Pre-commissioning Inspection Sheet for Heavy Equipment - Excavator, Drilling Machine, Crawler Crane) Track Type (Dozer, Pre commissioning Inspection can only be done by Petrosea Authorized Commissioner Inspection to consider, but not be limited to the items in the checklist. Record issues identified onto the non- conformance form. User Name & Equipment Type | pes Nama Pengguna Tipe Peralatan Equipment Supplier *) Equip. Make & Model | Penjual Peralatan Merk & Model Peralatan | CAT _ User Department *) pre -ceP Chassis Serial No. | ] Departemen Penggun: _| Nomor Rarigka | Engine Serial No. | -pux2eors Contractor Custodian Approval *) | Nomor Engine (Signature and Name) ki 5 enna Errante) | Kontraktor *) | < (Tanda tangan dan Nama Inspection Date /Hmy | vA RePIL 2095 "Not fer Private Vehicle ‘Tanggal Inspeksi / HMU hee 6216230 a Ref Item 1.1. | Equloment . (Clean from mud Pass | Not | Ne Remark v clearness: Bersih dari lumpur Kebersihan Alat * Clean from spill / residual of oil / grease: Bersih daritumpanan / sisa oli/grease | ~~ 12 | Frame and Structure | = Good condition (no dent, crack, worn, et) |<, ancten Slates Kondisi baik (tidak penyok, retak, aus dil.) Kondisi Struktur | ° cheek under body rust proofing as required (optional) i. Crawler Crane, Driting Machine | Periksa bagian bawah body terlindungi dari karat sesuai dengan kebutuhan (optional) contoh: Crawler Crane, Drilling Machine 2.1. | Reflective tape . Stiker reflektif White colour strips left, right, front & rear sides (applicable min. Som width) Stiker warna putih pada kiri, kanan, dan belakang unit (jika memungkinkan dengan lebar minimum Sem) Yellow - Black Sticker for all pinch point Stiker hitam-kuning di setiap titik jopit Red White Sticker for restricted area Stiker putih-merah untuk area terbatas 22 | Petrosea Decal& | « Equipment Number Logo Petrosea & Nomor Peralatan Refer to PTP Policy for sizing Ukuran berdasarkan pada kebljakan PTP Clearly visible ‘Orcs printed this document becowes uncontrled Relate Petros hone for controled py. Tofu No, PIRANGCHRGOIO2 Revo. TortePre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Excavator, Drilling Machine, Crawler Crane) Terlihat dengan mudah Installed on all sides of vehicle Torpasang pada semua sisi For off-site unit, or city based, to use ‘magnetic type (removable) Untuk unit yang diluar site atau kota, ‘menggunakan tipe magnotik (dapat dilepas) 233. | Additional Sticker Stiker Tambahan LOTO sign’ Penanda LOTO = Fuel Tank Sign Penanda Tangki Bahan Bakar Engine Oil Tank Sign Penanda Tangki Oli Engine Hydraulic Oil Tank Sign Penanda Tangki Oli Hidrolik Cootant Tank Sign Penanda Tangki Pendingin Grease Tank Sign Pendanda Tangki Grease %. « < 2.4. | Additional Sticker (Cebin) Stiker Tambahan (Kabin) No Call Phone Use While Driving (at Cabin) Tidak boleh menggunakan telepon saat menyetir (di dalam kabin) ‘No Smoking (at Cabin) Tidak boleh merokok (di dalam kabin) ‘Seat Belts Must be Worn (at Cabin) Sabuk Pengaman harus dipasang (di dalam kabin) Emergency Channel / Number (at Cebin) Saluran / Nomor Darurat (di dalam kabin) Reminder pre-start check before operating Pengingat pengecekan awal sebelum beroprasi ens 4 Function of Battery Jumper terminal Fungsi dari terminal jumper batorai 3.1. | Strobe light “Amber lens v Lampu Strobo Lensa warna Oranye Installed & working properly on the top of Not Function] equipment v Terpasang & bekerja dengan balk di bagian atas peralatan 3.2. | Master switch and Function of Starting