C 035 RW Vibrator12 Rev.1

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CONCRETE VIBRATOR PRE-MOB INSPECTION REPORT


Applies to Concrete Vibrator Mechanical, Air, Electrical

Equip. No. : Type : Model : Brand :

Serial No. : Service Date :


Inspected by : Date : Location : Owner :

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

Mandatory Safety Inspections and Devices


1 Coupler and Rubber All Connection in good condition no damage (Air Type)
2 Plug and Cable Ensure the cable and plug in good condtion
3 Vibrator Head Ensure no damage and in good condtion
Safety Covers and Guards All Covers in Place, Not Loose, None Missing, Not Modified, Remain
4
within OEM Specs
5
6

Engine Unit and Vibratory Head


1 Engine Clean Appearance, No Leaks, No Defective Mounts, Observe Performance
2 Engine Dipstick Easy to read, Oil Level Adequate
3 Recoil Starter Rope Test Function, Adequate Strength, No Frayed Places
4 Exhaust System, Pipe, Muffler No leaks, Not Loose
5 Vibratory Head Test and Observe Performance
6 Cable Drive Properly Secured, No Binding, Spins Freely

Frame, Carrier and Body


1 General Condition Good Paint and General Appearance, No Excess Damage, No Rust
2 Engine Covers Inspect Latches for Safety Holding Brackets, Can NOT Pinch Fingers

Servicing and Maintenance


1 Maintenance Schedule - PM and PdM Service Records Available

Others
1
2
3

Comments
Good = Good condition, able to be operated
in all CPI areas
No Good = Broken, Malfunction, Repair or
Replace

N/A = Not Applicable

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

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