PRE-OPERATING CHECK LIST FORKLIFT PRE-OPERATING CHECK LIST FORKLIFT

Isilah check list ini sebelum menjalankan alat : Isilah check list ini sebelum menjalankan alat :
Procedure requires to fill up this form before the equipment is operate Procedure requires to fill up this form before the equipment is operate
a) Bila ada kelainan "jangan dijalankan" dan laporkan kepada supervisor anda a) Bila ada kelainan "jangan dijalankan" dan laporkan kepada supervisor anda
If find any B.O, Tell to your supervisor and "do not" operate i If find any B.O, Tell to your supervisor and "do not" operate i
b) Setiap akhir shift, kumpulkan check list pada supervisor. b) Setiap akhir shift, kumpulkan check list pada supervisor.
Turn back this form to supervisor at the end of shift Turn back this form to supervisor at the end of shift
c) Jika alat tidak di-grease, laporkan mekanik untuk di-grease. c) Jika alat tidak di-grease, laporkan mekanik untuk di-grease.
If machine is not greased, have mechanic grease i If machine is not greased, have mechanic grease i
d) Pastikan artikulasi ter-grease dan semua bautnya tidak longgar d) Pastikan artikulasi ter-grease dan semua bautnya tidak longgar
Make sure articulation is greased and no loose bolts Make sure articulation is greased and no loose bolts

IMPORTANT : DO NOT EVER OPERATE THE UNSAFE EQUIPMENT IMPORTANT : DO NOT EVER OPERATE THE UNSAFE EQUIPMENT
Job # :________________ # of Buckets :______________ Job # :________________ # of Buckets :______________
Equipment # :________________ Shift :______________ Equipment # :________________ Shift :______________
Date :________________ Hours Meter :Start ;_______ Date :________________ Hours Meter :Start ;_______
Area Worked :________________ End :_______ Area Worked :________________ End :_______

NO DESCRIPTION OK BO NO DESCRIPTION OK BO
1 Pemeriksaan keliling Walk around inspection 1 Pemeriksaan keliling Walk around inspection
2 Kondisi keseluruhan / keretakan pada alat General conditions / cracks of the equipment 2 Kondisi keseluruhan / keretakan pada alat General conditions / cracks of the equipment
3 Pemadam kebakaran Fire extinguisher 3 Pemadam kebakaran Fire extinguisher
4 Kondisi ban, mur dan ring Tires, nuts and rings 4 Kondisi ban, mur dan ring Tires, nuts and rings
5 Pin lift arm dan pin bucket Lift arm and bucket pins 5 Pin lift arm dan pin bucket Lift arm and bucket pins
6 Ukuran oli mesin Engine oil level 6 Ukuran oli mesin Engine oil level
7 Air radiator Radiator water level 7 Air radiator Radiator water level
8 Ukuran Solar Diesel fuel level 8 Ukuran Solar Diesel fuel level
9 Sistem pemadam kebakaran Fire suppression system 9 Sistem pemadam kebakaran Fire suppression system
10 Sabuk pengaman Seat belt 10 Sabuk pengaman Seat belt
11 Hidupkan mesin Start engine 11 Hidupkan mesin Start engine
12 Penunjuk peringatan (alarm) Muirhead system 12 Penunjuk peringatan (alarm) Muirhead system
13 Periksa lampu penunjuk dan lampu - lampu Check Indicators and lights 13 Periksa lampu penunjuk dan lampu - lampu Check Indicators and lights
14 Periksa meteran penunjuk / lampu penunjuk Check Gauges / warning device 14 Periksa meteran penunjuk / lampu penunjuk Check Gauges / warning device
15 Gas Tinggi / gas rendah High and low idle RPM 15 Gas Tinggi / gas rendah High and low idle RPM
16 Tekanan oli mesin Engine oil pressure 16 Tekanan oli mesin Engine oil pressure
17 Tekanan oli rem Brake oil pressure 17 Tekanan oli rem Brake oil pressure
18 Test rem kaki dan rem parkir Test sevice brake and parking brake 18 Test rem kaki dan rem parkir Test sevice brake and parking brake
19 Sistem setir Steering system 19 Sistem setir Steering system
20 Klakson mundur / klakson Back up horn / horn 20 Klakson mundur / klakson Back up horn / horn
21 Ukuran oli hidrolik Hydraulic oil level 21 Ukuran oli hidrolik Hydraulic oil level
22 Ukuran oli transmissi Transmission oil level 22 Ukuran oli transmissi Transmission oil level
23 Periksa kebocoran-kebocoran oli Check oil leaks 23 Periksa kebocoran-kebocoran oli Check oil leaks
24 Kondisi lampu-lampu Lights 24 Kondisi lampu-lampu Lights
25 Periksa tekanan accumulator hidrolik dan rem Test hydraulic and brakes accumulators pressures 25 Periksa tekanan accumulator hidrolik dan rem Test hydraulic and brakes accumulators pressures
26 Pastikan bahwa Equipment siap dan aman di operasik Ensure the Equipment is ready and safe to be operate 26 Pastikan bahwa Equipment siap dan aman di operasik Ensure the Equipment is ready and safe to be operate
27 Bersihkan ruang operator Clean operator compartment 27 Bersihkan ruang operator Clean operator compartment
Notes : Notes :

Licensed Operator Name _________________________ FI. No._______________ Licensed Operator Name _________________________ FI. No._______________

Trainee Name____________________________ FI No.________________ Trainee Name____________________________ FI No.________________

Supervisor / FI. __________________________ Date : ___________________ Supervisor / FI. __________________________ Date : ___________________

Approved by : ______________________ Approved by : ______________________

by alex aruan//jul//03// by alex aruan//jul//03//