Switch v peo isckation Fungsi dari saklar starter ‘saree Uimaaan Function of Bettary Disconnect Switch # Mik eset Fungsi dari saklar pemutus arus baterai ‘Once prntd the document became unsonoled, Refer to Peiroaen nianet for conrolied oo. FOR Ne: PTRANG-CHGOT0ePre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, y// PETROSEA Excavator, Drilling Machine, Crawler Crane) cere ea Co a ED * Function of Emergency Shutdown Switch se via Fungsi dari Saklar Pemutus Darurat 33. | Cabin Structure |» Original Equipment Manufacturer (OEM) ” Reinforcement standard or by cerified body builder (OEM Penguat Struktur Certified) Kabin ‘Standar dari Original Equipment Manufacturer (OEM) atau tersertifikasi dari pembuat peralatan (tersertifiasi oleh Pabrik) + ROPS/FOPS certied wp Bersertifikasi ROPS / FOPS Good Candition Kondisinya bail 34, | First Aig Kit [+ Must be available, ref. to PTP Standard Kotak Pertolongan | Hanus disediakan, sesuai dengan standar « Pertama PTP. 35. | Fire Extinguisher | © ABC Powder 9kg # Alat Pemadam Api | ‘Tepung kelas ABC 9kg Ringan (APAR) = Check expired date Periksa tanggal kadaluarsa al 316. | Fire Suppression |» LOP/ROP detection system v Spe ‘Sistem pendeteksi LOP / ROP aren + Check lines, nozzle and bracket instelled 5 of Pemadaman ae Kebakaran Periksa saluran, nozzle dan penahan terpasang dengan baik dan benar + Check actuator installed # Periksa actuator terpasang © Working property Bekerja dengan baik _ 27, | Faligue Alarm + Follow PTP Standard wiring diagram Alarm Kelelahan Ikut diagram standar perkabelan PTP + Working properly - Bokorja dengan balk ¥ 38. | Turbo Timer + Follow PTP Standard wiring diagram ¥ Ikuti standar diagram perkabelan PTP + Working properly Bekerja dengan baik se 39, | Radio + 2 Ways Radio fitted (Subject to site spec) + Cemmunicetion Radio 2 arah terpasang (sesual dengan Radio Komunikasi spefikasi site) Vin + Werking properly Bekerja dengan baik vw 310. | Reverse Alam [+ Working properly (80-900b) v7 Alarm Mundur Bekerja dengan baik (80-80db) ‘Optional on /off switch in cabin if working in ¥ camp area or offsite facations. ase ped is donne ecu vcore frie Poosa ane conoid cay Tarun PIP ANE CSTE erie 8 TattsPre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Excavator, Drilling Machine, Crawler Crane) Mente ofiategy exp ‘Opsi saklar on / off di dalam kabin jika Terlihat dengan jelas erja di area mess atau lokasi di luar v site 3.11. | Hand Rail “T= No sign of damage (orack bent) S Tidak ada tanda rusak (retak, bengkok) Minimum height 1 meter + Tinggi minimal adalah 4 meter Painting yellow signal colour Dicat warne kuning terang om 3.12, | Swing Alarm Warking propery (80-90db) ‘Alarm Putar Bekerja dengan baik (80-90db) 3.13, | Access Ladder No sin of damage (crack, bent) & corosion | 7 Tangga Akses Tidak ada tanda-tanda kerusakan (retak, onghok) & korosi Avalabilly of Grip / Ani Slip 2 Ketersediaan dati Grip / Ant Slip Handrail painted yellow colour Handrail dicat warna kuning terang ¥ 41. | Yat gess Front Clearly visible “ Bory], , Terihat dengan Jelas save doorgess | oe oan fio 9 of ck cna Se it Fat ote, Kaca ant basa | ois ik (deh ade tnd rth, | Seana rusak, dll) 42, | Doors Working properly v Pintu Bekerja dengan balk 43, | Driver seats Mounting securely v Tempat duduk Terpasang dengan aman pengemud Gushion and base good condition v Bantalan dan dasar, Kondisinya baik Seat suspension functioning correctly Suspensi tempat duduk berungs! dengan o al 44, | Seatbelt ‘Mounting