Scribd Logo
Upload

Welcome to Scribd!

  • 27 views

    Form 01 Crane Carry in Inspection

    Uploaded by

    Denny Syafwalufi
    1) This document is a crane carry-in inspection form for a project at Synthetics Rubber Indonesia's U3 site. 2) It details 21 items that are checked on the crane, including the engine, electrical system, safety devices, boom, hoist drums, and more. 3) The inspection status at the end indicates if repairs are needed before the crane can be used.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form 01 Crane Carry in Inspection

    Uploaded by

    Denny Syafwalufi
    27 views3 pages
    1) This document is a crane carry-in inspection form for a project at Synthetics Rubber Indonesia's U3 site. 2) It details 21 items that are checked on the crane, including the engine, electrical system, safety devices, boom, hoist drums, and more. 3) The inspection status at the end indicates if repairs are needed before the crane can be used.

    Original Description:

    Yes

    Original Title

    Form 01 Crane Carry in inspection

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) This document is a crane carry-in inspection form for a project at Synthetics Rubber Indonesia's U3 site. 2) It details 21 items that are checked on the crane, including the engine, electrical system, safety devices, boom, hoist drums, and more. 3) The inspection status at the end indicates if repairs are needed before the crane can be used.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views3 pages

    Form 01 Crane Carry in Inspection

    Uploaded by

    Denny Syafwalufi
    1) This document is a crane carry-in inspection form for a project at Synthetics Rubber Indonesia's U3 site. 2) It details 21 items that are checked on the crane, including the engine, electrical system, safety devices, boom, hoist drums, and more. 3) The inspection status at the end indicates if repairs are needed before the crane can be used.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Synthetics Rubber Indonesia – U3 Project

    CRANE CARRY-IN INSPECTION


    EMPLOYER / ITB Doc No. :
    Client Work No.: U3 CLASSIFICATION: D3
    Project Doc. No.: 14122-ED-00-QA-PRC-0019

    CLASS AREA DIS TYP SUB-TYP SEQ SHEET REV. Page 1 of 3


    Contractor Work No.: 14122
    ED 00 QA PRC 0019 0 Date : 2015-12-04

    Type of Crane : OPERATOR LISENCE

    Equipment No. : Operator Name :

    Capacity : SIO Type :

    Manufacturer :
    SIO Number :
    Company User :

    Certificate Number :
    Validity :
    Month of Inspection :
    This form must be completed by the crane operator and company user before entering the crane to be
    operated in the site project area, and at any time of setting location. All crane condition must meet to the
    safety regulation and CONTRACTOR SHE Management Plan

    Result column: (  ) Yes/Good, Acceptable, ( X ) Not/Bad, Not to use, ( NA ) Not applicable


    No Check Item Result Remarks

    1 Manufacturer's operating and Maintenance


    Manuals
    2 Turntable/Crane Body (Upper Works)
    Assure Level/Stability
    Wear/Gear/Teeth/Rollers
    Cracks
    Bolts/Pins - Assure Securely Attached
    3 Engine Housing
    Certificate Emission Test
    Cleanliness/No Rags/Trash
    Gear/Machinery Guards
    Clear Access/Walkways
    Brakes/Clutch Adjustments
    Hand Signal Illustration
    Swing Break
    4 Swing Clearance Protection
    5 Tire condition
    6 Track Crawler System
    Lubrication
    Connection Bolts
    Drive Chain (slack & wear)
    7 Braking Systems
    8 Electrical system
    High-Voltage Warning Sign
    Lighting Device.
    Wiring system
    9 Safety Device
    Anti-Two Block Devices
    Boom Backstop Devices
    Synthetics Rubber Indonesia – U3 Project
    CRANE CARRY-IN INSPECTION
    EMPLOYER / ITB Doc No. :
    Client Work No.: U3 CLASSIFICATION: D3
    Project Doc. No.: 14122-ED-00-QA-PRC-0019

    CLASS AREA DIS TYP SUB-TYP SEQ SHEET REV. Page 2 of 3


    Contractor Work No.: 14122
    ED 00 QA PRC 0019 0 Date : 2015-12-04

    Swing Radius Warning Devices


    10 Boom Section
    Main Boom, Jib Boom, Boom Extension
    Boom Stop
    Jib Boom Stops
    Boom Angle Indicator
    Boom Hoist Disconnect,
    Automatic Boom Hoist Shutoff
    11 Leveling Indicating Device
    12 Load Rating Chart
    13 Sheaves
    Ensure hoist line and sheave size match
    Worn
    Lubrication/Move freely
    14 Main Hoist and Auxiliary Drums System
    Proper Size and Spoiling of Hoist lines
    Drum Sides/Shields for Cracks
    Dogs/Pawls/Locking Devices
    Drum Rotation vs. Control Motion
    Clutch and Brakes
    15 Load Hooks and Hook Blocks
    Sheaves Function Smoothly
    Hook Rotates Freely/Lubricated
    Proper Becket
    Properly Reeve
    Safety latch
    16 Hydraulic Hoses Fittings and Tubing
    17 Outriggers
    Lubrication
    Structural Condition
    Pressure hoses/connections
    18 Wire Rope
    Overall Condition
    End Connections
    Lubrication
    Clips
    19 Cab
    Glass/Visibility
    Instruments and Controls
    Functioning Horn (warning signal)
    Fire Extinguisher
    Appropriate Load Charts and Warning Signs
    Proper and Adequate Access (steps/walkway)
    20 Counterweight
    Proper Size
    Attachment Connection/Bolts
    21 Load test
    Synthetics Rubber Indonesia – U3 Project
    CRANE CARRY-IN INSPECTION
    EMPLOYER / ITB Doc No. :
    Client Work No.: U3 CLASSIFICATION: D3
    Project Doc. No.: 14122-ED-00-QA-PRC-0019

    CLASS AREA DIS TYP SUB-TYP SEQ SHEET REV. Page 3 of 3


    Contractor Work No.: 14122
    ED 00 QA PRC 0019 0 Date : 2015-12-04

    INSPECTOR REPORT
    Corrective Action Required

    Inspection Status:  OK
     Not OK
     Order for Repair

    Subcontractor
    Inspected by Date : Name : Signature :
    Position :
    Approved by Date : Name : Signature :
    Position :
    Contractor
    Inspector Date : Name : Signature :
    Position :
    Reviewer Date : Name : Signature :
    Position :
    SHE Manager Date : Name : Signature :
    Position :

    You might also like