TITLE DOC. NO.

REV EFFECTIVE DATE

PROSEDUR PENGGUNAAN DAN
PERAWATAN KENDARAAN
CAST/II/SM/19 05 04 December 2017
VEHICLE USE AND MAINTENANCE
PROCEDURES

RIWAYAT REVISI
REVISION HISTORY

REV TANGGAL URAIAN DISIAPKAN OLEH DITINJAU OLEH DISETUJUI OLEH

REV DATE DESCRIPTION PREPARED BY REVIEWED BY APPROVED BY
Pertama diterbitkan
00 03/01/12 Gunawan Slamet Riyadi Dewi Yuliana
First Issued
Tambahan pada point uraian terkait
pemakaian kendaraan dan masa pakai
01 26/04/14 kendaraan Muhamad Irfan Bagus T Atmoyo Dewi Yuliana
Additional in the Description about vehicle
usage and usage time of vehicle
Perubahan Format Prosedur
02 05/12/14 Muhamad Irfan Bagus Tri Atmoyo Dewi Yuliana
Procedure Format Change
1. Masa Pakai Kendaraan
Vehicle Usage Time
03 01/10/2015 Robby Candra Roby Syahputra Dewi Yuliana
2. Lokasi Penyimpanan Rekaman
Storage Location Record
Perubahan form Permintaan Kendaraan,
No. Form. CAST/IV/SM/19-02 pada
04 01/08/2016 lampiran 4 Robby Candra Roby Syahputra Dewi Yuliana
Change Vehicle Demand Form, No. Form.
CAST / IV / SM / 19-02 in appendix 4
04 December
05 Upgrading ISO 9001:2015 Nina Saptiani Roby Syahputra Dewi Yuliana
2017

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VEHICLE USE AND MAINTENANCE
PROCEDURES

DAFTAR DISTRIBUSI
DISTRIBUTION LIST

DISTRIBUTION NO. STATUS DEPARTMENT PIC

01 Original QHSE QHSE Coordinator
02 Controlled Copy NDT NDT Manager
03 Controlled Copy HT HT Manager
04 Controlled Copy HR-GA HR-GA Coordinator
05 Controlled Copy FINANCE FINANCE Coordinator
06 Controlled Copy LOGISTIC LOGISTIC Coordinator
07 Controlled Copy Branch Office Branch Manager

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VEHICLE USE AND MAINTENANCE
PROCEDURES

DAFTAR ISI
CONTENTS LIST

KLAUSUL KETERANGAN HALAMAN

CLAUSE DESCRIPTION PAGE
1.0 TUJUAN/ PENDAHULUAN 05
PURPOSE/ INTRODUCTION
2.0 RUANG LINGKUP 05
SCOPE
3.0 ACUAN 05
REFERENCE
4.0 DEFINISI 05
DEFINITION
5.0 TANGGUNG JAWAB 05
RESPONSIBILITY
6.0 URAIAN 06
DESCRIPTION
7.0 LAMPIRAN 08
APPENDIX
8.0 REKAMAN 08
RECORD
Lampiran. 1 Flow Chart Prosedur Alur Permintaan Kendaraan 09
Appendix 1 Flow Chart Request Vehicle Procedure
Lampiran. 2 Flow Chart Prosedur Alur Perawatan Kendaraan 10
Appendix 2 Flow Chart Vehicle Maintenance Procedure
Lampiran. 3 Permintaan Kendaraan, No. Form. CAST/IV/SM/19-01 11
Appendix 3 Vehicle Request, No. Form. CAST / IV / SM/ 19-01
Lampiran. 4 Pengecekan Kendaraan, No. Form. CAST/IV/SM/19-02 12
Appendix 4 Checking Vehicle, No. Form. CAST / IV / SM/ 19-02
Lampiran. 5 Log Book Operasional Kendaraan No. Form CAST/IV/SM/19-03 13
Appendix 5 Log Book Operational Vehicle No. Form CAST / IV / SM/ 19-03

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VEHICLE USE AND MAINTENANCE
PROCEDURES

VEHICLE USE AND MAINTENANCE PROCEDURES

PROSEDUR PENGGUNAAN DAN PERAWATAN KENDARAAN

1. TUJUAN
PURPOSE
Prosedur ini disusun untuk menetapkan aturan penggunaan dan perawatan kendaraan sebagai fasilitas
transportasi kerja perusahaan.
This procedure is structured to establish rules for the use and maintenance of vehicles as transportation
facilities the company's work.