securely Sabukpengaman | Terpasang dengan aman Working propecy and is retractable Bekerja dengan balk dan dapat citar dengan mudah Belt webbing on good coneition _ Sabuk dalam kondisi yang balk 45. | Minor No sign of crack, damage v7 Kaca Spion Tidak ada tanda-tanda retak, rusak leary visite we ‘Gnce printed ths document bacomes uncortroled, RelorloPeiossn ianet for conoid copy FoRM Na PPANG-CHRGONZExcavator, Drilling Machine, Crawler Crane) Pre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Md Maksimum 8§db, didalam kabin. Jika tes | v~ kebisingan >85 maka stiker kebisingan dibutubkan © Adjustable Dapat disete! a 4.8. | Electrical master [+ In good condition and visible (All Fuse, Relay | > pane! /fuses and & Other) circuit breakers Dalam kondisi yang baik dan terlihat (Semua sekering, relay, dan lainnya) sekering dan . na peopel wt pemutus sirkuit Bikerja dengan 4.7. | General condition of |» No signs of damage on cabin and all Rouwer broken] ‘cabin interior instruments (2.9. dashboard, indicator etc.) ¥ comwcrp Hod Kondisi umum dari | Tidak ada tanda-tanda kerusakan di kabin Ronis interior kabin dan semua alat ukur (contoh: dasbor, indicator dil) 48. | Noise test + Maximum 85 db. in the cabin. noise tost >66 Tes Kebisingan do. then noise sticker neaded leaking) v Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) 5.1. | Sprocket * Check visual (no sign of crack, damage, Jcerreyon , 62. | Idler ‘+ Chock visual (no sign of crack, damage, vw leaking) Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) + Gheok Idler Slide v Periksa bagian Idler Slide 53. | Track Frame + Check visual (no sign of crack, damage, v leaking) Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) ‘54. | Track Shoe Check visual (na sign of crack, damage, # leaking) Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) 55. | Track Link + Check visual (no sign of crack, damage, v leaking) Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) 56. | Track Roler ‘+ Check visual (no sign of crack, damage, of seaking) Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) 57. | Carrier Roller = Cheok visual (no sign of crack, damage, Jeaking) vw Pemeriksaan visual (tidak ada tanda-tanda retak, rusak, bocor) corm sian ‘nce plied Ws document becomes uncontoled. Refer to Pevozes nranet for controled copy FOR Ne, PTR ANG GHG 0102 Revi.Pre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Mh Excavator, Drilling Machine, Crawler Crane) temerity em 5.8. | Track Adjuster * Check visual (no sign of crack, damage, Pr leaking) Pemeriksaan visual tidak ada tanda-tanda retak, rusak, bocor) + Check extension of track adjuster Periksa ekstensi dari track adjuster v 61. | Battery Battery Electrolyte (Wet type only / Non ‘Compartment Maintenance Free) (Check & Test) Elektrolit Baterai (Hanya Tipe Basah / Bebas Perawatan) * Battery Terminals and Terminal Covers Terminal Batera dan Peindung Terminal | leaner + Battery Mounting and Hold Down Ciemps Dudukan Baterai dan Pangikat i loaegs WA * Battery Cable and Clamped Securely Kabel Baterai dan pengikat v * Cleanliness of Battery Compartment v Kebersinan Tempat Bateral + Actual Vottage Voltase Aktual * Battery Breather (not blocked) Katup nafas baterai tidak tersumbat 62. | Starter Motor & Pre- [* Starter Motor Mounting Bolt / Re-torque v pieteaton check: Baut Dudukan Starter Motor / Kuatkan baut et + Starter Motor Gable, Connections & Terminal Cover v Kabel Starter Motor, sambungan- sambungannya dan pelindung terminal * Oil