REPORT SERVICE SHEET

HD785-7

OIL USED

NO DESCRIPTION OIL QTY CHECK ADD REPLACE

1 OLI ENGINE SAE 15W-40 125
2 OLI TRANSMISI SAE 30 215
3 OLI DIFFRENTIAL RR SAE 30 95
4 Final Drive SAE 30 42
5 Steering SAE 10 102
6 Front Suspension SAE 10 33
7 Rear Suspension SAE 10 23
8 Cooling system / radiator water + additif 154

FILTER USED

NO DESCRIPTION PART NUMBER QTY PS 250 PS 500 PS 1000 PS 2000 & 4000
1 Catridge oil 600-211-1340 4
2 Element Hyd 07063-51210 3
3 Filter Trans 569-16-81160 4
4 Element brake piping filter 569-43-83920 1
5 Element air cleaner Assy 600-185-6100 3
6 Catridge / fuel filter 600-319-3550 4
7 Catridge / high fuel filter 600-319-4540 2
8 AC Filter 426-07-32441 2
9 O-ring trans Tank 07000-72105 3
10 O-ring trans Tank hyd 07000-12125 4
11 O-ring trans Tank hyd 07000-15190 3
12 O-ring trans Tank 07000-F5180 3

REMARK

Man Power : 1 6
2 7
3 8
4 9
5 10

Prepared by Checked by,

Planner Maintenance GL
 PT PUTRA PERKASA ABADI
Coal Mining Contractor & Trading
Site MHU Beruaq - Kukar Kaltim
Site Megaprima Persada - Loa Kulu Kukar
UNIT ENGINE
Periodic
Periodic Service
Service Check
Check
Model Serial No. Code No. Model Serial No.
Sheet
Sheet
PERIODICAL SERVICE TYPE
HOUR METER READING
250 500 750 1000
VOLVO
VOLVO
MACHINE LOCATION
DATE FMX440
FMX440
START ACTION
STOP ACTION
BERI TANDA "V" JIKA KONDISI BAIK DAN "X" JIKA KONDISI TIDAK BAIK GENERAL 1
SERVICE TYPE
NO DESCRIPTION 250 500 750 1000
Act Pic Act Pic Act Pic Act Pic
1 Check Oli Engine & Filter (Sample Oil SOS)
2 Check Level Oli Differential Case, Tambah Oli jika perlu
3 Check Level Oli Final Drive, Tambah Oli jika perlu
Pelumasan (Greasing)
1 Greasing Pin Hinge Dump Body RH / LH ( 1 point each )
2 Greasing Suspensi Belakang RH / LH ( 2 point each )
3 Greasing Support Differential RH / LH ( 4 point each )
4 Greasing Pin Hoist Cylinder RH / LH ( 2 point each )
5 Greasing Pin Steering Cylinder ( 4 point )
6 Greasing Pin Steering Link ( 5 point )
7 Greasing Drive Shaft ( 5 point )
8 Check Level Battery Electrolite
9 Check Belt Alternator, Adjust jika perlu
10 Check Tension Belt Air Conditioner, Adjust jika perlu
11 Bersihkan Breather Transmission
12 Bersihkan Breather Hydraulic
13 Check Frame
14 Check Keausan Pad Parking Brake Front
15 Ganti Oli Engine, Ganti Filter Oli Engine
16 Ganti Fuel Filter
17 Ganti Transmission Filter
18 Check Keausan Fan Belt Radiator, Ganti jika rusak
19 Ganti Corrotion Resistor
20 Ganti Oli Transmission & Bersihkan Strainer Case
21 Ganti Filter Steering, Hoist Oil Tank, Brake Cooling
22 Greasing Fan Pulley, Tensioner Pulley
23 Greasing Transmission Mounting
24 Greasing Link Automatic Suspension RH / LH ( 1 point )
25 Greasing Linkage Parking Brake ( 3 point/caliper )
26 Check Keausan Disc Brake belakang
27 Check Turbocharger, Kencangkan ikatan bolt
28 Ganti Oli Steering, Hoist tank, Brake Cooling Belakang
29 Ganti Oli Final Drive Case
30 Ganti Oli Differential
31 Bersihkan Breather Differential case
32 Bersihkan Emergency Relay Valve
33 Check Alternator & Starter Motor
34 Check & Adjust Valve Clearence Engine
35 Check Turbocharger, Rotor Play T/C & Bersihkan
36 Greasing Linkage Drum Control ( 5 point )
37 Bersihkan Filter Air Dryer & Deflector
Kapan Diperlukan
1 Bersihkan Air Cleaner Jika Indicator menyala
2 Bersihkan AC Filter , Check Refrigerant Gas Level
3 Check Jarak panjang Cylinder Suspensi, Check Oil Level
4 Buang Angin dari Brake Depan & Belakang
5 Check Parking Brake
6 Check Body Positioner
7 Inspeksi Ban, Tekanan, Ukuran kedalaman
8 Drain Air dari Fuel separator
Pengecekan Sebelum Start

