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FIXED PLANT PRE / COMMISSIONING INSPECTION CHECKLIST

PT.ADARO INDONESIA – SAFETY DEPARTMENT

WATER PUMP
Date of Pre / Commissioning : Brand :
Main Company : Unit Model :
Sub Contractor : Build Year :
Unit Number : SMU / ODOMETER :
Serial Number : Machine Status : Brand New Recomm
Commissioning Passed Date : Expired Date :
Commissioning Period : Commissioning Status : Passed Not Passed

No ITEMS / DESCRIPTION GOOD FAIL N/A COMMENT

1. VISIBILITY
1.1 Call Sign on 2 or 4 Sides of Equipment
1.2 Condition of Body and Coloration
1.3 Pontoon Condition
1.4 Pontoon Water Mark
1.5 Anchor Point Condition
1.6 Strobe Lights (Orange / Amber Color)
1.7 Accessories, Safety Vest,
1.8 Catch Point Sticker
1.9 Walkway Handhold and Railing
2. ELECTRICAL AND ACCESSORIES
2.1 Portable Fire Extinguisher (Min 2 pcs of 3Kg)
2.2 Lock Out and Tag Out Switch
2.3 Battery Isolation Switch
2.4 Emergency Shutdown Push Switch
2.5 Battery and Cable Connection in Good Condition
2.6 Electrical cable connection
2.7 Secondary Containment
3. ENGINE COMPARTMENTS
3.1 Engine Condition
3.2 Fuel Tank Condition
3.3 Exhaust Guard
3.4 Rotating Guard
3.5 Engine and Generator Mounting
3.6 Engine Usage Meter
3.7 Muffler Cap
3.8 Engine Data
4. WATER PUMP COMPARTMENTS
4.1 Water Pump Condition
4.2 Water Inlet Ports and Hose Condition
4.3 Water Outlet Ports And Hose Condition
4.4 Pump Flow Meter
4.3 Water Pump Data
5. PANEL CONTROL
5.1 Panel Control Condition
5.2 Panel Control Function

Commissioning Team / Tim Uji Kelayakan


No Name Occupation and Company No DEVIATION LIST DUE DATE
1 1
2 2
3 3
4 4

Copy 1. PT.Adaro Indonesia Safety Dept


2. Contractors Safety Dept
3. SubContractors Safety Dept

F-AI-HSE-13-027 Rev.00

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