PERIODICAL SERVICE FORM

UNIT MODEL : KOMATSU HM 400

INSPECTION REPORT CODE NUMBER :

No. Date of
No Reg Backlog No. Figure Part Number Problem Description Qty Component Status
Index Insp
Revisi : 0
 REG.NO :------------------------------------

FORM DAILY CHECK/PIT STOP A40D

UNIT MODEL : ARTICULATED DUMP TRUCK
CODE NUMBER : :
DAILY CHECK
HM & TANGGAL
ARTICULATE TRUCK
Comp No ITEM TO BE CHECK CHECK POINT
REMARKS
1 Engine oil level & leakage CHECK/ADD
2 Filter tighness & leakage CHECK
CHECK ENGINE SYSTEM

3 Dust indicator & outer air cleaner CHECK/CLEAN

4 V-belt Alternator ,AC,Water pump & Fan tension CHECK/ADJUST
5 Alternator & starting motor function CHECK
6 Coolant,Safety tank level & leakage CHECK/ADD
7 All cover Component/Protect Plate CHECK
8 All Wiring ( Charging,Starting ect ) CHECK
9 Oil & fuel cup tighteness CHECK
10 Drain Plug tighteness & leakage CHECK
11 Nozzle & hose fir suppresion CHECK
1 Battery Electrolite level CHECK/ADD
BATTERY

2 Battery Clamp & switch function CHECK

3 Battery vent plug & casing CHECK
4 Battery terminal & cable conector CHECK
SUPPRESSION

1 Pressure Indicator
CHECK FIRE

CHECK

2 Hoses & fitting

CHECK

3 Emergency stop /shut down

CHECK
1 Reservoir & Pump out let CHECK
AUTOLUBE
CHECK

2 Central unit/timer CHECK

3 Devider valve out let CHECK

1 Electrical Wiring & Instrument CHECK

CHECK CABIN

2 Lamp, Horn & buzzer CHECK

3 Seat belt CHECK
4 Brake performance CHECK
5 All wipper function & water tank CHECK/ADD
TRANSMISSION

1 Propeller shaft bolt & mounting CHECK

2 Seal Input & out put shaft CHECK

3 Oil level transmissi CHECK

1 Oil level CHECK

& STEERING
HYDRAULIC

2 Cylinder dump & hose CHECK

3 Steering valve & hose CHECK
4 Cylinder steering CHECK
1 Pad parking brake CHECK
FINAL DRIVE &

2 Final drive oil level CHECK

BRAKE

3 Differential oil leakage CHECK

4 Dreive shaft & spider joint CHECK
5 Torque rod,rubber spring & rubber V-arm CHECK
SUSPENSION

1 Suspension level CHECK

2 Suspension oil leakage CHECK

ARTICULATED

1 Bolt lock pin Hitch CHECK

HITCH/

2 Bolt lock nut Articulated oxcilation CHECK

Mechanic comment :

V : Good Condition
Mech.& GL check
Diisi pada kolom

X : Bad Condition Approved by Inspected by

Good after Rep.)
OK
Final Status)

( ) ( )

REVISI : 0