PLTA/F-008i; Revisi 0.0 Halaman 2 / 12

 SERVICE TYPE
NO DESCRIPTION 250 500 750 1000
Act Pic Act Pic Act Pic Act Pic
1 Check Level Air Radiator
2 Check Level Oli Brake
3 Drain Air dari Tanki Udara
4 Check Level Oil Engine
5 Check Level Oli Transmission
6 Check Level Oli Steering, Tanki Hoist Oli, Brake Cooling
7 Check Bahan Bakar Solar, Tambah Jika Perlu
8 Check Fungsi Instrument Panel Dalam Cabin
9 Check Fungsi Foot Brake, Parking & Emergency Brake
10 Check Fungsi Retarder
11 Check Emergency Steering
12 Check Semua Mirror
13 Check Fungsi Semua Head Lamp, Tail lamp, Flashing
14 Check Fungsi Klakson
15 Check Cable-cable electric
16 Check Cable Battery
17 Check AC Compressor, Evaporator, Blower, Freon
18 Check Belt AC, Expansion Valve
19 Engine Stall ( 785=1940-2140)
BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 250
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 500
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE 750 (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 750
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE 1000 (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 1000
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

Note:
Untuk Kolom "Act" = Action, Cukup di-isi dengan Untuk Kolom PIC & By. Cukup di-isi dengan No Urut
C = Check & Test MECHANIC NAME / SERVICE TYPE
A = Adjust / Retorque 250 500 750 1000
R = Replace 1 1 1 1
P = Repair 2 2 2 2
G = Greasing 3 3 3 3
L = Cleaning 4 4 4 4
F = Flushing 5 5 5 5
D = Add / Tambah 6 6 6 6
Untuk Kolom "STATUS" Backlog, Cukup di-isi dengan
AA = SANGAT BAHAYA - Harus Langsung di Perbaiki Saat itu juga PASTIKAN
PASTIKANINPUT
INPUTBACKLOG
BACKLOGDILAKUKAN.
DILAKUKAN.
A = BAHAYA TINGGI - Harus Segera Diperbaiki sebelum 1 Hari (24 Jam) Untuk
UntukPekerjaan
PekerjaanBacklog
BacklogdidiInput
Inputdalam
dalamCheck
CheckSheet
Sheet
B = BAHAYA SEDANG - Harus Diperbaiki sebelum 3 Hari. BACKLOG
BACKLOGACTION
ACTION(Form
(FormTersendiri).
Tersendiri).
C = BAHAYA RENDAH - Harus Diperbaiki sebelum 14 Hari.
CHECKED BY / SERVICE
250 500 750 1000

