Form Daily Inspection Passanger Lift

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PT.

TRUBA JAYA ENGINEERING


Mechanical Installation P-14 Work Package B. T-5105
CHECK LIST OF INSPECTON
CITEUREUP
Passanger Lift
Brand : Asset No. :
Model / Type : Capacity :
Serial No. : Location : Preheater Area Plant Site PT.Truba Jaya Engineering T-5105

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
No. Description
Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
A ENCLOSURE
1 Foundation
2 Buffer Spring
3 Triple Buffer Spring Holder
4 Counter Weight Buffer Spring Holder
5 Cage
6 Cabin
B MAST SECTION
1 Bolt Mast Connection
2 Gear Mast
3 Bolt Gear
4 Upper Double Guide Wheel
5 Lower Double Guide Wheel
6 Tie In (Support)
7 Stopper Limit Switch Down
8 Stopper Limit Switch Up
C DRIVING SYSTEM
1 Motor
2 Roller
3 Motor Gear
4 Motor Break
D CABLE TROLLY
1 Cable Guide
2 Trailing Cable
3 Basket Cable
4 Clamp Cable
E INSTALATION OF COUNTER WEIGHT
1 Pulley
2 Rope
3 Partiality Assembly
4 Counter Weight
5 Rope Lock
F ELECTRIC SYSTEM
1 Power Supply
2 Power Supply Cable
3 Main Panel
4 Cabin Panel
5 Ground Cable
6 Ignition Switch
7 Remot Control
8 Alarm
9 Lighting Cabin
G SAFETY DEVICE
1 Out Door Switch
2 Cage Door Switch
3 Upper Door Switch
4 General Limit Switch
5 Travel Switch Up
6 Travel Switch Down
7 Broken Rope Switch
8 Emergency Switch
Note :
Y : Good Prepared by Checked by Akcnowladge by

N : Bad
Pre - Start Check conducted prior to employment
N/A : Not Available
Operator HSSE Inspector HSSE Coordinator
PT. TRUBA JAYA ENGINEERING
Mechanical Installation P-14 Work Package B. T-5105
CHECK LIST OF INSPECTON
CITEUREUP
Passanger Lift
Period :

Brand : Asset No. :


Model / Type : Capacity :
Serial No. : Location : Preheater Area Plant Site PT.Truba Jaya Engineering T-5105

DATE
No. Description Remaks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
A ENCLOSURE
1 Foundation
2 Buffer Spring
3 Triple Buffer Spring Holder
4 Counter Weight Buffer Spring Holder
5 Cage
6 Cabin
B MAST SECTION
1 Bolt Mast Connection
2 Gear Mast
3 Bolt Gear
4 Upper Double Guide Wheel
5 Lower Double Guide Wheel
6 Tie In (Support)
7 Stopper Limit Switch Down
8 Stopper Limit Switch Up
C DRIVING SYSTEM
1 Motor
2 Roller
3 Motor Gear
4 Motor Break
D CABLE TROLLY
1 Cable Guide
2 Trailing Cable
3 Basket Cable
4 Clamp Cable
E INSTALATION OF COUNTER WEIGHT
1 Pulley
2 Rope
3 Partiality Assembly
4 Counter Weight
5 Rope Lock
F ELECTRIC SYSTEM
1 Power Supply
2 Power Supply Cable
3 Main Panel
4 Cabin Panel
5 Ground Cable
6 Ignition Switch
7 Remot Control
8 Alarm
9 Lighting Cabin
G SAFETY DEVICE
1 Out Door Switch
2 Cage Door Switch
3 Upper Door Switch
4 General Limit Switch
5 Travel Switch Up
6 Travel Switch Down
7 Broken Rope Switch
8 Emergency Switch
Note : Prepared by Checked by Akcnowladge by
Y : Good

N : Bad
Pre - Start Check conducted prior to employment
N/A : Not Available
Operator HSSE Inspector HSSE Coordinator
PT. TRUBA JAYA ENGINEERING
Mechanical Installation P-14 Work Package B. T-5105
CHECK LIST OF INSPECTON
CITEUREUP
Passanger Lift
Period :
Brand : Asset No. :
Model / Type : Capacity :
Serial No. : Location : Preheater Area Plant Site PT.Truba Jaya Engineering T-5105

DATE
No. Description 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Remaks
Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
A ENCLOSURE
1 Foundation
2 Buffer Spring
3 Triple Buffer Spring Holder
4 Counter Weight Buffer Spring Holder
5 Cage
6 Cabin
B MAST SECTION
1 Bolt Mast Connection
2 Gear Mast
3 Bolt Gear
4 Upper Double Guide Wheel
5 Lower Double Guide Wheel
6 Tie In (Support)
7 Stopper Limit Switch Down
8 Stopper Limit Switch Up
C DRIVING SYSTEM
1 Motor
2 Roller
3 Motor Gear
4 Motor Break
D CABLE TROLLY
1 Cable Guide
2 Trailing Cable
3 Basket Cable
4 Clamp Cable
E INSTALATION OF COUNTER WEIGHT
1 Pulley
2 Rope
3 Partiality Assembly
4 Counter Weight
5 Rope Lock
F ELECTRIC SYSTEM
1 Power Supply
2 Power Supply Cable
3 Main Panel
4 Cabin Panel
5 Ground Cable
6 Ignition Switch
7 Remot Control
8 Alarm
9 Lighting Cabin
G SAFETY DEVICE
1 Out Door Switch
2 Cage Door Switch
3 Upper Door Switch
4 General Limit Switch
5 Travel Switch Up
6 Travel Switch Down
7 Broken Rope Switch
8 Emergency Switch
Note : Prepared by Checked by Akcnowladge by
Y : Good

N : Bad
Pre - Start Check conducted prior to employment
N/A : Not Available
Operator HSSE Inspector HSSE Coordinator

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