FORM NO :

CRAWLER CRANE PAGE :

REV. NO :
INSPECTION CHECK LIST DATE :

Project No : Location : Date :

ID Code : Load Capacity :
Asset No : Year build :
Possession : Year Utilization :
Manufacture : Crane Certificate :
Model / Type : Operator Lisence :

ITEM DESCRIPTION STATUS REMARKS

A STANDARD SAFETY DEVICE OK NOK N/A

1 Sitting - chair

2 Safety belt

3 View Mirrors (sides and rear)

4 Signal Light

5 Signal Stop

6 Signal Turn

7 Signal Head

8 Amber Beacon

9 Brake Light
Cable Condition
10
(must good condition and arrange in safe position)
Bell / Horn
11
(sound in stromg enough)
12 Wiendshield wiper and glass

13 Boom hoist limited device

14 Boom Back Stop

15 Boom Angle Indicator / Load Chart

16 Swing Brake

17 Anti Two Block and Alarm

18 Hook Latch

19 Back Up Alarm

20 Parking Brake and Service Brake

21 Odometer/KM

B LIMITED USE OK NOK N/A

1 Door

2 Window

3 Cabin

4 Hour Meter

5 Triangle Red Cones

6 Red Flags

7 First Aid Kit

8 Hand Fire Extinguisher

9 Wire Rope (Sling Drum)

10 Wire Sling

11 Webbing Sling
 C MECHANICAL OK NOK N/A

1 Oil Engine

2 Oil Transmision

3 Hydraulic Oil

4 Brake Fluid

5 Water Radiator

6 Gear Oil

7 Battery Level

8 Fuel Level

9 Steering

10 Master Clutch

11 Air Gauge

12 Oil Gauge

13 Water Gauge

14 Spring

15 Track Pin

16 Crowler Track

17 Sprocket

18 Hook Clutch

19 Pendant Support

20 Main Boom

21 Boom Lock

22 Turn Table Gear

23 Boom Connection and Pin

24 Counter Weight

NOTE

Operator Alat HSE Dept. PM/SM Project

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