GL. Plant / Planner [Link] / Planner Gl. Plant / Planner [Link] / Planner

PLTA/F-008i; Revisi 0.0 Halaman 3 / 12

 PT PUTRA PERKASA ABADI
Coal Mining Contractor & Trading
Site MHU Beruaq - Kukar Kaltim
Site Megaprima Persada - Loa Kulu Kukar
UNIT ENGINE
Periodic
Periodic Service
Service Check
Check
Model Serial No. Code No. Model Serial No.
Sheet
Sheet
PERIODICAL SERVICE TYPE
HOUR METER READING
250 500 750 1000
VOLVO
VOLVO
MACHINE LOCATION
DATE FMX400
FMX400
START ACTION
STOP ACTION
BERI TANDA "V" JIKA KONDISI BAIK DAN "X" JIKA KONDISI TIDAK BAIK GENERAL 1
SERVICE TYPE
NO DESCRIPTION 250 500 750 1000
Act Pic Act Pic Act Pic Act Pic
1 Check Oli Engine & Filter (Sample Oil SOS)
2 Check Level Oli Differential Case, Tambah Oli jika perlu
3 Check Level Oli Final Drive, Tambah Oli jika perlu
Pelumasan (Greasing)
1 Greasing Pin Hinge Dump Body RH / LH ( 1 point each )
2 Greasing Suspensi Belakang RH / LH ( 2 point each )
3 Greasing Support Differential RH / LH ( 4 point each )
4 Greasing Pin Hoist Cylinder RH / LH ( 2 point each )
5 Greasing Pin Steering Cylinder ( 4 point )
6 Greasing Pin Steering Link ( 5 point )
7 Greasing Drive Shaft ( 5 point )
8 Check Level Battery Electrolite
9 Check Belt Alternator, Adjust jika perlu
10 Check Tension Belt Air Conditioner, Adjust jika perlu
11 Bersihkan Breather Transmission
12 Bersihkan Breather Hydraulic
13 Check Frame
14 Check Keausan Pad Parking Brake Front
15 Ganti Oli Engine, Ganti Filter Oli Engine
16 Ganti Fuel Filter
17 Ganti Transmission Filter
18 Check Keausan Fan Belt Radiator, Ganti jika rusak
19 Ganti Corrotion Resistor
20 Ganti Oli Transmission & Bersihkan Strainer Case
21 Ganti Filter Steering, Hoist Oil Tank, Brake Cooling
22 Greasing Fan Pulley, Tensioner Pulley
23 Greasing Transmission Mounting
24 Greasing Link Automatic Suspension RH / LH ( 1 point )
25 Greasing Linkage Parking Brake ( 3 point/caliper )
26 Check Keausan Disc Brake belakang
27 Check Turbocharger, Kencangkan ikatan bolt
28 Ganti Oli Steering, Hoist tank, Brake Cooling Belakang
29 Ganti Oli Final Drive Case
30 Ganti Oli Differential
31 Bersihkan Breather Differential case
32 Bersihkan Emergency Relay Valve
33 Check Alternator & Starter Motor
34 Check & Adjust Valve Clearence Engine
35 Check Turbocharger, Rotor Play T/C & Bersihkan
36 Greasing Linkage Drum Control ( 5 point )
37 Bersihkan Filter Air Dryer & Deflector
Kapan Diperlukan
1 Bersihkan Air Cleaner Jika Indicator menyala
2 Bersihkan AC Filter , Check Refrigerant Gas Level
3 Check Jarak panjang Cylinder Suspensi, Check Oil Level
4 Buang Angin dari Brake Depan & Belakang
5 Check Parking Brake
6 Check Body Positioner
7 Inspeksi Ban, Tekanan, Ukuran kedalaman
8 Drain Air dari Fuel separator
Pengecekan Sebelum Start

Halaman 4 / 12
 SERVICE TYPE
NO DESCRIPTION 250 500 750 1000
Act Pic Act Pic Act Pic Act Pic
1 Check Level Air Radiator
2 Check Level Oli Brake
3 Drain Air dari Tanki Udara
4 Check Level Oil Engine
5 Check Level Oli Transmission
6 Check Level Oli Steering, Tanki Hoist Oli, Brake Cooling
7 Check Bahan Bakar Solar, Tambah Jika Perlu
8 Check Fungsi Instrument Panel Dalam Cabin
9 Check Fungsi Foot Brake, Parking & Emergency Brake
10 Check Fungsi Retarder
11 Check Emergency Steering
12 Check Semua Mirror
13 Check Fungsi Semua Head Lamp, Tail lamp, Flashing
14 Check Fungsi Klakson
15 Check Cable-cable electric
16 Check Cable Battery
17 Check AC Compressor, Evaporator, Blower, Freon
18 Check Belt AC, Expansion Valve
19 Engine Stall ( 785=1940-2140)
BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 250
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 500
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE 750 (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 750
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE 1000 (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 1000
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