2. RUANG LINGKUP
SCOPE
Prosedur ini diberlakukan di lingkungan kerja PT. CIE. Prosedur ini mengatur tentang tata cara
permohonan penggunaan kendaraan dan perawatan kendaraan termasuk alur persetujuan masing-masing
prosesnya.
This procedure is applied in the workplace PT. CIE. This procedure regulates the procedure for requesting
the use of vehicles and vehicle maintenance including approval flow of each process.

3. ACUAN
REFERENCE
3.1. ISO 17020:2012
3.2. QM-08 Operation
3.3. ISO 9001:2015 R5
4. DEFINISI
DEFINITION
4.1. Perawatan, perawatan atau perbaikan kendaraan.
Care, maintenance or repair of vehicles.
4.2. Perawatan Rutin, perawatan atau perbaikan kendaraan yang dapat diperdiksi sebelumnya seperti
penggantian oli maupun penggantian spare part yang bisa diprediksi sebelumnya seperti usia
pemakaian ban, dll.
Routine care, maintenance or repair of vehicles that can diperdiksi earlier as oil changes and
replacement of spare parts that could previously diperdiksi like tire service life, etc.
4.3. Perawatan Non-rutin, perawatan atau perbaikan kendaraan yang tidak dapat diperdiksi
sebelumnya seperti perbaikan bagian kendaraan yang secara tiba-tiba rusak.
Non-routine maintenance, maintenance or repair of vehicles that can not be earlier diperdiksi as
repair parts vehicles suddenly broken.
4.4. Kelengkapan Keselamatan Berkendara, kelengkapan seperti sabuk pengaman, kotak P3K, APAR
kendaraan, dll. yang mendukung pengendara untuk berkendara secara selamat.
Driving Safety completeness, comprehensiveness such as seat belts, P3K box, fire extinguisher
vehicles, etc. which supports motorists to drive safely.
4.5. User, pengguna kendaraan.
User, the user of the vehicle.
4.6. DDC, Defensive Driving Course atau kursus mengemudi yang bertujuan untuk menguasai aturan-
aturan keselamatan berkendara dengan memahami dan mematuhi tata tertib lalu lintas.
DDC, Defensive Driving Course or driving course that aims to master the rules of safe driving to
understand and obey the traffic rules.

5. TANGGUNG JAWAB
RESPONSIBILITY
5.1. Koordinator Bagian Logistik, bertanggung jawab menyediakan kendaraan sebagai fasilitas
transportasi kerja selalu dalam kondisi prima. Menerima laporan dari koordinator supir tentang
informasi terkait ketersediaan kendaraan, jadwal perawatan rutin kendaraan (ganti oli, dsb.) dan

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VEHICLE USE AND MAINTENANCE
PROCEDURES

kebutuhan perawatan non-rutin kendaraan, serta kebutuhan penggantian spare part kendaraan.
Menerima laporan dari koordinator supir terkait tujuan dan posisi pemakaian kendaraan.
Coordinator Logistics, responsible for providing vehicles as transportation facilities are always in top
condition. Receive reports from the coordinator driver of vehicle information regarding the
availability, schedule routine maintenance vehicle (oil change, etc.) And the need for non-routine
maintenance of vehicles, as well as spare part needs replacement. Receive reports from the driver
related coordinator position purpose and use of the vehicle.
5.2. Koordinator Bagian Umum, bertanggung jawab dalam memantau ketersediaan kendaraan serta
kondisi kendaraan untuk menunjang aktifitas pekerjaan.
Coordinator GA responsible for monitoring the availability of the vehicle and the condition of the
vehicle to support the activities of the job.
5.3. Koordinator Supir, bertanggung jawab dalam memantau ketersediaan kendaraan dan kondisi
kendaraan secara langsung. Mengetahui tujuan serta posisi pemakaian kendaraan. Memantau
pegecekan rutin kondisi kendaraan. Menentukan jadwal perawatan rutin dan non-rutin serta
menentukan kebutuhan penggantian spare part kendaraan. Koordinator supir bertanggung jawab
untuk melaporkan semua aktifitas terkait kendaraan kepada kepala bagian logistik.
Driver Coordinator, responsible for monitoring the availability of vehicles and vehicle condition
directly. Knowing the purpose and use of the vehicle position. Pegecekan monitor routine vehicle
condition. Specifies a regular maintenance schedule and non-routine and determine the need for
replacement of vehicle spare parts. Coordinator of the driver's responsibility to report all activities
related to the head of logistics vehicles.
5.4. Petugas HSE, bertanggung jawab memonitor kondisi kelengkapan keselamatan berkendara.
HSE Officer, responsible for monitoring the condition of completeness safety driving.
5.5. Supir, bertanggung jawab untuk melakukan pengecekan secara rutin, melakukan perawatan rutin
dan non-rutin dan penggantian spare part. Mengantar user sesuai dengan isi dari permohonan
penggunaan kendaraan yang sudah disetujui oleh atasan user masing-masing.
The driver, responsible for performing routine checks, perform routine maintenance and non-routine
and replacement of spare parts. Dropping a user in accordance with the contents of the petition
sudar use of vehicles approved by the supervisor of each user.

