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  • PP Nomor 49 Tahun 2018

    Transféré par

    Edy Elfian
    51 vues5 pages
    This document contains safety inspection checklists for a dump truck used on three different dates at the Gardu Induk 150 KV Kayu Tangi project site. The checklists include 15 items related to the condition and safety of the dump truck. At the bottom of each form, the inspectors and approvers sign to agree that the dump truck is safe to operate.

    Description originale:

    contoh form inspeksi dump truck

    Titre original

    PP_Nomor_49_Tahun_2018

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    This document contains safety inspection checklists for a dump truck used on three different dates at the Gardu Induk 150 KV Kayu Tangi project site. The checklists include 15 items related to the condition and safety of the dump truck. At the bottom of each form, the inspectors and approvers sign to agree that the dump truck is safe to operate.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    51 vues5 pages

    PP Nomor 49 Tahun 2018

    Transféré par

    Edy Elfian
    This document contains safety inspection checklists for a dump truck used on three different dates at the Gardu Induk 150 KV Kayu Tangi project site. The checklists include 15 items related to the condition and safety of the dump truck. At the bottom of each form, the inspectors and approvers sign to agree that the dump truck is safe to operate.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 5

    LOKASI PROYEK

    DUMP TRUCK SAFETY INSPECTION CHECK LIST

    Project/Site
    Date of Inspection

    No Description Good Fair Poor N/A Remarks


    1 Driving license
    2 Brake system
    3 Horn
    5 Side mirror
    6 Wiper
    7 Hydraulic system and hose condition
    8 Ligthings
    9 Electrical cable connection, insulation
    10 Jack up and tools
    11 Reverse alarm
    12 Cabin Condition
    13 Battery connection and protective cover
    14 Engine and fuel system leaks
    15 Tire condition (Rear, front and spare)
    Comments:

    The undersigned hereby accept and agree this heavy equipment is safe for operation
    Yang bertanda tangan dibawah ini menerima dan setuju bahwa alat berat ini aman untuk digunakan

    Inspected by Approved By

    Contractor’s Name : Contractor’s Name :

    Name : Name :

    Signature : Signature :
    LOKASI PROYEK

    DUMP TRUCK SAFETY INSPECTION CHECK LIST

    Project/Site Gardu Induk 150 KV Kayu Tangi


    LOKASI PROYEK

    DUMP TRUCK SAFETY INSPECTION CHECK LIST

    Date of Inspection 25 September 2018

    No Description Good Fair Poor N/A Remarks


    1 Driving license
    2 Brake system
    3 Horn
    5 Side mirror
    6 Wiper
    7 Hydraulic system and hose condition
    8 Ligthings
    9 Electrical cable connection, insulation
    10 Jack up and tools
    11 Reverse alarm
    12 Cabin Condition
    13 Battery connection and protective cover
    14 Engine and fuel system leaks
    15 Tire condition (Rear, front and spare)
    Comments:

    The undersigned hereby accept and agree this heavy equipment is safe for operation
    Yang bertanda tangan dibawah ini menerima dan setuju bahwa alat berat ini aman untuk digunakan

    Inspected by Approved By

    Contractor’s Name : CV. Bahtera Balangan Contractor’s Name : PT. Rekadaya Elektrika

    Name : Warman Name : Edy Elfian

    Signature : Signature :

    Project/Site Gardu Induk 150 KV Kayu Tangi


    LOKASI PROYEK

    DUMP TRUCK SAFETY INSPECTION CHECK LIST

    Date of Inspection 25 Oktober 2018

    No Description Good Fair Poor N/A Remarks


    1 Driving license
    2 Brake system
    3 Horn
    5 Side mirror
    6 Wiper
    7 Hydraulic system and hose condition
    8 Ligthings
    9 Electrical cable connection, insulation
    10 Jack up and tools
    11 Reverse alarm
    12 Cabin Condition
    13 Battery connection and protective cover
    14 Engine and fuel system leaks
    15 Tire condition (Rear, front and spare)
    Comments:

    The undersigned hereby accept and agree this heavy equipment is safe for operation
    Yang bertanda tangan dibawah ini menerima dan setuju bahwa alat berat ini aman untuk digunakan

    Inspected by Approved By

    Contractor’s Name : CV. Bahtera Balangan Contractor’s Name : PT. Rekadaya Elektrika

    Name : Warman Name : Edy Elfian

    Signature : Signature :

    Project/Site Gardu Induk 150 KV Kayu Tangi


    LOKASI PROYEK

    DUMP TRUCK SAFETY INSPECTION CHECK LIST

    Date of Inspection 26 November 2018

    No Description Good Fair Poor N/A Remarks


    1 Driving license
    2 Brake system
    3 Horn
    5 Side mirror
    6 Wiper
    7 Hydraulic system and hose condition
    8 Ligthings
    9 Electrical cable connection, insulation
    10 Jack up and tools
    11 Reverse alarm
    12 Cabin Condition
    13 Battery connection and protective cover
    14 Engine and fuel system leaks
    15 Tire condition (Rear, front and spare)
    Comments:

    The undersigned hereby accept and agree this heavy equipment is safe for operation
    Yang bertanda tangan dibawah ini menerima dan setuju bahwa alat berat ini aman untuk digunakan

    Inspected by Approved By

    Contractor’s Name : CV. Bahtera Balangan Contractor’s Name : PT. Rekadaya Elektrika

    Name : Warman Name : Edy Elfian

    Signature : Signature :

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