Note:
Untuk Kolom "Act" = Action, Cukup di-isi dengan Untuk Kolom PIC & By. Cukup di-isi dengan No Urut
C = Check & Test MECHANIC NAME / SERVICE TYPE
A = Adjust / Retorque 250 500 750 1000
R = Replace 1 1 1 1
P = Repair 2 2 2 2
G = Greasing 3 3 3 3
L = Cleaning 4 4 4 4
F = Flushing 5 5 5 5
D = Add / Tambah 6 6 6 6
Untuk Kolom "STATUS" Backlog, Cukup di-isi dengan
AA = SANGAT BAHAYA - Harus Langsung di Perbaiki Saat itu juga PASTIKAN
PASTIKANINPUT
INPUTBACKLOG
BACKLOGDILAKUKAN.
DILAKUKAN.
A = BAHAYA TINGGI - Harus Segera Diperbaiki sebelum 1 Hari (24 Jam) Untuk
UntukPekerjaan
PekerjaanBacklog
BacklogdidiInput
Inputdalam
dalamCheck
CheckSheet
Sheet
B = BAHAYA SEDANG - Harus Diperbaiki sebelum 3 Hari. BACKLOG
BACKLOGACTION
ACTION(Form
(FormTersendiri).
Tersendiri).
C = BAHAYA RENDAH - Harus Diperbaiki sebelum 14 Hari.
CHECKED BY / SERVICE
250 500 750 1000

GL. Plant / Planner [Link] / Planner Gl. Plant / Planner [Link] / Planner

Halaman 5 / 12
 PT PUTRA PERKASA ABADI
Coal Mining Contractor & Trading
Site ABP - Jembayan Kukar
Site Megaprima Persada - Loa Kulu Kukar
UNIT ENGINE
Periodic
Periodic Service
Service Check
Check
Model Serial No. Code No. Model Serial No.
Sheet
Sheet
PERIODICAL SERVICE TYPE
HOUR METER READING
1250 1500 1750 2000
KOMATSU
KOMATSU
MACHINE LOCATION
DATE HD
HD 785-7
785-7
START ACTION
STOP ACTION

BERI TANDA "V" JIKA KONDISI BAIK DAN "X" JIKA KONDISI TIDAK BAIK GENERAL 2
SERVICE TYPE
NO DESCRIPTION 1250 1500 1750 2000
Act Pic Act Pic Act Pic Act Pic
1 Check Oli Engine & Filter (Sample Oil SOS)
2 Check Level Oli Differential Case, Tambah Oli jika perlu
3 Check Level Oli Final Drive, Tambah Oli jika perlu
Pelumasan (Greasing)
1 Greasing Pin Hinge Dump Body RH / LH ( 1 point each )
2 Greasing Suspensi Belakang RH / LH ( 2 point each )
3 Greasing Support Differential RH / LH ( 4 point each )
4 Greasing Pin Hoist Cylinder RH / LH ( 2 point each )
5 Greasing Pin Steering Cylinder ( 4 point )
6 Greasing Pin Steering Link ( 5 point )
7 Greasing Drive Shaft ( 5 point )
8 Check Level Battery Electrolite
9 Check Belt Alternator, Adjust jika perlu
10 Check Tension Belt Air Conditioner, Adjust jika perlu
11 Bersihkan Breather Transmission
12 Bersihkan Breather Hydraulic
13 Check Frame
14 Check Keausan Pad Parking Brake Front
15 Ganti Oli Engine, Ganti Filter Oli Engine
16 Ganti Fuel Filter
17 Ganti Transmission Filter
18 Check Keausan Fan Belt Radiator, Ganti jika rusak
19 Ganti Corrotion Resistor
20 Ganti Oli Transmission & Bersihkan Strainer Case
21 Ganti Filter Steering, Hoist Oil Tank, Brake Cooling
22 Greasing Fan Pulley, Tensioner Pulley
23 Greasing Transmission Mounting
24 Greasing Link Automatic Suspension RH / LH ( 1 point )
25 Greasing Linkage Parking Brake ( 3 point/caliper )
26 Check Keausan Disc Brake belakang
27 Check Turbocharger, Kencangkan ikatan bolt
28 Ganti Oli Steering, Hoist tank, Brake Cooling Belakang
29 Ganti Oli Final Drive Case
30 Ganti Oli Differential
31 Bersihkan Breather Differential case
32 Bersihkan Emergency Relay Valve
33 Check Alternator & Starter Motor
34 Check & Adjust Valve Clearence Engine
35 Check Turbocharger, Rotor Play T/C & Bersihkan
36 Greasing Linkage Drum Control ( 5 point )
37 Bersihkan Filter Air Dryer & Deflector
Kapan Diperlukan
1 Bersihkan Air Cleaner Jika Indicator menyala
2 Bersihkan AC Filter , Check Refrigerant Gas Level
3 Check Jarak panjang Cylinder Suspensi, Check Oil Level
4 Buang Angin dari Brake Depan & Belakang
5 Check Parking Brake
6 Check Body Positioner
7 Inspeksi Ban, Tekanan, Ukuran kedalaman
8 Drain Air dari Fuel separator