Leak from Mounting Seal v Kebocoran oli dari seal dudukan * Operation of Pre-Lube System % Operesi dari sistem pelumasan awal ¢ 68, | Allemator (Check & |» Atomotor Mounting batt/ Re-torque v Test) Baut dudukan Alternator / Kuatkan baut + Altemeter Cable and Connections - Kabel altemator dan sambungan- sambungannya + Attar V-Belt/ Fan Belt and Tension ww Belt alternator / belt kipas dan Tegangan * Voltage Rate with Engine Running & Alt Lights | On Besar voltase ketika engine hidup dan semua lampu hidup Function of Charging Indicator # Fungsi indikator pengisian 6.4. | Operator Cabin ‘= _ Operation of Ignition Switch ‘Once printed this document becomes uncontoled. Refer lo Petovea ivanal for conioled copy. FOR No: PTRANG- CHG I02 Revo. Sots| Excavator, D1 (Check) Pre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, g Machine, Crawler Crane) Pengoperasian Sakelar Pengapian All Temperature and Pressure Gauges ‘Semua pengukur suhu dan tekanan All Warning Light and Buzzer Semua lampu dan alarm peringatan Function of Reverse Alarm Fungsi dari alarm mundur Function of information Display Monitor Fungsi dari tampilan monitor informasi Condition & Function of All Electrical Fuses Kondisi dan Fungsi dari semua sekring list Coniton & Function of Cabin Lamps Kondisi dan fungsi dari lampu kabin Condition of Operator Glare Visor Kondisi dari anti silau operator Function of RH-LH Power Window Fungsi dari Power Window sisi kanan dan kiri Function & Operation of Horn Fungsi & kerja klakson Function & Operation power outlet (e.g cigarette lighter) Fungsi & operasi stop kontak (contoh: pemanas api) Function & Condition of Wiper Blades (include cabin switch) Fungsi & kondisi dari wiper blades (termasuk dengan sakelar kabin) K ARM Bent wiper bode 65. | AirConditioning | System (Check & | Test) Condition of AC Compressor and Brackeis Kondiisi dari kompresor pendingin dan braket Conaition & Tension of AG Compressor Belt Kondisi & ketegangan dari belt ‘compressor pendingin Condition of AC Condenser, Bracket and Mounting Kondisi deri kondensator pendingin, braket, dan dudukan Eveporetor, Bracket, and! Mounting Evaporator, braket, dan dudukan Refigerant Dryer and Bracket Braket dan Referigerant Dryer Condition of Fresh and Evaporator Filter Kondisi dari Fresh & Evaporator Filter AIIAC Hoses and Securing Clamps ‘Semua selang pendingin dan pengikat K Y v v v ‘Gass printed ti document become uncontoled Refer to Petrosea ant for ontled apy FoR No PTRANGCHRGaCE FonePre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, 7// PETROSEA Excavator, Drilling Machine, Crawler Crane) —— = AC Wiring Harness anki Securing Clamps — | ‘Semua kabel-kabel dan ikat pengaman ‘+ Condition & Function of AC Switches & Louvers Kondisi den fungsl dari sakelar pendingin v ora) dan kisi-kisi : 6.6. |WorkingLemps |» Clear lens z (Check & Test) Lensa bersih dan jelas + Properly adjusted and is adjustable type Diposisikan dengan benar dan tipe yang | dapat diatur * Condition & Function of Hi-Lo Beam Headlight Kondisi & Fungsi Lampu Sorot Depan * Condition & Funetion of Brake Lamps Kondisi dan fungsi dari lampu rem ‘+ Front-Rear Signal Lamps (Amber, Working properly, Audible Buzzer) Lampu Signal Depan-Belakang (Oranye, bekerja dengan benar, suara alarm) + Parking/ail amp (Red, Working property) Lampu parkir (Merah, bekerja dengan benar) + Brake Lamp (Red, Working properly) Lampu rem (Merah, bekerja dengan benar) ‘+ Condition & Function of Reverse Lamps Kondisi dan fungsi lampu mundur ‘+ Condition & Function of Strobe Lamps . Kondis dan fungsilampu strobo v por fureton + External Cabin Work Lamps (if applicable) Lampu kabin luar (jika memungkinkan) * Condition & Function of Access Ladder ‘Lamps (if applicable) v Kondisi dan fugnsi lampu tanga (ike memungkinkan) + RALLH Boom Lamps ff Lampu Boom Kanan- Kiri 67. | wre Hamess, | |* Engine Harness and Securing Glrmps sensors & Switches are Kabel Engine & Pengikat + Trens., Hydraulic Pump Hames & Securing Clamps # Come. Mr Kabel Trans & Pompa Hyd serta Pectest pengikatnya + Engine Sensors and Switches v ‘Sensor & Switch Engine ‘+ Transmission, Hydraulic Pump Sensors and Switches a Sensor & Switch Trans & Pompa Hyd e%& © ASS x ‘Once printed the document becomes uncontcie, Refer to PetroseaInanel or conveed opr FOR No, PYPANG- CAR GaN0e Revo. 0 BottsPre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Excavator, Drilling Machine, Crawler Crane) Electrical System of Access Ladders (if icable) Sistem Elektrik Tangga Akses All Other Harnesses and Securing Clamps ‘Semua Kabel lainnya serta Pengikat Function & Operation of All Solenoids Fungsi & Kinerja Semua Solenoid Operation of Emergency Steering Pengoperasian Emergency Steering ‘+ Condition & Function of All COTV systems (if applicable) Kondisi & Fungsi Semua Sistem CCTV (ika memungkinkan) 7.4. | Engine (Check & Test) + No Visible Cracks in Engine Area, Mounts & Loose Bolts Tidak ada retak pada area engine, dudukan dan baut longgar ‘© Engine compartment area for oil leaks, fuel Jeaks, coolant leaks, exhaust leaks ‘Area engine dari kebocoran oll, bahan baker, pendingin, dan saluran knalpot + Condition of Primary & Secondary Air Cleaner Kondisi Filter Udara Utama dan Sekunder + Function of Radiator Coating System Fungsi dari sistem pendingin radiator ‘+ Condition & Function of Fan Belt & Pulley Kondisi & Fungsi Belt & Pulley ‘+ Function of Temp & Pressure Gauges Fungsi dari Pengukur Suhu dan Tekanan ‘+ Record Engine Oil System Pressure Catat Tekanan sistem olf engine + Record Engine Fue! System Pressure Catat Tekanan sistem bahan bakar engine + Record Engine Cooling System Pressure Catat Tekanan sistem pendingin engine + Excessive Engine Vibration Vibrasi berlebihan pada engine + Excessive Engine Smoke ‘Asap pembakaran berlebihan pada engine + Engine blow by readings and visval blow-by through engine breathers Pombacaan engine blow by dan visual blow by m reathers + No Abnormal Engine Noise at idle RPM ‘Suara Engine yang Abnormal saat Idle & = & & q < Conte 8 oBfoe) 22. ‘Ghee pend his dorument becomes uncontrolled: Refer o Patroaaa inant Tor Gontialod py. FoR Ne, PrP ANG ONCEDI02 Revo. 0Pre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Md Excavator, Drilling Machine, Crawler Crane) Seen [7 [Meehnestinie commioning ones + Condition of exhaust system note any damage or leaks: v Kondisi pada exhaust sistem dan catatjika ada kerusakan atau kebocoran 7.2. | Torque Converter | « No Visible Cracks in Torque Converter Area, 2 (Check & Test) Mounts & Loose Bolts Tidak ada Keretakan pada Area torque converter, dudukan & Baut yang Kendor + External Leakages in Torque Converter v System Kebocoran Eksternal pada Sistem Torque Converter ‘+ No Abnormal Torque Converter Noise at idle + RPM ‘Suara Torque Converter yang Abnormallbising saat Idle RPM +All Fiters & Plugs are Properly Installed, ‘check air restriction gauge function if fited af ‘Semua Filter & Plug Terpasang dengan Benar, cek fungsi dari pengukur hambatan dara jika