6. URAIAN
DESCRIPTION
6.1. Pemakaian Kendaraan
Use of Vehicle
6.1.1. User mengajukan permohonan penggunaan kendaraan dengan mengisi formulir
permintaan kendaraan (Vehicle Request) dengan nomor dokumen CAST/IV/SM/19-01.
Users apply for the use of the vehicle by filling out a request form vehicle (Vehicle Request)
to the number of documents CAST/IV/SM/19-01.
6.1.2. Koordinator supir melakukan verifikasi terkait ketersediaan kendaraan. Verifikasi ini
dilakukan selain untuk mengetahui ada tidaknya kendaraan dan supir yang stand by, juga
diperlukan untuk mengetahui kondisi kendaraan apakah dalam kondisi yang prima untuk
digunakan atau tidak.
Coordinator driver related verifying the availability of the vehicle. This verification is done in
addition to determine whether there is a vehicle and a driver who stand by, is also needed
to determine the condition of the vehicle is in tip top condition to be used or not.
6.1.3. Setelah diverifikasi oleh koordinator supir bahwa kendaraan dan supir tersedia, maka
koordinator supir memberitahukan kepada Koordinator logistik terkait adanya permohonan
pemakaian kendaraan. Koordinator logistik mengklarifikasi ke atasan user dengan meminta
persetujuan bahwa user memang ada keperluan kerja keluar dan membutuhakan
kendaraan sebagai sarana transportasi kerja.
Once verified by the coordinator of the driver that the vehicle and driver is available, then
the driver notify the chief coordinator of the logistics related to the application for vehicle
usage. Coordinator logistics department supervisor to clarify the user by asking for consent
that

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VEHICLE USE AND MAINTENANCE
PROCEDURES

the user is no need working out and needs to have a vehicle for transportation work.
6.1.4. Setelah disetujui oleh atasan user, supir berkewajiban untuk mengantar user sesuai rincian
isian formulir permintaan kendaraan yang disetujui.
Once approved by the supervisor user, the driver is obliged to deliver the appropriate user
details stuffing approved vehicle request form.
6.1.5. Supir wajib mengisi log book operasional kendaraan dengan nomor dokumen
CAST/IV/SM/19-03. Log book tersebut diperiksa oleh koordinator supir setiap hari.
The driver must fill out the log book vehicle operating with a number of documents CAST /
IV / SM / 19-03. The log book is checked by the driver every day coordinator.
6.1.6. Ketentuan lain, bila kendaraan tersedia akan tetapi supir tidak tersedia, maka atas
persetujuan atasan, user berhak mengendarai kendaraan tersebut sendiri dengan
ketentuan seperti yang tertera pada formulir permintaan kendaraan yang telah disetujui.
Syarat user yang boleh mengendarai kendaraan sendiri tanpa supir adalah yang telah
memiliki SIM A dan telah lulus dan mendapat sertifikat DDC dari perusahaan.
Other provisions, if available vehicle but the driver is not available, then the approval of the
supervisor, the user is entitled to drive the vehicle itself with the provisions as contained in
the request form that the vehicle has been approved. Terms of users who should drive their
own vehicle without a driver is that already have a driver's license and have passed and
received a certificate from the company DDC.
6.1.7. Pemakaian kendaraan di luar jam operasional kantor, harus tetap dilakukan sesuai nomor
6.1.1 sampai 6.1.7. semua persetujuan yang ada dari nomor 6.1.1 sampai dengan nomor
6.1.7 harus dilakukan via telepon atau pesan teks (SMS) atau email. Terkait dokumentasi
pada nomor-nomor tersebut harus dilakukan pada jam operasional kantor hari berikutnya
atau yang terdekat dengan menambahkan keterangan bahwa kendaraan tersebut
digunakan diluar jam operasional kantor. Coordinator supir wajib memantau kegiatan ini
termasuk meminta pemakai untuk menyiapkan dokumentasi.
Use of the vehicle outside the operating hours of office, must still be done by number 6.1.1
to 6.1.7. all existing approvals of numbers 6.1.1 to 6.1.7 numbers must be made via
telephone or text message (SMS) or email. Related documentation on these numbers should
be performed on the operating hours of the next day or the office closest to add information
that the vehicle is used outside the operating hours of the office. Driver Coordinator shall
monitor these activities include asking the user to prepare documentation.