PLTA/F-008i; Revisi 0.0 Halaman 6 / 12

 SERVICE TYPE
NO DESCRIPTION 1250 1500 1750 2000
Act Pic Act Pic Act Pic Act Pic
Pengecekan Sebelum Start
1 Check Level Air Radiator
2 Check Level Oli Brake
3 Drain Air dari Tanki Udara
4 Check Level Oil Engine
5 Check Level Oli Transmission
6 Check Level Oli Steering, Tanki Hoist Oli, Brake Cooling
7 Check Bahan Bakar Solar, Tambah Jika Perlu
8 Check Fungsi Instrument Panel Dalam Cabin
9 Check Fungsi Foot Brake, Parking & Emergency Brake
10 Check Fungsi Retarder
11 Check Emergency Steering
12 Check Semua Mirror
13 Check Fungsi Semua Head Lamp, Tail lamp, Flashing
14 Check Fungsi Klakson
15 Check Cable-cable electric
16 Check Cable Battery
17 Check AC Compressor, Evaporator, Blower, Freon
18 Check Belt AC, Expansion Valve
19 Engine Stall ( 785=1940-2140)

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 1250
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 1500
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 1750
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) HM 2000
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

Note:
Untuk Kolom "Act" = Action, Cukup di-isi dengan Untuk Kolom PIC & By. Cukup di-isi dengan No Urut
C = Check & Test MECHANIC NAME / SERVICE TYPE
A = Adjust / Retorque 1250 1500 1750 2000
R = Replace 1 1 1 1
P = Repair 2 2 2 2
G = Greasing 3 3 3 3
L = Cleaning 4 4 4 4
F = Flushing 5 5 5 5
D = Add / Tambah 6 6 6 6
Untuk Kolom "STATUS" Backlog, Cukup di-isi dengan
AA = SANGAT BAHAYA - Harus Langsung di Perbaiki Saat itu juga PASTIKAN
PASTIKANINPUT
INPUTBACKLOG
BACKLOGDILAKUKAN.
DILAKUKAN.
A = BAHAYA TINGGI - Harus Segera Diperbaiki sebelum 1 Hari (24 Jam) Untuk
UntukPekerjaan
PekerjaanBacklog
BacklogdidiInput
Inputdalam
dalamCheck
CheckSheet
Sheet
B = BAHAYA SEDANG - Harus Diperbaiki sebelum 3 Hari. BACKLOG
BACKLOGACTION
ACTION(Form
(FormTersendiri).
Tersendiri).
C = BAHAYA RENDAH - Harus Diperbaiki sebelum 14 Hari.
CHECKED BY / SERVICE
1250 1500 1750 2000

GL. Plant / Planner [Link] / Planner Gl. Plant / Planner [Link] / Planner

PLTA/F-008i; Revisi 0.0 Halaman 7 / 12

 PT BERLIAN DUTA ENERGI
Site Batuah Loa Janan - Kukar

DUMP BODY INSPECTION REPORT

VESSEL CODE : ________________

VESSEL BRAND : ________________

VESSEL MODEL : DUMP TRUCK OB

UNIT MODEL : _________________

UNIT CODE : _________________

HOUR METER : _________________

DATE / PS TYPE : _________________

NOTES :

CONDITION
NO DESCRIPTION
OK Not OK
REMARK THIKNESS (MM)

1 Tail
2 Body Extension
3 Tail gate pin
4 Safety Bar
5 Vessel mounting
6 Pin
7
8
9
10
11
12

Approved by, Checked by,

___________________________ _________________
GL PLANT Mechanic
 PT BERLIAN DUTA ENERGI
Site Batuah Loa Janan - Kukar

AUTOLUBE & FIRE SUPPRESSION INSPECTION

CODE UNIT :
DATE
HOUR METER
NO DISCRIPTION KIND OF JOB REMARK
SERVICE PS I PS II PS III PS IV
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD

AUTOLUBE SYSTEM
1 Check Level Grease
2 Check Kondisi Grease Pump
3 Check Solenoid
4 Check Vant Valve
5 Check Pressure Gauge Grease
6 Check Pressure Gauge Oil
7 Check Pressure Switch Oil/Air
8 Check Kondisi Hose Supply Oil/Air
9 Check Kondisi Regulator Valve
10 Check Kondisi Hose Supply Grease To Injector
11 Check Injector All
12 Check Kondisi Hose Grease All
13 Check Kondisi Nipple All
14 Check Kondisi Grease To Pin All
15 Check Control Panel Auto Lube
16 Check Timer Auto Lube
FIRE SUPPRESSION SYSTEM
1 Check Pressure tanki Fire Suppression
2 Check Kondisi tanki fire suppression
3 Check Main Line Hose Fire Suppression
4 Check Controler Fire Suppression
5 Check Connector & harness Fire Suppression
6 Check Sensor Fire Suppression
7 Check Kondisi Nozzle Fire suppression
8 Check Kondisi Manual Actuator

Tanda Tangan
CHECK BY
Mekanik

Tanda Tangan
APPROVED BY
[Link]
NOTES : BERI TANDA ( V = OK ), ( - = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )
 PT BERLIAN DUTA ENERGI
Site Batuah Loa Janan - Kukar

AIR CONDITIONER INSPECTION

CODE UNIT :
DATE
HOUR METER
NO COMPONENT NAME REMARK
SERVICE PS I PS II PS III PS IV
CONDITION GOOD BAD GOOD BAD GOOD BAD GOOD BAD

AIR CONDITIONER SYSTEM

1 COMPRESSOR
2 RECEIVER DRIYER
CONDENSOR
3
4 EVAPORATOR
5 EXPANTION VALVE
6 AC PIPING
7 AC HOSE
8 E3LECTRIC WIRING
9 THERMOSTAT
10 SWITCH
11 AIR FILTER
12 V-BELT
13 MOTOR BLOWER
14 LAIN LAIN

Tanda Tangan
CHECK BY
Mekanik

Tanda Tangan
APPROVED BY
[Link]
NOTES : BERI TANDA ( V = OK ), ( - = TDK DILAKUKAN ), ( XX = TDK OK/BACKLOG ), ( X = REPAIR )
 PT PUTRA PERKASA ABADI
Coal Mining Contractor & Trading
Site Megaprima Persada - Loa Kulu Kukar
Site Megaprima Persada - Loa Kulu Kukar

UNIT ENGINE
Periodic
Periodic Service
Service Check
Check Sheet
Sheet
Model Serial No. Code No. Model Serial No.

PERIODICAL SERVICE TYPE 250 500 1000 2000

KOMATSU
KOMATSU
HOUR METER READING
MACHINE LOCATION HD
HD 465-7R
465-7R
DATE
START ACTION CN.......................
CN.......................
STOP ACTION

