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Form No. PNMI-QHSE-P-10-02-02
Daily Crane Checklist Daftar Periksa Harian Derek Barge Name
Crane Manufacture
Nama Kapal
Pabrikan Derek
Location
Crane Capacity
Lokasi
Kapasitas Derek
Inspection Date
Main Hoist Load Capacity
Tanggal Inspeksi
Kapasitas Angkat Kerekan Utama
Crane Type/Model
Auxiliary Hoist Load Capacity
Jenis/Model
Kapasitas Angkat Kerekan Bantu
Boom Type/Model
Total Running Hours
Jenis/Model Boom
Check Che ck on app approp ropria riate te box box::
Total Jam Kerja
Satisf Sat isfact actory ory (S)
. Crane In Boom Rest Mod
UnSati UnS atisfa sfacto ctory ry (U)
Nott App No Applic licabl able e (N (NA) A)
Conditions Additional Remarks S U NA (Please Explain The Result Of Inspection) A.1. Anti Two-Blocking System Sistem Anti Dua Blok
1. Sling/Chain Tali Baja/Rantai Baja/Rantai 2. Supender Ring Cincin Bandulan 3. Shackle(s)/Pin(s)/Bolt(s) Pemasung/Pencocok/Baut 4. Electric Cable(s) Kabel Kelistrikan 5. Electric Limit/Switch Pembatas/Saklar Kelistrikan
A.2. Other Devices Peralatan Lainnya 6. Buzzer/Bell/Alarm Lonceng/Alarm 7. Load Block/Hook(s) Blok/Pengait Beban 8. Wire Rope(s) Tali Tambang Baja 9. Safety Latches Palang Pengaman 10. Boom Back-Stop Auto-Shut Off Penghenti Otomat Backstop Boom 11. Indicator(s), Level(Rolling/Pitching)
Petunjuk Gulingan/Anggukan 12. Window Glass/Visibility Kaca Jendela/Jarak Pandangan 13. Fire Extinguisher(s) Pemadam Kebakaran 14. Proper & Adequate Access Akses yang baik & memadai
A.3. Certificates & Safety Signs Sertifikat & Petunjuk Keselamatan 15. Warning Signs/Posters Rambu/Poster Keselamatan Keselamatan 16. Posted Valid Operator Certificate Sertifikat Operator yang Berlaku Terpampang 17. Posted Valid Crane Certificate Sertifikat Derek yang Berlaku Terpampang 18. Appropriate Load Charts Diagram Beban yang Sesuai 19. Daily Crane Log Book Buku Catatan Harian Derek 20. General Housekeeping/Cleanness Kebersihan & Kerapian Secara Menyeluruh
A.4. Greasing, Lubricating, & Other Fluid Pelumasan & Cairan Lainnya 21. Greasing on All Wire Ropes/Slings Pelumasan pada semua Tali Baja 22. Greasing on All Sheaves/Rollers Pelumasan pada semua Peluncur/Roda 23. Greasing on All Chain & Sprocket Pelumasan pada semua Rantai & Roda Gigi 24. Greasing on All Shafts & Swivels Pelumasan pada semua Sumbu/As & As Putar 25. Coolant Fluid/Water for Radiator Cairan Pendingin/Air untuk Radiator Pelangi Niaga Mitra Internasional, PT.
Jl. Wijaya IX No. 15 - Melawai Jakarta 12160
Form No. PNMI-QHSE-P-10-02-02 26. Lube Oil for Engine Minyak Pelumas untuk Mesin 27. Hydraulic Fluid Cairan Hidrolik
B. Crane In Operating Mode
Conditions S U NA
Additional Remarks (Please Explain The Result Of Inspection)
1. Electrical S witches/Buttons Saklar/Tombol Kelistrikan 2. Securely Attached Bolts/Pins Baut/Pencocok Terpasang Dengan Benar 3. Machinery Safety Guard Pelindung Pengaman Mesin 4. Turntable/Swing Desk Meja Putaran 5. Brakes & Clutches Rem & Kopling 6. Swing Brake Rem Putaran Kiri/Kanan 7. Hoist Drum System Sistem Penggulung/Kerekan 8. Rope Spooling/Wrapping Gulungan Tali Tambang Baja 9. Leakages Kebocoran - Kebocoran 10. Travelling Berjalan Maju/Mundur 11. Steering Kemudi 12. Swing Right/Left Putar Kanan/Kiri 13. Boom Up/Down Boom Naik/Turun 14. Hoist Up/Down Kerekan Naik/Turun 15. Load Weight Indicator Petunjuk Beban Angkat 16. Boom Angle Indicator Petunjuk Derajat Sudut Kemiringan Boom 17. Buzzer/Bell/Alarm/Horn Lonceng/Alarm/Klackson 18. Warning Lights Lampu Tanda Bahaya 19. Working Lights/Lightings Lampu Penerangan/Pencahayaan 20. Emergency Engine Shut Off System Sistem Mematikan Mesin Darurat
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