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Daily Checklist Inspection Prime Mover

Doc. No. 26071-JO-HSE-INS-030


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 kendaraan
Seat, seat belt
Bangku, Sabuk pengaman
Windshield, washer
Kaca depan, Pembersih
Windshield wiper
Wiper kaca depan
Rear view mirrors
Kaca spion
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 pendingin
Fuel leaks
Kebocoran bahan bakar
Exhaust leaks
Kondisi knalpot
Transmission; Oil Leaks
Transmisi: Kebocoran oli
Works in all gears
Semua roda gigi bekerja
Power take off Oil leaks
Power Pelepas kebocoran oli
Rear Axles; Oil leaks
Roda belakang: Kebocoran oli
Cracked Wheel Rims
Pelek roda retak
Broken /loose wheel nuts
Baut roda longgar/patah
Steering linkage
Keselarasan kemudi
DESCRIPTION MON TUE WED THU FRI SAT SUN REMARKS
DESKRIPSI SEN SEL RAB KAM JUM SAB MIN CATATAN
Brakes / leaks
Rem / kebocoran
Brake test
Test pengereman
Suspension springs
Pegas suspensi
Hydraulic system
Hidrolik sistem
Dump / Tailgate locks
Pengunci Bak truk
Dump body frame cracks
Kerangka dan body retak
Mud flaps
Pengepak lumpur
Tires
Roda
Mounting nuts / studs
Pemasangan baut dan kancing
Main Carrier Chassis and
Trailer
Chassis dan trailer pengangkut
utama
King Pin and Bearing Plate
King pin dan Plat Bearing
Tires and Wheels
Ban dan roda
Axles and Wheel Bearing
Lubrication
Pelumas gandar dan bearing
roda
Suspension System
Sistem suspensi
Flatbed Steel/ Wooden Deck/
Side Posts, Side Stanchions,
Cargo Tie Down Rails
Dudukan baja, dek kayu, tiang
samping, stanchion samping, rel
tie down kargo
Light Connection Electrical
Cable
Kabel listrik, koneksi lampu
All Electrical Wiring Condition,
Fuse Block
Semua kondisi pengkabelan,
Sekring pengaman
Access Ladder Steps Handrails
Tangga akses dan
pegangannya
Fire extinguisher
APAR
Emergency Spill Kit
Kit tumpahan darurat
Name of Operator
Nama Operator

Signature
Tanda tangan

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