BERI TANDA "V" JIKA KONDISI BAIK DAN "X" JIKA KONDISI TIDAK BAIK
SERVICE TYPE
NO DESCRIPTION 250 500 1000 2000
Act Pic Act Pic Act Pic Act Pic
1 Check Oli Engine & Filter (Sample Oil SOS)
2 Check Level Oli Differential Case, Tambah Oli jika perlu
3 Check Level Oli Final Drive, Tambah Oli jika perlu
Pelumasan (Greasing)
1 Greasing Pin Hinge Dump Body RH / LH ( 1 point each )
2 Greasing Suspensi Belakang RH / LH ( 2 point each )
3 Greasing Support Differential RH / LH ( 4 point each )
4 Greasing Pin Hoist Cylinder RH / LH ( 2 point each )
5 Greasing Pin Steering Cylinder ( 4 point )
6 Greasing Pin Steering Link ( 5 point )
7 Greasing Drive Shaft ( 5 point )
8 Check Level Battery Electrolite
9 Check Belt Alternator, Adjust jika perlu
10 Check Tension Belt Air Conditioner, Adjust jika perlu
11 Bersihkan Breather Transmission
12 Bersihkan Breather Hydraulic
13 Check Frame
14 Check Keausan Pad Parking Brake Front
15 Ganti Oli Engine, Ganti Filter Oli Engine
16 Ganti Fuel Filter
17 Ganti Transmission Filter
18 Check Keausan Fan Belt Radiator, Ganti jika rusak
19 Ganti Corrotion Resistor
20 Ganti Oli Transmission & Bersihkan Strainer Case
21 Ganti Filter Steering, Hoist Oil Tank, Brake Cooling
22 Greasing Fan Pulley, Tensioner Pulley
23 Greasing Transmission Mounting
24 Greasing Link Automatic Suspension RH / LH ( 1 point )
25 Greasing Linkage Parking Brake ( 3 point/caliper )
26 Check Keausan Disc Brake belakang
27 Check Turbocharger, Kencangkan ikatan bolt
28 Ganti Oli Steering, Hoist tank, Brake Cooling Belakang
Kapan Diperlukan
1 Bersihkan Air Cleaner Jika Indicator menyala
2 Bersihkan AC Filter , Check Refrigerant Gas Level
3 Check Jarak panjang Cylinder Suspensi, Check Oil Level
4 Buang Angin dari Brake Depan & Belakang
5 Check Parking Brake
6 Check Body Positioner
7 Inspeksi Ban, Tekanan, Ukuran kedalaman
8 Drain Air dari Fuel separator
Pengecekan Sebelum Start
1 Check Level Air Radiator
2 Check Level Oli Brake
3 Drain Air dari Tanki Udara
4 Check Level Oil Engine
5 Check Level Oli Transmission
6 Check Level Oli Steering, Tanki Hoist Oli, Brake Cooling
7 Check Bahan Bakar Solar, Tambah Jika Perlu
8 Check Fungsi Instrument Panel Dalam Cabin
9 Check Fungsi Foot Brake, Parking & Emergency Brake
10 Check Fungsi Retarder
11 Check Emergency Steering
12 Check Semua Mirror
13 Check Fungsi Semua Head Lamp, Tail lamp, Flashing
14 Check Fungsi Klakson
15 Check Cable-cable electric
16 Check Cable Battery
17 Check AC Compressor, Evaporator, Blower, Freon
18 Check Belt AC, Expansion Valve
19 Engine Stall ( 785=1940-2140)
 SERVICE TYPE
NO DESCRIPTION 250 500 1000 2000
Act Pic Act Pic Act Pic Act Pic

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) 250
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) 500
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) 1000
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

BACKLOG SERVICE (Jika Kolom yang tersedia kurang, dapat menggunakan Form kosong lainnya) 2000
PARTS ORDER
NO COMPONENT BACKLOG DESCRIPTION By STATUS
Part Number Part Name Qty

Note:
Untuk Kolom "Act" = Action, Cukup di-isi dengan Untuk Kolom PIC & By. Cukup di-isi dengan No Urut
C = Check & Test MECHANIC NAME / SERVICE TYPE
A = Adjust / Retorque 250 500 1000 2000
R = Replace 1 1 1 1
P = Repair 2 2 2 2
G = Greasing 3 3 3 3
L = Cleaning 4 4 4 4
F = Flushing 5 5 5 5
D = Add / Tambah 6 6 6 6
Untuk Kolom "STATUS" Backlog, Cukup di-isi dengan
AA = SANGAT BAHAYA - Harus Langsung di Perbaiki Saat itu juga .PASTIKAN
.PASTIKANINPUT
INPUTBACKLOG
BACKLOGDILAKUKAN
DILAKUKAN
A = BAHAYA TINGGI - Harus Segera Diperbaiki sebelum 1 Hari (24 Jam) Untuk
UntukPekerjaan
PekerjaanBacklog
BacklogdidiInput
Inputdalam
dalamCheck
CheckSheet
Sheet
B = BAHAYA SEDANG - Harus Diperbaiki sebelum 3 Hari. .BACKLOG ACTION (Form Tersendiri)
.BACKLOG ACTION (Form Tersendiri)
C = BAHAYA RENDAH - Harus Diperbaiki sebelum 14 Hari.

CHECKED BY / SERVICE
250 500 1000 2000

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