dilengkapi 73, | Drivetrain System— [+ No visible Cracks in Powertrain Area, Mounts it applicable & Loose Bolts v (Check & Test) Keretakan pada Area Powertrain, dudukan & Baut yang Kendor + No exiemal Leakages in Transmission System | Kebocoran Eksternal pada Sistem Transmisi + Working propery (All gears can be selected) pé| a Bekerja dengan baik (semua gigi bisa dipiin) + Visual inspection of drive shafts / propeller shafis for damage or worn universal joints Inspeksi visual pada drive shafts / A) propeller shafts untuk kerusakan atau | keausan pada universal joints + No Extemal Laakages in PTO System v Tidak ada kebocoran Eksternal pada Sistem PTO + No Extemal Leakages in Differential System aly Tidak ada kebocoran Eksternal pada Sistem Diferensial + No External Leakages in Swing Drive System | Tidak ada kebocoran Eksternal pada Sistem Swing Drive + No External Leakages in Final Drive System | Tidak ada kebocoran Eksternal pada Sistem Final Drive + _No Abnormal Powertrain Noise at kdle RPM | ‘Once printed hs dosent becomes uncontrolled. Refer Te Paosea nanet for contol copy FRU No PTR AMG GHG bI02 Revo. wotsPre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Excavator, Drilling Machine, Crawler Crane) ‘Suara Powertrain tidak Abnormal/bising saat Idle RPM Transmission System pressure and clutch pressures Tekanan pada clutch dan Condition of Powertrain Magnetic Plugs / Screens Kondisi Mag Plug / Screen pada sistem Powertrain 7.4. | Travel Motor (Check & Test) 'No External Leakages in Travel Motor Tidak ada kebocoren padia travel motor Condition & Function of Travel Motor Kondisi dan fungsi dari Travel Motor 75. | Swing Motor (Chock & Test) ‘No External Leakages in Swing Motor Tidak ada kebocoran pada swing motor Condition & Function of Swing Motor Kondisi dan fungsi dari Swing Motor 7.6. | Hydraulic System (Check & Test) ‘No Leakages / Deformation on All Hydrautic Cylinders Tidak ada kebocoran | perubahan bentuk pada semua silinder hidrolik ‘No Oi Leakages on Hydraulic Hoses & Pipes System Tidak ada kebocoran pada selang hidrolik dan sistem perpipaan ‘No Oil Leakages on Hydraulic Controt Valves Tidak ada kebocoran oli dan control valves hidrotik ‘No Abnormal Hydraulic Purp Noise at tale REM Tidak ada suara bising/abnormal saat idle RPM Conduct cyota times and record (if applicable) Hitung waktu siklus dan catat (ika memungkinkan) ‘No Abnormal Hydrostatic Pump Noise at Idle RPM Tidak ada suara abnormal/bising di pompa hicrostatik saat fale RPM All Fiters & Plug are Properly installed Semua filter dan plugs terinstal dengan benar s ee lam Hose gor preted, v Howe Pepe RH bam ft (rca cernpet) 3t 0S f 22 7.7. | Pneumatic System (Check & Test) Condition & Funetion of Air End Compressor Kondisi & Fungsi Air End Compressor Record air pressure system readings Catat pembacaan pada sistem tekanan udara Condition of Pressurized Air Lines & Valves ‘Gnce ented this document becomes uncontrolld, Rear wo Pelion Ivan for coivolod py FOR Ne PTR ANG CHRGOI02 Reve. 0 iorsPre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Excavator, Drilling Machine, Crawler Crane) Kondisi Saluran & Katup Udara Bertekanan 7.8. | Auto Lube Systen/|+ No sign of leaking / bent/ another damage Le ‘Auto Greasing Tidak ada keretakan / bengkok / kerusakan System lainnya (Check & Test) * Use injector system, SL-1/ SLV-XL is vw preferable (not divider) Gunakan sistem injector, SL-1 / SLV-XL yang lebih baik (bukan di * Grease pump working properly v Pompa Grease bekerja dengan baik ‘+ Timer working properly & adjustable “Timer bekerja dengan blk dan dapat diatur v 7.8. | Receiver on + No sign of leaking Service Station Tidak ada tanda kebocoran v (Check) 7.10.