PT.

GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001:2000 & OHSAS 18001 :1999 CERTIFIED COMPANY
Telephone : 62 - 542 - 7026372 Facsimile: 62 - 542 - 7204387

CHAIN BLOCK INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number
Serial Number

: PT. MENDO ELANG INDAH

: Chain Block
: MEI LB NPU 1 - 2
:

INSPECTION ITEM

Date of Inspection
Location of Inspection

: AWS D1.1 & ANS

: W/H. PT. Meindo
Kalimatan

Refference
Colour Code

: ANSI B 30.16
: Blue

RESULT

1. CHAIN BLOCK DATA

- Chain Block Mill Certificate
- Contruction
- Diameter of Chain
- Safe Working Load (SWL)
- Manufacturer

mm
Tones

2 INSPECTION
a. Visual
- Link & Master Link
- Chain Condition
- Top Hook Condition
- Bottom Hook Condition
b. Fuctional Test
c. Load Test

Acceptable

3 NON DESTRUCTIVE EXAMINATION

- Dye Penetrant Inspection
- Magnetic Partical Inspection

Acceptable

NDT with MPI on T

mm

T
mm

mm

mm

mm

Inspected By

PT. Gerbang Krenindo Sakti

1.1 & ANSI 30.16

T. Meindo Elang Indah, Handil, East
an

30.16

REMARK

h MPI on Top & Bottom Hook

TOP HOOK
mm

mm

BOTTOM HOOK

Safety Anchor Bolt Type

Safety Anchor Screw Type

BS6,
Crosby,
GRS,

Good
Rejected
N/A
Acceptable

mm
tones
kg

PT. GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001:2000 & OHSAS 18001 :1999 CERTIFIED COMPANY
Telephone : 62 - 542 - 7026372 Facsimile: 62 - 542 - 7204387

LEVER BLOCK INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number
Serial Number

: PT. MENDO ELANG INDAH

: Lever Block
: MEI LB NPU 1 - 2
:

INSPECTION ITEM

Date of Inspection
Location of Inspection

: AWS D1.1 & ANS

: W/H. PT. Meindo
Kalimatan

Refference
Colour Code

: ANSI B 30.16
: Blue

RESULT

1. LEVER BLOCK DATA

- Lever Block Mill Certificate
- Contruction
- Diameter of Chain
- Safe Working Load (SWL)
- Manufacturer

mm
Tones

2 INSPECTION
a. Visual
- Link & Master Link
- Chain Condition
- Top Hook Condition
- Bottom Hook Condition
b. Fuctional Test
c. Load Test

Acceptable

3 NON DESTRUCTIVE EXAMINATION

- Dye Penetrant Inspection
- Magnetic Partical Inspection

Acceptable

NDT with MPI on T

mm
mm
mm
mm

mm

Inspected By

PT. Gerbang Krenindo Sakti

1.1 & ANSI 30.16

T. Meindo Elang Indah, Handil, East
an

30.16

REMARK

h MPI on Top & Bottom Hook

TOP HOOK

BOTTOM HOOK

Safety Anchor Bolt Type

Safety Anchor Screw Type

BS6,
Crosby,
GRS,

Good
Rejected
N/A
Acceptable

mm
tones
kg

PT. GERBANG KRENINDO SAKTI

INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001:2000 & OHSAS 18001 :1999 CERTIFIED COMPANY
Telephone : 62 - 542 - 7026372 Facsimile: 62 - 542 - 7204387

SHACKLE INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number

:
:
:

Date of Inspection
Location of Inspection
Refference

INSPECTION ITEM

:
:
:

RESULT

1. Shackle Data
- Manufacturer
- Type
- Safe Working Load
2 Inspection
- Shackle
- Pin Shackle
3 Dimensional
- Dimensional Nominal

REM

Crosby,
Safety Anchor Bolt Type
Tones
Good
Good

- Dimensional Actual
Item No.
: SC 01
: SC 02
: SC 03
: SC 04
4 Nondestructive Examination
- Dye Penetrant Inspection
- Magnetic Partical Inspection

Open
mm
Open

Pin

Pin to Top
mm
Pin to Top

Shackle

mm
Pin

mm
mm
mm
mm

mm
mm
mm
mm

mm
mm
mm
mm

mm
Shackle

mm
mm
mm
mm

Good
Good

SLING INSPECTION AND DIMENSIONAL REPORT

Client
Name of Equip
Item Number

:
:
:

Date of Inspection
Location of Inspection
Refference

WIRE ROPE DATA

-

RESULT

DIAMETER
LENGTH
SAFE WORKING LOAD (SWL)
ROPE CONDITION

MASTER LINK
A= Diameter
B= Length
C= Width

Good

A-A'

C-C'
B-B'

Inspected By

:
:
:

Link Condition

SUB LINK
A= Diameter
B= Length
C= Width

Good

Link Condition

Good

PT. Gerbang Krenindo Sakti

REMARK

LINK

Good

REMARK

Safety Anchor Bolt Type

Safety Anchor Screw Type

BS6,
Crosby,
GRS,

Good
Rejected
-

mm
tones
kg