6.2. Perawatan Kendaraan

Vehicle maintenance
6.2.1. Supir melakukan pengecekan rutin kondisi kendaraan setiap hari dengan mengisi formulir
pengecekan kendaraan dengan nomor dokumen CAST/IV/SM/19-02. Hasil pengecekan
kendaraan wajib dilaporkan ke koordinator supir.
Driver perform routine checks the condition of the vehicle every day by filling out a form
with a number of documents checking vehicles CAST / IV / SM / 19-02. The results of
checking the vehicle must be reported to the driver coordinator.
6.2.2. Bila ada bagian kendaraan yang butuh perawatan ke bengkel, baik itu perawatan rutin
maupun perawatan non-rutin, maka koordinator supir harus mengajukan permohonan
perawatan kendaraan dengan mengisi formulir permintaan pembelian di bagian logistik
dengan nomor dokumen CAST/IV/SM/11-03.
If any part of the vehicle that took care to the garage, whether the treatment routine and
non-routine maintenance, then the driver must apply coordinator vehicle maintenance with
the purchase request form to fill in the logistics with the document number CAST / IV / SM /
11-03 .
6.2.3. Pemohon adalah koordinator supir, yang memverifikasi adalah koordinator logistik,
Koordinator Bagian Umum wajib mengetahui dan yang menyetujui adalah direktur.
The applicant is the coordinator driver, Logistic Coordinator is as a verifier , General Affair
coordinator shall acknowledge and final decision / approval is by the director.
6.2.4. Setelah disetujui, dijalankan prosedur CAST/II/SM/11 tentang Pembelian (Purchasing).

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VEHICLE USE AND MAINTENANCE
PROCEDURES

Once approved, executed procedure CAST / II / SM /11 on Purchase (Purchasing).

6.2.5. Setelah kendaraan menjalani perawatan, supir bersama koordinator supir wajib melakukan
pengecekan ulang menggunakan formulir pengecekan kondisi kendaraan CAST/IV/SM/19-
02. Bila hasilnya masih belum prima, ulangi dari langkah nomor 6.2.1.
After vehicle treatment, along with driver driver coordinator shall re-checking using the
form checks the condition of the vehicle CAST / IV / SM / 19-02. If the result is still not prime,
repeat from step number 6.2.1.
6.2.6. Pengecekan kendaraan berlaku untuk semua kendaraan yang dimiliki oleh PT. CAST
Inspection and Engineering Indonesia tanpa terkecuali (termasuk kendaraan dinas Direktur,
Manajemen maupun staff lainnya).
Checking the vehicle applies to all vehicles owned by PT. CAST Inspection and Engineering
Batam without exception (including service vehicles director, management or other staff).

6.3. Masa Pakai Kendaraan

Vehicle Usage Time
6.3.1. Masa pakai kendaraan tidak boleh lebih dari 8 tahun. Artinya tahun perakitan kendaraan
tidak boleh lebih dari 8 tahun kebelakang.
Vehicle usage time shall no more than 8 years. Vehicle build years shall no more 8 years ago.
6.3.2. Peremajaan kendaraan harus dilakukan minimal 2 bulan sebelum masa pakai kendaraan
habis untuk menghindari keterlambatan penggantian/peremajaan kendaraan.
Regeneration of vehicle shall be realizing min. 2 month before vehicle usage time is expired
to prevent any delay of vehicle regeneration.

