Crawler Crane Inspection Cheklist

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PT GRACIA DIKATAMAS

CRAWLER CRANE INSPECTION CHECK LIST

Product Identification : Company :


Model No : Contract No :
Engine No : Date of Inspection :
Frame No : Location of Inspc :

No. ITEM CHECKED / BAGIAN YANG DIPERIKSA Remarks

A DRIVER / Operator INFORMATION / Informasi Operator atau Pengemudi


1 Name of Operator / Nama Operator

2 Operator Licence Number / No SIO Operator

3 Class of Driving Licence / Jenis SIO

4 Expire Licence / Masa Berlaku SIO

B VEHICLE INFORMATION / Informasi Kendaraan


1 Licence Plate / Nomor Polisi

2 SILO Valid to / Masa Berlaku SILO

3 Type of Vehicle-Merk /Tipe Kendaraan - Merek

4 Year of Built / Tahun pembuatan


ITEM CHECKED Availability Condition
No. Remarks
BAGIAN YANG DIPERIKSA Yes No Good Fair Poor
Ada Tidak Bagus Kurang Jelek

C VEHICLE CONDITION / Kondisi Kendaraan


1 Km Driven / Kilometer tempuh

2 Glass / Kaca:

2.1 Windshield / Kaca depan

2.2 Rear Window / Kaca belakang

2.3 Side Window / Kaca samping

3 Windshield wiper / karet pembersih kaca depan


4 Mirror / Spion
3.1 Side / Samping
- Left / Kiri
- Right / Kanan
5 Light / Lampu

4.1 Head / Depan

4.2 Tail / Belakang

4.3 Parking / Parkir

4.4 Indicator - Sign / Signal

4.5 Break / Rem

6 Door Condition / Kondisi pintu

7 Gas / fuel tank door / lid - Gas / Penutup tanki bahan bakar

8 Fuel tank, any leak ? / Tanki bahan bakar, ada kebocoran?


ITEM CHECKED Availability Condition
No. Remarks
BAGIAN YANG DIPERIKSA Yes No Good Fair Poor
Ada Tidak Bagus Kurang Jelek
9 Engine / Mesin
10 Exhaust / Knalpot
11 Accu / Aki Electric System
12 Horn / Klakson
13 Safety belt / Sabuk pengaman
14 Break / Rem
15 Fuel indicator / Indikator bahan bakar
16 Track / Jejak atau Jalur
Boom : Fully Retracted : 9.14M & Extended : 39.62M / Boom penuh
17
9.14M & maksimum perpanjangan 39.62M
Anti-two Block safety devices on fast / 2 buah penahan block untuk
18
keselamatan yang dipasang diatas
19 Main lines as well as on boom / jalur lintasan utama pada boom
Main lines fitted with a certified load weight indicator / Jalur utama
20
dicoba dgn indikator dgn beban yang bersertifika t
Load test Certificate with no less than 6 ( six ) month old / sertifikasi
21
pengujian tidak kurang dari 6 bulan
22 Engine : Turbo Charged Diesel Engine / Mesin Diesel Turbo
Rated Power 155 PS (114 KW ) @ 2.150 rpm / Kemampuan tenaga
23
155 PS (114 KW) @ 2.150 rpm
Swing system by hydroulic plunger motor, 360' rotation / Sistim
24
putaran dengan hydroulic motor, 360 derajat
Drums ( front & Rear ): 420 mm PC. Dg 430 mm wide drums each
25 groved for 20mm wire roop / Penggulung depan, belakang 420
mmPC, lebar 430 mm dgn sling 20 mm
Rope Capacity : 158 M working length, 270 M storage length/
26
kapasitas sling 158 M untuk operasi dan dgn 270 M persediaan
Basic Boom Length : 9.14 M & Max Boom Length : 39.62 M / dasar
27
boom 9.14 M dan Maksimum boom 39.62M
28 Max Lifting 50 Ton/ Kemampuan angkat maksimum 50 ton
29 Driven by : Propeller Motor

1 ea 8M x 7/8" 4-legged wire rope bridle sling, with eye hooks on


30 each complete master link/ 1 buah 7/8" panjang 8 M dgn 4 jalur
sling dgn 4 sangkutan & komplet dgn mata rantai
1 ea 6M x 1" 4-legged wire rope bridle sling, with eye hooks on each
31 complete with master link/ 1 buah 1" panjang 8 M dgn 4 jalur sling
dgn 4 sangkutan komplete dgn mata rantai
2 ea 6 M x 5/8" Flexible wire rope sling with loop on each end / 2
32
buah 6M x 5/8" sling dengan fleksibel lubang jeratan
2 ea 6 M x 7/8" Flexible wire rope sling with loop on each end / 2
34
buah 6M x 7/8" sling dengan fleksibel lubang jeratan
2 ea 8 M x 7/8" Flexible wire rope sling with loop on each end / 2
35
buah 8M x 7/8" sling dengan fleksibel lubang jeratan

36 2 Ea 1/2" Crosby anchor shackle / 2 buah 1/2" shakle crosby

37 2 Ea 5/8" Crosby anchor shackle / 2 buah 5/8" shakle crosby

38 2 Ea 7/8" Crosby anchor shackle / 2 buah 7/8" shakle crosby

39 Hydraulic System / Sistem hidrolik


40 Transmission System / Sistim transmisi
41 Fire Extinguisher / Racun api
42 Manufacture’s Tool Kit / Perkakas
43 Safety Triangle / Segitiga pengaman
44 First Aid / P3K
45 Safety PPE Operator & Assistant / PPE Operator dan Pembantunya

2
Mechanical findings :

Note : Overall condition : GOOD FAIR POOR


Conclusion : 1. Meet / Not meet contract spec.
2. Meet contract spec but on condition (specify) :
Inspected by,

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