INSPEKSI ALAT

GONDOLA
Proyek : __________________________________ No. Alat : ______________________
Tanggal Inspeksi : __________________________________ Model /Type : ______________________

Operator 1 : Operator 2 : Sertifikat Alat : ______________________

No. SIO : No. SIO :

Kondisi Fungsi Keterangan
No. Item Inspeksi
Baik Buruk Baik Buruk
I CONTACTOR
1 Cabin Set
2 Panel Control

II ELECTRIC SYSTEM
1 Cable
2 Box Panel
3 Grounding System

III MOTOR
1 Motor Electric

IV MOVING SECTION
1 Wire Rope
2 Main Basket
3 Upper Frame
4 Sheave / Pulley

V SAFETY DEVICE
1 Limit Switch
2 Brake System
3 Full Safety Body Harness & tambang
4 Rambu-rambu peringatan

VI BODY / CHASSIS
1 Counter Weight
2 Track / Rel
3 Kebersihan

Diinspeksi oleh : Diketahui oleh :

( _______________________ ) ( _______________________ ) ( _______________________ )

Safety Officer Bagian Mekanik Project Manager