|| Auto Ful Shut Off | + No sign of leaking /bert/ nother demage | 7 (Check) Tidak ada tanda kebocoran / bengkok ! dan kerusakan lainnya + Vent breather with plotlines installed we Saluran nafas dengan jalur pilot terpasang + Use receiver 2 inch (various brand acceptable) | | Gunakan ukuran 2 inch (merk apa saja) Excavator e41. | Boom Assy. ‘= Boom Cylinder (no sign of leaking /scraich/ | > crack / bent / another damage) Silinder Book (tidak ada tanda kebocoran / lecet /retak / engkok / kerusakan lainnya) ‘+ Boom (no sign of erack/ bent / another damage) v Boom (tidak ada retak / bengkok / _ kerusakan lainnya) 82. | Arm Assy. ‘+ Aim Cylinder (no sign of leaking / scratch / = creck /bent / another damage) Silinder Arm (tidak ada tanda kebocoran | lecet / retak / Bengkok / kebocoran lainnya) + Amn (po sign of crack / beni / another damage) ‘Arm (tidak ada tanda retak / bongkok / v | kerusakan lainnya) | 33. | Bucket + No sign of bent / damage v Tidak ada tanda bengkok /rusak 8.4, | Belly Guard = No sign of crack / bent / another damage 7 Tidak ada tanda retak / bengkok kerusakan lainnya + Material ref to PTP Standard J Meterial mengacu pada standar PTP 85, | Swing scrapper__| + _ No sign of crack/ bent / another damage ‘Once printed his document becomes uneontoled. Refer fo Patovea vane for conroed copy FOR No, PTR AN CARS 0102 ReWND.0 worePre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, Mga Excavator, Drilling Machine, Crawler Crane) SESS ress Tidak ada tanda retak / bengkok / kerusakan lainnya Material ref, to PTP Standard Meterial mengacu pada standar PTP 8.6. | Travel Motor Piping | * No sign of crack / bent / another damage | (Guard GF apply) Tidak ada tanda retak / bengkok ./ | kerusakan lainnya | 87. | Grease piping & 'No sign of crack / bent / another damage distribution block: Tidak ada tanda retak ! bengkok J v Fak Ghaed kerusakan lainnya ” apply) 8.8. | Hydraulic tank belly | + No sign of crack’ bent / another damage Plates (if idak ada tanda retak / bengkok / v MA applicable) kerusakan lainnye 89. | Cycle Time ‘Check function & record cycle time Z : Cok fungsi & catat waktu sikius cehie Dozer 8.10. | Tilt Cylinder 'No sign of orack /bent / another damage Tidak ada tanda retak / bengkok ./ v kerusakan lainnya 811, | Lift Gvinder 'No sign of orack/ bent / another damage Tidak ada tanda retak / bongkok nid kerusakan lainnya 2.72. | Blade No sign of bent / damage LY Tidak ada tanda bengkok / rusak 8:13. | Ripper Frame No sign of bent / damage ‘Tidak ada tanda bengkok / rusak » 8.14, | Ripper Cylinder 'No sign of crack / bent / another damage Tidak ada tanda retak / bengkok ./ Vv kerusakan lainnya Dri 8.16. | Dril Pipe No sign of bent / damage xe ‘Tidak ada tanda bengkok / rusak 8.46. | Auto Tong / HOBO ‘No sign of crack bent / another damage | Tidak ada tanda retak / Bengkok J v kerusakan lainnya 2.17. | Cartier Sprocket Individual Grease Feeder available = Tersedia Grease Feeder (Crawler Grane 8:18. | Boom Assy. ‘Boom Cylinder (no sign of leaking / scratch / crack / bent / another damage) e Silinder Book (tidak ada tanda kebocoran / lecet J retak / bengkok / Kerusakan lainnya) ‘Boom (no sign of crack / bent / another damage) v Boom (tidak ada retak / bngkok / kerusakan lainnya) ‘nce ented this docunn! Bocories