
A*$,$- $" %$'n (e"%e!$ 9'n(', 0e, ,e)0)"$n:;
7
A*$,$- le3$" *e3e",%$$n -$"$n (e"%e!$; D*e",%$ Ole-=
c*no"'ed(ed by=
05
06
07
18
1
