WEEKLY MOTOR CYCLE INSPECTION FORM

Project :
Yes No Yes No
Inspection Date : / / Ya Tdk Ya Tdk
Tgl Inspeksi Engine Running Helmet
Jalannya Mesin Pelindung Kepala
User Name :
Nama Pemakai Engine Oil Jacket & Hands Glove
Oli Mesin Jaket & Sarung Tangan
Dept./ Service :
Dept./ Dinas Battery/Water Tools
Aki/Air Kunci-Kunci
Motor Cycle Numb:
Nomor Motor Radiator/Water Paper (STNK)/Keur
Radiator/Air Surat (STNK)
Type of motor Cyc:
Tipe Motor Cycle Brake/Fluid Mirror
Rem/Cairan Spion
K.M Number :
Nomor KM Fan Belt/V Belt Seat
Tali Kipas/Tali V Tempat Duduk
Fuel :
Bahan Bakar Tyre/Pressure Tire Valve Cap
Ban/Tekanan Tutup Pentil ban
Remarks :
Catatan Suspension Emblem
Suspensi Tanda

Steering Horn
Sistem Kemudi Klakson

Lights Electrical System

Lampu Sistem Kelistrikan

Clutch Hoses
Kopling Selang

Foot Step Single Step

Pijakan Kaki Standar Satu

Double Step
Standar Dua

Checked By/Diperiksa Oleh :

Driver/Pengemudi