uncontroled,ReforloPeironan niane for conrad copy FOR No: PTPANG-CHKG-102 otisPre-commissioning Inspection Sheet ] for Heavy Equipment - Track Type (Dozer, | Mh Excavator, Drilling Machine, Crawler Crane) —— 8.19. | Hook & Block ‘Anti to Block system functionality Sistem Anti to Block berfungsi Block & Pulley No sign of crack / bent / we another damage Pada Block & Pulley tidak ada tanda retak / bengkok / kerusakan lainnya Hook No sign of crack / bent / another damage wi Pada hook tidak ada tanda retak / bengkok dan kerusakan lainnya Availabilty of SWL sign Ketersediaan tanda SWL 8.20. | Brake System Condition & Function of Hoist/ Boom Brake v Kondisi dan fungsi dari rem hoist / boom ‘+ Condition and function of spool or drum brake (crane) Kondisi dan fungs! dari spoof atau drum brake (crane) < 8.21. | Hoist Drum Availabilty of Wire guider / cable guider Ketersediaan Wire guider /cable guider 8.22. | Load indicator Load indicator functionality (Lamp & Alarm) Load indicator berfungsi (lampu dan alarm) Payload System Sistem payload Load Chart a ae 8.23. | Counter Weight Lock pin installed properiy Lock pin terinstall dengan benar 8.24. | Wire 'No sign of bent / damage Tidak ada tanda bengkok / rusak Worn out (%) Persentase keausan 'No sign of leaking / saratch / crack /bant / o nother damage Tidak ada tanda kebocoran /lecet /retak/ bengkok / kerusakan lainnya heck function (no drift) Tes fungs! ‘Auto levelting (if any) HF Level otomatis (jika ada) s \ 25. | Outrigger Miscellaneous 8.26. | Certiicate Any certifications required and current, ie Crane Inspection, electrical, NDT, pressure Z vessel ec. (if applicable) | Jika ada sertifikasi yang diperlukan dan ‘saat ini, contoh: inspeksi crane, electrical, NDT, tekanan vessel dil. (jika memungkinkan) 8.27. | Travel Guard ‘+ Plugged all holes on travel guard mounting ‘ice pied Wis documen! borames uncon volo, Refer to Peroaea inane! or conolied oy FORM WA PTRANGCRKGON02 RevNe.0 aatiPre-commissioning Inspection Sheet for Heavy Equipment - Track Type (Dozer, y// PETROSEA Excavator, Drilling Machine, Crawler Crane) emer yore frame Menutup semua selang pada travel guard mounting fram NOTE: Refer to the following documents if the above classifications do not cover the unit specifications. Inspect comments: =k Poder Proken ——— Homdron at uate MA — Hondas Gabin Operator bent =_ At pokng Pow ste Cabin Lose - 2A = Sampwid Capye Sowroid Rump WA tot Standart — Locke Engine Hood broken Iba — wiring Lprmine, 2 alternator Not Standart — Bat Rom upper Pediator Meossmg AER = Stan Dust front Bess Going eee Follaw vp— NT Cuanur Erpites (Cut Rep, Of/06/24) Arm vorper pent Perv he Verde — Y8e{_\ame_ er gunciron biale fotg. iE - - - - Soe Ean = = Corer Roget tuomove = Cover Termmat ay NIA - — Bor external Regoying temp Gant Locke T_Leee Mut Forming! Batrery [preteen | EA Me Cover fue donk iA = Gade Pay Nor nj Croponssicn). oe P Norm MA fon ~Yenow -Rade Sherer At oor comm, Wor Wg Are MA - a Cabin Hood Ferre, - ~ Pedwhite sHCKer at Counter covey ht Naa Pass for all PTP areas CiPess for outside PTP Pitonly [ffeil for all PTP areas (Once unit is delivered to site the daily pre start inspections are required to ensure the unit remains in safe condition and all items supplied from receiving on site remain with the unit. fe db. fia “Wij, Ns (23 ‘Bom #8 gardt falian Inspector ‘SHE Department/ Site at ZE ‘Gre printed thus dormant basomes uncontrliod Refer to Patossa hivanet for contaled copy FORM No, PRAMG-CAKN02 Rave 0 eosfe,