C 035 RW Vibrator12 Rev.1
C 035 RW Vibrator12 Rev.1
C 035 RW Vibrator12 Rev.1
d
oo
Description to be Checked Remarks
/A
oo
N
G
o
N
Equipment Documentation
1 Today's Pre-Trip Inspection Original Copy Available on Unit
2 Original Manufacturer Name Plate Year of Manufacture
3 Original or a Copy of Operation Manual Book Matches Unit Type and Series
4 SOP - Standard Operating Procedure Based on OEM Operation Manual Book
5 Company ID Number, Company Logo Correct Size, Minimum 10 Cm Height, Visible
Others
1
2
3
Comments
Good = Good condition, able to be operated
in all CPI areas
No Good = Broken, Malfunction, Repair or
Replace
Inspected by: Acknowledged by RW and CPI The undersigned hereby accept and agree
that this equipment is "OK" and safe for
operation. Menerima dan Menyetujui
bahwa Alat ini sudah "OK" dan aman
untuk dioperasikan.
SIGNATURE, Date
RW-CEM RW-HES
Contractor's Name
C-035-RW-12 - Rev-1 - Oct-12