7. LAMPIRAN
APPENDIX
7.1. Lampiran 1. Flow Chart Prosedur Alur Permintaan Kendaraan
Appendix 1. Flow Chart Procedure Request Vehicle
7.2. Lampiran 2. Flow Chart Prosedur Alur Perawatan Kendaraan
Appendix 2. Flow Chart Procedure Vehicle Maintenance
7.3. Lampiran 3. Permintaan Kendaraan, No. Form. CAST/IV/SM/19-01
Appendix 3. Vehicle Demand, No. Form. CAST / IV / SM / 19-01
7.4. Lampiran 4. Pengecekan Kendaraan, No. Form. CAST/IV/SM/19-02
Appendix 4. Checking Vehicle, No. Form. CAST / IV / SM / 19-02
7.5. Lampiran 5. Log Book Operasional Kendaraan No. Form CAST/IV/SM/19-03
Appendix 5. Operational Vehicle Log Book No. Form CAST / IV / SM / 19-03

8. REKAMAN
RECORDS

Nama Rekaman Uraian Lokasi Penyimpanan Masa Simpan (Tahun)

No.
Name of Recording Description Storage Location Storage Period (Years)
Formulir permohonan pemakaian
Permintaan Kendaraan kendaraan
1. GA Coordinator
Vehicle Request The application form for the use of 3
vehicles
Formulir untuk pengecekan kendaraan
Pengecekan Kendaraan secara rutin
2. GA Coordinator 3
Checking Vehicle Form for checking vehicles on a regular
basis
Log Book Operasional Rangkuman catatan pemakaian
Kendaraan kendaraan dalam periode tertentu
3. GA Coordinator 3
Log Book Operational Summary records of vehicle usage
Vehicles within a certain period

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VEHICLE USE AND MAINTENANCE
PROCEDURES

Lampiran 1
Appendix 1

PROSEDUR PERMOHONAN PEMAKAIAN KENDARAAN

APPLICATION PROCEDURES FOR USE VEHICLE

MULAI

User mengisi form permohonan

pemakaian kendaraan

Verifikasi ketersediaan kendaraan CAST/IV/SM/19-01,

Permintaan Kendaraan

Data Supir dan

ketersediaan kendaraan

Penentuan Supir dan Kendaraan yang

tersedia, melengkapi data form
permohonan pemakaian kendaraan

Tidak CAST/IV/SM/19-01,
Disetujui oleh atasan User? Permintaan Kendaraan

Ya

User memperoleh fasilitas pemakaian

Permohonan
kendaraan disetujui sesuai isi form
Dibatalkan
permintaan kendaraan

Supir mengisi log book operasional

kendaraan

CAST/IV/SM/19-03,
Log Book Operasional
BERAKHIR Kendaraan

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PROCEDURES

Lampiran 2
Appendix 2
PROSEDUR PERAWATAN KENDARAAN
VEHICLE MAINTENANCE PROCEDURES
MULAI

Supir melakukan pengecekan rutin kondisi

kendaraan setiap hari dan mengisi form
pengecekan kendaraan

Koordinator supir memverifikasi laporan CAST/IV/SM/19-02,

hasil pengecekan kendaraan Pengecekan Kendaraan

Data kondisi kendaraan

Tidak
Ada bagian kendaraan yang
butuh perawatan?

Ya

Permohonan perawatan kendaraan

Kendaraan siap
dengan mengisi formulir permintaan
digunakan
pembelian di bagian logistik

Koordinator Logistik memverifikasi kondisi

kendaraan dengan memeriksa laporan CAST/IV/SM/11-03,
hasil pengecekan kendaraan Permintaan Pembelian

General Affair mengetahui kondisi adanya

permohonan perawatan kendaraan

Direktur menyetujui Tidak

permohonan perawatan
kendaraan?

Ya

Permohonan
Dilakukan perawatan pada kendaraan
Dibatalkan

Dilakukan pengecekan ulang kondisi

kendaraan setelah dilakukan perawatan

Tidak
Apakah kondisi kendaraan
sudah prima?

