Daily Checklist Inspection TMC

Doc. No. 26071-JO-HSE-INS-005

Effective Date 20 June 2020
Revision No. 001

Company : JO Reg Number :

Perusahaan Nomor Reg. JO
Plate Number : Serial Number :
Nomor Plat Nomor Seri

Period / Periode :……………/………….to / sampai ………/………….20…

OK NA DEFECT

DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS

DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
KM Driven
Jarak Tempuh
Seat, seat belt
Kursi, Sabuk Pengaman
Windshield, washer
Kaca depan, Pembersih
Windshield wiper
Wiper kaca depan
Rear view mirrors
Kaca Sepion
Headlights, high/low
Lampu depan, Terang/ redup
Signal lights
Lampu sein
Tail lights / brake lights
Lampu belakang / lampu rem
Horn, back up alarm
Klakson / alarm cadangan
Back up lights
Lampu cadangan
Engine oil leaks
Kebocoran oli mesin
Coolant leaks
Kebocoran cairan pendingin
Fuel leaks
Kebocoran bahan bakar
Transmission; Oil Leaks
Transmisi; kebocoran oli
Works in all gears
Bekerja di semua gigi
Power take off Oil leaks
Kebocoran oli saat melepas daya
Rear Axles; Oil leaks
Gandar belakang; Kebocoran oli
Cracked Wheel Rims
Pelek roda retak
Broken /loose wheel nuts
Baut pelek patah / longgar
Steering linkage
keterkaitan kemudi/steer
Brakes / leaks
Rem / kebocoran
Brake test
Tes rem
 DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Suspension springs
Pegas suspensi
Hydraulic system
Sistem Hidrolik
Telescope boom and inner jack
cylinder
Telescope boom dan Silinder jack
dalam
Limit switch
Saklar pembatas
Hook and safety latch
Kait dan palang pengaman
Wire sling, pulley and drum wire
Kawat sling, katrol dan kawat
drum
Inner and cylinder lift
Silinder angkat bagian dalam
Hose and connector hydraulic
Selang dan konektor hidrolik
Out rigger and jack base/plate
Dudukan/plat Rigger dan jack
Tires
Ban
Mounting nuts / studs
Pemasangan mur dan stud
Fire extinguisher
APAR
Emergency Spill Kit
Kit tumpahan darurat
Name of Operator
Nama Operator

Signature
Tanda tangan