Chain Block - Lever Block Internal Inspection Checklist

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JAWA 9 & 10 COAL FIRED

STEAM POWER PLANT

CHAINBLOCK – LEVER BLOCK INTERNAL INSPECTION REPORT


Nama Perusahaan
Company Name
Pabrik Tanggal Inspeksi
Manufacture Inspection Date
Kapasitas Jenis / Type
Capacity
No. Serie Nama Inspektor
Serial Number Inspector Name

Aspek Diperiksa G F P Keterangan


No Good Fair Poor
Aspect to Inspection Baik Cukup Buruk Remarks

1 Sertifikat Pabrik/ Manufacture Certification


2 Tertera Data Teknik Pabrik/ Technical Data Printed
3 Tertera Daya Beban Aman (SWL)/ Safe Working
Load Printed
4 Daya Beban Aman (SWL) Sesuai Hook/ Safe
Working Load match to Hook
5 Kondisi Hook Atas dan Bawah/ Upper and Lower
Hook Condition
6 Hook berfungsi baik/ Hook Good Function
7 Rusak, Karat dan Retak pada Hook/ Broken, Corosif
and Cracks on Hook
Kunci Pengaman terpasang pada Hook (atas dan
8
bawah)/ Safety Latch Instaled Properly (Upper & Lower)
9 Kondisi Katrol Rantai/ Chain Pulley Condition
10 Rusak, Retak, Karatan dan Penyok pada Rantai/
Broken, Crack, Rusted and Dents in The Chain
11 Kondisi Rantai Tangan dan Rantai Pengangkatan/
Hand Chain and Lifting Chain Condition
12 Kondisi Roda Gerigi dan Sproket/ Gear and Sproket
Condition
Rekomendasi/ Recommendation Kesimpulan/ Conclusion

Inspected By Acknowledge By

Diterima/ Accepted Ditolak/ Rejected

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