Machine Evaluation Form - Indonesia

Machine Evaluation Form for Indonesia

Machine Evaluation Form Template for Indonesia

A comprehensive technical document used in Indonesia for evaluating and documenting the condition, safety features, and performance of industrial machinery and equipment. The form complies with Indonesian regulations, including Law No. 1 of 1970 on Work Safety and relevant SNI Standards, providing a structured assessment of mechanical, electrical, and safety systems. It serves as an official record for regulatory compliance, maintenance planning, and risk management, incorporating both technical evaluation criteria and local statutory requirements.

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What is a Machine Evaluation Form?

The Machine Evaluation Form is a critical document used in Indonesian industrial settings to assess and document the condition and safety compliance of industrial machinery. It is required under Indonesian law, particularly Law No. 1 of 1970 on Work Safety and related regulations, and must be completed periodically or after significant maintenance/modifications. The form serves multiple purposes: ensuring compliance with safety regulations, documenting machine condition, identifying potential risks, planning maintenance activities, and protecting both workers and company assets. It includes detailed technical assessments, safety evaluations, and compliance checks, making it essential for risk management and regulatory reporting. The document must be completed by certified evaluators and typically requires input from multiple stakeholders including operators, maintenance personnel, and safety officers.

What sections should be included in a Machine Evaluation Form?

1. Machine Identification: Details of the machine including make, model, serial number, location, and department

2. Evaluator Information: Details of the person(s) conducting the evaluation including name, qualification, certification number

3. Evaluation Date and Schedule: Date of current evaluation, previous evaluation date, and next scheduled evaluation

4. Safety Features Assessment: Checklist and evaluation of all safety features including guards, emergency stops, warning systems

5. Mechanical Condition: Assessment of mechanical components including wear, damage, alignment, and lubrication

6. Electrical Systems: Evaluation of electrical components, connections, controls, and safety interlocks

7. Performance Testing: Results of operational tests, including speed, accuracy, and function tests

8. Compliance Status: Assessment of compliance with relevant Indonesian standards and regulations

9. Risk Assessment: Identification and evaluation of potential hazards and risks

10. Maintenance Review: Review of maintenance records and current maintenance status

11. Conclusions: Overall evaluation results and machine status (Pass/Fail/Conditional)

12. Recommendations: Required actions, repairs, or modifications needed

What sections are optional to include in a Machine Evaluation Form?

1. Environmental Impact: Assessment of environmental factors such as noise, emissions, and energy efficiency - required for machines with significant environmental impact

2. Operator Feedback: Comments and observations from machine operators - recommended for frequently used equipment

3. Cost Analysis: Review of maintenance costs and replacement recommendations - useful for asset management purposes

4. Production Impact: Analysis of machine's impact on production efficiency - relevant for critical production equipment

5. Training Requirements: Specific operator training needs identified during evaluation - important for complex machinery

What schedules should be included in a Machine Evaluation Form?

1. Appendix A: Inspection Checklist: Detailed checklist used during the evaluation process

2. Appendix B: Photographic Evidence: Photos documenting machine condition and any defects found

3. Appendix C: Test Results: Detailed results of any specific tests performed

4. Appendix D: Maintenance Records: Copy of relevant maintenance history and records

5. Appendix E: Certification Documents: Copies of relevant certifications and compliance documents

6. Schedule 1: Technical Specifications: Original manufacturer specifications and operating parameters

7. Schedule 2: Safety Standards: Applicable Indonesian safety standards and requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Cost

Free to use

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Mining

Construction

Oil and Gas

Food Processing

Textile Industry

Automotive

Pharmaceutical

Chemical Processing

Logistics and Warehousing

Agriculture

Power Generation

Metal Processing

Pulp and Paper

Electronics Manufacturing

Relevant Teams

Maintenance

Safety and Compliance

Operations

Quality Control

Engineering

Production

Facilities Management

Risk Management

Technical Services

Asset Management

Relevant Roles

Maintenance Engineer

Safety Inspector

Equipment Operator

Maintenance Technician

Quality Control Manager

Plant Manager

Production Supervisor

Mechanical Engineer

Electrical Engineer

Safety Manager

Compliance Officer

Technical Director

Operations Manager

Maintenance Supervisor

Risk Assessment Specialist

Industrial Safety Consultant

Equipment Certification Specialist

Facility Manager

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What is a Machine Evaluation Form?

What sections should be included in a Machine Evaluation Form?

What sections are optional to include in a Machine Evaluation Form?

What schedules should be included in a Machine Evaluation Form?

Authors

Alex Denne

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