004-Inspection Form-ETI-IKPT-HSE-Grinder-Driller

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KSO PT ETI-IKPT No.

Dok : INL-KSOETI-IKPT-HSE-F13

SAFETY INSPECTION CHECK LIST Revisi : 00

ANGLE GRINDER-CUTTING WHEEL-


HAND DRIL-MAGNETIC DRILL- Issue Date : 01 Januari 2023
PNEUMATIC DRILL
Nama Proyek / Site Proyek Pembangunan Pabrik Minyak Goreng 2500 TPD
Tanggal Inspeksi 2024
No. Identifikasi (S/N) _ /IAK/PPMG/I/2024
Kontraktor PT. PILAREN_PT. ETI
Lokasi Inspeksi ISBL Refinery Plant

Remark/
No Description GOOD FAIR POOR N/A
Recommendation
1. RPM
2. Switch on / off
3. Handle
4. Disc / Gra nite condition
5. Cover
6. Magnetic System
7. Oil Lubricant
8. Cable Connection
9. ESD
10.
11.
12.

Comments:

Inspected by:
Acknowledged by:
Operator / Authorized
Inspector
Person
Name : Adhidharma N Name : Name :

Position : Safety Officer Position : Position :

Sign : Sign : Sign :

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