Doc. No.
: 26071-100-GPP-GHX-00026
                          Job No. : Job No. : 26071                  Rev.00A
                                   RDMP JO Balikpapan
                                   Project
                                      Inspection Report
                                   HYDRAULIC R/T CRANES
                                                                         RDMP JO CONTROL
                                                                         NO.
CONTRACTOR:
EQUIPMENT NUMBER:                             REG#:                                  DATE:
MAKE:                                         MODEL:                                 S/N:
ENGINE:                                       MODEL:                                 S/N:
HOUR METER:                                                                          ODOMETER:
(S) INSPECTED AND SATISFACTORY       (R) PREPAIRED AND OR ADJUSTED        (X) REQUIRES RECHECK AND OR REPAIR
OPERATOR’S CAB                                           S   R       X
     Step, Door Handle, Latch
     Seat, Seatbelt, Cleanliness
     Windshield, Cab Glass
     Windshield Wiper, Washer
     Fan ( Air Circulation)
     Sun Visor
     Speedometer
     Tachometer
     Audio, Visual Alarms
     Indicators, Gauges
     Switches
     Mirrors, Rear, Left, Right
ELECTRICAL SYSTEM                                        S   R       X
     Headlights, Low / High Beam
     Signal / Hazard Lights, Front Rear
     Tail Lights, Brake Lights
     Horn
     Back Up Lights / Alarm
     Flashing Light, Cab Mounted
     Electrical System Wiring
     Batteries, Covers, Hold Downs
     Battery Terminals, Cables
ENGINE                                                   S   R       X
     Oil Leaks
     Coolant Leaks
     Fuel Leaks
     Fan, Guards, Belts
                         Doc. No. : 26071-100-GPP-GHX-00026
                          Job No. : Job No. : 26071       Rev.00A
     Abnormal Exhaust Smoke
     Exhaust System, Leaks, Silencer
     Radiator, Leaks, Cap, Gasket
OPERATOR STATION                                 S    R   X
     Throttle Control
     Brake Pedal
     Transmission Controls
     Outrigger Controls
     Machine Level Indicator
     Boom Hoist Control
     Angle / Range Load Chart
     Boom Angle indicator
     Main Winch Control
     Auxiliary Winch Control
     Boom Extension Control
     Swing & Brake Controls
     Cab Swing Safety Lock
     360 Degree Swing Lock
     Rear Axle Oscillation Stop Locks
DRIVE TRAIN                                      S    R   X
      Front Axle Housing, Mounting Bolts
      Steering Knuckles, Hubs, Spindles
      Differential Planetaries, Seals, Leaks
      Trunnion Bearings, Mounting Bolts
      Rear Axle Housing, Mounting Bolts
      Steering Knuckles, Hubs, Spindles
      Differential Planetaries, Seals, Leaks
      Trunnion Bearings, Mounting Bolts
      Drives Shafts, Front, Rear
      Transmission, Mountings, Seals, Leaks
      Transfer Case, Mountings, Seals, Leaks
      Torque Converter, Seal, Leaks
      Torque Converter Drive Shaft
STEERING SYSTEM                                  S    R   X
      Steering Wheel, Linkage
      Orbital Pump, Leaks
      Control Valve, Steering Box, Oil Leaks
      Follow Up Linkage
      Steering Cylinders, Oil Leaks
BRAKE SYSTEM                                     S    R   X
     Air           Hydraulic
     Brake Chambers, Linings
     Rotors, Pads, Calipers
     Brake Tubes, Hoses, Front, Rear
     Brake Test,
                        Doc. No. : 26071-100-GPP-GHX-00026
                         Job No. : Job No. : 26071         Rev.00A
       Parking Brake, Test
UPPER STRUCTURE                                    S   R   X
     Boom Pedestal, Mounting bolts
     Counterweight Mounting Bolts
     Main & Auxiliary Winch Mountings
     Swing Drive Motor & Brake, Noise, Leaks
     Hydraulic Hoses, Connections, Leaks
     Compressed Air Lines, Connections, Leaks
     Swing Gear, Bearing & Pinion
BOOM ASSEMBLY                                      S   R   X
     Boom Angle Indicator
     Base Section Inspection
     Mounting Pins, Locks, Grease Fittings
     Intermediate Section Inspections
     Tip Section Inspection
     Inner Boom slides
     Outer Boom Slides
     Boom Internal Cables, Chains, sheaves
     Hydraulic Hoses, Connections, Leaks
     Point sheaves
     Load Block sheaves, SWL
     Load Block, Hook, Latch, SWL
     Wire Rope Condition, Anchorages
     Headache Ball, Hook, Latch, SWL
CRANE HYDRAULICS                                   S   R   X
     Boom Lift Cylinders, Leaks
     Counterbalance Valves, Leaks
     Boom Extension Cylinder, Leaks
     Counterbalance Valve, Leaks
     Mounting Pins, Locks, Grease Fittings
     Hydraulic Tubes, Hoses, Connections, Leaks
     Outrigger Cylinders, Rear, Leaks
     Outrigger Cylinders, Front, Leaks
     Outrigger Counterbalance Valves, Leaks
     Mounting Pins, Locks, Grease Fittings
     Hydraulic Tubes, Hoses, Connections, Leaks
     Main System
     Hydraulic Pump, Leaks, Noise
     Hydraulic Pump Manual Disconnect
     Control Valves, Oil Leaks, Hoses
     Hydraulic Tank, Oil Leaks, Cap, Seals
     Tank Mountings, Straps
     Hoist Motors
     Main Hoist Motor, Brakes, Noise, Leaks
     Auxiliary Hoist Motor, Brakes, Noise, Leaks
                         Doc. No. : 26071-100-GPP-GHX-00026
                            Job No. : Job No. : 26071        Rev.00A
        Hydraulic Tubes, Hoses, Connections, Leaks
        Friction drive clutch and brakes
        Swivel Joint, Leaks
AIR SYSTEM                                           S   R   X
      Compressor, Oil Leaks, Pumping Oil
      Air Tanks, Mountings, Safety Valve
      Tubes, Hoses, Drain Valves
FUEL TANK                                            S   R   X
      Leaks, Cap, Gasket
      Mounting Brackets, Straps
      Fuel Lines, Connections, Leaks
SAFETY                                               S   R   X
     Engine Emergency Shutdown Switch
     Outrigger Pads
     Load Moment Indicator
     LMI Manual
     Operator’s Manual
     Operator’s Daily Log Book
     Anti Two Block Alarm / Cut out
     Over Boom Alarm / Cut out
     Over Hoist Alarm / Cut out
     Travel, Swing Audio Alarms
     Fire Extinguisher, Capacity, Date Charged
ENVIRONMENTAL                                        S   R   X
      Emergency Spill Kit
ACCESSORIES
     Jib Boom                                        S   R   X
     Boom Point Extension
     Pendant Lines
TIRES                                                S   R   X
        Front / Rear, Condition,
        Front / Rear, matched
        Wheels, Rims, Lock Rings
        Mounting Nuts, Studs
                      Doc. No. : 26071-100-GPP-GHX-00026
                      Job No. : Job No. : 26071               Rev.00A
TIRES          SIZE                      PLY                            TYPE
               PERCENTAGE LEFT
              Front                                    Rear
   Comments:
   Use additional Pages if necessary to describe findings indicated in “X” and “R” check
   boxes
   Date Inspection Completed:
   Contractor Rep:
   Badge #:
   Comment
   INSPECTION STATUS              Pass                        Hold                Reject
                       Inspected by
        Inspector 1                      Inspector 2                      Owner/User