TO BE COMPLITED AND PUT YES/NO/N.

A IN EACH COLUMN
No
Yes
No
N/A
Remarks
1
The mast is free of bent or missing
braces ? /Tiang ini bebas bengkok
atau kawat yang hilang?
2
Is mast ladder secure and in good
condition its entire length ?/
Apakah tiang tangga aman dan
dalam kondisi baik?
3
Are crown sheaves in good
condition?/
Apakah sheaves crown dalam kondisi
baik?

Is monkey board scurely attached ?/

Apakah monkey board aman terpasang?

Are monkey bord fingers safety

chained their entire length? / Apakah
jari jari monkey board terpasang
dengan baik utk keselamatan ?
Is derrick mans escape line properly
attached and no kinks?
Apakah jalur pelarian penderek
terpasang dan tidak ada kesulitan?

10

Are tong hanger pulleys securely

bloted and have safety lines?/
Apakah tong penggantung dalam
kondisi aman dan memiliki garis
pengamanan ?
Are tong hanger lines in good
condition ?
Apakah tong penggantung dalam
kondisi baik?
Is climbing device pulleys and line is
good condition?
Apakah tamgga utk pendakian
dalam kondisi baik?
Are all mast bolts and pins in place
with safety keepers? /
Apakah semua baud-baut diang
dalam kondisi aman ?

11

Have all pinning tabs been checks for

cracks?
Apakah semua tab yang menjepit telah
di periksa ?

12

13

Do the Kelly house have snub lines at

both ends?
Apakah lubang Kelly punya dua
pengait di ujungnya?
Is stand pipe securely attached to the
mast log ?
Apakah pipa tegak terpasang ke log
tiang?

14

Is drill line free of wicker and in

generally good condition ?/
Apakah garis bor bebas dari rotan dan
dalam kondisi umumnya baik?

15

16

17

18

Is dead line anchor and line clamp is

good condition ?
Apakah pengait dan slings dalam
kondisi yang layak?
Does crown have aviation light and
functioning? /
Apakah crown memiliki cahaya
lepas?
Are all mast light in good order And
secured with safety lines ?
Apakah lampu di tiang dalam
keadaan baik ?
Is crown bumper in good condition
and covered with mesh?
Apakah Crown bumper dalam kondisi
baik dan ditutupi dengan jaring?

19

Are there any loose lines or ropes

that can snag during rising?/
Apakah ada garis longgar dan tali yang
bisa merobek/ mencelakakan selama
naik?

20

Are there any loose line parts or tools

left in the mast?
Apakah ada bagian jalur longgar atau
alat tersisa di tiang?

21

are all hand rails securely attached ?/

semua pegangan tangan terpasang?

22

Is block hanger line properly

attached to mast?
Apakah block hanger line terpasang
dengan benar pada tiang?

23

24

25

Are traveling block guards securely

bolted?/
Apakah jalan perlintasan penjaga
dalam kondisi aman?
Traveling block links to top drive
secured ?/
Traveling block links terjain aman?
Is the weight indicator working
properly ?
Apakah indikator bobot bekerja dengan
baik?

26

Have bridle lines been visually

inspected and within permitted # of
cycles?
Apakah bridle lines telah diperiksa
secara visual dan dalam diizinkan # dari
siklus?

27

Cascade work line cleaned and

working condition in monkey board ?/
Cascade work line dan monkey board
sudah dibersihkan ?

28

29

30

Is monkey board winch in good

condition?
Apakah monkey board dalam kondisi
baik?
Is derrick men assist winch cable free
of wickers and good condition?/
Apakah derrick men membantu kabel
sling bebas dari serabut dan dalam
kondisi baik?
Make sure top driver equipments are
in good condition and secure?/
Pastikan peralatan top driver berada
dalam kondisi baik dan aman?

Inspected by :

Verified by :

Noticed by
IDS Companyman :

Signature :

Signature :

Signature :