PT CIPTA BANGUN NUSANTARA

PRE-USE INSPECTION CHECK LIST

TANGGAL :
OPERATOR : PARAF :
UNIT : MOBILE CRANE
MERK / TYPE :
PLAT NO :
PROYEK : DIPERIKSA - MEKANIK : PARAF :
CLIENT : STAR ENERGY

STATUS
NO U R A I A N KETERANGAN
OK Not OK
1 Sistem Pendingin Mesin ( Air Radiator )
2 Oli Mesin
3 Oli Hidrolik
4 Filter Udara
5 Kondisi Ban
6 Tekanan Udara Ban
7 Baut Roda
8 Air Batere
9 Klep Tabung Kompresor
10 Air Tabung Kompresor ( Buang )
11 Minyak Rem
12 Minyak Power Steering
13 Kaca ( Depan, Samping, Belakang )
14 Kaca Spion
15 Fungsi Sabuk Keselamatan
16 Kondisi Mesin
17 Fungsi Panel Instrumen
18 Fungsi Klakson & Backup Alarm
19 Fungsi Pengereman
20 Fungsi Kopling, Stelan Pedal Kopling
21 Fungsi Rem Parkir
22 Lampu Indikator Belakang
23 Lampu Indikator Depan
24 Lampu Rem
25 Lampu Emergency Lainnya
26 Lampu Utama Depan
27 Perlengkapan Keselamatan Kerja
28 Tabung Pemadam Kebakaran
29 Segitiga Pengaman dan P3K
Grease ( Pelumasan )
- Nepel-nepel
30 Housekeeping cabin

CATATAN : Mengetahui,
STAND BY AT AWI # 2 HE Coord. / Ast HE Coord. Field Reps
 PT CIPTA BANGUN NUSANTARA

PRE-USE INSPECTION CHECK LIST

TANGGAL :
OPERATOR : PARAF
UNIT : MOBILE CRANE
MERK / TYPE :
PLAT NO :
PROYEK : DIPERIKSA - MEKANIK : PARAF
CLIENT : STAR ENERGY

STATUS STATUS
NO U R A I A N NO U R A I A N
OK Not OK OK Not OK
I PUMP DRIVE SYSTEM VI HYDRAULIC DEVICES
1 Control Levers and Switches 1 Control Valve
2 PTO ( Power Take Off ) 2 Clutch Valve
3 Propeller Shaft 3 Relief Valve
II HYDRAULIC PRESSURE 4 Master Cylinder
GENERATING SYSTEM VII CRANE CONTROLS, INSTRUMENTS,
1 Hydraulic Oil Tank SAFETY DEVICES
2 Hydraulic Pump 1 Pressure Gauges
III BOOM SWING SYSTEM 2 Control Levers and Pedals
1 Swing Table 3 Work Lamps
2 Speed Reducer and Swing Bearing 4 Boom Top Lamp
3 Brake 5 Wipers ( windshield, roof window )
4 Rotary Joint 6 Room Lamp
IV BOOM ELEVATING SYSTEM 7 Buzzer
1 Elevating Cylinder 8 Automatic Moment Limiter / Alarm
2 Counterbalance Valve 9 Overwind Cutout Devices
3 Boom 10 Angle meter
4 Telescopic Cylinder 11 Cab
5 Telescopic Rope 12 Starter Switch
6 Jib VIII OUTRIGGER SYSTEM
7 Single Top 1 Jack
8 Anti two block 2 Outrigger Box, Beam,
V WINCHES Extension Cylinder
1 Hydraulic Motor 3 Control Valve
2 Speed Reducer 4 Level Gauge
3 Clutches IX MISCELLANEOUS
4 Brakes 1 Frame
5 Counterbalance Valve 2 Accessories
6 Drum Locking Devices
7 Drums
8 Hooks and Sheaves
9 Winch Rope
10 Hook Safety Latch
VI KM DRIVEN / HOURS METER

CATATAN : Mengetahui,
STAND BY AT AWI# 2 HE Coord. / Ast. H/E Coord. Field reps.