Ya

BERAKHIR

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PROCEDURES

Lampiran 3
Appendix 3

FORMULIR PERMOHONAN PEMAKAIAN KENDARAAN

APPLICATION FORM FOR USE VEHICLE

Title Doc. No. Rev. Effective Date

VEHICLE REQUEST CAST/IV/SM/19-01 04 1-Aug-16

VEHICLE REQUEST
Project Code : Date :
Dept. :

Time
Destination Activity/Purpose Date
Depart Arrive

Driver Note:
Instruction Vehicle No. / Police No.
Office Driver Name

Yes Drop & Pick Up

No Wait

Requested By Verified By Approved By

Name : Name : Name :

Date : Date : Date :
1st ply for Verifier; 2nd ply for Requester; 3rd ply for Approval Authorized

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PROCEDURES

Lampiran 4
Appendix 4
FORMULIR PENGECEKAN KENDARAAN
CHECKING FORM VEHICLE
CAST-IV-SM-19-02
R5
Title Doc. No. Rev. Effective Date
Pre-Trip Inspection
CAST/IV/SM/19-02 05 4-Dec-17
Pengecekan Kendaraan
Date / Tanggal :
Car No. :
Police Number :
Current Odometer :
Next Service Odo :
Vehicle Type : Truck Double Cabin
Jenis Type : Mini Bus …………………….
Driver / Sopir :
License / Sim : Expired :
Vehicle Brand/ Merk
:
Kendaraan
Product /
Pembuatan tahun :

Document / Dokumen * G B A NA Engine * G B A NA

1 Rear & Front Plate / Plat No. Depan & Belakang 24 Engine Oil
2 STNK 25 Radiator Cooling Water / Air Radiator
3 Inspect Book/Buku KIUR (just for Pick-up) 26 Brake Oil / Minyak Rem
4 Log Book Availabe / Log Book Tersedia 27 Battery Liquid / Air Batere
5 SOP / JSA 28 Fan Belt / Tali Kipas
29 Windshield Wiper Water/Air Pembersih Kaca
Lamps & Communication / Lampu - lampu
& Alat Komunikasi * G B A NA
6 Head Light or Beam / Lampu Besar Jauh General / umum * G B A NA
7 Head Light Low or Beam / Lampu Besar Dekat 30 Tool Kit / Kotak Perkakas (Perkakas Standard)
8 Front Flasher Lights / Lampu Tanda Belok Depan 31 Body Conditions
9 Rear Flasher Lights / Lampu Tanda Belok Belakang
10 Brake or Stop Light / Lampu Rem Others
11 Back-up Light / Lampu Mundur Driver Sebelumnya : ……………………………………………
10 Vehicle Number Light/lampu Plat Numb Muatan Tertinggal : ……………………………………………
11 Hazard Light / Lampu Bahaya ** PPR Sebelumnya : ……………………………………………
12 Horn / Klakson ** PPR Bertugas : ……………………………………………
13 Cabin Mirror / Kaca Spion Dalam
14 Outer Mirror / Kaca Spion Luar Total Check List :
Good / Baik
Bad / Buruk
Safety / Keselamatan * G B A NA Available
15 Safety Belt / Sabuk Pengaman Not Available
16 First Aid / P3K
17 Jack / Dongkrak
18 Jack Handle / Pemutar Dongkrak Remark / Keterangan :
19 Safety Triangle / Segitiga Pengaman
20 Fire Extinguisher/ Peralatan kebakaran

Sistem Kemudi * G B A NA
21 Stir / Setir
22 Tire / Ban
Pressure / Tekanan Angin (Visual)
Spare / Serep Driver, Checked by,
23 Brake / Rem
Main Brake / Rem Utama
Hand Brake / Rem Tangan

( ) ( )
Remarks / keterangan : Please check ( √ ) at the box / beri tanda ( √ ) pada kotak
A = Available / Ada G = Good / Baik
NA = Not Available B = Bad / Rusak

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CONFIDENTIAL DOCUMENT, ALL RIGHT RESERVED
 TITLE DOC. NO. REV EFFECTIVE DATE
PROSEDUR PENGGUNAAN DAN
PERAWATAN KENDARAAN
CAST/II/SM/19 05 04 December 2017
VEHICLE USE AND MAINTENANCE
PROCEDURES

Lampiran 5
Appendix 5
LOG BOOK OPERASIONAL KENDARAAN
LOG BOOK OPERATING VEHICLE
CAST-IV-SM-19-03
TIME KILOMETER USER DRIVER
NO DATE DESTINATION/PURPOSE
START FINISH START FINISH NAME SIGN NAME SIGN

Police No. : …………………………………………………..

Disiapkan Oleh: Diperiksa Oleh:
Start Date : …………………………………………………..
End Date : …………………………………………………..

Supir Koordinator Supir

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CONFIDENTIAL DOCUMENT, ALL RIGHT RESERVED